|
CHG 3D RENDERING W/INTERP&POSTPROC DIFF WORK STATION
|
Professional
|
Both
|
$137.00
|
|
|
Service Code
|
HCPCS 76377
|
| Min. Negotiated Rate |
$23.86 |
| Max. Negotiated Rate |
$904.45 |
| Rate for Payer: Aetna Commercial |
$97.71
|
| Rate for Payer: Aetna Medicare |
$75.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$105.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$97.71
|
| Rate for Payer: BCBS Complete |
$25.05
|
| Rate for Payer: BCBS MAPPO |
$72.92
|
| Rate for Payer: BCBS Trust/PPO |
$904.45
|
| Rate for Payer: BCN Commercial |
$110.93
|
| Rate for Payer: BCN Medicare Advantage |
$72.92
|
| Rate for Payer: Cash Price |
$109.60
|
| Rate for Payer: Cash Price |
$109.60
|
| Rate for Payer: Cofinity Commercial |
$105.00
|
| Rate for Payer: Cofinity Commercial |
$97.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$72.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$76.57
|
| Rate for Payer: Meridian Medicaid |
$25.05
|
| Rate for Payer: Nomi Health Commercial |
$87.50
|
| Rate for Payer: PACE SWMI |
$72.92
|
| Rate for Payer: PHP Commercial |
$102.09
|
| Rate for Payer: PHP Medicare Advantage |
$72.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$23.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$89.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$120.10
|
| Rate for Payer: Priority Health Medicare |
$72.92
|
| Rate for Payer: Priority Health Narrow Network |
$120.10
|
| Rate for Payer: Priority Health SBD |
$57.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$72.92
|
| Rate for Payer: UHC Medicare Advantage |
$72.92
|
| Rate for Payer: UHCCP Medicaid |
$23.86
|
| Rate for Payer: UMR Bronson Commercial |
$63.02
|
|
|
CHG 3D RENDERING W/INTERP & POSTPROCESS SUPERVISION
|
Professional
|
Both
|
$20.00
|
|
|
Service Code
|
HCPCS 76376
|
| Min. Negotiated Rate |
$5.96 |
| Max. Negotiated Rate |
$1,774.03 |
| Rate for Payer: Aetna Commercial |
$31.41
|
| Rate for Payer: Aetna Commercial |
$31.41
|
| Rate for Payer: Aetna Medicare |
$24.38
|
| Rate for Payer: Aetna Medicare |
$24.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$31.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$31.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$33.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$33.75
|
| Rate for Payer: BCBS Complete |
$6.26
|
| Rate for Payer: BCBS Complete |
$6.26
|
| Rate for Payer: BCBS MAPPO |
$23.44
|
| Rate for Payer: BCBS MAPPO |
$23.44
|
| Rate for Payer: BCBS Trust/PPO |
$1,774.03
|
| Rate for Payer: BCBS Trust/PPO |
$1,774.03
|
| Rate for Payer: BCN Commercial |
$35.19
|
| Rate for Payer: BCN Commercial |
$35.19
|
| Rate for Payer: BCN Medicare Advantage |
$23.44
|
| Rate for Payer: BCN Medicare Advantage |
$23.44
|
| Rate for Payer: Cash Price |
$16.00
|
| Rate for Payer: Cash Price |
$16.00
|
| Rate for Payer: Cash Price |
$36.00
|
| Rate for Payer: Cash Price |
$36.00
|
| Rate for Payer: Cofinity Commercial |
$31.41
|
| Rate for Payer: Cofinity Commercial |
$33.75
|
| Rate for Payer: Cofinity Commercial |
$33.75
|
| Rate for Payer: Cofinity Commercial |
$31.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$24.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$24.61
|
| Rate for Payer: Meridian Medicaid |
$6.26
|
| Rate for Payer: Meridian Medicaid |
$6.26
|
| Rate for Payer: Nomi Health Commercial |
$28.13
|
| Rate for Payer: Nomi Health Commercial |
$28.13
|
| Rate for Payer: PACE SWMI |
$23.44
|
| Rate for Payer: PACE SWMI |
$23.44
|
| Rate for Payer: PHP Commercial |
$32.82
|
| Rate for Payer: PHP Commercial |
$32.82
|
| Rate for Payer: PHP Medicare Advantage |
$23.44
|
| Rate for Payer: PHP Medicare Advantage |
$23.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$38.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$38.50
|
| Rate for Payer: Priority Health Medicare |
$23.44
|
| Rate for Payer: Priority Health Medicare |
$23.44
|
| Rate for Payer: Priority Health Narrow Network |
$38.50
|
| Rate for Payer: Priority Health Narrow Network |
$38.50
|
| Rate for Payer: Priority Health SBD |
$14.37
|
| Rate for Payer: Priority Health SBD |
$14.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$23.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$23.44
|
| Rate for Payer: UHC Medicare Advantage |
$23.44
|
| Rate for Payer: UHC Medicare Advantage |
$23.44
|
| Rate for Payer: UHCCP Medicaid |
$5.96
|
| Rate for Payer: UHCCP Medicaid |
$5.96
|
| Rate for Payer: UMR Bronson Commercial |
$20.70
|
| Rate for Payer: UMR Bronson Commercial |
$9.20
|
|
|
CHG ACUTE GASTROINTESTINAL BLOOD LOSS IMAGING
|
Professional
|
Both
|
$686.00
|
|
|
Service Code
|
HCPCS 78278
|
| Min. Negotiated Rate |
$29.18 |
| Max. Negotiated Rate |
$674.64 |
| Rate for Payer: Aetna Commercial |
$374.82
|
| Rate for Payer: Aetna Medicare |
$290.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$374.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$402.80
|
| Rate for Payer: BCBS Complete |
$30.64
|
| Rate for Payer: BCBS MAPPO |
$279.72
|
| Rate for Payer: BCBS Trust/PPO |
$674.64
|
| Rate for Payer: BCN Commercial |
$475.00
|
| Rate for Payer: BCN Medicare Advantage |
$279.72
|
| Rate for Payer: Cash Price |
$548.80
|
| Rate for Payer: Cash Price |
$548.80
|
| Rate for Payer: Cofinity Commercial |
$374.82
|
| Rate for Payer: Cofinity Commercial |
$402.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$279.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$293.71
|
| Rate for Payer: Meridian Medicaid |
$30.64
|
| Rate for Payer: Nomi Health Commercial |
$335.66
|
| Rate for Payer: PACE SWMI |
$279.72
|
| Rate for Payer: PHP Commercial |
$391.61
|
| Rate for Payer: PHP Medicare Advantage |
$279.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$29.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$445.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$490.68
|
| Rate for Payer: Priority Health Medicare |
$279.72
|
| Rate for Payer: Priority Health Narrow Network |
$490.68
|
| Rate for Payer: Priority Health SBD |
$70.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$279.72
|
| Rate for Payer: UHC Medicare Advantage |
$279.72
|
| Rate for Payer: UHCCP Medicaid |
$29.18
|
| Rate for Payer: UMR Bronson Commercial |
$315.56
|
|
|
CHG ANGIO ARCH ANGIOGRAM W CATH
|
Professional
|
Both
|
$267.00
|
|
|
Service Code
|
HCPCS 75650
|
| Min. Negotiated Rate |
$106.80 |
| Max. Negotiated Rate |
$173.55 |
| Rate for Payer: Aetna Medicare |
$133.50
|
| Rate for Payer: BCBS Complete |
$106.80
|
| Rate for Payer: Cash Price |
$213.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$173.55
|
| Rate for Payer: UMR Bronson Commercial |
$122.82
|
|
|
CHG ANGIO AV SHUNT COMPLETE EVAL
|
Professional
|
Both
|
$507.00
|
|
|
Service Code
|
HCPCS 75791
|
| Min. Negotiated Rate |
$202.80 |
| Max. Negotiated Rate |
$329.55 |
| Rate for Payer: Aetna Medicare |
$253.50
|
| Rate for Payer: Aetna Medicare |
$154.00
|
| Rate for Payer: BCBS Complete |
$123.20
|
| Rate for Payer: BCBS Complete |
$202.80
|
| Rate for Payer: Cash Price |
$246.40
|
| Rate for Payer: Cash Price |
$405.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$329.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$200.20
|
| Rate for Payer: UMR Bronson Commercial |
$141.68
|
| Rate for Payer: UMR Bronson Commercial |
$233.22
|
|
|
CHG ANGIOGRAPHY EXTREMITY BILATERAL RS&I
|
Professional
|
Both
|
$198.00
|
|
|
Service Code
|
HCPCS 75716
|
| Min. Negotiated Rate |
$58.15 |
| Max. Negotiated Rate |
$250.47 |
| Rate for Payer: BCN Commercial |
$237.49
|
| Rate for Payer: Aetna Commercial |
$202.51
|
| Rate for Payer: Aetna Medicare |
$157.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$202.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$217.63
|
| Rate for Payer: BCBS Complete |
$61.06
|
| Rate for Payer: BCBS MAPPO |
$151.13
|
| Rate for Payer: BCBS Trust/PPO |
$112.00
|
| Rate for Payer: BCN Medicare Advantage |
$151.13
|
| Rate for Payer: Cash Price |
$158.40
|
| Rate for Payer: Cash Price |
$158.40
|
| Rate for Payer: Cofinity Commercial |
$202.51
|
| Rate for Payer: Cofinity Commercial |
$217.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$151.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$158.69
|
| Rate for Payer: Meridian Medicaid |
$61.06
|
| Rate for Payer: Nomi Health Commercial |
$181.36
|
| Rate for Payer: PACE SWMI |
$151.13
|
| Rate for Payer: PHP Commercial |
$211.58
|
| Rate for Payer: PHP Medicare Advantage |
$151.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$58.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$128.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$250.47
|
| Rate for Payer: Priority Health Medicare |
$151.13
|
| Rate for Payer: Priority Health Narrow Network |
$250.47
|
| Rate for Payer: Priority Health SBD |
$139.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$151.13
|
| Rate for Payer: UHC Medicare Advantage |
$151.13
|
| Rate for Payer: UHCCP Medicaid |
$58.15
|
| Rate for Payer: UMR Bronson Commercial |
$91.08
|
|
|
CHG ANGIOGRAPHY EXTREMITY UNILATERAL RS&I
|
Professional
|
Both
|
$430.00
|
|
|
Service Code
|
HCPCS 75710
|
| Min. Negotiated Rate |
$51.55 |
| Max. Negotiated Rate |
$279.50 |
| Rate for Payer: Aetna Commercial |
$184.80
|
| Rate for Payer: Aetna Commercial |
$184.80
|
| Rate for Payer: Aetna Medicare |
$143.43
|
| Rate for Payer: Aetna Medicare |
$143.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$184.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$198.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$198.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$184.80
|
| Rate for Payer: BCBS Complete |
$54.13
|
| Rate for Payer: BCBS Complete |
$54.13
|
| Rate for Payer: BCBS MAPPO |
$137.91
|
| Rate for Payer: BCBS MAPPO |
$137.91
|
| Rate for Payer: BCBS Trust/PPO |
$183.32
|
| Rate for Payer: BCBS Trust/PPO |
$183.32
|
| Rate for Payer: BCN Commercial |
$219.91
|
| Rate for Payer: BCN Commercial |
$219.91
|
| Rate for Payer: BCN Medicare Advantage |
$137.91
|
| Rate for Payer: BCN Medicare Advantage |
$137.91
|
| Rate for Payer: Cash Price |
$145.60
|
| Rate for Payer: Cash Price |
$145.60
|
| Rate for Payer: Cash Price |
$344.00
|
| Rate for Payer: Cash Price |
$344.00
|
| Rate for Payer: Cofinity Commercial |
$184.80
|
| Rate for Payer: Cofinity Commercial |
$198.59
|
| Rate for Payer: Cofinity Commercial |
$198.59
|
| Rate for Payer: Cofinity Commercial |
$184.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$137.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$137.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$144.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$144.81
|
| Rate for Payer: Meridian Medicaid |
$54.13
|
| Rate for Payer: Meridian Medicaid |
$54.13
|
| Rate for Payer: Nomi Health Commercial |
$165.49
|
| Rate for Payer: Nomi Health Commercial |
$165.49
|
| Rate for Payer: PACE SWMI |
$137.91
|
| Rate for Payer: PACE SWMI |
$137.91
|
| Rate for Payer: PHP Commercial |
$193.07
|
| Rate for Payer: PHP Commercial |
$193.07
|
| Rate for Payer: PHP Medicare Advantage |
$137.91
|
| Rate for Payer: PHP Medicare Advantage |
$137.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$51.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$51.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$118.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$279.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$230.96
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$230.96
|
| Rate for Payer: Priority Health Medicare |
$137.91
|
| Rate for Payer: Priority Health Medicare |
$137.91
|
| Rate for Payer: Priority Health Narrow Network |
$230.96
|
| Rate for Payer: Priority Health Narrow Network |
$230.96
|
| Rate for Payer: Priority Health SBD |
$124.72
|
| Rate for Payer: Priority Health SBD |
$124.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$137.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$137.91
|
| Rate for Payer: UHC Medicare Advantage |
$137.91
|
| Rate for Payer: UHC Medicare Advantage |
$137.91
|
| Rate for Payer: UHCCP Medicaid |
$51.55
|
| Rate for Payer: UHCCP Medicaid |
$51.55
|
| Rate for Payer: UMR Bronson Commercial |
$83.72
|
| Rate for Payer: UMR Bronson Commercial |
$197.80
|
|
|
CHG ANGIOGRAPHY INTERNAL MAMMARY RS&I
|
Professional
|
Both
|
$190.00
|
|
|
Service Code
|
HCPCS 75756
|
| Min. Negotiated Rate |
$34.72 |
| Max. Negotiated Rate |
$254.06 |
| Rate for Payer: Aetna Commercial |
$198.40
|
| Rate for Payer: Aetna Medicare |
$153.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$198.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$213.21
|
| Rate for Payer: BCBS Complete |
$36.46
|
| Rate for Payer: BCBS MAPPO |
$148.06
|
| Rate for Payer: BCBS Trust/PPO |
$177.51
|
| Rate for Payer: BCN Commercial |
$236.52
|
| Rate for Payer: BCN Medicare Advantage |
$148.06
|
| Rate for Payer: Cash Price |
$152.00
|
| Rate for Payer: Cash Price |
$152.00
|
| Rate for Payer: Cofinity Commercial |
$198.40
|
| Rate for Payer: Cofinity Commercial |
$213.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$148.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$155.46
|
| Rate for Payer: Meridian Medicaid |
$36.46
|
| Rate for Payer: Nomi Health Commercial |
$177.67
|
| Rate for Payer: PACE SWMI |
$148.06
|
| Rate for Payer: PHP Commercial |
$207.28
|
| Rate for Payer: PHP Medicare Advantage |
$148.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$34.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$123.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$254.06
|
| Rate for Payer: Priority Health Medicare |
$148.06
|
| Rate for Payer: Priority Health Narrow Network |
$254.06
|
| Rate for Payer: Priority Health SBD |
$82.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$148.06
|
| Rate for Payer: UHC Medicare Advantage |
$148.06
|
| Rate for Payer: UHCCP Medicaid |
$34.72
|
| Rate for Payer: UMR Bronson Commercial |
$87.40
|
|
|
CHG ANGIOGRAPHY PELVIC SLCTV/SUPRASLCTV RS&I
|
Professional
|
Both
|
$319.00
|
|
|
Service Code
|
HCPCS 75736
|
| Min. Negotiated Rate |
$32.59 |
| Max. Negotiated Rate |
$220.71 |
| Rate for Payer: Aetna Commercial |
$176.63
|
| Rate for Payer: Aetna Medicare |
$137.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$176.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$189.81
|
| Rate for Payer: BCBS Complete |
$34.22
|
| Rate for Payer: BCBS MAPPO |
$131.81
|
| Rate for Payer: BCBS Trust/PPO |
$182.79
|
| Rate for Payer: BCN Commercial |
$209.15
|
| Rate for Payer: BCN Medicare Advantage |
$131.81
|
| Rate for Payer: Cash Price |
$255.20
|
| Rate for Payer: Cash Price |
$255.20
|
| Rate for Payer: Cofinity Commercial |
$176.63
|
| Rate for Payer: Cofinity Commercial |
$189.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$131.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$138.40
|
| Rate for Payer: Meridian Medicaid |
$34.22
|
| Rate for Payer: Nomi Health Commercial |
$158.17
|
| Rate for Payer: PACE SWMI |
$131.81
|
| Rate for Payer: PHP Commercial |
$184.53
|
| Rate for Payer: PHP Medicare Advantage |
$131.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$32.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$207.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$220.71
|
| Rate for Payer: Priority Health Medicare |
$131.81
|
| Rate for Payer: Priority Health Narrow Network |
$220.71
|
| Rate for Payer: Priority Health SBD |
$78.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$131.81
|
| Rate for Payer: UHC Medicare Advantage |
$131.81
|
| Rate for Payer: UHCCP Medicaid |
$32.59
|
| Rate for Payer: UMR Bronson Commercial |
$146.74
|
|
|
CHG ANGIOGRAPHY PULMONARY UNILATERAL SLCTV RS&I
|
Professional
|
Both
|
$125.00
|
|
|
Service Code
|
HCPCS 75741
|
| Min. Negotiated Rate |
$37.70 |
| Max. Negotiated Rate |
$199.66 |
| Rate for Payer: Aetna Commercial |
$159.00
|
| Rate for Payer: Aetna Medicare |
$123.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$159.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$170.87
|
| Rate for Payer: BCBS Complete |
$39.58
|
| Rate for Payer: BCBS MAPPO |
$118.66
|
| Rate for Payer: BCBS Trust/PPO |
$104.08
|
| Rate for Payer: BCN Commercial |
$191.56
|
| Rate for Payer: BCN Medicare Advantage |
$118.66
|
| Rate for Payer: Cash Price |
$100.00
|
| Rate for Payer: Cash Price |
$100.00
|
| Rate for Payer: Cofinity Commercial |
$159.00
|
| Rate for Payer: Cofinity Commercial |
$170.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$118.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$124.59
|
| Rate for Payer: Meridian Medicaid |
$39.58
|
| Rate for Payer: Nomi Health Commercial |
$142.39
|
| Rate for Payer: PACE SWMI |
$118.66
|
| Rate for Payer: PHP Commercial |
$166.12
|
| Rate for Payer: PHP Medicare Advantage |
$118.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$37.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$81.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$199.66
|
| Rate for Payer: Priority Health Medicare |
$118.66
|
| Rate for Payer: Priority Health Narrow Network |
$199.66
|
| Rate for Payer: Priority Health SBD |
$90.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$118.66
|
| Rate for Payer: UHC Medicare Advantage |
$118.66
|
| Rate for Payer: UHCCP Medicaid |
$37.70
|
| Rate for Payer: UMR Bronson Commercial |
$57.50
|
|
|
CHG ANGIOGRAPHY SPINAL SELECTIVE RS&I
|
Professional
|
Both
|
$436.00
|
|
|
Service Code
|
HCPCS 75705
|
| Min. Negotiated Rate |
$74.76 |
| Max. Negotiated Rate |
$385.46 |
| Rate for Payer: Aetna Commercial |
$318.13
|
| Rate for Payer: Aetna Medicare |
$246.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$318.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$341.87
|
| Rate for Payer: BCBS Complete |
$78.50
|
| Rate for Payer: BCBS MAPPO |
$237.41
|
| Rate for Payer: BCBS Trust/PPO |
$162.19
|
| Rate for Payer: BCN Commercial |
$363.58
|
| Rate for Payer: BCN Medicare Advantage |
$237.41
|
| Rate for Payer: Cash Price |
$348.80
|
| Rate for Payer: Cash Price |
$348.80
|
| Rate for Payer: Cofinity Commercial |
$318.13
|
| Rate for Payer: Cofinity Commercial |
$341.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$237.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$249.28
|
| Rate for Payer: Meridian Medicaid |
$78.50
|
| Rate for Payer: Nomi Health Commercial |
$284.89
|
| Rate for Payer: PACE SWMI |
$237.41
|
| Rate for Payer: PHP Commercial |
$332.37
|
| Rate for Payer: PHP Medicare Advantage |
$237.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$74.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$283.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$385.46
|
| Rate for Payer: Priority Health Medicare |
$237.41
|
| Rate for Payer: Priority Health Narrow Network |
$385.46
|
| Rate for Payer: Priority Health SBD |
$176.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$237.41
|
| Rate for Payer: UHC Medicare Advantage |
$237.41
|
| Rate for Payer: UHCCP Medicaid |
$74.76
|
| Rate for Payer: UMR Bronson Commercial |
$200.56
|
|
|
CHG ANGIOGRAPHY VISCERAL SLCTV/SUPRASLCTV RS&I
|
Professional
|
Both
|
$273.00
|
|
|
Service Code
|
HCPCS 75726
|
| Min. Negotiated Rate |
$59.64 |
| Max. Negotiated Rate |
$261.24 |
| Rate for Payer: Aetna Commercial |
$212.12
|
| Rate for Payer: Aetna Medicare |
$164.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$212.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$227.95
|
| Rate for Payer: BCBS Complete |
$62.62
|
| Rate for Payer: BCBS MAPPO |
$158.30
|
| Rate for Payer: BCBS Trust/PPO |
$145.81
|
| Rate for Payer: BCN Commercial |
$250.69
|
| Rate for Payer: BCN Medicare Advantage |
$158.30
|
| Rate for Payer: Cash Price |
$218.40
|
| Rate for Payer: Cash Price |
$218.40
|
| Rate for Payer: Cofinity Commercial |
$227.95
|
| Rate for Payer: Cofinity Commercial |
$212.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$158.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$166.22
|
| Rate for Payer: Meridian Medicaid |
$62.62
|
| Rate for Payer: Nomi Health Commercial |
$189.96
|
| Rate for Payer: PACE SWMI |
$158.30
|
| Rate for Payer: PHP Commercial |
$221.62
|
| Rate for Payer: PHP Medicare Advantage |
$158.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$59.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$177.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$261.24
|
| Rate for Payer: Priority Health Medicare |
$158.30
|
| Rate for Payer: Priority Health Narrow Network |
$261.24
|
| Rate for Payer: Priority Health SBD |
$141.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$158.30
|
| Rate for Payer: UHC Medicare Advantage |
$158.30
|
| Rate for Payer: UHCCP Medicaid |
$59.64
|
| Rate for Payer: UMR Bronson Commercial |
$125.58
|
|
|
CHG ANGRPH CATH F-UP STD TCAT OTHER THAN THROMBYLSIS
|
Professional
|
Both
|
$162.00
|
|
|
Service Code
|
HCPCS 75898
|
| Min. Negotiated Rate |
$57.72 |
| Max. Negotiated Rate |
$3,164.58 |
| Rate for Payer: Aetna Commercial |
$3,164.58
|
| Rate for Payer: Aetna Medicare |
$81.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,164.58
|
| Rate for Payer: BCBS Complete |
$60.61
|
| Rate for Payer: BCBS Trust/PPO |
$328.07
|
| Rate for Payer: BCN Commercial |
$2,886.03
|
| Rate for Payer: Cash Price |
$129.60
|
| Rate for Payer: Cash Price |
$129.60
|
| Rate for Payer: Meridian Medicaid |
$60.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$57.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$105.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$205.81
|
| Rate for Payer: Priority Health Narrow Network |
$205.81
|
| Rate for Payer: Priority Health SBD |
$138.06
|
| Rate for Payer: UHCCP Medicaid |
$57.72
|
| Rate for Payer: UMR Bronson Commercial |
$74.52
|
|
|
CHG ANGRPH SLCTV EA VSL STUDIED AFTER BASIC XM RS&I
|
Professional
|
Both
|
$302.00
|
|
|
Service Code
|
HCPCS 75774
|
| Min. Negotiated Rate |
$28.97 |
| Max. Negotiated Rate |
$196.30 |
| Rate for Payer: Aetna Commercial |
$118.13
|
| Rate for Payer: Aetna Medicare |
$91.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$118.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$126.95
|
| Rate for Payer: BCBS Complete |
$30.42
|
| Rate for Payer: BCBS MAPPO |
$88.16
|
| Rate for Payer: BCBS Trust/PPO |
$186.49
|
| Rate for Payer: BCN Commercial |
$142.21
|
| Rate for Payer: BCN Medicare Advantage |
$88.16
|
| Rate for Payer: Cash Price |
$241.60
|
| Rate for Payer: Cash Price |
$241.60
|
| Rate for Payer: Cofinity Commercial |
$118.13
|
| Rate for Payer: Cofinity Commercial |
$126.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$88.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$92.57
|
| Rate for Payer: Meridian Medicaid |
$30.42
|
| Rate for Payer: Nomi Health Commercial |
$105.79
|
| Rate for Payer: PACE SWMI |
$88.16
|
| Rate for Payer: PHP Commercial |
$123.42
|
| Rate for Payer: PHP Medicare Advantage |
$88.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$28.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$196.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$148.33
|
| Rate for Payer: Priority Health Medicare |
$88.16
|
| Rate for Payer: Priority Health Narrow Network |
$148.33
|
| Rate for Payer: Priority Health SBD |
$69.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$88.16
|
| Rate for Payer: UHC Medicare Advantage |
$88.16
|
| Rate for Payer: UHCCP Medicaid |
$28.97
|
| Rate for Payer: UMR Bronson Commercial |
$138.92
|
|
|
CHG AORTOGRAPHY ABDL BI ILIOFEM LOW EXTREM CATH RS&I
|
Professional
|
Both
|
$293.00
|
|
|
Service Code
|
HCPCS 75630
|
| Min. Negotiated Rate |
$59.00 |
| Max. Negotiated Rate |
$241.23 |
| Rate for Payer: Aetna Commercial |
$195.13
|
| Rate for Payer: Aetna Commercial |
$195.13
|
| Rate for Payer: Aetna Medicare |
$151.44
|
| Rate for Payer: Aetna Medicare |
$151.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$195.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$195.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$209.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$209.69
|
| Rate for Payer: BCBS Complete |
$61.95
|
| Rate for Payer: BCBS Complete |
$61.95
|
| Rate for Payer: BCBS MAPPO |
$145.62
|
| Rate for Payer: BCBS MAPPO |
$145.62
|
| Rate for Payer: BCBS Trust/PPO |
$166.41
|
| Rate for Payer: BCBS Trust/PPO |
$166.41
|
| Rate for Payer: BCN Commercial |
$229.19
|
| Rate for Payer: BCN Commercial |
$229.19
|
| Rate for Payer: BCN Medicare Advantage |
$145.62
|
| Rate for Payer: BCN Medicare Advantage |
$145.62
|
| Rate for Payer: Cash Price |
$234.40
|
| Rate for Payer: Cash Price |
$234.40
|
| Rate for Payer: Cash Price |
$380.00
|
| Rate for Payer: Cash Price |
$380.00
|
| Rate for Payer: Cofinity Commercial |
$195.13
|
| Rate for Payer: Cofinity Commercial |
$209.69
|
| Rate for Payer: Cofinity Commercial |
$209.69
|
| Rate for Payer: Cofinity Commercial |
$195.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$145.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$145.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$152.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$152.90
|
| Rate for Payer: Meridian Medicaid |
$61.95
|
| Rate for Payer: Meridian Medicaid |
$61.95
|
| Rate for Payer: Nomi Health Commercial |
$174.74
|
| Rate for Payer: Nomi Health Commercial |
$174.74
|
| Rate for Payer: PACE SWMI |
$145.62
|
| Rate for Payer: PACE SWMI |
$145.62
|
| Rate for Payer: PHP Commercial |
$203.87
|
| Rate for Payer: PHP Commercial |
$203.87
|
| Rate for Payer: PHP Medicare Advantage |
$145.62
|
| Rate for Payer: PHP Medicare Advantage |
$145.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$59.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$59.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$190.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$308.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$241.23
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$241.23
|
| Rate for Payer: Priority Health Medicare |
$145.62
|
| Rate for Payer: Priority Health Medicare |
$145.62
|
| Rate for Payer: Priority Health Narrow Network |
$241.23
|
| Rate for Payer: Priority Health Narrow Network |
$241.23
|
| Rate for Payer: Priority Health SBD |
$141.65
|
| Rate for Payer: Priority Health SBD |
$141.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$145.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$145.62
|
| Rate for Payer: UHC Medicare Advantage |
$145.62
|
| Rate for Payer: UHC Medicare Advantage |
$145.62
|
| Rate for Payer: UHCCP Medicaid |
$59.00
|
| Rate for Payer: UHCCP Medicaid |
$59.00
|
| Rate for Payer: UMR Bronson Commercial |
$218.50
|
| Rate for Payer: UMR Bronson Commercial |
$134.78
|
|
|
CHG AORTOGRAPHY ABDOMINAL SERIALOGRAPHY RS&I
|
Professional
|
Both
|
$115.00
|
|
|
Service Code
|
HCPCS 75625
|
| Min. Negotiated Rate |
$42.60 |
| Max. Negotiated Rate |
$194.53 |
| Rate for Payer: Aetna Commercial |
$156.53
|
| Rate for Payer: Aetna Commercial |
$156.53
|
| Rate for Payer: Aetna Medicare |
$121.48
|
| Rate for Payer: Aetna Medicare |
$121.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$156.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$168.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$168.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$156.53
|
| Rate for Payer: BCBS Complete |
$44.73
|
| Rate for Payer: BCBS Complete |
$44.73
|
| Rate for Payer: BCBS MAPPO |
$116.81
|
| Rate for Payer: BCBS MAPPO |
$116.81
|
| Rate for Payer: BCBS Trust/PPO |
$133.13
|
| Rate for Payer: BCBS Trust/PPO |
$133.13
|
| Rate for Payer: BCN Commercial |
$184.72
|
| Rate for Payer: BCN Commercial |
$184.72
|
| Rate for Payer: BCN Medicare Advantage |
$116.81
|
| Rate for Payer: BCN Medicare Advantage |
$116.81
|
| Rate for Payer: Cash Price |
$91.20
|
| Rate for Payer: Cash Price |
$91.20
|
| Rate for Payer: Cash Price |
$92.00
|
| Rate for Payer: Cash Price |
$92.00
|
| Rate for Payer: Cofinity Commercial |
$156.53
|
| Rate for Payer: Cofinity Commercial |
$168.21
|
| Rate for Payer: Cofinity Commercial |
$168.21
|
| Rate for Payer: Cofinity Commercial |
$156.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$116.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$116.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$122.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$122.65
|
| Rate for Payer: Meridian Medicaid |
$44.73
|
| Rate for Payer: Meridian Medicaid |
$44.73
|
| Rate for Payer: Nomi Health Commercial |
$140.17
|
| Rate for Payer: Nomi Health Commercial |
$140.17
|
| Rate for Payer: PACE SWMI |
$116.81
|
| Rate for Payer: PACE SWMI |
$116.81
|
| Rate for Payer: PHP Commercial |
$163.53
|
| Rate for Payer: PHP Commercial |
$163.53
|
| Rate for Payer: PHP Medicare Advantage |
$116.81
|
| Rate for Payer: PHP Medicare Advantage |
$116.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$42.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$42.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$74.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$74.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$194.53
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$194.53
|
| Rate for Payer: Priority Health Medicare |
$116.81
|
| Rate for Payer: Priority Health Medicare |
$116.81
|
| Rate for Payer: Priority Health Narrow Network |
$194.53
|
| Rate for Payer: Priority Health Narrow Network |
$194.53
|
| Rate for Payer: Priority Health SBD |
$102.14
|
| Rate for Payer: Priority Health SBD |
$102.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$116.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$116.81
|
| Rate for Payer: UHC Medicare Advantage |
$116.81
|
| Rate for Payer: UHC Medicare Advantage |
$116.81
|
| Rate for Payer: UHCCP Medicaid |
$42.60
|
| Rate for Payer: UHCCP Medicaid |
$42.60
|
| Rate for Payer: UMR Bronson Commercial |
$52.44
|
| Rate for Payer: UMR Bronson Commercial |
$52.90
|
|
|
CHG AORTOGRAPHY THORACIC SERIALOGRAPHY RS&I
|
Professional
|
Both
|
$265.00
|
|
|
Service Code
|
HCPCS 75605
|
| Min. Negotiated Rate |
$33.65 |
| Max. Negotiated Rate |
$185.80 |
| Rate for Payer: Aetna Commercial |
$148.54
|
| Rate for Payer: Aetna Medicare |
$115.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$148.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$159.62
|
| Rate for Payer: BCBS Complete |
$35.33
|
| Rate for Payer: BCBS MAPPO |
$110.85
|
| Rate for Payer: BCBS Trust/PPO |
$157.43
|
| Rate for Payer: BCN Commercial |
$176.42
|
| Rate for Payer: BCN Medicare Advantage |
$110.85
|
| Rate for Payer: Cash Price |
$212.00
|
| Rate for Payer: Cash Price |
$212.00
|
| Rate for Payer: Cofinity Commercial |
$148.54
|
| Rate for Payer: Cofinity Commercial |
$159.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$110.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$116.39
|
| Rate for Payer: Meridian Medicaid |
$35.33
|
| Rate for Payer: Nomi Health Commercial |
$133.02
|
| Rate for Payer: PACE SWMI |
$110.85
|
| Rate for Payer: PHP Commercial |
$155.19
|
| Rate for Payer: PHP Medicare Advantage |
$110.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$33.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$172.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$185.80
|
| Rate for Payer: Priority Health Medicare |
$110.85
|
| Rate for Payer: Priority Health Narrow Network |
$185.80
|
| Rate for Payer: Priority Health SBD |
$80.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$110.85
|
| Rate for Payer: UHC Medicare Advantage |
$110.85
|
| Rate for Payer: UHCCP Medicaid |
$33.65
|
| Rate for Payer: UMR Bronson Commercial |
$121.90
|
|
|
CHG AORTOGRAPHY THORACIC W/O SERIALOGRAPHY RS&I
|
Professional
|
Both
|
$107.00
|
|
|
Service Code
|
HCPCS 75600
|
| Min. Negotiated Rate |
$14.70 |
| Max. Negotiated Rate |
$280.75 |
| Rate for Payer: Aetna Commercial |
$208.13
|
| Rate for Payer: Aetna Medicare |
$161.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$208.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$223.66
|
| Rate for Payer: BCBS Complete |
$15.44
|
| Rate for Payer: BCBS MAPPO |
$155.32
|
| Rate for Payer: BCBS Trust/PPO |
$114.11
|
| Rate for Payer: BCN Commercial |
$270.73
|
| Rate for Payer: BCN Medicare Advantage |
$155.32
|
| Rate for Payer: Cash Price |
$85.60
|
| Rate for Payer: Cash Price |
$85.60
|
| Rate for Payer: Cofinity Commercial |
$208.13
|
| Rate for Payer: Cofinity Commercial |
$223.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$155.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$163.09
|
| Rate for Payer: Meridian Medicaid |
$15.44
|
| Rate for Payer: Nomi Health Commercial |
$186.38
|
| Rate for Payer: PACE SWMI |
$155.32
|
| Rate for Payer: PHP Commercial |
$217.45
|
| Rate for Payer: PHP Medicare Advantage |
$155.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$14.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$69.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$280.75
|
| Rate for Payer: Priority Health Medicare |
$155.32
|
| Rate for Payer: Priority Health Narrow Network |
$280.75
|
| Rate for Payer: Priority Health SBD |
$35.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$155.32
|
| Rate for Payer: UHC Medicare Advantage |
$155.32
|
| Rate for Payer: UHCCP Medicaid |
$14.70
|
| Rate for Payer: UMR Bronson Commercial |
$49.22
|
|
|
CHG ASSAY OF LEAD
|
Professional
|
Both
|
$20.00
|
|
|
Service Code
|
HCPCS 83655
|
| Min. Negotiated Rate |
$8.00 |
| Max. Negotiated Rate |
$365.58 |
| Rate for Payer: Aetna Commercial |
$16.23
|
| Rate for Payer: Aetna Medicare |
$12.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.44
|
| Rate for Payer: BCBS Complete |
$8.00
|
| Rate for Payer: BCBS MAPPO |
$12.11
|
| Rate for Payer: BCBS Trust/PPO |
$365.58
|
| Rate for Payer: BCN Commercial |
$9.08
|
| Rate for Payer: BCN Medicare Advantage |
$12.11
|
| Rate for Payer: Cash Price |
$16.00
|
| Rate for Payer: Cash Price |
$16.00
|
| Rate for Payer: Cofinity Commercial |
$16.23
|
| Rate for Payer: Cofinity Commercial |
$17.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12.72
|
| Rate for Payer: Nomi Health Commercial |
$14.53
|
| Rate for Payer: PACE SWMI |
$12.11
|
| Rate for Payer: PHP Commercial |
$16.95
|
| Rate for Payer: PHP Medicare Advantage |
$12.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11.98
|
| Rate for Payer: Priority Health Medicare |
$12.11
|
| Rate for Payer: Priority Health Narrow Network |
$11.98
|
| Rate for Payer: Priority Health SBD |
$11.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$12.11
|
| Rate for Payer: UHC Medicare Advantage |
$12.11
|
| Rate for Payer: UMR Bronson Commercial |
$9.20
|
|
|
CHG ASSAY OF PHOSPHATASE ALKALINE
|
Professional
|
Both
|
$12.00
|
|
|
Service Code
|
HCPCS 84075
|
| Min. Negotiated Rate |
$1.08 |
| Max. Negotiated Rate |
$1,760.30 |
| Rate for Payer: Aetna Commercial |
$6.94
|
| Rate for Payer: Aetna Medicare |
$5.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7.46
|
| Rate for Payer: BCBS Complete |
$4.80
|
| Rate for Payer: BCBS MAPPO |
$5.18
|
| Rate for Payer: BCBS Trust/PPO |
$1,760.30
|
| Rate for Payer: BCN Commercial |
$1.08
|
| Rate for Payer: BCN Medicare Advantage |
$5.18
|
| Rate for Payer: Cash Price |
$9.60
|
| Rate for Payer: Cash Price |
$9.60
|
| Rate for Payer: Cofinity Commercial |
$7.46
|
| Rate for Payer: Cofinity Commercial |
$6.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.44
|
| Rate for Payer: Nomi Health Commercial |
$6.22
|
| Rate for Payer: PACE SWMI |
$5.18
|
| Rate for Payer: PHP Commercial |
$7.25
|
| Rate for Payer: PHP Medicare Advantage |
$5.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5.33
|
| Rate for Payer: Priority Health Medicare |
$5.18
|
| Rate for Payer: Priority Health Narrow Network |
$5.33
|
| Rate for Payer: Priority Health SBD |
$5.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$5.18
|
| Rate for Payer: UHC Medicare Advantage |
$5.18
|
| Rate for Payer: UMR Bronson Commercial |
$5.52
|
|
|
CHG ASSAY OF PROGESTERONE
|
Professional
|
Both
|
$94.00
|
|
|
Service Code
|
HCPCS 84144
|
| Min. Negotiated Rate |
$15.65 |
| Max. Negotiated Rate |
$2,469.80 |
| Rate for Payer: Aetna Commercial |
$27.95
|
| Rate for Payer: Aetna Medicare |
$21.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$27.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$30.04
|
| Rate for Payer: BCBS Complete |
$37.60
|
| Rate for Payer: BCBS MAPPO |
$20.86
|
| Rate for Payer: BCBS Trust/PPO |
$2,469.80
|
| Rate for Payer: BCN Commercial |
$15.65
|
| Rate for Payer: BCN Medicare Advantage |
$20.86
|
| Rate for Payer: Cash Price |
$75.20
|
| Rate for Payer: Cash Price |
$75.20
|
| Rate for Payer: Cofinity Commercial |
$27.95
|
| Rate for Payer: Cofinity Commercial |
$30.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21.90
|
| Rate for Payer: Nomi Health Commercial |
$25.03
|
| Rate for Payer: PACE SWMI |
$20.86
|
| Rate for Payer: PHP Commercial |
$29.20
|
| Rate for Payer: PHP Medicare Advantage |
$20.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$61.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20.97
|
| Rate for Payer: Priority Health Medicare |
$20.86
|
| Rate for Payer: Priority Health Narrow Network |
$20.97
|
| Rate for Payer: Priority Health SBD |
$20.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$20.86
|
| Rate for Payer: UHC Medicare Advantage |
$20.86
|
| Rate for Payer: UMR Bronson Commercial |
$43.24
|
|
|
CHG ASSAY OF PYRUVATE KINASE
|
Professional
|
Both
|
$95.00
|
|
|
Service Code
|
HCPCS 84220
|
| Min. Negotiated Rate |
$7.08 |
| Max. Negotiated Rate |
$2,574.93 |
| Rate for Payer: Aetna Commercial |
$12.65
|
| Rate for Payer: Aetna Medicare |
$9.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.59
|
| Rate for Payer: BCBS Complete |
$38.00
|
| Rate for Payer: BCBS MAPPO |
$9.44
|
| Rate for Payer: BCBS Trust/PPO |
$2,574.93
|
| Rate for Payer: BCN Commercial |
$7.08
|
| Rate for Payer: BCN Medicare Advantage |
$9.44
|
| Rate for Payer: Cash Price |
$76.00
|
| Rate for Payer: Cash Price |
$76.00
|
| Rate for Payer: Cofinity Commercial |
$13.59
|
| Rate for Payer: Cofinity Commercial |
$12.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9.91
|
| Rate for Payer: Nomi Health Commercial |
$11.33
|
| Rate for Payer: PACE SWMI |
$9.44
|
| Rate for Payer: PHP Commercial |
$13.22
|
| Rate for Payer: PHP Medicare Advantage |
$9.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$61.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9.32
|
| Rate for Payer: Priority Health Medicare |
$9.44
|
| Rate for Payer: Priority Health Narrow Network |
$9.32
|
| Rate for Payer: Priority Health SBD |
$9.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$9.44
|
| Rate for Payer: UHC Medicare Advantage |
$9.44
|
| Rate for Payer: UMR Bronson Commercial |
$43.70
|
|
|
CHG ASSAY OF VASOPRESSIN ANTI-DIURETIC HORMONE
|
Professional
|
Both
|
$80.00
|
|
|
Service Code
|
HCPCS 84588
|
| Min. Negotiated Rate |
$25.46 |
| Max. Negotiated Rate |
$4,901.57 |
| Rate for Payer: Aetna Commercial |
$45.48
|
| Rate for Payer: Aetna Medicare |
$35.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$45.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.87
|
| Rate for Payer: BCBS Complete |
$32.00
|
| Rate for Payer: BCBS MAPPO |
$33.94
|
| Rate for Payer: BCBS Trust/PPO |
$4,901.57
|
| Rate for Payer: BCN Commercial |
$25.46
|
| Rate for Payer: BCN Medicare Advantage |
$33.94
|
| Rate for Payer: Cash Price |
$64.00
|
| Rate for Payer: Cash Price |
$64.00
|
| Rate for Payer: Cofinity Commercial |
$48.87
|
| Rate for Payer: Cofinity Commercial |
$45.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35.64
|
| Rate for Payer: Nomi Health Commercial |
$40.73
|
| Rate for Payer: PACE SWMI |
$33.94
|
| Rate for Payer: PHP Commercial |
$47.52
|
| Rate for Payer: PHP Medicare Advantage |
$33.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$33.95
|
| Rate for Payer: Priority Health Medicare |
$33.94
|
| Rate for Payer: Priority Health Narrow Network |
$33.95
|
| Rate for Payer: Priority Health SBD |
$33.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$33.94
|
| Rate for Payer: UHC Medicare Advantage |
$33.94
|
| Rate for Payer: UMR Bronson Commercial |
$36.80
|
|
|
CHG BALLOON ANGIOPLASTY VISCERAL
|
Professional
|
Both
|
$160.00
|
|
|
Service Code
|
HCPCS 75966
|
| Min. Negotiated Rate |
$64.00 |
| Max. Negotiated Rate |
$104.00 |
| Rate for Payer: Aetna Medicare |
$80.00
|
| Rate for Payer: BCBS Complete |
$64.00
|
| Rate for Payer: Cash Price |
$128.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$104.00
|
| Rate for Payer: UMR Bronson Commercial |
$73.60
|
|
|
CHG BALLOON ANGIO VENOUS
|
Professional
|
Both
|
$51.00
|
|
|
Service Code
|
HCPCS 75978
|
| Min. Negotiated Rate |
$20.40 |
| Max. Negotiated Rate |
$33.15 |
| Rate for Payer: Aetna Medicare |
$25.50
|
| Rate for Payer: Aetna Medicare |
$198.50
|
| Rate for Payer: BCBS Complete |
$158.80
|
| Rate for Payer: BCBS Complete |
$20.40
|
| Rate for Payer: Cash Price |
$40.80
|
| Rate for Payer: Cash Price |
$317.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$258.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$33.15
|
| Rate for Payer: UMR Bronson Commercial |
$182.62
|
| Rate for Payer: UMR Bronson Commercial |
$23.46
|
|
