|
CHG GLUC BLD GLUC MNTR DEV CLEARED FDA SPEC HOME USE
|
Professional
|
Both
|
$12.00
|
|
|
Service Code
|
HCPCS 82962
|
| Min. Negotiated Rate |
$1.97 |
| Max. Negotiated Rate |
$9.00 |
| Rate for Payer: Aetna Commercial |
$4.40
|
| Rate for Payer: Aetna Medicare |
$3.28
|
| Rate for Payer: BCBS MAPPO |
$3.28
|
| Rate for Payer: BCN Commercial |
$3.28
|
| Rate for Payer: BCN Medicare Advantage |
$3.28
|
| Rate for Payer: Cash Price |
$9.60
|
| Rate for Payer: Cash Price |
$9.60
|
| Rate for Payer: Cofinity Commercial |
$4.40
|
| Rate for Payer: Cofinity Commercial |
$4.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.28
|
| Rate for Payer: Healthscope Commercial |
$3.94
|
| Rate for Payer: Healthscope Whirlpool |
$3.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3.44
|
| Rate for Payer: Molina Medicare/Medicaid |
$3.61
|
| Rate for Payer: Nomi Health Commercial |
$3.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9.00
|
| Rate for Payer: PACE SWMI |
$3.28
|
| Rate for Payer: PHP Medicare Advantage |
$3.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3.36
|
| Rate for Payer: Priority Health Medicare |
$3.28
|
| Rate for Payer: Priority Health Narrow Network |
$3.36
|
| Rate for Payer: Railroad Medicare Medicare |
$3.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1.97
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3.28
|
| Rate for Payer: UHC Exchange |
$1.97
|
| Rate for Payer: UHCCP DNSP |
$3.28
|
|
|
CHG GLUCOSE BLOOD REAGENT STRIP
|
Professional
|
Both
|
$14.00
|
|
|
Service Code
|
HCPCS 82948
|
| Min. Negotiated Rate |
$3.02 |
| Max. Negotiated Rate |
$10.50 |
| Rate for Payer: Aetna Commercial |
$6.75
|
| Rate for Payer: Aetna Medicare |
$5.04
|
| Rate for Payer: BCBS MAPPO |
$5.04
|
| Rate for Payer: BCN Commercial |
$3.78
|
| Rate for Payer: BCN Medicare Advantage |
$5.04
|
| Rate for Payer: Cash Price |
$11.20
|
| Rate for Payer: Cash Price |
$11.20
|
| Rate for Payer: Cofinity Commercial |
$6.75
|
| Rate for Payer: Cofinity Commercial |
$7.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.04
|
| Rate for Payer: Healthscope Commercial |
$6.05
|
| Rate for Payer: Healthscope Whirlpool |
$6.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.29
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.54
|
| Rate for Payer: Nomi Health Commercial |
$6.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.50
|
| Rate for Payer: PACE SWMI |
$5.04
|
| Rate for Payer: PHP Medicare Advantage |
$5.04
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$5.38
|
| Rate for Payer: Priority Health Medicare |
$5.04
|
| Rate for Payer: Priority Health Narrow Network |
$5.38
|
| Rate for Payer: Railroad Medicare Medicare |
$5.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3.02
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5.04
|
| Rate for Payer: UHC Exchange |
$3.02
|
| Rate for Payer: UHCCP DNSP |
$5.04
|
|
|
CHG GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP
|
Professional
|
Both
|
$18.00
|
|
|
Service Code
|
HCPCS 82947
|
| Min. Negotiated Rate |
$1.71 |
| Max. Negotiated Rate |
$13.50 |
| Rate for Payer: Aetna Commercial |
$5.27
|
| Rate for Payer: Aetna Medicare |
$3.93
|
| Rate for Payer: BCBS MAPPO |
$3.93
|
| Rate for Payer: BCN Commercial |
$1.71
|
| Rate for Payer: BCN Medicare Advantage |
$3.93
|
| Rate for Payer: Cash Price |
$14.40
|
| Rate for Payer: Cash Price |
$14.40
|
| Rate for Payer: Cofinity Commercial |
$5.27
|
| Rate for Payer: Cofinity Commercial |
$5.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.93
|
| Rate for Payer: Healthscope Commercial |
$4.72
|
| Rate for Payer: Healthscope Whirlpool |
$4.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.13
|
| Rate for Payer: Molina Medicare/Medicaid |
$4.32
|
| Rate for Payer: Nomi Health Commercial |
$4.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.50
|
| Rate for Payer: PACE SWMI |
$3.93
|
| Rate for Payer: PHP Medicare Advantage |
$3.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$4.03
|
| Rate for Payer: Priority Health Medicare |
$3.93
|
| Rate for Payer: Priority Health Narrow Network |
$4.03
|
| Rate for Payer: Railroad Medicare Medicare |
$3.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2.36
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3.93
|
| Rate for Payer: UHC Exchange |
$2.36
|
| Rate for Payer: UHCCP DNSP |
$3.93
|
|
|
CHG GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS
|
Professional
|
Both
|
$48.00
|
|
|
Service Code
|
HCPCS 82951
|
| Min. Negotiated Rate |
$7.72 |
| Max. Negotiated Rate |
$36.00 |
| Rate for Payer: Aetna Commercial |
$17.25
|
| Rate for Payer: Aetna Medicare |
$12.87
|
| Rate for Payer: BCBS MAPPO |
$12.87
|
| Rate for Payer: BCN Commercial |
$9.65
|
| Rate for Payer: BCN Medicare Advantage |
$12.87
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Cofinity Commercial |
$17.25
|
| Rate for Payer: Cofinity Commercial |
$18.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12.87
|
| Rate for Payer: Healthscope Commercial |
$15.44
|
| Rate for Payer: Healthscope Whirlpool |
$15.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13.51
|
| Rate for Payer: Molina Medicare/Medicaid |
$14.16
|
| Rate for Payer: Nomi Health Commercial |
$15.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$36.00
|
| Rate for Payer: PACE SWMI |
$12.87
|
| Rate for Payer: PHP Medicare Advantage |
$12.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$13.45
|
| Rate for Payer: Priority Health Medicare |
$12.87
|
| Rate for Payer: Priority Health Narrow Network |
$13.45
|
| Rate for Payer: Railroad Medicare Medicare |
$12.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7.72
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$12.87
|
| Rate for Payer: UHC Exchange |
$7.72
|
| Rate for Payer: UHCCP DNSP |
$12.87
|
|
|
CHG GONADOTROPIN CHORIONIC QUALITATIVE
|
Professional
|
Both
|
$27.00
|
|
|
Service Code
|
HCPCS 84703
|
| Min. Negotiated Rate |
$3.16 |
| Max. Negotiated Rate |
$20.25 |
| Rate for Payer: Aetna Commercial |
$10.08
|
| Rate for Payer: Aetna Medicare |
$7.52
|
| Rate for Payer: BCBS MAPPO |
$7.52
|
| Rate for Payer: BCN Commercial |
$5.64
|
| Rate for Payer: BCN Medicare Advantage |
$7.52
|
| Rate for Payer: Cash Price |
$21.60
|
| Rate for Payer: Cash Price |
$21.60
|
| Rate for Payer: Cofinity Commercial |
$10.08
|
| Rate for Payer: Cofinity Commercial |
$10.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.52
|
| Rate for Payer: Healthscope Commercial |
$9.02
|
| Rate for Payer: Healthscope Whirlpool |
$9.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7.90
|
| Rate for Payer: Molina Medicare/Medicaid |
$8.27
|
| Rate for Payer: Nomi Health Commercial |
$9.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.25
|
| Rate for Payer: PACE SWMI |
$7.52
|
| Rate for Payer: PHP Medicare Advantage |
$7.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$7.73
|
| Rate for Payer: Priority Health Medicare |
$7.52
|
| Rate for Payer: Priority Health Narrow Network |
$7.73
|
| Rate for Payer: Railroad Medicare Medicare |
$7.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3.16
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$7.52
|
| Rate for Payer: UHC Exchange |
$3.16
|
| Rate for Payer: UHCCP DNSP |
$7.52
|
|
|
CHG GUIDANCE FOR LOCLZJ TARGET VOL FOR RADJ TX DLVR
|
Professional
|
Both
|
$62.00
|
|
|
Service Code
|
HCPCS 77387
|
| Min. Negotiated Rate |
$35.43 |
| Max. Negotiated Rate |
$190.66 |
| Rate for Payer: Aetna Commercial |
$47.48
|
| Rate for Payer: Aetna Medicare |
$35.43
|
| Rate for Payer: BCBS MAPPO |
$35.43
|
| Rate for Payer: BCN Commercial |
$105.75
|
| Rate for Payer: BCN Medicare Advantage |
$35.43
|
| Rate for Payer: Cash Price |
$49.60
|
| Rate for Payer: Cash Price |
$49.60
|
| Rate for Payer: Cofinity Commercial |
$47.48
|
| Rate for Payer: Cofinity Commercial |
$51.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.43
|
| Rate for Payer: Healthscope Commercial |
$42.52
|
| Rate for Payer: Healthscope Whirlpool |
$42.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37.20
|
| Rate for Payer: Molina Medicare/Medicaid |
$38.97
|
| Rate for Payer: Nomi Health Commercial |
$42.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$46.50
|
| Rate for Payer: PACE SWMI |
$35.43
|
| Rate for Payer: PHP Medicare Advantage |
$35.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$190.66
|
| Rate for Payer: Priority Health Medicare |
$35.43
|
| Rate for Payer: Priority Health Narrow Network |
$190.66
|
| Rate for Payer: Railroad Medicare Medicare |
$35.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$136.60
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$35.43
|
| Rate for Payer: UHC Exchange |
$136.60
|
| Rate for Payer: UHCCP DNSP |
$35.43
|
|
|
CHG HDR RDNCL NTRSTL/INTRCAV BRACHYTX 1 CHANNEL
|
Professional
|
Both
|
$659.00
|
|
|
Service Code
|
HCPCS 77770
|
| Min. Negotiated Rate |
$325.44 |
| Max. Negotiated Rate |
$526.31 |
| Rate for Payer: Aetna Commercial |
$436.09
|
| Rate for Payer: Aetna Commercial |
$436.09
|
| Rate for Payer: Aetna Medicare |
$325.44
|
| Rate for Payer: Aetna Medicare |
$325.44
|
| Rate for Payer: BCBS MAPPO |
$325.44
|
| Rate for Payer: BCBS MAPPO |
$325.44
|
| Rate for Payer: BCN Commercial |
$522.38
|
| Rate for Payer: BCN Commercial |
$522.38
|
| Rate for Payer: BCN Medicare Advantage |
$325.44
|
| Rate for Payer: BCN Medicare Advantage |
$325.44
|
| Rate for Payer: Cash Price |
$527.20
|
| Rate for Payer: Cash Price |
$527.20
|
| Rate for Payer: Cash Price |
$170.40
|
| Rate for Payer: Cash Price |
$170.40
|
| Rate for Payer: Cofinity Commercial |
$468.63
|
| Rate for Payer: Cofinity Commercial |
$436.09
|
| Rate for Payer: Cofinity Commercial |
$468.63
|
| Rate for Payer: Cofinity Commercial |
$436.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$325.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$325.44
|
| Rate for Payer: Healthscope Commercial |
$390.53
|
| Rate for Payer: Healthscope Commercial |
$390.53
|
| Rate for Payer: Healthscope Whirlpool |
$390.53
|
| Rate for Payer: Healthscope Whirlpool |
$390.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$341.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$341.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$357.98
|
| Rate for Payer: Molina Medicare/Medicaid |
$357.98
|
| Rate for Payer: Nomi Health Commercial |
$390.53
|
| Rate for Payer: Nomi Health Commercial |
$390.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$159.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$494.25
|
| Rate for Payer: PACE SWMI |
$325.44
|
| Rate for Payer: PACE SWMI |
$325.44
|
| Rate for Payer: PHP Medicare Advantage |
$325.44
|
| Rate for Payer: PHP Medicare Advantage |
$325.44
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$526.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$526.31
|
| Rate for Payer: Priority Health Medicare |
$325.44
|
| Rate for Payer: Priority Health Medicare |
$325.44
|
| Rate for Payer: Priority Health Narrow Network |
$526.31
|
| Rate for Payer: Priority Health Narrow Network |
$526.31
|
| Rate for Payer: Railroad Medicare Medicare |
$325.44
|
| Rate for Payer: Railroad Medicare Medicare |
$325.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$477.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$477.11
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$325.44
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$325.44
|
| Rate for Payer: UHC Exchange |
$477.11
|
| Rate for Payer: UHC Exchange |
$477.11
|
| Rate for Payer: UHCCP DNSP |
$325.44
|
| Rate for Payer: UHCCP DNSP |
$325.44
|
|
|
CHG HEMOGLOBIN GLYCOSYLATED A1C
|
Professional
|
Both
|
$24.00
|
|
|
Service Code
|
HCPCS 83036
|
| Min. Negotiated Rate |
$4.08 |
| Max. Negotiated Rate |
$18.00 |
| Rate for Payer: Aetna Commercial |
$13.01
|
| Rate for Payer: Aetna Medicare |
$9.71
|
| Rate for Payer: BCBS MAPPO |
$9.71
|
| Rate for Payer: BCN Commercial |
$14.71
|
| Rate for Payer: BCN Medicare Advantage |
$9.71
|
| Rate for Payer: Cash Price |
$19.20
|
| Rate for Payer: Cash Price |
$19.20
|
| Rate for Payer: Cofinity Commercial |
$13.01
|
| Rate for Payer: Cofinity Commercial |
$13.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9.71
|
| Rate for Payer: Healthscope Commercial |
$11.65
|
| Rate for Payer: Healthscope Whirlpool |
$11.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10.20
|
| Rate for Payer: Molina Medicare/Medicaid |
$10.68
|
| Rate for Payer: Nomi Health Commercial |
$11.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.00
|
| Rate for Payer: PACE SWMI |
$9.71
|
| Rate for Payer: PHP Medicare Advantage |
$9.71
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$10.08
|
| Rate for Payer: Priority Health Medicare |
$9.71
|
| Rate for Payer: Priority Health Narrow Network |
$10.08
|
| Rate for Payer: Railroad Medicare Medicare |
$9.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4.08
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$9.71
|
| Rate for Payer: UHC Exchange |
$4.08
|
| Rate for Payer: UHCCP DNSP |
$9.71
|
|
|
CHG HETEROPHILE ANTIBODIES SCREEN
|
Professional
|
Both
|
$15.00
|
|
|
Service Code
|
HCPCS 86308
|
| Min. Negotiated Rate |
$3.11 |
| Max. Negotiated Rate |
$11.25 |
| Rate for Payer: Aetna Commercial |
$6.94
|
| Rate for Payer: Aetna Medicare |
$5.18
|
| Rate for Payer: BCBS MAPPO |
$5.18
|
| Rate for Payer: BCN Commercial |
$5.18
|
| Rate for Payer: BCN Medicare Advantage |
$5.18
|
| Rate for Payer: Cash Price |
$12.00
|
| Rate for Payer: Cash Price |
$12.00
|
| Rate for Payer: Cofinity Commercial |
$6.94
|
| Rate for Payer: Cofinity Commercial |
$7.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.18
|
| Rate for Payer: Healthscope Commercial |
$6.22
|
| Rate for Payer: Healthscope Whirlpool |
$6.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.44
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.70
|
| Rate for Payer: Nomi Health Commercial |
$6.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.25
|
| Rate for Payer: PACE SWMI |
$5.18
|
| Rate for Payer: PHP Medicare Advantage |
$5.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$5.38
|
| Rate for Payer: Priority Health Medicare |
$5.18
|
| Rate for Payer: Priority Health Narrow Network |
$5.38
|
| Rate for Payer: Railroad Medicare Medicare |
$5.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3.11
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5.18
|
| Rate for Payer: UHC Exchange |
$3.11
|
| Rate for Payer: UHCCP DNSP |
$5.18
|
|
|
CHG HYSTEROSALPINGOGRAPHY RS&I
|
Professional
|
Both
|
$158.00
|
|
|
Service Code
|
HCPCS 74740
|
| Min. Negotiated Rate |
$83.63 |
| Max. Negotiated Rate |
$135.97 |
| Rate for Payer: Aetna Commercial |
$112.06
|
| Rate for Payer: Aetna Medicare |
$83.63
|
| Rate for Payer: BCBS MAPPO |
$83.63
|
| Rate for Payer: BCN Commercial |
$134.95
|
| Rate for Payer: BCN Medicare Advantage |
$83.63
|
| Rate for Payer: Cash Price |
$126.40
|
| Rate for Payer: Cash Price |
$126.40
|
| Rate for Payer: Cofinity Commercial |
$112.06
|
| Rate for Payer: Cofinity Commercial |
$120.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$83.63
|
| Rate for Payer: Healthscope Commercial |
$100.36
|
| Rate for Payer: Healthscope Whirlpool |
$100.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$87.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$91.99
|
| Rate for Payer: Nomi Health Commercial |
$100.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$118.50
|
| Rate for Payer: PACE SWMI |
$83.63
|
| Rate for Payer: PHP Medicare Advantage |
$83.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$135.97
|
| Rate for Payer: Priority Health Medicare |
$83.63
|
| Rate for Payer: Priority Health Narrow Network |
$135.97
|
| Rate for Payer: Railroad Medicare Medicare |
$83.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$126.76
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$83.63
|
| Rate for Payer: UHC Exchange |
$126.76
|
| Rate for Payer: UHCCP DNSP |
$83.63
|
|
|
CHG IAADIADOO INFLUENZA
|
Professional
|
Both
|
$31.00
|
|
|
Service Code
|
HCPCS 87804
|
| Min. Negotiated Rate |
$14.00 |
| Max. Negotiated Rate |
$23.83 |
| Rate for Payer: Aetna Commercial |
$22.18
|
| Rate for Payer: Aetna Medicare |
$16.55
|
| Rate for Payer: BCBS MAPPO |
$16.55
|
| Rate for Payer: BCN Commercial |
$16.55
|
| Rate for Payer: BCN Medicare Advantage |
$16.55
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Cofinity Commercial |
$22.18
|
| Rate for Payer: Cofinity Commercial |
$23.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.55
|
| Rate for Payer: Healthscope Commercial |
$19.86
|
| Rate for Payer: Healthscope Whirlpool |
$19.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17.38
|
| Rate for Payer: Molina Medicare/Medicaid |
$18.20
|
| Rate for Payer: Nomi Health Commercial |
$19.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$23.25
|
| Rate for Payer: PACE SWMI |
$16.55
|
| Rate for Payer: PHP Medicare Advantage |
$16.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$17.15
|
| Rate for Payer: Priority Health Medicare |
$16.55
|
| Rate for Payer: Priority Health Narrow Network |
$17.15
|
| Rate for Payer: Railroad Medicare Medicare |
$16.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$14.00
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$16.55
|
| Rate for Payer: UHC Exchange |
$14.00
|
| Rate for Payer: UHCCP DNSP |
$16.55
|
|
|
CHG IAADIADOO RESPIRATORY SYNCTIAL VIRUS
|
Professional
|
Both
|
$19.00
|
|
|
Service Code
|
HCPCS 87807
|
| Min. Negotiated Rate |
$5.50 |
| Max. Negotiated Rate |
$18.86 |
| Rate for Payer: Aetna Commercial |
$17.55
|
| Rate for Payer: Aetna Medicare |
$13.10
|
| Rate for Payer: BCBS MAPPO |
$13.10
|
| Rate for Payer: BCN Commercial |
$13.10
|
| Rate for Payer: BCN Medicare Advantage |
$13.10
|
| Rate for Payer: Cash Price |
$15.20
|
| Rate for Payer: Cash Price |
$15.20
|
| Rate for Payer: Cofinity Commercial |
$17.55
|
| Rate for Payer: Cofinity Commercial |
$18.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.10
|
| Rate for Payer: Healthscope Commercial |
$15.72
|
| Rate for Payer: Healthscope Whirlpool |
$15.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13.76
|
| Rate for Payer: Molina Medicare/Medicaid |
$14.41
|
| Rate for Payer: Nomi Health Commercial |
$15.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14.25
|
| Rate for Payer: PACE SWMI |
$13.10
|
| Rate for Payer: PHP Medicare Advantage |
$13.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$13.45
|
| Rate for Payer: Priority Health Medicare |
$13.10
|
| Rate for Payer: Priority Health Narrow Network |
$13.45
|
| Rate for Payer: Railroad Medicare Medicare |
$13.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5.50
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$13.10
|
| Rate for Payer: UHC Exchange |
$5.50
|
| Rate for Payer: UHCCP DNSP |
$13.10
|
|
|
CHG IAADIADOO STREPTOCOCCUS GROUP A
|
Professional
|
Both
|
$30.00
|
|
|
Service Code
|
HCPCS 87880
|
| Min. Negotiated Rate |
$9.92 |
| Max. Negotiated Rate |
$23.80 |
| Rate for Payer: Aetna Commercial |
$22.15
|
| Rate for Payer: Aetna Medicare |
$16.53
|
| Rate for Payer: BCBS MAPPO |
$16.53
|
| Rate for Payer: BCN Commercial |
$16.53
|
| Rate for Payer: BCN Medicare Advantage |
$16.53
|
| Rate for Payer: Cash Price |
$24.00
|
| Rate for Payer: Cash Price |
$24.00
|
| Rate for Payer: Cofinity Commercial |
$22.15
|
| Rate for Payer: Cofinity Commercial |
$23.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.53
|
| Rate for Payer: Healthscope Commercial |
$19.84
|
| Rate for Payer: Healthscope Whirlpool |
$19.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$18.18
|
| Rate for Payer: Nomi Health Commercial |
$19.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$22.50
|
| Rate for Payer: PACE SWMI |
$16.53
|
| Rate for Payer: PHP Medicare Advantage |
$16.53
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$17.15
|
| Rate for Payer: Priority Health Medicare |
$16.53
|
| Rate for Payer: Priority Health Narrow Network |
$17.15
|
| Rate for Payer: Railroad Medicare Medicare |
$16.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$9.92
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$16.53
|
| Rate for Payer: UHC Exchange |
$9.92
|
| Rate for Payer: UHCCP DNSP |
$16.53
|
|
|
CHG IAAD IA SEVERE AQT RESPIR SYND CORONAVIRUS
|
Professional
|
Both
|
$42.00
|
|
|
Service Code
|
HCPCS 87426
|
| Min. Negotiated Rate |
$17.34 |
| Max. Negotiated Rate |
$50.88 |
| Rate for Payer: Aetna Commercial |
$47.34
|
| Rate for Payer: Aetna Medicare |
$35.33
|
| Rate for Payer: BCBS MAPPO |
$35.33
|
| Rate for Payer: BCN Commercial |
$35.33
|
| Rate for Payer: BCN Medicare Advantage |
$35.33
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cofinity Commercial |
$47.34
|
| Rate for Payer: Cofinity Commercial |
$50.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.33
|
| Rate for Payer: Healthscope Commercial |
$42.40
|
| Rate for Payer: Healthscope Whirlpool |
$42.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37.10
|
| Rate for Payer: Molina Medicare/Medicaid |
$38.86
|
| Rate for Payer: Nomi Health Commercial |
$42.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$31.50
|
| Rate for Payer: PACE SWMI |
$35.33
|
| Rate for Payer: PHP Medicare Advantage |
$35.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$36.65
|
| Rate for Payer: Priority Health Medicare |
$35.33
|
| Rate for Payer: Priority Health Narrow Network |
$36.65
|
| Rate for Payer: Railroad Medicare Medicare |
$35.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$17.34
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$35.33
|
| Rate for Payer: UHC Exchange |
$17.34
|
| Rate for Payer: UHCCP DNSP |
$35.33
|
|
|
CHG IAADI BORDETELLA PRTUSSIS/PARAPRTUSSIS
|
Professional
|
Both
|
$45.00
|
|
|
Service Code
|
HCPCS 87265
|
| Min. Negotiated Rate |
$5.03 |
| Max. Negotiated Rate |
$33.75 |
| Rate for Payer: Aetna Commercial |
$16.05
|
| Rate for Payer: Aetna Medicare |
$11.98
|
| Rate for Payer: BCBS Complete |
$18.00
|
| Rate for Payer: BCBS MAPPO |
$11.98
|
| Rate for Payer: BCN Commercial |
$8.99
|
| Rate for Payer: BCN Medicare Advantage |
$11.98
|
| Rate for Payer: Cash Price |
$36.00
|
| Rate for Payer: Cash Price |
$36.00
|
| Rate for Payer: Cofinity Commercial |
$17.25
|
| Rate for Payer: Cofinity Commercial |
$16.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11.98
|
| Rate for Payer: Healthscope Commercial |
$14.38
|
| Rate for Payer: Healthscope Whirlpool |
$14.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12.58
|
| Rate for Payer: Molina Medicare/Medicaid |
$13.18
|
| Rate for Payer: Nomi Health Commercial |
$14.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$33.75
|
| Rate for Payer: PACE SWMI |
$11.98
|
| Rate for Payer: PHP Medicare Advantage |
$11.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$12.44
|
| Rate for Payer: Priority Health Medicare |
$11.98
|
| Rate for Payer: Priority Health Narrow Network |
$12.44
|
| Rate for Payer: Railroad Medicare Medicare |
$11.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5.03
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$11.98
|
| Rate for Payer: UHC Exchange |
$5.03
|
| Rate for Payer: UHCCP DNSP |
$11.98
|
|
|
CHG IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ
|
Professional
|
Both
|
$79.00
|
|
|
Service Code
|
HCPCS 87491
|
| Min. Negotiated Rate |
$14.74 |
| Max. Negotiated Rate |
$59.25 |
| Rate for Payer: Aetna Commercial |
$47.02
|
| Rate for Payer: Aetna Medicare |
$35.09
|
| Rate for Payer: BCBS MAPPO |
$35.09
|
| Rate for Payer: BCN Commercial |
$26.32
|
| Rate for Payer: BCN Medicare Advantage |
$35.09
|
| Rate for Payer: Cash Price |
$63.20
|
| Rate for Payer: Cash Price |
$63.20
|
| Rate for Payer: Cofinity Commercial |
$47.02
|
| Rate for Payer: Cofinity Commercial |
$50.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.09
|
| Rate for Payer: Healthscope Commercial |
$42.11
|
| Rate for Payer: Healthscope Whirlpool |
$42.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36.84
|
| Rate for Payer: Molina Medicare/Medicaid |
$38.60
|
| Rate for Payer: Nomi Health Commercial |
$42.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$59.25
|
| Rate for Payer: PACE SWMI |
$35.09
|
| Rate for Payer: PHP Medicare Advantage |
$35.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$36.31
|
| Rate for Payer: Priority Health Medicare |
$35.09
|
| Rate for Payer: Priority Health Narrow Network |
$36.31
|
| Rate for Payer: Railroad Medicare Medicare |
$35.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$14.74
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$35.09
|
| Rate for Payer: UHC Exchange |
$14.74
|
| Rate for Payer: UHCCP DNSP |
$35.09
|
|
|
CHG IADNA MULTIPLE ORGANISMS DIRECT PROBE TQ
|
Professional
|
Both
|
$85.00
|
|
|
Service Code
|
HCPCS 87800
|
| Min. Negotiated Rate |
$18.34 |
| Max. Negotiated Rate |
$63.75 |
| Rate for Payer: Aetna Commercial |
$58.52
|
| Rate for Payer: Aetna Medicare |
$43.67
|
| Rate for Payer: BCBS Complete |
$34.00
|
| Rate for Payer: BCBS MAPPO |
$43.67
|
| Rate for Payer: BCN Commercial |
$32.75
|
| Rate for Payer: BCN Medicare Advantage |
$43.67
|
| Rate for Payer: Cash Price |
$68.00
|
| Rate for Payer: Cash Price |
$68.00
|
| Rate for Payer: Cofinity Commercial |
$62.88
|
| Rate for Payer: Cofinity Commercial |
$58.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$43.67
|
| Rate for Payer: Healthscope Commercial |
$52.40
|
| Rate for Payer: Healthscope Whirlpool |
$52.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$45.85
|
| Rate for Payer: Molina Medicare/Medicaid |
$48.04
|
| Rate for Payer: Nomi Health Commercial |
$52.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$63.75
|
| Rate for Payer: PACE SWMI |
$43.67
|
| Rate for Payer: PHP Medicare Advantage |
$43.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$45.39
|
| Rate for Payer: Priority Health Medicare |
$43.67
|
| Rate for Payer: Priority Health Narrow Network |
$45.39
|
| Rate for Payer: Railroad Medicare Medicare |
$43.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$18.34
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$43.67
|
| Rate for Payer: UHC Exchange |
$18.34
|
| Rate for Payer: UHCCP DNSP |
$43.67
|
|
|
CHG IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ
|
Professional
|
Both
|
$79.00
|
|
|
Service Code
|
HCPCS 87591
|
| Min. Negotiated Rate |
$14.74 |
| Max. Negotiated Rate |
$59.25 |
| Rate for Payer: Aetna Commercial |
$47.02
|
| Rate for Payer: Aetna Medicare |
$35.09
|
| Rate for Payer: BCBS MAPPO |
$35.09
|
| Rate for Payer: BCN Commercial |
$26.32
|
| Rate for Payer: BCN Medicare Advantage |
$35.09
|
| Rate for Payer: Cash Price |
$63.20
|
| Rate for Payer: Cash Price |
$63.20
|
| Rate for Payer: Cofinity Commercial |
$47.02
|
| Rate for Payer: Cofinity Commercial |
$50.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.09
|
| Rate for Payer: Healthscope Commercial |
$42.11
|
| Rate for Payer: Healthscope Whirlpool |
$42.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36.84
|
| Rate for Payer: Molina Medicare/Medicaid |
$38.60
|
| Rate for Payer: Nomi Health Commercial |
$42.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$59.25
|
| Rate for Payer: PACE SWMI |
$35.09
|
| Rate for Payer: PHP Medicare Advantage |
$35.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$36.31
|
| Rate for Payer: Priority Health Medicare |
$35.09
|
| Rate for Payer: Priority Health Narrow Network |
$36.31
|
| Rate for Payer: Railroad Medicare Medicare |
$35.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$14.74
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$35.09
|
| Rate for Payer: UHC Exchange |
$14.74
|
| Rate for Payer: UHCCP DNSP |
$35.09
|
|
|
CHG IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ
|
Professional
|
Both
|
$152.00
|
|
|
Service Code
|
HCPCS 87635
|
| Min. Negotiated Rate |
$30.79 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$68.76
|
| Rate for Payer: Aetna Medicare |
$51.31
|
| Rate for Payer: BCBS MAPPO |
$51.31
|
| Rate for Payer: BCN Commercial |
$70.00
|
| Rate for Payer: BCN Medicare Advantage |
$51.31
|
| Rate for Payer: Cash Price |
$121.60
|
| Rate for Payer: Cash Price |
$121.60
|
| Rate for Payer: Cofinity Commercial |
$68.76
|
| Rate for Payer: Cofinity Commercial |
$73.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$51.31
|
| Rate for Payer: Healthscope Commercial |
$61.57
|
| Rate for Payer: Healthscope Whirlpool |
$61.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$53.88
|
| Rate for Payer: Molina Medicare/Medicaid |
$56.44
|
| Rate for Payer: Nomi Health Commercial |
$61.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$114.00
|
| Rate for Payer: PACE SWMI |
$51.31
|
| Rate for Payer: PHP Medicare Advantage |
$51.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$53.46
|
| Rate for Payer: Priority Health Medicare |
$51.31
|
| Rate for Payer: Priority Health Narrow Network |
$53.46
|
| Rate for Payer: Railroad Medicare Medicare |
$51.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$30.79
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$51.31
|
| Rate for Payer: UHC Exchange |
$30.79
|
| Rate for Payer: UHCCP DNSP |
$51.31
|
|
|
CHG IA INFECTIOUS AGT ANTIBODY QUAL/SEMIQ 1STEP METH
|
Professional
|
Both
|
$48.00
|
|
|
Service Code
|
HCPCS 86318
|
| Min. Negotiated Rate |
$10.85 |
| Max. Negotiated Rate |
$36.00 |
| Rate for Payer: Aetna Commercial |
$24.24
|
| Rate for Payer: Aetna Medicare |
$18.09
|
| Rate for Payer: BCBS MAPPO |
$18.09
|
| Rate for Payer: BCN Commercial |
$18.09
|
| Rate for Payer: BCN Medicare Advantage |
$18.09
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Cofinity Commercial |
$24.24
|
| Rate for Payer: Cofinity Commercial |
$26.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18.09
|
| Rate for Payer: Healthscope Commercial |
$21.71
|
| Rate for Payer: Healthscope Whirlpool |
$21.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$19.90
|
| Rate for Payer: Nomi Health Commercial |
$21.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$36.00
|
| Rate for Payer: PACE SWMI |
$18.09
|
| Rate for Payer: PHP Medicare Advantage |
$18.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$18.82
|
| Rate for Payer: Priority Health Medicare |
$18.09
|
| Rate for Payer: Priority Health Narrow Network |
$18.82
|
| Rate for Payer: Railroad Medicare Medicare |
$18.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$10.85
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$18.09
|
| Rate for Payer: UHC Exchange |
$10.85
|
| Rate for Payer: UHCCP DNSP |
$18.09
|
|
|
CHG IMMUNOASSAY TUMOR ANTIGEN QUAL/SEMIQUANTITATIVE
|
Professional
|
Both
|
$41.00
|
|
|
Service Code
|
HCPCS 86294
|
| Min. Negotiated Rate |
$10.74 |
| Max. Negotiated Rate |
$36.82 |
| Rate for Payer: Aetna Commercial |
$34.26
|
| Rate for Payer: Aetna Medicare |
$25.57
|
| Rate for Payer: BCBS Complete |
$16.40
|
| Rate for Payer: BCBS MAPPO |
$25.57
|
| Rate for Payer: BCN Commercial |
$19.18
|
| Rate for Payer: BCN Medicare Advantage |
$25.57
|
| Rate for Payer: Cash Price |
$32.80
|
| Rate for Payer: Cash Price |
$32.80
|
| Rate for Payer: Cofinity Commercial |
$36.82
|
| Rate for Payer: Cofinity Commercial |
$34.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25.57
|
| Rate for Payer: Healthscope Commercial |
$30.68
|
| Rate for Payer: Healthscope Whirlpool |
$30.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26.85
|
| Rate for Payer: Molina Medicare/Medicaid |
$28.13
|
| Rate for Payer: Nomi Health Commercial |
$30.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$30.75
|
| Rate for Payer: PACE SWMI |
$25.57
|
| Rate for Payer: PHP Medicare Advantage |
$25.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$26.56
|
| Rate for Payer: Priority Health Medicare |
$25.57
|
| Rate for Payer: Priority Health Narrow Network |
$26.56
|
| Rate for Payer: Railroad Medicare Medicare |
$25.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$10.74
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$25.57
|
| Rate for Payer: UHC Exchange |
$10.74
|
| Rate for Payer: UHCCP DNSP |
$25.57
|
|
|
CHG INFECTIOUS AGENT DNA/RNA INFLUENZA 1ST 2 TYPES
|
Professional
|
Both
|
$151.00
|
|
|
Service Code
|
HCPCS 87502
|
| Min. Negotiated Rate |
$40.24 |
| Max. Negotiated Rate |
$137.95 |
| Rate for Payer: Aetna Commercial |
$128.37
|
| Rate for Payer: Aetna Medicare |
$95.80
|
| Rate for Payer: BCBS MAPPO |
$95.80
|
| Rate for Payer: BCN Commercial |
$71.85
|
| Rate for Payer: BCN Medicare Advantage |
$95.80
|
| Rate for Payer: Cash Price |
$120.80
|
| Rate for Payer: Cash Price |
$120.80
|
| Rate for Payer: Cofinity Commercial |
$128.37
|
| Rate for Payer: Cofinity Commercial |
$137.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$95.80
|
| Rate for Payer: Healthscope Commercial |
$114.96
|
| Rate for Payer: Healthscope Whirlpool |
$114.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$100.59
|
| Rate for Payer: Molina Medicare/Medicaid |
$105.38
|
| Rate for Payer: Nomi Health Commercial |
$114.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$113.25
|
| Rate for Payer: PACE SWMI |
$95.80
|
| Rate for Payer: PHP Medicare Advantage |
$95.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$99.53
|
| Rate for Payer: Priority Health Medicare |
$95.80
|
| Rate for Payer: Priority Health Narrow Network |
$99.53
|
| Rate for Payer: Railroad Medicare Medicare |
$95.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$40.24
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$95.80
|
| Rate for Payer: UHC Exchange |
$40.24
|
| Rate for Payer: UHCCP DNSP |
$95.80
|
|
|
CHG INTEN MOD RADIOTHER PLAN, SIN/MULT FIELD
|
Professional
|
Both
|
$968.00
|
|
|
Service Code
|
HCPCS 77418
|
| Min. Negotiated Rate |
$387.20 |
| Max. Negotiated Rate |
$726.00 |
| Rate for Payer: BCBS Complete |
$387.20
|
| Rate for Payer: Cash Price |
$774.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$726.00
|
|
|
CHG INTERSTITIAL RADIATION SOURCE APPLIC COMPLEX
|
Professional
|
Both
|
$1,760.00
|
|
|
Service Code
|
HCPCS 77778
|
| Min. Negotiated Rate |
$880.50 |
| Max. Negotiated Rate |
$1,407.85 |
| Rate for Payer: Aetna Commercial |
$1,179.87
|
| Rate for Payer: Aetna Commercial |
$1,179.87
|
| Rate for Payer: Aetna Medicare |
$880.50
|
| Rate for Payer: Aetna Medicare |
$880.50
|
| Rate for Payer: BCBS MAPPO |
$880.50
|
| Rate for Payer: BCBS MAPPO |
$880.50
|
| Rate for Payer: BCN Commercial |
$1,397.34
|
| Rate for Payer: BCN Commercial |
$1,397.34
|
| Rate for Payer: BCN Medicare Advantage |
$880.50
|
| Rate for Payer: BCN Medicare Advantage |
$880.50
|
| Rate for Payer: Cash Price |
$438.40
|
| Rate for Payer: Cash Price |
$1,408.00
|
| Rate for Payer: Cash Price |
$438.40
|
| Rate for Payer: Cash Price |
$1,408.00
|
| Rate for Payer: Cofinity Commercial |
$1,267.92
|
| Rate for Payer: Cofinity Commercial |
$1,179.87
|
| Rate for Payer: Cofinity Commercial |
$1,179.87
|
| Rate for Payer: Cofinity Commercial |
$1,267.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$880.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$880.50
|
| Rate for Payer: Healthscope Commercial |
$1,056.60
|
| Rate for Payer: Healthscope Commercial |
$1,056.60
|
| Rate for Payer: Healthscope Whirlpool |
$1,056.60
|
| Rate for Payer: Healthscope Whirlpool |
$1,056.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$924.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$924.52
|
| Rate for Payer: Molina Medicare/Medicaid |
$968.55
|
| Rate for Payer: Molina Medicare/Medicaid |
$968.55
|
| Rate for Payer: Nomi Health Commercial |
$1,056.60
|
| Rate for Payer: Nomi Health Commercial |
$1,056.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$411.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,320.00
|
| Rate for Payer: PACE SWMI |
$880.50
|
| Rate for Payer: PACE SWMI |
$880.50
|
| Rate for Payer: PHP Medicare Advantage |
$880.50
|
| Rate for Payer: PHP Medicare Advantage |
$880.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,407.85
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,407.85
|
| Rate for Payer: Priority Health Medicare |
$880.50
|
| Rate for Payer: Priority Health Medicare |
$880.50
|
| Rate for Payer: Priority Health Narrow Network |
$1,407.85
|
| Rate for Payer: Priority Health Narrow Network |
$1,407.85
|
| Rate for Payer: Railroad Medicare Medicare |
$880.50
|
| Rate for Payer: Railroad Medicare Medicare |
$880.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,249.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,249.75
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$880.50
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$880.50
|
| Rate for Payer: UHC Exchange |
$1,249.75
|
| Rate for Payer: UHC Exchange |
$1,249.75
|
| Rate for Payer: UHCCP DNSP |
$880.50
|
| Rate for Payer: UHCCP DNSP |
$880.50
|
|
|
CHG INTRACAVITARY RADIATION SOURCE APPLIC SIMPLE
|
Professional
|
Both
|
$479.00
|
|
|
Service Code
|
HCPCS 77761
|
| Min. Negotiated Rate |
$359.25 |
| Max. Negotiated Rate |
$642.72 |
| Rate for Payer: Aetna Commercial |
$535.79
|
| Rate for Payer: Aetna Medicare |
$399.84
|
| Rate for Payer: BCBS MAPPO |
$399.84
|
| Rate for Payer: BCN Commercial |
$637.91
|
| Rate for Payer: BCN Medicare Advantage |
$399.84
|
| Rate for Payer: Cash Price |
$383.20
|
| Rate for Payer: Cash Price |
$383.20
|
| Rate for Payer: Cofinity Commercial |
$575.77
|
| Rate for Payer: Cofinity Commercial |
$535.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$399.84
|
| Rate for Payer: Healthscope Commercial |
$479.81
|
| Rate for Payer: Healthscope Whirlpool |
$479.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$419.83
|
| Rate for Payer: Molina Medicare/Medicaid |
$439.82
|
| Rate for Payer: Nomi Health Commercial |
$479.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$359.25
|
| Rate for Payer: PACE SWMI |
$399.84
|
| Rate for Payer: PHP Medicare Advantage |
$399.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$642.72
|
| Rate for Payer: Priority Health Medicare |
$399.84
|
| Rate for Payer: Priority Health Narrow Network |
$642.72
|
| Rate for Payer: Railroad Medicare Medicare |
$399.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$580.95
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$399.84
|
| Rate for Payer: UHC Exchange |
$580.95
|
| Rate for Payer: UHCCP DNSP |
$399.84
|
|
