|
CHG FETAL BIOPHYSICAL PROFILE NON-STRESS TESTING
|
Professional
|
Both
|
$335.00
|
|
|
Service Code
|
HCPCS 76818
|
| Min. Negotiated Rate |
$31.52 |
| Max. Negotiated Rate |
$250.41 |
| Rate for Payer: Aetna Commercial |
$145.19
|
| Rate for Payer: Aetna Medicare |
$112.68
|
| Rate for Payer: BCBS Complete |
$33.10
|
| Rate for Payer: BCBS MAPPO |
$108.35
|
| Rate for Payer: BCBS Trust/PPO |
$250.41
|
| Rate for Payer: BCN Commercial |
$171.04
|
| Rate for Payer: BCN Medicare Advantage |
$108.35
|
| Rate for Payer: Cash Price |
$268.00
|
| Rate for Payer: Cash Price |
$268.00
|
| Rate for Payer: Cofinity Commercial |
$156.02
|
| Rate for Payer: Cofinity Commercial |
$145.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$108.35
|
| Rate for Payer: Mclaren Medicaid |
$31.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$113.77
|
| Rate for Payer: Meridian Medicaid |
$33.10
|
| Rate for Payer: Nomi Health Commercial |
$130.02
|
| Rate for Payer: PACE SWMI |
$108.35
|
| Rate for Payer: PHP Medicare Advantage |
$108.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$31.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$217.75
|
| Rate for Payer: Priority Health HMO/PPO |
$75.97
|
| Rate for Payer: Priority Health Medicare |
$109.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$75.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$108.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$108.35
|
| Rate for Payer: UHC Exchange |
$108.35
|
| Rate for Payer: UHC Medicare Advantage |
$108.35
|
| Rate for Payer: UHCCP Medicaid |
$31.52
|
|
|
CHG FETAL BIOPHYSICAL PROFILE W/O NON-STRESS TESTING
|
Professional
|
Both
|
$230.00
|
|
|
Service Code
|
HCPCS 76819
|
| Min. Negotiated Rate |
$23.00 |
| Max. Negotiated Rate |
$173.81 |
| Rate for Payer: Aetna Commercial |
$104.91
|
| Rate for Payer: Aetna Medicare |
$81.42
|
| Rate for Payer: BCBS Complete |
$24.15
|
| Rate for Payer: BCBS MAPPO |
$78.29
|
| Rate for Payer: BCBS Trust/PPO |
$173.81
|
| Rate for Payer: BCN Commercial |
$123.15
|
| Rate for Payer: BCN Medicare Advantage |
$78.29
|
| Rate for Payer: Cash Price |
$184.00
|
| Rate for Payer: Cash Price |
$184.00
|
| Rate for Payer: Cofinity Commercial |
$112.74
|
| Rate for Payer: Cofinity Commercial |
$104.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$78.29
|
| Rate for Payer: Mclaren Medicaid |
$23.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$82.20
|
| Rate for Payer: Meridian Medicaid |
$24.15
|
| Rate for Payer: Nomi Health Commercial |
$93.95
|
| Rate for Payer: PACE SWMI |
$78.29
|
| Rate for Payer: PHP Medicare Advantage |
$78.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$23.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$149.50
|
| Rate for Payer: Priority Health HMO/PPO |
$55.43
|
| Rate for Payer: Priority Health Medicare |
$79.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$55.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$78.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$78.29
|
| Rate for Payer: UHC Exchange |
$78.29
|
| Rate for Payer: UHC Medicare Advantage |
$78.29
|
| Rate for Payer: UHCCP Medicaid |
$23.00
|
|
|
CHG FLUOR NEEDLE/CATH SPINE/PARASPINAL DX/THER ADDON
|
Professional
|
Both
|
$300.00
|
|
|
Service Code
|
HCPCS 77003
|
| Min. Negotiated Rate |
$17.89 |
| Max. Negotiated Rate |
$909.73 |
| Rate for Payer: Aetna Commercial |
$124.39
|
| Rate for Payer: Aetna Medicare |
$96.54
|
| Rate for Payer: BCBS Complete |
$18.78
|
| Rate for Payer: BCBS MAPPO |
$92.83
|
| Rate for Payer: BCBS Trust/PPO |
$909.73
|
| Rate for Payer: BCN Commercial |
$155.40
|
| Rate for Payer: BCN Medicare Advantage |
$92.83
|
| Rate for Payer: Cash Price |
$240.00
|
| Rate for Payer: Cash Price |
$240.00
|
| Rate for Payer: Cofinity Commercial |
$133.68
|
| Rate for Payer: Cofinity Commercial |
$124.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$92.83
|
| Rate for Payer: Mclaren Medicaid |
$17.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$97.47
|
| Rate for Payer: Meridian Medicaid |
$18.78
|
| Rate for Payer: Nomi Health Commercial |
$111.40
|
| Rate for Payer: PACE SWMI |
$92.83
|
| Rate for Payer: PHP Medicare Advantage |
$92.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$17.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$195.00
|
| Rate for Payer: Priority Health HMO/PPO |
$43.62
|
| Rate for Payer: Priority Health Medicare |
$93.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$43.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$92.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$92.83
|
| Rate for Payer: UHC Exchange |
$92.83
|
| Rate for Payer: UHC Medicare Advantage |
$92.83
|
| Rate for Payer: UHCCP Medicaid |
$17.89
|
|
|
CHG FLUORO CENTRAL VENOUS ACCESS DEV PLACEMENT
|
Professional
|
Both
|
$171.00
|
|
|
Service Code
|
HCPCS 77001
|
| Min. Negotiated Rate |
$11.50 |
| Max. Negotiated Rate |
$147.58 |
| Rate for Payer: Aetna Commercial |
$116.94
|
| Rate for Payer: Aetna Commercial |
$116.94
|
| Rate for Payer: Aetna Medicare |
$90.76
|
| Rate for Payer: Aetna Medicare |
$90.76
|
| Rate for Payer: BCBS Complete |
$12.08
|
| Rate for Payer: BCBS Complete |
$12.08
|
| Rate for Payer: BCBS MAPPO |
$87.27
|
| Rate for Payer: BCBS MAPPO |
$87.27
|
| Rate for Payer: BCBS Trust/PPO |
$101.43
|
| Rate for Payer: BCBS Trust/PPO |
$101.43
|
| Rate for Payer: BCN Commercial |
$147.58
|
| Rate for Payer: BCN Commercial |
$147.58
|
| Rate for Payer: BCN Medicare Advantage |
$87.27
|
| Rate for Payer: BCN Medicare Advantage |
$87.27
|
| Rate for Payer: Cash Price |
$119.20
|
| Rate for Payer: Cash Price |
$136.80
|
| Rate for Payer: Cash Price |
$119.20
|
| Rate for Payer: Cash Price |
$136.80
|
| Rate for Payer: Cofinity Commercial |
$125.67
|
| Rate for Payer: Cofinity Commercial |
$116.94
|
| Rate for Payer: Cofinity Commercial |
$125.67
|
| Rate for Payer: Cofinity Commercial |
$116.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$87.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$87.27
|
| Rate for Payer: Mclaren Medicaid |
$11.50
|
| Rate for Payer: Mclaren Medicaid |
$11.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$91.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$91.63
|
| Rate for Payer: Meridian Medicaid |
$12.08
|
| Rate for Payer: Meridian Medicaid |
$12.08
|
| Rate for Payer: Nomi Health Commercial |
$104.72
|
| Rate for Payer: Nomi Health Commercial |
$104.72
|
| Rate for Payer: PACE SWMI |
$87.27
|
| Rate for Payer: PACE SWMI |
$87.27
|
| Rate for Payer: PHP Medicare Advantage |
$87.27
|
| Rate for Payer: PHP Medicare Advantage |
$87.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$111.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$96.85
|
| Rate for Payer: Priority Health HMO/PPO |
$27.20
|
| Rate for Payer: Priority Health HMO/PPO |
$27.20
|
| Rate for Payer: Priority Health Medicare |
$88.14
|
| Rate for Payer: Priority Health Medicare |
$88.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$27.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$27.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$87.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$87.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$87.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$87.27
|
| Rate for Payer: UHC Exchange |
$87.27
|
| Rate for Payer: UHC Exchange |
$87.27
|
| Rate for Payer: UHC Medicare Advantage |
$87.27
|
| Rate for Payer: UHC Medicare Advantage |
$87.27
|
| Rate for Payer: UHCCP Medicaid |
$11.50
|
| Rate for Payer: UHCCP Medicaid |
$11.50
|
|
|
CHG FLUOROSCOPIC GUIDANCE NEEDLE PLACEMENT ADD ON
|
Professional
|
Both
|
$114.00
|
|
|
Service Code
|
HCPCS 77002
|
| Hospital Charge Code |
77002
|
| Min. Negotiated Rate |
$16.83 |
| Max. Negotiated Rate |
$1,036.52 |
| Rate for Payer: Aetna Commercial |
$137.19
|
| Rate for Payer: Aetna Medicare |
$106.48
|
| Rate for Payer: BCBS Complete |
$17.67
|
| Rate for Payer: BCBS MAPPO |
$102.38
|
| Rate for Payer: BCBS Trust/PPO |
$1,036.52
|
| Rate for Payer: BCN Commercial |
$171.04
|
| Rate for Payer: BCN Medicare Advantage |
$102.38
|
| Rate for Payer: Cash Price |
$91.20
|
| Rate for Payer: Cash Price |
$91.20
|
| Rate for Payer: Cofinity Commercial |
$147.43
|
| Rate for Payer: Cofinity Commercial |
$137.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$102.38
|
| Rate for Payer: Mclaren Medicaid |
$16.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$107.50
|
| Rate for Payer: Meridian Medicaid |
$17.67
|
| Rate for Payer: Nomi Health Commercial |
$122.86
|
| Rate for Payer: PACE SWMI |
$102.38
|
| Rate for Payer: PHP Medicare Advantage |
$102.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$16.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$74.10
|
| Rate for Payer: Priority Health HMO/PPO |
$40.55
|
| Rate for Payer: Priority Health Medicare |
$103.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$40.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$102.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$102.38
|
| Rate for Payer: UHC Exchange |
$102.38
|
| Rate for Payer: UHC Medicare Advantage |
$102.38
|
| Rate for Payer: UHCCP Medicaid |
$16.83
|
|
|
CHG FLUOROSCOPIC GUIDANCE NEEDLE PLACEMENT ADD ON
|
Facility
|
OP
|
$114.00
|
|
|
Service Code
|
CPT 77002
|
| Hospital Charge Code |
77002
|
| Min. Negotiated Rate |
$27.08 |
| Max. Negotiated Rate |
$102.60 |
| Rate for Payer: Aetna Commercial |
$96.90
|
| Rate for Payer: Aetna Medicare |
$29.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$35.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$35.62
|
| Rate for Payer: BCBS Complete |
$45.60
|
| Rate for Payer: BCBS MAPPO |
$28.50
|
| Rate for Payer: BCBS Trust/PPO |
$93.72
|
| Rate for Payer: BCN Commercial |
$88.64
|
| Rate for Payer: BCN Medicare Advantage |
$28.50
|
| Rate for Payer: Cash Price |
$91.20
|
| Rate for Payer: Cofinity Commercial |
$98.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$91.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.50
|
| Rate for Payer: Healthscope Commercial |
$102.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$85.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$32.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$96.90
|
| Rate for Payer: Nomi Health Commercial |
$93.48
|
| Rate for Payer: PACE Senior Care Partners |
$27.08
|
| Rate for Payer: PACE SWMI |
$28.50
|
| Rate for Payer: PHP Commercial |
$96.90
|
| Rate for Payer: PHP Medicare Advantage |
$28.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$74.10
|
| Rate for Payer: Priority Health HMO/PPO |
$99.18
|
| Rate for Payer: Priority Health Medicare |
$28.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$76.38
|
| Rate for Payer: Railroad Medicare Medicare |
$28.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$100.32
|
| Rate for Payer: UHC Core |
$95.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$28.50
|
| Rate for Payer: UHC Exchange |
$28.50
|
| Rate for Payer: UHC Medicare Advantage |
$28.50
|
| Rate for Payer: VA VA |
$28.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$85.50
|
|
|
CHG FLUOROSCOPIC GUIDANCE NEEDLE PLACEMENT ADD ON
|
Facility
|
IP
|
$114.00
|
|
|
Service Code
|
CPT 77002
|
| Hospital Charge Code |
77002
|
| Min. Negotiated Rate |
$74.10 |
| Max. Negotiated Rate |
$102.60 |
| Rate for Payer: Aetna Commercial |
$96.90
|
| Rate for Payer: BCBS Trust/PPO |
$93.06
|
| Rate for Payer: BCN Commercial |
$88.10
|
| Rate for Payer: Cash Price |
$91.20
|
| Rate for Payer: Cofinity Commercial |
$98.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$91.20
|
| Rate for Payer: Healthscope Commercial |
$102.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$85.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$96.90
|
| Rate for Payer: Nomi Health Commercial |
$93.48
|
| Rate for Payer: PHP Commercial |
$96.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$74.10
|
| Rate for Payer: Priority Health HMO/PPO |
$99.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$76.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$100.32
|
| Rate for Payer: UHC Core |
$95.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$85.50
|
|
|
CHG FLUOROSCOPIC GUIDANCE NEEDLE PLACEMENT ADD ON
|
Professional
|
Both
|
$114.00
|
|
|
Service Code
|
HCPCS 77002
|
| Min. Negotiated Rate |
$16.83 |
| Max. Negotiated Rate |
$1,036.52 |
| Rate for Payer: Aetna Commercial |
$137.19
|
| Rate for Payer: Aetna Medicare |
$106.48
|
| Rate for Payer: BCBS Complete |
$17.67
|
| Rate for Payer: BCBS MAPPO |
$102.38
|
| Rate for Payer: BCBS Trust/PPO |
$1,036.52
|
| Rate for Payer: BCN Commercial |
$171.04
|
| Rate for Payer: BCN Medicare Advantage |
$102.38
|
| Rate for Payer: Cash Price |
$91.20
|
| Rate for Payer: Cash Price |
$91.20
|
| Rate for Payer: Cofinity Commercial |
$147.43
|
| Rate for Payer: Cofinity Commercial |
$137.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$102.38
|
| Rate for Payer: Mclaren Medicaid |
$16.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$107.50
|
| Rate for Payer: Meridian Medicaid |
$17.67
|
| Rate for Payer: Nomi Health Commercial |
$122.86
|
| Rate for Payer: PACE SWMI |
$102.38
|
| Rate for Payer: PHP Medicare Advantage |
$102.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$16.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$74.10
|
| Rate for Payer: Priority Health HMO/PPO |
$40.55
|
| Rate for Payer: Priority Health Medicare |
$103.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$40.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$102.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$102.38
|
| Rate for Payer: UHC Exchange |
$102.38
|
| Rate for Payer: UHC Medicare Advantage |
$102.38
|
| Rate for Payer: UHCCP Medicaid |
$16.83
|
|
|
CHG FLUOROSCOPY SPX >1 HOUR PHYS/QHP TIME
|
Professional
|
Both
|
$67.00
|
|
|
Service Code
|
HCPCS 76001
|
| Min. Negotiated Rate |
$26.80 |
| Max. Negotiated Rate |
$43.55 |
| Rate for Payer: Aetna Medicare |
$33.50
|
| Rate for Payer: BCBS Complete |
$26.80
|
| Rate for Payer: Cash Price |
$53.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$43.55
|
|
|
CHG FLUOROSCOPY UP TO 1 HOUR PHYSICIAN/QHP TIME
|
Professional
|
Both
|
$55.00
|
|
|
Service Code
|
HCPCS 76000
|
| Min. Negotiated Rate |
$9.59 |
| Max. Negotiated Rate |
$366.11 |
| Rate for Payer: Aetna Commercial |
$52.55
|
| Rate for Payer: Aetna Medicare |
$40.79
|
| Rate for Payer: BCBS Complete |
$10.07
|
| Rate for Payer: BCBS MAPPO |
$39.22
|
| Rate for Payer: BCBS Trust/PPO |
$366.11
|
| Rate for Payer: BCN Commercial |
$63.53
|
| Rate for Payer: BCN Medicare Advantage |
$39.22
|
| Rate for Payer: Cash Price |
$44.00
|
| Rate for Payer: Cash Price |
$44.00
|
| Rate for Payer: Cofinity Commercial |
$56.48
|
| Rate for Payer: Cofinity Commercial |
$52.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$39.22
|
| Rate for Payer: Mclaren Medicaid |
$9.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$41.18
|
| Rate for Payer: Meridian Medicaid |
$10.07
|
| Rate for Payer: Nomi Health Commercial |
$47.06
|
| Rate for Payer: PACE SWMI |
$39.22
|
| Rate for Payer: PHP Medicare Advantage |
$39.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$35.75
|
| Rate for Payer: Priority Health HMO/PPO |
$22.59
|
| Rate for Payer: Priority Health Medicare |
$39.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$22.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$39.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$39.22
|
| Rate for Payer: UHC Exchange |
$39.22
|
| Rate for Payer: UHC Medicare Advantage |
$39.22
|
| Rate for Payer: UHCCP Medicaid |
$9.59
|
|
|
CHG GASTROESOPHAGEAL REFLUX STUDY
|
Professional
|
Both
|
$103.00
|
|
|
Service Code
|
HCPCS 78262
|
| Min. Negotiated Rate |
$20.45 |
| Max. Negotiated Rate |
$653.51 |
| Rate for Payer: Aetna Commercial |
$267.18
|
| Rate for Payer: Aetna Medicare |
$207.37
|
| Rate for Payer: BCBS Complete |
$21.47
|
| Rate for Payer: BCBS MAPPO |
$199.39
|
| Rate for Payer: BCBS Trust/PPO |
$653.51
|
| Rate for Payer: BCN Commercial |
$337.19
|
| Rate for Payer: BCN Medicare Advantage |
$199.39
|
| Rate for Payer: Cash Price |
$82.40
|
| Rate for Payer: Cash Price |
$82.40
|
| Rate for Payer: Cofinity Commercial |
$287.12
|
| Rate for Payer: Cofinity Commercial |
$267.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$199.39
|
| Rate for Payer: Mclaren Medicaid |
$20.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$209.36
|
| Rate for Payer: Meridian Medicaid |
$21.47
|
| Rate for Payer: Nomi Health Commercial |
$239.27
|
| Rate for Payer: PACE SWMI |
$199.39
|
| Rate for Payer: PHP Medicare Advantage |
$199.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$20.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$66.95
|
| Rate for Payer: Priority Health HMO/PPO |
$48.75
|
| Rate for Payer: Priority Health Medicare |
$201.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$48.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$199.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$199.39
|
| Rate for Payer: UHC Exchange |
$199.39
|
| Rate for Payer: UHC Medicare Advantage |
$199.39
|
| Rate for Payer: UHCCP Medicaid |
$20.45
|
|
|
CHG GLUC BLD GLUC MNTR DEV CLEARED FDA SPEC HOME USE
|
Professional
|
Both
|
$12.00
|
|
|
Service Code
|
HCPCS 82962
|
| Min. Negotiated Rate |
$3.28 |
| Max. Negotiated Rate |
$1,864.90 |
| Rate for Payer: Aetna Commercial |
$4.40
|
| Rate for Payer: Aetna Medicare |
$3.41
|
| Rate for Payer: BCBS Complete |
$4.80
|
| Rate for Payer: BCBS MAPPO |
$3.28
|
| Rate for Payer: BCBS Trust/PPO |
$1,864.90
|
| Rate for Payer: BCN Commercial |
$3.28
|
| Rate for Payer: BCN Medicare Advantage |
$3.28
|
| Rate for Payer: Cash Price |
$9.60
|
| Rate for Payer: Cash Price |
$9.60
|
| Rate for Payer: Cofinity Commercial |
$4.72
|
| Rate for Payer: Cofinity Commercial |
$4.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3.44
|
| Rate for Payer: Nomi Health Commercial |
$3.94
|
| Rate for Payer: PACE SWMI |
$3.28
|
| Rate for Payer: PHP Medicare Advantage |
$3.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.80
|
| Rate for Payer: Priority Health HMO/PPO |
$3.33
|
| Rate for Payer: Priority Health Medicare |
$3.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$3.28
|
| Rate for Payer: UHC Exchange |
$3.28
|
| Rate for Payer: UHC Medicare Advantage |
$3.28
|
|
|
CHG GLUCOSE BLOOD REAGENT STRIP
|
Professional
|
Both
|
$14.00
|
|
|
Service Code
|
HCPCS 82948
|
| Min. Negotiated Rate |
$3.78 |
| Max. Negotiated Rate |
$2,965.35 |
| Rate for Payer: Aetna Commercial |
$6.75
|
| Rate for Payer: Aetna Medicare |
$5.24
|
| Rate for Payer: BCBS Complete |
$5.60
|
| Rate for Payer: BCBS MAPPO |
$5.04
|
| Rate for Payer: BCBS Trust/PPO |
$2,965.35
|
| Rate for Payer: BCN Commercial |
$3.78
|
| Rate for Payer: BCN Medicare Advantage |
$5.04
|
| Rate for Payer: Cash Price |
$11.20
|
| Rate for Payer: Cash Price |
$11.20
|
| Rate for Payer: Cofinity Commercial |
$7.26
|
| Rate for Payer: Cofinity Commercial |
$6.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.29
|
| Rate for Payer: Nomi Health Commercial |
$6.05
|
| Rate for Payer: PACE SWMI |
$5.04
|
| Rate for Payer: PHP Medicare Advantage |
$5.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9.10
|
| Rate for Payer: Priority Health HMO/PPO |
$4.99
|
| Rate for Payer: Priority Health Medicare |
$5.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$5.04
|
| Rate for Payer: UHC Exchange |
$5.04
|
| Rate for Payer: UHC Medicare Advantage |
$5.04
|
|
|
CHG GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP
|
Professional
|
Both
|
$17.00
|
|
|
Service Code
|
HCPCS 82947
|
| Min. Negotiated Rate |
$1.71 |
| Max. Negotiated Rate |
$2,179.24 |
| Rate for Payer: Aetna Commercial |
$5.27
|
| Rate for Payer: Aetna Medicare |
$4.09
|
| Rate for Payer: BCBS Complete |
$6.80
|
| Rate for Payer: BCBS MAPPO |
$3.93
|
| Rate for Payer: BCBS Trust/PPO |
$2,179.24
|
| Rate for Payer: BCN Commercial |
$1.71
|
| Rate for Payer: BCN Medicare Advantage |
$3.93
|
| Rate for Payer: Cash Price |
$13.60
|
| Rate for Payer: Cash Price |
$13.60
|
| Rate for Payer: Cofinity Commercial |
$5.66
|
| Rate for Payer: Cofinity Commercial |
$5.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.13
|
| Rate for Payer: Nomi Health Commercial |
$4.72
|
| Rate for Payer: PACE SWMI |
$3.93
|
| Rate for Payer: PHP Medicare Advantage |
$3.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.05
|
| Rate for Payer: Priority Health HMO/PPO |
$3.99
|
| Rate for Payer: Priority Health Medicare |
$3.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$3.93
|
| Rate for Payer: UHC Exchange |
$3.93
|
| Rate for Payer: UHC Medicare Advantage |
$3.93
|
|
|
CHG GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS
|
Professional
|
Both
|
$47.00
|
|
|
Service Code
|
HCPCS 82951
|
| Min. Negotiated Rate |
$9.65 |
| Max. Negotiated Rate |
$3,628.36 |
| Rate for Payer: Aetna Commercial |
$17.25
|
| Rate for Payer: Aetna Medicare |
$13.38
|
| Rate for Payer: BCBS Complete |
$18.80
|
| Rate for Payer: BCBS MAPPO |
$12.87
|
| Rate for Payer: BCBS Trust/PPO |
$3,628.36
|
| Rate for Payer: BCN Commercial |
$9.65
|
| Rate for Payer: BCN Medicare Advantage |
$12.87
|
| Rate for Payer: Cash Price |
$37.60
|
| Rate for Payer: Cash Price |
$37.60
|
| Rate for Payer: Cofinity Commercial |
$18.53
|
| Rate for Payer: Cofinity Commercial |
$17.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13.51
|
| Rate for Payer: Nomi Health Commercial |
$15.44
|
| Rate for Payer: PACE SWMI |
$12.87
|
| Rate for Payer: PHP Medicare Advantage |
$12.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.55
|
| Rate for Payer: Priority Health HMO/PPO |
$12.98
|
| Rate for Payer: Priority Health Medicare |
$13.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$12.87
|
| Rate for Payer: UHC Exchange |
$12.87
|
| Rate for Payer: UHC Medicare Advantage |
$12.87
|
|
|
CHG GONADOTROPIN CHORIONIC QUALITATIVE
|
Professional
|
Both
|
$26.00
|
|
|
Service Code
|
HCPCS 84703
|
| Min. Negotiated Rate |
$5.64 |
| Max. Negotiated Rate |
$4,545.49 |
| Rate for Payer: Aetna Commercial |
$10.08
|
| Rate for Payer: Aetna Medicare |
$7.82
|
| Rate for Payer: BCBS Complete |
$10.40
|
| Rate for Payer: BCBS MAPPO |
$7.52
|
| Rate for Payer: BCBS Trust/PPO |
$4,545.49
|
| Rate for Payer: BCN Commercial |
$5.64
|
| Rate for Payer: BCN Medicare Advantage |
$7.52
|
| Rate for Payer: Cash Price |
$20.80
|
| Rate for Payer: Cash Price |
$20.80
|
| Rate for Payer: Cofinity Commercial |
$10.83
|
| Rate for Payer: Cofinity Commercial |
$10.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7.90
|
| Rate for Payer: Nomi Health Commercial |
$9.02
|
| Rate for Payer: PACE SWMI |
$7.52
|
| Rate for Payer: PHP Medicare Advantage |
$7.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.90
|
| Rate for Payer: Priority Health HMO/PPO |
$7.66
|
| Rate for Payer: Priority Health Medicare |
$7.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$7.52
|
| Rate for Payer: UHC Exchange |
$7.52
|
| Rate for Payer: UHC Medicare Advantage |
$7.52
|
|
|
CHG GUIDANCE FOR LOCLZJ TARGET VOL FOR RADJ TX DLVR
|
Professional
|
Both
|
$60.00
|
|
|
Service Code
|
HCPCS 77387
|
| Min. Negotiated Rate |
$24.00 |
| Max. Negotiated Rate |
$2,278.56 |
| Rate for Payer: Aetna Commercial |
$130.08
|
| Rate for Payer: Aetna Medicare |
$30.00
|
| Rate for Payer: BCBS Complete |
$24.00
|
| Rate for Payer: BCBS Trust/PPO |
$2,278.56
|
| Rate for Payer: BCN Commercial |
$104.62
|
| Rate for Payer: Cash Price |
$48.00
|
| Rate for Payer: Cash Price |
$48.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.00
|
| Rate for Payer: Priority Health HMO/PPO |
$40.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$40.03
|
|
|
CHG HDR RDNCL NTRSTL/INTRCAV BRACHYTX 1 CHANNEL
|
Professional
|
Both
|
$640.00
|
|
|
Service Code
|
HCPCS 77770
|
| Min. Negotiated Rate |
$66.03 |
| Max. Negotiated Rate |
$505.29 |
| Rate for Payer: Aetna Commercial |
$423.10
|
| Rate for Payer: Aetna Commercial |
$423.10
|
| Rate for Payer: Aetna Medicare |
$328.38
|
| Rate for Payer: Aetna Medicare |
$328.38
|
| Rate for Payer: BCBS Complete |
$69.33
|
| Rate for Payer: BCBS Complete |
$69.33
|
| Rate for Payer: BCBS MAPPO |
$315.75
|
| Rate for Payer: BCBS MAPPO |
$315.75
|
| Rate for Payer: BCBS Trust/PPO |
$406.79
|
| Rate for Payer: BCBS Trust/PPO |
$406.79
|
| Rate for Payer: BCN Commercial |
$505.29
|
| Rate for Payer: BCN Commercial |
$505.29
|
| Rate for Payer: BCN Medicare Advantage |
$315.75
|
| Rate for Payer: BCN Medicare Advantage |
$315.75
|
| Rate for Payer: Cash Price |
$165.60
|
| Rate for Payer: Cash Price |
$165.60
|
| Rate for Payer: Cash Price |
$512.00
|
| Rate for Payer: Cash Price |
$512.00
|
| Rate for Payer: Cofinity Commercial |
$423.10
|
| Rate for Payer: Cofinity Commercial |
$454.68
|
| Rate for Payer: Cofinity Commercial |
$423.10
|
| Rate for Payer: Cofinity Commercial |
$454.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$315.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$315.75
|
| Rate for Payer: Mclaren Medicaid |
$66.03
|
| Rate for Payer: Mclaren Medicaid |
$66.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$331.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$331.54
|
| Rate for Payer: Meridian Medicaid |
$69.33
|
| Rate for Payer: Meridian Medicaid |
$69.33
|
| Rate for Payer: Nomi Health Commercial |
$378.90
|
| Rate for Payer: Nomi Health Commercial |
$378.90
|
| Rate for Payer: PACE SWMI |
$315.75
|
| Rate for Payer: PACE SWMI |
$315.75
|
| Rate for Payer: PHP Medicare Advantage |
$315.75
|
| Rate for Payer: PHP Medicare Advantage |
$315.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$66.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$66.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$134.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$416.00
|
| Rate for Payer: Priority Health HMO/PPO |
$156.55
|
| Rate for Payer: Priority Health HMO/PPO |
$156.55
|
| Rate for Payer: Priority Health Medicare |
$318.91
|
| Rate for Payer: Priority Health Medicare |
$318.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$156.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$156.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$315.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$315.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$315.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$315.75
|
| Rate for Payer: UHC Exchange |
$315.75
|
| Rate for Payer: UHC Exchange |
$315.75
|
| Rate for Payer: UHC Medicare Advantage |
$315.75
|
| Rate for Payer: UHC Medicare Advantage |
$315.75
|
| Rate for Payer: UHCCP Medicaid |
$66.03
|
| Rate for Payer: UHCCP Medicaid |
$66.03
|
|
|
CHG HEMOGLOBIN GLYCOSYLATED A1C
|
Professional
|
Both
|
$23.00
|
|
|
Service Code
|
HCPCS 83036
|
| Min. Negotiated Rate |
$9.20 |
| Max. Negotiated Rate |
$1,402.11 |
| Rate for Payer: Aetna Commercial |
$13.01
|
| Rate for Payer: Aetna Medicare |
$10.10
|
| Rate for Payer: BCBS Complete |
$9.20
|
| Rate for Payer: BCBS MAPPO |
$9.71
|
| Rate for Payer: BCBS Trust/PPO |
$1,402.11
|
| Rate for Payer: BCN Commercial |
$14.71
|
| Rate for Payer: BCN Medicare Advantage |
$9.71
|
| Rate for Payer: Cash Price |
$18.40
|
| Rate for Payer: Cash Price |
$18.40
|
| Rate for Payer: Cofinity Commercial |
$13.98
|
| Rate for Payer: Cofinity Commercial |
$13.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10.20
|
| Rate for Payer: Nomi Health Commercial |
$11.65
|
| Rate for Payer: PACE SWMI |
$9.71
|
| Rate for Payer: PHP Medicare Advantage |
$9.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.95
|
| Rate for Payer: Priority Health HMO/PPO |
$9.65
|
| Rate for Payer: Priority Health Medicare |
$9.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$9.71
|
| Rate for Payer: UHC Exchange |
$9.71
|
| Rate for Payer: UHC Medicare Advantage |
$9.71
|
|
|
CHG HETEROPHILE ANTIBODIES SCREEN
|
Professional
|
Both
|
$15.00
|
|
|
Service Code
|
HCPCS 86308
|
| Min. Negotiated Rate |
$5.18 |
| Max. Negotiated Rate |
$1,818.41 |
| Rate for Payer: Aetna Commercial |
$6.94
|
| Rate for Payer: Aetna Medicare |
$5.39
|
| Rate for Payer: BCBS Complete |
$6.00
|
| Rate for Payer: BCBS MAPPO |
$5.18
|
| Rate for Payer: BCBS Trust/PPO |
$1,818.41
|
| Rate for Payer: BCN Commercial |
$5.18
|
| Rate for Payer: BCN Medicare Advantage |
$5.18
|
| Rate for Payer: Cash Price |
$12.00
|
| Rate for Payer: Cash Price |
$12.00
|
| 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 |
$9.75
|
| 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 HYSTEROSALPINGOGRAPHY RS&I
|
Professional
|
Both
|
$153.00
|
|
|
Service Code
|
HCPCS 74740
|
| Min. Negotiated Rate |
$11.50 |
| Max. Negotiated Rate |
$140.74 |
| Rate for Payer: Aetna Commercial |
$108.82
|
| Rate for Payer: Aetna Medicare |
$84.46
|
| Rate for Payer: BCBS Complete |
$12.08
|
| Rate for Payer: BCBS MAPPO |
$81.21
|
| Rate for Payer: BCBS Trust/PPO |
$133.66
|
| Rate for Payer: BCN Commercial |
$140.74
|
| Rate for Payer: BCN Medicare Advantage |
$81.21
|
| Rate for Payer: Cash Price |
$122.40
|
| Rate for Payer: Cash Price |
$122.40
|
| Rate for Payer: Cofinity Commercial |
$108.82
|
| Rate for Payer: Cofinity Commercial |
$116.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$81.21
|
| Rate for Payer: Mclaren Medicaid |
$11.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$85.27
|
| Rate for Payer: Meridian Medicaid |
$12.08
|
| Rate for Payer: Nomi Health Commercial |
$97.45
|
| Rate for Payer: PACE SWMI |
$81.21
|
| Rate for Payer: PHP Medicare Advantage |
$81.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$99.45
|
| Rate for Payer: Priority Health HMO/PPO |
$27.72
|
| Rate for Payer: Priority Health Medicare |
$82.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$27.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$81.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$81.21
|
| Rate for Payer: UHC Exchange |
$81.21
|
| Rate for Payer: UHC Medicare Advantage |
$81.21
|
| Rate for Payer: UHCCP Medicaid |
$11.50
|
|
|
CHG IAADIADOO INFLUENZA
|
Professional
|
Both
|
$30.00
|
|
|
Service Code
|
HCPCS 87804
|
| Min. Negotiated Rate |
$12.00 |
| Max. Negotiated Rate |
$1,216.15 |
| Rate for Payer: Aetna Commercial |
$22.18
|
| Rate for Payer: Aetna Medicare |
$17.21
|
| Rate for Payer: BCBS Complete |
$12.00
|
| Rate for Payer: BCBS MAPPO |
$16.55
|
| Rate for Payer: BCBS Trust/PPO |
$1,216.15
|
| Rate for Payer: BCN Commercial |
$16.55
|
| Rate for Payer: BCN Medicare Advantage |
$16.55
|
| Rate for Payer: Cash Price |
$24.00
|
| Rate for Payer: Cash Price |
$24.00
|
| Rate for Payer: Cofinity Commercial |
$22.18
|
| Rate for Payer: Cofinity Commercial |
$23.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17.38
|
| Rate for Payer: Nomi Health Commercial |
$19.86
|
| Rate for Payer: PACE SWMI |
$16.55
|
| Rate for Payer: PHP Medicare Advantage |
$16.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19.50
|
| Rate for Payer: Priority Health HMO/PPO |
$16.64
|
| Rate for Payer: Priority Health Medicare |
$16.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$16.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$16.55
|
| Rate for Payer: UHC Exchange |
$16.55
|
| Rate for Payer: UHC Medicare Advantage |
$16.55
|
|
|
CHG IAADIADOO RESPIRATORY SYNCTIAL VIRUS
|
Professional
|
Both
|
$18.00
|
|
|
Service Code
|
HCPCS 87807
|
| Min. Negotiated Rate |
$7.20 |
| Max. Negotiated Rate |
$114.11 |
| Rate for Payer: Aetna Commercial |
$17.55
|
| Rate for Payer: Aetna Medicare |
$13.62
|
| Rate for Payer: BCBS Complete |
$7.20
|
| Rate for Payer: BCBS MAPPO |
$13.10
|
| Rate for Payer: BCBS Trust/PPO |
$114.11
|
| Rate for Payer: BCN Commercial |
$13.10
|
| Rate for Payer: BCN Medicare Advantage |
$13.10
|
| Rate for Payer: Cash Price |
$14.40
|
| Rate for Payer: Cash Price |
$14.40
|
| Rate for Payer: Cofinity Commercial |
$18.86
|
| Rate for Payer: Cofinity Commercial |
$17.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13.76
|
| Rate for Payer: Nomi Health Commercial |
$15.72
|
| Rate for Payer: PACE SWMI |
$13.10
|
| Rate for Payer: PHP Medicare Advantage |
$13.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.70
|
| Rate for Payer: Priority Health HMO/PPO |
$12.98
|
| Rate for Payer: Priority Health Medicare |
$13.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$13.10
|
| Rate for Payer: UHC Exchange |
$13.10
|
| Rate for Payer: UHC Medicare Advantage |
$13.10
|
|
|
CHG IAADIADOO STREPTOCOCCUS GROUP A
|
Professional
|
Both
|
$29.00
|
|
|
Service Code
|
HCPCS 87880
|
| Min. Negotiated Rate |
$11.60 |
| Max. Negotiated Rate |
$164.83 |
| Rate for Payer: Aetna Commercial |
$22.15
|
| Rate for Payer: Aetna Medicare |
$17.19
|
| Rate for Payer: BCBS Complete |
$11.60
|
| Rate for Payer: BCBS MAPPO |
$16.53
|
| Rate for Payer: BCBS Trust/PPO |
$164.83
|
| Rate for Payer: BCN Commercial |
$16.53
|
| Rate for Payer: BCN Medicare Advantage |
$16.53
|
| Rate for Payer: Cash Price |
$23.20
|
| Rate for Payer: Cash Price |
$23.20
|
| Rate for Payer: Cofinity Commercial |
$23.80
|
| Rate for Payer: Cofinity Commercial |
$22.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17.36
|
| Rate for Payer: Nomi Health Commercial |
$19.84
|
| Rate for Payer: PACE SWMI |
$16.53
|
| Rate for Payer: PHP Medicare Advantage |
$16.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.85
|
| Rate for Payer: Priority Health HMO/PPO |
$16.64
|
| Rate for Payer: Priority Health Medicare |
$16.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$16.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$16.53
|
| Rate for Payer: UHC Exchange |
$16.53
|
| Rate for Payer: UHC Medicare Advantage |
$16.53
|
|
|
CHG IAAD IA SEVERE AQT RESPIR SYND CORONAVIRUS
|
Professional
|
Both
|
$41.00
|
|
|
Service Code
|
HCPCS 87426
|
| Min. Negotiated Rate |
$16.40 |
| Max. Negotiated Rate |
$1,641.96 |
| Rate for Payer: Aetna Commercial |
$47.34
|
| Rate for Payer: Aetna Medicare |
$36.74
|
| Rate for Payer: BCBS Complete |
$16.40
|
| Rate for Payer: BCBS MAPPO |
$35.33
|
| Rate for Payer: BCBS Trust/PPO |
$1,641.96
|
| Rate for Payer: BCN Commercial |
$35.33
|
| Rate for Payer: BCN Medicare Advantage |
$35.33
|
| Rate for Payer: Cash Price |
$32.80
|
| Rate for Payer: Cash Price |
$32.80
|
| Rate for Payer: Cofinity Commercial |
$50.88
|
| Rate for Payer: Cofinity Commercial |
$47.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37.10
|
| Rate for Payer: Nomi Health Commercial |
$42.40
|
| Rate for Payer: PACE SWMI |
$35.33
|
| Rate for Payer: PHP Medicare Advantage |
$35.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$26.65
|
| Rate for Payer: Priority Health HMO/PPO |
$35.28
|
| Rate for Payer: Priority Health Medicare |
$35.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$35.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$35.33
|
| Rate for Payer: UHC Exchange |
$35.33
|
| Rate for Payer: UHC Medicare Advantage |
$35.33
|
|
