|
PR DUPLEX SCAN EXTRACRANIAL ART UNI/LMTD STUDY
|
Professional
|
Both
|
$328.00
|
|
|
Service Code
|
HCPCS 93882
|
| Min. Negotiated Rate |
$115.14 |
| Max. Negotiated Rate |
$246.00 |
| Rate for Payer: Aetna Commercial |
$154.29
|
| Rate for Payer: Aetna Medicare |
$119.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$154.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$165.80
|
| Rate for Payer: BCBS MAPPO |
$115.14
|
| Rate for Payer: BCN Commercial |
$183.26
|
| Rate for Payer: BCN Medicare Advantage |
$115.14
|
| Rate for Payer: Cash Price |
$262.40
|
| Rate for Payer: Cash Price |
$262.40
|
| Rate for Payer: Cofinity Commercial |
$165.80
|
| Rate for Payer: Cofinity Commercial |
$154.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$115.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$120.90
|
| Rate for Payer: Molina Medicare/Medicaid |
$126.65
|
| Rate for Payer: Nomi Health Commercial |
$138.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$246.00
|
| Rate for Payer: PACE SWMI |
$115.14
|
| Rate for Payer: PHP Commercial |
$161.20
|
| Rate for Payer: PHP Medicare Advantage |
$115.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$169.01
|
| Rate for Payer: Priority Health Medicare |
$115.14
|
| Rate for Payer: Priority Health SBD |
$169.01
|
| Rate for Payer: Priority Health Tiered Network |
$169.01
|
| Rate for Payer: Railroad Medicare Medicare |
$115.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$196.48
|
| Rate for Payer: UHC Core |
$196.48
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$115.14
|
| Rate for Payer: UHC Exchange |
$196.48
|
| Rate for Payer: UMR Bronson Commercial |
$150.88
|
|
|
PR DUPLEX SCAN HEMODIALYSIS ACCESS
|
Professional
|
Both
|
$40.00
|
|
|
Service Code
|
HCPCS 93990
|
| Min. Negotiated Rate |
$18.40 |
| Max. Negotiated Rate |
$236.40 |
| Rate for Payer: Aetna Commercial |
$179.40
|
| Rate for Payer: Aetna Commercial |
$179.40
|
| Rate for Payer: Aetna Medicare |
$139.24
|
| Rate for Payer: Aetna Medicare |
$139.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$179.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$192.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$192.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$179.40
|
| Rate for Payer: BCBS MAPPO |
$133.88
|
| Rate for Payer: BCBS MAPPO |
$133.88
|
| Rate for Payer: BCN Commercial |
$216.13
|
| Rate for Payer: BCN Commercial |
$216.13
|
| Rate for Payer: BCN Medicare Advantage |
$133.88
|
| Rate for Payer: BCN Medicare Advantage |
$133.88
|
| Rate for Payer: Cash Price |
$285.60
|
| Rate for Payer: Cash Price |
$285.60
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Cofinity Commercial |
$192.79
|
| Rate for Payer: Cofinity Commercial |
$192.79
|
| Rate for Payer: Cofinity Commercial |
$179.40
|
| Rate for Payer: Cofinity Commercial |
$179.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$133.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$133.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$140.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$140.57
|
| Rate for Payer: Molina Medicare/Medicaid |
$147.27
|
| Rate for Payer: Molina Medicare/Medicaid |
$147.27
|
| Rate for Payer: Nomi Health Commercial |
$160.66
|
| Rate for Payer: Nomi Health Commercial |
$160.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$30.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$267.75
|
| Rate for Payer: PACE SWMI |
$133.88
|
| Rate for Payer: PACE SWMI |
$133.88
|
| Rate for Payer: PHP Commercial |
$187.43
|
| Rate for Payer: PHP Commercial |
$187.43
|
| Rate for Payer: PHP Medicare Advantage |
$133.88
|
| Rate for Payer: PHP Medicare Advantage |
$133.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$199.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$199.31
|
| Rate for Payer: Priority Health Medicare |
$133.88
|
| Rate for Payer: Priority Health Medicare |
$133.88
|
| Rate for Payer: Priority Health SBD |
$199.31
|
| Rate for Payer: Priority Health SBD |
$199.31
|
| Rate for Payer: Priority Health Tiered Network |
$199.31
|
| Rate for Payer: Priority Health Tiered Network |
$199.31
|
| Rate for Payer: Railroad Medicare Medicare |
$133.88
|
| Rate for Payer: Railroad Medicare Medicare |
$133.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$236.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$236.40
|
| Rate for Payer: UHC Core |
$236.40
|
| Rate for Payer: UHC Core |
$236.40
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$133.88
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$133.88
|
| Rate for Payer: UHC Exchange |
$236.40
|
| Rate for Payer: UHC Exchange |
$236.40
|
| Rate for Payer: UMR Bronson Commercial |
$164.22
|
| Rate for Payer: UMR Bronson Commercial |
$18.40
|
|
|
PR DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPLETE
|
Professional
|
Both
|
$83.00
|
|
|
Service Code
|
HCPCS 93978
|
| Min. Negotiated Rate |
$38.18 |
| Max. Negotiated Rate |
$287.32 |
| Rate for Payer: Aetna Commercial |
$225.05
|
| Rate for Payer: Aetna Commercial |
$225.05
|
| Rate for Payer: Aetna Medicare |
$174.67
|
| Rate for Payer: Aetna Medicare |
$174.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$225.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$241.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$241.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$225.05
|
| Rate for Payer: BCBS MAPPO |
$167.95
|
| Rate for Payer: BCBS MAPPO |
$167.95
|
| Rate for Payer: BCN Commercial |
$267.91
|
| Rate for Payer: BCN Commercial |
$267.91
|
| Rate for Payer: BCN Medicare Advantage |
$167.95
|
| Rate for Payer: BCN Medicare Advantage |
$167.95
|
| Rate for Payer: Cash Price |
$328.00
|
| Rate for Payer: Cash Price |
$328.00
|
| Rate for Payer: Cash Price |
$66.40
|
| Rate for Payer: Cash Price |
$66.40
|
| Rate for Payer: Cofinity Commercial |
$241.85
|
| Rate for Payer: Cofinity Commercial |
$241.85
|
| Rate for Payer: Cofinity Commercial |
$225.05
|
| Rate for Payer: Cofinity Commercial |
$225.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$167.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$167.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$176.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$176.35
|
| Rate for Payer: Molina Medicare/Medicaid |
$184.75
|
| Rate for Payer: Molina Medicare/Medicaid |
$184.75
|
| Rate for Payer: Nomi Health Commercial |
$201.54
|
| Rate for Payer: Nomi Health Commercial |
$201.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$62.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$307.50
|
| Rate for Payer: PACE SWMI |
$167.95
|
| Rate for Payer: PACE SWMI |
$167.95
|
| Rate for Payer: PHP Commercial |
$235.13
|
| Rate for Payer: PHP Commercial |
$235.13
|
| Rate for Payer: PHP Medicare Advantage |
$167.95
|
| Rate for Payer: PHP Medicare Advantage |
$167.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$247.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$247.07
|
| Rate for Payer: Priority Health Medicare |
$167.95
|
| Rate for Payer: Priority Health Medicare |
$167.95
|
| Rate for Payer: Priority Health SBD |
$247.07
|
| Rate for Payer: Priority Health SBD |
$247.07
|
| Rate for Payer: Priority Health Tiered Network |
$247.07
|
| Rate for Payer: Priority Health Tiered Network |
$247.07
|
| Rate for Payer: Railroad Medicare Medicare |
$167.95
|
| Rate for Payer: Railroad Medicare Medicare |
$167.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$287.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$287.32
|
| Rate for Payer: UHC Core |
$287.32
|
| Rate for Payer: UHC Core |
$287.32
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$167.95
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$167.95
|
| Rate for Payer: UHC Exchange |
$287.32
|
| Rate for Payer: UHC Exchange |
$287.32
|
| Rate for Payer: UMR Bronson Commercial |
$188.60
|
| Rate for Payer: UMR Bronson Commercial |
$38.18
|
|
|
PR DUP-SCAN AORTA IVC ILIAC VASCL/BPGS UNI/LMTD
|
Professional
|
Both
|
$54.00
|
|
|
Service Code
|
HCPCS 93979
|
| Min. Negotiated Rate |
$24.84 |
| Max. Negotiated Rate |
$184.68 |
| Rate for Payer: Aetna Commercial |
$145.30
|
| Rate for Payer: Aetna Commercial |
$145.30
|
| Rate for Payer: Aetna Medicare |
$112.77
|
| Rate for Payer: Aetna Medicare |
$112.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$145.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$156.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$156.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$145.30
|
| Rate for Payer: BCBS MAPPO |
$108.43
|
| Rate for Payer: BCBS MAPPO |
$108.43
|
| Rate for Payer: BCN Commercial |
$173.80
|
| Rate for Payer: BCN Commercial |
$173.80
|
| Rate for Payer: BCN Medicare Advantage |
$108.43
|
| Rate for Payer: BCN Medicare Advantage |
$108.43
|
| Rate for Payer: Cash Price |
$226.40
|
| Rate for Payer: Cash Price |
$226.40
|
| Rate for Payer: Cash Price |
$43.20
|
| Rate for Payer: Cash Price |
$43.20
|
| Rate for Payer: Cofinity Commercial |
$156.14
|
| Rate for Payer: Cofinity Commercial |
$156.14
|
| Rate for Payer: Cofinity Commercial |
$145.30
|
| Rate for Payer: Cofinity Commercial |
$145.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$108.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$108.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$113.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$113.85
|
| Rate for Payer: Molina Medicare/Medicaid |
$119.27
|
| Rate for Payer: Molina Medicare/Medicaid |
$119.27
|
| Rate for Payer: Nomi Health Commercial |
$130.12
|
| Rate for Payer: Nomi Health Commercial |
$130.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$40.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$212.25
|
| Rate for Payer: PACE SWMI |
$108.43
|
| Rate for Payer: PACE SWMI |
$108.43
|
| Rate for Payer: PHP Commercial |
$151.80
|
| Rate for Payer: PHP Commercial |
$151.80
|
| Rate for Payer: PHP Medicare Advantage |
$108.43
|
| Rate for Payer: PHP Medicare Advantage |
$108.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$160.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$160.28
|
| Rate for Payer: Priority Health Medicare |
$108.43
|
| Rate for Payer: Priority Health Medicare |
$108.43
|
| Rate for Payer: Priority Health SBD |
$160.28
|
| Rate for Payer: Priority Health SBD |
$160.28
|
| Rate for Payer: Priority Health Tiered Network |
$160.28
|
| Rate for Payer: Priority Health Tiered Network |
$160.28
|
| Rate for Payer: Railroad Medicare Medicare |
$108.43
|
| Rate for Payer: Railroad Medicare Medicare |
$108.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$184.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$184.68
|
| Rate for Payer: UHC Core |
$184.68
|
| Rate for Payer: UHC Core |
$184.68
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$108.43
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$108.43
|
| Rate for Payer: UHC Exchange |
$184.68
|
| Rate for Payer: UHC Exchange |
$184.68
|
| Rate for Payer: UMR Bronson Commercial |
$130.18
|
| Rate for Payer: UMR Bronson Commercial |
$24.84
|
|
|
PR DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN COM
|
Professional
|
Both
|
$638.00
|
|
|
Service Code
|
HCPCS 93975
|
| Min. Negotiated Rate |
$240.86 |
| Max. Negotiated Rate |
$478.50 |
| Rate for Payer: Aetna Commercial |
$322.75
|
| Rate for Payer: Aetna Commercial |
$322.75
|
| Rate for Payer: Aetna Medicare |
$250.49
|
| Rate for Payer: Aetna Medicare |
$250.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$322.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$346.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$346.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$322.75
|
| Rate for Payer: BCBS MAPPO |
$240.86
|
| Rate for Payer: BCBS MAPPO |
$240.86
|
| Rate for Payer: BCN Commercial |
$388.92
|
| Rate for Payer: BCN Commercial |
$388.92
|
| Rate for Payer: BCN Medicare Advantage |
$240.86
|
| Rate for Payer: BCN Medicare Advantage |
$240.86
|
| Rate for Payer: Cash Price |
$212.80
|
| Rate for Payer: Cash Price |
$212.80
|
| Rate for Payer: Cash Price |
$510.40
|
| Rate for Payer: Cash Price |
$510.40
|
| Rate for Payer: Cofinity Commercial |
$346.84
|
| Rate for Payer: Cofinity Commercial |
$346.84
|
| Rate for Payer: Cofinity Commercial |
$322.75
|
| Rate for Payer: Cofinity Commercial |
$322.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$240.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$240.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$252.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$252.90
|
| Rate for Payer: Molina Medicare/Medicaid |
$264.95
|
| Rate for Payer: Molina Medicare/Medicaid |
$264.95
|
| Rate for Payer: Nomi Health Commercial |
$289.03
|
| Rate for Payer: Nomi Health Commercial |
$289.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$478.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$199.50
|
| Rate for Payer: PACE SWMI |
$240.86
|
| Rate for Payer: PACE SWMI |
$240.86
|
| Rate for Payer: PHP Commercial |
$337.20
|
| Rate for Payer: PHP Commercial |
$337.20
|
| Rate for Payer: PHP Medicare Advantage |
$240.86
|
| Rate for Payer: PHP Medicare Advantage |
$240.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$358.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$358.68
|
| Rate for Payer: Priority Health Medicare |
$240.86
|
| Rate for Payer: Priority Health Medicare |
$240.86
|
| Rate for Payer: Priority Health SBD |
$358.68
|
| Rate for Payer: Priority Health SBD |
$358.68
|
| Rate for Payer: Priority Health Tiered Network |
$358.68
|
| Rate for Payer: Priority Health Tiered Network |
$358.68
|
| Rate for Payer: Railroad Medicare Medicare |
$240.86
|
| Rate for Payer: Railroad Medicare Medicare |
$240.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$422.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$422.59
|
| Rate for Payer: UHC Core |
$422.59
|
| Rate for Payer: UHC Core |
$422.59
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$240.86
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$240.86
|
| Rate for Payer: UHC Exchange |
$422.59
|
| Rate for Payer: UHC Exchange |
$422.59
|
| Rate for Payer: UMR Bronson Commercial |
$122.36
|
| Rate for Payer: UMR Bronson Commercial |
$293.48
|
|
|
PR DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN LMT
|
Professional
|
Both
|
$662.00
|
|
|
Service Code
|
HCPCS 93976
|
| Min. Negotiated Rate |
$145.18 |
| Max. Negotiated Rate |
$496.50 |
| Rate for Payer: Aetna Commercial |
$194.54
|
| Rate for Payer: Aetna Commercial |
$194.54
|
| Rate for Payer: Aetna Medicare |
$150.99
|
| Rate for Payer: Aetna Medicare |
$150.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$194.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$209.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$209.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$194.54
|
| Rate for Payer: BCBS MAPPO |
$145.18
|
| Rate for Payer: BCBS MAPPO |
$145.18
|
| Rate for Payer: BCN Commercial |
$235.55
|
| Rate for Payer: BCN Commercial |
$235.55
|
| Rate for Payer: BCN Medicare Advantage |
$145.18
|
| Rate for Payer: BCN Medicare Advantage |
$145.18
|
| Rate for Payer: Cash Price |
$148.80
|
| Rate for Payer: Cash Price |
$148.80
|
| Rate for Payer: Cash Price |
$529.60
|
| Rate for Payer: Cash Price |
$529.60
|
| Rate for Payer: Cofinity Commercial |
$209.06
|
| Rate for Payer: Cofinity Commercial |
$209.06
|
| Rate for Payer: Cofinity Commercial |
$194.54
|
| Rate for Payer: Cofinity Commercial |
$194.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$145.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$145.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$152.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$152.44
|
| Rate for Payer: Molina Medicare/Medicaid |
$159.70
|
| Rate for Payer: Molina Medicare/Medicaid |
$159.70
|
| Rate for Payer: Nomi Health Commercial |
$174.22
|
| Rate for Payer: Nomi Health Commercial |
$174.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$496.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$139.50
|
| Rate for Payer: PACE SWMI |
$145.18
|
| Rate for Payer: PACE SWMI |
$145.18
|
| Rate for Payer: PHP Commercial |
$203.25
|
| Rate for Payer: PHP Commercial |
$203.25
|
| Rate for Payer: PHP Medicare Advantage |
$145.18
|
| Rate for Payer: PHP Medicare Advantage |
$145.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$217.22
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$217.22
|
| Rate for Payer: Priority Health Medicare |
$145.18
|
| Rate for Payer: Priority Health Medicare |
$145.18
|
| Rate for Payer: Priority Health SBD |
$217.22
|
| Rate for Payer: Priority Health SBD |
$217.22
|
| Rate for Payer: Priority Health Tiered Network |
$217.22
|
| Rate for Payer: Priority Health Tiered Network |
$217.22
|
| Rate for Payer: Railroad Medicare Medicare |
$145.18
|
| Rate for Payer: Railroad Medicare Medicare |
$145.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$250.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$250.98
|
| Rate for Payer: UHC Core |
$250.98
|
| Rate for Payer: UHC Core |
$250.98
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$145.18
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$145.18
|
| Rate for Payer: UHC Exchange |
$250.98
|
| Rate for Payer: UHC Exchange |
$250.98
|
| Rate for Payer: UMR Bronson Commercial |
$85.56
|
| Rate for Payer: UMR Bronson Commercial |
$304.52
|
|
|
PR DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY
|
Professional
|
Both
|
$441.00
|
|
|
Service Code
|
HCPCS 93925
|
| Min. Negotiated Rate |
$202.86 |
| Max. Negotiated Rate |
$385.58 |
| Rate for Payer: Aetna Commercial |
$294.64
|
| Rate for Payer: Aetna Commercial |
$294.64
|
| Rate for Payer: Aetna Medicare |
$228.68
|
| Rate for Payer: Aetna Medicare |
$228.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$294.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$316.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$316.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$294.64
|
| Rate for Payer: BCBS MAPPO |
$219.88
|
| Rate for Payer: BCBS MAPPO |
$219.88
|
| Rate for Payer: BCN Commercial |
$352.57
|
| Rate for Payer: BCN Commercial |
$352.57
|
| Rate for Payer: BCN Medicare Advantage |
$219.88
|
| Rate for Payer: BCN Medicare Advantage |
$219.88
|
| Rate for Payer: Cash Price |
$84.00
|
| Rate for Payer: Cash Price |
$84.00
|
| Rate for Payer: Cash Price |
$352.80
|
| Rate for Payer: Cash Price |
$352.80
|
| Rate for Payer: Cofinity Commercial |
$316.63
|
| Rate for Payer: Cofinity Commercial |
$316.63
|
| Rate for Payer: Cofinity Commercial |
$294.64
|
| Rate for Payer: Cofinity Commercial |
$294.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$219.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$219.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$230.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$230.87
|
| Rate for Payer: Molina Medicare/Medicaid |
$241.87
|
| Rate for Payer: Molina Medicare/Medicaid |
$241.87
|
| Rate for Payer: Nomi Health Commercial |
$263.86
|
| Rate for Payer: Nomi Health Commercial |
$263.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$330.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.75
|
| Rate for Payer: PACE SWMI |
$219.88
|
| Rate for Payer: PACE SWMI |
$219.88
|
| Rate for Payer: PHP Commercial |
$307.83
|
| Rate for Payer: PHP Commercial |
$307.83
|
| Rate for Payer: PHP Medicare Advantage |
$219.88
|
| Rate for Payer: PHP Medicare Advantage |
$219.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$325.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$325.14
|
| Rate for Payer: Priority Health Medicare |
$219.88
|
| Rate for Payer: Priority Health Medicare |
$219.88
|
| Rate for Payer: Priority Health SBD |
$325.14
|
| Rate for Payer: Priority Health SBD |
$325.14
|
| Rate for Payer: Priority Health Tiered Network |
$325.14
|
| Rate for Payer: Priority Health Tiered Network |
$325.14
|
| Rate for Payer: Railroad Medicare Medicare |
$219.88
|
| Rate for Payer: Railroad Medicare Medicare |
$219.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$385.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$385.58
|
| Rate for Payer: UHC Core |
$385.58
|
| Rate for Payer: UHC Core |
$385.58
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$219.88
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$219.88
|
| Rate for Payer: UHC Exchange |
$385.58
|
| Rate for Payer: UHC Exchange |
$385.58
|
| Rate for Payer: UMR Bronson Commercial |
$48.30
|
| Rate for Payer: UMR Bronson Commercial |
$202.86
|
|
|
PR DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STUDY
|
Professional
|
Both
|
$42.00
|
|
|
Service Code
|
HCPCS 93926
|
| Min. Negotiated Rate |
$19.32 |
| Max. Negotiated Rate |
$228.23 |
| Rate for Payer: Aetna Commercial |
$173.91
|
| Rate for Payer: Aetna Commercial |
$173.91
|
| Rate for Payer: Aetna Medicare |
$134.97
|
| Rate for Payer: Aetna Medicare |
$134.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$173.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$186.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$186.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$173.91
|
| Rate for Payer: BCBS MAPPO |
$129.78
|
| Rate for Payer: BCBS MAPPO |
$129.78
|
| Rate for Payer: BCN Commercial |
$211.65
|
| Rate for Payer: BCN Commercial |
$211.65
|
| Rate for Payer: BCN Medicare Advantage |
$129.78
|
| Rate for Payer: BCN Medicare Advantage |
$129.78
|
| Rate for Payer: Cash Price |
$275.20
|
| Rate for Payer: Cash Price |
$275.20
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cofinity Commercial |
$186.88
|
| Rate for Payer: Cofinity Commercial |
$186.88
|
| Rate for Payer: Cofinity Commercial |
$173.91
|
| Rate for Payer: Cofinity Commercial |
$173.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$129.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$129.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$136.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$136.27
|
| Rate for Payer: Molina Medicare/Medicaid |
$142.76
|
| Rate for Payer: Molina Medicare/Medicaid |
$142.76
|
| Rate for Payer: Nomi Health Commercial |
$155.74
|
| Rate for Payer: Nomi Health Commercial |
$155.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$31.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$258.00
|
| Rate for Payer: PACE SWMI |
$129.78
|
| Rate for Payer: PACE SWMI |
$129.78
|
| Rate for Payer: PHP Commercial |
$181.69
|
| Rate for Payer: PHP Commercial |
$181.69
|
| Rate for Payer: PHP Medicare Advantage |
$129.78
|
| Rate for Payer: PHP Medicare Advantage |
$129.78
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$195.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$195.18
|
| Rate for Payer: Priority Health Medicare |
$129.78
|
| Rate for Payer: Priority Health Medicare |
$129.78
|
| Rate for Payer: Priority Health SBD |
$195.18
|
| Rate for Payer: Priority Health SBD |
$195.18
|
| Rate for Payer: Priority Health Tiered Network |
$195.18
|
| Rate for Payer: Priority Health Tiered Network |
$195.18
|
| Rate for Payer: Railroad Medicare Medicare |
$129.78
|
| Rate for Payer: Railroad Medicare Medicare |
$129.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$228.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$228.23
|
| Rate for Payer: UHC Core |
$228.23
|
| Rate for Payer: UHC Core |
$228.23
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$129.78
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$129.78
|
| Rate for Payer: UHC Exchange |
$228.23
|
| Rate for Payer: UHC Exchange |
$228.23
|
| Rate for Payer: UMR Bronson Commercial |
$158.24
|
| Rate for Payer: UMR Bronson Commercial |
$19.32
|
|
|
PR DUP-SCAN UXTR ART/ARTL BPGS COMPL BI STUDY
|
Professional
|
Both
|
$66.00
|
|
|
Service Code
|
HCPCS 93930
|
| Min. Negotiated Rate |
$30.36 |
| Max. Negotiated Rate |
$314.45 |
| Rate for Payer: Aetna Commercial |
$247.14
|
| Rate for Payer: Aetna Commercial |
$247.14
|
| Rate for Payer: Aetna Medicare |
$191.81
|
| Rate for Payer: Aetna Medicare |
$191.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$247.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$265.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$265.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$247.14
|
| Rate for Payer: BCBS MAPPO |
$184.43
|
| Rate for Payer: BCBS MAPPO |
$184.43
|
| Rate for Payer: BCN Commercial |
$293.81
|
| Rate for Payer: BCN Commercial |
$293.81
|
| Rate for Payer: BCN Medicare Advantage |
$184.43
|
| Rate for Payer: BCN Medicare Advantage |
$184.43
|
| Rate for Payer: Cash Price |
$334.40
|
| Rate for Payer: Cash Price |
$334.40
|
| Rate for Payer: Cash Price |
$52.80
|
| Rate for Payer: Cash Price |
$52.80
|
| Rate for Payer: Cofinity Commercial |
$265.58
|
| Rate for Payer: Cofinity Commercial |
$265.58
|
| Rate for Payer: Cofinity Commercial |
$247.14
|
| Rate for Payer: Cofinity Commercial |
$247.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$184.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$184.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$193.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$193.65
|
| Rate for Payer: Molina Medicare/Medicaid |
$202.87
|
| Rate for Payer: Molina Medicare/Medicaid |
$202.87
|
| Rate for Payer: Nomi Health Commercial |
$221.32
|
| Rate for Payer: Nomi Health Commercial |
$221.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$49.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$313.50
|
| Rate for Payer: PACE SWMI |
$184.43
|
| Rate for Payer: PACE SWMI |
$184.43
|
| Rate for Payer: PHP Commercial |
$258.20
|
| Rate for Payer: PHP Commercial |
$258.20
|
| Rate for Payer: PHP Medicare Advantage |
$184.43
|
| Rate for Payer: PHP Medicare Advantage |
$184.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$270.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$270.95
|
| Rate for Payer: Priority Health Medicare |
$184.43
|
| Rate for Payer: Priority Health Medicare |
$184.43
|
| Rate for Payer: Priority Health SBD |
$270.95
|
| Rate for Payer: Priority Health SBD |
$270.95
|
| Rate for Payer: Priority Health Tiered Network |
$270.95
|
| Rate for Payer: Priority Health Tiered Network |
$270.95
|
| Rate for Payer: Railroad Medicare Medicare |
$184.43
|
| Rate for Payer: Railroad Medicare Medicare |
$184.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$314.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$314.45
|
| Rate for Payer: UHC Core |
$314.45
|
| Rate for Payer: UHC Core |
$314.45
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$184.43
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$184.43
|
| Rate for Payer: UHC Exchange |
$314.45
|
| Rate for Payer: UHC Exchange |
$314.45
|
| Rate for Payer: UMR Bronson Commercial |
$192.28
|
| Rate for Payer: UMR Bronson Commercial |
$30.36
|
|
|
PR DUP-SCAN UXTR ART/ARTL BPGS UNI/LMTD STUDY
|
Professional
|
Both
|
$34.00
|
|
|
Service Code
|
HCPCS 93931
|
| Min. Negotiated Rate |
$15.64 |
| Max. Negotiated Rate |
$196.34 |
| Rate for Payer: Aetna Commercial |
$150.51
|
| Rate for Payer: Aetna Commercial |
$150.51
|
| Rate for Payer: Aetna Medicare |
$116.81
|
| Rate for Payer: Aetna Medicare |
$116.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$150.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$161.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$161.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$150.51
|
| Rate for Payer: BCBS MAPPO |
$112.32
|
| Rate for Payer: BCBS MAPPO |
$112.32
|
| Rate for Payer: BCN Commercial |
$182.26
|
| Rate for Payer: BCN Commercial |
$182.26
|
| Rate for Payer: BCN Medicare Advantage |
$112.32
|
| Rate for Payer: BCN Medicare Advantage |
$112.32
|
| Rate for Payer: Cash Price |
$224.00
|
| Rate for Payer: Cash Price |
$224.00
|
| Rate for Payer: Cash Price |
$27.20
|
| Rate for Payer: Cash Price |
$27.20
|
| Rate for Payer: Cofinity Commercial |
$161.74
|
| Rate for Payer: Cofinity Commercial |
$161.74
|
| Rate for Payer: Cofinity Commercial |
$150.51
|
| Rate for Payer: Cofinity Commercial |
$150.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$112.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$112.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$117.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$117.94
|
| Rate for Payer: Molina Medicare/Medicaid |
$123.55
|
| Rate for Payer: Molina Medicare/Medicaid |
$123.55
|
| Rate for Payer: Nomi Health Commercial |
$134.78
|
| Rate for Payer: Nomi Health Commercial |
$134.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$210.00
|
| Rate for Payer: PACE SWMI |
$112.32
|
| Rate for Payer: PACE SWMI |
$112.32
|
| Rate for Payer: PHP Commercial |
$157.25
|
| Rate for Payer: PHP Commercial |
$157.25
|
| Rate for Payer: PHP Medicare Advantage |
$112.32
|
| Rate for Payer: PHP Medicare Advantage |
$112.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$168.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$168.09
|
| Rate for Payer: Priority Health Medicare |
$112.32
|
| Rate for Payer: Priority Health Medicare |
$112.32
|
| Rate for Payer: Priority Health SBD |
$168.09
|
| Rate for Payer: Priority Health SBD |
$168.09
|
| Rate for Payer: Priority Health Tiered Network |
$168.09
|
| Rate for Payer: Priority Health Tiered Network |
$168.09
|
| Rate for Payer: Railroad Medicare Medicare |
$112.32
|
| Rate for Payer: Railroad Medicare Medicare |
$112.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$196.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$196.34
|
| Rate for Payer: UHC Core |
$196.34
|
| Rate for Payer: UHC Core |
$196.34
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$112.32
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$112.32
|
| Rate for Payer: UHC Exchange |
$196.34
|
| Rate for Payer: UHC Exchange |
$196.34
|
| Rate for Payer: UMR Bronson Commercial |
$128.80
|
| Rate for Payer: UMR Bronson Commercial |
$15.64
|
|
|
PR DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY
|
Professional
|
Both
|
$435.00
|
|
|
Service Code
|
HCPCS 93970
|
| Min. Negotiated Rate |
$170.65 |
| Max. Negotiated Rate |
$326.25 |
| Rate for Payer: Aetna Commercial |
$228.67
|
| Rate for Payer: Aetna Commercial |
$228.67
|
| Rate for Payer: Aetna Medicare |
$177.48
|
| Rate for Payer: Aetna Medicare |
$177.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$228.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$245.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$245.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$228.67
|
| Rate for Payer: BCBS MAPPO |
$170.65
|
| Rate for Payer: BCBS MAPPO |
$170.65
|
| Rate for Payer: BCN Commercial |
$275.39
|
| Rate for Payer: BCN Commercial |
$275.39
|
| Rate for Payer: BCN Medicare Advantage |
$170.65
|
| Rate for Payer: BCN Medicare Advantage |
$170.65
|
| Rate for Payer: Cash Price |
$96.80
|
| Rate for Payer: Cash Price |
$96.80
|
| Rate for Payer: Cash Price |
$348.00
|
| Rate for Payer: Cash Price |
$348.00
|
| Rate for Payer: Cofinity Commercial |
$245.74
|
| Rate for Payer: Cofinity Commercial |
$245.74
|
| Rate for Payer: Cofinity Commercial |
$228.67
|
| Rate for Payer: Cofinity Commercial |
$228.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$170.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$170.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$179.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$179.18
|
| Rate for Payer: Molina Medicare/Medicaid |
$187.72
|
| Rate for Payer: Molina Medicare/Medicaid |
$187.72
|
| Rate for Payer: Nomi Health Commercial |
$204.78
|
| Rate for Payer: Nomi Health Commercial |
$204.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$326.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$90.75
|
| Rate for Payer: PACE SWMI |
$170.65
|
| Rate for Payer: PACE SWMI |
$170.65
|
| Rate for Payer: PHP Commercial |
$238.91
|
| Rate for Payer: PHP Commercial |
$238.91
|
| Rate for Payer: PHP Medicare Advantage |
$170.65
|
| Rate for Payer: PHP Medicare Advantage |
$170.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$253.97
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$253.97
|
| Rate for Payer: Priority Health Medicare |
$170.65
|
| Rate for Payer: Priority Health Medicare |
$170.65
|
| Rate for Payer: Priority Health SBD |
$253.97
|
| Rate for Payer: Priority Health SBD |
$253.97
|
| Rate for Payer: Priority Health Tiered Network |
$253.97
|
| Rate for Payer: Priority Health Tiered Network |
$253.97
|
| Rate for Payer: Railroad Medicare Medicare |
$170.65
|
| Rate for Payer: Railroad Medicare Medicare |
$170.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$296.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$296.79
|
| Rate for Payer: UHC Core |
$296.79
|
| Rate for Payer: UHC Core |
$296.79
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$170.65
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$170.65
|
| Rate for Payer: UHC Exchange |
$296.79
|
| Rate for Payer: UHC Exchange |
$296.79
|
| Rate for Payer: UMR Bronson Commercial |
$55.66
|
| Rate for Payer: UMR Bronson Commercial |
$200.10
|
|
|
PR DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY
|
Professional
|
Both
|
$76.00
|
|
|
Service Code
|
HCPCS 93971
|
| Min. Negotiated Rate |
$34.96 |
| Max. Negotiated Rate |
$185.31 |
| Rate for Payer: Aetna Commercial |
$144.40
|
| Rate for Payer: Aetna Commercial |
$144.40
|
| Rate for Payer: Aetna Medicare |
$112.07
|
| Rate for Payer: Aetna Medicare |
$112.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$144.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$155.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$155.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$144.40
|
| Rate for Payer: BCBS MAPPO |
$107.76
|
| Rate for Payer: BCBS MAPPO |
$107.76
|
| Rate for Payer: BCN Commercial |
$176.28
|
| Rate for Payer: BCN Commercial |
$176.28
|
| Rate for Payer: BCN Medicare Advantage |
$107.76
|
| Rate for Payer: BCN Medicare Advantage |
$107.76
|
| Rate for Payer: Cash Price |
$229.60
|
| Rate for Payer: Cash Price |
$229.60
|
| Rate for Payer: Cash Price |
$60.80
|
| Rate for Payer: Cash Price |
$60.80
|
| Rate for Payer: Cofinity Commercial |
$155.17
|
| Rate for Payer: Cofinity Commercial |
$155.17
|
| Rate for Payer: Cofinity Commercial |
$144.40
|
| Rate for Payer: Cofinity Commercial |
$144.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$107.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$107.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$113.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$113.15
|
| Rate for Payer: Molina Medicare/Medicaid |
$118.54
|
| Rate for Payer: Molina Medicare/Medicaid |
$118.54
|
| Rate for Payer: Nomi Health Commercial |
$129.31
|
| Rate for Payer: Nomi Health Commercial |
$129.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$57.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$215.25
|
| Rate for Payer: PACE SWMI |
$107.76
|
| Rate for Payer: PACE SWMI |
$107.76
|
| Rate for Payer: PHP Commercial |
$150.86
|
| Rate for Payer: PHP Commercial |
$150.86
|
| Rate for Payer: PHP Medicare Advantage |
$107.76
|
| Rate for Payer: PHP Medicare Advantage |
$107.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$162.58
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$162.58
|
| Rate for Payer: Priority Health Medicare |
$107.76
|
| Rate for Payer: Priority Health Medicare |
$107.76
|
| Rate for Payer: Priority Health SBD |
$162.58
|
| Rate for Payer: Priority Health SBD |
$162.58
|
| Rate for Payer: Priority Health Tiered Network |
$162.58
|
| Rate for Payer: Priority Health Tiered Network |
$162.58
|
| Rate for Payer: Railroad Medicare Medicare |
$107.76
|
| Rate for Payer: Railroad Medicare Medicare |
$107.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$185.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$185.31
|
| Rate for Payer: UHC Core |
$185.31
|
| Rate for Payer: UHC Core |
$185.31
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$107.76
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$107.76
|
| Rate for Payer: UHC Exchange |
$185.31
|
| Rate for Payer: UHC Exchange |
$185.31
|
| Rate for Payer: UMR Bronson Commercial |
$132.02
|
| Rate for Payer: UMR Bronson Commercial |
$34.96
|
|
|
PR DURAL GRAFT SPINAL
|
Professional
|
Both
|
$5,245.00
|
|
|
Service Code
|
HCPCS 63710
|
| Min. Negotiated Rate |
$666.90 |
| Max. Negotiated Rate |
$3,933.75 |
| Rate for Payer: Aetna Commercial |
$1,382.97
|
| Rate for Payer: Aetna Medicare |
$1,073.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,382.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,486.18
|
| Rate for Payer: BCBS Complete |
$700.25
|
| Rate for Payer: BCBS MAPPO |
$1,032.07
|
| Rate for Payer: BCN Commercial |
$1,815.72
|
| Rate for Payer: BCN Medicare Advantage |
$1,032.07
|
| Rate for Payer: Cash Price |
$4,196.00
|
| Rate for Payer: Cash Price |
$4,196.00
|
| Rate for Payer: Cofinity Commercial |
$1,382.97
|
| Rate for Payer: Cofinity Commercial |
$1,486.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,032.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,083.67
|
| Rate for Payer: Meridian Medicaid |
$700.25
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,135.28
|
| Rate for Payer: Nomi Health Commercial |
$1,238.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,933.75
|
| Rate for Payer: PACE SWMI |
$1,032.07
|
| Rate for Payer: PHP Commercial |
$1,444.90
|
| Rate for Payer: PHP Medicare Advantage |
$1,032.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$666.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,919.69
|
| Rate for Payer: Priority Health Medicare |
$1,032.07
|
| Rate for Payer: Priority Health SBD |
$1,919.69
|
| Rate for Payer: Priority Health Tiered Network |
$1,919.69
|
| Rate for Payer: Railroad Medicare Medicare |
$1,032.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,909.23
|
| Rate for Payer: UHC Core |
$1,909.23
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,032.07
|
| Rate for Payer: UHC Exchange |
$1,909.23
|
| Rate for Payer: UHC Medicaid |
$666.90
|
| Rate for Payer: UHCCP Medicaid |
$666.90
|
| Rate for Payer: UMR Bronson Commercial |
$2,412.70
|
|
|
PR DX ALY PRGRMG&VERIF AUD OI SOUND PROCESSR 1ST 60
|
Professional
|
Both
|
$171.00
|
|
|
Service Code
|
HCPCS 92622
|
| Min. Negotiated Rate |
$34.29 |
| Max. Negotiated Rate |
$128.25 |
| Rate for Payer: Aetna Commercial |
$70.75
|
| Rate for Payer: Aetna Medicare |
$54.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$70.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$76.03
|
| Rate for Payer: BCBS Complete |
$36.00
|
| Rate for Payer: BCBS MAPPO |
$52.80
|
| Rate for Payer: BCN Commercial |
$98.60
|
| Rate for Payer: BCN Medicare Advantage |
$52.80
|
| Rate for Payer: Cash Price |
$136.80
|
| Rate for Payer: Cash Price |
$136.80
|
| Rate for Payer: Cofinity Commercial |
$70.75
|
| Rate for Payer: Cofinity Commercial |
$76.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$52.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$55.44
|
| Rate for Payer: Meridian Medicaid |
$36.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$58.08
|
| Rate for Payer: Nomi Health Commercial |
$63.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$128.25
|
| Rate for Payer: PACE SWMI |
$52.80
|
| Rate for Payer: PHP Commercial |
$73.92
|
| Rate for Payer: PHP Medicare Advantage |
$52.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$34.29
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$90.94
|
| Rate for Payer: Priority Health Medicare |
$52.80
|
| Rate for Payer: Priority Health SBD |
$90.94
|
| Rate for Payer: Priority Health Tiered Network |
$90.94
|
| Rate for Payer: Railroad Medicare Medicare |
$52.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$110.53
|
| Rate for Payer: UHC Core |
$110.53
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$52.80
|
| Rate for Payer: UHC Exchange |
$110.53
|
| Rate for Payer: UHC Medicaid |
$34.29
|
| Rate for Payer: UHCCP Medicaid |
$34.29
|
| Rate for Payer: UMR Bronson Commercial |
$78.66
|
|
|
PR DX ALY PRGRMG&VERIF AUD OI SOUND PROCESSR EA ADL
|
Professional
|
Both
|
$44.00
|
|
|
Service Code
|
HCPCS 92623
|
| Min. Negotiated Rate |
$8.95 |
| Max. Negotiated Rate |
$33.00 |
| Rate for Payer: Aetna Commercial |
$18.45
|
| Rate for Payer: Aetna Medicare |
$14.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.83
|
| Rate for Payer: BCBS Complete |
$9.40
|
| Rate for Payer: BCBS MAPPO |
$13.77
|
| Rate for Payer: BCN Commercial |
$25.90
|
| Rate for Payer: BCN Medicare Advantage |
$13.77
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cofinity Commercial |
$18.45
|
| Rate for Payer: Cofinity Commercial |
$19.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14.46
|
| Rate for Payer: Meridian Medicaid |
$9.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$15.15
|
| Rate for Payer: Nomi Health Commercial |
$16.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$33.00
|
| Rate for Payer: PACE SWMI |
$13.77
|
| Rate for Payer: PHP Commercial |
$19.28
|
| Rate for Payer: PHP Medicare Advantage |
$13.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$23.88
|
| Rate for Payer: Priority Health Medicare |
$13.77
|
| Rate for Payer: Priority Health SBD |
$23.88
|
| Rate for Payer: Priority Health Tiered Network |
$23.88
|
| Rate for Payer: Railroad Medicare Medicare |
$13.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29.32
|
| Rate for Payer: UHC Core |
$29.32
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$13.77
|
| Rate for Payer: UHC Exchange |
$29.32
|
| Rate for Payer: UHC Medicaid |
$8.95
|
| Rate for Payer: UHCCP Medicaid |
$8.95
|
| Rate for Payer: UMR Bronson Commercial |
$20.24
|
|
|
PR DYSPORT
|
Professional
|
Both
|
$12.00
|
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$4.80 |
| Max. Negotiated Rate |
$9.00 |
| Rate for Payer: Aetna Medicare |
$6.00
|
| Rate for Payer: BCBS Complete |
$4.80
|
| Rate for Payer: Cash Price |
$9.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9.00
|
| Rate for Payer: UMR Bronson Commercial |
$5.52
|
|
|
PR EAR MOLD/INSERT
|
Professional
|
Both
|
$132.00
|
|
|
Service Code
|
HCPCS V5264
|
| Min. Negotiated Rate |
$52.80 |
| Max. Negotiated Rate |
$99.00 |
| Rate for Payer: Aetna Commercial |
$57.45
|
| Rate for Payer: Aetna Medicare |
$66.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$57.45
|
| Rate for Payer: BCBS Complete |
$52.80
|
| Rate for Payer: Cash Price |
$105.60
|
| Rate for Payer: Cash Price |
$105.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$99.00
|
| Rate for Payer: UMR Bronson Commercial |
$60.72
|
|
|
PR EAR PIERCING
|
Professional
|
Both
|
$73.00
|
|
|
Service Code
|
HCPCS 69090
|
| Min. Negotiated Rate |
$29.20 |
| Max. Negotiated Rate |
$54.75 |
| Rate for Payer: Aetna Commercial |
$35.41
|
| Rate for Payer: Aetna Medicare |
$36.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$35.41
|
| Rate for Payer: BCBS Complete |
$29.20
|
| Rate for Payer: Cash Price |
$58.40
|
| Rate for Payer: Cash Price |
$58.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$54.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$45.27
|
| Rate for Payer: Priority Health SBD |
$45.27
|
| Rate for Payer: Priority Health Tiered Network |
$45.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$53.28
|
| Rate for Payer: UHC Core |
$53.28
|
| Rate for Payer: UHC Exchange |
$53.28
|
| Rate for Payer: UMR Bronson Commercial |
$33.58
|
|
|
PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC
|
Facility
|
IP
|
$33,616.49
|
|
|
Service Code
|
MSDRG 067
|
| Min. Negotiated Rate |
$12,231.49 |
| Max. Negotiated Rate |
$33,616.49 |
| Rate for Payer: Aetna Medicare |
$13,390.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,094.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,094.06
|
| Rate for Payer: BCBS MAPPO |
$12,875.25
|
| Rate for Payer: BCBS Trust/PPO |
$33,616.49
|
| Rate for Payer: BCN Commercial |
$33,616.49
|
| Rate for Payer: BCN Medicare Advantage |
$12,875.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,875.25
|
| Rate for Payer: Mclaren Medicare |
$12,875.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,519.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,806.54
|
| Rate for Payer: Molina Medicare/Medicaid |
$14,162.77
|
| Rate for Payer: Nomi Health Commercial |
$18,946.23
|
| Rate for Payer: PACE Medicare |
$12,231.49
|
| Rate for Payer: PACE SWMI |
$12,875.25
|
| Rate for Payer: PHP Medicare Advantage |
$12,875.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$23,678.59
|
| Rate for Payer: Priority Health Medicare |
$12,875.25
|
| Rate for Payer: Priority Health Tiered Network |
$18,942.87
|
| Rate for Payer: Railroad Medicare Medicare |
$12,875.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23,939.81
|
| Rate for Payer: UHC Core |
$20,028.66
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$12,875.25
|
| Rate for Payer: UHC Exchange |
$16,356.91
|
| Rate for Payer: VA VA |
$12,875.25
|
|
|
PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC
|
Facility
|
IP
|
$19,978.84
|
|
|
Service Code
|
MSDRG 068
|
| Min. Negotiated Rate |
$7,430.60 |
| Max. Negotiated Rate |
$19,978.84 |
| Rate for Payer: Aetna Medicare |
$8,134.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,777.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,777.10
|
| Rate for Payer: BCBS MAPPO |
$7,821.68
|
| Rate for Payer: BCBS Trust/PPO |
$19,978.84
|
| Rate for Payer: BCN Commercial |
$19,978.84
|
| Rate for Payer: BCN Medicare Advantage |
$7,821.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,821.68
|
| Rate for Payer: Mclaren Medicare |
$7,821.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,212.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,994.93
|
| Rate for Payer: Molina Medicare/Medicaid |
$8,603.85
|
| Rate for Payer: Nomi Health Commercial |
$11,150.76
|
| Rate for Payer: PACE Medicare |
$7,430.60
|
| Rate for Payer: PACE SWMI |
$7,821.68
|
| Rate for Payer: PHP Medicare Advantage |
$7,821.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$13,935.98
|
| Rate for Payer: Priority Health Medicare |
$7,821.68
|
| Rate for Payer: Priority Health Tiered Network |
$11,148.78
|
| Rate for Payer: Railroad Medicare Medicare |
$7,821.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,089.72
|
| Rate for Payer: UHC Core |
$11,787.82
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$7,821.68
|
| Rate for Payer: UHC Exchange |
$9,626.82
|
| Rate for Payer: VA VA |
$7,821.68
|
|
|
PR ECG ROUTINE ECG W/LEAST 12 LDS I&R ONLY
|
Professional
|
Both
|
$24.00
|
|
|
Service Code
|
HCPCS 93010
|
| Min. Negotiated Rate |
$5.33 |
| Max. Negotiated Rate |
$18.00 |
| Rate for Payer: Aetna Commercial |
$10.97
|
| Rate for Payer: Aetna Medicare |
$8.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.79
|
| Rate for Payer: BCBS Complete |
$5.60
|
| Rate for Payer: BCBS MAPPO |
$8.19
|
| Rate for Payer: BCN Commercial |
$9.42
|
| Rate for Payer: BCN Medicare Advantage |
$8.19
|
| Rate for Payer: Cash Price |
$19.20
|
| Rate for Payer: Cash Price |
$19.20
|
| Rate for Payer: Cofinity Commercial |
$11.79
|
| Rate for Payer: Cofinity Commercial |
$10.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8.60
|
| Rate for Payer: Meridian Medicaid |
$5.60
|
| Rate for Payer: Molina Medicare/Medicaid |
$9.01
|
| Rate for Payer: Nomi Health Commercial |
$9.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.00
|
| Rate for Payer: PACE SWMI |
$8.19
|
| Rate for Payer: PHP Commercial |
$11.47
|
| Rate for Payer: PHP Medicare Advantage |
$8.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$11.35
|
| Rate for Payer: Priority Health Medicare |
$8.19
|
| Rate for Payer: Priority Health SBD |
$11.35
|
| Rate for Payer: Priority Health Tiered Network |
$11.35
|
| Rate for Payer: Railroad Medicare Medicare |
$8.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13.65
|
| Rate for Payer: UHC Core |
$13.65
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$8.19
|
| Rate for Payer: UHC Exchange |
$13.65
|
| Rate for Payer: UHC Medicaid |
$5.33
|
| Rate for Payer: UHCCP Medicaid |
$5.33
|
| Rate for Payer: UMR Bronson Commercial |
$11.04
|
|
|
PR ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I&R
|
Professional
|
Both
|
$44.00
|
|
|
Service Code
|
HCPCS 93005
|
| Min. Negotiated Rate |
$6.48 |
| Max. Negotiated Rate |
$33.00 |
| Rate for Payer: Aetna Commercial |
$8.68
|
| Rate for Payer: Aetna Medicare |
$6.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9.33
|
| Rate for Payer: BCBS MAPPO |
$6.48
|
| Rate for Payer: BCN Commercial |
$7.46
|
| Rate for Payer: BCN Medicare Advantage |
$6.48
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cofinity Commercial |
$8.68
|
| Rate for Payer: Cofinity Commercial |
$9.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.13
|
| Rate for Payer: Nomi Health Commercial |
$7.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$33.00
|
| Rate for Payer: PACE SWMI |
$6.48
|
| Rate for Payer: PHP Commercial |
$9.07
|
| Rate for Payer: PHP Medicare Advantage |
$6.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$9.00
|
| Rate for Payer: Priority Health Medicare |
$6.48
|
| Rate for Payer: Priority Health SBD |
$9.00
|
| Rate for Payer: Priority Health Tiered Network |
$9.00
|
| Rate for Payer: Railroad Medicare Medicare |
$6.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12.82
|
| Rate for Payer: UHC Core |
$12.82
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$6.48
|
| Rate for Payer: UHC Exchange |
$12.82
|
| Rate for Payer: UMR Bronson Commercial |
$20.24
|
|
|
PR ECG ROUTINE ECG W/LEAST 12 LDS W/I&R
|
Professional
|
Both
|
$81.00
|
|
|
Service Code
|
HCPCS 93000
|
| Min. Negotiated Rate |
$14.67 |
| Max. Negotiated Rate |
$60.75 |
| Rate for Payer: Aetna Commercial |
$19.66
|
| Rate for Payer: Aetna Medicare |
$15.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$21.12
|
| Rate for Payer: BCBS MAPPO |
$14.67
|
| Rate for Payer: BCN Commercial |
$16.89
|
| Rate for Payer: BCN Medicare Advantage |
$14.67
|
| Rate for Payer: Cash Price |
$64.80
|
| Rate for Payer: Cash Price |
$64.80
|
| Rate for Payer: Cofinity Commercial |
$21.12
|
| Rate for Payer: Cofinity Commercial |
$19.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$16.14
|
| Rate for Payer: Nomi Health Commercial |
$17.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$60.75
|
| Rate for Payer: PACE SWMI |
$14.67
|
| Rate for Payer: PHP Commercial |
$20.54
|
| Rate for Payer: PHP Medicare Advantage |
$14.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$20.35
|
| Rate for Payer: Priority Health Medicare |
$14.67
|
| Rate for Payer: Priority Health SBD |
$20.35
|
| Rate for Payer: Priority Health Tiered Network |
$20.35
|
| Rate for Payer: Railroad Medicare Medicare |
$14.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26.45
|
| Rate for Payer: UHC Core |
$26.45
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$14.67
|
| Rate for Payer: UHC Exchange |
$26.45
|
| Rate for Payer: UMR Bronson Commercial |
$37.26
|
|
|
PR ECHO GUIDANCE RADIOTHERAPY
|
Professional
|
Both
|
$394.00
|
|
|
Service Code
|
HCPCS G6001
|
| Min. Negotiated Rate |
$157.60 |
| Max. Negotiated Rate |
$295.50 |
| Rate for Payer: Aetna Commercial |
$173.52
|
| Rate for Payer: Aetna Medicare |
$197.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$173.52
|
| Rate for Payer: BCBS Complete |
$157.60
|
| Rate for Payer: BCN Commercial |
$264.43
|
| Rate for Payer: Cash Price |
$315.20
|
| Rate for Payer: Cash Price |
$315.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$295.50
|
| Rate for Payer: UMR Bronson Commercial |
$181.24
|
|
|
PR ECHO R-T 2D W/PROBE PLACEMENT ONLY
|
Professional
|
Both
|
$784.00
|
|
|
Service Code
|
HCPCS 93313
|
| Min. Negotiated Rate |
$6.60 |
| Max. Negotiated Rate |
$588.00 |
| Rate for Payer: Aetna Commercial |
$13.83
|
| Rate for Payer: Aetna Medicare |
$10.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.86
|
| Rate for Payer: BCBS Complete |
$6.93
|
| Rate for Payer: BCBS MAPPO |
$10.32
|
| Rate for Payer: BCN Commercial |
$16.44
|
| Rate for Payer: BCN Medicare Advantage |
$10.32
|
| Rate for Payer: Cash Price |
$627.20
|
| Rate for Payer: Cash Price |
$627.20
|
| Rate for Payer: Cofinity Commercial |
$14.86
|
| Rate for Payer: Cofinity Commercial |
$13.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10.84
|
| Rate for Payer: Meridian Medicaid |
$6.93
|
| Rate for Payer: Molina Medicare/Medicaid |
$11.35
|
| Rate for Payer: Nomi Health Commercial |
$12.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$588.00
|
| Rate for Payer: PACE SWMI |
$10.32
|
| Rate for Payer: PHP Commercial |
$14.45
|
| Rate for Payer: PHP Medicare Advantage |
$10.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$15.61
|
| Rate for Payer: Priority Health Medicare |
$10.32
|
| Rate for Payer: Priority Health SBD |
$15.61
|
| Rate for Payer: Priority Health Tiered Network |
$15.61
|
| Rate for Payer: Railroad Medicare Medicare |
$10.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.93
|
| Rate for Payer: UHC Core |
$18.93
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$10.32
|
| Rate for Payer: UHC Exchange |
$18.93
|
| Rate for Payer: UHC Medicaid |
$6.60
|
| Rate for Payer: UHCCP Medicaid |
$6.60
|
| Rate for Payer: UMR Bronson Commercial |
$360.64
|
|
