|
CHG GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP
|
Professional
|
Both
|
$17.00
|
|
|
Service Code
|
HCPCS 82947
|
| Min. Negotiated Rate |
$1.71 |
| Max. Negotiated Rate |
$2,179.24 |
| Rate for Payer: Aetna Commercial |
$5.27
|
| Rate for Payer: Aetna Medicare |
$4.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5.66
|
| Rate for Payer: BCBS Complete |
$6.80
|
| Rate for Payer: BCBS MAPPO |
$3.93
|
| Rate for Payer: BCBS Trust/PPO |
$2,179.24
|
| Rate for Payer: BCN Commercial |
$1.71
|
| Rate for Payer: BCN Medicare Advantage |
$3.93
|
| Rate for Payer: Cash Price |
$13.60
|
| Rate for Payer: Cash Price |
$13.60
|
| Rate for Payer: Cofinity Commercial |
$5.27
|
| Rate for Payer: Cofinity Commercial |
$5.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.13
|
| Rate for Payer: Nomi Health Commercial |
$4.72
|
| Rate for Payer: PACE SWMI |
$3.93
|
| Rate for Payer: PHP Commercial |
$5.50
|
| Rate for Payer: PHP Medicare Advantage |
$3.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3.99
|
| Rate for Payer: Priority Health Medicare |
$3.93
|
| Rate for Payer: Priority Health Narrow Network |
$3.99
|
| Rate for Payer: Priority Health SBD |
$3.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$3.93
|
| Rate for Payer: UHC Medicare Advantage |
$3.93
|
| Rate for Payer: UMR Bronson Commercial |
$7.82
|
|
|
CHG GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS
|
Professional
|
Both
|
$47.00
|
|
|
Service Code
|
HCPCS 82951
|
| Min. Negotiated Rate |
$9.65 |
| Max. Negotiated Rate |
$3,628.36 |
| Rate for Payer: Aetna Commercial |
$17.25
|
| Rate for Payer: Aetna Medicare |
$13.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18.53
|
| Rate for Payer: BCBS Complete |
$18.80
|
| Rate for Payer: BCBS MAPPO |
$12.87
|
| Rate for Payer: BCBS Trust/PPO |
$3,628.36
|
| Rate for Payer: BCN Commercial |
$9.65
|
| Rate for Payer: BCN Medicare Advantage |
$12.87
|
| Rate for Payer: Cash Price |
$37.60
|
| Rate for Payer: Cash Price |
$37.60
|
| Rate for Payer: Cofinity Commercial |
$18.53
|
| Rate for Payer: Cofinity Commercial |
$17.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13.51
|
| Rate for Payer: Nomi Health Commercial |
$15.44
|
| Rate for Payer: PACE SWMI |
$12.87
|
| Rate for Payer: PHP Commercial |
$18.02
|
| Rate for Payer: PHP Medicare Advantage |
$12.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12.98
|
| Rate for Payer: Priority Health Medicare |
$12.87
|
| Rate for Payer: Priority Health Narrow Network |
$12.98
|
| Rate for Payer: Priority Health SBD |
$12.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$12.87
|
| Rate for Payer: UHC Medicare Advantage |
$12.87
|
| Rate for Payer: UMR Bronson Commercial |
$21.62
|
|
|
CHG GONADOTROPIN CHORIONIC QUALITATIVE
|
Professional
|
Both
|
$26.00
|
|
|
Service Code
|
HCPCS 84703
|
| Min. Negotiated Rate |
$5.64 |
| Max. Negotiated Rate |
$4,545.49 |
| Rate for Payer: Aetna Commercial |
$10.08
|
| Rate for Payer: Aetna Medicare |
$7.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.83
|
| Rate for Payer: BCBS Complete |
$10.40
|
| Rate for Payer: BCBS MAPPO |
$7.52
|
| Rate for Payer: BCBS Trust/PPO |
$4,545.49
|
| Rate for Payer: BCN Commercial |
$5.64
|
| Rate for Payer: BCN Medicare Advantage |
$7.52
|
| Rate for Payer: Cash Price |
$20.80
|
| Rate for Payer: Cash Price |
$20.80
|
| Rate for Payer: Cofinity Commercial |
$10.83
|
| Rate for Payer: Cofinity Commercial |
$10.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7.90
|
| Rate for Payer: Nomi Health Commercial |
$9.02
|
| Rate for Payer: PACE SWMI |
$7.52
|
| Rate for Payer: PHP Commercial |
$10.53
|
| Rate for Payer: PHP Medicare Advantage |
$7.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7.66
|
| Rate for Payer: Priority Health Medicare |
$7.52
|
| Rate for Payer: Priority Health Narrow Network |
$7.66
|
| Rate for Payer: Priority Health SBD |
$7.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$7.52
|
| Rate for Payer: UHC Medicare Advantage |
$7.52
|
| Rate for Payer: UMR Bronson Commercial |
$11.96
|
|
|
CHG GUIDANCE FOR LOCLZJ TARGET VOL FOR RADJ TX DLVR
|
Professional
|
Both
|
$60.00
|
|
|
Service Code
|
HCPCS 77387
|
| Min. Negotiated Rate |
$24.00 |
| Max. Negotiated Rate |
$2,278.56 |
| Rate for Payer: Aetna Commercial |
$130.08
|
| Rate for Payer: Aetna Medicare |
$30.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$130.08
|
| Rate for Payer: BCBS Complete |
$24.00
|
| Rate for Payer: BCBS Trust/PPO |
$2,278.56
|
| Rate for Payer: BCN Commercial |
$104.62
|
| Rate for Payer: Cash Price |
$48.00
|
| Rate for Payer: Cash Price |
$48.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$197.09
|
| Rate for Payer: Priority Health Narrow Network |
$197.09
|
| Rate for Payer: Priority Health SBD |
$40.03
|
| Rate for Payer: UMR Bronson Commercial |
$27.60
|
|
|
CHG HDR RDNCL NTRSTL/INTRCAV BRACHYTX 1 CHANNEL
|
Professional
|
Both
|
$640.00
|
|
|
Service Code
|
HCPCS 77770
|
| Min. Negotiated Rate |
$66.03 |
| Max. Negotiated Rate |
$536.35 |
| Rate for Payer: Aetna Commercial |
$423.10
|
| Rate for Payer: Aetna Commercial |
$423.10
|
| Rate for Payer: Aetna Medicare |
$328.38
|
| Rate for Payer: Aetna Medicare |
$328.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$423.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$454.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$454.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$423.10
|
| Rate for Payer: BCBS Complete |
$69.33
|
| Rate for Payer: BCBS Complete |
$69.33
|
| Rate for Payer: BCBS MAPPO |
$315.75
|
| Rate for Payer: BCBS MAPPO |
$315.75
|
| Rate for Payer: BCBS Trust/PPO |
$406.79
|
| Rate for Payer: BCBS Trust/PPO |
$406.79
|
| Rate for Payer: BCN Commercial |
$505.29
|
| Rate for Payer: BCN Commercial |
$505.29
|
| Rate for Payer: BCN Medicare Advantage |
$315.75
|
| Rate for Payer: BCN Medicare Advantage |
$315.75
|
| Rate for Payer: Cash Price |
$165.60
|
| Rate for Payer: Cash Price |
$165.60
|
| Rate for Payer: Cash Price |
$512.00
|
| Rate for Payer: Cash Price |
$512.00
|
| Rate for Payer: Cofinity Commercial |
$423.10
|
| Rate for Payer: Cofinity Commercial |
$454.68
|
| Rate for Payer: Cofinity Commercial |
$454.68
|
| Rate for Payer: Cofinity Commercial |
$423.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$315.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$315.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$331.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$331.54
|
| Rate for Payer: Meridian Medicaid |
$69.33
|
| Rate for Payer: Meridian Medicaid |
$69.33
|
| Rate for Payer: Nomi Health Commercial |
$378.90
|
| Rate for Payer: Nomi Health Commercial |
$378.90
|
| Rate for Payer: PACE SWMI |
$315.75
|
| Rate for Payer: PACE SWMI |
$315.75
|
| Rate for Payer: PHP Commercial |
$442.05
|
| Rate for Payer: PHP Commercial |
$442.05
|
| Rate for Payer: PHP Medicare Advantage |
$315.75
|
| Rate for Payer: PHP Medicare Advantage |
$315.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$66.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$66.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$134.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$416.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$536.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$536.35
|
| Rate for Payer: Priority Health Medicare |
$315.75
|
| Rate for Payer: Priority Health Medicare |
$315.75
|
| Rate for Payer: Priority Health Narrow Network |
$536.35
|
| Rate for Payer: Priority Health Narrow Network |
$536.35
|
| Rate for Payer: Priority Health SBD |
$156.55
|
| Rate for Payer: Priority Health SBD |
$156.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$315.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$315.75
|
| Rate for Payer: UHC Medicare Advantage |
$315.75
|
| Rate for Payer: UHC Medicare Advantage |
$315.75
|
| Rate for Payer: UHCCP Medicaid |
$66.03
|
| Rate for Payer: UHCCP Medicaid |
$66.03
|
| Rate for Payer: UMR Bronson Commercial |
$95.22
|
| Rate for Payer: UMR Bronson Commercial |
$294.40
|
|
|
CHG HEMOGLOBIN GLYCOSYLATED A1C
|
Professional
|
Both
|
$23.00
|
|
|
Service Code
|
HCPCS 83036
|
| Min. Negotiated Rate |
$9.20 |
| Max. Negotiated Rate |
$1,402.11 |
| Rate for Payer: Aetna Commercial |
$13.01
|
| Rate for Payer: Aetna Medicare |
$10.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.98
|
| Rate for Payer: BCBS Complete |
$9.20
|
| Rate for Payer: BCBS MAPPO |
$9.71
|
| Rate for Payer: BCBS Trust/PPO |
$1,402.11
|
| Rate for Payer: BCN Commercial |
$14.71
|
| Rate for Payer: BCN Medicare Advantage |
$9.71
|
| Rate for Payer: Cash Price |
$18.40
|
| Rate for Payer: Cash Price |
$18.40
|
| Rate for Payer: Cofinity Commercial |
$13.01
|
| Rate for Payer: Cofinity Commercial |
$13.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10.20
|
| Rate for Payer: Nomi Health Commercial |
$11.65
|
| Rate for Payer: PACE SWMI |
$9.71
|
| Rate for Payer: PHP Commercial |
$13.59
|
| Rate for Payer: PHP Medicare Advantage |
$9.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9.65
|
| Rate for Payer: Priority Health Medicare |
$9.71
|
| Rate for Payer: Priority Health Narrow Network |
$9.65
|
| Rate for Payer: Priority Health SBD |
$9.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$9.71
|
| Rate for Payer: UHC Medicare Advantage |
$9.71
|
| Rate for Payer: UMR Bronson Commercial |
$10.58
|
|
|
CHG HETEROPHILE ANTIBODIES SCREEN
|
Professional
|
Both
|
$15.00
|
|
|
Service Code
|
HCPCS 86308
|
| Min. Negotiated Rate |
$5.18 |
| Max. Negotiated Rate |
$1,818.41 |
| Rate for Payer: Aetna Commercial |
$6.94
|
| Rate for Payer: Aetna Medicare |
$5.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7.46
|
| Rate for Payer: BCBS Complete |
$6.00
|
| Rate for Payer: BCBS MAPPO |
$5.18
|
| Rate for Payer: BCBS Trust/PPO |
$1,818.41
|
| Rate for Payer: BCN Commercial |
$5.18
|
| Rate for Payer: BCN Medicare Advantage |
$5.18
|
| Rate for Payer: Cash Price |
$12.00
|
| Rate for Payer: Cash Price |
$12.00
|
| Rate for Payer: Cofinity Commercial |
$7.46
|
| Rate for Payer: Cofinity Commercial |
$6.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.44
|
| Rate for Payer: Nomi Health Commercial |
$6.22
|
| Rate for Payer: PACE SWMI |
$5.18
|
| Rate for Payer: PHP Commercial |
$7.25
|
| Rate for Payer: PHP Medicare Advantage |
$5.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9.75
|
| Rate for Payer: Priority Health HMO/PPO/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 |
$6.90
|
|
|
CHG HYSTEROSALPINGOGRAPHY RS&I
|
Professional
|
Both
|
$153.00
|
|
|
Service Code
|
HCPCS 74740
|
| Min. Negotiated Rate |
$11.50 |
| Max. Negotiated Rate |
$144.23 |
| Rate for Payer: Aetna Commercial |
$108.82
|
| Rate for Payer: Aetna Medicare |
$84.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$108.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$116.94
|
| Rate for Payer: BCBS Complete |
$12.08
|
| Rate for Payer: BCBS MAPPO |
$81.21
|
| Rate for Payer: BCBS Trust/PPO |
$133.66
|
| Rate for Payer: BCN Commercial |
$140.74
|
| Rate for Payer: BCN Medicare Advantage |
$81.21
|
| Rate for Payer: Cash Price |
$122.40
|
| Rate for Payer: Cash Price |
$122.40
|
| Rate for Payer: Cofinity Commercial |
$116.94
|
| Rate for Payer: Cofinity Commercial |
$108.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$81.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$85.27
|
| Rate for Payer: Meridian Medicaid |
$12.08
|
| Rate for Payer: Nomi Health Commercial |
$97.45
|
| Rate for Payer: PACE SWMI |
$81.21
|
| Rate for Payer: PHP Commercial |
$113.69
|
| Rate for Payer: PHP Medicare Advantage |
$81.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$99.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$144.23
|
| Rate for Payer: Priority Health Medicare |
$81.21
|
| Rate for Payer: Priority Health Narrow Network |
$144.23
|
| Rate for Payer: Priority Health SBD |
$27.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$81.21
|
| Rate for Payer: UHC Medicare Advantage |
$81.21
|
| Rate for Payer: UHCCP Medicaid |
$11.50
|
| Rate for Payer: UMR Bronson Commercial |
$70.38
|
|
|
CHG IAADIADOO INFLUENZA
|
Professional
|
Both
|
$30.00
|
|
|
Service Code
|
HCPCS 87804
|
| Min. Negotiated Rate |
$12.00 |
| Max. Negotiated Rate |
$1,216.15 |
| Rate for Payer: Aetna Commercial |
$22.18
|
| Rate for Payer: Aetna Medicare |
$17.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$22.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$23.83
|
| Rate for Payer: BCBS Complete |
$12.00
|
| Rate for Payer: BCBS MAPPO |
$16.55
|
| Rate for Payer: BCBS Trust/PPO |
$1,216.15
|
| Rate for Payer: BCN Commercial |
$16.55
|
| Rate for Payer: BCN Medicare Advantage |
$16.55
|
| Rate for Payer: Cash Price |
$24.00
|
| Rate for Payer: Cash Price |
$24.00
|
| Rate for Payer: Cofinity Commercial |
$23.83
|
| Rate for Payer: Cofinity Commercial |
$22.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17.38
|
| Rate for Payer: Nomi Health Commercial |
$19.86
|
| Rate for Payer: PACE SWMI |
$16.55
|
| Rate for Payer: PHP Commercial |
$23.17
|
| Rate for Payer: PHP Medicare Advantage |
$16.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16.64
|
| Rate for Payer: Priority Health Medicare |
$16.55
|
| Rate for Payer: Priority Health Narrow Network |
$16.64
|
| Rate for Payer: Priority Health SBD |
$16.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$16.55
|
| Rate for Payer: UHC Medicare Advantage |
$16.55
|
| Rate for Payer: UMR Bronson Commercial |
$13.80
|
|
|
CHG IAADIADOO RESPIRATORY SYNCTIAL VIRUS
|
Professional
|
Both
|
$18.00
|
|
|
Service Code
|
HCPCS 87807
|
| Min. Negotiated Rate |
$7.20 |
| Max. Negotiated Rate |
$114.11 |
| Rate for Payer: Aetna Commercial |
$17.55
|
| Rate for Payer: Aetna Medicare |
$13.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18.86
|
| Rate for Payer: BCBS Complete |
$7.20
|
| Rate for Payer: BCBS MAPPO |
$13.10
|
| Rate for Payer: BCBS Trust/PPO |
$114.11
|
| Rate for Payer: BCN Commercial |
$13.10
|
| Rate for Payer: BCN Medicare Advantage |
$13.10
|
| Rate for Payer: Cash Price |
$14.40
|
| Rate for Payer: Cash Price |
$14.40
|
| Rate for Payer: Cofinity Commercial |
$17.55
|
| Rate for Payer: Cofinity Commercial |
$18.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13.76
|
| Rate for Payer: Nomi Health Commercial |
$15.72
|
| Rate for Payer: PACE SWMI |
$13.10
|
| Rate for Payer: PHP Commercial |
$18.34
|
| Rate for Payer: PHP Medicare Advantage |
$13.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12.98
|
| Rate for Payer: Priority Health Medicare |
$13.10
|
| Rate for Payer: Priority Health Narrow Network |
$12.98
|
| Rate for Payer: Priority Health SBD |
$12.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$13.10
|
| Rate for Payer: UHC Medicare Advantage |
$13.10
|
| Rate for Payer: UMR Bronson Commercial |
$8.28
|
|
|
CHG IAADIADOO STREPTOCOCCUS GROUP A
|
Professional
|
Both
|
$29.00
|
|
|
Service Code
|
HCPCS 87880
|
| Min. Negotiated Rate |
$11.60 |
| Max. Negotiated Rate |
$164.83 |
| Rate for Payer: Aetna Commercial |
$22.15
|
| Rate for Payer: Aetna Medicare |
$17.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$22.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$23.80
|
| Rate for Payer: BCBS Complete |
$11.60
|
| Rate for Payer: BCBS MAPPO |
$16.53
|
| Rate for Payer: BCBS Trust/PPO |
$164.83
|
| Rate for Payer: BCN Commercial |
$16.53
|
| Rate for Payer: BCN Medicare Advantage |
$16.53
|
| Rate for Payer: Cash Price |
$23.20
|
| Rate for Payer: Cash Price |
$23.20
|
| Rate for Payer: Cofinity Commercial |
$23.80
|
| Rate for Payer: Cofinity Commercial |
$22.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17.36
|
| Rate for Payer: Nomi Health Commercial |
$19.84
|
| Rate for Payer: PACE SWMI |
$16.53
|
| Rate for Payer: PHP Commercial |
$23.14
|
| Rate for Payer: PHP Medicare Advantage |
$16.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16.64
|
| Rate for Payer: Priority Health Medicare |
$16.53
|
| Rate for Payer: Priority Health Narrow Network |
$16.64
|
| Rate for Payer: Priority Health SBD |
$16.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$16.53
|
| Rate for Payer: UHC Medicare Advantage |
$16.53
|
| Rate for Payer: UMR Bronson Commercial |
$13.34
|
|
|
CHG IAAD IA SEVERE AQT RESPIR SYND CORONAVIRUS
|
Professional
|
Both
|
$41.00
|
|
|
Service Code
|
HCPCS 87426
|
| Min. Negotiated Rate |
$16.40 |
| Max. Negotiated Rate |
$1,641.96 |
| Rate for Payer: Aetna Commercial |
$47.34
|
| Rate for Payer: Aetna Medicare |
$36.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$50.88
|
| Rate for Payer: BCBS Complete |
$16.40
|
| Rate for Payer: BCBS MAPPO |
$35.33
|
| Rate for Payer: BCBS Trust/PPO |
$1,641.96
|
| Rate for Payer: BCN Commercial |
$35.33
|
| Rate for Payer: BCN Medicare Advantage |
$35.33
|
| Rate for Payer: Cash Price |
$32.80
|
| Rate for Payer: Cash Price |
$32.80
|
| Rate for Payer: Cofinity Commercial |
$47.34
|
| Rate for Payer: Cofinity Commercial |
$50.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37.10
|
| Rate for Payer: Nomi Health Commercial |
$42.40
|
| Rate for Payer: PACE SWMI |
$35.33
|
| Rate for Payer: PHP Commercial |
$49.46
|
| Rate for Payer: PHP Medicare Advantage |
$35.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$26.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$35.28
|
| Rate for Payer: Priority Health Medicare |
$35.33
|
| Rate for Payer: Priority Health Narrow Network |
$35.28
|
| Rate for Payer: Priority Health SBD |
$35.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$35.33
|
| Rate for Payer: UHC Medicare Advantage |
$35.33
|
| Rate for Payer: UMR Bronson Commercial |
$18.86
|
|
|
CHG IAADI BORDETELLA PRTUSSIS/PARAPRTUSSIS
|
Professional
|
Both
|
$44.00
|
|
|
Service Code
|
HCPCS 87265
|
| Min. Negotiated Rate |
$8.99 |
| Max. Negotiated Rate |
$1,212.98 |
| Rate for Payer: Aetna Commercial |
$16.05
|
| Rate for Payer: Aetna Medicare |
$12.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.25
|
| Rate for Payer: BCBS Complete |
$17.60
|
| Rate for Payer: BCBS MAPPO |
$11.98
|
| Rate for Payer: BCBS Trust/PPO |
$1,212.98
|
| Rate for Payer: BCN Commercial |
$8.99
|
| Rate for Payer: BCN Medicare Advantage |
$11.98
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cofinity Commercial |
$17.25
|
| Rate for Payer: Cofinity Commercial |
$16.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12.58
|
| Rate for Payer: Nomi Health Commercial |
$14.38
|
| Rate for Payer: PACE SWMI |
$11.98
|
| Rate for Payer: PHP Commercial |
$16.77
|
| Rate for Payer: PHP Medicare Advantage |
$11.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11.98
|
| Rate for Payer: Priority Health Medicare |
$11.98
|
| Rate for Payer: Priority Health Narrow Network |
$11.98
|
| Rate for Payer: Priority Health SBD |
$11.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$11.98
|
| Rate for Payer: UHC Medicare Advantage |
$11.98
|
| Rate for Payer: UMR Bronson Commercial |
$20.24
|
|
|
CHG IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ
|
Professional
|
Both
|
$77.00
|
|
|
Service Code
|
HCPCS 87491
|
| Min. Negotiated Rate |
$26.32 |
| Max. Negotiated Rate |
$1,449.13 |
| Rate for Payer: Aetna Commercial |
$47.02
|
| Rate for Payer: Aetna Medicare |
$36.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$50.53
|
| Rate for Payer: BCBS Complete |
$30.80
|
| Rate for Payer: BCBS MAPPO |
$35.09
|
| Rate for Payer: BCBS Trust/PPO |
$1,449.13
|
| Rate for Payer: BCN Commercial |
$26.32
|
| Rate for Payer: BCN Medicare Advantage |
$35.09
|
| Rate for Payer: Cash Price |
$61.60
|
| Rate for Payer: Cash Price |
$61.60
|
| Rate for Payer: Cofinity Commercial |
$47.02
|
| Rate for Payer: Cofinity Commercial |
$50.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36.84
|
| Rate for Payer: Nomi Health Commercial |
$42.11
|
| Rate for Payer: PACE SWMI |
$35.09
|
| Rate for Payer: PHP Commercial |
$49.13
|
| Rate for Payer: PHP Medicare Advantage |
$35.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$50.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$34.95
|
| Rate for Payer: Priority Health Medicare |
$35.09
|
| Rate for Payer: Priority Health Narrow Network |
$34.95
|
| Rate for Payer: Priority Health SBD |
$34.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$35.09
|
| Rate for Payer: UHC Medicare Advantage |
$35.09
|
| Rate for Payer: UMR Bronson Commercial |
$35.42
|
|
|
CHG IADNA MULTIPLE ORGANISMS DIRECT PROBE TQ
|
Professional
|
Both
|
$83.00
|
|
|
Service Code
|
HCPCS 87800
|
| Min. Negotiated Rate |
$32.75 |
| Max. Negotiated Rate |
$1,724.37 |
| Rate for Payer: Aetna Commercial |
$58.52
|
| Rate for Payer: Aetna Medicare |
$45.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$58.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$62.88
|
| Rate for Payer: BCBS Complete |
$33.20
|
| Rate for Payer: BCBS MAPPO |
$43.67
|
| Rate for Payer: BCBS Trust/PPO |
$1,724.37
|
| Rate for Payer: BCN Commercial |
$32.75
|
| Rate for Payer: BCN Medicare Advantage |
$43.67
|
| Rate for Payer: Cash Price |
$66.40
|
| Rate for Payer: Cash Price |
$66.40
|
| Rate for Payer: Cofinity Commercial |
$62.88
|
| Rate for Payer: Cofinity Commercial |
$58.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$43.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$45.85
|
| Rate for Payer: Nomi Health Commercial |
$52.40
|
| Rate for Payer: PACE SWMI |
$43.67
|
| Rate for Payer: PHP Commercial |
$61.14
|
| Rate for Payer: PHP Medicare Advantage |
$43.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$53.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$43.61
|
| Rate for Payer: Priority Health Medicare |
$43.67
|
| Rate for Payer: Priority Health Narrow Network |
$43.61
|
| Rate for Payer: Priority Health SBD |
$43.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$43.67
|
| Rate for Payer: UHC Medicare Advantage |
$43.67
|
| Rate for Payer: UMR Bronson Commercial |
$38.18
|
|
|
CHG IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ
|
Professional
|
Both
|
$77.00
|
|
|
Service Code
|
HCPCS 87591
|
| Min. Negotiated Rate |
$26.32 |
| Max. Negotiated Rate |
$593.81 |
| Rate for Payer: Aetna Commercial |
$47.02
|
| Rate for Payer: Aetna Medicare |
$36.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$50.53
|
| Rate for Payer: BCBS Complete |
$30.80
|
| Rate for Payer: BCBS MAPPO |
$35.09
|
| Rate for Payer: BCBS Trust/PPO |
$593.81
|
| Rate for Payer: BCN Commercial |
$26.32
|
| Rate for Payer: BCN Medicare Advantage |
$35.09
|
| Rate for Payer: Cash Price |
$61.60
|
| Rate for Payer: Cash Price |
$61.60
|
| Rate for Payer: Cofinity Commercial |
$47.02
|
| Rate for Payer: Cofinity Commercial |
$50.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36.84
|
| Rate for Payer: Nomi Health Commercial |
$42.11
|
| Rate for Payer: PACE SWMI |
$35.09
|
| Rate for Payer: PHP Commercial |
$49.13
|
| Rate for Payer: PHP Medicare Advantage |
$35.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$50.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$34.95
|
| Rate for Payer: Priority Health Medicare |
$35.09
|
| Rate for Payer: Priority Health Narrow Network |
$34.95
|
| Rate for Payer: Priority Health SBD |
$34.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$35.09
|
| Rate for Payer: UHC Medicare Advantage |
$35.09
|
| Rate for Payer: UMR Bronson Commercial |
$35.42
|
|
|
CHG IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ
|
Professional
|
Both
|
$148.00
|
|
|
Service Code
|
HCPCS 87635
|
| Min. Negotiated Rate |
$51.26 |
| Max. Negotiated Rate |
$2,508.37 |
| Rate for Payer: Aetna Commercial |
$68.76
|
| Rate for Payer: Aetna Medicare |
$53.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$68.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$73.89
|
| Rate for Payer: BCBS Complete |
$59.20
|
| Rate for Payer: BCBS MAPPO |
$51.31
|
| Rate for Payer: BCBS Trust/PPO |
$2,508.37
|
| Rate for Payer: BCN Commercial |
$70.00
|
| Rate for Payer: BCN Medicare Advantage |
$51.31
|
| Rate for Payer: Cash Price |
$118.40
|
| Rate for Payer: Cash Price |
$118.40
|
| Rate for Payer: Cofinity Commercial |
$73.89
|
| Rate for Payer: Cofinity Commercial |
$68.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$51.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$53.88
|
| Rate for Payer: Nomi Health Commercial |
$61.57
|
| Rate for Payer: PACE SWMI |
$51.31
|
| Rate for Payer: PHP Commercial |
$71.83
|
| Rate for Payer: PHP Medicare Advantage |
$51.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$96.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$51.26
|
| Rate for Payer: Priority Health Medicare |
$51.31
|
| Rate for Payer: Priority Health Narrow Network |
$51.26
|
| Rate for Payer: Priority Health SBD |
$51.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$51.31
|
| Rate for Payer: UHC Medicare Advantage |
$51.31
|
| Rate for Payer: UMR Bronson Commercial |
$68.08
|
|
|
CHG IA INFECTIOUS AGT ANTIBODY QUAL/SEMIQ 1STEP METH
|
Professional
|
Both
|
$47.00
|
|
|
Service Code
|
HCPCS 86318
|
| Min. Negotiated Rate |
$17.98 |
| Max. Negotiated Rate |
$1,735.47 |
| Rate for Payer: Aetna Commercial |
$24.24
|
| Rate for Payer: Aetna Medicare |
$18.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$24.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$26.05
|
| Rate for Payer: BCBS Complete |
$18.80
|
| Rate for Payer: BCBS MAPPO |
$18.09
|
| Rate for Payer: BCBS Trust/PPO |
$1,735.47
|
| Rate for Payer: BCN Commercial |
$18.09
|
| Rate for Payer: BCN Medicare Advantage |
$18.09
|
| Rate for Payer: Cash Price |
$37.60
|
| Rate for Payer: Cash Price |
$37.60
|
| Rate for Payer: Cofinity Commercial |
$24.24
|
| Rate for Payer: Cofinity Commercial |
$26.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18.99
|
| Rate for Payer: Nomi Health Commercial |
$21.71
|
| Rate for Payer: PACE SWMI |
$18.09
|
| Rate for Payer: PHP Commercial |
$25.33
|
| Rate for Payer: PHP Medicare Advantage |
$18.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17.98
|
| Rate for Payer: Priority Health Medicare |
$18.09
|
| Rate for Payer: Priority Health Narrow Network |
$17.98
|
| Rate for Payer: Priority Health SBD |
$17.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$18.09
|
| Rate for Payer: UHC Medicare Advantage |
$18.09
|
| Rate for Payer: UMR Bronson Commercial |
$21.62
|
|
|
CHG IMMUNOASSAY TUMOR ANTIGEN QUAL/SEMIQUANTITATIVE
|
Professional
|
Both
|
$40.00
|
|
|
Service Code
|
HCPCS 86294
|
| Min. Negotiated Rate |
$16.00 |
| Max. Negotiated Rate |
$167.47 |
| Rate for Payer: Aetna Commercial |
$34.26
|
| Rate for Payer: Aetna Medicare |
$26.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$34.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$36.82
|
| Rate for Payer: BCBS Complete |
$16.00
|
| Rate for Payer: BCBS MAPPO |
$25.57
|
| Rate for Payer: BCBS Trust/PPO |
$167.47
|
| Rate for Payer: BCN Commercial |
$19.18
|
| Rate for Payer: BCN Medicare Advantage |
$25.57
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Cofinity Commercial |
$36.82
|
| Rate for Payer: Cofinity Commercial |
$34.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26.85
|
| Rate for Payer: Nomi Health Commercial |
$30.68
|
| Rate for Payer: PACE SWMI |
$25.57
|
| Rate for Payer: PHP Commercial |
$35.80
|
| Rate for Payer: PHP Medicare Advantage |
$25.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$26.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25.63
|
| Rate for Payer: Priority Health Medicare |
$25.57
|
| Rate for Payer: Priority Health Narrow Network |
$25.63
|
| Rate for Payer: Priority Health SBD |
$25.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$25.57
|
| Rate for Payer: UHC Medicare Advantage |
$25.57
|
| Rate for Payer: UMR Bronson Commercial |
$18.40
|
|
|
CHG INFECTIOUS AGENT DNA/RNA INFLUENZA 1ST 2 TYPES
|
Professional
|
Both
|
$147.00
|
|
|
Service Code
|
HCPCS 87502
|
| Min. Negotiated Rate |
$58.80 |
| Max. Negotiated Rate |
$713.73 |
| Rate for Payer: Aetna Commercial |
$128.37
|
| Rate for Payer: Aetna Medicare |
$99.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$128.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$137.95
|
| Rate for Payer: BCBS Complete |
$58.80
|
| Rate for Payer: BCBS MAPPO |
$95.80
|
| Rate for Payer: BCBS Trust/PPO |
$713.73
|
| Rate for Payer: BCN Commercial |
$71.85
|
| Rate for Payer: BCN Medicare Advantage |
$95.80
|
| Rate for Payer: Cash Price |
$117.60
|
| Rate for Payer: Cash Price |
$117.60
|
| Rate for Payer: Cofinity Commercial |
$137.95
|
| Rate for Payer: Cofinity Commercial |
$128.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$95.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$100.59
|
| Rate for Payer: Nomi Health Commercial |
$114.96
|
| Rate for Payer: PACE SWMI |
$95.80
|
| Rate for Payer: PHP Commercial |
$134.12
|
| Rate for Payer: PHP Medicare Advantage |
$95.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$95.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$95.87
|
| Rate for Payer: Priority Health Medicare |
$95.80
|
| Rate for Payer: Priority Health Narrow Network |
$95.87
|
| Rate for Payer: Priority Health SBD |
$95.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$95.80
|
| Rate for Payer: UHC Medicare Advantage |
$95.80
|
| Rate for Payer: UMR Bronson Commercial |
$67.62
|
|
|
CHG INTEN MOD RADIOTHER PLAN, SIN/MULT FIELD
|
Professional
|
Both
|
$940.00
|
|
|
Service Code
|
HCPCS 77418
|
| Min. Negotiated Rate |
$376.00 |
| Max. Negotiated Rate |
$611.00 |
| Rate for Payer: Aetna Medicare |
$470.00
|
| Rate for Payer: BCBS Complete |
$376.00
|
| Rate for Payer: Cash Price |
$752.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$611.00
|
| Rate for Payer: UMR Bronson Commercial |
$432.40
|
|
|
CHG INTERSTITIAL RADIATION SOURCE APPLIC COMPLEX
|
Professional
|
Both
|
$532.00
|
|
|
Service Code
|
HCPCS 77778
|
| Min. Negotiated Rate |
$244.72 |
| Max. Negotiated Rate |
$1,418.13 |
| Rate for Payer: Aetna Commercial |
$1,148.00
|
| Rate for Payer: Aetna Commercial |
$1,148.00
|
| Rate for Payer: Aetna Medicare |
$890.99
|
| Rate for Payer: Aetna Medicare |
$890.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,148.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,233.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,233.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,148.00
|
| Rate for Payer: BCBS Complete |
$312.00
|
| Rate for Payer: BCBS Complete |
$312.00
|
| Rate for Payer: BCBS MAPPO |
$856.72
|
| Rate for Payer: BCBS MAPPO |
$856.72
|
| Rate for Payer: BCBS Trust/PPO |
$301.66
|
| Rate for Payer: BCBS Trust/PPO |
$301.66
|
| Rate for Payer: BCN Commercial |
$1,331.65
|
| Rate for Payer: BCN Commercial |
$1,331.65
|
| Rate for Payer: BCN Medicare Advantage |
$856.72
|
| Rate for Payer: BCN Medicare Advantage |
$856.72
|
| Rate for Payer: Cash Price |
$1,367.20
|
| Rate for Payer: Cash Price |
$1,367.20
|
| Rate for Payer: Cash Price |
$425.60
|
| Rate for Payer: Cash Price |
$425.60
|
| Rate for Payer: Cofinity Commercial |
$1,148.00
|
| Rate for Payer: Cofinity Commercial |
$1,233.68
|
| Rate for Payer: Cofinity Commercial |
$1,233.68
|
| Rate for Payer: Cofinity Commercial |
$1,148.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$856.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$856.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$899.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$899.56
|
| Rate for Payer: Meridian Medicaid |
$312.00
|
| Rate for Payer: Meridian Medicaid |
$312.00
|
| Rate for Payer: Nomi Health Commercial |
$1,028.06
|
| Rate for Payer: Nomi Health Commercial |
$1,028.06
|
| Rate for Payer: PACE SWMI |
$856.72
|
| Rate for Payer: PACE SWMI |
$856.72
|
| Rate for Payer: PHP Commercial |
$1,199.41
|
| Rate for Payer: PHP Commercial |
$1,199.41
|
| Rate for Payer: PHP Medicare Advantage |
$856.72
|
| Rate for Payer: PHP Medicare Advantage |
$856.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$297.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$297.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,110.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$345.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,418.13
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,418.13
|
| Rate for Payer: Priority Health Medicare |
$856.72
|
| Rate for Payer: Priority Health Medicare |
$856.72
|
| Rate for Payer: Priority Health Narrow Network |
$1,418.13
|
| Rate for Payer: Priority Health Narrow Network |
$1,418.13
|
| Rate for Payer: Priority Health SBD |
$703.17
|
| Rate for Payer: Priority Health SBD |
$703.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$856.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$856.72
|
| Rate for Payer: UHC Medicare Advantage |
$856.72
|
| Rate for Payer: UHC Medicare Advantage |
$856.72
|
| Rate for Payer: UHCCP Medicaid |
$297.14
|
| Rate for Payer: UHCCP Medicaid |
$297.14
|
| Rate for Payer: UMR Bronson Commercial |
$786.14
|
| Rate for Payer: UMR Bronson Commercial |
$244.72
|
|
|
CHG INTRACAVITARY RADIATION SOURCE APPLIC SIMPLE
|
Professional
|
Both
|
$465.00
|
|
|
Service Code
|
HCPCS 77761
|
| Min. Negotiated Rate |
$130.57 |
| Max. Negotiated Rate |
$649.28 |
| Rate for Payer: Aetna Commercial |
$523.28
|
| Rate for Payer: Aetna Medicare |
$406.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$523.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$562.33
|
| Rate for Payer: BCBS Complete |
$137.10
|
| Rate for Payer: BCBS MAPPO |
$390.51
|
| Rate for Payer: BCBS Trust/PPO |
$324.38
|
| Rate for Payer: BCN Commercial |
$610.36
|
| Rate for Payer: BCN Medicare Advantage |
$390.51
|
| Rate for Payer: Cash Price |
$372.00
|
| Rate for Payer: Cash Price |
$372.00
|
| Rate for Payer: Cofinity Commercial |
$562.33
|
| Rate for Payer: Cofinity Commercial |
$523.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$390.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$410.04
|
| Rate for Payer: Meridian Medicaid |
$137.10
|
| Rate for Payer: Nomi Health Commercial |
$468.61
|
| Rate for Payer: PACE SWMI |
$390.51
|
| Rate for Payer: PHP Commercial |
$546.71
|
| Rate for Payer: PHP Medicare Advantage |
$390.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$130.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$302.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$649.28
|
| Rate for Payer: Priority Health Medicare |
$390.51
|
| Rate for Payer: Priority Health Narrow Network |
$649.28
|
| Rate for Payer: Priority Health SBD |
$308.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$390.51
|
| Rate for Payer: UHC Medicare Advantage |
$390.51
|
| Rate for Payer: UHCCP Medicaid |
$130.57
|
| Rate for Payer: UMR Bronson Commercial |
$213.90
|
|
|
CHG INTRALUMINAL DILATION STRICTURES&/OBSTRCJS RS&I
|
Professional
|
Both
|
$91.00
|
|
|
Service Code
|
HCPCS 74360
|
| Min. Negotiated Rate |
$17.04 |
| Max. Negotiated Rate |
$2,791.54 |
| Rate for Payer: Aetna Commercial |
$128.38
|
| Rate for Payer: Aetna Medicare |
$45.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$128.38
|
| Rate for Payer: BCBS Complete |
$17.89
|
| Rate for Payer: BCBS Trust/PPO |
$2,791.54
|
| Rate for Payer: BCN Commercial |
$214.05
|
| Rate for Payer: Cash Price |
$72.80
|
| Rate for Payer: Cash Price |
$72.80
|
| Rate for Payer: Meridian Medicaid |
$17.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$17.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$59.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$170.92
|
| Rate for Payer: Priority Health Narrow Network |
$170.92
|
| Rate for Payer: Priority Health SBD |
$41.06
|
| Rate for Payer: UHCCP Medicaid |
$17.04
|
| Rate for Payer: UMR Bronson Commercial |
$41.86
|
|
|
CHG INTRAVASC ULTRASOUND,1ST VESSEL
|
Professional
|
Both
|
$224.00
|
|
|
Service Code
|
HCPCS 75945
|
| Min. Negotiated Rate |
$89.60 |
| Max. Negotiated Rate |
$145.60 |
| Rate for Payer: Aetna Medicare |
$112.00
|
| Rate for Payer: Aetna Medicare |
$42.50
|
| Rate for Payer: BCBS Complete |
$89.60
|
| Rate for Payer: BCBS Complete |
$34.00
|
| Rate for Payer: Cash Price |
$179.20
|
| Rate for Payer: Cash Price |
$68.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$55.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$145.60
|
| Rate for Payer: UMR Bronson Commercial |
$103.04
|
| Rate for Payer: UMR Bronson Commercial |
$39.10
|
|
