|
CHG ANGIOGRAPHY PULMONARY UNILATERAL SLCTV RS&I
|
Professional
|
$123.00
|
|
|
Service Code
|
HCPCS 75741
|
| Min. Negotiated Rate |
$49.20 |
| Max. Negotiated Rate |
$200.77 |
| Rate for Payer: Aetna Commercial |
$168.36
|
| Rate for Payer: Aetna Medicare |
$125.64
|
| Rate for Payer: BCBS Complete |
$49.20
|
| Rate for Payer: BCBS MAPPO |
$125.64
|
| Rate for Payer: BCN Commercial |
$191.56
|
| Rate for Payer: BCN Medicare Advantage |
$125.64
|
| Rate for Payer: Cash Price |
$98.40
|
| Rate for Payer: Cash Price |
$98.40
|
| Rate for Payer: Cofinity Commercial |
$180.92
|
| Rate for Payer: Cofinity Commercial |
$168.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$125.64
|
| Rate for Payer: Healthscope Commercial |
$150.77
|
| Rate for Payer: Healthscope Whirlpool |
$150.77
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$131.92
|
| Rate for Payer: PACE SWMI |
$125.64
|
| Rate for Payer: PHP Medicare Advantage |
$125.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$86.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$200.77
|
| Rate for Payer: Priority Health Medicare |
$125.64
|
| Rate for Payer: Priority Health Narrow Network |
$200.77
|
| Rate for Payer: UHC Medicare Advantage |
$129.41
|
|
|
CHG ANGIOGRAPHY SPINAL SELECTIVE RS&I
|
Professional
|
$427.00
|
|
|
Service Code
|
HCPCS 75705
|
| Min. Negotiated Rate |
$170.80 |
| Max. Negotiated Rate |
$381.05 |
| Rate for Payer: Aetna Commercial |
$320.10
|
| Rate for Payer: Aetna Medicare |
$238.88
|
| Rate for Payer: BCBS Complete |
$170.80
|
| Rate for Payer: BCBS MAPPO |
$238.88
|
| Rate for Payer: BCN Commercial |
$363.58
|
| Rate for Payer: BCN Medicare Advantage |
$238.88
|
| Rate for Payer: Cash Price |
$341.60
|
| Rate for Payer: Cash Price |
$341.60
|
| Rate for Payer: Cofinity Commercial |
$320.10
|
| Rate for Payer: Cofinity Commercial |
$343.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$238.88
|
| Rate for Payer: Healthscope Commercial |
$286.66
|
| Rate for Payer: Healthscope Whirlpool |
$286.66
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$250.82
|
| Rate for Payer: PACE SWMI |
$238.88
|
| Rate for Payer: PHP Medicare Advantage |
$238.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$298.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$381.05
|
| Rate for Payer: Priority Health Medicare |
$238.88
|
| Rate for Payer: Priority Health Narrow Network |
$381.05
|
| Rate for Payer: UHC Medicare Advantage |
$246.05
|
|
|
CHG ANGIOGRAPHY VISCERAL SLCTV/SUPRASLCTV RS&I
|
Professional
|
$268.00
|
|
|
Service Code
|
HCPCS 75726
|
| Min. Negotiated Rate |
$107.20 |
| Max. Negotiated Rate |
$262.74 |
| Rate for Payer: Aetna Commercial |
$221.92
|
| Rate for Payer: Aetna Medicare |
$165.61
|
| Rate for Payer: BCBS Complete |
$107.20
|
| Rate for Payer: BCBS MAPPO |
$165.61
|
| Rate for Payer: BCN Commercial |
$250.69
|
| Rate for Payer: BCN Medicare Advantage |
$165.61
|
| Rate for Payer: Cash Price |
$214.40
|
| Rate for Payer: Cash Price |
$214.40
|
| Rate for Payer: Cofinity Commercial |
$221.92
|
| Rate for Payer: Cofinity Commercial |
$238.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$165.61
|
| Rate for Payer: Healthscope Commercial |
$198.73
|
| Rate for Payer: Healthscope Whirlpool |
$198.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$173.89
|
| Rate for Payer: PACE SWMI |
$165.61
|
| Rate for Payer: PHP Medicare Advantage |
$165.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$187.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$262.74
|
| Rate for Payer: Priority Health Medicare |
$165.61
|
| Rate for Payer: Priority Health Narrow Network |
$262.74
|
| Rate for Payer: UHC Medicare Advantage |
$170.58
|
|
|
CHG ANGRPH CATH F-UP STD TCAT OTHER THAN THROMBYLSIS
|
Professional
|
$159.00
|
|
|
Service Code
|
HCPCS 75898
|
| Min. Negotiated Rate |
$63.60 |
| Max. Negotiated Rate |
$3,164.58 |
| Rate for Payer: Aetna Commercial |
$3,164.58
|
| Rate for Payer: BCBS Complete |
$63.60
|
| Rate for Payer: BCN Commercial |
$2,886.03
|
| Rate for Payer: Cash Price |
$127.20
|
| Rate for Payer: Cash Price |
$127.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$111.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$204.36
|
| Rate for Payer: Priority Health Narrow Network |
$204.36
|
|
|
CHG ANGRPH SLCTV EA VSL STUDIED AFTER BASIC XM RS&I
|
Professional
|
$296.00
|
|
|
Service Code
|
HCPCS 75774
|
| Min. Negotiated Rate |
$93.38 |
| Max. Negotiated Rate |
$207.20 |
| Rate for Payer: Aetna Commercial |
$125.13
|
| Rate for Payer: Aetna Medicare |
$93.38
|
| Rate for Payer: BCBS Complete |
$118.40
|
| Rate for Payer: BCBS MAPPO |
$93.38
|
| Rate for Payer: BCN Commercial |
$142.21
|
| Rate for Payer: BCN Medicare Advantage |
$93.38
|
| Rate for Payer: Cash Price |
$236.80
|
| Rate for Payer: Cash Price |
$236.80
|
| Rate for Payer: Cofinity Commercial |
$125.13
|
| Rate for Payer: Cofinity Commercial |
$134.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$93.38
|
| Rate for Payer: Healthscope Commercial |
$112.06
|
| Rate for Payer: Healthscope Whirlpool |
$112.06
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$98.05
|
| Rate for Payer: PACE SWMI |
$93.38
|
| Rate for Payer: PHP Medicare Advantage |
$93.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$207.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$149.04
|
| Rate for Payer: Priority Health Medicare |
$93.38
|
| Rate for Payer: Priority Health Narrow Network |
$149.04
|
| Rate for Payer: UHC Medicare Advantage |
$96.18
|
|
|
CHG AORTOGRAPHY ABDL BI ILIOFEM LOW EXTREM CATH RS&I
|
Professional
|
$287.00
|
|
|
Service Code
|
HCPCS 75630
|
| Min. Negotiated Rate |
$114.80 |
| Max. Negotiated Rate |
$326.20 |
| Rate for Payer: Aetna Commercial |
$203.67
|
| Rate for Payer: Aetna Commercial |
$203.67
|
| Rate for Payer: Aetna Medicare |
$151.99
|
| Rate for Payer: Aetna Medicare |
$151.99
|
| Rate for Payer: BCBS Complete |
$114.80
|
| Rate for Payer: BCBS Complete |
$186.40
|
| Rate for Payer: BCBS MAPPO |
$151.99
|
| Rate for Payer: BCBS MAPPO |
$151.99
|
| Rate for Payer: BCN Commercial |
$229.19
|
| Rate for Payer: BCN Commercial |
$229.19
|
| Rate for Payer: BCN Medicare Advantage |
$151.99
|
| Rate for Payer: BCN Medicare Advantage |
$151.99
|
| Rate for Payer: Cash Price |
$229.60
|
| Rate for Payer: Cash Price |
$229.60
|
| Rate for Payer: Cash Price |
$372.80
|
| Rate for Payer: Cash Price |
$372.80
|
| Rate for Payer: Cofinity Commercial |
$218.87
|
| Rate for Payer: Cofinity Commercial |
$203.67
|
| Rate for Payer: Cofinity Commercial |
$218.87
|
| Rate for Payer: Cofinity Commercial |
$203.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$151.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$151.99
|
| Rate for Payer: Healthscope Commercial |
$182.39
|
| Rate for Payer: Healthscope Commercial |
$182.39
|
| Rate for Payer: Healthscope Whirlpool |
$182.39
|
| Rate for Payer: Healthscope Whirlpool |
$182.39
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$159.59
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$159.59
|
| Rate for Payer: PACE SWMI |
$151.99
|
| Rate for Payer: PACE SWMI |
$151.99
|
| Rate for Payer: PHP Medicare Advantage |
$151.99
|
| Rate for Payer: PHP Medicare Advantage |
$151.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$326.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$200.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$240.21
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$240.21
|
| Rate for Payer: Priority Health Medicare |
$151.99
|
| Rate for Payer: Priority Health Medicare |
$151.99
|
| Rate for Payer: Priority Health Narrow Network |
$240.21
|
| Rate for Payer: Priority Health Narrow Network |
$240.21
|
| Rate for Payer: UHC Medicare Advantage |
$156.55
|
| Rate for Payer: UHC Medicare Advantage |
$156.55
|
|
|
CHG AORTOGRAPHY ABDOMINAL SERIALOGRAPHY RS&I
|
Professional
|
$113.00
|
|
|
Service Code
|
HCPCS 75625
|
| Min. Negotiated Rate |
$44.80 |
| Max. Negotiated Rate |
$193.59 |
| Rate for Payer: Aetna Commercial |
$163.68
|
| Rate for Payer: Aetna Commercial |
$163.68
|
| Rate for Payer: Aetna Medicare |
$122.15
|
| Rate for Payer: Aetna Medicare |
$122.15
|
| Rate for Payer: BCBS Complete |
$44.80
|
| Rate for Payer: BCBS Complete |
$45.20
|
| Rate for Payer: BCBS MAPPO |
$122.15
|
| Rate for Payer: BCBS MAPPO |
$122.15
|
| Rate for Payer: BCN Commercial |
$184.72
|
| Rate for Payer: BCN Commercial |
$184.72
|
| Rate for Payer: BCN Medicare Advantage |
$122.15
|
| Rate for Payer: BCN Medicare Advantage |
$122.15
|
| Rate for Payer: Cash Price |
$90.40
|
| Rate for Payer: Cash Price |
$89.60
|
| Rate for Payer: Cash Price |
$90.40
|
| Rate for Payer: Cash Price |
$89.60
|
| Rate for Payer: Cofinity Commercial |
$175.90
|
| Rate for Payer: Cofinity Commercial |
$163.68
|
| Rate for Payer: Cofinity Commercial |
$175.90
|
| Rate for Payer: Cofinity Commercial |
$163.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$122.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$122.15
|
| Rate for Payer: Healthscope Commercial |
$146.58
|
| Rate for Payer: Healthscope Commercial |
$146.58
|
| Rate for Payer: Healthscope Whirlpool |
$146.58
|
| Rate for Payer: Healthscope Whirlpool |
$146.58
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$128.26
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$128.26
|
| Rate for Payer: PACE SWMI |
$122.15
|
| Rate for Payer: PACE SWMI |
$122.15
|
| Rate for Payer: PHP Medicare Advantage |
$122.15
|
| Rate for Payer: PHP Medicare Advantage |
$122.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$78.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$79.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$193.59
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$193.59
|
| Rate for Payer: Priority Health Medicare |
$122.15
|
| Rate for Payer: Priority Health Medicare |
$122.15
|
| Rate for Payer: Priority Health Narrow Network |
$193.59
|
| Rate for Payer: Priority Health Narrow Network |
$193.59
|
| Rate for Payer: UHC Medicare Advantage |
$125.81
|
| Rate for Payer: UHC Medicare Advantage |
$125.81
|
|
|
CHG AORTOGRAPHY THORACIC SERIALOGRAPHY RS&I
|
Professional
|
$260.00
|
|
|
Service Code
|
HCPCS 75605
|
| Min. Negotiated Rate |
$104.00 |
| Max. Negotiated Rate |
$184.89 |
| Rate for Payer: Aetna Commercial |
$154.92
|
| Rate for Payer: Aetna Medicare |
$115.61
|
| Rate for Payer: BCBS Complete |
$104.00
|
| Rate for Payer: BCBS MAPPO |
$115.61
|
| Rate for Payer: BCN Commercial |
$176.42
|
| Rate for Payer: BCN Medicare Advantage |
$115.61
|
| Rate for Payer: Cash Price |
$208.00
|
| Rate for Payer: Cash Price |
$208.00
|
| Rate for Payer: Cofinity Commercial |
$154.92
|
| Rate for Payer: Cofinity Commercial |
$166.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$115.61
|
| Rate for Payer: Healthscope Commercial |
$138.73
|
| Rate for Payer: Healthscope Whirlpool |
$138.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$121.39
|
| Rate for Payer: PACE SWMI |
$115.61
|
| Rate for Payer: PHP Medicare Advantage |
$115.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$182.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$184.89
|
| Rate for Payer: Priority Health Medicare |
$115.61
|
| Rate for Payer: Priority Health Narrow Network |
$184.89
|
| Rate for Payer: UHC Medicare Advantage |
$119.08
|
|
|
CHG AORTOGRAPHY THORACIC W/O SERIALOGRAPHY RS&I
|
Professional
|
$105.00
|
|
|
Service Code
|
HCPCS 75600
|
| Min. Negotiated Rate |
$42.00 |
| Max. Negotiated Rate |
$283.75 |
| Rate for Payer: Aetna Commercial |
$231.90
|
| Rate for Payer: Aetna Medicare |
$173.06
|
| Rate for Payer: BCBS Complete |
$42.00
|
| Rate for Payer: BCBS MAPPO |
$173.06
|
| Rate for Payer: BCN Commercial |
$270.73
|
| Rate for Payer: BCN Medicare Advantage |
$173.06
|
| Rate for Payer: Cash Price |
$84.00
|
| Rate for Payer: Cash Price |
$84.00
|
| Rate for Payer: Cofinity Commercial |
$231.90
|
| Rate for Payer: Cofinity Commercial |
$249.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$173.06
|
| Rate for Payer: Healthscope Commercial |
$207.67
|
| Rate for Payer: Healthscope Whirlpool |
$207.67
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$181.71
|
| Rate for Payer: PACE SWMI |
$173.06
|
| Rate for Payer: PHP Medicare Advantage |
$173.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$73.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$283.75
|
| Rate for Payer: Priority Health Medicare |
$173.06
|
| Rate for Payer: Priority Health Narrow Network |
$283.75
|
| Rate for Payer: UHC Medicare Advantage |
$178.25
|
|
|
CHG ASSAY OF LEAD
|
Professional
|
$20.00
|
|
|
Service Code
|
HCPCS 83655
|
| Min. Negotiated Rate |
$8.00 |
| Max. Negotiated Rate |
$17.44 |
| Rate for Payer: Aetna Commercial |
$16.23
|
| Rate for Payer: Aetna Medicare |
$12.11
|
| Rate for Payer: BCBS Complete |
$8.00
|
| Rate for Payer: BCBS MAPPO |
$12.11
|
| Rate for Payer: BCN Commercial |
$9.08
|
| Rate for Payer: BCN Medicare Advantage |
$12.11
|
| Rate for Payer: Cash Price |
$16.00
|
| Rate for Payer: Cash Price |
$16.00
|
| Rate for Payer: Cofinity Commercial |
$17.44
|
| Rate for Payer: Cofinity Commercial |
$16.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12.11
|
| Rate for Payer: Healthscope Commercial |
$14.53
|
| Rate for Payer: Healthscope Whirlpool |
$14.53
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$12.72
|
| Rate for Payer: PACE SWMI |
$12.11
|
| Rate for Payer: PHP Medicare Advantage |
$12.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12.65
|
| Rate for Payer: Priority Health Medicare |
$12.11
|
| Rate for Payer: Priority Health Narrow Network |
$12.65
|
| Rate for Payer: UHC Medicare Advantage |
$12.47
|
|
|
CHG ASSAY OF PHOSPHATASE ALKALINE
|
Professional
|
$12.00
|
|
|
Service Code
|
HCPCS 84075
|
| Min. Negotiated Rate |
$1.08 |
| Max. Negotiated Rate |
$8.40 |
| Rate for Payer: Aetna Commercial |
$6.94
|
| Rate for Payer: Aetna Medicare |
$5.18
|
| Rate for Payer: BCBS Complete |
$4.80
|
| Rate for Payer: BCBS MAPPO |
$5.18
|
| Rate for Payer: BCN Commercial |
$1.08
|
| Rate for Payer: BCN Medicare Advantage |
$5.18
|
| Rate for Payer: Cash Price |
$9.60
|
| Rate for Payer: Cash Price |
$9.60
|
| Rate for Payer: Cofinity Commercial |
$7.46
|
| Rate for Payer: Cofinity Commercial |
$6.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.18
|
| Rate for Payer: Healthscope Commercial |
$6.22
|
| Rate for Payer: Healthscope Whirlpool |
$6.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5.44
|
| Rate for Payer: PACE SWMI |
$5.18
|
| Rate for Payer: PHP Medicare Advantage |
$5.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5.27
|
| Rate for Payer: Priority Health Medicare |
$5.18
|
| Rate for Payer: Priority Health Narrow Network |
$5.27
|
| Rate for Payer: UHC Medicare Advantage |
$5.34
|
|
|
CHG ASSAY OF PROGESTERONE
|
Professional
|
$92.00
|
|
|
Service Code
|
HCPCS 84144
|
| Min. Negotiated Rate |
$15.65 |
| Max. Negotiated Rate |
$64.40 |
| Rate for Payer: Aetna Commercial |
$27.95
|
| Rate for Payer: Aetna Medicare |
$20.86
|
| Rate for Payer: BCBS Complete |
$36.80
|
| Rate for Payer: BCBS MAPPO |
$20.86
|
| Rate for Payer: BCN Commercial |
$15.65
|
| Rate for Payer: BCN Medicare Advantage |
$20.86
|
| Rate for Payer: Cash Price |
$73.60
|
| Rate for Payer: Cash Price |
$73.60
|
| Rate for Payer: Cofinity Commercial |
$27.95
|
| Rate for Payer: Cofinity Commercial |
$30.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.86
|
| Rate for Payer: Healthscope Commercial |
$25.03
|
| Rate for Payer: Healthscope Whirlpool |
$25.03
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$21.90
|
| Rate for Payer: PACE SWMI |
$20.86
|
| Rate for Payer: PHP Medicare Advantage |
$20.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$64.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21.79
|
| Rate for Payer: Priority Health Medicare |
$20.86
|
| Rate for Payer: Priority Health Narrow Network |
$21.79
|
| Rate for Payer: UHC Medicare Advantage |
$21.49
|
|
|
CHG ASSAY OF PYRUVATE KINASE
|
Professional
|
$93.00
|
|
|
Service Code
|
HCPCS 84220
|
| Min. Negotiated Rate |
$7.08 |
| Max. Negotiated Rate |
$65.10 |
| Rate for Payer: Aetna Commercial |
$12.65
|
| Rate for Payer: Aetna Medicare |
$9.44
|
| Rate for Payer: BCBS Complete |
$37.20
|
| Rate for Payer: BCBS MAPPO |
$9.44
|
| Rate for Payer: BCN Commercial |
$7.08
|
| Rate for Payer: BCN Medicare Advantage |
$9.44
|
| Rate for Payer: Cash Price |
$74.40
|
| Rate for Payer: Cash Price |
$74.40
|
| Rate for Payer: Cofinity Commercial |
$12.65
|
| Rate for Payer: Cofinity Commercial |
$13.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9.44
|
| Rate for Payer: Healthscope Commercial |
$11.33
|
| Rate for Payer: Healthscope Whirlpool |
$11.33
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$9.91
|
| Rate for Payer: PACE SWMI |
$9.44
|
| Rate for Payer: PHP Medicare Advantage |
$9.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$65.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9.84
|
| Rate for Payer: Priority Health Medicare |
$9.44
|
| Rate for Payer: Priority Health Narrow Network |
$9.84
|
| Rate for Payer: UHC Medicare Advantage |
$9.72
|
|
|
CHG ASSAY OF VASOPRESSIN ANTI-DIURETIC HORMONE
|
Professional
|
$78.00
|
|
|
Service Code
|
HCPCS 84588
|
| Min. Negotiated Rate |
$25.46 |
| Max. Negotiated Rate |
$54.60 |
| Rate for Payer: Aetna Commercial |
$45.48
|
| Rate for Payer: Aetna Medicare |
$33.94
|
| Rate for Payer: BCBS Complete |
$31.20
|
| Rate for Payer: BCBS MAPPO |
$33.94
|
| Rate for Payer: BCN Commercial |
$25.46
|
| Rate for Payer: BCN Medicare Advantage |
$33.94
|
| Rate for Payer: Cash Price |
$62.40
|
| Rate for Payer: Cash Price |
$62.40
|
| Rate for Payer: Cofinity Commercial |
$48.87
|
| Rate for Payer: Cofinity Commercial |
$45.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33.94
|
| Rate for Payer: Healthscope Commercial |
$40.73
|
| Rate for Payer: Healthscope Whirlpool |
$40.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$35.64
|
| Rate for Payer: PACE SWMI |
$33.94
|
| Rate for Payer: PHP Medicare Advantage |
$33.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$54.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$35.15
|
| Rate for Payer: Priority Health Medicare |
$33.94
|
| Rate for Payer: Priority Health Narrow Network |
$35.15
|
| Rate for Payer: UHC Medicare Advantage |
$34.96
|
|
|
CHG BALLOON ANGIOPLASTY VISCERAL
|
Professional
|
$157.00
|
|
|
Service Code
|
HCPCS 75966
|
| Min. Negotiated Rate |
$62.80 |
| Max. Negotiated Rate |
$109.90 |
| Rate for Payer: BCBS Complete |
$62.80
|
| Rate for Payer: Cash Price |
$125.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$109.90
|
|
|
CHG BALLOON ANGIO VENOUS
|
Professional
|
$389.00
|
|
|
Service Code
|
HCPCS 75978
|
| Min. Negotiated Rate |
$20.00 |
| Max. Negotiated Rate |
$272.30 |
| Rate for Payer: BCBS Complete |
$155.60
|
| Rate for Payer: BCBS Complete |
$20.00
|
| Rate for Payer: Cash Price |
$311.20
|
| Rate for Payer: Cash Price |
$40.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$272.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$35.00
|
|
|
CHG BASIC RADIATION DOSIMETRY CALCULATION
|
Professional
|
$128.00
|
|
|
Service Code
|
HCPCS 77300
|
| Min. Negotiated Rate |
$29.60 |
| Max. Negotiated Rate |
$100.90 |
| Rate for Payer: Aetna Commercial |
$84.38
|
| Rate for Payer: Aetna Commercial |
$84.38
|
| Rate for Payer: Aetna Medicare |
$62.97
|
| Rate for Payer: Aetna Medicare |
$62.97
|
| Rate for Payer: BCBS Complete |
$51.20
|
| Rate for Payer: BCBS Complete |
$29.60
|
| Rate for Payer: BCBS MAPPO |
$62.97
|
| Rate for Payer: BCBS MAPPO |
$62.97
|
| Rate for Payer: BCN Commercial |
$96.27
|
| Rate for Payer: BCN Commercial |
$96.27
|
| Rate for Payer: BCN Medicare Advantage |
$62.97
|
| Rate for Payer: BCN Medicare Advantage |
$62.97
|
| Rate for Payer: Cash Price |
$59.20
|
| Rate for Payer: Cash Price |
$102.40
|
| Rate for Payer: Cash Price |
$102.40
|
| Rate for Payer: Cash Price |
$59.20
|
| Rate for Payer: Cofinity Commercial |
$90.68
|
| Rate for Payer: Cofinity Commercial |
$90.68
|
| Rate for Payer: Cofinity Commercial |
$84.38
|
| Rate for Payer: Cofinity Commercial |
$84.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$62.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$62.97
|
| Rate for Payer: Healthscope Commercial |
$75.56
|
| Rate for Payer: Healthscope Commercial |
$75.56
|
| Rate for Payer: Healthscope Whirlpool |
$75.56
|
| Rate for Payer: Healthscope Whirlpool |
$75.56
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$66.12
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$66.12
|
| Rate for Payer: PACE SWMI |
$62.97
|
| Rate for Payer: PACE SWMI |
$62.97
|
| Rate for Payer: PHP Medicare Advantage |
$62.97
|
| Rate for Payer: PHP Medicare Advantage |
$62.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$89.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$51.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$100.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$100.90
|
| Rate for Payer: Priority Health Medicare |
$62.97
|
| Rate for Payer: Priority Health Medicare |
$62.97
|
| Rate for Payer: Priority Health Narrow Network |
$100.90
|
| Rate for Payer: Priority Health Narrow Network |
$100.90
|
| Rate for Payer: UHC Medicare Advantage |
$64.86
|
| Rate for Payer: UHC Medicare Advantage |
$64.86
|
|
|
CHG BILIRUBIN TOTAL
|
Professional
|
$23.00
|
|
|
Service Code
|
HCPCS 82247
|
| Min. Negotiated Rate |
$1.08 |
| Max. Negotiated Rate |
$16.10 |
| Rate for Payer: Aetna Commercial |
$6.73
|
| Rate for Payer: Aetna Medicare |
$5.02
|
| Rate for Payer: BCBS Complete |
$9.20
|
| Rate for Payer: BCBS MAPPO |
$5.02
|
| Rate for Payer: BCN Commercial |
$1.08
|
| Rate for Payer: BCN Medicare Advantage |
$5.02
|
| Rate for Payer: Cash Price |
$18.40
|
| Rate for Payer: Cash Price |
$18.40
|
| Rate for Payer: Cofinity Commercial |
$6.73
|
| Rate for Payer: Cofinity Commercial |
$7.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.02
|
| Rate for Payer: Healthscope Commercial |
$6.02
|
| Rate for Payer: Healthscope Whirlpool |
$6.02
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5.27
|
| Rate for Payer: PACE SWMI |
$5.02
|
| Rate for Payer: PHP Medicare Advantage |
$5.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5.27
|
| Rate for Payer: Priority Health Medicare |
$5.02
|
| Rate for Payer: Priority Health Narrow Network |
$5.27
|
| Rate for Payer: UHC Medicare Advantage |
$5.17
|
|
|
CHG BILIRUBIN TOTAL TRANSCUTANEOUS
|
Professional
|
$13.00
|
|
|
Service Code
|
HCPCS 88720
|
| Min. Negotiated Rate |
$3.77 |
| Max. Negotiated Rate |
$9.10 |
| Rate for Payer: Aetna Commercial |
$6.73
|
| Rate for Payer: Aetna Medicare |
$5.02
|
| Rate for Payer: BCBS Complete |
$5.20
|
| Rate for Payer: BCBS MAPPO |
$5.02
|
| Rate for Payer: BCN Commercial |
$3.77
|
| Rate for Payer: BCN Medicare Advantage |
$5.02
|
| Rate for Payer: Cash Price |
$10.40
|
| Rate for Payer: Cash Price |
$10.40
|
| Rate for Payer: Cofinity Commercial |
$6.73
|
| Rate for Payer: Cofinity Commercial |
$7.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.02
|
| Rate for Payer: Healthscope Commercial |
$6.02
|
| Rate for Payer: Healthscope Whirlpool |
$6.02
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5.27
|
| Rate for Payer: PACE SWMI |
$5.02
|
| Rate for Payer: PHP Medicare Advantage |
$5.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7.79
|
| Rate for Payer: Priority Health Medicare |
$5.02
|
| Rate for Payer: Priority Health Narrow Network |
$7.79
|
| Rate for Payer: UHC Medicare Advantage |
$5.17
|
|
|
CHG BLOOD COUNT HEMOGLOBIN
|
Professional
|
$14.00
|
|
|
Service Code
|
HCPCS 85018
|
| Min. Negotiated Rate |
$2.37 |
| Max. Negotiated Rate |
$9.80 |
| Rate for Payer: Aetna Commercial |
$3.18
|
| Rate for Payer: Aetna Medicare |
$2.37
|
| Rate for Payer: BCBS Complete |
$5.60
|
| Rate for Payer: BCBS MAPPO |
$2.37
|
| Rate for Payer: BCN Commercial |
$2.37
|
| Rate for Payer: BCN Medicare Advantage |
$2.37
|
| Rate for Payer: Cash Price |
$11.20
|
| Rate for Payer: Cash Price |
$11.20
|
| Rate for Payer: Cofinity Commercial |
$3.18
|
| Rate for Payer: Cofinity Commercial |
$3.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.37
|
| Rate for Payer: Healthscope Commercial |
$2.84
|
| Rate for Payer: Healthscope Whirlpool |
$2.84
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2.49
|
| Rate for Payer: PACE SWMI |
$2.37
|
| Rate for Payer: PHP Medicare Advantage |
$2.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2.46
|
| Rate for Payer: Priority Health Medicare |
$2.37
|
| Rate for Payer: Priority Health Narrow Network |
$2.46
|
| Rate for Payer: UHC Medicare Advantage |
$2.44
|
|
|
CHG BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3
|
Professional
|
$43.00
|
|
|
Service Code
|
HCPCS 82274
|
| Min. Negotiated Rate |
$15.92 |
| Max. Negotiated Rate |
$30.10 |
| Rate for Payer: Aetna Commercial |
$21.33
|
| Rate for Payer: Aetna Medicare |
$15.92
|
| Rate for Payer: BCBS Complete |
$17.20
|
| Rate for Payer: BCBS MAPPO |
$15.92
|
| Rate for Payer: BCN Commercial |
$15.92
|
| Rate for Payer: BCN Medicare Advantage |
$15.92
|
| Rate for Payer: Cash Price |
$34.40
|
| Rate for Payer: Cash Price |
$34.40
|
| Rate for Payer: Cofinity Commercial |
$22.92
|
| Rate for Payer: Cofinity Commercial |
$21.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15.92
|
| Rate for Payer: Healthscope Commercial |
$19.10
|
| Rate for Payer: Healthscope Whirlpool |
$19.10
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$16.72
|
| Rate for Payer: PACE SWMI |
$15.92
|
| Rate for Payer: PHP Medicare Advantage |
$15.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16.52
|
| Rate for Payer: Priority Health Medicare |
$15.92
|
| Rate for Payer: Priority Health Narrow Network |
$16.52
|
| Rate for Payer: UHC Medicare Advantage |
$16.40
|
|
|
CHG BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1-3 SPEC
|
Professional
|
$10.00
|
|
|
Service Code
|
HCPCS 82272
|
| Min. Negotiated Rate |
$4.00 |
| Max. Negotiated Rate |
$7.00 |
| Rate for Payer: Aetna Commercial |
$5.67
|
| Rate for Payer: Aetna Medicare |
$4.23
|
| Rate for Payer: BCBS Complete |
$4.00
|
| Rate for Payer: BCBS MAPPO |
$4.23
|
| Rate for Payer: BCN Commercial |
$4.23
|
| Rate for Payer: BCN Medicare Advantage |
$4.23
|
| Rate for Payer: Cash Price |
$8.00
|
| Rate for Payer: Cash Price |
$8.00
|
| Rate for Payer: Cofinity Commercial |
$6.09
|
| Rate for Payer: Cofinity Commercial |
$5.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.23
|
| Rate for Payer: Healthscope Commercial |
$5.08
|
| Rate for Payer: Healthscope Whirlpool |
$5.08
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$4.44
|
| Rate for Payer: PACE SWMI |
$4.23
|
| Rate for Payer: PHP Medicare Advantage |
$4.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4.22
|
| Rate for Payer: Priority Health Medicare |
$4.23
|
| Rate for Payer: Priority Health Narrow Network |
$4.22
|
| Rate for Payer: UHC Medicare Advantage |
$4.36
|
|
|
CHG BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER
|
Professional
|
$14.00
|
|
|
Service Code
|
HCPCS 82270
|
| Min. Negotiated Rate |
$4.38 |
| Max. Negotiated Rate |
$9.80 |
| Rate for Payer: Aetna Commercial |
$5.87
|
| Rate for Payer: Aetna Medicare |
$4.38
|
| Rate for Payer: BCBS Complete |
$5.60
|
| Rate for Payer: BCBS MAPPO |
$4.38
|
| Rate for Payer: BCN Commercial |
$4.38
|
| Rate for Payer: BCN Medicare Advantage |
$4.38
|
| Rate for Payer: Cash Price |
$11.20
|
| Rate for Payer: Cash Price |
$11.20
|
| Rate for Payer: Cofinity Commercial |
$5.87
|
| Rate for Payer: Cofinity Commercial |
$6.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.38
|
| Rate for Payer: Healthscope Commercial |
$5.26
|
| Rate for Payer: Healthscope Whirlpool |
$5.26
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$4.60
|
| Rate for Payer: PACE SWMI |
$4.38
|
| Rate for Payer: PHP Medicare Advantage |
$4.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4.57
|
| Rate for Payer: Priority Health Medicare |
$4.38
|
| Rate for Payer: Priority Health Narrow Network |
$4.57
|
| Rate for Payer: UHC Medicare Advantage |
$4.51
|
|
|
CHG BONE AGE STUDIES
|
Professional
|
$35.00
|
|
|
Service Code
|
HCPCS 77072
|
| Min. Negotiated Rate |
$14.00 |
| Max. Negotiated Rate |
$39.95 |
| Rate for Payer: Aetna Commercial |
$33.18
|
| Rate for Payer: Aetna Medicare |
$24.76
|
| Rate for Payer: BCBS Complete |
$14.00
|
| Rate for Payer: BCBS MAPPO |
$24.76
|
| Rate for Payer: BCN Commercial |
$38.12
|
| Rate for Payer: BCN Medicare Advantage |
$24.76
|
| Rate for Payer: Cash Price |
$28.00
|
| Rate for Payer: Cash Price |
$28.00
|
| Rate for Payer: Cofinity Commercial |
$33.18
|
| Rate for Payer: Cofinity Commercial |
$35.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24.76
|
| Rate for Payer: Healthscope Commercial |
$29.71
|
| Rate for Payer: Healthscope Whirlpool |
$29.71
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$26.00
|
| Rate for Payer: PACE SWMI |
$24.76
|
| Rate for Payer: PHP Medicare Advantage |
$24.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$24.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$39.95
|
| Rate for Payer: Priority Health Medicare |
$24.76
|
| Rate for Payer: Priority Health Narrow Network |
$39.95
|
| Rate for Payer: UHC Medicare Advantage |
$25.50
|
|
|
CHG BONE LENGTH STUDIES
|
Professional
|
$57.00
|
|
|
Service Code
|
HCPCS 77073
|
| Min. Negotiated Rate |
$22.80 |
| Max. Negotiated Rate |
$91.70 |
| Rate for Payer: Aetna Commercial |
$57.12
|
| Rate for Payer: Aetna Commercial |
$57.12
|
| Rate for Payer: Aetna Medicare |
$42.63
|
| Rate for Payer: Aetna Medicare |
$42.63
|
| Rate for Payer: BCBS Complete |
$22.80
|
| Rate for Payer: BCBS Complete |
$52.40
|
| Rate for Payer: BCBS MAPPO |
$42.63
|
| Rate for Payer: BCBS MAPPO |
$42.63
|
| Rate for Payer: BCN Commercial |
$65.97
|
| Rate for Payer: BCN Commercial |
$65.97
|
| Rate for Payer: BCN Medicare Advantage |
$42.63
|
| Rate for Payer: BCN Medicare Advantage |
$42.63
|
| Rate for Payer: Cash Price |
$104.80
|
| Rate for Payer: Cash Price |
$104.80
|
| Rate for Payer: Cash Price |
$45.60
|
| Rate for Payer: Cash Price |
$45.60
|
| Rate for Payer: Cofinity Commercial |
$57.12
|
| Rate for Payer: Cofinity Commercial |
$61.39
|
| Rate for Payer: Cofinity Commercial |
$57.12
|
| Rate for Payer: Cofinity Commercial |
$61.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$42.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$42.63
|
| Rate for Payer: Healthscope Commercial |
$51.16
|
| Rate for Payer: Healthscope Commercial |
$51.16
|
| Rate for Payer: Healthscope Whirlpool |
$51.16
|
| Rate for Payer: Healthscope Whirlpool |
$51.16
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$44.76
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$44.76
|
| Rate for Payer: PACE SWMI |
$42.63
|
| Rate for Payer: PACE SWMI |
$42.63
|
| Rate for Payer: PHP Medicare Advantage |
$42.63
|
| Rate for Payer: PHP Medicare Advantage |
$42.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$91.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$69.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$69.15
|
| Rate for Payer: Priority Health Medicare |
$42.63
|
| Rate for Payer: Priority Health Medicare |
$42.63
|
| Rate for Payer: Priority Health Narrow Network |
$69.15
|
| Rate for Payer: Priority Health Narrow Network |
$69.15
|
| Rate for Payer: UHC Medicare Advantage |
$43.91
|
| Rate for Payer: UHC Medicare Advantage |
$43.91
|
|
