|
CHG RADEX HIP UNILATERAL WITH PELVIS MINIMUM 4 VIEWS
|
Professional
|
Both
|
$29.00
|
|
|
Service Code
|
HCPCS 73503
|
| Min. Negotiated Rate |
$13.34 |
| Max. Negotiated Rate |
$91.31 |
| Rate for Payer: Aetna Commercial |
$78.12
|
| Rate for Payer: Aetna Commercial |
$78.12
|
| Rate for Payer: Aetna Medicare |
$60.63
|
| Rate for Payer: Aetna Medicare |
$60.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$78.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$83.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$83.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$78.12
|
| Rate for Payer: BCBS MAPPO |
$58.30
|
| Rate for Payer: BCBS MAPPO |
$58.30
|
| Rate for Payer: BCN Commercial |
$90.63
|
| Rate for Payer: BCN Commercial |
$90.63
|
| Rate for Payer: BCN Medicare Advantage |
$58.30
|
| Rate for Payer: BCN Medicare Advantage |
$58.30
|
| Rate for Payer: Cash Price |
$102.40
|
| Rate for Payer: Cash Price |
$102.40
|
| Rate for Payer: Cash Price |
$23.20
|
| Rate for Payer: Cash Price |
$23.20
|
| Rate for Payer: Cofinity Commercial |
$83.95
|
| Rate for Payer: Cofinity Commercial |
$83.95
|
| Rate for Payer: Cofinity Commercial |
$78.12
|
| Rate for Payer: Cofinity Commercial |
$78.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$58.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$58.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$61.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$61.22
|
| Rate for Payer: Molina Medicare/Medicaid |
$64.13
|
| Rate for Payer: Molina Medicare/Medicaid |
$64.13
|
| Rate for Payer: Nomi Health Commercial |
$69.96
|
| Rate for Payer: Nomi Health Commercial |
$69.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$96.00
|
| Rate for Payer: PACE SWMI |
$58.30
|
| Rate for Payer: PACE SWMI |
$58.30
|
| Rate for Payer: PHP Commercial |
$81.62
|
| Rate for Payer: PHP Commercial |
$81.62
|
| Rate for Payer: PHP Medicare Advantage |
$58.30
|
| Rate for Payer: PHP Medicare Advantage |
$58.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$91.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$91.31
|
| Rate for Payer: Priority Health Medicare |
$58.30
|
| Rate for Payer: Priority Health Medicare |
$58.30
|
| Rate for Payer: Priority Health SBD |
$91.31
|
| Rate for Payer: Priority Health SBD |
$91.31
|
| Rate for Payer: Priority Health Tiered Network |
$91.31
|
| Rate for Payer: Priority Health Tiered Network |
$91.31
|
| Rate for Payer: Railroad Medicare Medicare |
$58.30
|
| Rate for Payer: Railroad Medicare Medicare |
$58.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$78.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$78.51
|
| Rate for Payer: UHC Core |
$78.51
|
| Rate for Payer: UHC Core |
$78.51
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$58.30
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$58.30
|
| Rate for Payer: UHC Exchange |
$78.51
|
| Rate for Payer: UHC Exchange |
$78.51
|
| Rate for Payer: UMR Bronson Commercial |
$58.88
|
| Rate for Payer: UMR Bronson Commercial |
$13.34
|
|
|
CHG RADEX HUMERUS MINIMUM 2 VIEWS
|
Professional
|
Both
|
$41.00
|
|
|
Service Code
|
HCPCS 73060
|
| Min. Negotiated Rate |
$18.86 |
| Max. Negotiated Rate |
$48.16 |
| Rate for Payer: Aetna Commercial |
$40.04
|
| Rate for Payer: Aetna Commercial |
$40.04
|
| Rate for Payer: Aetna Commercial |
$40.04
|
| Rate for Payer: Aetna Medicare |
$31.08
|
| Rate for Payer: Aetna Medicare |
$31.08
|
| Rate for Payer: Aetna Medicare |
$31.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40.04
|
| Rate for Payer: BCBS MAPPO |
$29.88
|
| Rate for Payer: BCBS MAPPO |
$29.88
|
| Rate for Payer: BCBS MAPPO |
$29.88
|
| Rate for Payer: BCN Commercial |
$47.81
|
| Rate for Payer: BCN Commercial |
$47.81
|
| Rate for Payer: BCN Commercial |
$47.81
|
| Rate for Payer: BCN Medicare Advantage |
$29.88
|
| Rate for Payer: BCN Medicare Advantage |
$29.88
|
| Rate for Payer: BCN Medicare Advantage |
$29.88
|
| Rate for Payer: Cash Price |
$27.20
|
| Rate for Payer: Cash Price |
$86.40
|
| Rate for Payer: Cash Price |
$86.40
|
| Rate for Payer: Cash Price |
$27.20
|
| Rate for Payer: Cash Price |
$32.80
|
| Rate for Payer: Cash Price |
$32.80
|
| Rate for Payer: Cofinity Commercial |
$43.03
|
| Rate for Payer: Cofinity Commercial |
$43.03
|
| Rate for Payer: Cofinity Commercial |
$40.04
|
| Rate for Payer: Cofinity Commercial |
$40.04
|
| Rate for Payer: Cofinity Commercial |
$40.04
|
| Rate for Payer: Cofinity Commercial |
$43.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.37
|
| Rate for Payer: Molina Medicare/Medicaid |
$32.87
|
| Rate for Payer: Molina Medicare/Medicaid |
$32.87
|
| Rate for Payer: Molina Medicare/Medicaid |
$32.87
|
| Rate for Payer: Nomi Health Commercial |
$35.86
|
| Rate for Payer: Nomi Health Commercial |
$35.86
|
| Rate for Payer: Nomi Health Commercial |
$35.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$81.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$30.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.50
|
| Rate for Payer: PACE SWMI |
$29.88
|
| Rate for Payer: PACE SWMI |
$29.88
|
| Rate for Payer: PACE SWMI |
$29.88
|
| Rate for Payer: PHP Commercial |
$41.83
|
| Rate for Payer: PHP Commercial |
$41.83
|
| Rate for Payer: PHP Commercial |
$41.83
|
| Rate for Payer: PHP Medicare Advantage |
$29.88
|
| Rate for Payer: PHP Medicare Advantage |
$29.88
|
| Rate for Payer: PHP Medicare Advantage |
$29.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$48.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$48.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$48.16
|
| Rate for Payer: Priority Health Medicare |
$29.88
|
| Rate for Payer: Priority Health Medicare |
$29.88
|
| Rate for Payer: Priority Health Medicare |
$29.88
|
| Rate for Payer: Priority Health SBD |
$48.16
|
| Rate for Payer: Priority Health SBD |
$48.16
|
| Rate for Payer: Priority Health SBD |
$48.16
|
| Rate for Payer: Priority Health Tiered Network |
$48.16
|
| Rate for Payer: Priority Health Tiered Network |
$48.16
|
| Rate for Payer: Priority Health Tiered Network |
$48.16
|
| Rate for Payer: Railroad Medicare Medicare |
$29.88
|
| Rate for Payer: Railroad Medicare Medicare |
$29.88
|
| Rate for Payer: Railroad Medicare Medicare |
$29.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44.09
|
| Rate for Payer: UHC Core |
$44.09
|
| Rate for Payer: UHC Core |
$44.09
|
| Rate for Payer: UHC Core |
$44.09
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$29.88
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$29.88
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$29.88
|
| Rate for Payer: UHC Exchange |
$44.09
|
| Rate for Payer: UHC Exchange |
$44.09
|
| Rate for Payer: UHC Exchange |
$44.09
|
| Rate for Payer: UMR Bronson Commercial |
$18.86
|
| Rate for Payer: UMR Bronson Commercial |
$49.68
|
| Rate for Payer: UMR Bronson Commercial |
$15.64
|
|
|
CHG RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS
|
Professional
|
Both
|
$58.00
|
|
|
Service Code
|
HCPCS 70160
|
| Min. Negotiated Rate |
$26.68 |
| Max. Negotiated Rate |
$56.69 |
| Rate for Payer: Aetna Commercial |
$46.62
|
| Rate for Payer: Aetna Commercial |
$46.62
|
| Rate for Payer: Aetna Medicare |
$36.18
|
| Rate for Payer: Aetna Medicare |
$36.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$46.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$50.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$50.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$46.62
|
| Rate for Payer: BCBS MAPPO |
$34.79
|
| Rate for Payer: BCBS MAPPO |
$34.79
|
| Rate for Payer: BCN Commercial |
$56.27
|
| Rate for Payer: BCN Commercial |
$56.27
|
| Rate for Payer: BCN Medicare Advantage |
$34.79
|
| Rate for Payer: BCN Medicare Advantage |
$34.79
|
| Rate for Payer: Cash Price |
$40.00
|
| Rate for Payer: Cash Price |
$40.00
|
| Rate for Payer: Cash Price |
$46.40
|
| Rate for Payer: Cash Price |
$46.40
|
| Rate for Payer: Cofinity Commercial |
$50.10
|
| Rate for Payer: Cofinity Commercial |
$50.10
|
| Rate for Payer: Cofinity Commercial |
$46.62
|
| Rate for Payer: Cofinity Commercial |
$46.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$34.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$34.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36.53
|
| Rate for Payer: Molina Medicare/Medicaid |
$38.27
|
| Rate for Payer: Molina Medicare/Medicaid |
$38.27
|
| Rate for Payer: Nomi Health Commercial |
$41.75
|
| Rate for Payer: Nomi Health Commercial |
$41.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$43.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$37.50
|
| Rate for Payer: PACE SWMI |
$34.79
|
| Rate for Payer: PACE SWMI |
$34.79
|
| Rate for Payer: PHP Commercial |
$48.71
|
| Rate for Payer: PHP Commercial |
$48.71
|
| Rate for Payer: PHP Medicare Advantage |
$34.79
|
| Rate for Payer: PHP Medicare Advantage |
$34.79
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$56.69
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$56.69
|
| Rate for Payer: Priority Health Medicare |
$34.79
|
| Rate for Payer: Priority Health Medicare |
$34.79
|
| Rate for Payer: Priority Health SBD |
$56.69
|
| Rate for Payer: Priority Health SBD |
$56.69
|
| Rate for Payer: Priority Health Tiered Network |
$56.69
|
| Rate for Payer: Priority Health Tiered Network |
$56.69
|
| Rate for Payer: Railroad Medicare Medicare |
$34.79
|
| Rate for Payer: Railroad Medicare Medicare |
$34.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$51.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$51.01
|
| Rate for Payer: UHC Core |
$51.01
|
| Rate for Payer: UHC Core |
$51.01
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$34.79
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$34.79
|
| Rate for Payer: UHC Exchange |
$51.01
|
| Rate for Payer: UHC Exchange |
$51.01
|
| Rate for Payer: UMR Bronson Commercial |
$23.00
|
| Rate for Payer: UMR Bronson Commercial |
$26.68
|
|
|
CHG RADEX OPTIC FORAMINA
|
Professional
|
Both
|
$66.00
|
|
|
Service Code
|
HCPCS 70190
|
| Min. Negotiated Rate |
$30.36 |
| Max. Negotiated Rate |
$56.20 |
| Rate for Payer: Aetna Commercial |
$45.92
|
| Rate for Payer: Aetna Medicare |
$35.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$45.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$49.35
|
| Rate for Payer: BCBS MAPPO |
$34.27
|
| Rate for Payer: BCN Commercial |
$55.77
|
| Rate for Payer: BCN Medicare Advantage |
$34.27
|
| Rate for Payer: Cash Price |
$52.80
|
| Rate for Payer: Cash Price |
$52.80
|
| Rate for Payer: Cofinity Commercial |
$45.92
|
| Rate for Payer: Cofinity Commercial |
$49.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$34.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35.98
|
| Rate for Payer: Molina Medicare/Medicaid |
$37.70
|
| Rate for Payer: Nomi Health Commercial |
$41.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$49.50
|
| Rate for Payer: PACE SWMI |
$34.27
|
| Rate for Payer: PHP Commercial |
$47.98
|
| Rate for Payer: PHP Medicare Advantage |
$34.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$56.20
|
| Rate for Payer: Priority Health Medicare |
$34.27
|
| Rate for Payer: Priority Health SBD |
$56.20
|
| Rate for Payer: Priority Health Tiered Network |
$56.20
|
| Rate for Payer: Railroad Medicare Medicare |
$34.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$54.15
|
| Rate for Payer: UHC Core |
$54.15
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$34.27
|
| Rate for Payer: UHC Exchange |
$54.15
|
| Rate for Payer: UMR Bronson Commercial |
$30.36
|
|
|
CHG RADEX ORBITS COMPLETE MINIMUM 4 VIEWS
|
Professional
|
Both
|
$59.00
|
|
|
Service Code
|
HCPCS 70200
|
| Min. Negotiated Rate |
$27.14 |
| Max. Negotiated Rate |
$71.75 |
| Rate for Payer: Aetna Commercial |
$58.45
|
| Rate for Payer: Aetna Medicare |
$45.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$58.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$62.81
|
| Rate for Payer: BCBS MAPPO |
$43.62
|
| Rate for Payer: BCN Commercial |
$71.21
|
| Rate for Payer: BCN Medicare Advantage |
$43.62
|
| Rate for Payer: Cash Price |
$47.20
|
| Rate for Payer: Cash Price |
$47.20
|
| Rate for Payer: Cofinity Commercial |
$62.81
|
| Rate for Payer: Cofinity Commercial |
$58.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$43.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$45.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$47.98
|
| Rate for Payer: Nomi Health Commercial |
$52.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$44.25
|
| Rate for Payer: PACE SWMI |
$43.62
|
| Rate for Payer: PHP Commercial |
$61.07
|
| Rate for Payer: PHP Medicare Advantage |
$43.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$71.75
|
| Rate for Payer: Priority Health Medicare |
$43.62
|
| Rate for Payer: Priority Health SBD |
$71.75
|
| Rate for Payer: Priority Health Tiered Network |
$71.75
|
| Rate for Payer: Railroad Medicare Medicare |
$43.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$65.78
|
| Rate for Payer: UHC Core |
$65.78
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$43.62
|
| Rate for Payer: UHC Exchange |
$65.78
|
| Rate for Payer: UMR Bronson Commercial |
$27.14
|
|
|
CHG RADEX RIBS BILATERAL 3 VIEWS
|
Professional
|
Both
|
$55.00
|
|
|
Service Code
|
HCPCS 71110
|
| Min. Negotiated Rate |
$25.30 |
| Max. Negotiated Rate |
$65.72 |
| Rate for Payer: Aetna Commercial |
$53.59
|
| Rate for Payer: Aetna Commercial |
$53.59
|
| Rate for Payer: Aetna Medicare |
$41.59
|
| Rate for Payer: Aetna Medicare |
$41.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$53.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$57.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$57.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$53.59
|
| Rate for Payer: BCBS MAPPO |
$39.99
|
| Rate for Payer: BCBS MAPPO |
$39.99
|
| Rate for Payer: BCN Commercial |
$65.23
|
| Rate for Payer: BCN Commercial |
$65.23
|
| Rate for Payer: BCN Medicare Advantage |
$39.99
|
| Rate for Payer: BCN Medicare Advantage |
$39.99
|
| Rate for Payer: Cash Price |
$90.40
|
| Rate for Payer: Cash Price |
$90.40
|
| Rate for Payer: Cash Price |
$44.00
|
| Rate for Payer: Cash Price |
$44.00
|
| Rate for Payer: Cofinity Commercial |
$57.59
|
| Rate for Payer: Cofinity Commercial |
$57.59
|
| Rate for Payer: Cofinity Commercial |
$53.59
|
| Rate for Payer: Cofinity Commercial |
$53.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$39.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$39.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$41.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$41.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$43.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$43.99
|
| Rate for Payer: Nomi Health Commercial |
$47.99
|
| Rate for Payer: Nomi Health Commercial |
$47.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$41.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$84.75
|
| Rate for Payer: PACE SWMI |
$39.99
|
| Rate for Payer: PACE SWMI |
$39.99
|
| Rate for Payer: PHP Commercial |
$55.99
|
| Rate for Payer: PHP Commercial |
$55.99
|
| Rate for Payer: PHP Medicare Advantage |
$39.99
|
| Rate for Payer: PHP Medicare Advantage |
$39.99
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$65.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$65.72
|
| Rate for Payer: Priority Health Medicare |
$39.99
|
| Rate for Payer: Priority Health Medicare |
$39.99
|
| Rate for Payer: Priority Health SBD |
$65.72
|
| Rate for Payer: Priority Health SBD |
$65.72
|
| Rate for Payer: Priority Health Tiered Network |
$65.72
|
| Rate for Payer: Priority Health Tiered Network |
$65.72
|
| Rate for Payer: Railroad Medicare Medicare |
$39.99
|
| Rate for Payer: Railroad Medicare Medicare |
$39.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$60.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$60.91
|
| Rate for Payer: UHC Core |
$60.91
|
| Rate for Payer: UHC Core |
$60.91
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$39.99
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$39.99
|
| Rate for Payer: UHC Exchange |
$60.91
|
| Rate for Payer: UHC Exchange |
$60.91
|
| Rate for Payer: UMR Bronson Commercial |
$51.98
|
| Rate for Payer: UMR Bronson Commercial |
$25.30
|
|
|
CHG RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS
|
Professional
|
Both
|
$74.00
|
|
|
Service Code
|
HCPCS 71111
|
| Min. Negotiated Rate |
$34.04 |
| Max. Negotiated Rate |
$78.77 |
| Rate for Payer: Aetna Commercial |
$64.43
|
| Rate for Payer: Aetna Commercial |
$64.43
|
| Rate for Payer: Aetna Medicare |
$50.00
|
| Rate for Payer: Aetna Medicare |
$50.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$64.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$69.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$69.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$64.43
|
| Rate for Payer: BCBS MAPPO |
$48.08
|
| Rate for Payer: BCBS MAPPO |
$48.08
|
| Rate for Payer: BCN Commercial |
$78.18
|
| Rate for Payer: BCN Commercial |
$78.18
|
| Rate for Payer: BCN Medicare Advantage |
$48.08
|
| Rate for Payer: BCN Medicare Advantage |
$48.08
|
| Rate for Payer: Cash Price |
$27.20
|
| Rate for Payer: Cash Price |
$27.20
|
| Rate for Payer: Cash Price |
$59.20
|
| Rate for Payer: Cash Price |
$59.20
|
| Rate for Payer: Cofinity Commercial |
$69.24
|
| Rate for Payer: Cofinity Commercial |
$69.24
|
| Rate for Payer: Cofinity Commercial |
$64.43
|
| Rate for Payer: Cofinity Commercial |
$64.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$48.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$48.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$50.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$50.48
|
| Rate for Payer: Molina Medicare/Medicaid |
$52.89
|
| Rate for Payer: Molina Medicare/Medicaid |
$52.89
|
| Rate for Payer: Nomi Health Commercial |
$57.70
|
| Rate for Payer: Nomi Health Commercial |
$57.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$55.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.50
|
| Rate for Payer: PACE SWMI |
$48.08
|
| Rate for Payer: PACE SWMI |
$48.08
|
| Rate for Payer: PHP Commercial |
$67.31
|
| Rate for Payer: PHP Commercial |
$67.31
|
| Rate for Payer: PHP Medicare Advantage |
$48.08
|
| Rate for Payer: PHP Medicare Advantage |
$48.08
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$78.77
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$78.77
|
| Rate for Payer: Priority Health Medicare |
$48.08
|
| Rate for Payer: Priority Health Medicare |
$48.08
|
| Rate for Payer: Priority Health SBD |
$78.77
|
| Rate for Payer: Priority Health SBD |
$78.77
|
| Rate for Payer: Priority Health Tiered Network |
$78.77
|
| Rate for Payer: Priority Health Tiered Network |
$78.77
|
| Rate for Payer: Railroad Medicare Medicare |
$48.08
|
| Rate for Payer: Railroad Medicare Medicare |
$48.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$72.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$72.35
|
| Rate for Payer: UHC Core |
$72.35
|
| Rate for Payer: UHC Core |
$72.35
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$48.08
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$48.08
|
| Rate for Payer: UHC Exchange |
$72.35
|
| Rate for Payer: UHC Exchange |
$72.35
|
| Rate for Payer: UMR Bronson Commercial |
$15.64
|
| Rate for Payer: UMR Bronson Commercial |
$34.04
|
|
|
CHG RADEX RIBS UNILATERAL 2 VIEWS
|
Professional
|
Both
|
$52.00
|
|
|
Service Code
|
HCPCS 71100
|
| Min. Negotiated Rate |
$23.92 |
| Max. Negotiated Rate |
$55.19 |
| Rate for Payer: Aetna Commercial |
$45.14
|
| Rate for Payer: Aetna Medicare |
$35.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$45.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.51
|
| Rate for Payer: BCBS MAPPO |
$33.69
|
| Rate for Payer: BCN Commercial |
$54.78
|
| Rate for Payer: BCN Medicare Advantage |
$33.69
|
| Rate for Payer: Cash Price |
$41.60
|
| Rate for Payer: Cash Price |
$41.60
|
| Rate for Payer: Cofinity Commercial |
$48.51
|
| Rate for Payer: Cofinity Commercial |
$45.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35.37
|
| Rate for Payer: Molina Medicare/Medicaid |
$37.06
|
| Rate for Payer: Nomi Health Commercial |
$40.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.00
|
| Rate for Payer: PACE SWMI |
$33.69
|
| Rate for Payer: PHP Commercial |
$47.17
|
| Rate for Payer: PHP Medicare Advantage |
$33.69
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$55.19
|
| Rate for Payer: Priority Health Medicare |
$33.69
|
| Rate for Payer: Priority Health SBD |
$55.19
|
| Rate for Payer: Priority Health Tiered Network |
$55.19
|
| Rate for Payer: Railroad Medicare Medicare |
$33.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$50.27
|
| Rate for Payer: UHC Core |
$50.27
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$33.69
|
| Rate for Payer: UHC Exchange |
$50.27
|
| Rate for Payer: UMR Bronson Commercial |
$23.92
|
|
|
CHG RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 VIEWS
|
Professional
|
Both
|
$63.00
|
|
|
Service Code
|
HCPCS 71101
|
| Min. Negotiated Rate |
$28.98 |
| Max. Negotiated Rate |
$63.22 |
| Rate for Payer: Aetna Commercial |
$52.38
|
| Rate for Payer: Aetna Commercial |
$52.38
|
| Rate for Payer: Aetna Medicare |
$40.65
|
| Rate for Payer: Aetna Medicare |
$40.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$56.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$56.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$52.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$52.38
|
| Rate for Payer: BCBS MAPPO |
$39.09
|
| Rate for Payer: BCBS MAPPO |
$39.09
|
| Rate for Payer: BCN Commercial |
$62.75
|
| Rate for Payer: BCN Commercial |
$62.75
|
| Rate for Payer: BCN Medicare Advantage |
$39.09
|
| Rate for Payer: BCN Medicare Advantage |
$39.09
|
| Rate for Payer: Cash Price |
$50.40
|
| Rate for Payer: Cash Price |
$43.20
|
| Rate for Payer: Cash Price |
$43.20
|
| Rate for Payer: Cash Price |
$50.40
|
| Rate for Payer: Cofinity Commercial |
$52.38
|
| Rate for Payer: Cofinity Commercial |
$56.29
|
| Rate for Payer: Cofinity Commercial |
$56.29
|
| Rate for Payer: Cofinity Commercial |
$52.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$39.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$39.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$41.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$41.04
|
| Rate for Payer: Molina Medicare/Medicaid |
$43.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$43.00
|
| Rate for Payer: Nomi Health Commercial |
$46.91
|
| Rate for Payer: Nomi Health Commercial |
$46.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$40.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$47.25
|
| Rate for Payer: PACE SWMI |
$39.09
|
| Rate for Payer: PACE SWMI |
$39.09
|
| Rate for Payer: PHP Commercial |
$54.73
|
| Rate for Payer: PHP Commercial |
$54.73
|
| Rate for Payer: PHP Medicare Advantage |
$39.09
|
| Rate for Payer: PHP Medicare Advantage |
$39.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$63.22
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$63.22
|
| Rate for Payer: Priority Health Medicare |
$39.09
|
| Rate for Payer: Priority Health Medicare |
$39.09
|
| Rate for Payer: Priority Health SBD |
$63.22
|
| Rate for Payer: Priority Health SBD |
$63.22
|
| Rate for Payer: Priority Health Tiered Network |
$63.22
|
| Rate for Payer: Priority Health Tiered Network |
$63.22
|
| Rate for Payer: Railroad Medicare Medicare |
$39.09
|
| Rate for Payer: Railroad Medicare Medicare |
$39.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$57.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$57.86
|
| Rate for Payer: UHC Core |
$57.86
|
| Rate for Payer: UHC Core |
$57.86
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$39.09
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$39.09
|
| Rate for Payer: UHC Exchange |
$57.86
|
| Rate for Payer: UHC Exchange |
$57.86
|
| Rate for Payer: UMR Bronson Commercial |
$28.98
|
| Rate for Payer: UMR Bronson Commercial |
$24.84
|
|
|
CHG RADEX SACRUM & COCCYX MINIMUM 2 VIEWS
|
Professional
|
Both
|
$44.00
|
|
|
Service Code
|
HCPCS 72220
|
| Min. Negotiated Rate |
$20.24 |
| Max. Negotiated Rate |
$49.17 |
| Rate for Payer: Aetna Commercial |
$40.08
|
| Rate for Payer: Aetna Commercial |
$40.08
|
| Rate for Payer: Aetna Commercial |
$40.08
|
| Rate for Payer: Aetna Medicare |
$31.11
|
| Rate for Payer: Aetna Medicare |
$31.11
|
| Rate for Payer: Aetna Medicare |
$31.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40.08
|
| Rate for Payer: BCBS MAPPO |
$29.91
|
| Rate for Payer: BCBS MAPPO |
$29.91
|
| Rate for Payer: BCBS MAPPO |
$29.91
|
| Rate for Payer: BCN Commercial |
$48.80
|
| Rate for Payer: BCN Commercial |
$48.80
|
| Rate for Payer: BCN Commercial |
$48.80
|
| Rate for Payer: BCN Medicare Advantage |
$29.91
|
| Rate for Payer: BCN Medicare Advantage |
$29.91
|
| Rate for Payer: BCN Medicare Advantage |
$29.91
|
| Rate for Payer: Cash Price |
$32.80
|
| Rate for Payer: Cash Price |
$104.00
|
| Rate for Payer: Cash Price |
$104.00
|
| Rate for Payer: Cash Price |
$32.80
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cofinity Commercial |
$43.07
|
| Rate for Payer: Cofinity Commercial |
$43.07
|
| Rate for Payer: Cofinity Commercial |
$40.08
|
| Rate for Payer: Cofinity Commercial |
$40.08
|
| Rate for Payer: Cofinity Commercial |
$40.08
|
| Rate for Payer: Cofinity Commercial |
$43.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.41
|
| Rate for Payer: Molina Medicare/Medicaid |
$32.90
|
| Rate for Payer: Molina Medicare/Medicaid |
$32.90
|
| Rate for Payer: Molina Medicare/Medicaid |
$32.90
|
| Rate for Payer: Nomi Health Commercial |
$35.89
|
| Rate for Payer: Nomi Health Commercial |
$35.89
|
| Rate for Payer: Nomi Health Commercial |
$35.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$97.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$33.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$30.75
|
| Rate for Payer: PACE SWMI |
$29.91
|
| Rate for Payer: PACE SWMI |
$29.91
|
| Rate for Payer: PACE SWMI |
$29.91
|
| Rate for Payer: PHP Commercial |
$41.87
|
| Rate for Payer: PHP Commercial |
$41.87
|
| Rate for Payer: PHP Commercial |
$41.87
|
| Rate for Payer: PHP Medicare Advantage |
$29.91
|
| Rate for Payer: PHP Medicare Advantage |
$29.91
|
| Rate for Payer: PHP Medicare Advantage |
$29.91
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$49.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$49.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$49.17
|
| Rate for Payer: Priority Health Medicare |
$29.91
|
| Rate for Payer: Priority Health Medicare |
$29.91
|
| Rate for Payer: Priority Health Medicare |
$29.91
|
| Rate for Payer: Priority Health SBD |
$49.17
|
| Rate for Payer: Priority Health SBD |
$49.17
|
| Rate for Payer: Priority Health SBD |
$49.17
|
| Rate for Payer: Priority Health Tiered Network |
$49.17
|
| Rate for Payer: Priority Health Tiered Network |
$49.17
|
| Rate for Payer: Priority Health Tiered Network |
$49.17
|
| Rate for Payer: Railroad Medicare Medicare |
$29.91
|
| Rate for Payer: Railroad Medicare Medicare |
$29.91
|
| Rate for Payer: Railroad Medicare Medicare |
$29.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44.13
|
| Rate for Payer: UHC Core |
$44.13
|
| Rate for Payer: UHC Core |
$44.13
|
| Rate for Payer: UHC Core |
$44.13
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$29.91
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$29.91
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$29.91
|
| Rate for Payer: UHC Exchange |
$44.13
|
| Rate for Payer: UHC Exchange |
$44.13
|
| Rate for Payer: UHC Exchange |
$44.13
|
| Rate for Payer: UMR Bronson Commercial |
$20.24
|
| Rate for Payer: UMR Bronson Commercial |
$59.80
|
| Rate for Payer: UMR Bronson Commercial |
$18.86
|
|
|
CHG RADEX SCAPULA COMPLETE
|
Professional
|
Both
|
$45.00
|
|
|
Service Code
|
HCPCS 73010
|
| Min. Negotiated Rate |
$20.70 |
| Max. Negotiated Rate |
$39.22 |
| Rate for Payer: Aetna Commercial |
$31.50
|
| Rate for Payer: Aetna Commercial |
$31.50
|
| Rate for Payer: Aetna Commercial |
$31.50
|
| Rate for Payer: Aetna Medicare |
$24.45
|
| Rate for Payer: Aetna Medicare |
$24.45
|
| Rate for Payer: Aetna Medicare |
$24.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$33.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$33.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$31.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$33.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$31.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$31.50
|
| Rate for Payer: BCBS MAPPO |
$23.51
|
| Rate for Payer: BCBS MAPPO |
$23.51
|
| Rate for Payer: BCBS MAPPO |
$23.51
|
| Rate for Payer: BCN Commercial |
$35.86
|
| Rate for Payer: BCN Commercial |
$35.86
|
| Rate for Payer: BCN Commercial |
$35.86
|
| Rate for Payer: BCN Medicare Advantage |
$23.51
|
| Rate for Payer: BCN Medicare Advantage |
$23.51
|
| Rate for Payer: BCN Medicare Advantage |
$23.51
|
| Rate for Payer: Cash Price |
$29.60
|
| Rate for Payer: Cash Price |
$88.00
|
| Rate for Payer: Cash Price |
$88.00
|
| Rate for Payer: Cash Price |
$29.60
|
| Rate for Payer: Cash Price |
$36.00
|
| Rate for Payer: Cash Price |
$36.00
|
| Rate for Payer: Cofinity Commercial |
$33.85
|
| Rate for Payer: Cofinity Commercial |
$33.85
|
| Rate for Payer: Cofinity Commercial |
$31.50
|
| Rate for Payer: Cofinity Commercial |
$31.50
|
| Rate for Payer: Cofinity Commercial |
$31.50
|
| Rate for Payer: Cofinity Commercial |
$33.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$24.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$24.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$24.69
|
| Rate for Payer: Molina Medicare/Medicaid |
$25.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$25.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$25.86
|
| Rate for Payer: Nomi Health Commercial |
$28.21
|
| Rate for Payer: Nomi Health Commercial |
$28.21
|
| Rate for Payer: Nomi Health Commercial |
$28.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$82.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$33.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$27.75
|
| Rate for Payer: PACE SWMI |
$23.51
|
| Rate for Payer: PACE SWMI |
$23.51
|
| Rate for Payer: PACE SWMI |
$23.51
|
| Rate for Payer: PHP Commercial |
$32.91
|
| Rate for Payer: PHP Commercial |
$32.91
|
| Rate for Payer: PHP Commercial |
$32.91
|
| Rate for Payer: PHP Medicare Advantage |
$23.51
|
| Rate for Payer: PHP Medicare Advantage |
$23.51
|
| Rate for Payer: PHP Medicare Advantage |
$23.51
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$36.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$36.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$36.13
|
| Rate for Payer: Priority Health Medicare |
$23.51
|
| Rate for Payer: Priority Health Medicare |
$23.51
|
| Rate for Payer: Priority Health Medicare |
$23.51
|
| Rate for Payer: Priority Health SBD |
$36.13
|
| Rate for Payer: Priority Health SBD |
$36.13
|
| Rate for Payer: Priority Health SBD |
$36.13
|
| Rate for Payer: Priority Health Tiered Network |
$36.13
|
| Rate for Payer: Priority Health Tiered Network |
$36.13
|
| Rate for Payer: Priority Health Tiered Network |
$36.13
|
| Rate for Payer: Railroad Medicare Medicare |
$23.51
|
| Rate for Payer: Railroad Medicare Medicare |
$23.51
|
| Rate for Payer: Railroad Medicare Medicare |
$23.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$39.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$39.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$39.22
|
| Rate for Payer: UHC Core |
$39.22
|
| Rate for Payer: UHC Core |
$39.22
|
| Rate for Payer: UHC Core |
$39.22
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$23.51
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$23.51
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$23.51
|
| Rate for Payer: UHC Exchange |
$39.22
|
| Rate for Payer: UHC Exchange |
$39.22
|
| Rate for Payer: UHC Exchange |
$39.22
|
| Rate for Payer: UMR Bronson Commercial |
$20.70
|
| Rate for Payer: UMR Bronson Commercial |
$50.60
|
| Rate for Payer: UMR Bronson Commercial |
$17.02
|
|
|
CHG RADEX SHOULDER 1 VIEW
|
Professional
|
Both
|
$83.00
|
|
|
Service Code
|
HCPCS 73020
|
| Min. Negotiated Rate |
$20.40 |
| Max. Negotiated Rate |
$62.25 |
| Rate for Payer: Aetna Commercial |
$27.34
|
| Rate for Payer: Aetna Commercial |
$27.34
|
| Rate for Payer: Aetna Medicare |
$21.22
|
| Rate for Payer: Aetna Medicare |
$21.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$27.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$29.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$29.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$27.34
|
| Rate for Payer: BCBS MAPPO |
$20.40
|
| Rate for Payer: BCBS MAPPO |
$20.40
|
| Rate for Payer: BCN Commercial |
$32.37
|
| Rate for Payer: BCN Commercial |
$32.37
|
| Rate for Payer: BCN Medicare Advantage |
$20.40
|
| Rate for Payer: BCN Medicare Advantage |
$20.40
|
| Rate for Payer: Cash Price |
$22.40
|
| Rate for Payer: Cash Price |
$22.40
|
| Rate for Payer: Cash Price |
$66.40
|
| Rate for Payer: Cash Price |
$66.40
|
| Rate for Payer: Cofinity Commercial |
$29.38
|
| Rate for Payer: Cofinity Commercial |
$29.38
|
| Rate for Payer: Cofinity Commercial |
$27.34
|
| Rate for Payer: Cofinity Commercial |
$27.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21.42
|
| Rate for Payer: Molina Medicare/Medicaid |
$22.44
|
| Rate for Payer: Molina Medicare/Medicaid |
$22.44
|
| Rate for Payer: Nomi Health Commercial |
$24.48
|
| Rate for Payer: Nomi Health Commercial |
$24.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$62.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.00
|
| Rate for Payer: PACE SWMI |
$20.40
|
| Rate for Payer: PACE SWMI |
$20.40
|
| Rate for Payer: PHP Commercial |
$28.56
|
| Rate for Payer: PHP Commercial |
$28.56
|
| Rate for Payer: PHP Medicare Advantage |
$20.40
|
| Rate for Payer: PHP Medicare Advantage |
$20.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$32.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$32.62
|
| Rate for Payer: Priority Health Medicare |
$20.40
|
| Rate for Payer: Priority Health Medicare |
$20.40
|
| Rate for Payer: Priority Health SBD |
$32.62
|
| Rate for Payer: Priority Health SBD |
$32.62
|
| Rate for Payer: Priority Health Tiered Network |
$32.62
|
| Rate for Payer: Priority Health Tiered Network |
$32.62
|
| Rate for Payer: Railroad Medicare Medicare |
$20.40
|
| Rate for Payer: Railroad Medicare Medicare |
$20.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$30.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$30.27
|
| Rate for Payer: UHC Core |
$30.27
|
| Rate for Payer: UHC Core |
$30.27
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$20.40
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$20.40
|
| Rate for Payer: UHC Exchange |
$30.27
|
| Rate for Payer: UHC Exchange |
$30.27
|
| Rate for Payer: UMR Bronson Commercial |
$12.88
|
| Rate for Payer: UMR Bronson Commercial |
$38.18
|
|
|
CHG RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS
|
Professional
|
Both
|
$42.00
|
|
|
Service Code
|
HCPCS 73030
|
| Min. Negotiated Rate |
$19.32 |
| Max. Negotiated Rate |
$52.18 |
| Rate for Payer: Aetna Commercial |
$44.62
|
| Rate for Payer: Aetna Commercial |
$44.62
|
| Rate for Payer: Aetna Commercial |
$44.62
|
| Rate for Payer: Aetna Medicare |
$34.63
|
| Rate for Payer: Aetna Medicare |
$34.63
|
| Rate for Payer: Aetna Medicare |
$34.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44.62
|
| Rate for Payer: BCBS MAPPO |
$33.30
|
| Rate for Payer: BCBS MAPPO |
$33.30
|
| Rate for Payer: BCBS MAPPO |
$33.30
|
| Rate for Payer: BCN Commercial |
$51.79
|
| Rate for Payer: BCN Commercial |
$51.79
|
| Rate for Payer: BCN Commercial |
$51.79
|
| Rate for Payer: BCN Medicare Advantage |
$33.30
|
| Rate for Payer: BCN Medicare Advantage |
$33.30
|
| Rate for Payer: BCN Medicare Advantage |
$33.30
|
| Rate for Payer: Cash Price |
$29.60
|
| Rate for Payer: Cash Price |
$93.60
|
| Rate for Payer: Cash Price |
$93.60
|
| Rate for Payer: Cash Price |
$29.60
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cofinity Commercial |
$47.95
|
| Rate for Payer: Cofinity Commercial |
$47.95
|
| Rate for Payer: Cofinity Commercial |
$44.62
|
| Rate for Payer: Cofinity Commercial |
$44.62
|
| Rate for Payer: Cofinity Commercial |
$44.62
|
| Rate for Payer: Cofinity Commercial |
$47.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34.97
|
| Rate for Payer: Molina Medicare/Medicaid |
$36.63
|
| Rate for Payer: Molina Medicare/Medicaid |
$36.63
|
| Rate for Payer: Molina Medicare/Medicaid |
$36.63
|
| Rate for Payer: Nomi Health Commercial |
$39.96
|
| Rate for Payer: Nomi Health Commercial |
$39.96
|
| Rate for Payer: Nomi Health Commercial |
$39.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$87.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$31.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$27.75
|
| Rate for Payer: PACE SWMI |
$33.30
|
| Rate for Payer: PACE SWMI |
$33.30
|
| Rate for Payer: PACE SWMI |
$33.30
|
| Rate for Payer: PHP Commercial |
$46.62
|
| Rate for Payer: PHP Commercial |
$46.62
|
| Rate for Payer: PHP Commercial |
$46.62
|
| Rate for Payer: PHP Medicare Advantage |
$33.30
|
| Rate for Payer: PHP Medicare Advantage |
$33.30
|
| Rate for Payer: PHP Medicare Advantage |
$33.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$52.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$52.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$52.18
|
| Rate for Payer: Priority Health Medicare |
$33.30
|
| Rate for Payer: Priority Health Medicare |
$33.30
|
| Rate for Payer: Priority Health Medicare |
$33.30
|
| Rate for Payer: Priority Health SBD |
$52.18
|
| Rate for Payer: Priority Health SBD |
$52.18
|
| Rate for Payer: Priority Health SBD |
$52.18
|
| Rate for Payer: Priority Health Tiered Network |
$52.18
|
| Rate for Payer: Priority Health Tiered Network |
$52.18
|
| Rate for Payer: Priority Health Tiered Network |
$52.18
|
| Rate for Payer: Railroad Medicare Medicare |
$33.30
|
| Rate for Payer: Railroad Medicare Medicare |
$33.30
|
| Rate for Payer: Railroad Medicare Medicare |
$33.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.64
|
| Rate for Payer: UHC Core |
$46.64
|
| Rate for Payer: UHC Core |
$46.64
|
| Rate for Payer: UHC Core |
$46.64
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$33.30
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$33.30
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$33.30
|
| Rate for Payer: UHC Exchange |
$46.64
|
| Rate for Payer: UHC Exchange |
$46.64
|
| Rate for Payer: UHC Exchange |
$46.64
|
| Rate for Payer: UMR Bronson Commercial |
$19.32
|
| Rate for Payer: UMR Bronson Commercial |
$53.82
|
| Rate for Payer: UMR Bronson Commercial |
$17.02
|
|
|
CHG RADEX SINUSES PARANASAL <3 VIEWS
|
Professional
|
Both
|
$44.00
|
|
|
Service Code
|
HCPCS 70210
|
| Min. Negotiated Rate |
$20.24 |
| Max. Negotiated Rate |
$48.67 |
| Rate for Payer: Aetna Commercial |
$40.49
|
| Rate for Payer: Aetna Commercial |
$40.49
|
| Rate for Payer: Aetna Medicare |
$31.43
|
| Rate for Payer: Aetna Medicare |
$31.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40.49
|
| Rate for Payer: BCBS MAPPO |
$30.22
|
| Rate for Payer: BCBS MAPPO |
$30.22
|
| Rate for Payer: BCN Commercial |
$48.30
|
| Rate for Payer: BCN Commercial |
$48.30
|
| Rate for Payer: BCN Medicare Advantage |
$30.22
|
| Rate for Payer: BCN Medicare Advantage |
$30.22
|
| Rate for Payer: Cash Price |
$15.20
|
| Rate for Payer: Cash Price |
$15.20
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cofinity Commercial |
$43.52
|
| Rate for Payer: Cofinity Commercial |
$43.52
|
| Rate for Payer: Cofinity Commercial |
$40.49
|
| Rate for Payer: Cofinity Commercial |
$40.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$33.24
|
| Rate for Payer: Molina Medicare/Medicaid |
$33.24
|
| Rate for Payer: Nomi Health Commercial |
$36.26
|
| Rate for Payer: Nomi Health Commercial |
$36.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$33.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14.25
|
| Rate for Payer: PACE SWMI |
$30.22
|
| Rate for Payer: PACE SWMI |
$30.22
|
| Rate for Payer: PHP Commercial |
$42.31
|
| Rate for Payer: PHP Commercial |
$42.31
|
| Rate for Payer: PHP Medicare Advantage |
$30.22
|
| Rate for Payer: PHP Medicare Advantage |
$30.22
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$48.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$48.67
|
| Rate for Payer: Priority Health Medicare |
$30.22
|
| Rate for Payer: Priority Health Medicare |
$30.22
|
| Rate for Payer: Priority Health SBD |
$48.67
|
| Rate for Payer: Priority Health SBD |
$48.67
|
| Rate for Payer: Priority Health Tiered Network |
$48.67
|
| Rate for Payer: Priority Health Tiered Network |
$48.67
|
| Rate for Payer: Railroad Medicare Medicare |
$30.22
|
| Rate for Payer: Railroad Medicare Medicare |
$30.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$43.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$43.64
|
| Rate for Payer: UHC Core |
$43.64
|
| Rate for Payer: UHC Core |
$43.64
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$30.22
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$30.22
|
| Rate for Payer: UHC Exchange |
$43.64
|
| Rate for Payer: UHC Exchange |
$43.64
|
| Rate for Payer: UMR Bronson Commercial |
$8.74
|
| Rate for Payer: UMR Bronson Commercial |
$20.24
|
|
|
CHG RADEX SINUSES PARANASAL COMPL MINIMUM 3 VIEWS
|
Professional
|
Both
|
$68.00
|
|
|
Service Code
|
HCPCS 70220
|
| Min. Negotiated Rate |
$31.28 |
| Max. Negotiated Rate |
$56.69 |
| Rate for Payer: Aetna Commercial |
$47.18
|
| Rate for Payer: Aetna Commercial |
$47.18
|
| Rate for Payer: Aetna Medicare |
$36.62
|
| Rate for Payer: Aetna Medicare |
$36.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$50.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$50.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.18
|
| Rate for Payer: BCBS MAPPO |
$35.21
|
| Rate for Payer: BCBS MAPPO |
$35.21
|
| Rate for Payer: BCN Commercial |
$56.27
|
| Rate for Payer: BCN Commercial |
$56.27
|
| Rate for Payer: BCN Medicare Advantage |
$35.21
|
| Rate for Payer: BCN Medicare Advantage |
$35.21
|
| Rate for Payer: Cash Price |
$42.40
|
| Rate for Payer: Cash Price |
$42.40
|
| Rate for Payer: Cash Price |
$54.40
|
| Rate for Payer: Cash Price |
$54.40
|
| Rate for Payer: Cofinity Commercial |
$50.70
|
| Rate for Payer: Cofinity Commercial |
$50.70
|
| Rate for Payer: Cofinity Commercial |
$47.18
|
| Rate for Payer: Cofinity Commercial |
$47.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36.97
|
| Rate for Payer: Molina Medicare/Medicaid |
$38.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$38.73
|
| Rate for Payer: Nomi Health Commercial |
$42.25
|
| Rate for Payer: Nomi Health Commercial |
$42.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$51.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.75
|
| Rate for Payer: PACE SWMI |
$35.21
|
| Rate for Payer: PACE SWMI |
$35.21
|
| Rate for Payer: PHP Commercial |
$49.29
|
| Rate for Payer: PHP Commercial |
$49.29
|
| Rate for Payer: PHP Medicare Advantage |
$35.21
|
| Rate for Payer: PHP Medicare Advantage |
$35.21
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$56.69
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$56.69
|
| Rate for Payer: Priority Health Medicare |
$35.21
|
| Rate for Payer: Priority Health Medicare |
$35.21
|
| Rate for Payer: Priority Health SBD |
$56.69
|
| Rate for Payer: Priority Health SBD |
$56.69
|
| Rate for Payer: Priority Health Tiered Network |
$56.69
|
| Rate for Payer: Priority Health Tiered Network |
$56.69
|
| Rate for Payer: Railroad Medicare Medicare |
$35.21
|
| Rate for Payer: Railroad Medicare Medicare |
$35.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$51.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$51.74
|
| Rate for Payer: UHC Core |
$51.74
|
| Rate for Payer: UHC Core |
$51.74
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$35.21
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$35.21
|
| Rate for Payer: UHC Exchange |
$51.74
|
| Rate for Payer: UHC Exchange |
$51.74
|
| Rate for Payer: UMR Bronson Commercial |
$24.38
|
| Rate for Payer: UMR Bronson Commercial |
$31.28
|
|
|
CHG RADEX SPINE 1 VIEW SPECIFY LEVEL
|
Professional
|
Both
|
$32.00
|
|
|
Service Code
|
HCPCS 72020
|
| Min. Negotiated Rate |
$14.72 |
| Max. Negotiated Rate |
$36.62 |
| Rate for Payer: Aetna Commercial |
$29.83
|
| Rate for Payer: Aetna Commercial |
$29.83
|
| Rate for Payer: Aetna Medicare |
$23.15
|
| Rate for Payer: Aetna Medicare |
$23.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$29.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$32.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$32.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$29.83
|
| Rate for Payer: BCBS MAPPO |
$22.26
|
| Rate for Payer: BCBS MAPPO |
$22.26
|
| Rate for Payer: BCN Commercial |
$36.35
|
| Rate for Payer: BCN Commercial |
$36.35
|
| Rate for Payer: BCN Medicare Advantage |
$22.26
|
| Rate for Payer: BCN Medicare Advantage |
$22.26
|
| Rate for Payer: Cash Price |
$22.40
|
| Rate for Payer: Cash Price |
$22.40
|
| Rate for Payer: Cash Price |
$25.60
|
| Rate for Payer: Cash Price |
$25.60
|
| Rate for Payer: Cofinity Commercial |
$32.05
|
| Rate for Payer: Cofinity Commercial |
$32.05
|
| Rate for Payer: Cofinity Commercial |
$29.83
|
| Rate for Payer: Cofinity Commercial |
$29.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23.37
|
| Rate for Payer: Molina Medicare/Medicaid |
$24.49
|
| Rate for Payer: Molina Medicare/Medicaid |
$24.49
|
| Rate for Payer: Nomi Health Commercial |
$26.71
|
| Rate for Payer: Nomi Health Commercial |
$26.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$24.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.00
|
| Rate for Payer: PACE SWMI |
$22.26
|
| Rate for Payer: PACE SWMI |
$22.26
|
| Rate for Payer: PHP Commercial |
$31.16
|
| Rate for Payer: PHP Commercial |
$31.16
|
| Rate for Payer: PHP Medicare Advantage |
$22.26
|
| Rate for Payer: PHP Medicare Advantage |
$22.26
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$36.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$36.62
|
| Rate for Payer: Priority Health Medicare |
$22.26
|
| Rate for Payer: Priority Health Medicare |
$22.26
|
| Rate for Payer: Priority Health SBD |
$36.62
|
| Rate for Payer: Priority Health SBD |
$36.62
|
| Rate for Payer: Priority Health Tiered Network |
$36.62
|
| Rate for Payer: Priority Health Tiered Network |
$36.62
|
| Rate for Payer: Railroad Medicare Medicare |
$22.26
|
| Rate for Payer: Railroad Medicare Medicare |
$22.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$34.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$34.26
|
| Rate for Payer: UHC Core |
$34.26
|
| Rate for Payer: UHC Core |
$34.26
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$22.26
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$22.26
|
| Rate for Payer: UHC Exchange |
$34.26
|
| Rate for Payer: UHC Exchange |
$34.26
|
| Rate for Payer: UMR Bronson Commercial |
$12.88
|
| Rate for Payer: UMR Bronson Commercial |
$14.72
|
|
|
CHG RADEX SPINE CERVICAL 2 OR 3 VIEWS
|
Professional
|
Both
|
$52.00
|
|
|
Service Code
|
HCPCS 72040
|
| Min. Negotiated Rate |
$23.92 |
| Max. Negotiated Rate |
$59.70 |
| Rate for Payer: Aetna Commercial |
$49.63
|
| Rate for Payer: Aetna Commercial |
$49.63
|
| Rate for Payer: Aetna Commercial |
$49.63
|
| Rate for Payer: Aetna Medicare |
$38.52
|
| Rate for Payer: Aetna Medicare |
$38.52
|
| Rate for Payer: Aetna Medicare |
$38.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$53.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$53.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$49.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$53.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$49.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$49.63
|
| Rate for Payer: BCBS MAPPO |
$37.04
|
| Rate for Payer: BCBS MAPPO |
$37.04
|
| Rate for Payer: BCBS MAPPO |
$37.04
|
| Rate for Payer: BCN Commercial |
$59.26
|
| Rate for Payer: BCN Commercial |
$59.26
|
| Rate for Payer: BCN Commercial |
$59.26
|
| Rate for Payer: BCN Medicare Advantage |
$37.04
|
| Rate for Payer: BCN Medicare Advantage |
$37.04
|
| Rate for Payer: BCN Medicare Advantage |
$37.04
|
| Rate for Payer: Cash Price |
$31.20
|
| Rate for Payer: Cash Price |
$84.00
|
| Rate for Payer: Cash Price |
$84.00
|
| Rate for Payer: Cash Price |
$31.20
|
| Rate for Payer: Cash Price |
$41.60
|
| Rate for Payer: Cash Price |
$41.60
|
| Rate for Payer: Cofinity Commercial |
$53.34
|
| Rate for Payer: Cofinity Commercial |
$53.34
|
| Rate for Payer: Cofinity Commercial |
$49.63
|
| Rate for Payer: Cofinity Commercial |
$49.63
|
| Rate for Payer: Cofinity Commercial |
$49.63
|
| Rate for Payer: Cofinity Commercial |
$53.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$38.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$38.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$38.89
|
| Rate for Payer: Molina Medicare/Medicaid |
$40.74
|
| Rate for Payer: Molina Medicare/Medicaid |
$40.74
|
| Rate for Payer: Molina Medicare/Medicaid |
$40.74
|
| Rate for Payer: Nomi Health Commercial |
$44.45
|
| Rate for Payer: Nomi Health Commercial |
$44.45
|
| Rate for Payer: Nomi Health Commercial |
$44.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$29.25
|
| Rate for Payer: PACE SWMI |
$37.04
|
| Rate for Payer: PACE SWMI |
$37.04
|
| Rate for Payer: PACE SWMI |
$37.04
|
| Rate for Payer: PHP Commercial |
$51.86
|
| Rate for Payer: PHP Commercial |
$51.86
|
| Rate for Payer: PHP Commercial |
$51.86
|
| Rate for Payer: PHP Medicare Advantage |
$37.04
|
| Rate for Payer: PHP Medicare Advantage |
$37.04
|
| Rate for Payer: PHP Medicare Advantage |
$37.04
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$59.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$59.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$59.70
|
| Rate for Payer: Priority Health Medicare |
$37.04
|
| Rate for Payer: Priority Health Medicare |
$37.04
|
| Rate for Payer: Priority Health Medicare |
$37.04
|
| Rate for Payer: Priority Health SBD |
$59.70
|
| Rate for Payer: Priority Health SBD |
$59.70
|
| Rate for Payer: Priority Health SBD |
$59.70
|
| Rate for Payer: Priority Health Tiered Network |
$59.70
|
| Rate for Payer: Priority Health Tiered Network |
$59.70
|
| Rate for Payer: Priority Health Tiered Network |
$59.70
|
| Rate for Payer: Railroad Medicare Medicare |
$37.04
|
| Rate for Payer: Railroad Medicare Medicare |
$37.04
|
| Rate for Payer: Railroad Medicare Medicare |
$37.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$53.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$53.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$53.71
|
| Rate for Payer: UHC Core |
$53.71
|
| Rate for Payer: UHC Core |
$53.71
|
| Rate for Payer: UHC Core |
$53.71
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$37.04
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$37.04
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$37.04
|
| Rate for Payer: UHC Exchange |
$53.71
|
| Rate for Payer: UHC Exchange |
$53.71
|
| Rate for Payer: UHC Exchange |
$53.71
|
| Rate for Payer: UMR Bronson Commercial |
$23.92
|
| Rate for Payer: UMR Bronson Commercial |
$48.30
|
| Rate for Payer: UMR Bronson Commercial |
$17.94
|
|
|
CHG RADEX SPINE CERVICAL 4 OR 5 VIEWS
|
Professional
|
Both
|
$68.00
|
|
|
Service Code
|
HCPCS 72050
|
| Min. Negotiated Rate |
$31.28 |
| Max. Negotiated Rate |
$81.28 |
| Rate for Payer: Aetna Commercial |
$68.73
|
| Rate for Payer: Aetna Commercial |
$68.73
|
| Rate for Payer: Aetna Commercial |
$68.73
|
| Rate for Payer: Aetna Medicare |
$53.34
|
| Rate for Payer: Aetna Medicare |
$53.34
|
| Rate for Payer: Aetna Medicare |
$53.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$73.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$73.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$68.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$73.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$68.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$68.73
|
| Rate for Payer: BCBS MAPPO |
$51.29
|
| Rate for Payer: BCBS MAPPO |
$51.29
|
| Rate for Payer: BCBS MAPPO |
$51.29
|
| Rate for Payer: BCN Commercial |
$80.67
|
| Rate for Payer: BCN Commercial |
$80.67
|
| Rate for Payer: BCN Commercial |
$80.67
|
| Rate for Payer: BCN Medicare Advantage |
$51.29
|
| Rate for Payer: BCN Medicare Advantage |
$51.29
|
| Rate for Payer: BCN Medicare Advantage |
$51.29
|
| Rate for Payer: Cash Price |
$43.20
|
| Rate for Payer: Cash Price |
$117.60
|
| Rate for Payer: Cash Price |
$117.60
|
| Rate for Payer: Cash Price |
$43.20
|
| Rate for Payer: Cash Price |
$54.40
|
| Rate for Payer: Cash Price |
$54.40
|
| Rate for Payer: Cofinity Commercial |
$73.86
|
| Rate for Payer: Cofinity Commercial |
$73.86
|
| Rate for Payer: Cofinity Commercial |
$68.73
|
| Rate for Payer: Cofinity Commercial |
$68.73
|
| Rate for Payer: Cofinity Commercial |
$68.73
|
| Rate for Payer: Cofinity Commercial |
$73.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$51.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$51.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$51.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$53.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$53.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$53.85
|
| Rate for Payer: Molina Medicare/Medicaid |
$56.42
|
| Rate for Payer: Molina Medicare/Medicaid |
$56.42
|
| Rate for Payer: Molina Medicare/Medicaid |
$56.42
|
| Rate for Payer: Nomi Health Commercial |
$61.55
|
| Rate for Payer: Nomi Health Commercial |
$61.55
|
| Rate for Payer: Nomi Health Commercial |
$61.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$110.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$51.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$40.50
|
| Rate for Payer: PACE SWMI |
$51.29
|
| Rate for Payer: PACE SWMI |
$51.29
|
| Rate for Payer: PACE SWMI |
$51.29
|
| Rate for Payer: PHP Commercial |
$71.81
|
| Rate for Payer: PHP Commercial |
$71.81
|
| Rate for Payer: PHP Commercial |
$71.81
|
| Rate for Payer: PHP Medicare Advantage |
$51.29
|
| Rate for Payer: PHP Medicare Advantage |
$51.29
|
| Rate for Payer: PHP Medicare Advantage |
$51.29
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$81.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$81.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$81.28
|
| Rate for Payer: Priority Health Medicare |
$51.29
|
| Rate for Payer: Priority Health Medicare |
$51.29
|
| Rate for Payer: Priority Health Medicare |
$51.29
|
| Rate for Payer: Priority Health SBD |
$81.28
|
| Rate for Payer: Priority Health SBD |
$81.28
|
| Rate for Payer: Priority Health SBD |
$81.28
|
| Rate for Payer: Priority Health Tiered Network |
$81.28
|
| Rate for Payer: Priority Health Tiered Network |
$81.28
|
| Rate for Payer: Priority Health Tiered Network |
$81.28
|
| Rate for Payer: Railroad Medicare Medicare |
$51.29
|
| Rate for Payer: Railroad Medicare Medicare |
$51.29
|
| Rate for Payer: Railroad Medicare Medicare |
$51.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$71.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$71.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$71.14
|
| Rate for Payer: UHC Core |
$71.14
|
| Rate for Payer: UHC Core |
$71.14
|
| Rate for Payer: UHC Core |
$71.14
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$51.29
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$51.29
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$51.29
|
| Rate for Payer: UHC Exchange |
$71.14
|
| Rate for Payer: UHC Exchange |
$71.14
|
| Rate for Payer: UHC Exchange |
$71.14
|
| Rate for Payer: UMR Bronson Commercial |
$31.28
|
| Rate for Payer: UMR Bronson Commercial |
$67.62
|
| Rate for Payer: UMR Bronson Commercial |
$24.84
|
|
|
CHG RADEX SPINE CERVICAL 6 OR MORE VIEWS
|
Professional
|
Both
|
$95.00
|
|
|
Service Code
|
HCPCS 72052
|
| Min. Negotiated Rate |
$43.70 |
| Max. Negotiated Rate |
$93.31 |
| Rate for Payer: Aetna Commercial |
$78.24
|
| Rate for Payer: Aetna Commercial |
$78.24
|
| Rate for Payer: Aetna Medicare |
$60.73
|
| Rate for Payer: Aetna Medicare |
$60.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$78.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$84.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$84.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$78.24
|
| Rate for Payer: BCBS MAPPO |
$58.39
|
| Rate for Payer: BCBS MAPPO |
$58.39
|
| Rate for Payer: BCN Commercial |
$92.62
|
| Rate for Payer: BCN Commercial |
$92.62
|
| Rate for Payer: BCN Medicare Advantage |
$58.39
|
| Rate for Payer: BCN Medicare Advantage |
$58.39
|
| Rate for Payer: Cash Price |
$72.80
|
| Rate for Payer: Cash Price |
$72.80
|
| Rate for Payer: Cash Price |
$76.00
|
| Rate for Payer: Cash Price |
$76.00
|
| Rate for Payer: Cofinity Commercial |
$84.08
|
| Rate for Payer: Cofinity Commercial |
$84.08
|
| Rate for Payer: Cofinity Commercial |
$78.24
|
| Rate for Payer: Cofinity Commercial |
$78.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$58.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$58.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$61.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$61.31
|
| Rate for Payer: Molina Medicare/Medicaid |
$64.23
|
| Rate for Payer: Molina Medicare/Medicaid |
$64.23
|
| Rate for Payer: Nomi Health Commercial |
$70.07
|
| Rate for Payer: Nomi Health Commercial |
$70.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$71.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$68.25
|
| Rate for Payer: PACE SWMI |
$58.39
|
| Rate for Payer: PACE SWMI |
$58.39
|
| Rate for Payer: PHP Commercial |
$81.75
|
| Rate for Payer: PHP Commercial |
$81.75
|
| Rate for Payer: PHP Medicare Advantage |
$58.39
|
| Rate for Payer: PHP Medicare Advantage |
$58.39
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$93.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$93.31
|
| Rate for Payer: Priority Health Medicare |
$58.39
|
| Rate for Payer: Priority Health Medicare |
$58.39
|
| Rate for Payer: Priority Health SBD |
$93.31
|
| Rate for Payer: Priority Health SBD |
$93.31
|
| Rate for Payer: Priority Health Tiered Network |
$93.31
|
| Rate for Payer: Priority Health Tiered Network |
$93.31
|
| Rate for Payer: Railroad Medicare Medicare |
$58.39
|
| Rate for Payer: Railroad Medicare Medicare |
$58.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$83.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$83.58
|
| Rate for Payer: UHC Core |
$83.58
|
| Rate for Payer: UHC Core |
$83.58
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$58.39
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$58.39
|
| Rate for Payer: UHC Exchange |
$83.58
|
| Rate for Payer: UHC Exchange |
$83.58
|
| Rate for Payer: UMR Bronson Commercial |
$41.86
|
| Rate for Payer: UMR Bronson Commercial |
$43.70
|
|
|
CHG RADEX SPINE LUMBOSACRAL 2/3 VIEWS
|
Professional
|
Both
|
$48.00
|
|
|
Service Code
|
HCPCS 72100
|
| Min. Negotiated Rate |
$22.08 |
| Max. Negotiated Rate |
$59.70 |
| Rate for Payer: Aetna Commercial |
$50.45
|
| Rate for Payer: Aetna Commercial |
$50.45
|
| Rate for Payer: Aetna Commercial |
$50.45
|
| Rate for Payer: Aetna Medicare |
$39.16
|
| Rate for Payer: Aetna Medicare |
$39.16
|
| Rate for Payer: Aetna Medicare |
$39.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$54.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$54.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$50.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$54.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$50.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$50.45
|
| Rate for Payer: BCBS MAPPO |
$37.65
|
| Rate for Payer: BCBS MAPPO |
$37.65
|
| Rate for Payer: BCBS MAPPO |
$37.65
|
| Rate for Payer: BCN Commercial |
$59.26
|
| Rate for Payer: BCN Commercial |
$59.26
|
| Rate for Payer: BCN Commercial |
$59.26
|
| Rate for Payer: BCN Medicare Advantage |
$37.65
|
| Rate for Payer: BCN Medicare Advantage |
$37.65
|
| Rate for Payer: BCN Medicare Advantage |
$37.65
|
| Rate for Payer: Cash Price |
$31.20
|
| Rate for Payer: Cash Price |
$85.60
|
| Rate for Payer: Cash Price |
$85.60
|
| Rate for Payer: Cash Price |
$31.20
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Cofinity Commercial |
$54.22
|
| Rate for Payer: Cofinity Commercial |
$54.22
|
| Rate for Payer: Cofinity Commercial |
$50.45
|
| Rate for Payer: Cofinity Commercial |
$50.45
|
| Rate for Payer: Cofinity Commercial |
$50.45
|
| Rate for Payer: Cofinity Commercial |
$54.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39.53
|
| Rate for Payer: Molina Medicare/Medicaid |
$41.41
|
| Rate for Payer: Molina Medicare/Medicaid |
$41.41
|
| Rate for Payer: Molina Medicare/Medicaid |
$41.41
|
| Rate for Payer: Nomi Health Commercial |
$45.18
|
| Rate for Payer: Nomi Health Commercial |
$45.18
|
| Rate for Payer: Nomi Health Commercial |
$45.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$80.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$36.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$29.25
|
| Rate for Payer: PACE SWMI |
$37.65
|
| Rate for Payer: PACE SWMI |
$37.65
|
| Rate for Payer: PACE SWMI |
$37.65
|
| Rate for Payer: PHP Commercial |
$52.71
|
| Rate for Payer: PHP Commercial |
$52.71
|
| Rate for Payer: PHP Commercial |
$52.71
|
| Rate for Payer: PHP Medicare Advantage |
$37.65
|
| Rate for Payer: PHP Medicare Advantage |
$37.65
|
| Rate for Payer: PHP Medicare Advantage |
$37.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$59.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$59.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$59.70
|
| Rate for Payer: Priority Health Medicare |
$37.65
|
| Rate for Payer: Priority Health Medicare |
$37.65
|
| Rate for Payer: Priority Health Medicare |
$37.65
|
| Rate for Payer: Priority Health SBD |
$59.70
|
| Rate for Payer: Priority Health SBD |
$59.70
|
| Rate for Payer: Priority Health SBD |
$59.70
|
| Rate for Payer: Priority Health Tiered Network |
$59.70
|
| Rate for Payer: Priority Health Tiered Network |
$59.70
|
| Rate for Payer: Priority Health Tiered Network |
$59.70
|
| Rate for Payer: Railroad Medicare Medicare |
$37.65
|
| Rate for Payer: Railroad Medicare Medicare |
$37.65
|
| Rate for Payer: Railroad Medicare Medicare |
$37.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$53.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$53.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$53.71
|
| Rate for Payer: UHC Core |
$53.71
|
| Rate for Payer: UHC Core |
$53.71
|
| Rate for Payer: UHC Core |
$53.71
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$37.65
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$37.65
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$37.65
|
| Rate for Payer: UHC Exchange |
$53.71
|
| Rate for Payer: UHC Exchange |
$53.71
|
| Rate for Payer: UHC Exchange |
$53.71
|
| Rate for Payer: UMR Bronson Commercial |
$22.08
|
| Rate for Payer: UMR Bronson Commercial |
$49.22
|
| Rate for Payer: UMR Bronson Commercial |
$17.94
|
|
|
CHG RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS
|
Professional
|
Both
|
$66.00
|
|
|
Service Code
|
HCPCS 72110
|
| Min. Negotiated Rate |
$30.36 |
| Max. Negotiated Rate |
$78.27 |
| Rate for Payer: Aetna Commercial |
$66.64
|
| Rate for Payer: Aetna Commercial |
$66.64
|
| Rate for Payer: Aetna Commercial |
$66.64
|
| Rate for Payer: Aetna Medicare |
$51.72
|
| Rate for Payer: Aetna Medicare |
$51.72
|
| Rate for Payer: Aetna Medicare |
$51.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$71.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$71.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$66.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$71.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$66.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$66.64
|
| Rate for Payer: BCBS MAPPO |
$49.73
|
| Rate for Payer: BCBS MAPPO |
$49.73
|
| Rate for Payer: BCBS MAPPO |
$49.73
|
| Rate for Payer: BCN Commercial |
$77.69
|
| Rate for Payer: BCN Commercial |
$77.69
|
| Rate for Payer: BCN Commercial |
$77.69
|
| Rate for Payer: BCN Medicare Advantage |
$49.73
|
| Rate for Payer: BCN Medicare Advantage |
$49.73
|
| Rate for Payer: BCN Medicare Advantage |
$49.73
|
| Rate for Payer: Cash Price |
$44.00
|
| Rate for Payer: Cash Price |
$124.80
|
| Rate for Payer: Cash Price |
$124.80
|
| Rate for Payer: Cash Price |
$44.00
|
| Rate for Payer: Cash Price |
$52.80
|
| Rate for Payer: Cash Price |
$52.80
|
| Rate for Payer: Cofinity Commercial |
$71.61
|
| Rate for Payer: Cofinity Commercial |
$71.61
|
| Rate for Payer: Cofinity Commercial |
$66.64
|
| Rate for Payer: Cofinity Commercial |
$66.64
|
| Rate for Payer: Cofinity Commercial |
$66.64
|
| Rate for Payer: Cofinity Commercial |
$71.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$49.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$49.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$49.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$52.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$52.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$52.22
|
| Rate for Payer: Molina Medicare/Medicaid |
$54.70
|
| Rate for Payer: Molina Medicare/Medicaid |
$54.70
|
| Rate for Payer: Molina Medicare/Medicaid |
$54.70
|
| Rate for Payer: Nomi Health Commercial |
$59.68
|
| Rate for Payer: Nomi Health Commercial |
$59.68
|
| Rate for Payer: Nomi Health Commercial |
$59.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$117.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$49.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$41.25
|
| Rate for Payer: PACE SWMI |
$49.73
|
| Rate for Payer: PACE SWMI |
$49.73
|
| Rate for Payer: PACE SWMI |
$49.73
|
| Rate for Payer: PHP Commercial |
$69.62
|
| Rate for Payer: PHP Commercial |
$69.62
|
| Rate for Payer: PHP Commercial |
$69.62
|
| Rate for Payer: PHP Medicare Advantage |
$49.73
|
| Rate for Payer: PHP Medicare Advantage |
$49.73
|
| Rate for Payer: PHP Medicare Advantage |
$49.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$78.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$78.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$78.27
|
| Rate for Payer: Priority Health Medicare |
$49.73
|
| Rate for Payer: Priority Health Medicare |
$49.73
|
| Rate for Payer: Priority Health Medicare |
$49.73
|
| Rate for Payer: Priority Health SBD |
$78.27
|
| Rate for Payer: Priority Health SBD |
$78.27
|
| Rate for Payer: Priority Health SBD |
$78.27
|
| Rate for Payer: Priority Health Tiered Network |
$78.27
|
| Rate for Payer: Priority Health Tiered Network |
$78.27
|
| Rate for Payer: Priority Health Tiered Network |
$78.27
|
| Rate for Payer: Railroad Medicare Medicare |
$49.73
|
| Rate for Payer: Railroad Medicare Medicare |
$49.73
|
| Rate for Payer: Railroad Medicare Medicare |
$49.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$68.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$68.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$68.15
|
| Rate for Payer: UHC Core |
$68.15
|
| Rate for Payer: UHC Core |
$68.15
|
| Rate for Payer: UHC Core |
$68.15
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$49.73
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$49.73
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$49.73
|
| Rate for Payer: UHC Exchange |
$68.15
|
| Rate for Payer: UHC Exchange |
$68.15
|
| Rate for Payer: UHC Exchange |
$68.15
|
| Rate for Payer: UMR Bronson Commercial |
$30.36
|
| Rate for Payer: UMR Bronson Commercial |
$71.76
|
| Rate for Payer: UMR Bronson Commercial |
$25.30
|
|
|
CHG RADEX SPINE LUMBOSACRAL ONLY BENDING 2/3 VIEWS
|
Professional
|
Both
|
$52.00
|
|
|
Service Code
|
HCPCS 72120
|
| Min. Negotiated Rate |
$23.92 |
| Max. Negotiated Rate |
$61.21 |
| Rate for Payer: Aetna Commercial |
$52.50
|
| Rate for Payer: Aetna Medicare |
$40.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$52.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$56.42
|
| Rate for Payer: BCBS MAPPO |
$39.18
|
| Rate for Payer: BCN Commercial |
$60.76
|
| Rate for Payer: BCN Medicare Advantage |
$39.18
|
| Rate for Payer: Cash Price |
$41.60
|
| Rate for Payer: Cash Price |
$41.60
|
| Rate for Payer: Cofinity Commercial |
$56.42
|
| Rate for Payer: Cofinity Commercial |
$52.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$39.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$41.14
|
| Rate for Payer: Molina Medicare/Medicaid |
$43.10
|
| Rate for Payer: Nomi Health Commercial |
$47.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.00
|
| Rate for Payer: PACE SWMI |
$39.18
|
| Rate for Payer: PHP Commercial |
$54.85
|
| Rate for Payer: PHP Medicare Advantage |
$39.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$61.21
|
| Rate for Payer: Priority Health Medicare |
$39.18
|
| Rate for Payer: Priority Health SBD |
$61.21
|
| Rate for Payer: Priority Health Tiered Network |
$61.21
|
| Rate for Payer: Railroad Medicare Medicare |
$39.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$55.67
|
| Rate for Payer: UHC Core |
$55.67
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$39.18
|
| Rate for Payer: UHC Exchange |
$55.67
|
| Rate for Payer: UMR Bronson Commercial |
$23.92
|
|
|
CHG RADEX SPINE LUMBSCRL COMPL W/BENDING VIEWS MIN 6
|
Professional
|
Both
|
$95.00
|
|
|
Service Code
|
HCPCS 72114
|
| Min. Negotiated Rate |
$43.70 |
| Max. Negotiated Rate |
$92.32 |
| Rate for Payer: Aetna Commercial |
$77.01
|
| Rate for Payer: Aetna Commercial |
$77.01
|
| Rate for Payer: Aetna Medicare |
$59.77
|
| Rate for Payer: Aetna Medicare |
$59.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$82.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$82.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$77.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$77.01
|
| Rate for Payer: BCBS MAPPO |
$57.47
|
| Rate for Payer: BCBS MAPPO |
$57.47
|
| Rate for Payer: BCN Commercial |
$91.63
|
| Rate for Payer: BCN Commercial |
$91.63
|
| Rate for Payer: BCN Medicare Advantage |
$57.47
|
| Rate for Payer: BCN Medicare Advantage |
$57.47
|
| Rate for Payer: Cash Price |
$76.00
|
| Rate for Payer: Cash Price |
$54.40
|
| Rate for Payer: Cash Price |
$54.40
|
| Rate for Payer: Cash Price |
$76.00
|
| Rate for Payer: Cofinity Commercial |
$77.01
|
| Rate for Payer: Cofinity Commercial |
$82.76
|
| Rate for Payer: Cofinity Commercial |
$82.76
|
| Rate for Payer: Cofinity Commercial |
$77.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$57.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$57.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$60.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$60.34
|
| Rate for Payer: Molina Medicare/Medicaid |
$63.22
|
| Rate for Payer: Molina Medicare/Medicaid |
$63.22
|
| Rate for Payer: Nomi Health Commercial |
$68.96
|
| Rate for Payer: Nomi Health Commercial |
$68.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$51.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$71.25
|
| Rate for Payer: PACE SWMI |
$57.47
|
| Rate for Payer: PACE SWMI |
$57.47
|
| Rate for Payer: PHP Commercial |
$80.46
|
| Rate for Payer: PHP Commercial |
$80.46
|
| Rate for Payer: PHP Medicare Advantage |
$57.47
|
| Rate for Payer: PHP Medicare Advantage |
$57.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$92.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$92.32
|
| Rate for Payer: Priority Health Medicare |
$57.47
|
| Rate for Payer: Priority Health Medicare |
$57.47
|
| Rate for Payer: Priority Health SBD |
$92.32
|
| Rate for Payer: Priority Health SBD |
$92.32
|
| Rate for Payer: Priority Health Tiered Network |
$92.32
|
| Rate for Payer: Priority Health Tiered Network |
$92.32
|
| Rate for Payer: Railroad Medicare Medicare |
$57.47
|
| Rate for Payer: Railroad Medicare Medicare |
$57.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$83.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$83.58
|
| Rate for Payer: UHC Core |
$83.58
|
| Rate for Payer: UHC Core |
$83.58
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$57.47
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$57.47
|
| Rate for Payer: UHC Exchange |
$83.58
|
| Rate for Payer: UHC Exchange |
$83.58
|
| Rate for Payer: UMR Bronson Commercial |
$43.70
|
| Rate for Payer: UMR Bronson Commercial |
$31.28
|
|
|
CHG RADEX SPINE THORACIC 2 VIEWS
|
Professional
|
Both
|
$45.00
|
|
|
Service Code
|
HCPCS 72070
|
| Min. Negotiated Rate |
$20.70 |
| Max. Negotiated Rate |
$49.67 |
| Rate for Payer: Aetna Commercial |
$41.43
|
| Rate for Payer: Aetna Commercial |
$41.43
|
| Rate for Payer: Aetna Commercial |
$41.43
|
| Rate for Payer: Aetna Medicare |
$32.16
|
| Rate for Payer: Aetna Medicare |
$32.16
|
| Rate for Payer: Aetna Medicare |
$32.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.43
|
| Rate for Payer: BCBS MAPPO |
$30.92
|
| Rate for Payer: BCBS MAPPO |
$30.92
|
| Rate for Payer: BCBS MAPPO |
$30.92
|
| Rate for Payer: BCN Commercial |
$49.30
|
| Rate for Payer: BCN Commercial |
$49.30
|
| Rate for Payer: BCN Commercial |
$49.30
|
| Rate for Payer: BCN Medicare Advantage |
$30.92
|
| Rate for Payer: BCN Medicare Advantage |
$30.92
|
| Rate for Payer: BCN Medicare Advantage |
$30.92
|
| Rate for Payer: Cash Price |
$30.40
|
| Rate for Payer: Cash Price |
$84.00
|
| Rate for Payer: Cash Price |
$84.00
|
| Rate for Payer: Cash Price |
$30.40
|
| Rate for Payer: Cash Price |
$36.00
|
| Rate for Payer: Cash Price |
$36.00
|
| Rate for Payer: Cofinity Commercial |
$44.52
|
| Rate for Payer: Cofinity Commercial |
$44.52
|
| Rate for Payer: Cofinity Commercial |
$41.43
|
| Rate for Payer: Cofinity Commercial |
$41.43
|
| Rate for Payer: Cofinity Commercial |
$41.43
|
| Rate for Payer: Cofinity Commercial |
$44.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.47
|
| Rate for Payer: Molina Medicare/Medicaid |
$34.01
|
| Rate for Payer: Molina Medicare/Medicaid |
$34.01
|
| Rate for Payer: Molina Medicare/Medicaid |
$34.01
|
| Rate for Payer: Nomi Health Commercial |
$37.10
|
| Rate for Payer: Nomi Health Commercial |
$37.10
|
| Rate for Payer: Nomi Health Commercial |
$37.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$33.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$28.50
|
| Rate for Payer: PACE SWMI |
$30.92
|
| Rate for Payer: PACE SWMI |
$30.92
|
| Rate for Payer: PACE SWMI |
$30.92
|
| Rate for Payer: PHP Commercial |
$43.29
|
| Rate for Payer: PHP Commercial |
$43.29
|
| Rate for Payer: PHP Commercial |
$43.29
|
| Rate for Payer: PHP Medicare Advantage |
$30.92
|
| Rate for Payer: PHP Medicare Advantage |
$30.92
|
| Rate for Payer: PHP Medicare Advantage |
$30.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$49.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$49.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$49.67
|
| Rate for Payer: Priority Health Medicare |
$30.92
|
| Rate for Payer: Priority Health Medicare |
$30.92
|
| Rate for Payer: Priority Health Medicare |
$30.92
|
| Rate for Payer: Priority Health SBD |
$49.67
|
| Rate for Payer: Priority Health SBD |
$49.67
|
| Rate for Payer: Priority Health SBD |
$49.67
|
| Rate for Payer: Priority Health Tiered Network |
$49.67
|
| Rate for Payer: Priority Health Tiered Network |
$49.67
|
| Rate for Payer: Priority Health Tiered Network |
$49.67
|
| Rate for Payer: Railroad Medicare Medicare |
$30.92
|
| Rate for Payer: Railroad Medicare Medicare |
$30.92
|
| Rate for Payer: Railroad Medicare Medicare |
$30.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44.76
|
| Rate for Payer: UHC Core |
$44.76
|
| Rate for Payer: UHC Core |
$44.76
|
| Rate for Payer: UHC Core |
$44.76
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$30.92
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$30.92
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$30.92
|
| Rate for Payer: UHC Exchange |
$44.76
|
| Rate for Payer: UHC Exchange |
$44.76
|
| Rate for Payer: UHC Exchange |
$44.76
|
| Rate for Payer: UMR Bronson Commercial |
$20.70
|
| Rate for Payer: UMR Bronson Commercial |
$48.30
|
| Rate for Payer: UMR Bronson Commercial |
$17.48
|
|
|
CHG RADEX SPINE THORACIC 3 VIEWS
|
Professional
|
Both
|
$84.00
|
|
|
Service Code
|
HCPCS 72072
|
| Min. Negotiated Rate |
$36.16 |
| Max. Negotiated Rate |
$63.00 |
| Rate for Payer: Aetna Commercial |
$48.45
|
| Rate for Payer: Aetna Medicare |
$37.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$52.07
|
| Rate for Payer: BCBS MAPPO |
$36.16
|
| Rate for Payer: BCN Commercial |
$58.76
|
| Rate for Payer: BCN Medicare Advantage |
$36.16
|
| Rate for Payer: Cash Price |
$67.20
|
| Rate for Payer: Cash Price |
$67.20
|
| Rate for Payer: Cofinity Commercial |
$48.45
|
| Rate for Payer: Cofinity Commercial |
$52.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$36.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37.97
|
| Rate for Payer: Molina Medicare/Medicaid |
$39.78
|
| Rate for Payer: Nomi Health Commercial |
$43.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$63.00
|
| Rate for Payer: PACE SWMI |
$36.16
|
| Rate for Payer: PHP Commercial |
$50.62
|
| Rate for Payer: PHP Medicare Advantage |
$36.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$59.21
|
| Rate for Payer: Priority Health Medicare |
$36.16
|
| Rate for Payer: Priority Health SBD |
$59.21
|
| Rate for Payer: Priority Health Tiered Network |
$59.21
|
| Rate for Payer: Railroad Medicare Medicare |
$36.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$54.24
|
| Rate for Payer: UHC Core |
$54.24
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$36.16
|
| Rate for Payer: UHC Exchange |
$54.24
|
| Rate for Payer: UMR Bronson Commercial |
$38.64
|
|
