|
CHG CT PELVIS W/O & W/CONTRAST MATERIAL
|
Professional
|
Both
|
$129.00
|
|
|
Service Code
|
HCPCS 72194
|
| Min. Negotiated Rate |
$96.75 |
| Max. Negotiated Rate |
$382.57 |
| Rate for Payer: Aetna Commercial |
$311.98
|
| Rate for Payer: Aetna Medicare |
$232.82
|
| Rate for Payer: BCBS MAPPO |
$232.82
|
| Rate for Payer: BCN Commercial |
$379.46
|
| Rate for Payer: BCN Medicare Advantage |
$232.82
|
| Rate for Payer: Cash Price |
$103.20
|
| Rate for Payer: Cash Price |
$103.20
|
| Rate for Payer: Cofinity Commercial |
$311.98
|
| Rate for Payer: Cofinity Commercial |
$335.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$232.82
|
| Rate for Payer: Healthscope Commercial |
$279.38
|
| Rate for Payer: Healthscope Whirlpool |
$279.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$244.46
|
| Rate for Payer: Molina Medicare/Medicaid |
$256.10
|
| Rate for Payer: Nomi Health Commercial |
$279.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$96.75
|
| Rate for Payer: PACE SWMI |
$232.82
|
| Rate for Payer: PHP Medicare Advantage |
$232.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$382.32
|
| Rate for Payer: Priority Health Medicare |
$232.82
|
| Rate for Payer: Priority Health Narrow Network |
$382.32
|
| Rate for Payer: Railroad Medicare Medicare |
$232.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$382.57
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$232.82
|
| Rate for Payer: UHC Exchange |
$382.57
|
| Rate for Payer: UHCCP DNSP |
$232.82
|
|
|
CHG CT SOFT TISSUE NECK W/CONTRAST MATERIAL
|
Professional
|
Both
|
$147.00
|
|
|
Service Code
|
HCPCS 70491
|
| Min. Negotiated Rate |
$110.25 |
| Max. Negotiated Rate |
$286.89 |
| Rate for Payer: Aetna Commercial |
$230.47
|
| Rate for Payer: Aetna Medicare |
$171.99
|
| Rate for Payer: BCBS MAPPO |
$171.99
|
| Rate for Payer: BCN Commercial |
$278.87
|
| Rate for Payer: BCN Medicare Advantage |
$171.99
|
| Rate for Payer: Cash Price |
$117.60
|
| Rate for Payer: Cash Price |
$117.60
|
| Rate for Payer: Cofinity Commercial |
$230.47
|
| Rate for Payer: Cofinity Commercial |
$247.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$171.99
|
| Rate for Payer: Healthscope Commercial |
$206.39
|
| Rate for Payer: Healthscope Whirlpool |
$206.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$180.59
|
| Rate for Payer: Molina Medicare/Medicaid |
$189.19
|
| Rate for Payer: Nomi Health Commercial |
$206.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$110.25
|
| Rate for Payer: PACE SWMI |
$171.99
|
| Rate for Payer: PHP Medicare Advantage |
$171.99
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$280.97
|
| Rate for Payer: Priority Health Medicare |
$171.99
|
| Rate for Payer: Priority Health Narrow Network |
$280.97
|
| Rate for Payer: Railroad Medicare Medicare |
$171.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$286.89
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$171.99
|
| Rate for Payer: UHC Exchange |
$286.89
|
| Rate for Payer: UHCCP DNSP |
$171.99
|
|
|
CHG CT SOFT TISSUE NECK W/O CONTRAST MATERIAL
|
Professional
|
Both
|
$137.00
|
|
|
Service Code
|
HCPCS 70490
|
| Min. Negotiated Rate |
$102.75 |
| Max. Negotiated Rate |
$233.82 |
| Rate for Payer: Aetna Commercial |
$188.71
|
| Rate for Payer: Aetna Medicare |
$140.83
|
| Rate for Payer: BCBS MAPPO |
$140.83
|
| Rate for Payer: BCN Commercial |
$227.58
|
| Rate for Payer: BCN Medicare Advantage |
$140.83
|
| Rate for Payer: Cash Price |
$109.60
|
| Rate for Payer: Cash Price |
$109.60
|
| Rate for Payer: Cofinity Commercial |
$188.71
|
| Rate for Payer: Cofinity Commercial |
$202.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$140.83
|
| Rate for Payer: Healthscope Commercial |
$169.00
|
| Rate for Payer: Healthscope Whirlpool |
$169.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$147.87
|
| Rate for Payer: Molina Medicare/Medicaid |
$154.91
|
| Rate for Payer: Nomi Health Commercial |
$169.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$102.75
|
| Rate for Payer: PACE SWMI |
$140.83
|
| Rate for Payer: PHP Medicare Advantage |
$140.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$229.29
|
| Rate for Payer: Priority Health Medicare |
$140.83
|
| Rate for Payer: Priority Health Narrow Network |
$229.29
|
| Rate for Payer: Railroad Medicare Medicare |
$140.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$233.82
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$140.83
|
| Rate for Payer: UHC Exchange |
$233.82
|
| Rate for Payer: UHCCP DNSP |
$140.83
|
|
|
CHG CT SOFT TISSUE NECK W/O & W/CONTRAST MATERIAL
|
Professional
|
Both
|
$171.00
|
|
|
Service Code
|
HCPCS 70492
|
| Min. Negotiated Rate |
$128.25 |
| Max. Negotiated Rate |
$346.62 |
| Rate for Payer: Aetna Commercial |
$276.00
|
| Rate for Payer: Aetna Medicare |
$205.97
|
| Rate for Payer: BCBS MAPPO |
$205.97
|
| Rate for Payer: BCN Commercial |
$334.65
|
| Rate for Payer: BCN Medicare Advantage |
$205.97
|
| Rate for Payer: Cash Price |
$136.80
|
| Rate for Payer: Cash Price |
$136.80
|
| Rate for Payer: Cofinity Commercial |
$276.00
|
| Rate for Payer: Cofinity Commercial |
$296.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$205.97
|
| Rate for Payer: Healthscope Commercial |
$247.16
|
| Rate for Payer: Healthscope Whirlpool |
$247.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$216.27
|
| Rate for Payer: Molina Medicare/Medicaid |
$226.57
|
| Rate for Payer: Nomi Health Commercial |
$247.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$128.25
|
| Rate for Payer: PACE SWMI |
$205.97
|
| Rate for Payer: PHP Medicare Advantage |
$205.97
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$337.17
|
| Rate for Payer: Priority Health Medicare |
$205.97
|
| Rate for Payer: Priority Health Narrow Network |
$337.17
|
| Rate for Payer: Railroad Medicare Medicare |
$205.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$346.62
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$205.97
|
| Rate for Payer: UHC Exchange |
$346.62
|
| Rate for Payer: UHCCP DNSP |
$205.97
|
|
|
CHG CT THORACIC SPINE W/CONTRAST MATERIAL
|
Professional
|
Both
|
$130.00
|
|
|
Service Code
|
HCPCS 72129
|
| Min. Negotiated Rate |
$97.50 |
| Max. Negotiated Rate |
$278.29 |
| Rate for Payer: Aetna Commercial |
$212.68
|
| Rate for Payer: Aetna Medicare |
$158.72
|
| Rate for Payer: BCBS MAPPO |
$158.72
|
| Rate for Payer: BCN Commercial |
$257.96
|
| Rate for Payer: BCN Medicare Advantage |
$158.72
|
| Rate for Payer: Cash Price |
$104.00
|
| Rate for Payer: Cash Price |
$104.00
|
| Rate for Payer: Cofinity Commercial |
$212.68
|
| Rate for Payer: Cofinity Commercial |
$228.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$158.72
|
| Rate for Payer: Healthscope Commercial |
$190.46
|
| Rate for Payer: Healthscope Whirlpool |
$190.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$166.66
|
| Rate for Payer: Molina Medicare/Medicaid |
$174.59
|
| Rate for Payer: Nomi Health Commercial |
$190.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$97.50
|
| Rate for Payer: PACE SWMI |
$158.72
|
| Rate for Payer: PHP Medicare Advantage |
$158.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$259.89
|
| Rate for Payer: Priority Health Medicare |
$158.72
|
| Rate for Payer: Priority Health Narrow Network |
$259.89
|
| Rate for Payer: Railroad Medicare Medicare |
$158.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$278.29
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$158.72
|
| Rate for Payer: UHC Exchange |
$278.29
|
| Rate for Payer: UHCCP DNSP |
$158.72
|
|
|
CHG CT THORACIC SPINE W/O CONTRAST MATERIAL
|
Professional
|
Both
|
$106.00
|
|
|
Service Code
|
HCPCS 72128
|
| Min. Negotiated Rate |
$79.50 |
| Max. Negotiated Rate |
$220.21 |
| Rate for Payer: Aetna Commercial |
$163.86
|
| Rate for Payer: Aetna Medicare |
$122.28
|
| Rate for Payer: BCBS MAPPO |
$122.28
|
| Rate for Payer: BCN Commercial |
$196.71
|
| Rate for Payer: BCN Medicare Advantage |
$122.28
|
| Rate for Payer: Cash Price |
$84.80
|
| Rate for Payer: Cash Price |
$84.80
|
| Rate for Payer: Cofinity Commercial |
$163.86
|
| Rate for Payer: Cofinity Commercial |
$176.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$122.28
|
| Rate for Payer: Healthscope Commercial |
$146.74
|
| Rate for Payer: Healthscope Whirlpool |
$146.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$128.39
|
| Rate for Payer: Molina Medicare/Medicaid |
$134.51
|
| Rate for Payer: Nomi Health Commercial |
$146.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$79.50
|
| Rate for Payer: PACE SWMI |
$122.28
|
| Rate for Payer: PHP Medicare Advantage |
$122.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$198.19
|
| Rate for Payer: Priority Health Medicare |
$122.28
|
| Rate for Payer: Priority Health Narrow Network |
$198.19
|
| Rate for Payer: Railroad Medicare Medicare |
$122.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$220.21
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$122.28
|
| Rate for Payer: UHC Exchange |
$220.21
|
| Rate for Payer: UHCCP DNSP |
$122.28
|
|
|
CHG CT THORACIC SPINE W/O & W/CONTRAST MATERIAL
|
Professional
|
Both
|
$136.00
|
|
|
Service Code
|
HCPCS 72130
|
| Min. Negotiated Rate |
$102.00 |
| Max. Negotiated Rate |
$325.23 |
| Rate for Payer: Aetna Commercial |
$248.02
|
| Rate for Payer: Aetna Medicare |
$185.09
|
| Rate for Payer: BCBS MAPPO |
$185.09
|
| Rate for Payer: BCN Commercial |
$301.28
|
| Rate for Payer: BCN Medicare Advantage |
$185.09
|
| Rate for Payer: Cash Price |
$108.80
|
| Rate for Payer: Cash Price |
$108.80
|
| Rate for Payer: Cofinity Commercial |
$248.02
|
| Rate for Payer: Cofinity Commercial |
$266.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$185.09
|
| Rate for Payer: Healthscope Commercial |
$222.11
|
| Rate for Payer: Healthscope Whirlpool |
$222.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$194.34
|
| Rate for Payer: Molina Medicare/Medicaid |
$203.60
|
| Rate for Payer: Nomi Health Commercial |
$222.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$102.00
|
| Rate for Payer: PACE SWMI |
$185.09
|
| Rate for Payer: PHP Medicare Advantage |
$185.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$303.55
|
| Rate for Payer: Priority Health Medicare |
$185.09
|
| Rate for Payer: Priority Health Narrow Network |
$303.55
|
| Rate for Payer: Railroad Medicare Medicare |
$185.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$325.23
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$185.09
|
| Rate for Payer: UHC Exchange |
$325.23
|
| Rate for Payer: UHCCP DNSP |
$185.09
|
|
|
CHG CT UPPER EXTREMITY W/CONTRAST MATERIAL
|
Professional
|
Both
|
$123.00
|
|
|
Service Code
|
HCPCS 73201
|
| Min. Negotiated Rate |
$92.25 |
| Max. Negotiated Rate |
$313.37 |
| Rate for Payer: Aetna Commercial |
$249.23
|
| Rate for Payer: Aetna Medicare |
$185.99
|
| Rate for Payer: BCBS MAPPO |
$185.99
|
| Rate for Payer: BCN Commercial |
$302.77
|
| Rate for Payer: BCN Medicare Advantage |
$185.99
|
| Rate for Payer: Cash Price |
$98.40
|
| Rate for Payer: Cash Price |
$98.40
|
| Rate for Payer: Cofinity Commercial |
$249.23
|
| Rate for Payer: Cofinity Commercial |
$267.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$185.99
|
| Rate for Payer: Healthscope Commercial |
$223.19
|
| Rate for Payer: Healthscope Whirlpool |
$223.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$195.29
|
| Rate for Payer: Molina Medicare/Medicaid |
$204.59
|
| Rate for Payer: Nomi Health Commercial |
$223.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$92.25
|
| Rate for Payer: PACE SWMI |
$185.99
|
| Rate for Payer: PHP Medicare Advantage |
$185.99
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$305.06
|
| Rate for Payer: Priority Health Medicare |
$185.99
|
| Rate for Payer: Priority Health Narrow Network |
$305.06
|
| Rate for Payer: Railroad Medicare Medicare |
$185.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$313.37
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$185.99
|
| Rate for Payer: UHC Exchange |
$313.37
|
| Rate for Payer: UHCCP DNSP |
$185.99
|
|
|
CHG CT UPPER EXTREMITY W/O CONTRAST MATERIAL
|
Professional
|
Both
|
$106.00
|
|
|
Service Code
|
HCPCS 73200
|
| Min. Negotiated Rate |
$79.50 |
| Max. Negotiated Rate |
$252.16 |
| Rate for Payer: Aetna Commercial |
$201.15
|
| Rate for Payer: Aetna Medicare |
$150.11
|
| Rate for Payer: BCBS MAPPO |
$150.11
|
| Rate for Payer: BCN Commercial |
$243.51
|
| Rate for Payer: BCN Medicare Advantage |
$150.11
|
| Rate for Payer: Cash Price |
$84.80
|
| Rate for Payer: Cash Price |
$84.80
|
| Rate for Payer: Cofinity Commercial |
$201.15
|
| Rate for Payer: Cofinity Commercial |
$216.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$150.11
|
| Rate for Payer: Healthscope Commercial |
$180.13
|
| Rate for Payer: Healthscope Whirlpool |
$180.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$157.62
|
| Rate for Payer: Molina Medicare/Medicaid |
$165.12
|
| Rate for Payer: Nomi Health Commercial |
$180.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$79.50
|
| Rate for Payer: PACE SWMI |
$150.11
|
| Rate for Payer: PHP Medicare Advantage |
$150.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$245.34
|
| Rate for Payer: Priority Health Medicare |
$150.11
|
| Rate for Payer: Priority Health Narrow Network |
$245.34
|
| Rate for Payer: Railroad Medicare Medicare |
$150.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$252.16
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$150.11
|
| Rate for Payer: UHC Exchange |
$252.16
|
| Rate for Payer: UHCCP DNSP |
$150.11
|
|
|
CHG CT UPPER EXTREMITY W/O & W/CONTRAST MATERIAL
|
Professional
|
Both
|
$129.00
|
|
|
Service Code
|
HCPCS 73202
|
| Min. Negotiated Rate |
$96.75 |
| Max. Negotiated Rate |
$390.45 |
| Rate for Payer: Aetna Commercial |
$306.67
|
| Rate for Payer: Aetna Medicare |
$228.86
|
| Rate for Payer: BCBS MAPPO |
$228.86
|
| Rate for Payer: BCN Commercial |
$372.99
|
| Rate for Payer: BCN Medicare Advantage |
$228.86
|
| Rate for Payer: Cash Price |
$103.20
|
| Rate for Payer: Cash Price |
$103.20
|
| Rate for Payer: Cofinity Commercial |
$306.67
|
| Rate for Payer: Cofinity Commercial |
$329.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$228.86
|
| Rate for Payer: Healthscope Commercial |
$274.63
|
| Rate for Payer: Healthscope Whirlpool |
$274.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$240.30
|
| Rate for Payer: Molina Medicare/Medicaid |
$251.75
|
| Rate for Payer: Nomi Health Commercial |
$274.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$96.75
|
| Rate for Payer: PACE SWMI |
$228.86
|
| Rate for Payer: PHP Medicare Advantage |
$228.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$375.80
|
| Rate for Payer: Priority Health Medicare |
$228.86
|
| Rate for Payer: Priority Health Narrow Network |
$375.80
|
| Rate for Payer: Railroad Medicare Medicare |
$228.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$390.45
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$228.86
|
| Rate for Payer: UHC Exchange |
$390.45
|
| Rate for Payer: UHCCP DNSP |
$228.86
|
|
|
CHG CUL BACT XCPT URINE BLOOD/STOOL AEROBIC ISOL
|
Professional
|
Both
|
$38.00
|
|
|
Service Code
|
HCPCS 87070
|
| Min. Negotiated Rate |
$3.62 |
| Max. Negotiated Rate |
$28.50 |
| Rate for Payer: Aetna Commercial |
$11.55
|
| Rate for Payer: Aetna Medicare |
$8.62
|
| Rate for Payer: BCBS MAPPO |
$8.62
|
| Rate for Payer: BCN Commercial |
$6.47
|
| Rate for Payer: BCN Medicare Advantage |
$8.62
|
| Rate for Payer: Cash Price |
$30.40
|
| Rate for Payer: Cash Price |
$30.40
|
| Rate for Payer: Cofinity Commercial |
$11.55
|
| Rate for Payer: Cofinity Commercial |
$12.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8.62
|
| Rate for Payer: Healthscope Commercial |
$10.34
|
| Rate for Payer: Healthscope Whirlpool |
$10.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9.05
|
| Rate for Payer: Molina Medicare/Medicaid |
$9.48
|
| Rate for Payer: Nomi Health Commercial |
$10.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$28.50
|
| Rate for Payer: PACE SWMI |
$8.62
|
| Rate for Payer: PHP Medicare Advantage |
$8.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$9.07
|
| Rate for Payer: Priority Health Medicare |
$8.62
|
| Rate for Payer: Priority Health Narrow Network |
$9.07
|
| Rate for Payer: Railroad Medicare Medicare |
$8.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3.62
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$8.62
|
| Rate for Payer: UHC Exchange |
$3.62
|
| Rate for Payer: UHCCP DNSP |
$8.62
|
|
|
CHG CUL PRSMPTV PTHGNC ORGANISM SCRN W/COLONY ESTIMJ
|
Professional
|
Both
|
$22.00
|
|
|
Service Code
|
HCPCS 87081
|
| Min. Negotiated Rate |
$2.78 |
| Max. Negotiated Rate |
$16.50 |
| Rate for Payer: Aetna Commercial |
$8.88
|
| Rate for Payer: Aetna Medicare |
$6.63
|
| Rate for Payer: BCBS MAPPO |
$6.63
|
| Rate for Payer: BCN Commercial |
$4.97
|
| Rate for Payer: BCN Medicare Advantage |
$6.63
|
| Rate for Payer: Cash Price |
$17.60
|
| Rate for Payer: Cash Price |
$17.60
|
| Rate for Payer: Cofinity Commercial |
$8.88
|
| Rate for Payer: Cofinity Commercial |
$9.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.63
|
| Rate for Payer: Healthscope Commercial |
$7.96
|
| Rate for Payer: Healthscope Whirlpool |
$7.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.96
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.29
|
| Rate for Payer: Nomi Health Commercial |
$7.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.50
|
| Rate for Payer: PACE SWMI |
$6.63
|
| Rate for Payer: PHP Medicare Advantage |
$6.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$6.73
|
| Rate for Payer: Priority Health Medicare |
$6.63
|
| Rate for Payer: Priority Health Narrow Network |
$6.73
|
| Rate for Payer: Railroad Medicare Medicare |
$6.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2.78
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$6.63
|
| Rate for Payer: UHC Exchange |
$2.78
|
| Rate for Payer: UHCCP DNSP |
$6.63
|
|
|
CHG CYSTOGRAPHY MINIMUM 3 VIEWS RS&I
|
Professional
|
Both
|
$107.00
|
|
|
Service Code
|
HCPCS 74430
|
| Min. Negotiated Rate |
$39.24 |
| Max. Negotiated Rate |
$80.25 |
| Rate for Payer: Aetna Commercial |
$52.58
|
| Rate for Payer: Aetna Medicare |
$39.24
|
| Rate for Payer: BCBS MAPPO |
$39.24
|
| Rate for Payer: BCN Commercial |
$61.75
|
| Rate for Payer: BCN Medicare Advantage |
$39.24
|
| Rate for Payer: Cash Price |
$85.60
|
| Rate for Payer: Cash Price |
$85.60
|
| Rate for Payer: Cofinity Commercial |
$52.58
|
| Rate for Payer: Cofinity Commercial |
$56.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$39.24
|
| Rate for Payer: Healthscope Commercial |
$47.09
|
| Rate for Payer: Healthscope Whirlpool |
$47.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$41.20
|
| Rate for Payer: Molina Medicare/Medicaid |
$43.16
|
| Rate for Payer: Nomi Health Commercial |
$47.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$80.25
|
| Rate for Payer: PACE SWMI |
$39.24
|
| Rate for Payer: PHP Medicare Advantage |
$39.24
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$62.22
|
| Rate for Payer: Priority Health Medicare |
$39.24
|
| Rate for Payer: Priority Health Narrow Network |
$62.22
|
| Rate for Payer: Railroad Medicare Medicare |
$39.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$57.12
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$39.24
|
| Rate for Payer: UHC Exchange |
$57.12
|
| Rate for Payer: UHCCP DNSP |
$39.24
|
|
|
CHG CYTP CERVICAL/VAGINAL REQ INTERP PHYSICIAN
|
Professional
|
Both
|
$66.00
|
|
|
Service Code
|
HCPCS 88141
|
| Min. Negotiated Rate |
$14.96 |
| Max. Negotiated Rate |
$49.50 |
| Rate for Payer: Aetna Commercial |
$30.50
|
| Rate for Payer: Aetna Medicare |
$22.76
|
| Rate for Payer: BCBS Complete |
$16.11
|
| Rate for Payer: BCBS MAPPO |
$22.76
|
| Rate for Payer: BCN Commercial |
$37.35
|
| Rate for Payer: BCN Medicare Advantage |
$22.76
|
| Rate for Payer: Cash Price |
$52.80
|
| Rate for Payer: Cash Price |
$52.80
|
| Rate for Payer: Cofinity Commercial |
$32.77
|
| Rate for Payer: Cofinity Commercial |
$30.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22.76
|
| Rate for Payer: Healthscope Commercial |
$27.31
|
| Rate for Payer: Healthscope Whirlpool |
$27.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23.90
|
| Rate for Payer: Meridian Medicaid |
$16.11
|
| Rate for Payer: Molina Medicare/Medicaid |
$25.04
|
| Rate for Payer: Nomi Health Commercial |
$27.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$49.50
|
| Rate for Payer: PACE SWMI |
$22.76
|
| Rate for Payer: PHP Medicare Advantage |
$22.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$15.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$37.63
|
| Rate for Payer: Priority Health Medicare |
$22.76
|
| Rate for Payer: Priority Health Narrow Network |
$37.63
|
| Rate for Payer: Railroad Medicare Medicare |
$22.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$14.96
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$22.76
|
| Rate for Payer: UHC Exchange |
$14.96
|
| Rate for Payer: UHC Medicaid |
$15.34
|
| Rate for Payer: UHCCP DNSP |
$22.76
|
| Rate for Payer: UHCCP Medicaid |
$15.34
|
|
|
CHG CYTP CERV/VAG AUTO THIN LAYER PREP MNL SCREEN
|
Professional
|
Both
|
$48.00
|
|
|
Service Code
|
HCPCS 88142
|
| Min. Negotiated Rate |
$12.16 |
| Max. Negotiated Rate |
$36.00 |
| Rate for Payer: Aetna Commercial |
$27.15
|
| Rate for Payer: Aetna Medicare |
$20.26
|
| Rate for Payer: BCBS MAPPO |
$20.26
|
| Rate for Payer: BCN Commercial |
$15.20
|
| Rate for Payer: BCN Medicare Advantage |
$20.26
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Cofinity Commercial |
$27.15
|
| Rate for Payer: Cofinity Commercial |
$29.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.26
|
| Rate for Payer: Healthscope Commercial |
$24.31
|
| Rate for Payer: Healthscope Whirlpool |
$24.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21.27
|
| Rate for Payer: Molina Medicare/Medicaid |
$22.29
|
| Rate for Payer: Nomi Health Commercial |
$24.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$36.00
|
| Rate for Payer: PACE SWMI |
$20.26
|
| Rate for Payer: PHP Medicare Advantage |
$20.26
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$31.61
|
| Rate for Payer: Priority Health Medicare |
$20.26
|
| Rate for Payer: Priority Health Narrow Network |
$31.61
|
| Rate for Payer: Railroad Medicare Medicare |
$20.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$12.16
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$20.26
|
| Rate for Payer: UHC Exchange |
$12.16
|
| Rate for Payer: UHCCP DNSP |
$20.26
|
|
|
CHG DEXA,BONE DENSITY,VERTEB FRACT
|
Professional
|
Both
|
$20.00
|
|
|
Service Code
|
HCPCS 77082
|
| Min. Negotiated Rate |
$8.00 |
| Max. Negotiated Rate |
$15.00 |
| Rate for Payer: BCBS Complete |
$8.00
|
| Rate for Payer: Cash Price |
$16.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.00
|
|
|
CHG DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX C-/C+
|
Professional
|
Both
|
$133.00
|
|
|
Service Code
|
HCPCS 71270
|
| Min. Negotiated Rate |
$99.75 |
| Max. Negotiated Rate |
$327.70 |
| Rate for Payer: Aetna Commercial |
$245.09
|
| Rate for Payer: Aetna Medicare |
$182.90
|
| Rate for Payer: BCBS MAPPO |
$182.90
|
| Rate for Payer: BCN Commercial |
$297.29
|
| Rate for Payer: BCN Medicare Advantage |
$182.90
|
| Rate for Payer: Cash Price |
$106.40
|
| Rate for Payer: Cash Price |
$106.40
|
| Rate for Payer: Cofinity Commercial |
$263.38
|
| Rate for Payer: Cofinity Commercial |
$245.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$182.90
|
| Rate for Payer: Healthscope Commercial |
$219.48
|
| Rate for Payer: Healthscope Whirlpool |
$219.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$192.04
|
| Rate for Payer: Molina Medicare/Medicaid |
$201.19
|
| Rate for Payer: Nomi Health Commercial |
$219.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$99.75
|
| Rate for Payer: PACE SWMI |
$182.90
|
| Rate for Payer: PHP Medicare Advantage |
$182.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$299.54
|
| Rate for Payer: Priority Health Medicare |
$182.90
|
| Rate for Payer: Priority Health Narrow Network |
$299.54
|
| Rate for Payer: Railroad Medicare Medicare |
$182.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$327.70
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$182.90
|
| Rate for Payer: UHC Exchange |
$327.70
|
| Rate for Payer: UHCCP DNSP |
$182.90
|
|
|
CHG DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/CONTRAST
|
Professional
|
Both
|
$124.00
|
|
|
Service Code
|
HCPCS 71260
|
| Min. Negotiated Rate |
$93.00 |
| Max. Negotiated Rate |
$277.40 |
| Rate for Payer: Aetna Commercial |
$209.17
|
| Rate for Payer: Aetna Medicare |
$156.10
|
| Rate for Payer: BCBS MAPPO |
$156.10
|
| Rate for Payer: BCN Commercial |
$252.97
|
| Rate for Payer: BCN Medicare Advantage |
$156.10
|
| Rate for Payer: Cash Price |
$99.20
|
| Rate for Payer: Cash Price |
$99.20
|
| Rate for Payer: Cofinity Commercial |
$209.17
|
| Rate for Payer: Cofinity Commercial |
$224.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$156.10
|
| Rate for Payer: Healthscope Commercial |
$187.32
|
| Rate for Payer: Healthscope Whirlpool |
$187.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$163.91
|
| Rate for Payer: Molina Medicare/Medicaid |
$171.71
|
| Rate for Payer: Nomi Health Commercial |
$187.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$93.00
|
| Rate for Payer: PACE SWMI |
$156.10
|
| Rate for Payer: PHP Medicare Advantage |
$156.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$254.88
|
| Rate for Payer: Priority Health Medicare |
$156.10
|
| Rate for Payer: Priority Health Narrow Network |
$254.88
|
| Rate for Payer: Railroad Medicare Medicare |
$156.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$277.40
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$156.10
|
| Rate for Payer: UHC Exchange |
$277.40
|
| Rate for Payer: UHCCP DNSP |
$156.10
|
|
|
CHG DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST
|
Professional
|
Both
|
$115.00
|
|
|
Service Code
|
HCPCS 71250
|
| Min. Negotiated Rate |
$86.25 |
| Max. Negotiated Rate |
$224.38 |
| Rate for Payer: Aetna Commercial |
$166.99
|
| Rate for Payer: Aetna Medicare |
$124.62
|
| Rate for Payer: BCBS MAPPO |
$124.62
|
| Rate for Payer: BCN Commercial |
$201.68
|
| Rate for Payer: BCN Medicare Advantage |
$124.62
|
| Rate for Payer: Cash Price |
$92.00
|
| Rate for Payer: Cash Price |
$92.00
|
| Rate for Payer: Cofinity Commercial |
$166.99
|
| Rate for Payer: Cofinity Commercial |
$179.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$124.62
|
| Rate for Payer: Healthscope Commercial |
$149.54
|
| Rate for Payer: Healthscope Whirlpool |
$149.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$130.85
|
| Rate for Payer: Molina Medicare/Medicaid |
$137.08
|
| Rate for Payer: Nomi Health Commercial |
$149.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$86.25
|
| Rate for Payer: PACE SWMI |
$124.62
|
| Rate for Payer: PHP Medicare Advantage |
$124.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$203.20
|
| Rate for Payer: Priority Health Medicare |
$124.62
|
| Rate for Payer: Priority Health Narrow Network |
$203.20
|
| Rate for Payer: Railroad Medicare Medicare |
$124.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$224.38
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$124.62
|
| Rate for Payer: UHC Exchange |
$224.38
|
| Rate for Payer: UHCCP DNSP |
$124.62
|
|
|
CHG DIGITAL BREAST TOMOSYNTHESIS UNILATERAL
|
Professional
|
Both
|
$68.00
|
|
|
Service Code
|
HCPCS 77061
|
| Min. Negotiated Rate |
$27.20 |
| Max. Negotiated Rate |
$189.83 |
| Rate for Payer: Aetna Commercial |
$146.59
|
| Rate for Payer: BCBS Complete |
$27.20
|
| Rate for Payer: BCN Commercial |
$85.23
|
| Rate for Payer: Cash Price |
$54.40
|
| Rate for Payer: Cash Price |
$54.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$51.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$189.16
|
| Rate for Payer: Priority Health Narrow Network |
$189.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$189.83
|
| Rate for Payer: UHC Exchange |
$189.83
|
|
|
CHG DISKOGRAPY LUMBAR RS&I
|
Professional
|
Both
|
$108.00
|
|
|
Service Code
|
HCPCS 72295
|
| Min. Negotiated Rate |
$81.00 |
| Max. Negotiated Rate |
$166.57 |
| Rate for Payer: Aetna Commercial |
$153.20
|
| Rate for Payer: Aetna Medicare |
$114.33
|
| Rate for Payer: BCBS MAPPO |
$114.33
|
| Rate for Payer: BCN Commercial |
$165.33
|
| Rate for Payer: BCN Medicare Advantage |
$114.33
|
| Rate for Payer: Cash Price |
$86.40
|
| Rate for Payer: Cash Price |
$86.40
|
| Rate for Payer: Cofinity Commercial |
$153.20
|
| Rate for Payer: Cofinity Commercial |
$164.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$114.33
|
| Rate for Payer: Healthscope Commercial |
$137.20
|
| Rate for Payer: Healthscope Whirlpool |
$137.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$120.05
|
| Rate for Payer: Molina Medicare/Medicaid |
$125.76
|
| Rate for Payer: Nomi Health Commercial |
$137.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$81.00
|
| Rate for Payer: PACE SWMI |
$114.33
|
| Rate for Payer: PHP Medicare Advantage |
$114.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$166.57
|
| Rate for Payer: Priority Health Medicare |
$114.33
|
| Rate for Payer: Priority Health Narrow Network |
$166.57
|
| Rate for Payer: Railroad Medicare Medicare |
$114.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$152.55
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$114.33
|
| Rate for Payer: UHC Exchange |
$152.55
|
| Rate for Payer: UHCCP DNSP |
$114.33
|
|
|
CHG DOPPLER ECHO FETAL PULS SPECTRAL F/U/REPEAT
|
Professional
|
Both
|
$149.00
|
|
|
Service Code
|
HCPCS 76828
|
| Min. Negotiated Rate |
$46.95 |
| Max. Negotiated Rate |
$111.75 |
| Rate for Payer: Aetna Commercial |
$62.91
|
| Rate for Payer: Aetna Medicare |
$46.95
|
| Rate for Payer: BCBS MAPPO |
$46.95
|
| Rate for Payer: BCN Commercial |
$71.71
|
| Rate for Payer: BCN Medicare Advantage |
$46.95
|
| Rate for Payer: Cash Price |
$119.20
|
| Rate for Payer: Cash Price |
$119.20
|
| Rate for Payer: Cofinity Commercial |
$62.91
|
| Rate for Payer: Cofinity Commercial |
$67.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$46.95
|
| Rate for Payer: Healthscope Commercial |
$56.34
|
| Rate for Payer: Healthscope Whirlpool |
$56.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$49.30
|
| Rate for Payer: Molina Medicare/Medicaid |
$51.65
|
| Rate for Payer: Nomi Health Commercial |
$56.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$111.75
|
| Rate for Payer: PACE SWMI |
$46.95
|
| Rate for Payer: PHP Medicare Advantage |
$46.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$72.25
|
| Rate for Payer: Priority Health Medicare |
$46.95
|
| Rate for Payer: Priority Health Narrow Network |
$72.25
|
| Rate for Payer: Railroad Medicare Medicare |
$46.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$74.97
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$46.95
|
| Rate for Payer: UHC Exchange |
$74.97
|
| Rate for Payer: UHCCP DNSP |
$46.95
|
|
|
CHG DOPPLER ECHO FETAL SPECTRAL DISPLAY COMPLETE
|
Professional
|
Both
|
$249.00
|
|
|
Service Code
|
HCPCS 76827
|
| Min. Negotiated Rate |
$65.61 |
| Max. Negotiated Rate |
$186.75 |
| Rate for Payer: Aetna Commercial |
$87.92
|
| Rate for Payer: Aetna Medicare |
$65.61
|
| Rate for Payer: BCBS MAPPO |
$65.61
|
| Rate for Payer: BCN Commercial |
$102.59
|
| Rate for Payer: BCN Medicare Advantage |
$65.61
|
| Rate for Payer: Cash Price |
$199.20
|
| Rate for Payer: Cash Price |
$199.20
|
| Rate for Payer: Cofinity Commercial |
$87.92
|
| Rate for Payer: Cofinity Commercial |
$94.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$65.61
|
| Rate for Payer: Healthscope Commercial |
$78.73
|
| Rate for Payer: Healthscope Whirlpool |
$78.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$68.89
|
| Rate for Payer: Molina Medicare/Medicaid |
$72.17
|
| Rate for Payer: Nomi Health Commercial |
$78.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$186.75
|
| Rate for Payer: PACE SWMI |
$65.61
|
| Rate for Payer: PHP Medicare Advantage |
$65.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$103.35
|
| Rate for Payer: Priority Health Medicare |
$65.61
|
| Rate for Payer: Priority Health Narrow Network |
$103.35
|
| Rate for Payer: Railroad Medicare Medicare |
$65.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$104.57
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$65.61
|
| Rate for Payer: UHC Exchange |
$104.57
|
| Rate for Payer: UHCCP DNSP |
$65.61
|
|
|
CHG DOPPLER VELOCIMETRY FETAL MIDDLE CEREBRAL ART
|
Professional
|
Both
|
$148.00
|
|
|
Service Code
|
HCPCS 76821
|
| Min. Negotiated Rate |
$84.60 |
| Max. Negotiated Rate |
$131.95 |
| Rate for Payer: Aetna Commercial |
$113.36
|
| Rate for Payer: Aetna Medicare |
$84.60
|
| Rate for Payer: BCBS MAPPO |
$84.60
|
| Rate for Payer: BCN Commercial |
$130.97
|
| Rate for Payer: BCN Medicare Advantage |
$84.60
|
| Rate for Payer: Cash Price |
$118.40
|
| Rate for Payer: Cash Price |
$118.40
|
| Rate for Payer: Cofinity Commercial |
$113.36
|
| Rate for Payer: Cofinity Commercial |
$121.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$84.60
|
| Rate for Payer: Healthscope Commercial |
$101.52
|
| Rate for Payer: Healthscope Whirlpool |
$101.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$88.83
|
| Rate for Payer: Molina Medicare/Medicaid |
$93.06
|
| Rate for Payer: Nomi Health Commercial |
$101.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$111.00
|
| Rate for Payer: PACE SWMI |
$84.60
|
| Rate for Payer: PHP Medicare Advantage |
$84.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$131.95
|
| Rate for Payer: Priority Health Medicare |
$84.60
|
| Rate for Payer: Priority Health Narrow Network |
$131.95
|
| Rate for Payer: Railroad Medicare Medicare |
$84.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$128.71
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$84.60
|
| Rate for Payer: UHC Exchange |
$128.71
|
| Rate for Payer: UHCCP DNSP |
$84.60
|
|
|
CHG DOPPLER VELOCIMETRY FETAL UMBILICAL ARTERY
|
Professional
|
Both
|
$256.00
|
|
|
Service Code
|
HCPCS 76820
|
| Min. Negotiated Rate |
$42.81 |
| Max. Negotiated Rate |
$192.00 |
| Rate for Payer: Aetna Commercial |
$57.37
|
| Rate for Payer: Aetna Medicare |
$42.81
|
| Rate for Payer: BCBS MAPPO |
$42.81
|
| Rate for Payer: BCN Commercial |
$65.73
|
| Rate for Payer: BCN Medicare Advantage |
$42.81
|
| Rate for Payer: Cash Price |
$204.80
|
| Rate for Payer: Cash Price |
$204.80
|
| Rate for Payer: Cofinity Commercial |
$57.37
|
| Rate for Payer: Cofinity Commercial |
$61.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$42.81
|
| Rate for Payer: Healthscope Commercial |
$51.37
|
| Rate for Payer: Healthscope Whirlpool |
$51.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$44.95
|
| Rate for Payer: Molina Medicare/Medicaid |
$47.09
|
| Rate for Payer: Nomi Health Commercial |
$51.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$192.00
|
| Rate for Payer: PACE SWMI |
$42.81
|
| Rate for Payer: PHP Medicare Advantage |
$42.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$66.23
|
| Rate for Payer: Priority Health Medicare |
$42.81
|
| Rate for Payer: Priority Health Narrow Network |
$66.23
|
| Rate for Payer: Railroad Medicare Medicare |
$42.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$67.32
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$42.81
|
| Rate for Payer: UHC Exchange |
$67.32
|
| Rate for Payer: UHCCP DNSP |
$42.81
|
|
