|
CHG RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 VIEWS
|
Professional
|
$60.00
|
|
|
Service Code
|
HCPCS 71101
|
| Min. Negotiated Rate |
$20.40 |
| Max. Negotiated Rate |
$65.05 |
| Rate for Payer: Aetna Commercial |
$53.77
|
| Rate for Payer: Aetna Commercial |
$53.77
|
| Rate for Payer: Aetna Medicare |
$40.13
|
| Rate for Payer: Aetna Medicare |
$40.13
|
| Rate for Payer: BCBS Complete |
$24.00
|
| Rate for Payer: BCBS Complete |
$20.40
|
| Rate for Payer: BCBS MAPPO |
$40.13
|
| Rate for Payer: BCBS MAPPO |
$40.13
|
| Rate for Payer: BCN Commercial |
$62.06
|
| Rate for Payer: BCN Commercial |
$62.06
|
| Rate for Payer: BCN Medicare Advantage |
$40.13
|
| Rate for Payer: BCN Medicare Advantage |
$40.13
|
| Rate for Payer: Cash Price |
$48.00
|
| Rate for Payer: Cash Price |
$40.80
|
| Rate for Payer: Cash Price |
$48.00
|
| Rate for Payer: Cash Price |
$40.80
|
| Rate for Payer: Cofinity Commercial |
$57.79
|
| Rate for Payer: Cofinity Commercial |
$53.77
|
| Rate for Payer: Cofinity Commercial |
$53.77
|
| Rate for Payer: Cofinity Commercial |
$57.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$40.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$40.13
|
| Rate for Payer: Healthscope Commercial |
$48.16
|
| Rate for Payer: Healthscope Commercial |
$48.16
|
| Rate for Payer: Healthscope Whirlpool |
$48.16
|
| Rate for Payer: Healthscope Whirlpool |
$48.16
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$42.14
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$42.14
|
| Rate for Payer: PACE SWMI |
$40.13
|
| Rate for Payer: PACE SWMI |
$40.13
|
| Rate for Payer: PHP Medicare Advantage |
$40.13
|
| Rate for Payer: PHP Medicare Advantage |
$40.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$42.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$35.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$65.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$65.05
|
| Rate for Payer: Priority Health Medicare |
$40.13
|
| Rate for Payer: Priority Health Medicare |
$40.13
|
| Rate for Payer: Priority Health Narrow Network |
$65.05
|
| Rate for Payer: Priority Health Narrow Network |
$65.05
|
| Rate for Payer: UHC Medicare Advantage |
$41.33
|
| Rate for Payer: UHC Medicare Advantage |
$41.33
|
|
|
CHG RADEX SACRUM & COCCYX MINIMUM 2 VIEWS
|
Professional
|
$42.00
|
|
|
Service Code
|
HCPCS 72220
|
| Min. Negotiated Rate |
$15.60 |
| Max. Negotiated Rate |
$86.80 |
| Rate for Payer: Aetna Commercial |
$41.38
|
| Rate for Payer: Aetna Commercial |
$41.38
|
| Rate for Payer: Aetna Commercial |
$41.38
|
| Rate for Payer: Aetna Medicare |
$30.88
|
| Rate for Payer: Aetna Medicare |
$30.88
|
| Rate for Payer: Aetna Medicare |
$30.88
|
| Rate for Payer: BCBS Complete |
$16.80
|
| Rate for Payer: BCBS Complete |
$49.60
|
| Rate for Payer: BCBS Complete |
$15.60
|
| Rate for Payer: BCBS MAPPO |
$30.88
|
| Rate for Payer: BCBS MAPPO |
$30.88
|
| Rate for Payer: BCBS MAPPO |
$30.88
|
| Rate for Payer: BCN Commercial |
$47.89
|
| Rate for Payer: BCN Commercial |
$47.89
|
| Rate for Payer: BCN Commercial |
$47.89
|
| Rate for Payer: BCN Medicare Advantage |
$30.88
|
| Rate for Payer: BCN Medicare Advantage |
$30.88
|
| Rate for Payer: BCN Medicare Advantage |
$30.88
|
| Rate for Payer: Cash Price |
$31.20
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cash Price |
$99.20
|
| Rate for Payer: Cash Price |
$99.20
|
| Rate for Payer: Cash Price |
$31.20
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cofinity Commercial |
$44.47
|
| Rate for Payer: Cofinity Commercial |
$41.38
|
| Rate for Payer: Cofinity Commercial |
$44.47
|
| Rate for Payer: Cofinity Commercial |
$41.38
|
| Rate for Payer: Cofinity Commercial |
$41.38
|
| Rate for Payer: Cofinity Commercial |
$44.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.88
|
| Rate for Payer: Healthscope Commercial |
$37.06
|
| Rate for Payer: Healthscope Commercial |
$37.06
|
| Rate for Payer: Healthscope Commercial |
$37.06
|
| Rate for Payer: Healthscope Whirlpool |
$37.06
|
| Rate for Payer: Healthscope Whirlpool |
$37.06
|
| Rate for Payer: Healthscope Whirlpool |
$37.06
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$32.42
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$32.42
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$32.42
|
| Rate for Payer: PACE SWMI |
$30.88
|
| Rate for Payer: PACE SWMI |
$30.88
|
| Rate for Payer: PACE SWMI |
$30.88
|
| Rate for Payer: PHP Medicare Advantage |
$30.88
|
| Rate for Payer: PHP Medicare Advantage |
$30.88
|
| Rate for Payer: PHP Medicare Advantage |
$30.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$86.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$50.19
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$50.19
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$50.19
|
| Rate for Payer: Priority Health Medicare |
$30.88
|
| Rate for Payer: Priority Health Medicare |
$30.88
|
| Rate for Payer: Priority Health Medicare |
$30.88
|
| Rate for Payer: Priority Health Narrow Network |
$50.19
|
| Rate for Payer: Priority Health Narrow Network |
$50.19
|
| Rate for Payer: Priority Health Narrow Network |
$50.19
|
| Rate for Payer: UHC Medicare Advantage |
$31.81
|
| Rate for Payer: UHC Medicare Advantage |
$31.81
|
| Rate for Payer: UHC Medicare Advantage |
$31.81
|
|
|
CHG RADEX SCAPULA COMPLETE
|
Professional
|
$35.00
|
|
|
Service Code
|
HCPCS 73010
|
| Min. Negotiated Rate |
$14.00 |
| Max. Negotiated Rate |
$73.50 |
| Rate for Payer: Aetna Commercial |
$30.20
|
| Rate for Payer: Aetna Commercial |
$30.20
|
| Rate for Payer: Aetna Commercial |
$30.20
|
| Rate for Payer: Aetna Medicare |
$22.54
|
| Rate for Payer: Aetna Medicare |
$22.54
|
| Rate for Payer: Aetna Medicare |
$22.54
|
| Rate for Payer: BCBS Complete |
$14.00
|
| Rate for Payer: BCBS Complete |
$42.00
|
| Rate for Payer: BCBS Complete |
$17.20
|
| Rate for Payer: BCBS MAPPO |
$22.54
|
| Rate for Payer: BCBS MAPPO |
$22.54
|
| Rate for Payer: BCBS MAPPO |
$22.54
|
| Rate for Payer: BCN Commercial |
$34.70
|
| Rate for Payer: BCN Commercial |
$34.70
|
| Rate for Payer: BCN Commercial |
$34.70
|
| Rate for Payer: BCN Medicare Advantage |
$22.54
|
| Rate for Payer: BCN Medicare Advantage |
$22.54
|
| Rate for Payer: BCN Medicare Advantage |
$22.54
|
| Rate for Payer: Cash Price |
$84.00
|
| Rate for Payer: Cash Price |
$34.40
|
| Rate for Payer: Cash Price |
$84.00
|
| Rate for Payer: Cash Price |
$34.40
|
| Rate for Payer: Cash Price |
$28.00
|
| Rate for Payer: Cash Price |
$28.00
|
| Rate for Payer: Cofinity Commercial |
$30.20
|
| Rate for Payer: Cofinity Commercial |
$30.20
|
| Rate for Payer: Cofinity Commercial |
$32.46
|
| Rate for Payer: Cofinity Commercial |
$30.20
|
| Rate for Payer: Cofinity Commercial |
$32.46
|
| Rate for Payer: Cofinity Commercial |
$32.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22.54
|
| Rate for Payer: Healthscope Commercial |
$27.05
|
| Rate for Payer: Healthscope Commercial |
$27.05
|
| Rate for Payer: Healthscope Commercial |
$27.05
|
| Rate for Payer: Healthscope Whirlpool |
$27.05
|
| Rate for Payer: Healthscope Whirlpool |
$27.05
|
| Rate for Payer: Healthscope Whirlpool |
$27.05
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$23.67
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$23.67
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$23.67
|
| Rate for Payer: PACE SWMI |
$22.54
|
| Rate for Payer: PACE SWMI |
$22.54
|
| Rate for Payer: PACE SWMI |
$22.54
|
| Rate for Payer: PHP Medicare Advantage |
$22.54
|
| Rate for Payer: PHP Medicare Advantage |
$22.54
|
| Rate for Payer: PHP Medicare Advantage |
$22.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$24.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$73.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$36.36
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$36.36
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$36.36
|
| Rate for Payer: Priority Health Medicare |
$22.54
|
| Rate for Payer: Priority Health Medicare |
$22.54
|
| Rate for Payer: Priority Health Medicare |
$22.54
|
| Rate for Payer: Priority Health Narrow Network |
$36.36
|
| Rate for Payer: Priority Health Narrow Network |
$36.36
|
| Rate for Payer: Priority Health Narrow Network |
$36.36
|
| Rate for Payer: UHC Medicare Advantage |
$23.22
|
| Rate for Payer: UHC Medicare Advantage |
$23.22
|
| Rate for Payer: UHC Medicare Advantage |
$23.22
|
|
|
CHG RADEX SHOULDER 1 VIEW
|
Professional
|
$79.00
|
|
|
Service Code
|
HCPCS 73020
|
| Min. Negotiated Rate |
$10.40 |
| Max. Negotiated Rate |
$55.30 |
| Rate for Payer: Aetna Commercial |
$27.64
|
| Rate for Payer: Aetna Commercial |
$27.64
|
| Rate for Payer: Aetna Medicare |
$20.63
|
| Rate for Payer: Aetna Medicare |
$20.63
|
| Rate for Payer: BCBS Complete |
$31.60
|
| Rate for Payer: BCBS Complete |
$10.40
|
| Rate for Payer: BCBS MAPPO |
$20.63
|
| Rate for Payer: BCBS MAPPO |
$20.63
|
| Rate for Payer: BCN Commercial |
$31.76
|
| Rate for Payer: BCN Commercial |
$31.76
|
| Rate for Payer: BCN Medicare Advantage |
$20.63
|
| Rate for Payer: BCN Medicare Advantage |
$20.63
|
| Rate for Payer: Cash Price |
$63.20
|
| Rate for Payer: Cash Price |
$20.80
|
| Rate for Payer: Cash Price |
$20.80
|
| Rate for Payer: Cash Price |
$63.20
|
| Rate for Payer: Cofinity Commercial |
$29.71
|
| Rate for Payer: Cofinity Commercial |
$27.64
|
| Rate for Payer: Cofinity Commercial |
$27.64
|
| Rate for Payer: Cofinity Commercial |
$29.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.63
|
| Rate for Payer: Healthscope Commercial |
$24.76
|
| Rate for Payer: Healthscope Commercial |
$24.76
|
| Rate for Payer: Healthscope Whirlpool |
$24.76
|
| Rate for Payer: Healthscope Whirlpool |
$24.76
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$21.66
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$21.66
|
| Rate for Payer: PACE SWMI |
$20.63
|
| Rate for Payer: PACE SWMI |
$20.63
|
| Rate for Payer: PHP Medicare Advantage |
$20.63
|
| Rate for Payer: PHP Medicare Advantage |
$20.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$55.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$33.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$33.30
|
| Rate for Payer: Priority Health Medicare |
$20.63
|
| Rate for Payer: Priority Health Medicare |
$20.63
|
| Rate for Payer: Priority Health Narrow Network |
$33.30
|
| Rate for Payer: Priority Health Narrow Network |
$33.30
|
| Rate for Payer: UHC Medicare Advantage |
$21.25
|
| Rate for Payer: UHC Medicare Advantage |
$21.25
|
|
|
CHG RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS
|
Professional
|
$112.00
|
|
|
Service Code
|
HCPCS 73030
|
| Min. Negotiated Rate |
$14.00 |
| Max. Negotiated Rate |
$78.40 |
| Rate for Payer: Aetna Commercial |
$43.90
|
| Rate for Payer: Aetna Commercial |
$43.90
|
| Rate for Payer: Aetna Commercial |
$43.90
|
| Rate for Payer: Aetna Medicare |
$32.76
|
| Rate for Payer: Aetna Medicare |
$32.76
|
| Rate for Payer: Aetna Medicare |
$32.76
|
| Rate for Payer: BCBS Complete |
$16.00
|
| Rate for Payer: BCBS Complete |
$44.80
|
| Rate for Payer: BCBS Complete |
$14.00
|
| Rate for Payer: BCBS MAPPO |
$32.76
|
| Rate for Payer: BCBS MAPPO |
$32.76
|
| Rate for Payer: BCBS MAPPO |
$32.76
|
| 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 |
$32.76
|
| Rate for Payer: BCN Medicare Advantage |
$32.76
|
| Rate for Payer: BCN Medicare Advantage |
$32.76
|
| Rate for Payer: Cash Price |
$28.00
|
| Rate for Payer: Cash Price |
$89.60
|
| Rate for Payer: Cash Price |
$28.00
|
| Rate for Payer: Cash Price |
$89.60
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Cofinity Commercial |
$47.17
|
| Rate for Payer: Cofinity Commercial |
$43.90
|
| Rate for Payer: Cofinity Commercial |
$47.17
|
| Rate for Payer: Cofinity Commercial |
$43.90
|
| Rate for Payer: Cofinity Commercial |
$47.17
|
| Rate for Payer: Cofinity Commercial |
$43.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32.76
|
| Rate for Payer: Healthscope Commercial |
$39.31
|
| Rate for Payer: Healthscope Commercial |
$39.31
|
| Rate for Payer: Healthscope Commercial |
$39.31
|
| Rate for Payer: Healthscope Whirlpool |
$39.31
|
| Rate for Payer: Healthscope Whirlpool |
$39.31
|
| Rate for Payer: Healthscope Whirlpool |
$39.31
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$34.40
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$34.40
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$34.40
|
| Rate for Payer: PACE SWMI |
$32.76
|
| Rate for Payer: PACE SWMI |
$32.76
|
| Rate for Payer: PACE SWMI |
$32.76
|
| Rate for Payer: PHP Medicare Advantage |
$32.76
|
| Rate for Payer: PHP Medicare Advantage |
$32.76
|
| Rate for Payer: PHP Medicare Advantage |
$32.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$24.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$78.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$53.26
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$53.26
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$53.26
|
| Rate for Payer: Priority Health Medicare |
$32.76
|
| Rate for Payer: Priority Health Medicare |
$32.76
|
| Rate for Payer: Priority Health Medicare |
$32.76
|
| Rate for Payer: Priority Health Narrow Network |
$53.26
|
| Rate for Payer: Priority Health Narrow Network |
$53.26
|
| Rate for Payer: Priority Health Narrow Network |
$53.26
|
| Rate for Payer: UHC Medicare Advantage |
$33.74
|
| Rate for Payer: UHC Medicare Advantage |
$33.74
|
| Rate for Payer: UHC Medicare Advantage |
$33.74
|
|
|
CHG RADEX SINUSES PARANASAL <3 VIEWS
|
Professional
|
$42.00
|
|
|
Service Code
|
HCPCS 70210
|
| Min. Negotiated Rate |
$16.80 |
| Max. Negotiated Rate |
$49.68 |
| Rate for Payer: Aetna Commercial |
$40.96
|
| Rate for Payer: Aetna Medicare |
$30.57
|
| Rate for Payer: BCBS Complete |
$16.80
|
| Rate for Payer: BCBS MAPPO |
$30.57
|
| Rate for Payer: BCN Commercial |
$47.41
|
| Rate for Payer: BCN Medicare Advantage |
$30.57
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cash Price |
$33.60
|
| 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: Healthscope Commercial |
$36.68
|
| Rate for Payer: Healthscope Whirlpool |
$36.68
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$32.10
|
| Rate for Payer: PACE SWMI |
$30.57
|
| Rate for Payer: PHP Medicare Advantage |
$30.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49.68
|
| Rate for Payer: Priority Health Medicare |
$30.57
|
| Rate for Payer: Priority Health Narrow Network |
$49.68
|
| Rate for Payer: UHC Medicare Advantage |
$31.49
|
|
|
CHG RADEX SINUSES PARANASAL COMPL MINIMUM 3 VIEWS
|
Professional
|
$65.00
|
|
|
Service Code
|
HCPCS 70220
|
| Min. Negotiated Rate |
$20.00 |
| Max. Negotiated Rate |
$57.87 |
| Rate for Payer: Aetna Commercial |
$47.78
|
| Rate for Payer: Aetna Commercial |
$47.78
|
| Rate for Payer: Aetna Medicare |
$35.66
|
| Rate for Payer: Aetna Medicare |
$35.66
|
| Rate for Payer: BCBS Complete |
$26.00
|
| Rate for Payer: BCBS Complete |
$20.00
|
| Rate for Payer: BCBS MAPPO |
$35.66
|
| Rate for Payer: BCBS MAPPO |
$35.66
|
| Rate for Payer: BCN Commercial |
$55.22
|
| Rate for Payer: BCN Commercial |
$55.22
|
| Rate for Payer: BCN Medicare Advantage |
$35.66
|
| Rate for Payer: BCN Medicare Advantage |
$35.66
|
| Rate for Payer: Cash Price |
$40.00
|
| Rate for Payer: Cash Price |
$52.00
|
| Rate for Payer: Cash Price |
$52.00
|
| Rate for Payer: Cash Price |
$40.00
|
| Rate for Payer: Cofinity Commercial |
$51.35
|
| Rate for Payer: Cofinity Commercial |
$47.78
|
| Rate for Payer: Cofinity Commercial |
$47.78
|
| Rate for Payer: Cofinity Commercial |
$51.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.66
|
| Rate for Payer: Healthscope Commercial |
$42.79
|
| Rate for Payer: Healthscope Commercial |
$42.79
|
| Rate for Payer: Healthscope Whirlpool |
$42.79
|
| Rate for Payer: Healthscope Whirlpool |
$42.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$37.44
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$37.44
|
| Rate for Payer: PACE SWMI |
$35.66
|
| Rate for Payer: PACE SWMI |
$35.66
|
| Rate for Payer: PHP Medicare Advantage |
$35.66
|
| Rate for Payer: PHP Medicare Advantage |
$35.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$35.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$45.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$57.87
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$57.87
|
| Rate for Payer: Priority Health Medicare |
$35.66
|
| Rate for Payer: Priority Health Medicare |
$35.66
|
| Rate for Payer: Priority Health Narrow Network |
$57.87
|
| Rate for Payer: Priority Health Narrow Network |
$57.87
|
| Rate for Payer: UHC Medicare Advantage |
$36.73
|
| Rate for Payer: UHC Medicare Advantage |
$36.73
|
|
|
CHG RADEX SPINE 1 VIEW SPECIFY LEVEL
|
Professional
|
$26.00
|
|
|
Service Code
|
HCPCS 72020
|
| Min. Negotiated Rate |
$10.40 |
| Max. Negotiated Rate |
$37.91 |
| Rate for Payer: Aetna Commercial |
$31.41
|
| Rate for Payer: Aetna Commercial |
$31.41
|
| Rate for Payer: Aetna Medicare |
$23.44
|
| Rate for Payer: Aetna Medicare |
$23.44
|
| Rate for Payer: BCBS Complete |
$10.40
|
| Rate for Payer: BCBS Complete |
$12.00
|
| Rate for Payer: BCBS MAPPO |
$23.44
|
| Rate for Payer: BCBS MAPPO |
$23.44
|
| Rate for Payer: BCN Commercial |
$36.16
|
| Rate for Payer: BCN Commercial |
$36.16
|
| Rate for Payer: BCN Medicare Advantage |
$23.44
|
| Rate for Payer: BCN Medicare Advantage |
$23.44
|
| Rate for Payer: Cash Price |
$20.80
|
| Rate for Payer: Cash Price |
$24.00
|
| Rate for Payer: Cash Price |
$24.00
|
| Rate for Payer: Cash Price |
$20.80
|
| Rate for Payer: Cofinity Commercial |
$33.75
|
| Rate for Payer: Cofinity Commercial |
$31.41
|
| Rate for Payer: Cofinity Commercial |
$33.75
|
| Rate for Payer: Cofinity Commercial |
$31.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23.44
|
| Rate for Payer: Healthscope Commercial |
$28.13
|
| Rate for Payer: Healthscope Commercial |
$28.13
|
| Rate for Payer: Healthscope Whirlpool |
$28.13
|
| Rate for Payer: Healthscope Whirlpool |
$28.13
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$24.61
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$24.61
|
| Rate for Payer: PACE SWMI |
$23.44
|
| Rate for Payer: PACE SWMI |
$23.44
|
| Rate for Payer: PHP Medicare Advantage |
$23.44
|
| Rate for Payer: PHP Medicare Advantage |
$23.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$37.91
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$37.91
|
| Rate for Payer: Priority Health Medicare |
$23.44
|
| Rate for Payer: Priority Health Medicare |
$23.44
|
| Rate for Payer: Priority Health Narrow Network |
$37.91
|
| Rate for Payer: Priority Health Narrow Network |
$37.91
|
| Rate for Payer: UHC Medicare Advantage |
$24.14
|
| Rate for Payer: UHC Medicare Advantage |
$24.14
|
|
|
CHG RADEX SPINE CERVICAL 2 OR 3 VIEWS
|
Professional
|
$100.00
|
|
|
Service Code
|
HCPCS 72040
|
| Min. Negotiated Rate |
$14.80 |
| Max. Negotiated Rate |
$70.00 |
| Rate for Payer: Aetna Commercial |
$50.26
|
| Rate for Payer: Aetna Commercial |
$50.26
|
| Rate for Payer: Aetna Commercial |
$50.26
|
| Rate for Payer: Aetna Medicare |
$37.51
|
| Rate for Payer: Aetna Medicare |
$37.51
|
| Rate for Payer: Aetna Medicare |
$37.51
|
| Rate for Payer: BCBS Complete |
$19.60
|
| Rate for Payer: BCBS Complete |
$14.80
|
| Rate for Payer: BCBS Complete |
$40.00
|
| Rate for Payer: BCBS MAPPO |
$37.51
|
| Rate for Payer: BCBS MAPPO |
$37.51
|
| Rate for Payer: BCBS MAPPO |
$37.51
|
| Rate for Payer: BCN Commercial |
$58.15
|
| Rate for Payer: BCN Commercial |
$58.15
|
| Rate for Payer: BCN Commercial |
$58.15
|
| Rate for Payer: BCN Medicare Advantage |
$37.51
|
| Rate for Payer: BCN Medicare Advantage |
$37.51
|
| Rate for Payer: BCN Medicare Advantage |
$37.51
|
| Rate for Payer: Cash Price |
$39.20
|
| Rate for Payer: Cash Price |
$39.20
|
| Rate for Payer: Cash Price |
$29.60
|
| Rate for Payer: Cash Price |
$80.00
|
| Rate for Payer: Cash Price |
$29.60
|
| Rate for Payer: Cash Price |
$80.00
|
| Rate for Payer: Cofinity Commercial |
$54.01
|
| Rate for Payer: Cofinity Commercial |
$50.26
|
| Rate for Payer: Cofinity Commercial |
$54.01
|
| Rate for Payer: Cofinity Commercial |
$50.26
|
| Rate for Payer: Cofinity Commercial |
$50.26
|
| Rate for Payer: Cofinity Commercial |
$54.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.51
|
| Rate for Payer: Healthscope Commercial |
$45.01
|
| Rate for Payer: Healthscope Commercial |
$45.01
|
| Rate for Payer: Healthscope Commercial |
$45.01
|
| Rate for Payer: Healthscope Whirlpool |
$45.01
|
| Rate for Payer: Healthscope Whirlpool |
$45.01
|
| Rate for Payer: Healthscope Whirlpool |
$45.01
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$39.39
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$39.39
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$39.39
|
| Rate for Payer: PACE SWMI |
$37.51
|
| Rate for Payer: PACE SWMI |
$37.51
|
| Rate for Payer: PACE SWMI |
$37.51
|
| Rate for Payer: PHP Medicare Advantage |
$37.51
|
| Rate for Payer: PHP Medicare Advantage |
$37.51
|
| Rate for Payer: PHP Medicare Advantage |
$37.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$70.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$25.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$34.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$60.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$60.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$60.95
|
| Rate for Payer: Priority Health Medicare |
$37.51
|
| Rate for Payer: Priority Health Medicare |
$37.51
|
| Rate for Payer: Priority Health Medicare |
$37.51
|
| Rate for Payer: Priority Health Narrow Network |
$60.95
|
| Rate for Payer: Priority Health Narrow Network |
$60.95
|
| Rate for Payer: Priority Health Narrow Network |
$60.95
|
| Rate for Payer: UHC Medicare Advantage |
$38.64
|
| Rate for Payer: UHC Medicare Advantage |
$38.64
|
| Rate for Payer: UHC Medicare Advantage |
$38.64
|
|
|
CHG RADEX SPINE CERVICAL 4 OR 5 VIEWS
|
Professional
|
$51.00
|
|
|
Service Code
|
HCPCS 72050
|
| Min. Negotiated Rate |
$20.40 |
| Max. Negotiated Rate |
$98.00 |
| Rate for Payer: Aetna Commercial |
$67.43
|
| Rate for Payer: Aetna Commercial |
$67.43
|
| Rate for Payer: Aetna Commercial |
$67.43
|
| Rate for Payer: Aetna Medicare |
$50.32
|
| Rate for Payer: Aetna Medicare |
$50.32
|
| Rate for Payer: Aetna Medicare |
$50.32
|
| Rate for Payer: BCBS Complete |
$20.40
|
| Rate for Payer: BCBS Complete |
$56.00
|
| Rate for Payer: BCBS Complete |
$26.00
|
| Rate for Payer: BCBS MAPPO |
$50.32
|
| Rate for Payer: BCBS MAPPO |
$50.32
|
| Rate for Payer: BCBS MAPPO |
$50.32
|
| Rate for Payer: BCN Commercial |
$78.19
|
| Rate for Payer: BCN Commercial |
$78.19
|
| Rate for Payer: BCN Commercial |
$78.19
|
| Rate for Payer: BCN Medicare Advantage |
$50.32
|
| Rate for Payer: BCN Medicare Advantage |
$50.32
|
| Rate for Payer: BCN Medicare Advantage |
$50.32
|
| Rate for Payer: Cash Price |
$52.00
|
| Rate for Payer: Cash Price |
$40.80
|
| Rate for Payer: Cash Price |
$112.00
|
| Rate for Payer: Cash Price |
$112.00
|
| Rate for Payer: Cash Price |
$52.00
|
| Rate for Payer: Cash Price |
$40.80
|
| Rate for Payer: Cofinity Commercial |
$72.46
|
| Rate for Payer: Cofinity Commercial |
$72.46
|
| Rate for Payer: Cofinity Commercial |
$72.46
|
| Rate for Payer: Cofinity Commercial |
$67.43
|
| Rate for Payer: Cofinity Commercial |
$67.43
|
| Rate for Payer: Cofinity Commercial |
$67.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$50.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$50.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$50.32
|
| Rate for Payer: Healthscope Commercial |
$60.38
|
| Rate for Payer: Healthscope Commercial |
$60.38
|
| Rate for Payer: Healthscope Commercial |
$60.38
|
| Rate for Payer: Healthscope Whirlpool |
$60.38
|
| Rate for Payer: Healthscope Whirlpool |
$60.38
|
| Rate for Payer: Healthscope Whirlpool |
$60.38
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$52.84
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$52.84
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$52.84
|
| Rate for Payer: PACE SWMI |
$50.32
|
| Rate for Payer: PACE SWMI |
$50.32
|
| Rate for Payer: PACE SWMI |
$50.32
|
| Rate for Payer: PHP Medicare Advantage |
$50.32
|
| Rate for Payer: PHP Medicare Advantage |
$50.32
|
| Rate for Payer: PHP Medicare Advantage |
$50.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$45.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$98.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$35.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$81.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$81.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$81.95
|
| Rate for Payer: Priority Health Medicare |
$50.32
|
| Rate for Payer: Priority Health Medicare |
$50.32
|
| Rate for Payer: Priority Health Medicare |
$50.32
|
| Rate for Payer: Priority Health Narrow Network |
$81.95
|
| Rate for Payer: Priority Health Narrow Network |
$81.95
|
| Rate for Payer: Priority Health Narrow Network |
$81.95
|
| Rate for Payer: UHC Medicare Advantage |
$51.83
|
| Rate for Payer: UHC Medicare Advantage |
$51.83
|
| Rate for Payer: UHC Medicare Advantage |
$51.83
|
|
|
CHG RADEX SPINE CERVICAL 6 OR MORE VIEWS
|
Professional
|
$90.00
|
|
|
Service Code
|
HCPCS 72052
|
| Min. Negotiated Rate |
$34.40 |
| Max. Negotiated Rate |
$95.78 |
| Rate for Payer: Aetna Commercial |
$78.79
|
| Rate for Payer: Aetna Commercial |
$78.79
|
| Rate for Payer: Aetna Medicare |
$58.80
|
| Rate for Payer: Aetna Medicare |
$58.80
|
| Rate for Payer: BCBS Complete |
$36.00
|
| Rate for Payer: BCBS Complete |
$34.40
|
| Rate for Payer: BCBS MAPPO |
$58.80
|
| Rate for Payer: BCBS MAPPO |
$58.80
|
| Rate for Payer: BCN Commercial |
$91.38
|
| Rate for Payer: BCN Commercial |
$91.38
|
| Rate for Payer: BCN Medicare Advantage |
$58.80
|
| Rate for Payer: BCN Medicare Advantage |
$58.80
|
| Rate for Payer: Cash Price |
$68.80
|
| Rate for Payer: Cash Price |
$72.00
|
| Rate for Payer: Cash Price |
$68.80
|
| Rate for Payer: Cash Price |
$72.00
|
| Rate for Payer: Cofinity Commercial |
$78.79
|
| Rate for Payer: Cofinity Commercial |
$84.67
|
| Rate for Payer: Cofinity Commercial |
$78.79
|
| Rate for Payer: Cofinity Commercial |
$84.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$58.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$58.80
|
| Rate for Payer: Healthscope Commercial |
$70.56
|
| Rate for Payer: Healthscope Commercial |
$70.56
|
| Rate for Payer: Healthscope Whirlpool |
$70.56
|
| Rate for Payer: Healthscope Whirlpool |
$70.56
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$61.74
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$61.74
|
| Rate for Payer: PACE SWMI |
$58.80
|
| Rate for Payer: PACE SWMI |
$58.80
|
| Rate for Payer: PHP Medicare Advantage |
$58.80
|
| Rate for Payer: PHP Medicare Advantage |
$58.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$63.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$60.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$95.78
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$95.78
|
| Rate for Payer: Priority Health Medicare |
$58.80
|
| Rate for Payer: Priority Health Medicare |
$58.80
|
| Rate for Payer: Priority Health Narrow Network |
$95.78
|
| Rate for Payer: Priority Health Narrow Network |
$95.78
|
| Rate for Payer: UHC Medicare Advantage |
$60.56
|
| Rate for Payer: UHC Medicare Advantage |
$60.56
|
|
|
CHG RADEX SPINE LUMBOSACRAL 2/3 VIEWS
|
Professional
|
$46.00
|
|
|
Service Code
|
HCPCS 72100
|
| Min. Negotiated Rate |
$14.80 |
| Max. Negotiated Rate |
$71.40 |
| Rate for Payer: Aetna Commercial |
$50.68
|
| Rate for Payer: Aetna Commercial |
$50.68
|
| Rate for Payer: Aetna Commercial |
$50.68
|
| Rate for Payer: Aetna Medicare |
$37.82
|
| Rate for Payer: Aetna Medicare |
$37.82
|
| Rate for Payer: Aetna Medicare |
$37.82
|
| Rate for Payer: BCBS Complete |
$14.80
|
| Rate for Payer: BCBS Complete |
$40.80
|
| Rate for Payer: BCBS Complete |
$18.40
|
| Rate for Payer: BCBS MAPPO |
$37.82
|
| Rate for Payer: BCBS MAPPO |
$37.82
|
| Rate for Payer: BCBS MAPPO |
$37.82
|
| 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 |
$37.82
|
| Rate for Payer: BCN Medicare Advantage |
$37.82
|
| Rate for Payer: BCN Medicare Advantage |
$37.82
|
| Rate for Payer: Cash Price |
$81.60
|
| Rate for Payer: Cash Price |
$81.60
|
| Rate for Payer: Cash Price |
$29.60
|
| Rate for Payer: Cash Price |
$36.80
|
| Rate for Payer: Cash Price |
$36.80
|
| Rate for Payer: Cash Price |
$29.60
|
| Rate for Payer: Cofinity Commercial |
$50.68
|
| Rate for Payer: Cofinity Commercial |
$50.68
|
| Rate for Payer: Cofinity Commercial |
$54.46
|
| Rate for Payer: Cofinity Commercial |
$50.68
|
| Rate for Payer: Cofinity Commercial |
$54.46
|
| Rate for Payer: Cofinity Commercial |
$54.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.82
|
| Rate for Payer: Healthscope Commercial |
$45.38
|
| Rate for Payer: Healthscope Commercial |
$45.38
|
| Rate for Payer: Healthscope Commercial |
$45.38
|
| Rate for Payer: Healthscope Whirlpool |
$45.38
|
| Rate for Payer: Healthscope Whirlpool |
$45.38
|
| Rate for Payer: Healthscope Whirlpool |
$45.38
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$39.71
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$39.71
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$39.71
|
| Rate for Payer: PACE SWMI |
$37.82
|
| Rate for Payer: PACE SWMI |
$37.82
|
| Rate for Payer: PACE SWMI |
$37.82
|
| Rate for Payer: PHP Medicare Advantage |
$37.82
|
| Rate for Payer: PHP Medicare Advantage |
$37.82
|
| Rate for Payer: PHP Medicare Advantage |
$37.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$25.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$32.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$71.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$61.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$61.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$61.45
|
| Rate for Payer: Priority Health Medicare |
$37.82
|
| Rate for Payer: Priority Health Medicare |
$37.82
|
| Rate for Payer: Priority Health Medicare |
$37.82
|
| Rate for Payer: Priority Health Narrow Network |
$61.45
|
| Rate for Payer: Priority Health Narrow Network |
$61.45
|
| Rate for Payer: Priority Health Narrow Network |
$61.45
|
| Rate for Payer: UHC Medicare Advantage |
$38.95
|
| Rate for Payer: UHC Medicare Advantage |
$38.95
|
| Rate for Payer: UHC Medicare Advantage |
$38.95
|
|
|
CHG RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS
|
Professional
|
$63.00
|
|
|
Service Code
|
HCPCS 72110
|
| Min. Negotiated Rate |
$20.80 |
| Max. Negotiated Rate |
$103.60 |
| Rate for Payer: Aetna Commercial |
$64.91
|
| Rate for Payer: Aetna Commercial |
$64.91
|
| Rate for Payer: Aetna Commercial |
$64.91
|
| Rate for Payer: Aetna Medicare |
$48.44
|
| Rate for Payer: Aetna Medicare |
$48.44
|
| Rate for Payer: Aetna Medicare |
$48.44
|
| Rate for Payer: BCBS Complete |
$20.80
|
| Rate for Payer: BCBS Complete |
$59.20
|
| Rate for Payer: BCBS Complete |
$25.20
|
| Rate for Payer: BCBS MAPPO |
$48.44
|
| Rate for Payer: BCBS MAPPO |
$48.44
|
| Rate for Payer: BCBS MAPPO |
$48.44
|
| Rate for Payer: BCN Commercial |
$75.26
|
| Rate for Payer: BCN Commercial |
$75.26
|
| Rate for Payer: BCN Commercial |
$75.26
|
| Rate for Payer: BCN Medicare Advantage |
$48.44
|
| Rate for Payer: BCN Medicare Advantage |
$48.44
|
| Rate for Payer: BCN Medicare Advantage |
$48.44
|
| Rate for Payer: Cash Price |
$41.60
|
| Rate for Payer: Cash Price |
$118.40
|
| Rate for Payer: Cash Price |
$118.40
|
| Rate for Payer: Cash Price |
$41.60
|
| Rate for Payer: Cash Price |
$50.40
|
| Rate for Payer: Cash Price |
$50.40
|
| Rate for Payer: Cofinity Commercial |
$69.75
|
| Rate for Payer: Cofinity Commercial |
$64.91
|
| Rate for Payer: Cofinity Commercial |
$64.91
|
| Rate for Payer: Cofinity Commercial |
$64.91
|
| Rate for Payer: Cofinity Commercial |
$69.75
|
| Rate for Payer: Cofinity Commercial |
$69.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$48.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$48.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$48.44
|
| Rate for Payer: Healthscope Commercial |
$58.13
|
| Rate for Payer: Healthscope Commercial |
$58.13
|
| Rate for Payer: Healthscope Commercial |
$58.13
|
| Rate for Payer: Healthscope Whirlpool |
$58.13
|
| Rate for Payer: Healthscope Whirlpool |
$58.13
|
| Rate for Payer: Healthscope Whirlpool |
$58.13
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$50.86
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$50.86
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$50.86
|
| Rate for Payer: PACE SWMI |
$48.44
|
| Rate for Payer: PACE SWMI |
$48.44
|
| Rate for Payer: PACE SWMI |
$48.44
|
| Rate for Payer: PHP Medicare Advantage |
$48.44
|
| Rate for Payer: PHP Medicare Advantage |
$48.44
|
| Rate for Payer: PHP Medicare Advantage |
$48.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$44.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$103.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$36.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$78.88
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$78.88
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$78.88
|
| Rate for Payer: Priority Health Medicare |
$48.44
|
| Rate for Payer: Priority Health Medicare |
$48.44
|
| Rate for Payer: Priority Health Medicare |
$48.44
|
| Rate for Payer: Priority Health Narrow Network |
$78.88
|
| Rate for Payer: Priority Health Narrow Network |
$78.88
|
| Rate for Payer: Priority Health Narrow Network |
$78.88
|
| Rate for Payer: UHC Medicare Advantage |
$49.89
|
| Rate for Payer: UHC Medicare Advantage |
$49.89
|
| Rate for Payer: UHC Medicare Advantage |
$49.89
|
|
|
CHG RADEX SPINE LUMBOSACRAL ONLY BENDING 2/3 VIEWS
|
Professional
|
$49.00
|
|
|
Service Code
|
HCPCS 72120
|
| Min. Negotiated Rate |
$19.60 |
| Max. Negotiated Rate |
$62.48 |
| Rate for Payer: Aetna Commercial |
$51.51
|
| Rate for Payer: Aetna Medicare |
$38.44
|
| Rate for Payer: BCBS Complete |
$19.60
|
| Rate for Payer: BCBS MAPPO |
$38.44
|
| Rate for Payer: BCN Commercial |
$59.62
|
| Rate for Payer: BCN Medicare Advantage |
$38.44
|
| Rate for Payer: Cash Price |
$39.20
|
| Rate for Payer: Cash Price |
$39.20
|
| Rate for Payer: Cofinity Commercial |
$51.51
|
| Rate for Payer: Cofinity Commercial |
$55.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$38.44
|
| Rate for Payer: Healthscope Commercial |
$46.13
|
| Rate for Payer: Healthscope Whirlpool |
$46.13
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$40.36
|
| Rate for Payer: PACE SWMI |
$38.44
|
| Rate for Payer: PHP Medicare Advantage |
$38.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$34.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$62.48
|
| Rate for Payer: Priority Health Medicare |
$38.44
|
| Rate for Payer: Priority Health Narrow Network |
$62.48
|
| Rate for Payer: UHC Medicare Advantage |
$39.59
|
|
|
CHG RADEX SPINE LUMBSCRL COMPL W/BENDING VIEWS MIN 6
|
Professional
|
$90.00
|
|
|
Service Code
|
HCPCS 72114
|
| Min. Negotiated Rate |
$26.00 |
| Max. Negotiated Rate |
$95.26 |
| Rate for Payer: Aetna Commercial |
$78.38
|
| Rate for Payer: Aetna Commercial |
$78.38
|
| Rate for Payer: Aetna Medicare |
$58.49
|
| Rate for Payer: Aetna Medicare |
$58.49
|
| Rate for Payer: BCBS Complete |
$26.00
|
| Rate for Payer: BCBS Complete |
$36.00
|
| Rate for Payer: BCBS MAPPO |
$58.49
|
| Rate for Payer: BCBS MAPPO |
$58.49
|
| Rate for Payer: BCN Commercial |
$90.89
|
| Rate for Payer: BCN Commercial |
$90.89
|
| Rate for Payer: BCN Medicare Advantage |
$58.49
|
| Rate for Payer: BCN Medicare Advantage |
$58.49
|
| Rate for Payer: Cash Price |
$52.00
|
| Rate for Payer: Cash Price |
$72.00
|
| Rate for Payer: Cash Price |
$52.00
|
| Rate for Payer: Cash Price |
$72.00
|
| Rate for Payer: Cofinity Commercial |
$84.23
|
| Rate for Payer: Cofinity Commercial |
$78.38
|
| Rate for Payer: Cofinity Commercial |
$84.23
|
| Rate for Payer: Cofinity Commercial |
$78.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$58.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$58.49
|
| Rate for Payer: Healthscope Commercial |
$70.19
|
| Rate for Payer: Healthscope Commercial |
$70.19
|
| Rate for Payer: Healthscope Whirlpool |
$70.19
|
| Rate for Payer: Healthscope Whirlpool |
$70.19
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$61.41
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$61.41
|
| Rate for Payer: PACE SWMI |
$58.49
|
| Rate for Payer: PACE SWMI |
$58.49
|
| Rate for Payer: PHP Medicare Advantage |
$58.49
|
| Rate for Payer: PHP Medicare Advantage |
$58.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$63.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$45.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$95.26
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$95.26
|
| Rate for Payer: Priority Health Medicare |
$58.49
|
| Rate for Payer: Priority Health Medicare |
$58.49
|
| Rate for Payer: Priority Health Narrow Network |
$95.26
|
| Rate for Payer: Priority Health Narrow Network |
$95.26
|
| Rate for Payer: UHC Medicare Advantage |
$60.24
|
| Rate for Payer: UHC Medicare Advantage |
$60.24
|
|
|
CHG RADEX SPINE THORACIC 2 VIEWS
|
Professional
|
$100.00
|
|
|
Service Code
|
HCPCS 72070
|
| Min. Negotiated Rate |
$14.40 |
| Max. Negotiated Rate |
$70.00 |
| Rate for Payer: Aetna Commercial |
$41.92
|
| Rate for Payer: Aetna Commercial |
$41.92
|
| Rate for Payer: Aetna Commercial |
$41.92
|
| Rate for Payer: Aetna Medicare |
$31.28
|
| Rate for Payer: Aetna Medicare |
$31.28
|
| Rate for Payer: Aetna Medicare |
$31.28
|
| Rate for Payer: BCBS Complete |
$17.20
|
| Rate for Payer: BCBS Complete |
$14.40
|
| Rate for Payer: BCBS Complete |
$40.00
|
| Rate for Payer: BCBS MAPPO |
$31.28
|
| Rate for Payer: BCBS MAPPO |
$31.28
|
| Rate for Payer: BCBS MAPPO |
$31.28
|
| 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 |
$31.28
|
| Rate for Payer: BCN Medicare Advantage |
$31.28
|
| Rate for Payer: BCN Medicare Advantage |
$31.28
|
| Rate for Payer: Cash Price |
$80.00
|
| Rate for Payer: Cash Price |
$80.00
|
| Rate for Payer: Cash Price |
$34.40
|
| Rate for Payer: Cash Price |
$28.80
|
| Rate for Payer: Cash Price |
$34.40
|
| Rate for Payer: Cash Price |
$28.80
|
| Rate for Payer: Cofinity Commercial |
$41.92
|
| Rate for Payer: Cofinity Commercial |
$41.92
|
| Rate for Payer: Cofinity Commercial |
$45.04
|
| Rate for Payer: Cofinity Commercial |
$45.04
|
| Rate for Payer: Cofinity Commercial |
$45.04
|
| Rate for Payer: Cofinity Commercial |
$41.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31.28
|
| Rate for Payer: Healthscope Commercial |
$37.54
|
| Rate for Payer: Healthscope Commercial |
$37.54
|
| Rate for Payer: Healthscope Commercial |
$37.54
|
| Rate for Payer: Healthscope Whirlpool |
$37.54
|
| Rate for Payer: Healthscope Whirlpool |
$37.54
|
| Rate for Payer: Healthscope Whirlpool |
$37.54
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$32.84
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$32.84
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$32.84
|
| Rate for Payer: PACE SWMI |
$31.28
|
| Rate for Payer: PACE SWMI |
$31.28
|
| Rate for Payer: PACE SWMI |
$31.28
|
| Rate for Payer: PHP Medicare Advantage |
$31.28
|
| Rate for Payer: PHP Medicare Advantage |
$31.28
|
| Rate for Payer: PHP Medicare Advantage |
$31.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$25.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$70.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$50.71
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$50.71
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$50.71
|
| Rate for Payer: Priority Health Medicare |
$31.28
|
| Rate for Payer: Priority Health Medicare |
$31.28
|
| Rate for Payer: Priority Health Medicare |
$31.28
|
| Rate for Payer: Priority Health Narrow Network |
$50.71
|
| Rate for Payer: Priority Health Narrow Network |
$50.71
|
| Rate for Payer: Priority Health Narrow Network |
$50.71
|
| Rate for Payer: UHC Medicare Advantage |
$32.22
|
| Rate for Payer: UHC Medicare Advantage |
$32.22
|
| Rate for Payer: UHC Medicare Advantage |
$32.22
|
|
|
CHG RADEX SPINE THORACIC 3 VIEWS
|
Professional
|
$80.00
|
|
|
Service Code
|
HCPCS 72072
|
| Min. Negotiated Rate |
$32.00 |
| Max. Negotiated Rate |
$60.44 |
| Rate for Payer: Aetna Commercial |
$49.89
|
| Rate for Payer: Aetna Medicare |
$37.23
|
| Rate for Payer: BCBS Complete |
$32.00
|
| Rate for Payer: BCBS MAPPO |
$37.23
|
| Rate for Payer: BCN Commercial |
$57.66
|
| Rate for Payer: BCN Medicare Advantage |
$37.23
|
| Rate for Payer: Cash Price |
$64.00
|
| Rate for Payer: Cash Price |
$64.00
|
| Rate for Payer: Cofinity Commercial |
$53.61
|
| Rate for Payer: Cofinity Commercial |
$49.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.23
|
| Rate for Payer: Healthscope Commercial |
$44.68
|
| Rate for Payer: Healthscope Whirlpool |
$44.68
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$39.09
|
| Rate for Payer: PACE SWMI |
$37.23
|
| Rate for Payer: PHP Medicare Advantage |
$37.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$56.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$60.44
|
| Rate for Payer: Priority Health Medicare |
$37.23
|
| Rate for Payer: Priority Health Narrow Network |
$60.44
|
| Rate for Payer: UHC Medicare Advantage |
$38.35
|
|
|
CHG RADEX SPINE THORACIC MINIMUM 4 VIEWS
|
Professional
|
$74.00
|
|
|
Service Code
|
HCPCS 72074
|
| Min. Negotiated Rate |
$29.60 |
| Max. Negotiated Rate |
$68.12 |
| Rate for Payer: Aetna Commercial |
$56.17
|
| Rate for Payer: Aetna Medicare |
$41.92
|
| Rate for Payer: BCBS Complete |
$29.60
|
| Rate for Payer: BCBS MAPPO |
$41.92
|
| Rate for Payer: BCN Commercial |
$64.99
|
| Rate for Payer: BCN Medicare Advantage |
$41.92
|
| Rate for Payer: Cash Price |
$59.20
|
| Rate for Payer: Cash Price |
$59.20
|
| Rate for Payer: Cofinity Commercial |
$60.36
|
| Rate for Payer: Cofinity Commercial |
$56.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$41.92
|
| Rate for Payer: Healthscope Commercial |
$50.30
|
| Rate for Payer: Healthscope Whirlpool |
$50.30
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$44.02
|
| Rate for Payer: PACE SWMI |
$41.92
|
| Rate for Payer: PHP Medicare Advantage |
$41.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$51.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$68.12
|
| Rate for Payer: Priority Health Medicare |
$41.92
|
| Rate for Payer: Priority Health Narrow Network |
$68.12
|
| Rate for Payer: UHC Medicare Advantage |
$43.18
|
|
|
CHG RADEX SPINE THORACOLUMBAR JUNCTION MIN 2 VIEWS
|
Professional
|
$38.00
|
|
|
Service Code
|
HCPCS 72080
|
| Min. Negotiated Rate |
$15.20 |
| Max. Negotiated Rate |
$76.30 |
| Rate for Payer: Aetna Commercial |
$44.02
|
| Rate for Payer: Aetna Commercial |
$44.02
|
| Rate for Payer: Aetna Commercial |
$44.02
|
| Rate for Payer: Aetna Medicare |
$32.85
|
| Rate for Payer: Aetna Medicare |
$32.85
|
| Rate for Payer: Aetna Medicare |
$32.85
|
| Rate for Payer: BCBS Complete |
$15.20
|
| Rate for Payer: BCBS Complete |
$18.80
|
| Rate for Payer: BCBS Complete |
$43.60
|
| Rate for Payer: BCBS MAPPO |
$32.85
|
| Rate for Payer: BCBS MAPPO |
$32.85
|
| Rate for Payer: BCBS MAPPO |
$32.85
|
| 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 |
$32.85
|
| Rate for Payer: BCN Medicare Advantage |
$32.85
|
| Rate for Payer: BCN Medicare Advantage |
$32.85
|
| Rate for Payer: Cash Price |
$87.20
|
| Rate for Payer: Cash Price |
$37.60
|
| Rate for Payer: Cash Price |
$30.40
|
| Rate for Payer: Cash Price |
$37.60
|
| Rate for Payer: Cash Price |
$30.40
|
| Rate for Payer: Cash Price |
$87.20
|
| Rate for Payer: Cofinity Commercial |
$44.02
|
| Rate for Payer: Cofinity Commercial |
$47.30
|
| Rate for Payer: Cofinity Commercial |
$44.02
|
| Rate for Payer: Cofinity Commercial |
$47.30
|
| Rate for Payer: Cofinity Commercial |
$47.30
|
| Rate for Payer: Cofinity Commercial |
$44.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32.85
|
| Rate for Payer: Healthscope Commercial |
$39.42
|
| Rate for Payer: Healthscope Commercial |
$39.42
|
| Rate for Payer: Healthscope Commercial |
$39.42
|
| Rate for Payer: Healthscope Whirlpool |
$39.42
|
| Rate for Payer: Healthscope Whirlpool |
$39.42
|
| Rate for Payer: Healthscope Whirlpool |
$39.42
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$34.49
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$34.49
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$34.49
|
| Rate for Payer: PACE SWMI |
$32.85
|
| Rate for Payer: PACE SWMI |
$32.85
|
| Rate for Payer: PACE SWMI |
$32.85
|
| Rate for Payer: PHP Medicare Advantage |
$32.85
|
| Rate for Payer: PHP Medicare Advantage |
$32.85
|
| Rate for Payer: PHP Medicare Advantage |
$32.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$76.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$26.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$32.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$53.26
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$53.26
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$53.26
|
| Rate for Payer: Priority Health Medicare |
$32.85
|
| Rate for Payer: Priority Health Medicare |
$32.85
|
| Rate for Payer: Priority Health Medicare |
$32.85
|
| Rate for Payer: Priority Health Narrow Network |
$53.26
|
| Rate for Payer: Priority Health Narrow Network |
$53.26
|
| Rate for Payer: Priority Health Narrow Network |
$53.26
|
| Rate for Payer: UHC Medicare Advantage |
$33.84
|
| Rate for Payer: UHC Medicare Advantage |
$33.84
|
| Rate for Payer: UHC Medicare Advantage |
$33.84
|
|
|
CHG RADEX STERNOCLAVICULAR JT/JTS MINIMUM 3 VIEWS
|
Professional
|
$44.00
|
|
|
Service Code
|
HCPCS 71130
|
| Min. Negotiated Rate |
$17.60 |
| Max. Negotiated Rate |
$63.51 |
| Rate for Payer: Aetna Commercial |
$52.34
|
| Rate for Payer: Aetna Commercial |
$52.34
|
| Rate for Payer: Aetna Medicare |
$39.06
|
| Rate for Payer: Aetna Medicare |
$39.06
|
| Rate for Payer: BCBS Complete |
$17.60
|
| Rate for Payer: BCBS Complete |
$20.00
|
| Rate for Payer: BCBS MAPPO |
$39.06
|
| Rate for Payer: BCBS MAPPO |
$39.06
|
| Rate for Payer: BCN Commercial |
$60.60
|
| Rate for Payer: BCN Commercial |
$60.60
|
| Rate for Payer: BCN Medicare Advantage |
$39.06
|
| Rate for Payer: BCN Medicare Advantage |
$39.06
|
| Rate for Payer: Cash Price |
$40.00
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cash Price |
$40.00
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cofinity Commercial |
$56.25
|
| Rate for Payer: Cofinity Commercial |
$56.25
|
| Rate for Payer: Cofinity Commercial |
$52.34
|
| Rate for Payer: Cofinity Commercial |
$52.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$39.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$39.06
|
| Rate for Payer: Healthscope Commercial |
$46.87
|
| Rate for Payer: Healthscope Commercial |
$46.87
|
| Rate for Payer: Healthscope Whirlpool |
$46.87
|
| Rate for Payer: Healthscope Whirlpool |
$46.87
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$41.01
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$41.01
|
| Rate for Payer: PACE SWMI |
$39.06
|
| Rate for Payer: PACE SWMI |
$39.06
|
| Rate for Payer: PHP Medicare Advantage |
$39.06
|
| Rate for Payer: PHP Medicare Advantage |
$39.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$35.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$63.51
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$63.51
|
| Rate for Payer: Priority Health Medicare |
$39.06
|
| Rate for Payer: Priority Health Medicare |
$39.06
|
| Rate for Payer: Priority Health Narrow Network |
$63.51
|
| Rate for Payer: Priority Health Narrow Network |
$63.51
|
| Rate for Payer: UHC Medicare Advantage |
$40.23
|
| Rate for Payer: UHC Medicare Advantage |
$40.23
|
|
|
CHG RADEX STERNUM MINIMUM 2 VIEWS
|
Professional
|
$48.00
|
|
|
Service Code
|
HCPCS 71120
|
| Min. Negotiated Rate |
$16.80 |
| Max. Negotiated Rate |
$51.73 |
| Rate for Payer: Aetna Commercial |
$42.73
|
| Rate for Payer: Aetna Commercial |
$42.73
|
| Rate for Payer: Aetna Medicare |
$31.89
|
| Rate for Payer: Aetna Medicare |
$31.89
|
| Rate for Payer: BCBS Complete |
$19.20
|
| Rate for Payer: BCBS Complete |
$16.80
|
| Rate for Payer: BCBS MAPPO |
$31.89
|
| Rate for Payer: BCBS MAPPO |
$31.89
|
| Rate for Payer: BCN Commercial |
$49.36
|
| Rate for Payer: BCN Commercial |
$49.36
|
| Rate for Payer: BCN Medicare Advantage |
$31.89
|
| Rate for Payer: BCN Medicare Advantage |
$31.89
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cofinity Commercial |
$42.73
|
| Rate for Payer: Cofinity Commercial |
$42.73
|
| Rate for Payer: Cofinity Commercial |
$45.92
|
| Rate for Payer: Cofinity Commercial |
$45.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31.89
|
| Rate for Payer: Healthscope Commercial |
$38.27
|
| Rate for Payer: Healthscope Commercial |
$38.27
|
| Rate for Payer: Healthscope Whirlpool |
$38.27
|
| Rate for Payer: Healthscope Whirlpool |
$38.27
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$33.48
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$33.48
|
| Rate for Payer: PACE SWMI |
$31.89
|
| Rate for Payer: PACE SWMI |
$31.89
|
| Rate for Payer: PHP Medicare Advantage |
$31.89
|
| Rate for Payer: PHP Medicare Advantage |
$31.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$33.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$51.73
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$51.73
|
| Rate for Payer: Priority Health Medicare |
$31.89
|
| Rate for Payer: Priority Health Medicare |
$31.89
|
| Rate for Payer: Priority Health Narrow Network |
$51.73
|
| Rate for Payer: Priority Health Narrow Network |
$51.73
|
| Rate for Payer: UHC Medicare Advantage |
$32.85
|
| Rate for Payer: UHC Medicare Advantage |
$32.85
|
|
|
CHG RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH UNILAT
|
Professional
|
$43.00
|
|
|
Service Code
|
HCPCS 70328
|
| Min. Negotiated Rate |
$17.20 |
| Max. Negotiated Rate |
$53.26 |
| Rate for Payer: Aetna Commercial |
$43.90
|
| Rate for Payer: Aetna Medicare |
$32.76
|
| Rate for Payer: BCBS Complete |
$17.20
|
| Rate for Payer: BCBS MAPPO |
$32.76
|
| Rate for Payer: BCN Commercial |
$50.82
|
| Rate for Payer: BCN Medicare Advantage |
$32.76
|
| Rate for Payer: Cash Price |
$34.40
|
| Rate for Payer: Cash Price |
$34.40
|
| Rate for Payer: Cofinity Commercial |
$43.90
|
| Rate for Payer: Cofinity Commercial |
$47.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32.76
|
| Rate for Payer: Healthscope Commercial |
$39.31
|
| Rate for Payer: Healthscope Whirlpool |
$39.31
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$34.40
|
| Rate for Payer: PACE SWMI |
$32.76
|
| Rate for Payer: PHP Medicare Advantage |
$32.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$53.26
|
| Rate for Payer: Priority Health Medicare |
$32.76
|
| Rate for Payer: Priority Health Narrow Network |
$53.26
|
| Rate for Payer: UHC Medicare Advantage |
$33.74
|
|
|
CHG RADEX TOE MINIMUM 2 VIEWS
|
Professional
|
$45.00
|
|
|
Service Code
|
HCPCS 73660
|
| Min. Negotiated Rate |
$9.60 |
| Max. Negotiated Rate |
$50.40 |
| Rate for Payer: Aetna Commercial |
$37.08
|
| Rate for Payer: Aetna Commercial |
$37.08
|
| Rate for Payer: Aetna Commercial |
$37.08
|
| Rate for Payer: Aetna Medicare |
$27.67
|
| Rate for Payer: Aetna Medicare |
$27.67
|
| Rate for Payer: Aetna Medicare |
$27.67
|
| Rate for Payer: BCBS Complete |
$9.60
|
| Rate for Payer: BCBS Complete |
$28.80
|
| Rate for Payer: BCBS Complete |
$18.00
|
| Rate for Payer: BCBS MAPPO |
$27.67
|
| Rate for Payer: BCBS MAPPO |
$27.67
|
| Rate for Payer: BCBS MAPPO |
$27.67
|
| 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 |
$27.67
|
| Rate for Payer: BCN Medicare Advantage |
$27.67
|
| Rate for Payer: BCN Medicare Advantage |
$27.67
|
| Rate for Payer: Cash Price |
$19.20
|
| Rate for Payer: Cash Price |
$19.20
|
| Rate for Payer: Cash Price |
$36.00
|
| Rate for Payer: Cash Price |
$36.00
|
| Rate for Payer: Cash Price |
$57.60
|
| Rate for Payer: Cash Price |
$57.60
|
| Rate for Payer: Cofinity Commercial |
$39.84
|
| Rate for Payer: Cofinity Commercial |
$37.08
|
| Rate for Payer: Cofinity Commercial |
$37.08
|
| Rate for Payer: Cofinity Commercial |
$37.08
|
| Rate for Payer: Cofinity Commercial |
$39.84
|
| Rate for Payer: Cofinity Commercial |
$39.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27.67
|
| Rate for Payer: Healthscope Commercial |
$33.20
|
| Rate for Payer: Healthscope Commercial |
$33.20
|
| Rate for Payer: Healthscope Commercial |
$33.20
|
| Rate for Payer: Healthscope Whirlpool |
$33.20
|
| Rate for Payer: Healthscope Whirlpool |
$33.20
|
| Rate for Payer: Healthscope Whirlpool |
$33.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$29.05
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$29.05
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$29.05
|
| Rate for Payer: PACE SWMI |
$27.67
|
| Rate for Payer: PACE SWMI |
$27.67
|
| Rate for Payer: PACE SWMI |
$27.67
|
| Rate for Payer: PHP Medicare Advantage |
$27.67
|
| Rate for Payer: PHP Medicare Advantage |
$27.67
|
| Rate for Payer: PHP Medicare Advantage |
$27.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$50.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$31.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$45.07
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$45.07
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$45.07
|
| Rate for Payer: Priority Health Medicare |
$27.67
|
| Rate for Payer: Priority Health Medicare |
$27.67
|
| Rate for Payer: Priority Health Medicare |
$27.67
|
| Rate for Payer: Priority Health Narrow Network |
$45.07
|
| Rate for Payer: Priority Health Narrow Network |
$45.07
|
| Rate for Payer: Priority Health Narrow Network |
$45.07
|
| Rate for Payer: UHC Medicare Advantage |
$28.50
|
| Rate for Payer: UHC Medicare Advantage |
$28.50
|
| Rate for Payer: UHC Medicare Advantage |
$28.50
|
|
|
CHG RADEX UPPER EXTREMITY INFANT MINIMUM 2 VIEWS
|
Professional
|
$14.00
|
|
|
Service Code
|
HCPCS 73092
|
| Min. Negotiated Rate |
$5.60 |
| Max. Negotiated Rate |
$48.65 |
| Rate for Payer: Aetna Commercial |
$40.09
|
| Rate for Payer: Aetna Medicare |
$29.92
|
| Rate for Payer: BCBS Complete |
$5.60
|
| Rate for Payer: BCBS MAPPO |
$29.92
|
| Rate for Payer: BCN Commercial |
$46.43
|
| Rate for Payer: BCN Medicare Advantage |
$29.92
|
| Rate for Payer: Cash Price |
$11.20
|
| Rate for Payer: Cash Price |
$11.20
|
| 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: Healthscope Commercial |
$35.90
|
| Rate for Payer: Healthscope Whirlpool |
$35.90
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$31.42
|
| Rate for Payer: PACE SWMI |
$29.92
|
| Rate for Payer: PHP Medicare Advantage |
$29.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$48.65
|
| Rate for Payer: Priority Health Medicare |
$29.92
|
| Rate for Payer: Priority Health Narrow Network |
$48.65
|
| Rate for Payer: UHC Medicare Advantage |
$30.82
|
|
|
CHG RADEX WRIST 2 VIEWS
|
Professional
|
$27.00
|
|
|
Service Code
|
HCPCS 73100
|
| Min. Negotiated Rate |
$10.80 |
| Max. Negotiated Rate |
$57.40 |
| Rate for Payer: Aetna Commercial |
$42.99
|
| Rate for Payer: Aetna Commercial |
$42.99
|
| Rate for Payer: Aetna Medicare |
$32.08
|
| Rate for Payer: Aetna Medicare |
$32.08
|
| Rate for Payer: BCBS Complete |
$32.80
|
| Rate for Payer: BCBS Complete |
$10.80
|
| Rate for Payer: BCBS MAPPO |
$32.08
|
| Rate for Payer: BCBS MAPPO |
$32.08
|
| Rate for Payer: BCN Commercial |
$49.85
|
| Rate for Payer: BCN Commercial |
$49.85
|
| Rate for Payer: BCN Medicare Advantage |
$32.08
|
| Rate for Payer: BCN Medicare Advantage |
$32.08
|
| Rate for Payer: Cash Price |
$65.60
|
| Rate for Payer: Cash Price |
$65.60
|
| Rate for Payer: Cash Price |
$21.60
|
| Rate for Payer: Cash Price |
$21.60
|
| Rate for Payer: Cofinity Commercial |
$42.99
|
| Rate for Payer: Cofinity Commercial |
$42.99
|
| Rate for Payer: Cofinity Commercial |
$46.20
|
| Rate for Payer: Cofinity Commercial |
$46.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32.08
|
| Rate for Payer: Healthscope Commercial |
$38.50
|
| Rate for Payer: Healthscope Commercial |
$38.50
|
| Rate for Payer: Healthscope Whirlpool |
$38.50
|
| Rate for Payer: Healthscope Whirlpool |
$38.50
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$33.68
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$33.68
|
| Rate for Payer: PACE SWMI |
$32.08
|
| Rate for Payer: PACE SWMI |
$32.08
|
| Rate for Payer: PHP Medicare Advantage |
$32.08
|
| Rate for Payer: PHP Medicare Advantage |
$32.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$57.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$52.23
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$52.23
|
| Rate for Payer: Priority Health Medicare |
$32.08
|
| Rate for Payer: Priority Health Medicare |
$32.08
|
| Rate for Payer: Priority Health Narrow Network |
$52.23
|
| Rate for Payer: Priority Health Narrow Network |
$52.23
|
| Rate for Payer: UHC Medicare Advantage |
$33.04
|
| Rate for Payer: UHC Medicare Advantage |
$33.04
|
|
