|
CHG PH BODY FLUID NOT ELSEWHERE SPECIFIED
|
Professional
|
Both
|
$15.00
|
|
|
Service Code
|
HCPCS 83986
|
| Min. Negotiated Rate |
$2.69 |
| Max. Negotiated Rate |
$4,440.36 |
| Rate for Payer: Aetna Commercial |
$4.80
|
| Rate for Payer: Aetna Medicare |
$3.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4.80
|
| Rate for Payer: BCBS Complete |
$6.00
|
| Rate for Payer: BCBS MAPPO |
$3.58
|
| Rate for Payer: BCBS Trust/PPO |
$4,440.36
|
| Rate for Payer: BCN Commercial |
$2.69
|
| Rate for Payer: BCN Medicare Advantage |
$3.58
|
| Rate for Payer: Cash Price |
$12.00
|
| Rate for Payer: Cash Price |
$12.00
|
| Rate for Payer: Cofinity Commercial |
$5.16
|
| Rate for Payer: Cofinity Commercial |
$4.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3.76
|
| Rate for Payer: Nomi Health Commercial |
$4.30
|
| Rate for Payer: PACE SWMI |
$3.58
|
| Rate for Payer: PHP Commercial |
$5.01
|
| Rate for Payer: PHP Medicare Advantage |
$3.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3.66
|
| Rate for Payer: Priority Health Medicare |
$3.58
|
| Rate for Payer: Priority Health Narrow Network |
$3.66
|
| Rate for Payer: Priority Health SBD |
$3.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$3.58
|
| Rate for Payer: UHC Medicare Advantage |
$3.58
|
| Rate for Payer: UMR Bronson Commercial |
$6.90
|
|
|
CHG PLACEMNT,PROX/DIST EXT PROS, INFRARENAL
|
Professional
|
Both
|
$455.00
|
|
|
Service Code
|
HCPCS 75953
|
| Min. Negotiated Rate |
$182.00 |
| Max. Negotiated Rate |
$295.75 |
| Rate for Payer: Aetna Medicare |
$227.50
|
| Rate for Payer: BCBS Complete |
$182.00
|
| Rate for Payer: Cash Price |
$364.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$295.75
|
| Rate for Payer: UMR Bronson Commercial |
$209.30
|
|
|
CHG PLMT PROX XTN PRSTH EVASC DESC THORAC AORTA RS&I
|
Professional
|
Both
|
$379.00
|
|
|
Service Code
|
HCPCS 75958
|
| Min. Negotiated Rate |
$118.64 |
| Max. Negotiated Rate |
$471.24 |
| Rate for Payer: Aetna Commercial |
$229.01
|
| Rate for Payer: Aetna Medicare |
$189.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$229.01
|
| Rate for Payer: BCBS Complete |
$124.57
|
| Rate for Payer: BCBS Trust/PPO |
$471.24
|
| Rate for Payer: BCN Commercial |
$339.14
|
| Rate for Payer: Cash Price |
$303.20
|
| Rate for Payer: Cash Price |
$303.20
|
| Rate for Payer: Meridian Medicaid |
$124.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$118.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$246.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$282.80
|
| Rate for Payer: Priority Health Narrow Network |
$282.80
|
| Rate for Payer: Priority Health SBD |
$282.80
|
| Rate for Payer: UHCCP Medicaid |
$118.64
|
| Rate for Payer: UMR Bronson Commercial |
$174.34
|
|
|
CHG PROTHROMBIN TIME
|
Professional
|
Both
|
$11.00
|
|
|
Service Code
|
HCPCS 85610
|
| Min. Negotiated Rate |
$4.29 |
| Max. Negotiated Rate |
$4,563.98 |
| Rate for Payer: Aetna Commercial |
$5.75
|
| Rate for Payer: Aetna Medicare |
$4.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5.75
|
| Rate for Payer: BCBS Complete |
$4.40
|
| Rate for Payer: BCBS MAPPO |
$4.29
|
| Rate for Payer: BCBS Trust/PPO |
$4,563.98
|
| Rate for Payer: BCN Commercial |
$4.29
|
| Rate for Payer: BCN Medicare Advantage |
$4.29
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Cofinity Commercial |
$6.18
|
| Rate for Payer: Cofinity Commercial |
$5.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.50
|
| Rate for Payer: Nomi Health Commercial |
$5.15
|
| Rate for Payer: PACE SWMI |
$4.29
|
| Rate for Payer: PHP Commercial |
$6.01
|
| Rate for Payer: PHP Medicare Advantage |
$4.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4.33
|
| Rate for Payer: Priority Health Medicare |
$4.29
|
| Rate for Payer: Priority Health Narrow Network |
$4.33
|
| Rate for Payer: Priority Health SBD |
$4.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$4.29
|
| Rate for Payer: UHC Medicare Advantage |
$4.29
|
| Rate for Payer: UMR Bronson Commercial |
$5.06
|
|
|
CHG RADEX A-C JOINTS BI W/WO WEIGHTED DISTRCJ
|
Professional
|
Both
|
$55.00
|
|
|
Service Code
|
HCPCS 73050
|
| Min. Negotiated Rate |
$5.75 |
| Max. Negotiated Rate |
$992.68 |
| Rate for Payer: Aetna Commercial |
$35.27
|
| Rate for Payer: Aetna Commercial |
$35.27
|
| Rate for Payer: Aetna Commercial |
$35.27
|
| Rate for Payer: Aetna Medicare |
$27.37
|
| Rate for Payer: Aetna Medicare |
$27.37
|
| Rate for Payer: Aetna Medicare |
$27.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$37.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$35.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$35.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$37.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$35.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$37.90
|
| Rate for Payer: BCBS Complete |
$6.04
|
| Rate for Payer: BCBS Complete |
$6.04
|
| Rate for Payer: BCBS Complete |
$6.04
|
| Rate for Payer: BCBS MAPPO |
$26.32
|
| Rate for Payer: BCBS MAPPO |
$26.32
|
| Rate for Payer: BCBS MAPPO |
$26.32
|
| Rate for Payer: BCBS Trust/PPO |
$992.68
|
| Rate for Payer: BCBS Trust/PPO |
$992.68
|
| Rate for Payer: BCBS Trust/PPO |
$992.68
|
| Rate for Payer: BCN Commercial |
$42.02
|
| Rate for Payer: BCN Commercial |
$42.02
|
| Rate for Payer: BCN Commercial |
$42.02
|
| Rate for Payer: BCN Medicare Advantage |
$26.32
|
| Rate for Payer: BCN Medicare Advantage |
$26.32
|
| Rate for Payer: BCN Medicare Advantage |
$26.32
|
| Rate for Payer: Cash Price |
$30.40
|
| Rate for Payer: Cash Price |
$30.40
|
| Rate for Payer: Cash Price |
$56.80
|
| Rate for Payer: Cash Price |
$56.80
|
| Rate for Payer: Cash Price |
$44.00
|
| Rate for Payer: Cash Price |
$44.00
|
| Rate for Payer: Cofinity Commercial |
$35.27
|
| Rate for Payer: Cofinity Commercial |
$35.27
|
| Rate for Payer: Cofinity Commercial |
$37.90
|
| Rate for Payer: Cofinity Commercial |
$37.90
|
| Rate for Payer: Cofinity Commercial |
$37.90
|
| Rate for Payer: Cofinity Commercial |
$35.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27.64
|
| Rate for Payer: Meridian Medicaid |
$6.04
|
| Rate for Payer: Meridian Medicaid |
$6.04
|
| Rate for Payer: Meridian Medicaid |
$6.04
|
| Rate for Payer: Nomi Health Commercial |
$31.58
|
| Rate for Payer: Nomi Health Commercial |
$31.58
|
| Rate for Payer: Nomi Health Commercial |
$31.58
|
| Rate for Payer: PACE SWMI |
$26.32
|
| Rate for Payer: PACE SWMI |
$26.32
|
| Rate for Payer: PACE SWMI |
$26.32
|
| Rate for Payer: PHP Commercial |
$36.85
|
| Rate for Payer: PHP Commercial |
$36.85
|
| Rate for Payer: PHP Commercial |
$36.85
|
| Rate for Payer: PHP Medicare Advantage |
$26.32
|
| Rate for Payer: PHP Medicare Advantage |
$26.32
|
| Rate for Payer: PHP Medicare Advantage |
$26.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$24.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$35.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$46.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$44.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$44.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$44.65
|
| Rate for Payer: Priority Health Medicare |
$26.32
|
| Rate for Payer: Priority Health Medicare |
$26.32
|
| Rate for Payer: Priority Health Medicare |
$26.32
|
| Rate for Payer: Priority Health Narrow Network |
$44.65
|
| Rate for Payer: Priority Health Narrow Network |
$44.65
|
| Rate for Payer: Priority Health Narrow Network |
$44.65
|
| Rate for Payer: Priority Health SBD |
$13.86
|
| Rate for Payer: Priority Health SBD |
$13.86
|
| Rate for Payer: Priority Health SBD |
$13.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$26.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$26.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$26.32
|
| Rate for Payer: UHC Medicare Advantage |
$26.32
|
| Rate for Payer: UHC Medicare Advantage |
$26.32
|
| Rate for Payer: UHC Medicare Advantage |
$26.32
|
| Rate for Payer: UHCCP Medicaid |
$5.75
|
| Rate for Payer: UHCCP Medicaid |
$5.75
|
| Rate for Payer: UHCCP Medicaid |
$5.75
|
| Rate for Payer: UMR Bronson Commercial |
$17.48
|
| Rate for Payer: UMR Bronson Commercial |
$32.66
|
| Rate for Payer: UMR Bronson Commercial |
$25.30
|
|
|
CHG RADEX ANKLE COMPLETE MINIMUM 3 VIEWS
|
Professional
|
Both
|
$48.00
|
|
|
Service Code
|
HCPCS 73610
|
| Min. Negotiated Rate |
$5.33 |
| Max. Negotiated Rate |
$1,014.86 |
| Rate for Payer: Aetna Commercial |
$43.93
|
| Rate for Payer: Aetna Commercial |
$43.93
|
| Rate for Payer: Aetna Commercial |
$43.93
|
| Rate for Payer: Aetna Medicare |
$34.09
|
| Rate for Payer: Aetna Medicare |
$34.09
|
| Rate for Payer: Aetna Medicare |
$34.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.20
|
| Rate for Payer: BCBS Complete |
$5.60
|
| Rate for Payer: BCBS Complete |
$5.60
|
| Rate for Payer: BCBS Complete |
$5.60
|
| Rate for Payer: BCBS MAPPO |
$32.78
|
| Rate for Payer: BCBS MAPPO |
$32.78
|
| Rate for Payer: BCBS MAPPO |
$32.78
|
| Rate for Payer: BCBS Trust/PPO |
$1,014.86
|
| Rate for Payer: BCBS Trust/PPO |
$1,014.86
|
| Rate for Payer: BCBS Trust/PPO |
$1,014.86
|
| Rate for Payer: BCN Commercial |
$54.24
|
| Rate for Payer: BCN Commercial |
$54.24
|
| Rate for Payer: BCN Commercial |
$54.24
|
| Rate for Payer: BCN Medicare Advantage |
$32.78
|
| Rate for Payer: BCN Medicare Advantage |
$32.78
|
| Rate for Payer: BCN Medicare Advantage |
$32.78
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Cash Price |
$71.20
|
| Rate for Payer: Cash Price |
$71.20
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Cofinity Commercial |
$43.93
|
| Rate for Payer: Cofinity Commercial |
$43.93
|
| Rate for Payer: Cofinity Commercial |
$47.20
|
| Rate for Payer: Cofinity Commercial |
$47.20
|
| Rate for Payer: Cofinity Commercial |
$47.20
|
| Rate for Payer: Cofinity Commercial |
$43.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34.42
|
| Rate for Payer: Meridian Medicaid |
$5.60
|
| Rate for Payer: Meridian Medicaid |
$5.60
|
| Rate for Payer: Meridian Medicaid |
$5.60
|
| Rate for Payer: Nomi Health Commercial |
$39.34
|
| Rate for Payer: Nomi Health Commercial |
$39.34
|
| Rate for Payer: Nomi Health Commercial |
$39.34
|
| Rate for Payer: PACE SWMI |
$32.78
|
| Rate for Payer: PACE SWMI |
$32.78
|
| Rate for Payer: PACE SWMI |
$32.78
|
| Rate for Payer: PHP Commercial |
$45.89
|
| Rate for Payer: PHP Commercial |
$45.89
|
| Rate for Payer: PHP Commercial |
$45.89
|
| Rate for Payer: PHP Medicare Advantage |
$32.78
|
| Rate for Payer: PHP Medicare Advantage |
$32.78
|
| Rate for Payer: PHP Medicare Advantage |
$32.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$20.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$31.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$57.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$56.46
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$56.46
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$56.46
|
| Rate for Payer: Priority Health Medicare |
$32.78
|
| Rate for Payer: Priority Health Medicare |
$32.78
|
| Rate for Payer: Priority Health Medicare |
$32.78
|
| Rate for Payer: Priority Health Narrow Network |
$56.46
|
| Rate for Payer: Priority Health Narrow Network |
$56.46
|
| Rate for Payer: Priority Health Narrow Network |
$56.46
|
| Rate for Payer: Priority Health SBD |
$12.83
|
| Rate for Payer: Priority Health SBD |
$12.83
|
| Rate for Payer: Priority Health SBD |
$12.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$32.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$32.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$32.78
|
| Rate for Payer: UHC Medicare Advantage |
$32.78
|
| Rate for Payer: UHC Medicare Advantage |
$32.78
|
| Rate for Payer: UHC Medicare Advantage |
$32.78
|
| Rate for Payer: UHCCP Medicaid |
$5.33
|
| Rate for Payer: UHCCP Medicaid |
$5.33
|
| Rate for Payer: UHCCP Medicaid |
$5.33
|
| Rate for Payer: UMR Bronson Commercial |
$14.26
|
| Rate for Payer: UMR Bronson Commercial |
$40.94
|
| Rate for Payer: UMR Bronson Commercial |
$22.08
|
|
|
CHG RADEX CALCANEUS MINIMUM 2 VIEWS
|
Professional
|
Both
|
$40.00
|
|
|
Service Code
|
HCPCS 73650
|
| Min. Negotiated Rate |
$4.90 |
| Max. Negotiated Rate |
$2,853.88 |
| Rate for Payer: Aetna Commercial |
$34.41
|
| Rate for Payer: Aetna Commercial |
$34.41
|
| Rate for Payer: Aetna Commercial |
$34.41
|
| Rate for Payer: Aetna Medicare |
$26.71
|
| Rate for Payer: Aetna Medicare |
$26.71
|
| Rate for Payer: Aetna Medicare |
$26.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$36.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$34.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$34.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$36.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$34.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$36.98
|
| Rate for Payer: BCBS Complete |
$5.14
|
| Rate for Payer: BCBS Complete |
$5.14
|
| Rate for Payer: BCBS Complete |
$5.14
|
| Rate for Payer: BCBS MAPPO |
$25.68
|
| Rate for Payer: BCBS MAPPO |
$25.68
|
| Rate for Payer: BCBS MAPPO |
$25.68
|
| Rate for Payer: BCBS Trust/PPO |
$2,853.88
|
| Rate for Payer: BCBS Trust/PPO |
$2,853.88
|
| Rate for Payer: BCBS Trust/PPO |
$2,853.88
|
| Rate for Payer: BCN Commercial |
$42.02
|
| Rate for Payer: BCN Commercial |
$42.02
|
| Rate for Payer: BCN Commercial |
$42.02
|
| Rate for Payer: BCN Medicare Advantage |
$25.68
|
| Rate for Payer: BCN Medicare Advantage |
$25.68
|
| Rate for Payer: BCN Medicare Advantage |
$25.68
|
| Rate for Payer: Cash Price |
$22.40
|
| Rate for Payer: Cash Price |
$22.40
|
| Rate for Payer: Cash Price |
$60.00
|
| Rate for Payer: Cash Price |
$60.00
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Cofinity Commercial |
$34.41
|
| Rate for Payer: Cofinity Commercial |
$34.41
|
| Rate for Payer: Cofinity Commercial |
$36.98
|
| Rate for Payer: Cofinity Commercial |
$36.98
|
| Rate for Payer: Cofinity Commercial |
$36.98
|
| Rate for Payer: Cofinity Commercial |
$34.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26.96
|
| Rate for Payer: Meridian Medicaid |
$5.14
|
| Rate for Payer: Meridian Medicaid |
$5.14
|
| Rate for Payer: Meridian Medicaid |
$5.14
|
| Rate for Payer: Nomi Health Commercial |
$30.82
|
| Rate for Payer: Nomi Health Commercial |
$30.82
|
| Rate for Payer: Nomi Health Commercial |
$30.82
|
| Rate for Payer: PACE SWMI |
$25.68
|
| Rate for Payer: PACE SWMI |
$25.68
|
| Rate for Payer: PACE SWMI |
$25.68
|
| Rate for Payer: PHP Commercial |
$35.95
|
| Rate for Payer: PHP Commercial |
$35.95
|
| Rate for Payer: PHP Commercial |
$35.95
|
| Rate for Payer: PHP Medicare Advantage |
$25.68
|
| Rate for Payer: PHP Medicare Advantage |
$25.68
|
| Rate for Payer: PHP Medicare Advantage |
$25.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$26.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$48.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$44.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$44.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$44.14
|
| Rate for Payer: Priority Health Medicare |
$25.68
|
| Rate for Payer: Priority Health Medicare |
$25.68
|
| Rate for Payer: Priority Health Medicare |
$25.68
|
| Rate for Payer: Priority Health Narrow Network |
$44.14
|
| Rate for Payer: Priority Health Narrow Network |
$44.14
|
| Rate for Payer: Priority Health Narrow Network |
$44.14
|
| Rate for Payer: Priority Health SBD |
$11.81
|
| Rate for Payer: Priority Health SBD |
$11.81
|
| Rate for Payer: Priority Health SBD |
$11.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$25.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$25.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$25.68
|
| Rate for Payer: UHC Medicare Advantage |
$25.68
|
| Rate for Payer: UHC Medicare Advantage |
$25.68
|
| Rate for Payer: UHC Medicare Advantage |
$25.68
|
| Rate for Payer: UHCCP Medicaid |
$4.90
|
| Rate for Payer: UHCCP Medicaid |
$4.90
|
| Rate for Payer: UHCCP Medicaid |
$4.90
|
| Rate for Payer: UMR Bronson Commercial |
$12.88
|
| Rate for Payer: UMR Bronson Commercial |
$34.50
|
| Rate for Payer: UMR Bronson Commercial |
$18.40
|
|
|
CHG RADEX CLAVICLE COMPLETE
|
Professional
|
Both
|
$41.00
|
|
|
Service Code
|
HCPCS 73000
|
| Min. Negotiated Rate |
$5.11 |
| Max. Negotiated Rate |
$3,301.35 |
| Rate for Payer: Aetna Commercial |
$39.54
|
| Rate for Payer: Aetna Commercial |
$39.54
|
| Rate for Payer: Aetna Commercial |
$39.54
|
| Rate for Payer: Aetna Medicare |
$30.69
|
| Rate for Payer: Aetna Medicare |
$30.69
|
| Rate for Payer: Aetna Medicare |
$30.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$42.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$42.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$42.49
|
| Rate for Payer: BCBS Complete |
$5.37
|
| Rate for Payer: BCBS Complete |
$5.37
|
| Rate for Payer: BCBS Complete |
$5.37
|
| Rate for Payer: BCBS MAPPO |
$29.51
|
| Rate for Payer: BCBS MAPPO |
$29.51
|
| Rate for Payer: BCBS MAPPO |
$29.51
|
| Rate for Payer: BCBS Trust/PPO |
$3,301.35
|
| Rate for Payer: BCBS Trust/PPO |
$3,301.35
|
| Rate for Payer: BCBS Trust/PPO |
$3,301.35
|
| Rate for Payer: BCN Commercial |
$47.41
|
| Rate for Payer: BCN Commercial |
$47.41
|
| Rate for Payer: BCN Commercial |
$47.41
|
| Rate for Payer: BCN Medicare Advantage |
$29.51
|
| Rate for Payer: BCN Medicare Advantage |
$29.51
|
| Rate for Payer: BCN Medicare Advantage |
$29.51
|
| Rate for Payer: Cash Price |
$24.00
|
| Rate for Payer: Cash Price |
$24.00
|
| Rate for Payer: Cash Price |
$75.20
|
| Rate for Payer: Cash Price |
$75.20
|
| Rate for Payer: Cash Price |
$32.80
|
| Rate for Payer: Cash Price |
$32.80
|
| Rate for Payer: Cofinity Commercial |
$39.54
|
| Rate for Payer: Cofinity Commercial |
$39.54
|
| Rate for Payer: Cofinity Commercial |
$42.49
|
| Rate for Payer: Cofinity Commercial |
$42.49
|
| Rate for Payer: Cofinity Commercial |
$42.49
|
| Rate for Payer: Cofinity Commercial |
$39.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30.99
|
| Rate for Payer: Meridian Medicaid |
$5.37
|
| Rate for Payer: Meridian Medicaid |
$5.37
|
| Rate for Payer: Meridian Medicaid |
$5.37
|
| Rate for Payer: Nomi Health Commercial |
$35.41
|
| Rate for Payer: Nomi Health Commercial |
$35.41
|
| Rate for Payer: Nomi Health Commercial |
$35.41
|
| Rate for Payer: PACE SWMI |
$29.51
|
| Rate for Payer: PACE SWMI |
$29.51
|
| Rate for Payer: PACE SWMI |
$29.51
|
| Rate for Payer: PHP Commercial |
$41.31
|
| Rate for Payer: PHP Commercial |
$41.31
|
| Rate for Payer: PHP Commercial |
$41.31
|
| Rate for Payer: PHP Medicare Advantage |
$29.51
|
| Rate for Payer: PHP Medicare Advantage |
$29.51
|
| Rate for Payer: PHP Medicare Advantage |
$29.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$26.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$61.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$50.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$50.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$50.30
|
| Rate for Payer: Priority Health Medicare |
$29.51
|
| Rate for Payer: Priority Health Medicare |
$29.51
|
| Rate for Payer: Priority Health Medicare |
$29.51
|
| Rate for Payer: Priority Health Narrow Network |
$50.30
|
| Rate for Payer: Priority Health Narrow Network |
$50.30
|
| Rate for Payer: Priority Health Narrow Network |
$50.30
|
| Rate for Payer: Priority Health SBD |
$12.32
|
| Rate for Payer: Priority Health SBD |
$12.32
|
| Rate for Payer: Priority Health SBD |
$12.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$29.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$29.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$29.51
|
| Rate for Payer: UHC Medicare Advantage |
$29.51
|
| Rate for Payer: UHC Medicare Advantage |
$29.51
|
| Rate for Payer: UHC Medicare Advantage |
$29.51
|
| Rate for Payer: UHCCP Medicaid |
$5.11
|
| Rate for Payer: UHCCP Medicaid |
$5.11
|
| Rate for Payer: UHCCP Medicaid |
$5.11
|
| Rate for Payer: UMR Bronson Commercial |
$13.80
|
| Rate for Payer: UMR Bronson Commercial |
$43.24
|
| Rate for Payer: UMR Bronson Commercial |
$18.86
|
|
|
CHG RADEX ELBOW 2 VIEWS
|
Professional
|
Both
|
$40.00
|
|
|
Service Code
|
HCPCS 73070
|
| Min. Negotiated Rate |
$5.11 |
| Max. Negotiated Rate |
$316.45 |
| Rate for Payer: Aetna Commercial |
$35.59
|
| Rate for Payer: Aetna Commercial |
$35.59
|
| Rate for Payer: Aetna Commercial |
$35.59
|
| Rate for Payer: Aetna Medicare |
$27.62
|
| Rate for Payer: Aetna Medicare |
$27.62
|
| Rate for Payer: Aetna Medicare |
$27.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$38.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$35.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$35.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$38.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$35.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$38.25
|
| Rate for Payer: BCBS Complete |
$5.37
|
| Rate for Payer: BCBS Complete |
$5.37
|
| Rate for Payer: BCBS Complete |
$5.37
|
| Rate for Payer: BCBS MAPPO |
$26.56
|
| Rate for Payer: BCBS MAPPO |
$26.56
|
| Rate for Payer: BCBS MAPPO |
$26.56
|
| Rate for Payer: BCBS Trust/PPO |
$316.45
|
| Rate for Payer: BCBS Trust/PPO |
$316.45
|
| Rate for Payer: BCBS Trust/PPO |
$316.45
|
| Rate for Payer: BCN Commercial |
$43.00
|
| Rate for Payer: BCN Commercial |
$43.00
|
| Rate for Payer: BCN Commercial |
$43.00
|
| Rate for Payer: BCN Medicare Advantage |
$26.56
|
| Rate for Payer: BCN Medicare Advantage |
$26.56
|
| Rate for Payer: BCN Medicare Advantage |
$26.56
|
| Rate for Payer: Cash Price |
$21.60
|
| Rate for Payer: Cash Price |
$21.60
|
| Rate for Payer: Cash Price |
$70.40
|
| Rate for Payer: Cash Price |
$70.40
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Cofinity Commercial |
$35.59
|
| Rate for Payer: Cofinity Commercial |
$35.59
|
| Rate for Payer: Cofinity Commercial |
$38.25
|
| Rate for Payer: Cofinity Commercial |
$38.25
|
| Rate for Payer: Cofinity Commercial |
$38.25
|
| Rate for Payer: Cofinity Commercial |
$35.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27.89
|
| Rate for Payer: Meridian Medicaid |
$5.37
|
| Rate for Payer: Meridian Medicaid |
$5.37
|
| Rate for Payer: Meridian Medicaid |
$5.37
|
| Rate for Payer: Nomi Health Commercial |
$31.87
|
| Rate for Payer: Nomi Health Commercial |
$31.87
|
| Rate for Payer: Nomi Health Commercial |
$31.87
|
| Rate for Payer: PACE SWMI |
$26.56
|
| Rate for Payer: PACE SWMI |
$26.56
|
| Rate for Payer: PACE SWMI |
$26.56
|
| Rate for Payer: PHP Commercial |
$37.18
|
| Rate for Payer: PHP Commercial |
$37.18
|
| Rate for Payer: PHP Commercial |
$37.18
|
| Rate for Payer: PHP Medicare Advantage |
$26.56
|
| Rate for Payer: PHP Medicare Advantage |
$26.56
|
| Rate for Payer: PHP Medicare Advantage |
$26.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$26.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$57.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$45.16
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$45.16
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$45.16
|
| Rate for Payer: Priority Health Medicare |
$26.56
|
| Rate for Payer: Priority Health Medicare |
$26.56
|
| Rate for Payer: Priority Health Medicare |
$26.56
|
| Rate for Payer: Priority Health Narrow Network |
$45.16
|
| Rate for Payer: Priority Health Narrow Network |
$45.16
|
| Rate for Payer: Priority Health Narrow Network |
$45.16
|
| Rate for Payer: Priority Health SBD |
$12.32
|
| Rate for Payer: Priority Health SBD |
$12.32
|
| Rate for Payer: Priority Health SBD |
$12.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$26.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$26.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$26.56
|
| Rate for Payer: UHC Medicare Advantage |
$26.56
|
| Rate for Payer: UHC Medicare Advantage |
$26.56
|
| Rate for Payer: UHC Medicare Advantage |
$26.56
|
| Rate for Payer: UHCCP Medicaid |
$5.11
|
| Rate for Payer: UHCCP Medicaid |
$5.11
|
| Rate for Payer: UHCCP Medicaid |
$5.11
|
| Rate for Payer: UMR Bronson Commercial |
$12.42
|
| Rate for Payer: UMR Bronson Commercial |
$40.48
|
| Rate for Payer: UMR Bronson Commercial |
$18.40
|
|
|
CHG RADEX ELBOW ARTHROGRAPHY RS&I
|
Professional
|
Both
|
$86.00
|
|
|
Service Code
|
HCPCS 73085
|
| Min. Negotiated Rate |
$16.40 |
| Max. Negotiated Rate |
$296.90 |
| Rate for Payer: Aetna Commercial |
$118.63
|
| Rate for Payer: Aetna Medicare |
$92.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$118.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$127.48
|
| Rate for Payer: BCBS Complete |
$17.22
|
| Rate for Payer: BCBS MAPPO |
$88.53
|
| Rate for Payer: BCBS Trust/PPO |
$296.90
|
| Rate for Payer: BCN Commercial |
$164.20
|
| Rate for Payer: BCN Medicare Advantage |
$88.53
|
| Rate for Payer: Cash Price |
$68.80
|
| Rate for Payer: Cash Price |
$68.80
|
| Rate for Payer: Cofinity Commercial |
$118.63
|
| Rate for Payer: Cofinity Commercial |
$127.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$88.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$92.96
|
| Rate for Payer: Meridian Medicaid |
$17.22
|
| Rate for Payer: Nomi Health Commercial |
$106.24
|
| Rate for Payer: PACE SWMI |
$88.53
|
| Rate for Payer: PHP Commercial |
$123.94
|
| Rate for Payer: PHP Medicare Advantage |
$88.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$16.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$55.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$153.97
|
| Rate for Payer: Priority Health Medicare |
$88.53
|
| Rate for Payer: Priority Health Narrow Network |
$153.97
|
| Rate for Payer: Priority Health SBD |
$39.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$88.53
|
| Rate for Payer: UHC Medicare Advantage |
$88.53
|
| Rate for Payer: UHCCP Medicaid |
$16.40
|
| Rate for Payer: UMR Bronson Commercial |
$39.56
|
|
|
CHG RADEX ELBOW COMPLETE MINIMUM 3 VIEWS
|
Professional
|
Both
|
$33.00
|
|
|
Service Code
|
HCPCS 73080
|
| Min. Negotiated Rate |
$5.33 |
| Max. Negotiated Rate |
$379.85 |
| Rate for Payer: Aetna Commercial |
$39.58
|
| Rate for Payer: Aetna Commercial |
$39.58
|
| Rate for Payer: Aetna Commercial |
$39.58
|
| Rate for Payer: Aetna Medicare |
$30.72
|
| Rate for Payer: Aetna Medicare |
$30.72
|
| Rate for Payer: Aetna Medicare |
$30.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$42.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$42.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$42.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.58
|
| Rate for Payer: BCBS Complete |
$5.60
|
| Rate for Payer: BCBS Complete |
$5.60
|
| Rate for Payer: BCBS Complete |
$5.60
|
| Rate for Payer: BCBS MAPPO |
$29.54
|
| Rate for Payer: BCBS MAPPO |
$29.54
|
| Rate for Payer: BCBS MAPPO |
$29.54
|
| Rate for Payer: BCBS Trust/PPO |
$379.85
|
| Rate for Payer: BCBS Trust/PPO |
$379.85
|
| Rate for Payer: BCBS Trust/PPO |
$379.85
|
| Rate for Payer: BCN Commercial |
$47.89
|
| Rate for Payer: BCN Commercial |
$47.89
|
| Rate for Payer: BCN Commercial |
$47.89
|
| Rate for Payer: BCN Medicare Advantage |
$29.54
|
| Rate for Payer: BCN Medicare Advantage |
$29.54
|
| Rate for Payer: BCN Medicare Advantage |
$29.54
|
| Rate for Payer: Cash Price |
$80.80
|
| Rate for Payer: Cash Price |
$26.40
|
| Rate for Payer: Cash Price |
$80.80
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Cash Price |
$26.40
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Cofinity Commercial |
$42.54
|
| Rate for Payer: Cofinity Commercial |
$39.58
|
| Rate for Payer: Cofinity Commercial |
$42.54
|
| Rate for Payer: Cofinity Commercial |
$39.58
|
| Rate for Payer: Cofinity Commercial |
$42.54
|
| Rate for Payer: Cofinity Commercial |
$39.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.02
|
| Rate for Payer: Meridian Medicaid |
$5.60
|
| Rate for Payer: Meridian Medicaid |
$5.60
|
| Rate for Payer: Meridian Medicaid |
$5.60
|
| Rate for Payer: Nomi Health Commercial |
$35.45
|
| Rate for Payer: Nomi Health Commercial |
$35.45
|
| Rate for Payer: Nomi Health Commercial |
$35.45
|
| Rate for Payer: PACE SWMI |
$29.54
|
| Rate for Payer: PACE SWMI |
$29.54
|
| Rate for Payer: PACE SWMI |
$29.54
|
| Rate for Payer: PHP Commercial |
$41.36
|
| Rate for Payer: PHP Commercial |
$41.36
|
| Rate for Payer: PHP Commercial |
$41.36
|
| Rate for Payer: PHP Medicare Advantage |
$29.54
|
| Rate for Payer: PHP Medicare Advantage |
$29.54
|
| Rate for Payer: PHP Medicare Advantage |
$29.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$65.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$31.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$50.81
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$50.81
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$50.81
|
| Rate for Payer: Priority Health Medicare |
$29.54
|
| Rate for Payer: Priority Health Medicare |
$29.54
|
| Rate for Payer: Priority Health Medicare |
$29.54
|
| Rate for Payer: Priority Health Narrow Network |
$50.81
|
| Rate for Payer: Priority Health Narrow Network |
$50.81
|
| Rate for Payer: Priority Health Narrow Network |
$50.81
|
| Rate for Payer: Priority Health SBD |
$12.83
|
| Rate for Payer: Priority Health SBD |
$12.83
|
| Rate for Payer: Priority Health SBD |
$12.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$29.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$29.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$29.54
|
| Rate for Payer: UHC Medicare Advantage |
$29.54
|
| Rate for Payer: UHC Medicare Advantage |
$29.54
|
| Rate for Payer: UHC Medicare Advantage |
$29.54
|
| Rate for Payer: UHCCP Medicaid |
$5.33
|
| Rate for Payer: UHCCP Medicaid |
$5.33
|
| Rate for Payer: UHCCP Medicaid |
$5.33
|
| Rate for Payer: UMR Bronson Commercial |
$22.08
|
| Rate for Payer: UMR Bronson Commercial |
$46.46
|
| Rate for Payer: UMR Bronson Commercial |
$15.18
|
|
|
CHG RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW
|
Professional
|
Both
|
$92.00
|
|
|
Service Code
|
HCPCS 72081
|
| Min. Negotiated Rate |
$7.88 |
| Max. Negotiated Rate |
$65.70 |
| Rate for Payer: Aetna Commercial |
$52.17
|
| Rate for Payer: Aetna Medicare |
$40.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$52.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$56.06
|
| Rate for Payer: BCBS Complete |
$8.27
|
| Rate for Payer: BCBS MAPPO |
$38.93
|
| Rate for Payer: BCN Commercial |
$62.55
|
| Rate for Payer: BCN Medicare Advantage |
$38.93
|
| Rate for Payer: Cash Price |
$73.60
|
| Rate for Payer: Cash Price |
$73.60
|
| Rate for Payer: Cofinity Commercial |
$52.17
|
| Rate for Payer: Cofinity Commercial |
$56.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$38.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$40.88
|
| Rate for Payer: Meridian Medicaid |
$8.27
|
| Rate for Payer: Nomi Health Commercial |
$46.72
|
| Rate for Payer: PACE SWMI |
$38.93
|
| Rate for Payer: PHP Commercial |
$54.50
|
| Rate for Payer: PHP Medicare Advantage |
$38.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$59.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$65.70
|
| Rate for Payer: Priority Health Medicare |
$38.93
|
| Rate for Payer: Priority Health Narrow Network |
$65.70
|
| Rate for Payer: Priority Health SBD |
$19.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$38.93
|
| Rate for Payer: UHC Medicare Advantage |
$38.93
|
| Rate for Payer: UHCCP Medicaid |
$7.88
|
| Rate for Payer: UMR Bronson Commercial |
$42.32
|
|
|
CHG RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW
|
Professional
|
Both
|
$33.00
|
|
|
Service Code
|
HCPCS 72082
|
| Min. Negotiated Rate |
$9.59 |
| Max. Negotiated Rate |
$380.38 |
| Rate for Payer: Aetna Commercial |
$84.85
|
| Rate for Payer: Aetna Medicare |
$65.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$84.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$91.18
|
| Rate for Payer: BCBS Complete |
$10.07
|
| Rate for Payer: BCBS MAPPO |
$63.32
|
| Rate for Payer: BCBS Trust/PPO |
$380.38
|
| Rate for Payer: BCN Commercial |
$103.11
|
| Rate for Payer: BCN Medicare Advantage |
$63.32
|
| Rate for Payer: Cash Price |
$26.40
|
| Rate for Payer: Cash Price |
$26.40
|
| Rate for Payer: Cofinity Commercial |
$84.85
|
| Rate for Payer: Cofinity Commercial |
$91.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$63.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$66.49
|
| Rate for Payer: Meridian Medicaid |
$10.07
|
| Rate for Payer: Nomi Health Commercial |
$75.98
|
| Rate for Payer: PACE SWMI |
$63.32
|
| Rate for Payer: PHP Commercial |
$88.65
|
| Rate for Payer: PHP Medicare Advantage |
$63.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$108.30
|
| Rate for Payer: Priority Health Medicare |
$63.32
|
| Rate for Payer: Priority Health Narrow Network |
$108.30
|
| Rate for Payer: Priority Health SBD |
$23.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$63.32
|
| Rate for Payer: UHC Medicare Advantage |
$63.32
|
| Rate for Payer: UHCCP Medicaid |
$9.59
|
| Rate for Payer: UMR Bronson Commercial |
$15.18
|
|
|
CHG RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 4/5 VW
|
Professional
|
Both
|
$37.00
|
|
|
Service Code
|
HCPCS 72083
|
| Min. Negotiated Rate |
$10.86 |
| Max. Negotiated Rate |
$122.15 |
| Rate for Payer: Aetna Commercial |
$96.45
|
| Rate for Payer: Aetna Medicare |
$74.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$103.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$96.45
|
| Rate for Payer: BCBS Complete |
$11.40
|
| Rate for Payer: BCBS MAPPO |
$71.98
|
| Rate for Payer: BCN Commercial |
$115.82
|
| Rate for Payer: BCN Medicare Advantage |
$71.98
|
| Rate for Payer: Cash Price |
$29.60
|
| Rate for Payer: Cash Price |
$29.60
|
| Rate for Payer: Cofinity Commercial |
$103.65
|
| Rate for Payer: Cofinity Commercial |
$96.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$71.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$75.58
|
| Rate for Payer: Meridian Medicaid |
$11.40
|
| Rate for Payer: Nomi Health Commercial |
$86.38
|
| Rate for Payer: PACE SWMI |
$71.98
|
| Rate for Payer: PHP Commercial |
$100.77
|
| Rate for Payer: PHP Medicare Advantage |
$71.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$10.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$24.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$122.15
|
| Rate for Payer: Priority Health Medicare |
$71.98
|
| Rate for Payer: Priority Health Narrow Network |
$122.15
|
| Rate for Payer: Priority Health SBD |
$26.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$71.98
|
| Rate for Payer: UHC Medicare Advantage |
$71.98
|
| Rate for Payer: UHCCP Medicaid |
$10.86
|
| Rate for Payer: UMR Bronson Commercial |
$17.02
|
|
|
CHG RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 6/> VW
|
Professional
|
Both
|
$43.00
|
|
|
Service Code
|
HCPCS 72084
|
| Min. Negotiated Rate |
$12.78 |
| Max. Negotiated Rate |
$151.92 |
| Rate for Payer: Cash Price |
$34.40
|
| Rate for Payer: Aetna Commercial |
$118.52
|
| Rate for Payer: Aetna Medicare |
$91.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$118.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$127.37
|
| Rate for Payer: BCBS Complete |
$13.42
|
| Rate for Payer: BCBS MAPPO |
$88.45
|
| Rate for Payer: BCN Commercial |
$145.62
|
| Rate for Payer: BCN Medicare Advantage |
$88.45
|
| Rate for Payer: Cash Price |
$34.40
|
| Rate for Payer: Cofinity Commercial |
$127.37
|
| Rate for Payer: Cofinity Commercial |
$118.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$88.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$92.87
|
| Rate for Payer: Meridian Medicaid |
$13.42
|
| Rate for Payer: Nomi Health Commercial |
$106.14
|
| Rate for Payer: PACE SWMI |
$88.45
|
| Rate for Payer: PHP Commercial |
$123.83
|
| Rate for Payer: PHP Medicare Advantage |
$88.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$12.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$151.92
|
| Rate for Payer: Priority Health Medicare |
$88.45
|
| Rate for Payer: Priority Health Narrow Network |
$151.92
|
| Rate for Payer: Priority Health SBD |
$30.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$88.45
|
| Rate for Payer: UHC Medicare Advantage |
$88.45
|
| Rate for Payer: UHCCP Medicaid |
$12.78
|
| Rate for Payer: UMR Bronson Commercial |
$19.78
|
|
|
CHG RADEX FACIAL BONES < 3 VIEWS
|
Professional
|
Both
|
$18.00
|
|
|
Service Code
|
HCPCS 70140
|
| Min. Negotiated Rate |
$6.18 |
| Max. Negotiated Rate |
$1,212.45 |
| Rate for Payer: Aetna Commercial |
$38.87
|
| Rate for Payer: Aetna Medicare |
$30.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$38.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.77
|
| Rate for Payer: BCBS Complete |
$6.49
|
| Rate for Payer: BCBS MAPPO |
$29.01
|
| Rate for Payer: BCBS Trust/PPO |
$1,212.45
|
| Rate for Payer: BCN Commercial |
$47.41
|
| Rate for Payer: BCN Medicare Advantage |
$29.01
|
| Rate for Payer: Cash Price |
$14.40
|
| Rate for Payer: Cash Price |
$14.40
|
| Rate for Payer: Cofinity Commercial |
$38.87
|
| Rate for Payer: Cofinity Commercial |
$41.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30.46
|
| Rate for Payer: Meridian Medicaid |
$6.49
|
| Rate for Payer: Nomi Health Commercial |
$34.81
|
| Rate for Payer: PACE SWMI |
$29.01
|
| Rate for Payer: PHP Commercial |
$40.61
|
| Rate for Payer: PHP Medicare Advantage |
$29.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49.28
|
| Rate for Payer: Priority Health Medicare |
$29.01
|
| Rate for Payer: Priority Health Narrow Network |
$49.28
|
| Rate for Payer: Priority Health SBD |
$14.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$29.01
|
| Rate for Payer: UHC Medicare Advantage |
$29.01
|
| Rate for Payer: UHCCP Medicaid |
$6.18
|
| Rate for Payer: UMR Bronson Commercial |
$8.28
|
|
|
CHG RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS
|
Professional
|
Both
|
$58.00
|
|
|
Service Code
|
HCPCS 70150
|
| Min. Negotiated Rate |
$7.88 |
| Max. Negotiated Rate |
$916.60 |
| Rate for Payer: Aetna Commercial |
$56.51
|
| Rate for Payer: Aetna Commercial |
$56.51
|
| Rate for Payer: Aetna Commercial |
$56.51
|
| Rate for Payer: Aetna Medicare |
$43.86
|
| Rate for Payer: Aetna Medicare |
$43.86
|
| Rate for Payer: Aetna Medicare |
$43.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$60.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$60.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$56.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$56.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$60.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$56.51
|
| Rate for Payer: BCBS Complete |
$8.27
|
| Rate for Payer: BCBS Complete |
$8.27
|
| Rate for Payer: BCBS Complete |
$8.27
|
| Rate for Payer: BCBS MAPPO |
$42.17
|
| Rate for Payer: BCBS MAPPO |
$42.17
|
| Rate for Payer: BCBS MAPPO |
$42.17
|
| Rate for Payer: BCBS Trust/PPO |
$916.60
|
| Rate for Payer: BCBS Trust/PPO |
$916.60
|
| Rate for Payer: BCBS Trust/PPO |
$916.60
|
| Rate for Payer: BCN Commercial |
$68.90
|
| Rate for Payer: BCN Commercial |
$68.90
|
| Rate for Payer: BCN Commercial |
$68.90
|
| Rate for Payer: BCN Medicare Advantage |
$42.17
|
| Rate for Payer: BCN Medicare Advantage |
$42.17
|
| Rate for Payer: BCN Medicare Advantage |
$42.17
|
| Rate for Payer: Cash Price |
$20.80
|
| Rate for Payer: Cash Price |
$46.40
|
| Rate for Payer: Cash Price |
$20.80
|
| Rate for Payer: Cash Price |
$73.60
|
| Rate for Payer: Cash Price |
$46.40
|
| Rate for Payer: Cash Price |
$73.60
|
| Rate for Payer: Cofinity Commercial |
$60.72
|
| Rate for Payer: Cofinity Commercial |
$56.51
|
| Rate for Payer: Cofinity Commercial |
$60.72
|
| Rate for Payer: Cofinity Commercial |
$56.51
|
| Rate for Payer: Cofinity Commercial |
$60.72
|
| Rate for Payer: Cofinity Commercial |
$56.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$42.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$42.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$42.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$44.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$44.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$44.28
|
| Rate for Payer: Meridian Medicaid |
$8.27
|
| Rate for Payer: Meridian Medicaid |
$8.27
|
| Rate for Payer: Meridian Medicaid |
$8.27
|
| Rate for Payer: Nomi Health Commercial |
$50.60
|
| Rate for Payer: Nomi Health Commercial |
$50.60
|
| Rate for Payer: Nomi Health Commercial |
$50.60
|
| Rate for Payer: PACE SWMI |
$42.17
|
| Rate for Payer: PACE SWMI |
$42.17
|
| Rate for Payer: PACE SWMI |
$42.17
|
| Rate for Payer: PHP Commercial |
$59.04
|
| Rate for Payer: PHP Commercial |
$59.04
|
| Rate for Payer: PHP Commercial |
$59.04
|
| Rate for Payer: PHP Medicare Advantage |
$42.17
|
| Rate for Payer: PHP Medicare Advantage |
$42.17
|
| Rate for Payer: PHP Medicare Advantage |
$42.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$59.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$72.89
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$72.89
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$72.89
|
| Rate for Payer: Priority Health Medicare |
$42.17
|
| Rate for Payer: Priority Health Medicare |
$42.17
|
| Rate for Payer: Priority Health Medicare |
$42.17
|
| Rate for Payer: Priority Health Narrow Network |
$72.89
|
| Rate for Payer: Priority Health Narrow Network |
$72.89
|
| Rate for Payer: Priority Health Narrow Network |
$72.89
|
| Rate for Payer: Priority Health SBD |
$19.00
|
| Rate for Payer: Priority Health SBD |
$19.00
|
| Rate for Payer: Priority Health SBD |
$19.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$42.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$42.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$42.17
|
| Rate for Payer: UHC Medicare Advantage |
$42.17
|
| Rate for Payer: UHC Medicare Advantage |
$42.17
|
| Rate for Payer: UHC Medicare Advantage |
$42.17
|
| Rate for Payer: UHCCP Medicaid |
$7.88
|
| Rate for Payer: UHCCP Medicaid |
$7.88
|
| Rate for Payer: UHCCP Medicaid |
$7.88
|
| Rate for Payer: UMR Bronson Commercial |
$42.32
|
| Rate for Payer: UMR Bronson Commercial |
$11.96
|
| Rate for Payer: UMR Bronson Commercial |
$26.68
|
|
|
CHG RADEX FINGR MINIMUM 2 VIEWS
|
Professional
|
Both
|
$51.00
|
|
|
Service Code
|
HCPCS 73140
|
| Min. Negotiated Rate |
$4.26 |
| Max. Negotiated Rate |
$349.73 |
| Rate for Payer: Aetna Commercial |
$46.14
|
| Rate for Payer: Aetna Commercial |
$46.14
|
| Rate for Payer: Aetna Commercial |
$46.14
|
| Rate for Payer: Aetna Medicare |
$35.81
|
| Rate for Payer: Aetna Medicare |
$35.81
|
| Rate for Payer: Aetna Medicare |
$35.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$49.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$46.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$46.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$49.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$46.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$49.58
|
| Rate for Payer: BCBS Complete |
$4.47
|
| Rate for Payer: BCBS Complete |
$4.47
|
| Rate for Payer: BCBS Complete |
$4.47
|
| Rate for Payer: BCBS MAPPO |
$34.43
|
| Rate for Payer: BCBS MAPPO |
$34.43
|
| Rate for Payer: BCBS MAPPO |
$34.43
|
| Rate for Payer: BCBS Trust/PPO |
$349.73
|
| Rate for Payer: BCBS Trust/PPO |
$349.73
|
| Rate for Payer: BCBS Trust/PPO |
$349.73
|
| Rate for Payer: BCN Commercial |
$55.71
|
| Rate for Payer: BCN Commercial |
$55.71
|
| Rate for Payer: BCN Commercial |
$55.71
|
| Rate for Payer: BCN Medicare Advantage |
$34.43
|
| Rate for Payer: BCN Medicare Advantage |
$34.43
|
| Rate for Payer: BCN Medicare Advantage |
$34.43
|
| Rate for Payer: Cash Price |
$17.60
|
| Rate for Payer: Cash Price |
$17.60
|
| Rate for Payer: Cash Price |
$64.80
|
| Rate for Payer: Cash Price |
$64.80
|
| Rate for Payer: Cash Price |
$40.80
|
| Rate for Payer: Cash Price |
$40.80
|
| Rate for Payer: Cofinity Commercial |
$46.14
|
| Rate for Payer: Cofinity Commercial |
$46.14
|
| Rate for Payer: Cofinity Commercial |
$49.58
|
| Rate for Payer: Cofinity Commercial |
$49.58
|
| Rate for Payer: Cofinity Commercial |
$49.58
|
| Rate for Payer: Cofinity Commercial |
$46.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$34.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$34.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$34.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36.15
|
| Rate for Payer: Meridian Medicaid |
$4.47
|
| Rate for Payer: Meridian Medicaid |
$4.47
|
| Rate for Payer: Meridian Medicaid |
$4.47
|
| Rate for Payer: Nomi Health Commercial |
$41.32
|
| Rate for Payer: Nomi Health Commercial |
$41.32
|
| Rate for Payer: Nomi Health Commercial |
$41.32
|
| Rate for Payer: PACE SWMI |
$34.43
|
| Rate for Payer: PACE SWMI |
$34.43
|
| Rate for Payer: PACE SWMI |
$34.43
|
| Rate for Payer: PHP Commercial |
$48.20
|
| Rate for Payer: PHP Commercial |
$48.20
|
| Rate for Payer: PHP Commercial |
$48.20
|
| Rate for Payer: PHP Medicare Advantage |
$34.43
|
| Rate for Payer: PHP Medicare Advantage |
$34.43
|
| Rate for Payer: PHP Medicare Advantage |
$34.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$33.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$59.02
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$59.02
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$59.02
|
| Rate for Payer: Priority Health Medicare |
$34.43
|
| Rate for Payer: Priority Health Medicare |
$34.43
|
| Rate for Payer: Priority Health Medicare |
$34.43
|
| Rate for Payer: Priority Health Narrow Network |
$59.02
|
| Rate for Payer: Priority Health Narrow Network |
$59.02
|
| Rate for Payer: Priority Health Narrow Network |
$59.02
|
| Rate for Payer: Priority Health SBD |
$10.27
|
| Rate for Payer: Priority Health SBD |
$10.27
|
| Rate for Payer: Priority Health SBD |
$10.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$34.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$34.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$34.43
|
| Rate for Payer: UHC Medicare Advantage |
$34.43
|
| Rate for Payer: UHC Medicare Advantage |
$34.43
|
| Rate for Payer: UHC Medicare Advantage |
$34.43
|
| Rate for Payer: UHCCP Medicaid |
$4.26
|
| Rate for Payer: UHCCP Medicaid |
$4.26
|
| Rate for Payer: UHCCP Medicaid |
$4.26
|
| Rate for Payer: UMR Bronson Commercial |
$10.12
|
| Rate for Payer: UMR Bronson Commercial |
$37.26
|
| Rate for Payer: UMR Bronson Commercial |
$23.46
|
|
|
CHG RADEX FOOT COMPLETE MINIMUM 3 VIEWS
|
Professional
|
Both
|
$45.00
|
|
|
Service Code
|
HCPCS 73630
|
| Min. Negotiated Rate |
$5.11 |
| Max. Negotiated Rate |
$910.26 |
| Rate for Payer: Aetna Commercial |
$41.16
|
| Rate for Payer: Aetna Commercial |
$41.16
|
| Rate for Payer: Aetna Commercial |
$41.16
|
| Rate for Payer: Aetna Medicare |
$31.95
|
| Rate for Payer: Aetna Medicare |
$31.95
|
| Rate for Payer: Aetna Medicare |
$31.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44.24
|
| Rate for Payer: BCBS Complete |
$5.37
|
| Rate for Payer: BCBS Complete |
$5.37
|
| Rate for Payer: BCBS Complete |
$5.37
|
| Rate for Payer: BCBS MAPPO |
$30.72
|
| Rate for Payer: BCBS MAPPO |
$30.72
|
| Rate for Payer: BCBS MAPPO |
$30.72
|
| Rate for Payer: BCBS Trust/PPO |
$910.26
|
| Rate for Payer: BCBS Trust/PPO |
$910.26
|
| Rate for Payer: BCBS Trust/PPO |
$910.26
|
| Rate for Payer: BCN Commercial |
$50.33
|
| Rate for Payer: BCN Commercial |
$50.33
|
| Rate for Payer: BCN Commercial |
$50.33
|
| Rate for Payer: BCN Medicare Advantage |
$30.72
|
| Rate for Payer: BCN Medicare Advantage |
$30.72
|
| Rate for Payer: BCN Medicare Advantage |
$30.72
|
| Rate for Payer: Cash Price |
$24.00
|
| Rate for Payer: Cash Price |
$24.00
|
| Rate for Payer: Cash Price |
$69.60
|
| Rate for Payer: Cash Price |
$69.60
|
| Rate for Payer: Cash Price |
$36.00
|
| Rate for Payer: Cash Price |
$36.00
|
| Rate for Payer: Cofinity Commercial |
$41.16
|
| Rate for Payer: Cofinity Commercial |
$41.16
|
| Rate for Payer: Cofinity Commercial |
$44.24
|
| Rate for Payer: Cofinity Commercial |
$44.24
|
| Rate for Payer: Cofinity Commercial |
$44.24
|
| Rate for Payer: Cofinity Commercial |
$41.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.26
|
| Rate for Payer: Meridian Medicaid |
$5.37
|
| Rate for Payer: Meridian Medicaid |
$5.37
|
| Rate for Payer: Meridian Medicaid |
$5.37
|
| Rate for Payer: Nomi Health Commercial |
$36.86
|
| Rate for Payer: Nomi Health Commercial |
$36.86
|
| Rate for Payer: Nomi Health Commercial |
$36.86
|
| Rate for Payer: PACE SWMI |
$30.72
|
| Rate for Payer: PACE SWMI |
$30.72
|
| Rate for Payer: PACE SWMI |
$30.72
|
| Rate for Payer: PHP Commercial |
$43.01
|
| Rate for Payer: PHP Commercial |
$43.01
|
| Rate for Payer: PHP Commercial |
$43.01
|
| Rate for Payer: PHP Medicare Advantage |
$30.72
|
| Rate for Payer: PHP Medicare Advantage |
$30.72
|
| Rate for Payer: PHP Medicare Advantage |
$30.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$56.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$52.87
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$52.87
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$52.87
|
| Rate for Payer: Priority Health Medicare |
$30.72
|
| Rate for Payer: Priority Health Medicare |
$30.72
|
| Rate for Payer: Priority Health Medicare |
$30.72
|
| Rate for Payer: Priority Health Narrow Network |
$52.87
|
| Rate for Payer: Priority Health Narrow Network |
$52.87
|
| Rate for Payer: Priority Health Narrow Network |
$52.87
|
| Rate for Payer: Priority Health SBD |
$12.32
|
| Rate for Payer: Priority Health SBD |
$12.32
|
| Rate for Payer: Priority Health SBD |
$12.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$30.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$30.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$30.72
|
| Rate for Payer: UHC Medicare Advantage |
$30.72
|
| Rate for Payer: UHC Medicare Advantage |
$30.72
|
| Rate for Payer: UHC Medicare Advantage |
$30.72
|
| Rate for Payer: UHCCP Medicaid |
$5.11
|
| Rate for Payer: UHCCP Medicaid |
$5.11
|
| Rate for Payer: UHCCP Medicaid |
$5.11
|
| Rate for Payer: UMR Bronson Commercial |
$13.80
|
| Rate for Payer: UMR Bronson Commercial |
$40.02
|
| Rate for Payer: UMR Bronson Commercial |
$20.70
|
|
|
CHG RADEX FOREARM 2 VIEWS
|
Professional
|
Both
|
$39.00
|
|
|
Service Code
|
HCPCS 73090
|
| Min. Negotiated Rate |
$4.90 |
| Max. Negotiated Rate |
$439.55 |
| Rate for Payer: Aetna Commercial |
$35.59
|
| Rate for Payer: Aetna Commercial |
$35.59
|
| Rate for Payer: Aetna Commercial |
$35.59
|
| Rate for Payer: Aetna Medicare |
$27.62
|
| Rate for Payer: Aetna Medicare |
$27.62
|
| Rate for Payer: Aetna Medicare |
$27.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$38.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$35.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$35.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$38.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$35.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$38.25
|
| Rate for Payer: BCBS Complete |
$5.14
|
| Rate for Payer: BCBS Complete |
$5.14
|
| Rate for Payer: BCBS Complete |
$5.14
|
| Rate for Payer: BCBS MAPPO |
$26.56
|
| Rate for Payer: BCBS MAPPO |
$26.56
|
| Rate for Payer: BCBS MAPPO |
$26.56
|
| Rate for Payer: BCBS Trust/PPO |
$439.55
|
| Rate for Payer: BCBS Trust/PPO |
$439.55
|
| Rate for Payer: BCBS Trust/PPO |
$439.55
|
| Rate for Payer: BCN Commercial |
$43.00
|
| Rate for Payer: BCN Commercial |
$43.00
|
| Rate for Payer: BCN Commercial |
$43.00
|
| Rate for Payer: BCN Medicare Advantage |
$26.56
|
| Rate for Payer: BCN Medicare Advantage |
$26.56
|
| Rate for Payer: BCN Medicare Advantage |
$26.56
|
| Rate for Payer: Cash Price |
$23.20
|
| Rate for Payer: Cash Price |
$23.20
|
| Rate for Payer: Cash Price |
$72.00
|
| Rate for Payer: Cash Price |
$72.00
|
| Rate for Payer: Cash Price |
$31.20
|
| Rate for Payer: Cash Price |
$31.20
|
| Rate for Payer: Cofinity Commercial |
$35.59
|
| Rate for Payer: Cofinity Commercial |
$35.59
|
| Rate for Payer: Cofinity Commercial |
$38.25
|
| Rate for Payer: Cofinity Commercial |
$38.25
|
| Rate for Payer: Cofinity Commercial |
$38.25
|
| Rate for Payer: Cofinity Commercial |
$35.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27.89
|
| Rate for Payer: Meridian Medicaid |
$5.14
|
| Rate for Payer: Meridian Medicaid |
$5.14
|
| Rate for Payer: Meridian Medicaid |
$5.14
|
| Rate for Payer: Nomi Health Commercial |
$31.87
|
| Rate for Payer: Nomi Health Commercial |
$31.87
|
| Rate for Payer: Nomi Health Commercial |
$31.87
|
| Rate for Payer: PACE SWMI |
$26.56
|
| Rate for Payer: PACE SWMI |
$26.56
|
| Rate for Payer: PACE SWMI |
$26.56
|
| Rate for Payer: PHP Commercial |
$37.18
|
| Rate for Payer: PHP Commercial |
$37.18
|
| Rate for Payer: PHP Commercial |
$37.18
|
| Rate for Payer: PHP Medicare Advantage |
$26.56
|
| Rate for Payer: PHP Medicare Advantage |
$26.56
|
| Rate for Payer: PHP Medicare Advantage |
$26.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$25.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$58.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$45.16
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$45.16
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$45.16
|
| Rate for Payer: Priority Health Medicare |
$26.56
|
| Rate for Payer: Priority Health Medicare |
$26.56
|
| Rate for Payer: Priority Health Medicare |
$26.56
|
| Rate for Payer: Priority Health Narrow Network |
$45.16
|
| Rate for Payer: Priority Health Narrow Network |
$45.16
|
| Rate for Payer: Priority Health Narrow Network |
$45.16
|
| Rate for Payer: Priority Health SBD |
$11.81
|
| Rate for Payer: Priority Health SBD |
$11.81
|
| Rate for Payer: Priority Health SBD |
$11.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$26.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$26.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$26.56
|
| Rate for Payer: UHC Medicare Advantage |
$26.56
|
| Rate for Payer: UHC Medicare Advantage |
$26.56
|
| Rate for Payer: UHC Medicare Advantage |
$26.56
|
| Rate for Payer: UHCCP Medicaid |
$4.90
|
| Rate for Payer: UHCCP Medicaid |
$4.90
|
| Rate for Payer: UHCCP Medicaid |
$4.90
|
| Rate for Payer: UMR Bronson Commercial |
$13.34
|
| Rate for Payer: UMR Bronson Commercial |
$41.40
|
| Rate for Payer: UMR Bronson Commercial |
$17.94
|
|
|
CHG RADEX HAND 2 VIEWS
|
Professional
|
Both
|
$38.00
|
|
|
Service Code
|
HCPCS 73120
|
| Min. Negotiated Rate |
$5.11 |
| Max. Negotiated Rate |
$138.94 |
| Rate for Payer: Aetna Commercial |
$37.96
|
| Rate for Payer: Aetna Commercial |
$37.96
|
| Rate for Payer: Aetna Commercial |
$37.96
|
| Rate for Payer: Aetna Medicare |
$29.46
|
| Rate for Payer: Aetna Medicare |
$29.46
|
| Rate for Payer: Aetna Medicare |
$29.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$37.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$37.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$37.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40.80
|
| Rate for Payer: BCBS Complete |
$5.37
|
| Rate for Payer: BCBS Complete |
$5.37
|
| Rate for Payer: BCBS Complete |
$5.37
|
| Rate for Payer: BCBS MAPPO |
$28.33
|
| Rate for Payer: BCBS MAPPO |
$28.33
|
| Rate for Payer: BCBS MAPPO |
$28.33
|
| Rate for Payer: BCBS Trust/PPO |
$138.94
|
| Rate for Payer: BCBS Trust/PPO |
$138.94
|
| Rate for Payer: BCBS Trust/PPO |
$138.94
|
| Rate for Payer: BCN Commercial |
$45.94
|
| Rate for Payer: BCN Commercial |
$45.94
|
| Rate for Payer: BCN Commercial |
$45.94
|
| Rate for Payer: BCN Medicare Advantage |
$28.33
|
| Rate for Payer: BCN Medicare Advantage |
$28.33
|
| Rate for Payer: BCN Medicare Advantage |
$28.33
|
| Rate for Payer: Cash Price |
$21.60
|
| Rate for Payer: Cash Price |
$21.60
|
| Rate for Payer: Cash Price |
$65.60
|
| Rate for Payer: Cash Price |
$65.60
|
| Rate for Payer: Cash Price |
$30.40
|
| Rate for Payer: Cash Price |
$30.40
|
| Rate for Payer: Cofinity Commercial |
$37.96
|
| Rate for Payer: Cofinity Commercial |
$37.96
|
| Rate for Payer: Cofinity Commercial |
$40.80
|
| Rate for Payer: Cofinity Commercial |
$40.80
|
| Rate for Payer: Cofinity Commercial |
$40.80
|
| Rate for Payer: Cofinity Commercial |
$37.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29.75
|
| Rate for Payer: Meridian Medicaid |
$5.37
|
| Rate for Payer: Meridian Medicaid |
$5.37
|
| Rate for Payer: Meridian Medicaid |
$5.37
|
| Rate for Payer: Nomi Health Commercial |
$34.00
|
| Rate for Payer: Nomi Health Commercial |
$34.00
|
| Rate for Payer: Nomi Health Commercial |
$34.00
|
| Rate for Payer: PACE SWMI |
$28.33
|
| Rate for Payer: PACE SWMI |
$28.33
|
| Rate for Payer: PACE SWMI |
$28.33
|
| Rate for Payer: PHP Commercial |
$39.66
|
| Rate for Payer: PHP Commercial |
$39.66
|
| Rate for Payer: PHP Commercial |
$39.66
|
| Rate for Payer: PHP Medicare Advantage |
$28.33
|
| Rate for Payer: PHP Medicare Advantage |
$28.33
|
| Rate for Payer: PHP Medicare Advantage |
$28.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$24.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$53.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$48.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$48.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$48.75
|
| Rate for Payer: Priority Health Medicare |
$28.33
|
| Rate for Payer: Priority Health Medicare |
$28.33
|
| Rate for Payer: Priority Health Medicare |
$28.33
|
| Rate for Payer: Priority Health Narrow Network |
$48.75
|
| Rate for Payer: Priority Health Narrow Network |
$48.75
|
| Rate for Payer: Priority Health Narrow Network |
$48.75
|
| Rate for Payer: Priority Health SBD |
$12.32
|
| Rate for Payer: Priority Health SBD |
$12.32
|
| Rate for Payer: Priority Health SBD |
$12.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$28.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$28.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$28.33
|
| Rate for Payer: UHC Medicare Advantage |
$28.33
|
| Rate for Payer: UHC Medicare Advantage |
$28.33
|
| Rate for Payer: UHC Medicare Advantage |
$28.33
|
| Rate for Payer: UHCCP Medicaid |
$5.11
|
| Rate for Payer: UHCCP Medicaid |
$5.11
|
| Rate for Payer: UHCCP Medicaid |
$5.11
|
| Rate for Payer: UMR Bronson Commercial |
$12.42
|
| Rate for Payer: UMR Bronson Commercial |
$37.72
|
| Rate for Payer: UMR Bronson Commercial |
$17.48
|
|
|
CHG RADEX HAND MINIMUM 3 VIEWS
|
Professional
|
Both
|
$47.00
|
|
|
Service Code
|
HCPCS 73130
|
| Min. Negotiated Rate |
$5.33 |
| Max. Negotiated Rate |
$325.96 |
| Rate for Payer: Aetna Commercial |
$45.10
|
| Rate for Payer: Aetna Commercial |
$45.10
|
| Rate for Payer: Aetna Commercial |
$45.10
|
| Rate for Payer: Aetna Medicare |
$35.01
|
| Rate for Payer: Aetna Medicare |
$35.01
|
| Rate for Payer: Aetna Medicare |
$35.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$45.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$45.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$45.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.47
|
| Rate for Payer: BCBS Complete |
$5.60
|
| Rate for Payer: BCBS Complete |
$5.60
|
| Rate for Payer: BCBS Complete |
$5.60
|
| Rate for Payer: BCBS MAPPO |
$33.66
|
| Rate for Payer: BCBS MAPPO |
$33.66
|
| Rate for Payer: BCBS MAPPO |
$33.66
|
| Rate for Payer: BCBS Trust/PPO |
$325.96
|
| Rate for Payer: BCBS Trust/PPO |
$325.96
|
| Rate for Payer: BCBS Trust/PPO |
$325.96
|
| Rate for Payer: BCN Commercial |
$54.24
|
| Rate for Payer: BCN Commercial |
$54.24
|
| Rate for Payer: BCN Commercial |
$54.24
|
| Rate for Payer: BCN Medicare Advantage |
$33.66
|
| Rate for Payer: BCN Medicare Advantage |
$33.66
|
| Rate for Payer: BCN Medicare Advantage |
$33.66
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Cash Price |
$76.80
|
| Rate for Payer: Cash Price |
$76.80
|
| Rate for Payer: Cash Price |
$37.60
|
| Rate for Payer: Cash Price |
$37.60
|
| Rate for Payer: Cofinity Commercial |
$45.10
|
| Rate for Payer: Cofinity Commercial |
$45.10
|
| Rate for Payer: Cofinity Commercial |
$48.47
|
| Rate for Payer: Cofinity Commercial |
$48.47
|
| Rate for Payer: Cofinity Commercial |
$48.47
|
| Rate for Payer: Cofinity Commercial |
$45.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35.34
|
| Rate for Payer: Meridian Medicaid |
$5.60
|
| Rate for Payer: Meridian Medicaid |
$5.60
|
| Rate for Payer: Meridian Medicaid |
$5.60
|
| Rate for Payer: Nomi Health Commercial |
$40.39
|
| Rate for Payer: Nomi Health Commercial |
$40.39
|
| Rate for Payer: Nomi Health Commercial |
$40.39
|
| Rate for Payer: PACE SWMI |
$33.66
|
| Rate for Payer: PACE SWMI |
$33.66
|
| Rate for Payer: PACE SWMI |
$33.66
|
| Rate for Payer: PHP Commercial |
$47.12
|
| Rate for Payer: PHP Commercial |
$47.12
|
| Rate for Payer: PHP Commercial |
$47.12
|
| Rate for Payer: PHP Medicare Advantage |
$33.66
|
| Rate for Payer: PHP Medicare Advantage |
$33.66
|
| Rate for Payer: PHP Medicare Advantage |
$33.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$20.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$62.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$57.48
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$57.48
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$57.48
|
| Rate for Payer: Priority Health Medicare |
$33.66
|
| Rate for Payer: Priority Health Medicare |
$33.66
|
| Rate for Payer: Priority Health Medicare |
$33.66
|
| Rate for Payer: Priority Health Narrow Network |
$57.48
|
| Rate for Payer: Priority Health Narrow Network |
$57.48
|
| Rate for Payer: Priority Health Narrow Network |
$57.48
|
| Rate for Payer: Priority Health SBD |
$12.83
|
| Rate for Payer: Priority Health SBD |
$12.83
|
| Rate for Payer: Priority Health SBD |
$12.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$33.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$33.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$33.66
|
| Rate for Payer: UHC Medicare Advantage |
$33.66
|
| Rate for Payer: UHC Medicare Advantage |
$33.66
|
| Rate for Payer: UHC Medicare Advantage |
$33.66
|
| Rate for Payer: UHCCP Medicaid |
$5.33
|
| Rate for Payer: UHCCP Medicaid |
$5.33
|
| Rate for Payer: UHCCP Medicaid |
$5.33
|
| Rate for Payer: UMR Bronson Commercial |
$14.26
|
| Rate for Payer: UMR Bronson Commercial |
$44.16
|
| Rate for Payer: UMR Bronson Commercial |
$21.62
|
|
|
CHG RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS
|
Professional
|
Both
|
$77.00
|
|
|
Service Code
|
HCPCS 73521
|
| Min. Negotiated Rate |
$6.82 |
| Max. Negotiated Rate |
$355.02 |
| Rate for Payer: Aetna Commercial |
$50.04
|
| Rate for Payer: Aetna Commercial |
$50.04
|
| Rate for Payer: Aetna Medicare |
$38.83
|
| Rate for Payer: Aetna Medicare |
$38.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$50.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$53.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$53.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$50.04
|
| Rate for Payer: BCBS Complete |
$7.16
|
| Rate for Payer: BCBS Complete |
$7.16
|
| Rate for Payer: BCBS MAPPO |
$37.34
|
| Rate for Payer: BCBS MAPPO |
$37.34
|
| Rate for Payer: BCBS Trust/PPO |
$355.02
|
| Rate for Payer: BCBS Trust/PPO |
$355.02
|
| Rate for Payer: BCN Commercial |
$60.60
|
| Rate for Payer: BCN Commercial |
$60.60
|
| Rate for Payer: BCN Medicare Advantage |
$37.34
|
| Rate for Payer: BCN Medicare Advantage |
$37.34
|
| Rate for Payer: Cash Price |
$18.40
|
| Rate for Payer: Cash Price |
$18.40
|
| Rate for Payer: Cash Price |
$61.60
|
| Rate for Payer: Cash Price |
$61.60
|
| Rate for Payer: Cofinity Commercial |
$50.04
|
| Rate for Payer: Cofinity Commercial |
$53.77
|
| Rate for Payer: Cofinity Commercial |
$53.77
|
| Rate for Payer: Cofinity Commercial |
$50.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39.21
|
| Rate for Payer: Meridian Medicaid |
$7.16
|
| Rate for Payer: Meridian Medicaid |
$7.16
|
| Rate for Payer: Nomi Health Commercial |
$44.81
|
| Rate for Payer: Nomi Health Commercial |
$44.81
|
| Rate for Payer: PACE SWMI |
$37.34
|
| Rate for Payer: PACE SWMI |
$37.34
|
| Rate for Payer: PHP Commercial |
$52.28
|
| Rate for Payer: PHP Commercial |
$52.28
|
| Rate for Payer: PHP Medicare Advantage |
$37.34
|
| Rate for Payer: PHP Medicare Advantage |
$37.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$50.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$63.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$63.65
|
| Rate for Payer: Priority Health Medicare |
$37.34
|
| Rate for Payer: Priority Health Medicare |
$37.34
|
| Rate for Payer: Priority Health Narrow Network |
$63.65
|
| Rate for Payer: Priority Health Narrow Network |
$63.65
|
| Rate for Payer: Priority Health SBD |
$16.42
|
| Rate for Payer: Priority Health SBD |
$16.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$37.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$37.34
|
| Rate for Payer: UHC Medicare Advantage |
$37.34
|
| Rate for Payer: UHC Medicare Advantage |
$37.34
|
| Rate for Payer: UHCCP Medicaid |
$6.82
|
| Rate for Payer: UHCCP Medicaid |
$6.82
|
| Rate for Payer: UMR Bronson Commercial |
$10.58
|
| Rate for Payer: UMR Bronson Commercial |
$35.42
|
|
|
CHG RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS
|
Professional
|
Both
|
$31.00
|
|
|
Service Code
|
HCPCS 73522
|
| Min. Negotiated Rate |
$8.95 |
| Max. Negotiated Rate |
$358.19 |
| Rate for Payer: Aetna Commercial |
$65.31
|
| Rate for Payer: Aetna Commercial |
$65.31
|
| Rate for Payer: Aetna Commercial |
$65.31
|
| Rate for Payer: Aetna Medicare |
$50.69
|
| Rate for Payer: Aetna Medicare |
$50.69
|
| Rate for Payer: Aetna Medicare |
$50.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$70.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$65.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$65.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$70.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$65.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$70.19
|
| Rate for Payer: BCBS Complete |
$9.40
|
| Rate for Payer: BCBS Complete |
$9.40
|
| Rate for Payer: BCBS Complete |
$9.40
|
| Rate for Payer: BCBS MAPPO |
$48.74
|
| Rate for Payer: BCBS MAPPO |
$48.74
|
| Rate for Payer: BCBS MAPPO |
$48.74
|
| Rate for Payer: BCBS Trust/PPO |
$358.19
|
| Rate for Payer: BCBS Trust/PPO |
$358.19
|
| Rate for Payer: BCBS Trust/PPO |
$358.19
|
| Rate for Payer: BCN Commercial |
$78.68
|
| Rate for Payer: BCN Commercial |
$78.68
|
| Rate for Payer: BCN Commercial |
$78.68
|
| Rate for Payer: BCN Medicare Advantage |
$48.74
|
| Rate for Payer: BCN Medicare Advantage |
$48.74
|
| Rate for Payer: BCN Medicare Advantage |
$48.74
|
| Rate for Payer: Cash Price |
$93.60
|
| Rate for Payer: Cash Price |
$93.60
|
| Rate for Payer: Cash Price |
$50.40
|
| Rate for Payer: Cash Price |
$50.40
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Cofinity Commercial |
$65.31
|
| Rate for Payer: Cofinity Commercial |
$65.31
|
| Rate for Payer: Cofinity Commercial |
$70.19
|
| Rate for Payer: Cofinity Commercial |
$70.19
|
| Rate for Payer: Cofinity Commercial |
$70.19
|
| Rate for Payer: Cofinity Commercial |
$65.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$48.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$48.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$48.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$51.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$51.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$51.18
|
| Rate for Payer: Meridian Medicaid |
$9.40
|
| Rate for Payer: Meridian Medicaid |
$9.40
|
| Rate for Payer: Meridian Medicaid |
$9.40
|
| Rate for Payer: Nomi Health Commercial |
$58.49
|
| Rate for Payer: Nomi Health Commercial |
$58.49
|
| Rate for Payer: Nomi Health Commercial |
$58.49
|
| Rate for Payer: PACE SWMI |
$48.74
|
| Rate for Payer: PACE SWMI |
$48.74
|
| Rate for Payer: PACE SWMI |
$48.74
|
| Rate for Payer: PHP Commercial |
$68.24
|
| Rate for Payer: PHP Commercial |
$68.24
|
| Rate for Payer: PHP Commercial |
$68.24
|
| Rate for Payer: PHP Medicare Advantage |
$48.74
|
| Rate for Payer: PHP Medicare Advantage |
$48.74
|
| Rate for Payer: PHP Medicare Advantage |
$48.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$76.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$20.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$40.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$83.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$83.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$83.15
|
| Rate for Payer: Priority Health Medicare |
$48.74
|
| Rate for Payer: Priority Health Medicare |
$48.74
|
| Rate for Payer: Priority Health Medicare |
$48.74
|
| Rate for Payer: Priority Health Narrow Network |
$83.15
|
| Rate for Payer: Priority Health Narrow Network |
$83.15
|
| Rate for Payer: Priority Health Narrow Network |
$83.15
|
| Rate for Payer: Priority Health SBD |
$21.56
|
| Rate for Payer: Priority Health SBD |
$21.56
|
| Rate for Payer: Priority Health SBD |
$21.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$48.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$48.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$48.74
|
| Rate for Payer: UHC Medicare Advantage |
$48.74
|
| Rate for Payer: UHC Medicare Advantage |
$48.74
|
| Rate for Payer: UHC Medicare Advantage |
$48.74
|
| Rate for Payer: UHCCP Medicaid |
$8.95
|
| Rate for Payer: UHCCP Medicaid |
$8.95
|
| Rate for Payer: UHCCP Medicaid |
$8.95
|
| Rate for Payer: UMR Bronson Commercial |
$53.82
|
| Rate for Payer: UMR Bronson Commercial |
$28.98
|
| Rate for Payer: UMR Bronson Commercial |
$14.26
|
|
|
CHG RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS
|
Professional
|
Both
|
$26.00
|
|
|
Service Code
|
HCPCS 73523
|
| Min. Negotiated Rate |
$9.59 |
| Max. Negotiated Rate |
$2,539.54 |
| Rate for Payer: Aetna Commercial |
$74.99
|
| Rate for Payer: Aetna Commercial |
$74.99
|
| Rate for Payer: Aetna Medicare |
$58.20
|
| Rate for Payer: Aetna Medicare |
$58.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$74.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$80.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$80.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$74.99
|
| Rate for Payer: BCBS Complete |
$10.07
|
| Rate for Payer: BCBS Complete |
$10.07
|
| Rate for Payer: BCBS MAPPO |
$55.96
|
| Rate for Payer: BCBS MAPPO |
$55.96
|
| Rate for Payer: BCBS Trust/PPO |
$2,539.54
|
| Rate for Payer: BCBS Trust/PPO |
$2,539.54
|
| Rate for Payer: BCN Commercial |
$90.89
|
| Rate for Payer: BCN Commercial |
$90.89
|
| Rate for Payer: BCN Medicare Advantage |
$55.96
|
| Rate for Payer: BCN Medicare Advantage |
$55.96
|
| Rate for Payer: Cash Price |
$91.20
|
| Rate for Payer: Cash Price |
$91.20
|
| Rate for Payer: Cash Price |
$20.80
|
| Rate for Payer: Cash Price |
$20.80
|
| Rate for Payer: Cofinity Commercial |
$74.99
|
| Rate for Payer: Cofinity Commercial |
$80.58
|
| Rate for Payer: Cofinity Commercial |
$80.58
|
| Rate for Payer: Cofinity Commercial |
$74.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$55.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$55.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$58.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$58.76
|
| Rate for Payer: Meridian Medicaid |
$10.07
|
| Rate for Payer: Meridian Medicaid |
$10.07
|
| Rate for Payer: Nomi Health Commercial |
$67.15
|
| Rate for Payer: Nomi Health Commercial |
$67.15
|
| Rate for Payer: PACE SWMI |
$55.96
|
| Rate for Payer: PACE SWMI |
$55.96
|
| Rate for Payer: PHP Commercial |
$78.34
|
| Rate for Payer: PHP Commercial |
$78.34
|
| Rate for Payer: PHP Medicare Advantage |
$55.96
|
| Rate for Payer: PHP Medicare Advantage |
$55.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$74.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$95.46
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$95.46
|
| Rate for Payer: Priority Health Medicare |
$55.96
|
| Rate for Payer: Priority Health Medicare |
$55.96
|
| Rate for Payer: Priority Health Narrow Network |
$95.46
|
| Rate for Payer: Priority Health Narrow Network |
$95.46
|
| Rate for Payer: Priority Health SBD |
$23.10
|
| Rate for Payer: Priority Health SBD |
$23.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$55.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$55.96
|
| Rate for Payer: UHC Medicare Advantage |
$55.96
|
| Rate for Payer: UHC Medicare Advantage |
$55.96
|
| Rate for Payer: UHCCP Medicaid |
$9.59
|
| Rate for Payer: UHCCP Medicaid |
$9.59
|
| Rate for Payer: UMR Bronson Commercial |
$52.44
|
| Rate for Payer: UMR Bronson Commercial |
$11.96
|
|
