|
CHG OPHTHALMIC US DX CORNEAL PACHYMETRY UNI/BI
|
Professional
|
Both
|
$24.00
|
|
|
Service Code
|
HCPCS 76514
|
| Min. Negotiated Rate |
$11.22 |
| Max. Negotiated Rate |
$18.00 |
| Rate for Payer: Aetna Commercial |
$15.03
|
| Rate for Payer: Aetna Medicare |
$11.22
|
| Rate for Payer: BCBS MAPPO |
$11.22
|
| Rate for Payer: BCN Commercial |
$16.93
|
| Rate for Payer: BCN Medicare Advantage |
$11.22
|
| Rate for Payer: Cash Price |
$19.20
|
| Rate for Payer: Cash Price |
$19.20
|
| Rate for Payer: Cofinity Commercial |
$15.03
|
| Rate for Payer: Cofinity Commercial |
$16.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11.22
|
| Rate for Payer: Healthscope Commercial |
$13.46
|
| Rate for Payer: Healthscope Whirlpool |
$13.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11.78
|
| Rate for Payer: Molina Medicare/Medicaid |
$12.34
|
| Rate for Payer: Nomi Health Commercial |
$13.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.00
|
| Rate for Payer: PACE SWMI |
$11.22
|
| Rate for Payer: PHP Medicare Advantage |
$11.22
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$17.06
|
| Rate for Payer: Priority Health Medicare |
$11.22
|
| Rate for Payer: Priority Health Narrow Network |
$17.06
|
| Rate for Payer: Railroad Medicare Medicare |
$11.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$17.45
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$11.22
|
| Rate for Payer: UHC Exchange |
$17.45
|
| Rate for Payer: UHCCP DNSP |
$11.22
|
|
|
CHG PARTICLE AGGLUTINATION SCREEN EACH ANTIBODY
|
Professional
|
Both
|
$22.00
|
|
|
Service Code
|
HCPCS 86403
|
| Min. Negotiated Rate |
$6.92 |
| Max. Negotiated Rate |
$16.62 |
| Rate for Payer: Aetna Commercial |
$15.46
|
| Rate for Payer: Aetna Medicare |
$11.54
|
| Rate for Payer: BCBS MAPPO |
$11.54
|
| Rate for Payer: BCN Commercial |
$8.66
|
| Rate for Payer: BCN Medicare Advantage |
$11.54
|
| Rate for Payer: Cash Price |
$17.60
|
| Rate for Payer: Cash Price |
$17.60
|
| Rate for Payer: Cofinity Commercial |
$16.62
|
| Rate for Payer: Cofinity Commercial |
$15.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11.54
|
| Rate for Payer: Healthscope Commercial |
$13.85
|
| Rate for Payer: Healthscope Whirlpool |
$13.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12.12
|
| Rate for Payer: Molina Medicare/Medicaid |
$12.69
|
| Rate for Payer: Nomi Health Commercial |
$13.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.50
|
| Rate for Payer: PACE SWMI |
$11.54
|
| Rate for Payer: PHP Medicare Advantage |
$11.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$12.10
|
| Rate for Payer: Priority Health Medicare |
$11.54
|
| Rate for Payer: Priority Health Narrow Network |
$12.10
|
| Rate for Payer: Railroad Medicare Medicare |
$11.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6.92
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$11.54
|
| Rate for Payer: UHC Exchange |
$6.92
|
| Rate for Payer: UHCCP DNSP |
$11.54
|
|
|
CHG PERCUTANEOUS VERTEBROPLASTY, CT GUIDE
|
Professional
|
Both
|
$275.00
|
|
|
Service Code
|
HCPCS 72292
|
| Min. Negotiated Rate |
$110.00 |
| Max. Negotiated Rate |
$206.25 |
| Rate for Payer: BCBS Complete |
$110.00
|
| Rate for Payer: Cash Price |
$220.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$206.25
|
|
|
CHG PERCUTANEOUS VERTEBROPLASTY, FLUOR GUIDE
|
Professional
|
Both
|
$249.00
|
|
|
Service Code
|
HCPCS 72291
|
| Min. Negotiated Rate |
$99.60 |
| Max. Negotiated Rate |
$186.75 |
| Rate for Payer: BCBS Complete |
$99.60
|
| Rate for Payer: Cash Price |
$199.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$186.75
|
|
|
CHG PERITONEOGRAM RS&I
|
Professional
|
Both
|
$47.00
|
|
|
Service Code
|
HCPCS 74190
|
| Min. Negotiated Rate |
$32.38 |
| Max. Negotiated Rate |
$690.75 |
| Rate for Payer: Aetna Commercial |
$534.94
|
| Rate for Payer: BCN Commercial |
$32.38
|
| Rate for Payer: Cash Price |
$37.60
|
| Rate for Payer: Cash Price |
$37.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$35.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$81.77
|
| Rate for Payer: Priority Health Narrow Network |
$81.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$690.75
|
| Rate for Payer: UHC Exchange |
$690.75
|
|
|
CHG PH BODY FLUID NOT ELSEWHERE SPECIFIED
|
Professional
|
Both
|
$15.00
|
|
|
Service Code
|
HCPCS 83986
|
| Min. Negotiated Rate |
$2.15 |
| Max. Negotiated Rate |
$11.25 |
| Rate for Payer: Aetna Commercial |
$4.80
|
| Rate for Payer: Aetna Medicare |
$3.58
|
| Rate for Payer: BCBS MAPPO |
$3.58
|
| Rate for Payer: BCN Commercial |
$2.69
|
| Rate for Payer: BCN Medicare Advantage |
$3.58
|
| Rate for Payer: Cash Price |
$12.00
|
| Rate for Payer: Cash Price |
$12.00
|
| Rate for Payer: Cofinity Commercial |
$5.16
|
| Rate for Payer: Cofinity Commercial |
$4.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.58
|
| Rate for Payer: Healthscope Commercial |
$4.30
|
| Rate for Payer: Healthscope Whirlpool |
$4.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3.76
|
| Rate for Payer: Molina Medicare/Medicaid |
$3.94
|
| Rate for Payer: Nomi Health Commercial |
$4.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.25
|
| Rate for Payer: PACE SWMI |
$3.58
|
| Rate for Payer: PHP Medicare Advantage |
$3.58
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3.70
|
| Rate for Payer: Priority Health Medicare |
$3.58
|
| Rate for Payer: Priority Health Narrow Network |
$3.70
|
| Rate for Payer: Railroad Medicare Medicare |
$3.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2.15
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3.58
|
| Rate for Payer: UHC Exchange |
$2.15
|
| Rate for Payer: UHCCP DNSP |
$3.58
|
|
|
CHG PLACEMNT,PROX/DIST EXT PROS, INFRARENAL
|
Professional
|
Both
|
$469.00
|
|
|
Service Code
|
HCPCS 75953
|
| Min. Negotiated Rate |
$187.60 |
| Max. Negotiated Rate |
$351.75 |
| Rate for Payer: BCBS Complete |
$187.60
|
| Rate for Payer: Cash Price |
$375.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$351.75
|
|
|
CHG PLMT PROX XTN PRSTH EVASC DESC THORAC AORTA RS&I
|
Professional
|
Both
|
$390.00
|
|
|
Service Code
|
HCPCS 75958
|
| Min. Negotiated Rate |
$156.00 |
| Max. Negotiated Rate |
$292.50 |
| Rate for Payer: Aetna Commercial |
$229.01
|
| Rate for Payer: BCBS Complete |
$156.00
|
| Rate for Payer: BCN Commercial |
$277.39
|
| Rate for Payer: Cash Price |
$312.00
|
| Rate for Payer: Cash Price |
$312.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$292.50
|
|
|
CHG PROTHROMBIN TIME
|
Professional
|
Both
|
$11.00
|
|
|
Service Code
|
HCPCS 85610
|
| Min. Negotiated Rate |
$2.57 |
| Max. Negotiated Rate |
$8.25 |
| Rate for Payer: Aetna Commercial |
$5.75
|
| Rate for Payer: Aetna Medicare |
$4.29
|
| Rate for Payer: BCBS MAPPO |
$4.29
|
| Rate for Payer: BCN Commercial |
$4.29
|
| Rate for Payer: BCN Medicare Advantage |
$4.29
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Cofinity Commercial |
$6.18
|
| Rate for Payer: Cofinity Commercial |
$5.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.29
|
| Rate for Payer: Healthscope Commercial |
$5.15
|
| Rate for Payer: Healthscope Whirlpool |
$5.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.50
|
| Rate for Payer: Molina Medicare/Medicaid |
$4.72
|
| Rate for Payer: Nomi Health Commercial |
$5.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.25
|
| Rate for Payer: PACE SWMI |
$4.29
|
| Rate for Payer: PHP Medicare Advantage |
$4.29
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$4.38
|
| Rate for Payer: Priority Health Medicare |
$4.29
|
| Rate for Payer: Priority Health Narrow Network |
$4.38
|
| Rate for Payer: Railroad Medicare Medicare |
$4.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2.57
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$4.29
|
| Rate for Payer: UHC Exchange |
$2.57
|
| Rate for Payer: UHCCP DNSP |
$4.29
|
|
|
CHG RADEX A-C JOINTS BI W/WO WEIGHTED DISTRCJ
|
Professional
|
Both
|
$73.00
|
|
|
Service Code
|
HCPCS 73050
|
| Min. Negotiated Rate |
$28.42 |
| Max. Negotiated Rate |
$54.75 |
| Rate for Payer: Aetna Commercial |
$38.08
|
| Rate for Payer: Aetna Commercial |
$38.08
|
| Rate for Payer: Aetna Commercial |
$38.08
|
| Rate for Payer: Aetna Medicare |
$28.42
|
| Rate for Payer: Aetna Medicare |
$28.42
|
| Rate for Payer: Aetna Medicare |
$28.42
|
| Rate for Payer: BCBS MAPPO |
$28.42
|
| Rate for Payer: BCBS MAPPO |
$28.42
|
| Rate for Payer: BCBS MAPPO |
$28.42
|
| Rate for Payer: BCN Commercial |
$43.33
|
| Rate for Payer: BCN Commercial |
$43.33
|
| Rate for Payer: BCN Commercial |
$43.33
|
| Rate for Payer: BCN Medicare Advantage |
$28.42
|
| Rate for Payer: BCN Medicare Advantage |
$28.42
|
| Rate for Payer: BCN Medicare Advantage |
$28.42
|
| Rate for Payer: Cash Price |
$58.40
|
| Rate for Payer: Cash Price |
$31.20
|
| Rate for Payer: Cash Price |
$58.40
|
| Rate for Payer: Cash Price |
$45.60
|
| Rate for Payer: Cash Price |
$45.60
|
| Rate for Payer: Cash Price |
$31.20
|
| Rate for Payer: Cofinity Commercial |
$38.08
|
| Rate for Payer: Cofinity Commercial |
$40.92
|
| Rate for Payer: Cofinity Commercial |
$40.92
|
| Rate for Payer: Cofinity Commercial |
$40.92
|
| Rate for Payer: Cofinity Commercial |
$38.08
|
| Rate for Payer: Cofinity Commercial |
$38.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.42
|
| Rate for Payer: Healthscope Commercial |
$34.10
|
| Rate for Payer: Healthscope Commercial |
$34.10
|
| Rate for Payer: Healthscope Commercial |
$34.10
|
| Rate for Payer: Healthscope Whirlpool |
$34.10
|
| Rate for Payer: Healthscope Whirlpool |
$34.10
|
| Rate for Payer: Healthscope Whirlpool |
$34.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29.84
|
| Rate for Payer: Molina Medicare/Medicaid |
$31.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$31.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$31.26
|
| Rate for Payer: Nomi Health Commercial |
$34.10
|
| Rate for Payer: Nomi Health Commercial |
$34.10
|
| Rate for Payer: Nomi Health Commercial |
$34.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$54.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$29.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$42.75
|
| Rate for Payer: PACE SWMI |
$28.42
|
| Rate for Payer: PACE SWMI |
$28.42
|
| Rate for Payer: PACE SWMI |
$28.42
|
| Rate for Payer: PHP Medicare Advantage |
$28.42
|
| Rate for Payer: PHP Medicare Advantage |
$28.42
|
| Rate for Payer: PHP Medicare Advantage |
$28.42
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$43.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$43.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$43.65
|
| Rate for Payer: Priority Health Medicare |
$28.42
|
| Rate for Payer: Priority Health Medicare |
$28.42
|
| Rate for Payer: Priority Health Medicare |
$28.42
|
| Rate for Payer: Priority Health Narrow Network |
$43.65
|
| Rate for Payer: Priority Health Narrow Network |
$43.65
|
| Rate for Payer: Priority Health Narrow Network |
$43.65
|
| Rate for Payer: Railroad Medicare Medicare |
$28.42
|
| Rate for Payer: Railroad Medicare Medicare |
$28.42
|
| Rate for Payer: Railroad Medicare Medicare |
$28.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$44.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$44.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$44.18
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$28.42
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$28.42
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$28.42
|
| Rate for Payer: UHC Exchange |
$44.18
|
| Rate for Payer: UHC Exchange |
$44.18
|
| Rate for Payer: UHC Exchange |
$44.18
|
| Rate for Payer: UHCCP DNSP |
$28.42
|
| Rate for Payer: UHCCP DNSP |
$28.42
|
| Rate for Payer: UHCCP DNSP |
$28.42
|
|
|
CHG RADEX ANKLE COMPLETE MINIMUM 3 VIEWS
|
Professional
|
Both
|
$92.00
|
|
|
Service Code
|
HCPCS 73610
|
| Min. Negotiated Rate |
$34.49 |
| Max. Negotiated Rate |
$69.00 |
| Rate for Payer: Aetna Commercial |
$46.22
|
| Rate for Payer: Aetna Commercial |
$46.22
|
| Rate for Payer: Aetna Commercial |
$46.22
|
| Rate for Payer: Aetna Medicare |
$34.49
|
| Rate for Payer: Aetna Medicare |
$34.49
|
| Rate for Payer: Aetna Medicare |
$34.49
|
| Rate for Payer: BCBS MAPPO |
$34.49
|
| Rate for Payer: BCBS MAPPO |
$34.49
|
| Rate for Payer: BCBS MAPPO |
$34.49
|
| Rate for Payer: BCN Commercial |
$54.28
|
| Rate for Payer: BCN Commercial |
$54.28
|
| Rate for Payer: BCN Commercial |
$54.28
|
| Rate for Payer: BCN Medicare Advantage |
$34.49
|
| Rate for Payer: BCN Medicare Advantage |
$34.49
|
| Rate for Payer: BCN Medicare Advantage |
$34.49
|
| Rate for Payer: Cash Price |
$73.60
|
| Rate for Payer: Cash Price |
$25.60
|
| Rate for Payer: Cash Price |
$73.60
|
| Rate for Payer: Cash Price |
$39.20
|
| Rate for Payer: Cash Price |
$39.20
|
| Rate for Payer: Cash Price |
$25.60
|
| Rate for Payer: Cofinity Commercial |
$46.22
|
| Rate for Payer: Cofinity Commercial |
$49.67
|
| Rate for Payer: Cofinity Commercial |
$49.67
|
| Rate for Payer: Cofinity Commercial |
$49.67
|
| Rate for Payer: Cofinity Commercial |
$46.22
|
| Rate for Payer: Cofinity Commercial |
$46.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$34.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$34.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$34.49
|
| Rate for Payer: Healthscope Commercial |
$41.39
|
| Rate for Payer: Healthscope Commercial |
$41.39
|
| Rate for Payer: Healthscope Commercial |
$41.39
|
| Rate for Payer: Healthscope Whirlpool |
$41.39
|
| Rate for Payer: Healthscope Whirlpool |
$41.39
|
| Rate for Payer: Healthscope Whirlpool |
$41.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36.21
|
| Rate for Payer: Molina Medicare/Medicaid |
$37.94
|
| Rate for Payer: Molina Medicare/Medicaid |
$37.94
|
| Rate for Payer: Molina Medicare/Medicaid |
$37.94
|
| Rate for Payer: Nomi Health Commercial |
$41.39
|
| Rate for Payer: Nomi Health Commercial |
$41.39
|
| Rate for Payer: Nomi Health Commercial |
$41.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$69.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$24.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$36.75
|
| Rate for Payer: PACE SWMI |
$34.49
|
| Rate for Payer: PACE SWMI |
$34.49
|
| Rate for Payer: PACE SWMI |
$34.49
|
| Rate for Payer: PHP Medicare Advantage |
$34.49
|
| Rate for Payer: PHP Medicare Advantage |
$34.49
|
| Rate for Payer: PHP Medicare Advantage |
$34.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$54.69
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$54.69
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$54.69
|
| Rate for Payer: Priority Health Medicare |
$34.49
|
| Rate for Payer: Priority Health Medicare |
$34.49
|
| Rate for Payer: Priority Health Medicare |
$34.49
|
| Rate for Payer: Priority Health Narrow Network |
$54.69
|
| Rate for Payer: Priority Health Narrow Network |
$54.69
|
| Rate for Payer: Priority Health Narrow Network |
$54.69
|
| Rate for Payer: Railroad Medicare Medicare |
$34.49
|
| Rate for Payer: Railroad Medicare Medicare |
$34.49
|
| Rate for Payer: Railroad Medicare Medicare |
$34.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$49.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$49.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$49.05
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$34.49
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$34.49
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$34.49
|
| Rate for Payer: UHC Exchange |
$49.05
|
| Rate for Payer: UHC Exchange |
$49.05
|
| Rate for Payer: UHC Exchange |
$49.05
|
| Rate for Payer: UHCCP DNSP |
$34.49
|
| Rate for Payer: UHCCP DNSP |
$34.49
|
| Rate for Payer: UHCCP DNSP |
$34.49
|
|
|
CHG RADEX CALCANEUS MINIMUM 2 VIEWS
|
Professional
|
Both
|
$77.00
|
|
|
Service Code
|
HCPCS 73650
|
| Min. Negotiated Rate |
$26.53 |
| Max. Negotiated Rate |
$57.75 |
| Rate for Payer: Aetna Commercial |
$35.55
|
| Rate for Payer: Aetna Commercial |
$35.55
|
| Rate for Payer: Aetna Commercial |
$35.55
|
| Rate for Payer: Aetna Medicare |
$26.53
|
| Rate for Payer: Aetna Medicare |
$26.53
|
| Rate for Payer: Aetna Medicare |
$26.53
|
| Rate for Payer: BCBS MAPPO |
$26.53
|
| Rate for Payer: BCBS MAPPO |
$26.53
|
| Rate for Payer: BCBS MAPPO |
$26.53
|
| Rate for Payer: BCN Commercial |
$42.33
|
| Rate for Payer: BCN Commercial |
$42.33
|
| Rate for Payer: BCN Commercial |
$42.33
|
| Rate for Payer: BCN Medicare Advantage |
$26.53
|
| Rate for Payer: BCN Medicare Advantage |
$26.53
|
| Rate for Payer: BCN Medicare Advantage |
$26.53
|
| Rate for Payer: Cash Price |
$61.60
|
| Rate for Payer: Cash Price |
$23.20
|
| Rate for Payer: Cash Price |
$61.60
|
| Rate for Payer: Cash Price |
$32.80
|
| Rate for Payer: Cash Price |
$32.80
|
| Rate for Payer: Cash Price |
$23.20
|
| Rate for Payer: Cofinity Commercial |
$35.55
|
| Rate for Payer: Cofinity Commercial |
$38.20
|
| Rate for Payer: Cofinity Commercial |
$38.20
|
| Rate for Payer: Cofinity Commercial |
$38.20
|
| Rate for Payer: Cofinity Commercial |
$35.55
|
| Rate for Payer: Cofinity Commercial |
$35.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.53
|
| Rate for Payer: Healthscope Commercial |
$31.84
|
| Rate for Payer: Healthscope Commercial |
$31.84
|
| Rate for Payer: Healthscope Commercial |
$31.84
|
| Rate for Payer: Healthscope Whirlpool |
$31.84
|
| Rate for Payer: Healthscope Whirlpool |
$31.84
|
| Rate for Payer: Healthscope Whirlpool |
$31.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$29.18
|
| Rate for Payer: Molina Medicare/Medicaid |
$29.18
|
| Rate for Payer: Molina Medicare/Medicaid |
$29.18
|
| Rate for Payer: Nomi Health Commercial |
$31.84
|
| Rate for Payer: Nomi Health Commercial |
$31.84
|
| Rate for Payer: Nomi Health Commercial |
$31.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$57.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$30.75
|
| Rate for Payer: PACE SWMI |
$26.53
|
| Rate for Payer: PACE SWMI |
$26.53
|
| Rate for Payer: PACE SWMI |
$26.53
|
| Rate for Payer: PHP Medicare Advantage |
$26.53
|
| Rate for Payer: PHP Medicare Advantage |
$26.53
|
| Rate for Payer: PHP Medicare Advantage |
$26.53
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$42.64
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$42.64
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$42.64
|
| Rate for Payer: Priority Health Medicare |
$26.53
|
| Rate for Payer: Priority Health Medicare |
$26.53
|
| Rate for Payer: Priority Health Medicare |
$26.53
|
| Rate for Payer: Priority Health Narrow Network |
$42.64
|
| Rate for Payer: Priority Health Narrow Network |
$42.64
|
| Rate for Payer: Priority Health Narrow Network |
$42.64
|
| Rate for Payer: Railroad Medicare Medicare |
$26.53
|
| Rate for Payer: Railroad Medicare Medicare |
$26.53
|
| Rate for Payer: Railroad Medicare Medicare |
$26.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$39.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$39.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$39.67
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$26.53
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$26.53
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$26.53
|
| Rate for Payer: UHC Exchange |
$39.67
|
| Rate for Payer: UHC Exchange |
$39.67
|
| Rate for Payer: UHC Exchange |
$39.67
|
| Rate for Payer: UHCCP DNSP |
$26.53
|
| Rate for Payer: UHCCP DNSP |
$26.53
|
| Rate for Payer: UHCCP DNSP |
$26.53
|
|
|
CHG RADEX CLAVICLE COMPLETE
|
Professional
|
Both
|
$97.00
|
|
|
Service Code
|
HCPCS 73000
|
| Min. Negotiated Rate |
$31.10 |
| Max. Negotiated Rate |
$72.75 |
| Rate for Payer: Aetna Commercial |
$41.67
|
| Rate for Payer: Aetna Commercial |
$41.67
|
| Rate for Payer: Aetna Commercial |
$41.67
|
| Rate for Payer: Aetna Medicare |
$31.10
|
| Rate for Payer: Aetna Medicare |
$31.10
|
| Rate for Payer: Aetna Medicare |
$31.10
|
| Rate for Payer: BCBS MAPPO |
$31.10
|
| Rate for Payer: BCBS MAPPO |
$31.10
|
| Rate for Payer: BCBS MAPPO |
$31.10
|
| Rate for Payer: BCN Commercial |
$48.80
|
| Rate for Payer: BCN Commercial |
$48.80
|
| Rate for Payer: BCN Commercial |
$48.80
|
| Rate for Payer: BCN Medicare Advantage |
$31.10
|
| Rate for Payer: BCN Medicare Advantage |
$31.10
|
| Rate for Payer: BCN Medicare Advantage |
$31.10
|
| Rate for Payer: Cash Price |
$77.60
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Cash Price |
$77.60
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Cofinity Commercial |
$41.67
|
| Rate for Payer: Cofinity Commercial |
$44.78
|
| Rate for Payer: Cofinity Commercial |
$44.78
|
| Rate for Payer: Cofinity Commercial |
$44.78
|
| Rate for Payer: Cofinity Commercial |
$41.67
|
| Rate for Payer: Cofinity Commercial |
$41.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31.10
|
| Rate for Payer: Healthscope Commercial |
$37.32
|
| Rate for Payer: Healthscope Commercial |
$37.32
|
| Rate for Payer: Healthscope Commercial |
$37.32
|
| Rate for Payer: Healthscope Whirlpool |
$37.32
|
| Rate for Payer: Healthscope Whirlpool |
$37.32
|
| Rate for Payer: Healthscope Whirlpool |
$37.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.66
|
| Rate for Payer: Molina Medicare/Medicaid |
$34.21
|
| Rate for Payer: Molina Medicare/Medicaid |
$34.21
|
| Rate for Payer: Molina Medicare/Medicaid |
$34.21
|
| Rate for Payer: Nomi Health Commercial |
$37.32
|
| Rate for Payer: Nomi Health Commercial |
$37.32
|
| Rate for Payer: Nomi Health Commercial |
$37.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$72.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$23.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$31.50
|
| Rate for Payer: PACE SWMI |
$31.10
|
| Rate for Payer: PACE SWMI |
$31.10
|
| Rate for Payer: PACE SWMI |
$31.10
|
| Rate for Payer: PHP Medicare Advantage |
$31.10
|
| Rate for Payer: PHP Medicare Advantage |
$31.10
|
| Rate for Payer: PHP Medicare Advantage |
$31.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$49.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$49.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$49.17
|
| Rate for Payer: Priority Health Medicare |
$31.10
|
| Rate for Payer: Priority Health Medicare |
$31.10
|
| Rate for Payer: Priority Health Medicare |
$31.10
|
| Rate for Payer: Priority Health Narrow Network |
$49.17
|
| Rate for Payer: Priority Health Narrow Network |
$49.17
|
| Rate for Payer: Priority Health Narrow Network |
$49.17
|
| Rate for Payer: Railroad Medicare Medicare |
$31.10
|
| Rate for Payer: Railroad Medicare Medicare |
$31.10
|
| Rate for Payer: Railroad Medicare Medicare |
$31.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$44.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$44.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$44.09
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$31.10
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$31.10
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$31.10
|
| Rate for Payer: UHC Exchange |
$44.09
|
| Rate for Payer: UHC Exchange |
$44.09
|
| Rate for Payer: UHC Exchange |
$44.09
|
| Rate for Payer: UHCCP DNSP |
$31.10
|
| Rate for Payer: UHCCP DNSP |
$31.10
|
| Rate for Payer: UHCCP DNSP |
$31.10
|
|
|
CHG RADEX ELBOW 2 VIEWS
|
Professional
|
Both
|
$91.00
|
|
|
Service Code
|
HCPCS 73070
|
| Min. Negotiated Rate |
$27.44 |
| Max. Negotiated Rate |
$68.25 |
| Rate for Payer: Aetna Commercial |
$36.77
|
| Rate for Payer: Aetna Commercial |
$36.77
|
| Rate for Payer: Aetna Commercial |
$36.77
|
| Rate for Payer: Aetna Medicare |
$27.44
|
| Rate for Payer: Aetna Medicare |
$27.44
|
| Rate for Payer: Aetna Medicare |
$27.44
|
| Rate for Payer: BCBS MAPPO |
$27.44
|
| Rate for Payer: BCBS MAPPO |
$27.44
|
| Rate for Payer: BCBS MAPPO |
$27.44
|
| Rate for Payer: BCN Commercial |
$43.82
|
| Rate for Payer: BCN Commercial |
$43.82
|
| Rate for Payer: BCN Commercial |
$43.82
|
| Rate for Payer: BCN Medicare Advantage |
$27.44
|
| Rate for Payer: BCN Medicare Advantage |
$27.44
|
| Rate for Payer: BCN Medicare Advantage |
$27.44
|
| Rate for Payer: Cash Price |
$72.80
|
| Rate for Payer: Cash Price |
$22.40
|
| Rate for Payer: Cash Price |
$72.80
|
| Rate for Payer: Cash Price |
$32.80
|
| Rate for Payer: Cash Price |
$32.80
|
| Rate for Payer: Cash Price |
$22.40
|
| Rate for Payer: Cofinity Commercial |
$36.77
|
| Rate for Payer: Cofinity Commercial |
$39.51
|
| Rate for Payer: Cofinity Commercial |
$39.51
|
| Rate for Payer: Cofinity Commercial |
$39.51
|
| Rate for Payer: Cofinity Commercial |
$36.77
|
| Rate for Payer: Cofinity Commercial |
$36.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27.44
|
| Rate for Payer: Healthscope Commercial |
$32.93
|
| Rate for Payer: Healthscope Commercial |
$32.93
|
| Rate for Payer: Healthscope Commercial |
$32.93
|
| Rate for Payer: Healthscope Whirlpool |
$32.93
|
| Rate for Payer: Healthscope Whirlpool |
$32.93
|
| Rate for Payer: Healthscope Whirlpool |
$32.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$30.18
|
| Rate for Payer: Molina Medicare/Medicaid |
$30.18
|
| Rate for Payer: Molina Medicare/Medicaid |
$30.18
|
| Rate for Payer: Nomi Health Commercial |
$32.93
|
| Rate for Payer: Nomi Health Commercial |
$32.93
|
| Rate for Payer: Nomi Health Commercial |
$32.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$68.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$30.75
|
| Rate for Payer: PACE SWMI |
$27.44
|
| Rate for Payer: PACE SWMI |
$27.44
|
| Rate for Payer: PACE SWMI |
$27.44
|
| Rate for Payer: PHP Medicare Advantage |
$27.44
|
| Rate for Payer: PHP Medicare Advantage |
$27.44
|
| Rate for Payer: PHP Medicare Advantage |
$27.44
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$44.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$44.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$44.14
|
| Rate for Payer: Priority Health Medicare |
$27.44
|
| Rate for Payer: Priority Health Medicare |
$27.44
|
| Rate for Payer: Priority Health Medicare |
$27.44
|
| Rate for Payer: Priority Health Narrow Network |
$44.14
|
| Rate for Payer: Priority Health Narrow Network |
$44.14
|
| Rate for Payer: Priority Health Narrow Network |
$44.14
|
| Rate for Payer: Railroad Medicare Medicare |
$27.44
|
| Rate for Payer: Railroad Medicare Medicare |
$27.44
|
| Rate for Payer: Railroad Medicare Medicare |
$27.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$40.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$40.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$40.16
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$27.44
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$27.44
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$27.44
|
| Rate for Payer: UHC Exchange |
$40.16
|
| Rate for Payer: UHC Exchange |
$40.16
|
| Rate for Payer: UHC Exchange |
$40.16
|
| Rate for Payer: UHCCP DNSP |
$27.44
|
| Rate for Payer: UHCCP DNSP |
$27.44
|
| Rate for Payer: UHCCP DNSP |
$27.44
|
|
|
CHG RADEX ELBOW ARTHROGRAPHY RS&I
|
Professional
|
Both
|
$89.00
|
|
|
Service Code
|
HCPCS 73085
|
| Min. Negotiated Rate |
$66.75 |
| Max. Negotiated Rate |
$159.10 |
| Rate for Payer: Aetna Commercial |
$120.13
|
| Rate for Payer: Aetna Medicare |
$89.65
|
| Rate for Payer: BCBS MAPPO |
$89.65
|
| Rate for Payer: BCN Commercial |
$146.40
|
| Rate for Payer: BCN Medicare Advantage |
$89.65
|
| Rate for Payer: Cash Price |
$71.20
|
| Rate for Payer: Cash Price |
$71.20
|
| Rate for Payer: Cofinity Commercial |
$120.13
|
| Rate for Payer: Cofinity Commercial |
$129.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$89.65
|
| Rate for Payer: Healthscope Commercial |
$107.58
|
| Rate for Payer: Healthscope Whirlpool |
$107.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$94.13
|
| Rate for Payer: Molina Medicare/Medicaid |
$98.61
|
| Rate for Payer: Nomi Health Commercial |
$107.58
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$66.75
|
| Rate for Payer: PACE SWMI |
$89.65
|
| Rate for Payer: PHP Medicare Advantage |
$89.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$147.51
|
| Rate for Payer: Priority Health Medicare |
$89.65
|
| Rate for Payer: Priority Health Narrow Network |
$147.51
|
| Rate for Payer: Railroad Medicare Medicare |
$89.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$159.10
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$89.65
|
| Rate for Payer: UHC Exchange |
$159.10
|
| Rate for Payer: UHCCP DNSP |
$89.65
|
|
|
CHG RADEX ELBOW COMPLETE MINIMUM 3 VIEWS
|
Professional
|
Both
|
$34.00
|
|
|
Service Code
|
HCPCS 73080
|
| Min. Negotiated Rate |
$25.50 |
| Max. Negotiated Rate |
$49.17 |
| Rate for Payer: Aetna Commercial |
$41.31
|
| Rate for Payer: Aetna Commercial |
$41.31
|
| Rate for Payer: Aetna Commercial |
$41.31
|
| Rate for Payer: Aetna Medicare |
$30.83
|
| Rate for Payer: Aetna Medicare |
$30.83
|
| Rate for Payer: Aetna Medicare |
$30.83
|
| Rate for Payer: BCBS MAPPO |
$30.83
|
| Rate for Payer: BCBS MAPPO |
$30.83
|
| Rate for Payer: BCBS MAPPO |
$30.83
|
| Rate for Payer: BCN Commercial |
$48.80
|
| Rate for Payer: BCN Commercial |
$48.80
|
| Rate for Payer: BCN Commercial |
$48.80
|
| Rate for Payer: BCN Medicare Advantage |
$30.83
|
| Rate for Payer: BCN Medicare Advantage |
$30.83
|
| Rate for Payer: BCN Medicare Advantage |
$30.83
|
| Rate for Payer: Cash Price |
$27.20
|
| Rate for Payer: Cash Price |
$27.20
|
| Rate for Payer: Cash Price |
$83.20
|
| Rate for Payer: Cash Price |
$83.20
|
| Rate for Payer: Cash Price |
$39.20
|
| Rate for Payer: Cash Price |
$39.20
|
| Rate for Payer: Cofinity Commercial |
$44.40
|
| Rate for Payer: Cofinity Commercial |
$41.31
|
| Rate for Payer: Cofinity Commercial |
$44.40
|
| Rate for Payer: Cofinity Commercial |
$41.31
|
| Rate for Payer: Cofinity Commercial |
$44.40
|
| Rate for Payer: Cofinity Commercial |
$41.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.83
|
| Rate for Payer: Healthscope Commercial |
$37.00
|
| Rate for Payer: Healthscope Commercial |
$37.00
|
| Rate for Payer: Healthscope Commercial |
$37.00
|
| Rate for Payer: Healthscope Whirlpool |
$37.00
|
| Rate for Payer: Healthscope Whirlpool |
$37.00
|
| Rate for Payer: Healthscope Whirlpool |
$37.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.37
|
| Rate for Payer: Molina Medicare/Medicaid |
$33.91
|
| Rate for Payer: Molina Medicare/Medicaid |
$33.91
|
| Rate for Payer: Molina Medicare/Medicaid |
$33.91
|
| Rate for Payer: Nomi Health Commercial |
$37.00
|
| Rate for Payer: Nomi Health Commercial |
$37.00
|
| Rate for Payer: Nomi Health Commercial |
$37.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$36.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.50
|
| Rate for Payer: PACE SWMI |
$30.83
|
| Rate for Payer: PACE SWMI |
$30.83
|
| Rate for Payer: PACE SWMI |
$30.83
|
| Rate for Payer: PHP Medicare Advantage |
$30.83
|
| Rate for Payer: PHP Medicare Advantage |
$30.83
|
| Rate for Payer: PHP Medicare Advantage |
$30.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$49.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$49.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$49.17
|
| Rate for Payer: Priority Health Medicare |
$30.83
|
| Rate for Payer: Priority Health Medicare |
$30.83
|
| Rate for Payer: Priority Health Medicare |
$30.83
|
| Rate for Payer: Priority Health Narrow Network |
$49.17
|
| Rate for Payer: Priority Health Narrow Network |
$49.17
|
| Rate for Payer: Priority Health Narrow Network |
$49.17
|
| Rate for Payer: Railroad Medicare Medicare |
$30.83
|
| Rate for Payer: Railroad Medicare Medicare |
$30.83
|
| Rate for Payer: Railroad Medicare Medicare |
$30.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$43.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$43.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$43.64
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$30.83
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$30.83
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$30.83
|
| Rate for Payer: UHC Exchange |
$43.64
|
| Rate for Payer: UHC Exchange |
$43.64
|
| Rate for Payer: UHC Exchange |
$43.64
|
| Rate for Payer: UHCCP DNSP |
$30.83
|
| Rate for Payer: UHCCP DNSP |
$30.83
|
| Rate for Payer: UHCCP DNSP |
$30.83
|
|
|
CHG RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW
|
Professional
|
Both
|
$95.00
|
|
|
Service Code
|
HCPCS 72081
|
| Min. Negotiated Rate |
$41.20 |
| Max. Negotiated Rate |
$71.25 |
| Rate for Payer: Aetna Commercial |
$55.21
|
| Rate for Payer: Aetna Medicare |
$41.20
|
| Rate for Payer: BCBS MAPPO |
$41.20
|
| Rate for Payer: BCN Commercial |
$64.24
|
| Rate for Payer: BCN Medicare Advantage |
$41.20
|
| Rate for Payer: Cash Price |
$76.00
|
| Rate for Payer: Cash Price |
$76.00
|
| Rate for Payer: Cofinity Commercial |
$55.21
|
| Rate for Payer: Cofinity Commercial |
$59.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$41.20
|
| Rate for Payer: Healthscope Commercial |
$49.44
|
| Rate for Payer: Healthscope Whirlpool |
$49.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$43.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$45.32
|
| Rate for Payer: Nomi Health Commercial |
$49.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$71.25
|
| Rate for Payer: PACE SWMI |
$41.20
|
| Rate for Payer: PHP Medicare Advantage |
$41.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$64.73
|
| Rate for Payer: Priority Health Medicare |
$41.20
|
| Rate for Payer: Priority Health Narrow Network |
$64.73
|
| Rate for Payer: Railroad Medicare Medicare |
$41.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$58.80
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$41.20
|
| Rate for Payer: UHC Exchange |
$58.80
|
| Rate for Payer: UHCCP DNSP |
$41.20
|
|
|
CHG RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW
|
Professional
|
Both
|
$34.00
|
|
|
Service Code
|
HCPCS 72082
|
| Min. Negotiated Rate |
$25.50 |
| Max. Negotiated Rate |
$105.86 |
| Rate for Payer: Aetna Commercial |
$89.31
|
| Rate for Payer: Aetna Medicare |
$66.65
|
| Rate for Payer: BCBS MAPPO |
$66.65
|
| Rate for Payer: BCN Commercial |
$105.08
|
| Rate for Payer: BCN Medicare Advantage |
$66.65
|
| Rate for Payer: Cash Price |
$27.20
|
| Rate for Payer: Cash Price |
$27.20
|
| Rate for Payer: Cofinity Commercial |
$89.31
|
| Rate for Payer: Cofinity Commercial |
$95.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$66.65
|
| Rate for Payer: Healthscope Commercial |
$79.98
|
| Rate for Payer: Healthscope Whirlpool |
$79.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$69.98
|
| Rate for Payer: Molina Medicare/Medicaid |
$73.31
|
| Rate for Payer: Nomi Health Commercial |
$79.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.50
|
| Rate for Payer: PACE SWMI |
$66.65
|
| Rate for Payer: PHP Medicare Advantage |
$66.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$105.86
|
| Rate for Payer: Priority Health Medicare |
$66.65
|
| Rate for Payer: Priority Health Narrow Network |
$105.86
|
| Rate for Payer: Railroad Medicare Medicare |
$66.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$94.97
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$66.65
|
| Rate for Payer: UHC Exchange |
$94.97
|
| Rate for Payer: UHCCP DNSP |
$66.65
|
|
|
CHG RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 4/5 VW
|
Professional
|
Both
|
$38.00
|
|
|
Service Code
|
HCPCS 72083
|
| Min. Negotiated Rate |
$28.50 |
| Max. Negotiated Rate |
$120.41 |
| Rate for Payer: Aetna Commercial |
$99.28
|
| Rate for Payer: Aetna Medicare |
$74.09
|
| Rate for Payer: BCBS MAPPO |
$74.09
|
| Rate for Payer: BCN Commercial |
$119.51
|
| Rate for Payer: BCN Medicare Advantage |
$74.09
|
| Rate for Payer: Cash Price |
$30.40
|
| Rate for Payer: Cash Price |
$30.40
|
| Rate for Payer: Cofinity Commercial |
$106.69
|
| Rate for Payer: Cofinity Commercial |
$99.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$74.09
|
| Rate for Payer: Healthscope Commercial |
$88.91
|
| Rate for Payer: Healthscope Whirlpool |
$88.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$77.79
|
| Rate for Payer: Molina Medicare/Medicaid |
$81.50
|
| Rate for Payer: Nomi Health Commercial |
$88.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$28.50
|
| Rate for Payer: PACE SWMI |
$74.09
|
| Rate for Payer: PHP Medicare Advantage |
$74.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$120.41
|
| Rate for Payer: Priority Health Medicare |
$74.09
|
| Rate for Payer: Priority Health Narrow Network |
$120.41
|
| Rate for Payer: Railroad Medicare Medicare |
$74.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$110.39
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$74.09
|
| Rate for Payer: UHC Exchange |
$110.39
|
| Rate for Payer: UHCCP DNSP |
$74.09
|
|
|
CHG RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 6/> VW
|
Professional
|
Both
|
$44.00
|
|
|
Service Code
|
HCPCS 72084
|
| Min. Negotiated Rate |
$33.00 |
| Max. Negotiated Rate |
$148.01 |
| Rate for Payer: Aetna Commercial |
$122.49
|
| Rate for Payer: Aetna Medicare |
$91.41
|
| Rate for Payer: BCBS MAPPO |
$91.41
|
| Rate for Payer: BCN Commercial |
$146.91
|
| Rate for Payer: BCN Medicare Advantage |
$91.41
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cofinity Commercial |
$122.49
|
| Rate for Payer: Cofinity Commercial |
$131.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$91.41
|
| Rate for Payer: Healthscope Commercial |
$109.69
|
| Rate for Payer: Healthscope Whirlpool |
$109.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$95.98
|
| Rate for Payer: Molina Medicare/Medicaid |
$100.55
|
| Rate for Payer: Nomi Health Commercial |
$109.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$33.00
|
| Rate for Payer: PACE SWMI |
$91.41
|
| Rate for Payer: PHP Medicare Advantage |
$91.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$148.01
|
| Rate for Payer: Priority Health Medicare |
$91.41
|
| Rate for Payer: Priority Health Narrow Network |
$148.01
|
| Rate for Payer: Railroad Medicare Medicare |
$91.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$130.84
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$91.41
|
| Rate for Payer: UHC Exchange |
$130.84
|
| Rate for Payer: UHCCP DNSP |
$91.41
|
|
|
CHG RADEX FACIAL BONES < 3 VIEWS
|
Professional
|
Both
|
$19.00
|
|
|
Service Code
|
HCPCS 70140
|
| Min. Negotiated Rate |
$14.25 |
| Max. Negotiated Rate |
$48.16 |
| Rate for Payer: Aetna Commercial |
$39.76
|
| Rate for Payer: Aetna Medicare |
$29.67
|
| Rate for Payer: BCBS MAPPO |
$29.67
|
| Rate for Payer: BCN Commercial |
$47.81
|
| Rate for Payer: BCN Medicare Advantage |
$29.67
|
| Rate for Payer: Cash Price |
$15.20
|
| Rate for Payer: Cash Price |
$15.20
|
| Rate for Payer: Cofinity Commercial |
$39.76
|
| Rate for Payer: Cofinity Commercial |
$42.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.67
|
| Rate for Payer: Healthscope Commercial |
$35.60
|
| Rate for Payer: Healthscope Whirlpool |
$35.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.15
|
| Rate for Payer: Molina Medicare/Medicaid |
$32.64
|
| Rate for Payer: Nomi Health Commercial |
$35.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14.25
|
| Rate for Payer: PACE SWMI |
$29.67
|
| Rate for Payer: PHP Medicare Advantage |
$29.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$48.16
|
| Rate for Payer: Priority Health Medicare |
$29.67
|
| Rate for Payer: Priority Health Narrow Network |
$48.16
|
| Rate for Payer: Railroad Medicare Medicare |
$29.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$44.22
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$29.67
|
| Rate for Payer: UHC Exchange |
$44.22
|
| Rate for Payer: UHCCP DNSP |
$29.67
|
|
|
CHG RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS
|
Professional
|
Both
|
$60.00
|
|
|
Service Code
|
HCPCS 70150
|
| Min. Negotiated Rate |
$43.56 |
| Max. Negotiated Rate |
$70.25 |
| Rate for Payer: Aetna Commercial |
$58.37
|
| Rate for Payer: Aetna Commercial |
$58.37
|
| Rate for Payer: Aetna Commercial |
$58.37
|
| Rate for Payer: Aetna Medicare |
$43.56
|
| Rate for Payer: Aetna Medicare |
$43.56
|
| Rate for Payer: Aetna Medicare |
$43.56
|
| Rate for Payer: BCBS MAPPO |
$43.56
|
| Rate for Payer: BCBS MAPPO |
$43.56
|
| Rate for Payer: BCBS MAPPO |
$43.56
|
| Rate for Payer: BCN Commercial |
$69.71
|
| Rate for Payer: BCN Commercial |
$69.71
|
| Rate for Payer: BCN Commercial |
$69.71
|
| Rate for Payer: BCN Medicare Advantage |
$43.56
|
| Rate for Payer: BCN Medicare Advantage |
$43.56
|
| Rate for Payer: BCN Medicare Advantage |
$43.56
|
| Rate for Payer: Cash Price |
$48.00
|
| Rate for Payer: Cash Price |
$48.00
|
| Rate for Payer: Cash Price |
$21.60
|
| Rate for Payer: Cash Price |
$21.60
|
| Rate for Payer: Cash Price |
$76.00
|
| Rate for Payer: Cash Price |
$76.00
|
| Rate for Payer: Cofinity Commercial |
$62.73
|
| Rate for Payer: Cofinity Commercial |
$58.37
|
| Rate for Payer: Cofinity Commercial |
$62.73
|
| Rate for Payer: Cofinity Commercial |
$58.37
|
| Rate for Payer: Cofinity Commercial |
$62.73
|
| Rate for Payer: Cofinity Commercial |
$58.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$43.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$43.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$43.56
|
| Rate for Payer: Healthscope Commercial |
$52.27
|
| Rate for Payer: Healthscope Commercial |
$52.27
|
| Rate for Payer: Healthscope Commercial |
$52.27
|
| Rate for Payer: Healthscope Whirlpool |
$52.27
|
| Rate for Payer: Healthscope Whirlpool |
$52.27
|
| Rate for Payer: Healthscope Whirlpool |
$52.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$45.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$45.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$45.74
|
| Rate for Payer: Molina Medicare/Medicaid |
$47.92
|
| Rate for Payer: Molina Medicare/Medicaid |
$47.92
|
| Rate for Payer: Molina Medicare/Medicaid |
$47.92
|
| Rate for Payer: Nomi Health Commercial |
$52.27
|
| Rate for Payer: Nomi Health Commercial |
$52.27
|
| Rate for Payer: Nomi Health Commercial |
$52.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$71.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$45.00
|
| Rate for Payer: PACE SWMI |
$43.56
|
| Rate for Payer: PACE SWMI |
$43.56
|
| Rate for Payer: PACE SWMI |
$43.56
|
| Rate for Payer: PHP Medicare Advantage |
$43.56
|
| Rate for Payer: PHP Medicare Advantage |
$43.56
|
| Rate for Payer: PHP Medicare Advantage |
$43.56
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$70.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$70.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$70.25
|
| Rate for Payer: Priority Health Medicare |
$43.56
|
| Rate for Payer: Priority Health Medicare |
$43.56
|
| Rate for Payer: Priority Health Medicare |
$43.56
|
| Rate for Payer: Priority Health Narrow Network |
$70.25
|
| Rate for Payer: Priority Health Narrow Network |
$70.25
|
| Rate for Payer: Priority Health Narrow Network |
$70.25
|
| Rate for Payer: Railroad Medicare Medicare |
$43.56
|
| Rate for Payer: Railroad Medicare Medicare |
$43.56
|
| Rate for Payer: Railroad Medicare Medicare |
$43.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$64.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$64.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$64.71
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$43.56
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$43.56
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$43.56
|
| Rate for Payer: UHC Exchange |
$64.71
|
| Rate for Payer: UHC Exchange |
$64.71
|
| Rate for Payer: UHC Exchange |
$64.71
|
| Rate for Payer: UHCCP DNSP |
$43.56
|
| Rate for Payer: UHCCP DNSP |
$43.56
|
| Rate for Payer: UHCCP DNSP |
$43.56
|
|
|
CHG RADEX FINGR MINIMUM 2 VIEWS
|
Professional
|
Both
|
$83.00
|
|
|
Service Code
|
HCPCS 73140
|
| Min. Negotiated Rate |
$36.51 |
| Max. Negotiated Rate |
$62.25 |
| Rate for Payer: Aetna Commercial |
$48.92
|
| Rate for Payer: Aetna Commercial |
$48.92
|
| Rate for Payer: Aetna Commercial |
$48.92
|
| Rate for Payer: Aetna Medicare |
$36.51
|
| Rate for Payer: Aetna Medicare |
$36.51
|
| Rate for Payer: Aetna Medicare |
$36.51
|
| Rate for Payer: BCBS MAPPO |
$36.51
|
| Rate for Payer: BCBS MAPPO |
$36.51
|
| Rate for Payer: BCBS MAPPO |
$36.51
|
| Rate for Payer: BCN Commercial |
$57.27
|
| Rate for Payer: BCN Commercial |
$57.27
|
| Rate for Payer: BCN Commercial |
$57.27
|
| Rate for Payer: BCN Medicare Advantage |
$36.51
|
| Rate for Payer: BCN Medicare Advantage |
$36.51
|
| Rate for Payer: BCN Medicare Advantage |
$36.51
|
| Rate for Payer: Cash Price |
$66.40
|
| Rate for Payer: Cash Price |
$18.40
|
| Rate for Payer: Cash Price |
$66.40
|
| Rate for Payer: Cash Price |
$42.40
|
| Rate for Payer: Cash Price |
$42.40
|
| Rate for Payer: Cash Price |
$18.40
|
| Rate for Payer: Cofinity Commercial |
$48.92
|
| Rate for Payer: Cofinity Commercial |
$52.57
|
| Rate for Payer: Cofinity Commercial |
$52.57
|
| Rate for Payer: Cofinity Commercial |
$52.57
|
| Rate for Payer: Cofinity Commercial |
$48.92
|
| Rate for Payer: Cofinity Commercial |
$48.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$36.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$36.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$36.51
|
| Rate for Payer: Healthscope Commercial |
$43.81
|
| Rate for Payer: Healthscope Commercial |
$43.81
|
| Rate for Payer: Healthscope Commercial |
$43.81
|
| Rate for Payer: Healthscope Whirlpool |
$43.81
|
| Rate for Payer: Healthscope Whirlpool |
$43.81
|
| Rate for Payer: Healthscope Whirlpool |
$43.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$38.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$38.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$38.34
|
| Rate for Payer: Molina Medicare/Medicaid |
$40.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$40.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$40.16
|
| Rate for Payer: Nomi Health Commercial |
$43.81
|
| Rate for Payer: Nomi Health Commercial |
$43.81
|
| Rate for Payer: Nomi Health Commercial |
$43.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$62.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.75
|
| Rate for Payer: PACE SWMI |
$36.51
|
| Rate for Payer: PACE SWMI |
$36.51
|
| Rate for Payer: PACE SWMI |
$36.51
|
| Rate for Payer: PHP Medicare Advantage |
$36.51
|
| Rate for Payer: PHP Medicare Advantage |
$36.51
|
| Rate for Payer: PHP Medicare Advantage |
$36.51
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$57.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$57.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$57.70
|
| Rate for Payer: Priority Health Medicare |
$36.51
|
| Rate for Payer: Priority Health Medicare |
$36.51
|
| Rate for Payer: Priority Health Medicare |
$36.51
|
| Rate for Payer: Priority Health Narrow Network |
$57.70
|
| Rate for Payer: Priority Health Narrow Network |
$57.70
|
| Rate for Payer: Priority Health Narrow Network |
$57.70
|
| Rate for Payer: Railroad Medicare Medicare |
$36.51
|
| Rate for Payer: Railroad Medicare Medicare |
$36.51
|
| Rate for Payer: Railroad Medicare Medicare |
$36.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$49.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$49.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$49.85
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$36.51
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$36.51
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$36.51
|
| Rate for Payer: UHC Exchange |
$49.85
|
| Rate for Payer: UHC Exchange |
$49.85
|
| Rate for Payer: UHC Exchange |
$49.85
|
| Rate for Payer: UHCCP DNSP |
$36.51
|
| Rate for Payer: UHCCP DNSP |
$36.51
|
| Rate for Payer: UHCCP DNSP |
$36.51
|
|
|
CHG RADEX FOOT COMPLETE MINIMUM 3 VIEWS
|
Professional
|
Both
|
$90.00
|
|
|
Service Code
|
HCPCS 73630
|
| Min. Negotiated Rate |
$31.74 |
| Max. Negotiated Rate |
$67.50 |
| Rate for Payer: Aetna Commercial |
$42.53
|
| Rate for Payer: Aetna Commercial |
$42.53
|
| Rate for Payer: Aetna Commercial |
$42.53
|
| Rate for Payer: Aetna Medicare |
$31.74
|
| Rate for Payer: Aetna Medicare |
$31.74
|
| Rate for Payer: Aetna Medicare |
$31.74
|
| Rate for Payer: BCBS MAPPO |
$31.74
|
| Rate for Payer: BCBS MAPPO |
$31.74
|
| Rate for Payer: BCBS MAPPO |
$31.74
|
| Rate for Payer: BCN Commercial |
$50.80
|
| Rate for Payer: BCN Commercial |
$50.80
|
| Rate for Payer: BCN Commercial |
$50.80
|
| Rate for Payer: BCN Medicare Advantage |
$31.74
|
| Rate for Payer: BCN Medicare Advantage |
$31.74
|
| Rate for Payer: BCN Medicare Advantage |
$31.74
|
| Rate for Payer: Cash Price |
$72.00
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Cash Price |
$72.00
|
| Rate for Payer: Cash Price |
$36.80
|
| Rate for Payer: Cash Price |
$36.80
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Cofinity Commercial |
$42.53
|
| Rate for Payer: Cofinity Commercial |
$45.71
|
| Rate for Payer: Cofinity Commercial |
$45.71
|
| Rate for Payer: Cofinity Commercial |
$45.71
|
| Rate for Payer: Cofinity Commercial |
$42.53
|
| Rate for Payer: Cofinity Commercial |
$42.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31.74
|
| Rate for Payer: Healthscope Commercial |
$38.09
|
| Rate for Payer: Healthscope Commercial |
$38.09
|
| Rate for Payer: Healthscope Commercial |
$38.09
|
| Rate for Payer: Healthscope Whirlpool |
$38.09
|
| Rate for Payer: Healthscope Whirlpool |
$38.09
|
| Rate for Payer: Healthscope Whirlpool |
$38.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33.33
|
| Rate for Payer: Molina Medicare/Medicaid |
$34.91
|
| Rate for Payer: Molina Medicare/Medicaid |
$34.91
|
| Rate for Payer: Molina Medicare/Medicaid |
$34.91
|
| Rate for Payer: Nomi Health Commercial |
$38.09
|
| Rate for Payer: Nomi Health Commercial |
$38.09
|
| Rate for Payer: Nomi Health Commercial |
$38.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$67.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$23.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$34.50
|
| Rate for Payer: PACE SWMI |
$31.74
|
| Rate for Payer: PACE SWMI |
$31.74
|
| Rate for Payer: PACE SWMI |
$31.74
|
| Rate for Payer: PHP Medicare Advantage |
$31.74
|
| Rate for Payer: PHP Medicare Advantage |
$31.74
|
| Rate for Payer: PHP Medicare Advantage |
$31.74
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$51.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$51.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$51.17
|
| Rate for Payer: Priority Health Medicare |
$31.74
|
| Rate for Payer: Priority Health Medicare |
$31.74
|
| Rate for Payer: Priority Health Medicare |
$31.74
|
| Rate for Payer: Priority Health Narrow Network |
$51.17
|
| Rate for Payer: Priority Health Narrow Network |
$51.17
|
| Rate for Payer: Priority Health Narrow Network |
$51.17
|
| Rate for Payer: Railroad Medicare Medicare |
$31.74
|
| Rate for Payer: Railroad Medicare Medicare |
$31.74
|
| Rate for Payer: Railroad Medicare Medicare |
$31.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$46.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$46.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$46.10
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$31.74
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$31.74
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$31.74
|
| Rate for Payer: UHC Exchange |
$46.10
|
| Rate for Payer: UHC Exchange |
$46.10
|
| Rate for Payer: UHC Exchange |
$46.10
|
| Rate for Payer: UHCCP DNSP |
$31.74
|
| Rate for Payer: UHCCP DNSP |
$31.74
|
| Rate for Payer: UHCCP DNSP |
$31.74
|
|
|
CHG RADEX FOREARM 2 VIEWS
|
Professional
|
Both
|
$93.00
|
|
|
Service Code
|
HCPCS 73090
|
| Min. Negotiated Rate |
$27.14 |
| Max. Negotiated Rate |
$69.75 |
| Rate for Payer: Aetna Commercial |
$36.37
|
| Rate for Payer: Aetna Commercial |
$36.37
|
| Rate for Payer: Aetna Commercial |
$36.37
|
| Rate for Payer: Aetna Medicare |
$27.14
|
| Rate for Payer: Aetna Medicare |
$27.14
|
| Rate for Payer: Aetna Medicare |
$27.14
|
| Rate for Payer: BCBS MAPPO |
$27.14
|
| Rate for Payer: BCBS MAPPO |
$27.14
|
| Rate for Payer: BCBS MAPPO |
$27.14
|
| Rate for Payer: BCN Commercial |
$43.82
|
| Rate for Payer: BCN Commercial |
$43.82
|
| Rate for Payer: BCN Commercial |
$43.82
|
| Rate for Payer: BCN Medicare Advantage |
$27.14
|
| Rate for Payer: BCN Medicare Advantage |
$27.14
|
| Rate for Payer: BCN Medicare Advantage |
$27.14
|
| Rate for Payer: Cash Price |
$74.40
|
| Rate for Payer: Cash Price |
$24.00
|
| Rate for Payer: Cash Price |
$74.40
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Cash Price |
$24.00
|
| Rate for Payer: Cofinity Commercial |
$36.37
|
| Rate for Payer: Cofinity Commercial |
$39.08
|
| Rate for Payer: Cofinity Commercial |
$39.08
|
| Rate for Payer: Cofinity Commercial |
$39.08
|
| Rate for Payer: Cofinity Commercial |
$36.37
|
| Rate for Payer: Cofinity Commercial |
$36.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27.14
|
| Rate for Payer: Healthscope Commercial |
$32.57
|
| Rate for Payer: Healthscope Commercial |
$32.57
|
| Rate for Payer: Healthscope Commercial |
$32.57
|
| Rate for Payer: Healthscope Whirlpool |
$32.57
|
| Rate for Payer: Healthscope Whirlpool |
$32.57
|
| Rate for Payer: Healthscope Whirlpool |
$32.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28.50
|
| Rate for Payer: Molina Medicare/Medicaid |
$29.85
|
| Rate for Payer: Molina Medicare/Medicaid |
$29.85
|
| Rate for Payer: Molina Medicare/Medicaid |
$29.85
|
| Rate for Payer: Nomi Health Commercial |
$32.57
|
| Rate for Payer: Nomi Health Commercial |
$32.57
|
| Rate for Payer: Nomi Health Commercial |
$32.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$69.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$22.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$30.00
|
| Rate for Payer: PACE SWMI |
$27.14
|
| Rate for Payer: PACE SWMI |
$27.14
|
| Rate for Payer: PACE SWMI |
$27.14
|
| Rate for Payer: PHP Medicare Advantage |
$27.14
|
| Rate for Payer: PHP Medicare Advantage |
$27.14
|
| Rate for Payer: PHP Medicare Advantage |
$27.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$44.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$44.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$44.14
|
| Rate for Payer: Priority Health Medicare |
$27.14
|
| Rate for Payer: Priority Health Medicare |
$27.14
|
| Rate for Payer: Priority Health Medicare |
$27.14
|
| Rate for Payer: Priority Health Narrow Network |
$44.14
|
| Rate for Payer: Priority Health Narrow Network |
$44.14
|
| Rate for Payer: Priority Health Narrow Network |
$44.14
|
| Rate for Payer: Railroad Medicare Medicare |
$27.14
|
| Rate for Payer: Railroad Medicare Medicare |
$27.14
|
| Rate for Payer: Railroad Medicare Medicare |
$27.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$40.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$40.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$40.65
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$27.14
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$27.14
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$27.14
|
| Rate for Payer: UHC Exchange |
$40.65
|
| Rate for Payer: UHC Exchange |
$40.65
|
| Rate for Payer: UHC Exchange |
$40.65
|
| Rate for Payer: UHCCP DNSP |
$27.14
|
| Rate for Payer: UHCCP DNSP |
$27.14
|
| Rate for Payer: UHCCP DNSP |
$27.14
|
|
