|
CHG RADEX SPINE THORACIC 2 VIEWS
|
Professional
|
Both
|
$37.00
|
|
|
Service Code
|
HCPCS 72070
|
| Min. Negotiated Rate |
$6.18 |
| Max. Negotiated Rate |
$165.36 |
| Rate for Payer: Aetna Commercial |
$40.09
|
| Rate for Payer: Aetna Commercial |
$40.09
|
| Rate for Payer: Aetna Commercial |
$40.09
|
| Rate for Payer: Aetna Medicare |
$31.12
|
| Rate for Payer: Aetna Medicare |
$31.12
|
| Rate for Payer: Aetna Medicare |
$31.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.08
|
| Rate for Payer: BCBS Complete |
$6.49
|
| Rate for Payer: BCBS Complete |
$6.49
|
| Rate for Payer: BCBS Complete |
$6.49
|
| Rate for Payer: BCBS MAPPO |
$29.92
|
| Rate for Payer: BCBS MAPPO |
$29.92
|
| Rate for Payer: BCBS MAPPO |
$29.92
|
| Rate for Payer: BCBS Trust/PPO |
$165.36
|
| Rate for Payer: BCBS Trust/PPO |
$165.36
|
| Rate for Payer: BCBS Trust/PPO |
$165.36
|
| Rate for Payer: BCN Commercial |
$48.38
|
| Rate for Payer: BCN Commercial |
$48.38
|
| Rate for Payer: BCN Commercial |
$48.38
|
| Rate for Payer: BCN Medicare Advantage |
$29.92
|
| Rate for Payer: BCN Medicare Advantage |
$29.92
|
| Rate for Payer: BCN Medicare Advantage |
$29.92
|
| Rate for Payer: Cash Price |
$81.60
|
| Rate for Payer: Cash Price |
$81.60
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cash Price |
$29.60
|
| Rate for Payer: Cash Price |
$29.60
|
| Rate for Payer: Cofinity Commercial |
$40.09
|
| Rate for Payer: Cofinity Commercial |
$40.09
|
| Rate for Payer: Cofinity Commercial |
$43.08
|
| Rate for Payer: Cofinity Commercial |
$43.08
|
| Rate for Payer: Cofinity Commercial |
$43.08
|
| Rate for Payer: Cofinity Commercial |
$40.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.42
|
| Rate for Payer: Meridian Medicaid |
$6.49
|
| Rate for Payer: Meridian Medicaid |
$6.49
|
| Rate for Payer: Meridian Medicaid |
$6.49
|
| Rate for Payer: Nomi Health Commercial |
$35.90
|
| Rate for Payer: Nomi Health Commercial |
$35.90
|
| Rate for Payer: Nomi Health Commercial |
$35.90
|
| Rate for Payer: PACE SWMI |
$29.92
|
| Rate for Payer: PACE SWMI |
$29.92
|
| Rate for Payer: PACE SWMI |
$29.92
|
| Rate for Payer: PHP Commercial |
$41.89
|
| Rate for Payer: PHP Commercial |
$41.89
|
| Rate for Payer: PHP Commercial |
$41.89
|
| Rate for Payer: PHP Medicare Advantage |
$29.92
|
| Rate for Payer: PHP Medicare Advantage |
$29.92
|
| Rate for Payer: PHP Medicare Advantage |
$29.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$66.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$24.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.60
|
| 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 |
$29.92
|
| Rate for Payer: Priority Health Medicare |
$29.92
|
| Rate for Payer: Priority Health Medicare |
$29.92
|
| 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 |
$14.88
|
| Rate for Payer: Priority Health SBD |
$14.88
|
| Rate for Payer: Priority Health SBD |
$14.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$29.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$29.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$29.92
|
| Rate for Payer: UHC Medicare Advantage |
$29.92
|
| Rate for Payer: UHC Medicare Advantage |
$29.92
|
| Rate for Payer: UHC Medicare Advantage |
$29.92
|
| Rate for Payer: UHCCP Medicaid |
$6.18
|
| Rate for Payer: UHCCP Medicaid |
$6.18
|
| Rate for Payer: UHCCP Medicaid |
$6.18
|
| Rate for Payer: UMR Bronson Commercial |
$46.92
|
| Rate for Payer: UMR Bronson Commercial |
$20.24
|
| Rate for Payer: UMR Bronson Commercial |
$17.02
|
|
|
CHG RADEX SPINE THORACIC 3 VIEWS
|
Professional
|
Both
|
$82.00
|
|
|
Service Code
|
HCPCS 72072
|
| Min. Negotiated Rate |
$6.82 |
| Max. Negotiated Rate |
$1,922.48 |
| Rate for Payer: Aetna Commercial |
$47.70
|
| Rate for Payer: Aetna Medicare |
$37.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$51.26
|
| Rate for Payer: BCBS Complete |
$7.16
|
| Rate for Payer: BCBS MAPPO |
$35.60
|
| Rate for Payer: BCBS Trust/PPO |
$1,922.48
|
| Rate for Payer: BCN Commercial |
$57.66
|
| Rate for Payer: BCN Medicare Advantage |
$35.60
|
| Rate for Payer: Cash Price |
$65.60
|
| Rate for Payer: Cash Price |
$65.60
|
| Rate for Payer: Cofinity Commercial |
$47.70
|
| Rate for Payer: Cofinity Commercial |
$51.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37.38
|
| Rate for Payer: Meridian Medicaid |
$7.16
|
| Rate for Payer: Nomi Health Commercial |
$42.72
|
| Rate for Payer: PACE SWMI |
$35.60
|
| Rate for Payer: PHP Commercial |
$49.84
|
| Rate for Payer: PHP Medicare Advantage |
$35.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$53.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$61.07
|
| Rate for Payer: Priority Health Medicare |
$35.60
|
| Rate for Payer: Priority Health Narrow Network |
$61.07
|
| Rate for Payer: Priority Health SBD |
$16.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$35.60
|
| Rate for Payer: UHC Medicare Advantage |
$35.60
|
| Rate for Payer: UHCCP Medicaid |
$6.82
|
| Rate for Payer: UMR Bronson Commercial |
$37.72
|
|
|
CHG RADEX SPINE THORACIC MINIMUM 4 VIEWS
|
Professional
|
Both
|
$75.00
|
|
|
Service Code
|
HCPCS 72074
|
| Min. Negotiated Rate |
$7.46 |
| Max. Negotiated Rate |
$376.68 |
| Rate for Payer: Aetna Commercial |
$54.11
|
| Rate for Payer: Aetna Medicare |
$42.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$54.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$58.15
|
| Rate for Payer: BCBS Complete |
$7.83
|
| Rate for Payer: BCBS MAPPO |
$40.38
|
| Rate for Payer: BCBS Trust/PPO |
$376.68
|
| Rate for Payer: BCN Commercial |
$64.99
|
| Rate for Payer: BCN Medicare Advantage |
$40.38
|
| Rate for Payer: Cash Price |
$60.00
|
| Rate for Payer: Cash Price |
$60.00
|
| Rate for Payer: Cofinity Commercial |
$54.11
|
| Rate for Payer: Cofinity Commercial |
$58.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$40.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$42.40
|
| Rate for Payer: Meridian Medicaid |
$7.83
|
| Rate for Payer: Nomi Health Commercial |
$48.46
|
| Rate for Payer: PACE SWMI |
$40.38
|
| Rate for Payer: PHP Commercial |
$56.53
|
| Rate for Payer: PHP Medicare Advantage |
$40.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$48.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$68.78
|
| Rate for Payer: Priority Health Medicare |
$40.38
|
| Rate for Payer: Priority Health Narrow Network |
$68.78
|
| Rate for Payer: Priority Health SBD |
$17.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$40.38
|
| Rate for Payer: UHC Medicare Advantage |
$40.38
|
| Rate for Payer: UHCCP Medicaid |
$7.46
|
| Rate for Payer: UMR Bronson Commercial |
$34.50
|
|
|
CHG RADEX SPINE THORACOLUMBAR JUNCTION MIN 2 VIEWS
|
Professional
|
Both
|
$39.00
|
|
|
Service Code
|
HCPCS 72080
|
| Min. Negotiated Rate |
$6.39 |
| Max. Negotiated Rate |
$1,847.47 |
| Rate for Payer: Aetna Commercial |
$42.10
|
| Rate for Payer: Aetna Commercial |
$42.10
|
| Rate for Payer: Aetna Commercial |
$42.10
|
| Rate for Payer: Aetna Medicare |
$32.68
|
| Rate for Payer: Aetna Medicare |
$32.68
|
| Rate for Payer: Aetna Medicare |
$32.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$45.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$42.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$42.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$45.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$42.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$45.24
|
| Rate for Payer: BCBS Complete |
$6.71
|
| Rate for Payer: BCBS Complete |
$6.71
|
| Rate for Payer: BCBS Complete |
$6.71
|
| Rate for Payer: BCBS MAPPO |
$31.42
|
| Rate for Payer: BCBS MAPPO |
$31.42
|
| Rate for Payer: BCBS MAPPO |
$31.42
|
| Rate for Payer: BCBS Trust/PPO |
$1,847.47
|
| Rate for Payer: BCBS Trust/PPO |
$1,847.47
|
| Rate for Payer: BCBS Trust/PPO |
$1,847.47
|
| Rate for Payer: BCN Commercial |
$50.82
|
| Rate for Payer: BCN Commercial |
$50.82
|
| Rate for Payer: BCN Commercial |
$50.82
|
| Rate for Payer: BCN Medicare Advantage |
$31.42
|
| Rate for Payer: BCN Medicare Advantage |
$31.42
|
| Rate for Payer: BCN Medicare Advantage |
$31.42
|
| Rate for Payer: Cash Price |
$88.80
|
| Rate for Payer: Cash Price |
$88.80
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Cash Price |
$31.20
|
| Rate for Payer: Cash Price |
$31.20
|
| Rate for Payer: Cofinity Commercial |
$42.10
|
| Rate for Payer: Cofinity Commercial |
$42.10
|
| Rate for Payer: Cofinity Commercial |
$45.24
|
| Rate for Payer: Cofinity Commercial |
$45.24
|
| Rate for Payer: Cofinity Commercial |
$45.24
|
| Rate for Payer: Cofinity Commercial |
$42.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.99
|
| Rate for Payer: Meridian Medicaid |
$6.71
|
| Rate for Payer: Meridian Medicaid |
$6.71
|
| Rate for Payer: Meridian Medicaid |
$6.71
|
| Rate for Payer: Nomi Health Commercial |
$37.70
|
| Rate for Payer: Nomi Health Commercial |
$37.70
|
| Rate for Payer: Nomi Health Commercial |
$37.70
|
| Rate for Payer: PACE SWMI |
$31.42
|
| Rate for Payer: PACE SWMI |
$31.42
|
| Rate for Payer: PACE SWMI |
$31.42
|
| Rate for Payer: PHP Commercial |
$43.99
|
| Rate for Payer: PHP Commercial |
$43.99
|
| Rate for Payer: PHP Commercial |
$43.99
|
| Rate for Payer: PHP Medicare Advantage |
$31.42
|
| Rate for Payer: PHP Medicare Advantage |
$31.42
|
| Rate for Payer: PHP Medicare Advantage |
$31.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$72.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$25.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$31.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$53.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$53.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$53.38
|
| Rate for Payer: Priority Health Medicare |
$31.42
|
| Rate for Payer: Priority Health Medicare |
$31.42
|
| Rate for Payer: Priority Health Medicare |
$31.42
|
| Rate for Payer: Priority Health Narrow Network |
$53.38
|
| Rate for Payer: Priority Health Narrow Network |
$53.38
|
| Rate for Payer: Priority Health Narrow Network |
$53.38
|
| Rate for Payer: Priority Health SBD |
$15.40
|
| Rate for Payer: Priority Health SBD |
$15.40
|
| Rate for Payer: Priority Health SBD |
$15.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$31.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$31.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$31.42
|
| Rate for Payer: UHC Medicare Advantage |
$31.42
|
| Rate for Payer: UHC Medicare Advantage |
$31.42
|
| Rate for Payer: UHC Medicare Advantage |
$31.42
|
| Rate for Payer: UHCCP Medicaid |
$6.39
|
| Rate for Payer: UHCCP Medicaid |
$6.39
|
| Rate for Payer: UHCCP Medicaid |
$6.39
|
| Rate for Payer: UMR Bronson Commercial |
$51.06
|
| Rate for Payer: UMR Bronson Commercial |
$22.08
|
| Rate for Payer: UMR Bronson Commercial |
$17.94
|
|
|
CHG RADEX STERNOCLAVICULAR JT/JTS MINIMUM 3 VIEWS
|
Professional
|
Both
|
$51.00
|
|
|
Service Code
|
HCPCS 71130
|
| Min. Negotiated Rate |
$6.60 |
| Max. Negotiated Rate |
$5,212.15 |
| Rate for Payer: Aetna Commercial |
$49.65
|
| Rate for Payer: Aetna Commercial |
$49.65
|
| Rate for Payer: Aetna Medicare |
$38.53
|
| Rate for Payer: Aetna Medicare |
$38.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$49.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$53.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$53.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$49.65
|
| Rate for Payer: BCBS Complete |
$6.93
|
| Rate for Payer: BCBS Complete |
$6.93
|
| Rate for Payer: BCBS MAPPO |
$37.05
|
| Rate for Payer: BCBS MAPPO |
$37.05
|
| Rate for Payer: BCBS Trust/PPO |
$5,212.15
|
| Rate for Payer: BCBS Trust/PPO |
$5,212.15
|
| Rate for Payer: BCN Commercial |
$60.60
|
| Rate for Payer: BCN Commercial |
$60.60
|
| Rate for Payer: BCN Medicare Advantage |
$37.05
|
| Rate for Payer: BCN Medicare Advantage |
$37.05
|
| Rate for Payer: Cash Price |
$36.00
|
| Rate for Payer: Cash Price |
$36.00
|
| Rate for Payer: Cash Price |
$40.80
|
| Rate for Payer: Cash Price |
$40.80
|
| Rate for Payer: Cofinity Commercial |
$49.65
|
| Rate for Payer: Cofinity Commercial |
$53.35
|
| Rate for Payer: Cofinity Commercial |
$53.35
|
| Rate for Payer: Cofinity Commercial |
$49.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$38.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$38.90
|
| Rate for Payer: Meridian Medicaid |
$6.93
|
| Rate for Payer: Meridian Medicaid |
$6.93
|
| Rate for Payer: Nomi Health Commercial |
$44.46
|
| Rate for Payer: Nomi Health Commercial |
$44.46
|
| Rate for Payer: PACE SWMI |
$37.05
|
| Rate for Payer: PACE SWMI |
$37.05
|
| Rate for Payer: PHP Commercial |
$51.87
|
| Rate for Payer: PHP Commercial |
$51.87
|
| Rate for Payer: PHP Medicare Advantage |
$37.05
|
| Rate for Payer: PHP Medicare Advantage |
$37.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$33.15
|
| 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 |
$37.05
|
| Rate for Payer: Priority Health Medicare |
$37.05
|
| Rate for Payer: Priority Health Narrow Network |
$63.65
|
| Rate for Payer: Priority Health Narrow Network |
$63.65
|
| Rate for Payer: Priority Health SBD |
$15.91
|
| Rate for Payer: Priority Health SBD |
$15.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$37.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$37.05
|
| Rate for Payer: UHC Medicare Advantage |
$37.05
|
| Rate for Payer: UHC Medicare Advantage |
$37.05
|
| Rate for Payer: UHCCP Medicaid |
$6.60
|
| Rate for Payer: UHCCP Medicaid |
$6.60
|
| Rate for Payer: UMR Bronson Commercial |
$20.70
|
| Rate for Payer: UMR Bronson Commercial |
$23.46
|
|
|
CHG RADEX STERNUM MINIMUM 2 VIEWS
|
Professional
|
Both
|
$49.00
|
|
|
Service Code
|
HCPCS 71120
|
| Min. Negotiated Rate |
$5.96 |
| Max. Negotiated Rate |
$2,498.86 |
| Rate for Payer: Aetna Commercial |
$40.48
|
| Rate for Payer: Aetna Commercial |
$40.48
|
| Rate for Payer: Aetna Medicare |
$31.42
|
| Rate for Payer: Aetna Medicare |
$31.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40.48
|
| Rate for Payer: BCBS Complete |
$6.26
|
| Rate for Payer: BCBS Complete |
$6.26
|
| Rate for Payer: BCBS MAPPO |
$30.21
|
| Rate for Payer: BCBS MAPPO |
$30.21
|
| Rate for Payer: BCBS Trust/PPO |
$2,498.86
|
| Rate for Payer: BCBS Trust/PPO |
$2,498.86
|
| Rate for Payer: BCN Commercial |
$49.36
|
| Rate for Payer: BCN Commercial |
$49.36
|
| Rate for Payer: BCN Medicare Advantage |
$30.21
|
| Rate for Payer: BCN Medicare Advantage |
$30.21
|
| Rate for Payer: Cash Price |
$34.40
|
| Rate for Payer: Cash Price |
$34.40
|
| Rate for Payer: Cash Price |
$39.20
|
| Rate for Payer: Cash Price |
$39.20
|
| Rate for Payer: Cofinity Commercial |
$40.48
|
| Rate for Payer: Cofinity Commercial |
$43.50
|
| Rate for Payer: Cofinity Commercial |
$43.50
|
| Rate for Payer: Cofinity Commercial |
$40.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.72
|
| Rate for Payer: Meridian Medicaid |
$6.26
|
| Rate for Payer: Meridian Medicaid |
$6.26
|
| Rate for Payer: Nomi Health Commercial |
$36.25
|
| Rate for Payer: Nomi Health Commercial |
$36.25
|
| Rate for Payer: PACE SWMI |
$30.21
|
| Rate for Payer: PACE SWMI |
$30.21
|
| Rate for Payer: PHP Commercial |
$42.29
|
| Rate for Payer: PHP Commercial |
$42.29
|
| Rate for Payer: PHP Medicare Advantage |
$30.21
|
| Rate for Payer: PHP Medicare Advantage |
$30.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$31.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$51.84
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$51.84
|
| Rate for Payer: Priority Health Medicare |
$30.21
|
| Rate for Payer: Priority Health Medicare |
$30.21
|
| Rate for Payer: Priority Health Narrow Network |
$51.84
|
| Rate for Payer: Priority Health Narrow Network |
$51.84
|
| Rate for Payer: Priority Health SBD |
$14.37
|
| Rate for Payer: Priority Health SBD |
$14.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$30.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$30.21
|
| Rate for Payer: UHC Medicare Advantage |
$30.21
|
| Rate for Payer: UHC Medicare Advantage |
$30.21
|
| Rate for Payer: UHCCP Medicaid |
$5.96
|
| Rate for Payer: UHCCP Medicaid |
$5.96
|
| Rate for Payer: UMR Bronson Commercial |
$19.78
|
| Rate for Payer: UMR Bronson Commercial |
$22.54
|
|
|
CHG RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH BILAT
|
Professional
|
Both
|
$26.00
|
|
|
Service Code
|
HCPCS 70330
|
| Min. Negotiated Rate |
$7.24 |
| Max. Negotiated Rate |
$81.61 |
| Rate for Payer: Aetna Commercial |
$63.93
|
| Rate for Payer: Aetna Medicare |
$49.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$63.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$68.70
|
| Rate for Payer: BCBS Complete |
$7.60
|
| Rate for Payer: BCBS MAPPO |
$47.71
|
| Rate for Payer: BCN Commercial |
$77.70
|
| Rate for Payer: BCN Medicare Advantage |
$47.71
|
| Rate for Payer: Cash Price |
$20.80
|
| Rate for Payer: Cash Price |
$20.80
|
| Rate for Payer: Cofinity Commercial |
$63.93
|
| Rate for Payer: Cofinity Commercial |
$68.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$47.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$50.10
|
| Rate for Payer: Meridian Medicaid |
$7.60
|
| Rate for Payer: Nomi Health Commercial |
$57.25
|
| Rate for Payer: PACE SWMI |
$47.71
|
| Rate for Payer: PHP Commercial |
$66.79
|
| Rate for Payer: PHP Medicare Advantage |
$47.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$81.61
|
| Rate for Payer: Priority Health Medicare |
$47.71
|
| Rate for Payer: Priority Health Narrow Network |
$81.61
|
| Rate for Payer: Priority Health SBD |
$17.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$47.71
|
| Rate for Payer: UHC Medicare Advantage |
$47.71
|
| Rate for Payer: UHCCP Medicaid |
$7.24
|
| Rate for Payer: UMR Bronson Commercial |
$11.96
|
|
|
CHG RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH UNILAT
|
Professional
|
Both
|
$44.00
|
|
|
Service Code
|
HCPCS 70328
|
| Min. Negotiated Rate |
$5.54 |
| Max. Negotiated Rate |
$1,498.26 |
| Rate for Payer: Aetna Commercial |
$41.59
|
| Rate for Payer: Aetna Medicare |
$32.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44.70
|
| Rate for Payer: BCBS Complete |
$5.82
|
| Rate for Payer: BCBS MAPPO |
$31.04
|
| Rate for Payer: BCBS Trust/PPO |
$1,498.26
|
| Rate for Payer: BCN Commercial |
$50.82
|
| Rate for Payer: BCN Medicare Advantage |
$31.04
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cofinity Commercial |
$41.59
|
| Rate for Payer: Cofinity Commercial |
$44.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.59
|
| Rate for Payer: Meridian Medicaid |
$5.82
|
| Rate for Payer: Nomi Health Commercial |
$37.25
|
| Rate for Payer: PACE SWMI |
$31.04
|
| Rate for Payer: PHP Commercial |
$43.46
|
| Rate for Payer: PHP Medicare Advantage |
$31.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$53.38
|
| Rate for Payer: Priority Health Medicare |
$31.04
|
| Rate for Payer: Priority Health Narrow Network |
$53.38
|
| Rate for Payer: Priority Health SBD |
$13.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$31.04
|
| Rate for Payer: UHC Medicare Advantage |
$31.04
|
| Rate for Payer: UHCCP Medicaid |
$5.54
|
| Rate for Payer: UMR Bronson Commercial |
$20.24
|
|
|
CHG RADEX TOE MINIMUM 2 VIEWS
|
Professional
|
Both
|
$46.00
|
|
|
Service Code
|
HCPCS 73660
|
| Min. Negotiated Rate |
$4.05 |
| Max. Negotiated Rate |
$2,915.69 |
| Rate for Payer: Aetna Commercial |
$35.08
|
| Rate for Payer: Aetna Commercial |
$35.08
|
| Rate for Payer: Aetna Commercial |
$35.08
|
| Rate for Payer: Aetna Medicare |
$27.23
|
| Rate for Payer: Aetna Medicare |
$27.23
|
| Rate for Payer: Aetna Medicare |
$27.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$37.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$35.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$35.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$37.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$35.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$37.70
|
| Rate for Payer: BCBS Complete |
$4.25
|
| Rate for Payer: BCBS Complete |
$4.25
|
| Rate for Payer: BCBS Complete |
$4.25
|
| Rate for Payer: BCBS MAPPO |
$26.18
|
| Rate for Payer: BCBS MAPPO |
$26.18
|
| Rate for Payer: BCBS MAPPO |
$26.18
|
| Rate for Payer: BCBS Trust/PPO |
$2,915.69
|
| Rate for Payer: BCBS Trust/PPO |
$2,915.69
|
| Rate for Payer: BCBS Trust/PPO |
$2,915.69
|
| 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 |
$26.18
|
| Rate for Payer: BCN Medicare Advantage |
$26.18
|
| Rate for Payer: BCN Medicare Advantage |
$26.18
|
| Rate for Payer: Cash Price |
$19.20
|
| Rate for Payer: Cash Price |
$19.20
|
| Rate for Payer: Cash Price |
$58.40
|
| Rate for Payer: Cash Price |
$58.40
|
| Rate for Payer: Cash Price |
$36.80
|
| Rate for Payer: Cash Price |
$36.80
|
| Rate for Payer: Cofinity Commercial |
$35.08
|
| Rate for Payer: Cofinity Commercial |
$35.08
|
| Rate for Payer: Cofinity Commercial |
$37.70
|
| Rate for Payer: Cofinity Commercial |
$37.70
|
| Rate for Payer: Cofinity Commercial |
$37.70
|
| Rate for Payer: Cofinity Commercial |
$35.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27.49
|
| Rate for Payer: Meridian Medicaid |
$4.25
|
| Rate for Payer: Meridian Medicaid |
$4.25
|
| Rate for Payer: Meridian Medicaid |
$4.25
|
| Rate for Payer: Nomi Health Commercial |
$31.42
|
| Rate for Payer: Nomi Health Commercial |
$31.42
|
| Rate for Payer: Nomi Health Commercial |
$31.42
|
| Rate for Payer: PACE SWMI |
$26.18
|
| Rate for Payer: PACE SWMI |
$26.18
|
| Rate for Payer: PACE SWMI |
$26.18
|
| Rate for Payer: PHP Commercial |
$36.65
|
| Rate for Payer: PHP Commercial |
$36.65
|
| Rate for Payer: PHP Commercial |
$36.65
|
| Rate for Payer: PHP Medicare Advantage |
$26.18
|
| Rate for Payer: PHP Medicare Advantage |
$26.18
|
| Rate for Payer: PHP Medicare Advantage |
$26.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$15.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$47.45
|
| 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 |
$26.18
|
| Rate for Payer: Priority Health Medicare |
$26.18
|
| Rate for Payer: Priority Health Medicare |
$26.18
|
| 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 |
$9.74
|
| Rate for Payer: Priority Health SBD |
$9.74
|
| Rate for Payer: Priority Health SBD |
$9.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$26.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$26.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$26.18
|
| Rate for Payer: UHC Medicare Advantage |
$26.18
|
| Rate for Payer: UHC Medicare Advantage |
$26.18
|
| Rate for Payer: UHC Medicare Advantage |
$26.18
|
| Rate for Payer: UHCCP Medicaid |
$4.05
|
| Rate for Payer: UHCCP Medicaid |
$4.05
|
| Rate for Payer: UHCCP Medicaid |
$4.05
|
| Rate for Payer: UMR Bronson Commercial |
$11.04
|
| Rate for Payer: UMR Bronson Commercial |
$33.58
|
| Rate for Payer: UMR Bronson Commercial |
$21.16
|
|
|
CHG RADEX UPPER EXTREMITY INFANT MINIMUM 2 VIEWS
|
Professional
|
Both
|
$14.00
|
|
|
Service Code
|
HCPCS 73092
|
| Min. Negotiated Rate |
$4.90 |
| Max. Negotiated Rate |
$632.38 |
| Rate for Payer: Aetna Commercial |
$37.96
|
| Rate for Payer: Aetna Medicare |
$29.46
|
| 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 |
$5.14
|
| Rate for Payer: BCBS MAPPO |
$28.33
|
| Rate for Payer: BCBS Trust/PPO |
$632.38
|
| Rate for Payer: BCN Commercial |
$46.43
|
| Rate for Payer: BCN Medicare Advantage |
$28.33
|
| Rate for Payer: Cash Price |
$11.20
|
| Rate for Payer: Cash Price |
$11.20
|
| Rate for Payer: Cofinity Commercial |
$37.96
|
| Rate for Payer: Cofinity Commercial |
$40.80
|
| 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 Medicaid |
$5.14
|
| Rate for Payer: Nomi Health Commercial |
$34.00
|
| Rate for Payer: PACE SWMI |
$28.33
|
| Rate for Payer: PHP Commercial |
$39.66
|
| Rate for Payer: PHP Medicare Advantage |
$28.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$48.75
|
| Rate for Payer: Priority Health Medicare |
$28.33
|
| Rate for Payer: Priority Health Narrow Network |
$48.75
|
| Rate for Payer: Priority Health SBD |
$11.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$28.33
|
| Rate for Payer: UHC Medicare Advantage |
$28.33
|
| Rate for Payer: UHCCP Medicaid |
$4.90
|
| Rate for Payer: UMR Bronson Commercial |
$6.44
|
|
|
CHG RADEX WRIST 2 VIEWS
|
Professional
|
Both
|
$28.00
|
|
|
Service Code
|
HCPCS 73100
|
| Min. Negotiated Rate |
$5.11 |
| Max. Negotiated Rate |
$88.75 |
| Rate for Payer: Aetna Commercial |
$40.72
|
| Rate for Payer: Aetna Commercial |
$40.72
|
| Rate for Payer: Aetna Medicare |
$31.61
|
| Rate for Payer: Aetna Medicare |
$31.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.76
|
| Rate for Payer: BCBS Complete |
$5.37
|
| Rate for Payer: BCBS Complete |
$5.37
|
| Rate for Payer: BCBS MAPPO |
$30.39
|
| Rate for Payer: BCBS MAPPO |
$30.39
|
| Rate for Payer: BCBS Trust/PPO |
$88.75
|
| Rate for Payer: BCBS Trust/PPO |
$88.75
|
| Rate for Payer: BCN Commercial |
$49.85
|
| Rate for Payer: BCN Commercial |
$49.85
|
| Rate for Payer: BCN Medicare Advantage |
$30.39
|
| Rate for Payer: BCN Medicare Advantage |
$30.39
|
| Rate for Payer: Cash Price |
$22.40
|
| Rate for Payer: Cash Price |
$22.40
|
| Rate for Payer: Cash Price |
$67.20
|
| Rate for Payer: Cash Price |
$67.20
|
| Rate for Payer: Cofinity Commercial |
$40.72
|
| Rate for Payer: Cofinity Commercial |
$43.76
|
| Rate for Payer: Cofinity Commercial |
$43.76
|
| Rate for Payer: Cofinity Commercial |
$40.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.91
|
| Rate for Payer: Meridian Medicaid |
$5.37
|
| Rate for Payer: Meridian Medicaid |
$5.37
|
| Rate for Payer: Nomi Health Commercial |
$36.47
|
| Rate for Payer: Nomi Health Commercial |
$36.47
|
| Rate for Payer: PACE SWMI |
$30.39
|
| Rate for Payer: PACE SWMI |
$30.39
|
| Rate for Payer: PHP Commercial |
$42.55
|
| Rate for Payer: PHP Commercial |
$42.55
|
| Rate for Payer: PHP Medicare Advantage |
$30.39
|
| Rate for Payer: PHP Medicare Advantage |
$30.39
|
| 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 |
$18.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$54.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$52.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$52.35
|
| Rate for Payer: Priority Health Medicare |
$30.39
|
| Rate for Payer: Priority Health Medicare |
$30.39
|
| Rate for Payer: Priority Health Narrow Network |
$52.35
|
| Rate for Payer: Priority Health Narrow Network |
$52.35
|
| Rate for Payer: Priority Health SBD |
$12.32
|
| Rate for Payer: Priority Health SBD |
$12.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$30.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$30.39
|
| Rate for Payer: UHC Medicare Advantage |
$30.39
|
| Rate for Payer: UHC Medicare Advantage |
$30.39
|
| Rate for Payer: UHCCP Medicaid |
$5.11
|
| Rate for Payer: UHCCP Medicaid |
$5.11
|
| Rate for Payer: UMR Bronson Commercial |
$38.64
|
| Rate for Payer: UMR Bronson Commercial |
$12.88
|
|
|
CHG RADEX WRIST COMPLETE MINIMUM 3 VIEWS
|
Professional
|
Both
|
$56.00
|
|
|
Service Code
|
HCPCS 73110
|
| Min. Negotiated Rate |
$5.33 |
| Max. Negotiated Rate |
$115.70 |
| Rate for Payer: Aetna Commercial |
$49.85
|
| Rate for Payer: Aetna Commercial |
$49.85
|
| Rate for Payer: Aetna Commercial |
$49.85
|
| Rate for Payer: Aetna Medicare |
$38.69
|
| Rate for Payer: Aetna Medicare |
$38.69
|
| Rate for Payer: Aetna Medicare |
$38.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$53.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$49.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$49.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$53.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$49.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$53.57
|
| 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 |
$37.20
|
| Rate for Payer: BCBS MAPPO |
$37.20
|
| Rate for Payer: BCBS MAPPO |
$37.20
|
| Rate for Payer: BCBS Trust/PPO |
$115.70
|
| Rate for Payer: BCBS Trust/PPO |
$115.70
|
| Rate for Payer: BCBS Trust/PPO |
$115.70
|
| Rate for Payer: BCN Commercial |
$60.11
|
| Rate for Payer: BCN Commercial |
$60.11
|
| Rate for Payer: BCN Commercial |
$60.11
|
| Rate for Payer: BCN Medicare Advantage |
$37.20
|
| Rate for Payer: BCN Medicare Advantage |
$37.20
|
| Rate for Payer: BCN Medicare Advantage |
$37.20
|
| Rate for Payer: Cash Price |
$25.60
|
| Rate for Payer: Cash Price |
$25.60
|
| Rate for Payer: Cash Price |
$77.60
|
| Rate for Payer: Cash Price |
$77.60
|
| Rate for Payer: Cash Price |
$44.80
|
| Rate for Payer: Cash Price |
$44.80
|
| Rate for Payer: Cofinity Commercial |
$49.85
|
| Rate for Payer: Cofinity Commercial |
$49.85
|
| Rate for Payer: Cofinity Commercial |
$53.57
|
| Rate for Payer: Cofinity Commercial |
$53.57
|
| Rate for Payer: Cofinity Commercial |
$53.57
|
| Rate for Payer: Cofinity Commercial |
$49.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39.06
|
| 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 |
$44.64
|
| Rate for Payer: Nomi Health Commercial |
$44.64
|
| Rate for Payer: Nomi Health Commercial |
$44.64
|
| Rate for Payer: PACE SWMI |
$37.20
|
| Rate for Payer: PACE SWMI |
$37.20
|
| Rate for Payer: PACE SWMI |
$37.20
|
| Rate for Payer: PHP Commercial |
$52.08
|
| Rate for Payer: PHP Commercial |
$52.08
|
| Rate for Payer: PHP Commercial |
$52.08
|
| Rate for Payer: PHP Medicare Advantage |
$37.20
|
| Rate for Payer: PHP Medicare Advantage |
$37.20
|
| Rate for Payer: PHP Medicare Advantage |
$37.20
|
| 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 |
$20.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$36.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$63.05
|
| 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 HMO/PPO/Tiered Network |
$63.65
|
| Rate for Payer: Priority Health Medicare |
$37.20
|
| Rate for Payer: Priority Health Medicare |
$37.20
|
| Rate for Payer: Priority Health Medicare |
$37.20
|
| Rate for Payer: Priority Health Narrow Network |
$63.65
|
| Rate for Payer: Priority Health Narrow Network |
$63.65
|
| Rate for Payer: Priority Health Narrow Network |
$63.65
|
| 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 |
$37.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$37.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$37.20
|
| Rate for Payer: UHC Medicare Advantage |
$37.20
|
| Rate for Payer: UHC Medicare Advantage |
$37.20
|
| Rate for Payer: UHC Medicare Advantage |
$37.20
|
| 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 |
$14.72
|
| Rate for Payer: UMR Bronson Commercial |
$44.62
|
| Rate for Payer: UMR Bronson Commercial |
$25.76
|
|
|
CHG RADIATION THERAPY MGMT 1/2 FRACTIONS ONLY
|
Professional
|
Both
|
$212.00
|
|
|
Service Code
|
HCPCS 77431
|
| Min. Negotiated Rate |
$69.86 |
| Max. Negotiated Rate |
$2,159.16 |
| Rate for Payer: Aetna Commercial |
$138.31
|
| Rate for Payer: Aetna Medicare |
$107.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$138.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$148.64
|
| Rate for Payer: BCBS Complete |
$73.35
|
| Rate for Payer: BCBS MAPPO |
$103.22
|
| Rate for Payer: BCBS Trust/PPO |
$2,159.16
|
| Rate for Payer: BCN Commercial |
$155.89
|
| Rate for Payer: BCN Medicare Advantage |
$103.22
|
| Rate for Payer: Cash Price |
$169.60
|
| Rate for Payer: Cash Price |
$169.60
|
| Rate for Payer: Cofinity Commercial |
$148.64
|
| Rate for Payer: Cofinity Commercial |
$138.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$103.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$108.38
|
| Rate for Payer: Meridian Medicaid |
$73.35
|
| Rate for Payer: Nomi Health Commercial |
$123.86
|
| Rate for Payer: PACE SWMI |
$103.22
|
| Rate for Payer: PHP Commercial |
$144.51
|
| Rate for Payer: PHP Medicare Advantage |
$103.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$69.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$137.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$165.28
|
| Rate for Payer: Priority Health Medicare |
$103.22
|
| Rate for Payer: Priority Health Narrow Network |
$165.28
|
| Rate for Payer: Priority Health SBD |
$126.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$103.22
|
| Rate for Payer: UHC Medicare Advantage |
$103.22
|
| Rate for Payer: UHCCP Medicaid |
$69.86
|
| Rate for Payer: UMR Bronson Commercial |
$97.52
|
|
|
CHG RADIATION TREATMENT DELIVERY >=1 MEV COMPLEX
|
Professional
|
Both
|
$553.00
|
|
|
Service Code
|
HCPCS 77412
|
| Min. Negotiated Rate |
$187.96 |
| Max. Negotiated Rate |
$696.30 |
| Rate for Payer: Aetna Commercial |
$290.34
|
| Rate for Payer: Aetna Medicare |
$276.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$290.34
|
| Rate for Payer: BCBS Complete |
$221.20
|
| Rate for Payer: BCBS Trust/PPO |
$696.30
|
| Rate for Payer: BCN Commercial |
$187.96
|
| Rate for Payer: Cash Price |
$442.40
|
| Rate for Payer: Cash Price |
$442.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$359.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$353.63
|
| Rate for Payer: Priority Health Narrow Network |
$353.63
|
| Rate for Payer: Priority Health SBD |
$353.63
|
| Rate for Payer: UMR Bronson Commercial |
$254.38
|
|
|
CHG RADIATION TREATMENT DELIVERY >=1 MEV SIMPLE
|
Professional
|
Both
|
$362.00
|
|
|
Service Code
|
HCPCS 77402
|
| Min. Negotiated Rate |
$106.71 |
| Max. Negotiated Rate |
$1,140.60 |
| Rate for Payer: Aetna Commercial |
$158.33
|
| Rate for Payer: Aetna Medicare |
$181.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$158.33
|
| Rate for Payer: BCBS Complete |
$144.80
|
| Rate for Payer: BCBS Trust/PPO |
$1,140.60
|
| Rate for Payer: BCN Commercial |
$106.71
|
| Rate for Payer: Cash Price |
$289.60
|
| Rate for Payer: Cash Price |
$289.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$235.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$194.53
|
| Rate for Payer: Priority Health Narrow Network |
$194.53
|
| Rate for Payer: Priority Health SBD |
$194.53
|
| Rate for Payer: UMR Bronson Commercial |
$166.52
|
|
|
CHG RADIATION TREATMENT MANAGEMENT 5 TREATMENTS
|
Professional
|
Both
|
$360.00
|
|
|
Service Code
|
HCPCS 77427
|
| Min. Negotiated Rate |
$123.75 |
| Max. Negotiated Rate |
$2,101.58 |
| Rate for Payer: Aetna Commercial |
$245.49
|
| Rate for Payer: Aetna Medicare |
$190.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$245.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$263.81
|
| Rate for Payer: BCBS Complete |
$129.94
|
| Rate for Payer: BCBS MAPPO |
$183.20
|
| Rate for Payer: BCBS Trust/PPO |
$2,101.58
|
| Rate for Payer: BCN Commercial |
$278.06
|
| Rate for Payer: BCN Medicare Advantage |
$183.20
|
| Rate for Payer: Cash Price |
$288.00
|
| Rate for Payer: Cash Price |
$288.00
|
| Rate for Payer: Cofinity Commercial |
$263.81
|
| Rate for Payer: Cofinity Commercial |
$245.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$183.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$192.36
|
| Rate for Payer: Meridian Medicaid |
$129.94
|
| Rate for Payer: Nomi Health Commercial |
$219.84
|
| Rate for Payer: PACE SWMI |
$183.20
|
| Rate for Payer: PHP Commercial |
$256.48
|
| Rate for Payer: PHP Medicare Advantage |
$183.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$123.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$234.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$292.56
|
| Rate for Payer: Priority Health Medicare |
$183.20
|
| Rate for Payer: Priority Health Narrow Network |
$292.56
|
| Rate for Payer: Priority Health SBD |
$292.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$183.20
|
| Rate for Payer: UHC Medicare Advantage |
$183.20
|
| Rate for Payer: UHCCP Medicaid |
$123.75
|
| Rate for Payer: UMR Bronson Commercial |
$165.60
|
|
|
CHG RADIATION TX DELIVERY SUPERFICIAL&/ORTHO VOLTAGE
|
Professional
|
Both
|
$91.00
|
|
|
Service Code
|
HCPCS 77401
|
| Min. Negotiated Rate |
$36.33 |
| Max. Negotiated Rate |
$2,336.14 |
| Rate for Payer: Aetna Commercial |
$48.68
|
| Rate for Payer: Aetna Medicare |
$37.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$52.32
|
| Rate for Payer: BCBS Complete |
$36.40
|
| Rate for Payer: BCBS MAPPO |
$36.33
|
| Rate for Payer: BCBS Trust/PPO |
$2,336.14
|
| Rate for Payer: BCN Commercial |
$60.11
|
| Rate for Payer: BCN Medicare Advantage |
$36.33
|
| Rate for Payer: Cash Price |
$72.80
|
| Rate for Payer: Cash Price |
$72.80
|
| Rate for Payer: Cofinity Commercial |
$52.32
|
| Rate for Payer: Cofinity Commercial |
$48.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$36.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$38.15
|
| Rate for Payer: Nomi Health Commercial |
$43.60
|
| Rate for Payer: PACE SWMI |
$36.33
|
| Rate for Payer: PHP Commercial |
$50.86
|
| Rate for Payer: PHP Medicare Advantage |
$36.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$59.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$64.16
|
| Rate for Payer: Priority Health Medicare |
$36.33
|
| Rate for Payer: Priority Health Narrow Network |
$64.16
|
| Rate for Payer: Priority Health SBD |
$64.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$36.33
|
| Rate for Payer: UHC Medicare Advantage |
$36.33
|
| Rate for Payer: UMR Bronson Commercial |
$41.86
|
|
|
CHG RADIOLOG EXAM MANDIBLE COMPL MINIMUM 4 VIEWS
|
Professional
|
Both
|
$25.00
|
|
|
Service Code
|
HCPCS 70110
|
| Min. Negotiated Rate |
$7.67 |
| Max. Negotiated Rate |
$67.24 |
| Rate for Payer: Aetna Commercial |
$52.92
|
| Rate for Payer: Aetna Medicare |
$41.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$56.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$52.92
|
| Rate for Payer: BCBS Complete |
$8.05
|
| Rate for Payer: BCBS MAPPO |
$39.49
|
| Rate for Payer: BCN Commercial |
$63.53
|
| Rate for Payer: BCN Medicare Advantage |
$39.49
|
| Rate for Payer: Cash Price |
$20.00
|
| Rate for Payer: Cash Price |
$20.00
|
| Rate for Payer: Cofinity Commercial |
$56.87
|
| Rate for Payer: Cofinity Commercial |
$52.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$39.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$41.46
|
| Rate for Payer: Meridian Medicaid |
$8.05
|
| Rate for Payer: Nomi Health Commercial |
$47.39
|
| Rate for Payer: PACE SWMI |
$39.49
|
| Rate for Payer: PHP Commercial |
$55.29
|
| Rate for Payer: PHP Medicare Advantage |
$39.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$67.24
|
| Rate for Payer: Priority Health Medicare |
$39.49
|
| Rate for Payer: Priority Health Narrow Network |
$67.24
|
| Rate for Payer: Priority Health SBD |
$17.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$39.49
|
| Rate for Payer: UHC Medicare Advantage |
$39.49
|
| Rate for Payer: UHCCP Medicaid |
$7.67
|
| Rate for Payer: UMR Bronson Commercial |
$11.50
|
|
|
CHG RADIOLOGICAL GUIDANCE PRQ DRG W/PLMT CATH RS&I
|
Professional
|
Both
|
$231.00
|
|
|
Service Code
|
HCPCS 75989
|
| Min. Negotiated Rate |
$34.93 |
| Max. Negotiated Rate |
$3,322.48 |
| Rate for Payer: Aetna Commercial |
$136.60
|
| Rate for Payer: Aetna Medicare |
$106.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$136.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$146.79
|
| Rate for Payer: BCBS Complete |
$36.68
|
| Rate for Payer: BCBS MAPPO |
$101.94
|
| Rate for Payer: BCBS Trust/PPO |
$3,322.48
|
| Rate for Payer: BCN Commercial |
$165.18
|
| Rate for Payer: BCN Medicare Advantage |
$101.94
|
| Rate for Payer: Cash Price |
$184.80
|
| Rate for Payer: Cash Price |
$184.80
|
| Rate for Payer: Cofinity Commercial |
$136.60
|
| Rate for Payer: Cofinity Commercial |
$146.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$101.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$107.04
|
| Rate for Payer: Meridian Medicaid |
$36.68
|
| Rate for Payer: Nomi Health Commercial |
$122.33
|
| Rate for Payer: PACE SWMI |
$101.94
|
| Rate for Payer: PHP Commercial |
$142.72
|
| Rate for Payer: PHP Medicare Advantage |
$101.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$34.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$150.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$171.43
|
| Rate for Payer: Priority Health Medicare |
$101.94
|
| Rate for Payer: Priority Health Narrow Network |
$171.43
|
| Rate for Payer: Priority Health SBD |
$83.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$101.94
|
| Rate for Payer: UHC Medicare Advantage |
$101.94
|
| Rate for Payer: UHCCP Medicaid |
$34.93
|
| Rate for Payer: UMR Bronson Commercial |
$106.26
|
|
|
CHG RADIOLOGIC EXAM ABDOMEN 1 VIEW
|
Professional
|
Both
|
$53.00
|
|
|
Service Code
|
HCPCS 74018
|
| Min. Negotiated Rate |
$5.54 |
| Max. Negotiated Rate |
$2,936.82 |
| Rate for Payer: Aetna Commercial |
$36.46
|
| Rate for Payer: Aetna Medicare |
$28.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$36.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.18
|
| Rate for Payer: BCBS Complete |
$5.82
|
| Rate for Payer: BCBS MAPPO |
$27.21
|
| Rate for Payer: BCBS Trust/PPO |
$2,936.82
|
| Rate for Payer: BCN Commercial |
$43.98
|
| Rate for Payer: BCN Medicare Advantage |
$27.21
|
| Rate for Payer: Cash Price |
$42.40
|
| Rate for Payer: Cash Price |
$42.40
|
| Rate for Payer: Cofinity Commercial |
$36.46
|
| Rate for Payer: Cofinity Commercial |
$39.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28.57
|
| Rate for Payer: Meridian Medicaid |
$5.82
|
| Rate for Payer: Nomi Health Commercial |
$32.65
|
| Rate for Payer: PACE SWMI |
$27.21
|
| Rate for Payer: PHP Commercial |
$38.09
|
| Rate for Payer: PHP Medicare Advantage |
$27.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$34.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$46.70
|
| Rate for Payer: Priority Health Medicare |
$27.21
|
| Rate for Payer: Priority Health Narrow Network |
$46.70
|
| Rate for Payer: Priority Health SBD |
$13.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$27.21
|
| Rate for Payer: UHC Medicare Advantage |
$27.21
|
| Rate for Payer: UHCCP Medicaid |
$5.54
|
| Rate for Payer: UMR Bronson Commercial |
$24.38
|
|
|
CHG RADIOLOGIC EXAM ABDOMEN 2 VIEWS
|
Professional
|
Both
|
$77.00
|
|
|
Service Code
|
HCPCS 74019
|
| Min. Negotiated Rate |
$7.03 |
| Max. Negotiated Rate |
$56.46 |
| Rate for Payer: Aetna Commercial |
$44.94
|
| Rate for Payer: Aetna Commercial |
$44.94
|
| Rate for Payer: Aetna Medicare |
$34.88
|
| Rate for Payer: Aetna Medicare |
$34.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44.94
|
| Rate for Payer: BCBS Complete |
$7.38
|
| Rate for Payer: BCBS Complete |
$7.38
|
| Rate for Payer: BCBS MAPPO |
$33.54
|
| Rate for Payer: BCBS MAPPO |
$33.54
|
| Rate for Payer: BCN Commercial |
$54.24
|
| Rate for Payer: BCN Commercial |
$54.24
|
| Rate for Payer: BCN Medicare Advantage |
$33.54
|
| Rate for Payer: BCN Medicare Advantage |
$33.54
|
| 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 |
$48.30
|
| Rate for Payer: Cofinity Commercial |
$48.30
|
| Rate for Payer: Cofinity Commercial |
$44.94
|
| Rate for Payer: Cofinity Commercial |
$44.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35.22
|
| Rate for Payer: Meridian Medicaid |
$7.38
|
| Rate for Payer: Meridian Medicaid |
$7.38
|
| Rate for Payer: Nomi Health Commercial |
$40.25
|
| Rate for Payer: Nomi Health Commercial |
$40.25
|
| Rate for Payer: PACE SWMI |
$33.54
|
| Rate for Payer: PACE SWMI |
$33.54
|
| Rate for Payer: PHP Commercial |
$46.96
|
| Rate for Payer: PHP Commercial |
$46.96
|
| Rate for Payer: PHP Medicare Advantage |
$33.54
|
| Rate for Payer: PHP Medicare Advantage |
$33.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.03
|
| 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 |
$56.46
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$56.46
|
| Rate for Payer: Priority Health Medicare |
$33.54
|
| Rate for Payer: Priority Health Medicare |
$33.54
|
| Rate for Payer: Priority Health Narrow Network |
$56.46
|
| Rate for Payer: Priority Health Narrow Network |
$56.46
|
| Rate for Payer: Priority Health SBD |
$16.42
|
| Rate for Payer: Priority Health SBD |
$16.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$33.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$33.54
|
| Rate for Payer: UHC Medicare Advantage |
$33.54
|
| Rate for Payer: UHC Medicare Advantage |
$33.54
|
| Rate for Payer: UHCCP Medicaid |
$7.03
|
| Rate for Payer: UHCCP Medicaid |
$7.03
|
| Rate for Payer: UMR Bronson Commercial |
$10.58
|
| Rate for Payer: UMR Bronson Commercial |
$35.42
|
|
|
CHG RADIOLOGIC EXAM ABDOMEN 3+ VIEWS
|
Professional
|
Both
|
$28.00
|
|
|
Service Code
|
HCPCS 74021
|
| Min. Negotiated Rate |
$8.09 |
| Max. Negotiated Rate |
$66.21 |
| Rate for Payer: Aetna Commercial |
$51.82
|
| Rate for Payer: Aetna Medicare |
$40.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$51.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$55.68
|
| Rate for Payer: BCBS Complete |
$8.49
|
| Rate for Payer: BCBS MAPPO |
$38.67
|
| Rate for Payer: BCN Commercial |
$63.04
|
| Rate for Payer: BCN Medicare Advantage |
$38.67
|
| Rate for Payer: Cash Price |
$22.40
|
| Rate for Payer: Cash Price |
$22.40
|
| Rate for Payer: Cofinity Commercial |
$51.82
|
| Rate for Payer: Cofinity Commercial |
$55.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$38.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$40.60
|
| Rate for Payer: Meridian Medicaid |
$8.49
|
| Rate for Payer: Nomi Health Commercial |
$46.40
|
| Rate for Payer: PACE SWMI |
$38.67
|
| Rate for Payer: PHP Commercial |
$54.14
|
| Rate for Payer: PHP Medicare Advantage |
$38.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$66.21
|
| Rate for Payer: Priority Health Medicare |
$38.67
|
| Rate for Payer: Priority Health Narrow Network |
$66.21
|
| Rate for Payer: Priority Health SBD |
$19.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$38.67
|
| Rate for Payer: UHC Medicare Advantage |
$38.67
|
| Rate for Payer: UHCCP Medicaid |
$8.09
|
| Rate for Payer: UMR Bronson Commercial |
$12.88
|
|
|
CHG RADIOLOGIC EXAM BOTH KNEES STANDING ANTEROPOST
|
Professional
|
Both
|
$61.00
|
|
|
Service Code
|
HCPCS 73565
|
| Min. Negotiated Rate |
$5.33 |
| Max. Negotiated Rate |
$113.06 |
| Rate for Payer: Aetna Commercial |
$48.23
|
| Rate for Payer: Aetna Commercial |
$48.23
|
| Rate for Payer: Aetna Commercial |
$48.23
|
| Rate for Payer: Aetna Medicare |
$37.43
|
| Rate for Payer: Aetna Medicare |
$37.43
|
| Rate for Payer: Aetna Medicare |
$37.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$51.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$51.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$51.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.23
|
| 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 |
$35.99
|
| Rate for Payer: BCBS MAPPO |
$35.99
|
| Rate for Payer: BCBS MAPPO |
$35.99
|
| Rate for Payer: BCBS Trust/PPO |
$113.06
|
| Rate for Payer: BCBS Trust/PPO |
$113.06
|
| Rate for Payer: BCBS Trust/PPO |
$113.06
|
| Rate for Payer: BCN Commercial |
$58.65
|
| Rate for Payer: BCN Commercial |
$58.65
|
| Rate for Payer: BCN Commercial |
$58.65
|
| Rate for Payer: BCN Medicare Advantage |
$35.99
|
| Rate for Payer: BCN Medicare Advantage |
$35.99
|
| Rate for Payer: BCN Medicare Advantage |
$35.99
|
| Rate for Payer: Cash Price |
$48.80
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Cash Price |
$48.80
|
| Rate for Payer: Cash Price |
$40.00
|
| Rate for Payer: Cash Price |
$40.00
|
| Rate for Payer: Cofinity Commercial |
$51.83
|
| Rate for Payer: Cofinity Commercial |
$48.23
|
| Rate for Payer: Cofinity Commercial |
$51.83
|
| Rate for Payer: Cofinity Commercial |
$51.83
|
| Rate for Payer: Cofinity Commercial |
$48.23
|
| Rate for Payer: Cofinity Commercial |
$48.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37.79
|
| 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 |
$43.19
|
| Rate for Payer: Nomi Health Commercial |
$43.19
|
| Rate for Payer: Nomi Health Commercial |
$43.19
|
| Rate for Payer: PACE SWMI |
$35.99
|
| Rate for Payer: PACE SWMI |
$35.99
|
| Rate for Payer: PACE SWMI |
$35.99
|
| Rate for Payer: PHP Commercial |
$50.39
|
| Rate for Payer: PHP Commercial |
$50.39
|
| Rate for Payer: PHP Commercial |
$50.39
|
| Rate for Payer: PHP Medicare Advantage |
$35.99
|
| Rate for Payer: PHP Medicare Advantage |
$35.99
|
| Rate for Payer: PHP Medicare Advantage |
$35.99
|
| 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 |
$39.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$32.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$61.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$61.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$61.60
|
| Rate for Payer: Priority Health Medicare |
$35.99
|
| Rate for Payer: Priority Health Medicare |
$35.99
|
| Rate for Payer: Priority Health Medicare |
$35.99
|
| Rate for Payer: Priority Health Narrow Network |
$61.60
|
| Rate for Payer: Priority Health Narrow Network |
$61.60
|
| Rate for Payer: Priority Health Narrow Network |
$61.60
|
| 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 |
$35.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$35.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$35.99
|
| Rate for Payer: UHC Medicare Advantage |
$35.99
|
| Rate for Payer: UHC Medicare Advantage |
$35.99
|
| Rate for Payer: UHC Medicare Advantage |
$35.99
|
| 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 |
$28.06
|
| Rate for Payer: UMR Bronson Commercial |
$14.26
|
| Rate for Payer: UMR Bronson Commercial |
$23.00
|
|
|
CHG RADIOLOGIC EXAM CHEST 2 VIEWS
|
Professional
|
Both
|
$58.00
|
|
|
Service Code
|
HCPCS 71046
|
| Min. Negotiated Rate |
$6.60 |
| Max. Negotiated Rate |
$1,811.01 |
| Rate for Payer: Aetna Commercial |
$40.96
|
| Rate for Payer: Aetna Medicare |
$31.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44.02
|
| Rate for Payer: BCBS Complete |
$6.93
|
| Rate for Payer: BCBS MAPPO |
$30.57
|
| Rate for Payer: BCBS Trust/PPO |
$1,811.01
|
| Rate for Payer: BCN Commercial |
$49.36
|
| Rate for Payer: BCN Medicare Advantage |
$30.57
|
| Rate for Payer: Cash Price |
$46.40
|
| Rate for Payer: Cash Price |
$46.40
|
| Rate for Payer: Cofinity Commercial |
$40.96
|
| Rate for Payer: Cofinity Commercial |
$44.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.10
|
| Rate for Payer: Meridian Medicaid |
$6.93
|
| Rate for Payer: Nomi Health Commercial |
$36.68
|
| Rate for Payer: PACE SWMI |
$30.57
|
| Rate for Payer: PHP Commercial |
$42.80
|
| Rate for Payer: PHP Medicare Advantage |
$30.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$51.84
|
| Rate for Payer: Priority Health Medicare |
$30.57
|
| Rate for Payer: Priority Health Narrow Network |
$51.84
|
| Rate for Payer: Priority Health SBD |
$15.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$30.57
|
| Rate for Payer: UHC Medicare Advantage |
$30.57
|
| Rate for Payer: UHCCP Medicaid |
$6.60
|
| Rate for Payer: UMR Bronson Commercial |
$26.68
|
|
|
CHG RADIOLOGIC EXAM CHEST 3 VIEWS
|
Professional
|
Both
|
$49.00
|
|
|
Service Code
|
HCPCS 71047
|
| Min. Negotiated Rate |
$8.31 |
| Max. Negotiated Rate |
$2,027.62 |
| Rate for Payer: Aetna Commercial |
$51.03
|
| Rate for Payer: Aetna Medicare |
$39.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$51.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$54.84
|
| Rate for Payer: BCBS Complete |
$8.73
|
| Rate for Payer: BCBS MAPPO |
$38.08
|
| Rate for Payer: BCBS Trust/PPO |
$2,027.62
|
| Rate for Payer: BCN Commercial |
$62.06
|
| Rate for Payer: BCN Medicare Advantage |
$38.08
|
| Rate for Payer: Cash Price |
$39.20
|
| Rate for Payer: Cash Price |
$39.20
|
| Rate for Payer: Cofinity Commercial |
$51.03
|
| Rate for Payer: Cofinity Commercial |
$54.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$38.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39.98
|
| Rate for Payer: Meridian Medicaid |
$8.73
|
| Rate for Payer: Nomi Health Commercial |
$45.70
|
| Rate for Payer: PACE SWMI |
$38.08
|
| Rate for Payer: PHP Commercial |
$53.31
|
| Rate for Payer: PHP Medicare Advantage |
$38.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$31.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$65.19
|
| Rate for Payer: Priority Health Medicare |
$38.08
|
| Rate for Payer: Priority Health Narrow Network |
$65.19
|
| Rate for Payer: Priority Health SBD |
$20.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$38.08
|
| Rate for Payer: UHC Medicare Advantage |
$38.08
|
| Rate for Payer: UHCCP Medicaid |
$8.31
|
| Rate for Payer: UMR Bronson Commercial |
$22.54
|
|
