|
PR DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY
|
Professional
|
Both
|
$435.00
|
|
|
Service Code
|
HCPCS 93880
|
| Min. Negotiated Rate |
$80.30 |
| Max. Negotiated Rate |
$304.50 |
| Rate for Payer: Aetna Commercial |
$241.09
|
| Rate for Payer: Aetna Medicare |
$179.92
|
| Rate for Payer: BCBS Complete |
$174.00
|
| Rate for Payer: BCBS MAPPO |
$179.92
|
| Rate for Payer: BCBS Trust/PPO |
$80.30
|
| Rate for Payer: BCN Commercial |
$280.02
|
| Rate for Payer: BCN Medicare Advantage |
$179.92
|
| Rate for Payer: Cash Price |
$348.00
|
| Rate for Payer: Cash Price |
$348.00
|
| Rate for Payer: Cofinity Commercial |
$241.09
|
| Rate for Payer: Cofinity Commercial |
$259.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$179.92
|
| Rate for Payer: Healthscope Commercial |
$215.90
|
| Rate for Payer: Healthscope Whirlpool |
$215.90
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$188.92
|
| Rate for Payer: PACE SWMI |
$179.92
|
| Rate for Payer: PHP Medicare Advantage |
$179.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$304.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$257.35
|
| Rate for Payer: Priority Health Medicare |
$179.92
|
| Rate for Payer: Priority Health Narrow Network |
$257.35
|
| Rate for Payer: UHC Medicare Advantage |
$185.32
|
|
|
PR DUPLEX SCAN EXTRACRANIAL ART UNI/LMTD STUDY
|
Professional
|
Both
|
$312.00
|
|
|
Service Code
|
HCPCS 93882
|
| Min. Negotiated Rate |
$116.85 |
| Max. Negotiated Rate |
$310.64 |
| Rate for Payer: Aetna Commercial |
$156.58
|
| Rate for Payer: Aetna Medicare |
$116.85
|
| Rate for Payer: BCBS Complete |
$124.80
|
| Rate for Payer: BCBS MAPPO |
$116.85
|
| Rate for Payer: BCBS Trust/PPO |
$310.64
|
| Rate for Payer: BCN Commercial |
$181.79
|
| Rate for Payer: BCN Medicare Advantage |
$116.85
|
| Rate for Payer: Cash Price |
$249.60
|
| Rate for Payer: Cash Price |
$249.60
|
| Rate for Payer: Cofinity Commercial |
$168.26
|
| Rate for Payer: Cofinity Commercial |
$156.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$116.85
|
| Rate for Payer: Healthscope Commercial |
$140.22
|
| Rate for Payer: Healthscope Whirlpool |
$140.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$122.69
|
| Rate for Payer: PACE SWMI |
$116.85
|
| Rate for Payer: PHP Medicare Advantage |
$116.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$218.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$167.08
|
| Rate for Payer: Priority Health Medicare |
$116.85
|
| Rate for Payer: Priority Health Narrow Network |
$167.08
|
| Rate for Payer: UHC Medicare Advantage |
$120.36
|
|
|
PR DUPLEX SCAN HEMODIALYSIS ACCESS
|
Professional
|
Both
|
$38.00
|
|
|
Service Code
|
HCPCS 93990
|
| Min. Negotiated Rate |
$15.20 |
| Max. Negotiated Rate |
$214.53 |
| Rate for Payer: Aetna Commercial |
$184.37
|
| Rate for Payer: Aetna Commercial |
$184.37
|
| Rate for Payer: Aetna Medicare |
$137.59
|
| Rate for Payer: Aetna Medicare |
$137.59
|
| Rate for Payer: BCBS Complete |
$15.20
|
| Rate for Payer: BCBS Complete |
$136.00
|
| Rate for Payer: BCBS MAPPO |
$137.59
|
| Rate for Payer: BCBS MAPPO |
$137.59
|
| Rate for Payer: BCBS Trust/PPO |
$16.91
|
| Rate for Payer: BCBS Trust/PPO |
$16.91
|
| Rate for Payer: BCN Commercial |
$214.53
|
| Rate for Payer: BCN Commercial |
$214.53
|
| Rate for Payer: BCN Medicare Advantage |
$137.59
|
| Rate for Payer: BCN Medicare Advantage |
$137.59
|
| Rate for Payer: Cash Price |
$272.00
|
| Rate for Payer: Cash Price |
$30.40
|
| Rate for Payer: Cash Price |
$30.40
|
| Rate for Payer: Cash Price |
$272.00
|
| Rate for Payer: Cofinity Commercial |
$198.13
|
| Rate for Payer: Cofinity Commercial |
$198.13
|
| Rate for Payer: Cofinity Commercial |
$184.37
|
| Rate for Payer: Cofinity Commercial |
$184.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$137.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$137.59
|
| Rate for Payer: Healthscope Commercial |
$165.11
|
| Rate for Payer: Healthscope Commercial |
$165.11
|
| Rate for Payer: Healthscope Whirlpool |
$165.11
|
| Rate for Payer: Healthscope Whirlpool |
$165.11
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$144.47
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$144.47
|
| Rate for Payer: PACE SWMI |
$137.59
|
| Rate for Payer: PACE SWMI |
$137.59
|
| Rate for Payer: PHP Medicare Advantage |
$137.59
|
| Rate for Payer: PHP Medicare Advantage |
$137.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$26.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$238.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$197.17
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$197.17
|
| Rate for Payer: Priority Health Medicare |
$137.59
|
| Rate for Payer: Priority Health Medicare |
$137.59
|
| Rate for Payer: Priority Health Narrow Network |
$197.17
|
| Rate for Payer: Priority Health Narrow Network |
$197.17
|
| Rate for Payer: UHC Medicare Advantage |
$141.72
|
| Rate for Payer: UHC Medicare Advantage |
$141.72
|
|
|
PR DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPLETE
|
Professional
|
Both
|
$79.00
|
|
|
Service Code
|
HCPCS 93978
|
| Min. Negotiated Rate |
$31.60 |
| Max. Negotiated Rate |
$430.56 |
| Rate for Payer: Aetna Commercial |
$228.08
|
| Rate for Payer: Aetna Commercial |
$228.08
|
| Rate for Payer: Aetna Medicare |
$170.21
|
| Rate for Payer: Aetna Medicare |
$170.21
|
| Rate for Payer: BCBS Complete |
$31.60
|
| Rate for Payer: BCBS Complete |
$156.00
|
| Rate for Payer: BCBS MAPPO |
$170.21
|
| Rate for Payer: BCBS MAPPO |
$170.21
|
| Rate for Payer: BCBS Trust/PPO |
$430.56
|
| Rate for Payer: BCBS Trust/PPO |
$430.56
|
| Rate for Payer: BCN Commercial |
$264.37
|
| Rate for Payer: BCN Commercial |
$264.37
|
| Rate for Payer: BCN Medicare Advantage |
$170.21
|
| Rate for Payer: BCN Medicare Advantage |
$170.21
|
| Rate for Payer: Cash Price |
$63.20
|
| Rate for Payer: Cash Price |
$63.20
|
| Rate for Payer: Cash Price |
$312.00
|
| Rate for Payer: Cash Price |
$312.00
|
| Rate for Payer: Cofinity Commercial |
$245.10
|
| Rate for Payer: Cofinity Commercial |
$245.10
|
| Rate for Payer: Cofinity Commercial |
$228.08
|
| Rate for Payer: Cofinity Commercial |
$228.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$170.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$170.21
|
| Rate for Payer: Healthscope Commercial |
$204.25
|
| Rate for Payer: Healthscope Commercial |
$204.25
|
| Rate for Payer: Healthscope Whirlpool |
$204.25
|
| Rate for Payer: Healthscope Whirlpool |
$204.25
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$178.72
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$178.72
|
| Rate for Payer: PACE SWMI |
$170.21
|
| Rate for Payer: PACE SWMI |
$170.21
|
| Rate for Payer: PHP Medicare Advantage |
$170.21
|
| Rate for Payer: PHP Medicare Advantage |
$170.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$55.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$273.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$242.99
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$242.99
|
| Rate for Payer: Priority Health Medicare |
$170.21
|
| Rate for Payer: Priority Health Medicare |
$170.21
|
| Rate for Payer: Priority Health Narrow Network |
$242.99
|
| Rate for Payer: Priority Health Narrow Network |
$242.99
|
| Rate for Payer: UHC Medicare Advantage |
$175.32
|
| Rate for Payer: UHC Medicare Advantage |
$175.32
|
|
|
PR DUP-SCAN AORTA IVC ILIAC VASCL/BPGS UNI/LMTD
|
Professional
|
Both
|
$51.00
|
|
|
Service Code
|
HCPCS 93979
|
| Min. Negotiated Rate |
$20.40 |
| Max. Negotiated Rate |
$171.52 |
| Rate for Payer: Aetna Commercial |
$147.67
|
| Rate for Payer: Aetna Commercial |
$147.67
|
| Rate for Payer: Aetna Medicare |
$110.20
|
| Rate for Payer: Aetna Medicare |
$110.20
|
| Rate for Payer: BCBS Complete |
$20.40
|
| Rate for Payer: BCBS Complete |
$108.00
|
| Rate for Payer: BCBS MAPPO |
$110.20
|
| Rate for Payer: BCBS MAPPO |
$110.20
|
| Rate for Payer: BCBS Trust/PPO |
$84.00
|
| Rate for Payer: BCBS Trust/PPO |
$84.00
|
| Rate for Payer: BCN Commercial |
$171.52
|
| Rate for Payer: BCN Commercial |
$171.52
|
| Rate for Payer: BCN Medicare Advantage |
$110.20
|
| Rate for Payer: BCN Medicare Advantage |
$110.20
|
| Rate for Payer: Cash Price |
$40.80
|
| Rate for Payer: Cash Price |
$216.00
|
| Rate for Payer: Cash Price |
$216.00
|
| Rate for Payer: Cash Price |
$40.80
|
| Rate for Payer: Cofinity Commercial |
$158.69
|
| Rate for Payer: Cofinity Commercial |
$158.69
|
| Rate for Payer: Cofinity Commercial |
$147.67
|
| Rate for Payer: Cofinity Commercial |
$147.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$110.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$110.20
|
| Rate for Payer: Healthscope Commercial |
$132.24
|
| Rate for Payer: Healthscope Commercial |
$132.24
|
| Rate for Payer: Healthscope Whirlpool |
$132.24
|
| Rate for Payer: Healthscope Whirlpool |
$132.24
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$115.71
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$115.71
|
| Rate for Payer: PACE SWMI |
$110.20
|
| Rate for Payer: PACE SWMI |
$110.20
|
| Rate for Payer: PHP Medicare Advantage |
$110.20
|
| Rate for Payer: PHP Medicare Advantage |
$110.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$35.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$189.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$157.64
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$157.64
|
| Rate for Payer: Priority Health Medicare |
$110.20
|
| Rate for Payer: Priority Health Medicare |
$110.20
|
| Rate for Payer: Priority Health Narrow Network |
$157.64
|
| Rate for Payer: Priority Health Narrow Network |
$157.64
|
| Rate for Payer: UHC Medicare Advantage |
$113.51
|
| Rate for Payer: UHC Medicare Advantage |
$113.51
|
|
|
PR DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN COM
|
Professional
|
Both
|
$253.00
|
|
|
Service Code
|
HCPCS 93975
|
| Min. Negotiated Rate |
$57.58 |
| Max. Negotiated Rate |
$389.96 |
| Rate for Payer: Aetna Commercial |
$335.84
|
| Rate for Payer: Aetna Commercial |
$335.84
|
| Rate for Payer: Aetna Medicare |
$250.63
|
| Rate for Payer: Aetna Medicare |
$250.63
|
| Rate for Payer: BCBS Complete |
$242.80
|
| Rate for Payer: BCBS Complete |
$101.20
|
| Rate for Payer: BCBS MAPPO |
$250.63
|
| Rate for Payer: BCBS MAPPO |
$250.63
|
| Rate for Payer: BCBS Trust/PPO |
$57.58
|
| Rate for Payer: BCBS Trust/PPO |
$57.58
|
| Rate for Payer: BCN Commercial |
$389.96
|
| Rate for Payer: BCN Commercial |
$389.96
|
| Rate for Payer: BCN Medicare Advantage |
$250.63
|
| Rate for Payer: BCN Medicare Advantage |
$250.63
|
| Rate for Payer: Cash Price |
$202.40
|
| Rate for Payer: Cash Price |
$202.40
|
| Rate for Payer: Cash Price |
$485.60
|
| Rate for Payer: Cash Price |
$485.60
|
| Rate for Payer: Cofinity Commercial |
$360.91
|
| Rate for Payer: Cofinity Commercial |
$335.84
|
| Rate for Payer: Cofinity Commercial |
$360.91
|
| Rate for Payer: Cofinity Commercial |
$335.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$250.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$250.63
|
| Rate for Payer: Healthscope Commercial |
$300.76
|
| Rate for Payer: Healthscope Commercial |
$300.76
|
| Rate for Payer: Healthscope Whirlpool |
$300.76
|
| Rate for Payer: Healthscope Whirlpool |
$300.76
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$263.16
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$263.16
|
| Rate for Payer: PACE SWMI |
$250.63
|
| Rate for Payer: PACE SWMI |
$250.63
|
| Rate for Payer: PHP Medicare Advantage |
$250.63
|
| Rate for Payer: PHP Medicare Advantage |
$250.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$424.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$177.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$358.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$358.42
|
| Rate for Payer: Priority Health Medicare |
$250.63
|
| Rate for Payer: Priority Health Medicare |
$250.63
|
| Rate for Payer: Priority Health Narrow Network |
$358.42
|
| Rate for Payer: Priority Health Narrow Network |
$358.42
|
| Rate for Payer: UHC Medicare Advantage |
$258.15
|
| Rate for Payer: UHC Medicare Advantage |
$258.15
|
|
|
PR DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN LMT
|
Professional
|
Both
|
$630.00
|
|
|
Service Code
|
HCPCS 93976
|
| Min. Negotiated Rate |
$149.39 |
| Max. Negotiated Rate |
$547.85 |
| Rate for Payer: Aetna Commercial |
$200.18
|
| Rate for Payer: Aetna Commercial |
$200.18
|
| Rate for Payer: Aetna Medicare |
$149.39
|
| Rate for Payer: Aetna Medicare |
$149.39
|
| Rate for Payer: BCBS Complete |
$252.00
|
| Rate for Payer: BCBS Complete |
$70.80
|
| Rate for Payer: BCBS MAPPO |
$149.39
|
| Rate for Payer: BCBS MAPPO |
$149.39
|
| Rate for Payer: BCBS Trust/PPO |
$547.85
|
| Rate for Payer: BCBS Trust/PPO |
$547.85
|
| Rate for Payer: BCN Commercial |
$232.12
|
| Rate for Payer: BCN Commercial |
$232.12
|
| Rate for Payer: BCN Medicare Advantage |
$149.39
|
| Rate for Payer: BCN Medicare Advantage |
$149.39
|
| Rate for Payer: Cash Price |
$504.00
|
| Rate for Payer: Cash Price |
$141.60
|
| Rate for Payer: Cash Price |
$141.60
|
| Rate for Payer: Cash Price |
$504.00
|
| Rate for Payer: Cofinity Commercial |
$200.18
|
| Rate for Payer: Cofinity Commercial |
$200.18
|
| Rate for Payer: Cofinity Commercial |
$215.12
|
| Rate for Payer: Cofinity Commercial |
$215.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$149.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$149.39
|
| Rate for Payer: Healthscope Commercial |
$179.27
|
| Rate for Payer: Healthscope Commercial |
$179.27
|
| Rate for Payer: Healthscope Whirlpool |
$179.27
|
| Rate for Payer: Healthscope Whirlpool |
$179.27
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$156.86
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$156.86
|
| Rate for Payer: PACE SWMI |
$149.39
|
| Rate for Payer: PACE SWMI |
$149.39
|
| Rate for Payer: PHP Medicare Advantage |
$149.39
|
| Rate for Payer: PHP Medicare Advantage |
$149.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$441.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$123.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$213.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$213.34
|
| Rate for Payer: Priority Health Medicare |
$149.39
|
| Rate for Payer: Priority Health Medicare |
$149.39
|
| Rate for Payer: Priority Health Narrow Network |
$213.34
|
| Rate for Payer: Priority Health Narrow Network |
$213.34
|
| Rate for Payer: UHC Medicare Advantage |
$153.87
|
| Rate for Payer: UHC Medicare Advantage |
$153.87
|
|
|
PR DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY
|
Professional
|
Both
|
$100.00
|
|
|
Service Code
|
HCPCS 93925
|
| Min. Negotiated Rate |
$40.00 |
| Max. Negotiated Rate |
$351.85 |
| Rate for Payer: Aetna Commercial |
$301.82
|
| Rate for Payer: Aetna Commercial |
$301.82
|
| Rate for Payer: Aetna Medicare |
$225.24
|
| Rate for Payer: Aetna Medicare |
$225.24
|
| Rate for Payer: BCBS Complete |
$168.00
|
| Rate for Payer: BCBS Complete |
$40.00
|
| Rate for Payer: BCBS MAPPO |
$225.24
|
| Rate for Payer: BCBS MAPPO |
$225.24
|
| Rate for Payer: BCBS Trust/PPO |
$160.60
|
| Rate for Payer: BCBS Trust/PPO |
$160.60
|
| Rate for Payer: BCN Commercial |
$351.85
|
| Rate for Payer: BCN Commercial |
$351.85
|
| Rate for Payer: BCN Medicare Advantage |
$225.24
|
| Rate for Payer: BCN Medicare Advantage |
$225.24
|
| Rate for Payer: Cash Price |
$80.00
|
| Rate for Payer: Cash Price |
$80.00
|
| Rate for Payer: Cash Price |
$336.00
|
| Rate for Payer: Cash Price |
$336.00
|
| Rate for Payer: Cofinity Commercial |
$324.35
|
| Rate for Payer: Cofinity Commercial |
$301.82
|
| Rate for Payer: Cofinity Commercial |
$324.35
|
| Rate for Payer: Cofinity Commercial |
$301.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$225.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$225.24
|
| Rate for Payer: Healthscope Commercial |
$270.29
|
| Rate for Payer: Healthscope Commercial |
$270.29
|
| Rate for Payer: Healthscope Whirlpool |
$270.29
|
| Rate for Payer: Healthscope Whirlpool |
$270.29
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$236.50
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$236.50
|
| Rate for Payer: PACE SWMI |
$225.24
|
| Rate for Payer: PACE SWMI |
$225.24
|
| Rate for Payer: PHP Medicare Advantage |
$225.24
|
| Rate for Payer: PHP Medicare Advantage |
$225.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$70.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$294.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$323.39
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$323.39
|
| Rate for Payer: Priority Health Medicare |
$225.24
|
| Rate for Payer: Priority Health Medicare |
$225.24
|
| Rate for Payer: Priority Health Narrow Network |
$323.39
|
| Rate for Payer: Priority Health Narrow Network |
$323.39
|
| Rate for Payer: UHC Medicare Advantage |
$232.00
|
| Rate for Payer: UHC Medicare Advantage |
$232.00
|
|
|
PR DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STUDY
|
Professional
|
Both
|
$327.00
|
|
|
Service Code
|
HCPCS 93926
|
| Min. Negotiated Rate |
$130.80 |
| Max. Negotiated Rate |
$416.83 |
| Rate for Payer: Aetna Commercial |
$179.52
|
| Rate for Payer: Aetna Commercial |
$179.52
|
| Rate for Payer: Aetna Medicare |
$133.97
|
| Rate for Payer: Aetna Medicare |
$133.97
|
| Rate for Payer: BCBS Complete |
$130.80
|
| Rate for Payer: BCBS Complete |
$16.00
|
| Rate for Payer: BCBS MAPPO |
$133.97
|
| Rate for Payer: BCBS MAPPO |
$133.97
|
| Rate for Payer: BCBS Trust/PPO |
$416.83
|
| Rate for Payer: BCBS Trust/PPO |
$416.83
|
| Rate for Payer: BCN Commercial |
$209.15
|
| Rate for Payer: BCN Commercial |
$209.15
|
| Rate for Payer: BCN Medicare Advantage |
$133.97
|
| Rate for Payer: BCN Medicare Advantage |
$133.97
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Cash Price |
$261.60
|
| Rate for Payer: Cash Price |
$261.60
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Cofinity Commercial |
$192.92
|
| Rate for Payer: Cofinity Commercial |
$179.52
|
| Rate for Payer: Cofinity Commercial |
$179.52
|
| Rate for Payer: Cofinity Commercial |
$192.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$133.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$133.97
|
| Rate for Payer: Healthscope Commercial |
$160.76
|
| Rate for Payer: Healthscope Commercial |
$160.76
|
| Rate for Payer: Healthscope Whirlpool |
$160.76
|
| Rate for Payer: Healthscope Whirlpool |
$160.76
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$140.67
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$140.67
|
| Rate for Payer: PACE SWMI |
$133.97
|
| Rate for Payer: PACE SWMI |
$133.97
|
| Rate for Payer: PHP Medicare Advantage |
$133.97
|
| Rate for Payer: PHP Medicare Advantage |
$133.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$228.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$192.24
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$192.24
|
| Rate for Payer: Priority Health Medicare |
$133.97
|
| Rate for Payer: Priority Health Medicare |
$133.97
|
| Rate for Payer: Priority Health Narrow Network |
$192.24
|
| Rate for Payer: Priority Health Narrow Network |
$192.24
|
| Rate for Payer: UHC Medicare Advantage |
$137.99
|
| Rate for Payer: UHC Medicare Advantage |
$137.99
|
|
|
PR DUP-SCAN UXTR ART/ARTL BPGS COMPL BI STUDY
|
Professional
|
Both
|
$63.00
|
|
|
Service Code
|
HCPCS 93930
|
| Min. Negotiated Rate |
$21.13 |
| Max. Negotiated Rate |
$286.85 |
| Rate for Payer: Aetna Commercial |
$246.96
|
| Rate for Payer: Aetna Commercial |
$246.96
|
| Rate for Payer: Aetna Medicare |
$184.30
|
| Rate for Payer: Aetna Medicare |
$184.30
|
| Rate for Payer: BCBS Complete |
$25.20
|
| Rate for Payer: BCBS Complete |
$159.20
|
| Rate for Payer: BCBS MAPPO |
$184.30
|
| Rate for Payer: BCBS MAPPO |
$184.30
|
| Rate for Payer: BCBS Trust/PPO |
$21.13
|
| Rate for Payer: BCBS Trust/PPO |
$21.13
|
| Rate for Payer: BCN Commercial |
$286.85
|
| Rate for Payer: BCN Commercial |
$286.85
|
| Rate for Payer: BCN Medicare Advantage |
$184.30
|
| Rate for Payer: BCN Medicare Advantage |
$184.30
|
| Rate for Payer: Cash Price |
$50.40
|
| Rate for Payer: Cash Price |
$50.40
|
| Rate for Payer: Cash Price |
$318.40
|
| Rate for Payer: Cash Price |
$318.40
|
| Rate for Payer: Cofinity Commercial |
$265.39
|
| Rate for Payer: Cofinity Commercial |
$265.39
|
| Rate for Payer: Cofinity Commercial |
$246.96
|
| Rate for Payer: Cofinity Commercial |
$246.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$184.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$184.30
|
| Rate for Payer: Healthscope Commercial |
$221.16
|
| Rate for Payer: Healthscope Commercial |
$221.16
|
| Rate for Payer: Healthscope Whirlpool |
$221.16
|
| Rate for Payer: Healthscope Whirlpool |
$221.16
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$193.52
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$193.52
|
| Rate for Payer: PACE SWMI |
$184.30
|
| Rate for Payer: PACE SWMI |
$184.30
|
| Rate for Payer: PHP Medicare Advantage |
$184.30
|
| Rate for Payer: PHP Medicare Advantage |
$184.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$44.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$278.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$263.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$263.65
|
| Rate for Payer: Priority Health Medicare |
$184.30
|
| Rate for Payer: Priority Health Medicare |
$184.30
|
| Rate for Payer: Priority Health Narrow Network |
$263.65
|
| Rate for Payer: Priority Health Narrow Network |
$263.65
|
| Rate for Payer: UHC Medicare Advantage |
$189.83
|
| Rate for Payer: UHC Medicare Advantage |
$189.83
|
|
|
PR DUP-SCAN UXTR ART/ARTL BPGS UNI/LMTD STUDY
|
Professional
|
Both
|
$267.00
|
|
|
Service Code
|
HCPCS 93931
|
| Min. Negotiated Rate |
$12.68 |
| Max. Negotiated Rate |
$186.90 |
| Rate for Payer: Aetna Commercial |
$155.53
|
| Rate for Payer: Aetna Commercial |
$155.53
|
| Rate for Payer: Aetna Medicare |
$116.07
|
| Rate for Payer: Aetna Medicare |
$116.07
|
| Rate for Payer: BCBS Complete |
$106.80
|
| Rate for Payer: BCBS Complete |
$12.80
|
| Rate for Payer: BCBS MAPPO |
$116.07
|
| Rate for Payer: BCBS MAPPO |
$116.07
|
| Rate for Payer: BCBS Trust/PPO |
$12.68
|
| Rate for Payer: BCBS Trust/PPO |
$12.68
|
| Rate for Payer: BCN Commercial |
$180.81
|
| Rate for Payer: BCN Commercial |
$180.81
|
| Rate for Payer: BCN Medicare Advantage |
$116.07
|
| Rate for Payer: BCN Medicare Advantage |
$116.07
|
| Rate for Payer: Cash Price |
$25.60
|
| Rate for Payer: Cash Price |
$25.60
|
| Rate for Payer: Cash Price |
$213.60
|
| Rate for Payer: Cash Price |
$213.60
|
| Rate for Payer: Cofinity Commercial |
$167.14
|
| Rate for Payer: Cofinity Commercial |
$155.53
|
| Rate for Payer: Cofinity Commercial |
$155.53
|
| Rate for Payer: Cofinity Commercial |
$167.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$116.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$116.07
|
| Rate for Payer: Healthscope Commercial |
$139.28
|
| Rate for Payer: Healthscope Commercial |
$139.28
|
| Rate for Payer: Healthscope Whirlpool |
$139.28
|
| Rate for Payer: Healthscope Whirlpool |
$139.28
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$121.87
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$121.87
|
| Rate for Payer: PACE SWMI |
$116.07
|
| Rate for Payer: PACE SWMI |
$116.07
|
| Rate for Payer: PHP Medicare Advantage |
$116.07
|
| Rate for Payer: PHP Medicare Advantage |
$116.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$186.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$22.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$166.18
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$166.18
|
| Rate for Payer: Priority Health Medicare |
$116.07
|
| Rate for Payer: Priority Health Medicare |
$116.07
|
| Rate for Payer: Priority Health Narrow Network |
$166.18
|
| Rate for Payer: Priority Health Narrow Network |
$166.18
|
| Rate for Payer: UHC Medicare Advantage |
$119.55
|
| Rate for Payer: UHC Medicare Advantage |
$119.55
|
|
|
PR DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY
|
Professional
|
Both
|
$115.00
|
|
|
Service Code
|
HCPCS 93970
|
| Min. Negotiated Rate |
$8.98 |
| Max. Negotiated Rate |
$276.10 |
| Rate for Payer: Aetna Commercial |
$237.30
|
| Rate for Payer: Aetna Commercial |
$237.30
|
| Rate for Payer: Aetna Medicare |
$177.09
|
| Rate for Payer: Aetna Medicare |
$177.09
|
| Rate for Payer: BCBS Complete |
$46.00
|
| Rate for Payer: BCBS Complete |
$165.60
|
| Rate for Payer: BCBS MAPPO |
$177.09
|
| Rate for Payer: BCBS MAPPO |
$177.09
|
| Rate for Payer: BCBS Trust/PPO |
$8.98
|
| Rate for Payer: BCBS Trust/PPO |
$8.98
|
| Rate for Payer: BCN Commercial |
$276.10
|
| Rate for Payer: BCN Commercial |
$276.10
|
| Rate for Payer: BCN Medicare Advantage |
$177.09
|
| Rate for Payer: BCN Medicare Advantage |
$177.09
|
| Rate for Payer: Cash Price |
$331.20
|
| Rate for Payer: Cash Price |
$331.20
|
| Rate for Payer: Cash Price |
$92.00
|
| Rate for Payer: Cash Price |
$92.00
|
| Rate for Payer: Cofinity Commercial |
$255.01
|
| Rate for Payer: Cofinity Commercial |
$255.01
|
| Rate for Payer: Cofinity Commercial |
$237.30
|
| Rate for Payer: Cofinity Commercial |
$237.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$177.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$177.09
|
| Rate for Payer: Healthscope Commercial |
$212.51
|
| Rate for Payer: Healthscope Commercial |
$212.51
|
| Rate for Payer: Healthscope Whirlpool |
$212.51
|
| Rate for Payer: Healthscope Whirlpool |
$212.51
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$185.94
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$185.94
|
| Rate for Payer: PACE SWMI |
$177.09
|
| Rate for Payer: PACE SWMI |
$177.09
|
| Rate for Payer: PHP Medicare Advantage |
$177.09
|
| Rate for Payer: PHP Medicare Advantage |
$177.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$289.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$80.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$253.76
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$253.76
|
| Rate for Payer: Priority Health Medicare |
$177.09
|
| Rate for Payer: Priority Health Medicare |
$177.09
|
| Rate for Payer: Priority Health Narrow Network |
$253.76
|
| Rate for Payer: Priority Health Narrow Network |
$253.76
|
| Rate for Payer: UHC Medicare Advantage |
$182.40
|
| Rate for Payer: UHC Medicare Advantage |
$182.40
|
|
|
PR DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY
|
Professional
|
Both
|
$274.00
|
|
|
Service Code
|
HCPCS 93971
|
| Min. Negotiated Rate |
$100.91 |
| Max. Negotiated Rate |
$191.80 |
| Rate for Payer: Aetna Commercial |
$150.36
|
| Rate for Payer: Aetna Commercial |
$150.36
|
| Rate for Payer: Aetna Medicare |
$112.21
|
| Rate for Payer: Aetna Medicare |
$112.21
|
| Rate for Payer: BCBS Complete |
$109.60
|
| Rate for Payer: BCBS Complete |
$29.20
|
| Rate for Payer: BCBS MAPPO |
$112.21
|
| Rate for Payer: BCBS MAPPO |
$112.21
|
| Rate for Payer: BCBS Trust/PPO |
$100.91
|
| Rate for Payer: BCBS Trust/PPO |
$100.91
|
| Rate for Payer: BCN Commercial |
$174.95
|
| Rate for Payer: BCN Commercial |
$174.95
|
| Rate for Payer: BCN Medicare Advantage |
$112.21
|
| Rate for Payer: BCN Medicare Advantage |
$112.21
|
| Rate for Payer: Cash Price |
$58.40
|
| Rate for Payer: Cash Price |
$58.40
|
| Rate for Payer: Cash Price |
$219.20
|
| Rate for Payer: Cash Price |
$219.20
|
| Rate for Payer: Cofinity Commercial |
$150.36
|
| Rate for Payer: Cofinity Commercial |
$161.58
|
| Rate for Payer: Cofinity Commercial |
$161.58
|
| Rate for Payer: Cofinity Commercial |
$150.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$112.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$112.21
|
| Rate for Payer: Healthscope Commercial |
$134.65
|
| Rate for Payer: Healthscope Commercial |
$134.65
|
| Rate for Payer: Healthscope Whirlpool |
$134.65
|
| Rate for Payer: Healthscope Whirlpool |
$134.65
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$117.82
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$117.82
|
| Rate for Payer: PACE SWMI |
$112.21
|
| Rate for Payer: PACE SWMI |
$112.21
|
| Rate for Payer: PHP Medicare Advantage |
$112.21
|
| Rate for Payer: PHP Medicare Advantage |
$112.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$191.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$51.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$160.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$160.80
|
| Rate for Payer: Priority Health Medicare |
$112.21
|
| Rate for Payer: Priority Health Medicare |
$112.21
|
| Rate for Payer: Priority Health Narrow Network |
$160.80
|
| Rate for Payer: Priority Health Narrow Network |
$160.80
|
| Rate for Payer: UHC Medicare Advantage |
$115.58
|
| Rate for Payer: UHC Medicare Advantage |
$115.58
|
|
|
PR DURAL GRAFT SPINAL
|
Professional
|
Both
|
$4,992.00
|
|
|
Service Code
|
HCPCS 63710
|
| Min. Negotiated Rate |
$172.75 |
| Max. Negotiated Rate |
$3,494.40 |
| Rate for Payer: Aetna Commercial |
$1,440.18
|
| Rate for Payer: Aetna Medicare |
$1,074.76
|
| Rate for Payer: BCBS Complete |
$736.03
|
| Rate for Payer: BCBS MAPPO |
$1,074.76
|
| Rate for Payer: BCBS Trust/PPO |
$172.75
|
| Rate for Payer: BCN Commercial |
$1,749.81
|
| Rate for Payer: BCN Medicare Advantage |
$1,074.76
|
| Rate for Payer: Cash Price |
$3,993.60
|
| Rate for Payer: Cash Price |
$3,993.60
|
| Rate for Payer: Cofinity Commercial |
$1,547.65
|
| Rate for Payer: Cofinity Commercial |
$1,440.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,074.76
|
| Rate for Payer: Healthscope Commercial |
$1,289.71
|
| Rate for Payer: Healthscope Whirlpool |
$1,289.71
|
| Rate for Payer: Meridian Medicaid |
$736.03
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,128.50
|
| Rate for Payer: PACE SWMI |
$1,074.76
|
| Rate for Payer: PHP Medicare Advantage |
$1,074.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$700.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,494.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,841.36
|
| Rate for Payer: Priority Health Medicare |
$1,074.76
|
| Rate for Payer: Priority Health Narrow Network |
$1,841.36
|
| Rate for Payer: UHC Medicare Advantage |
$1,107.00
|
|
|
PR DYSPORT
|
Professional
|
Both
|
$12.00
|
|
|
Service Code
|
HCPCS 00385
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$4.80 |
| Max. Negotiated Rate |
$8.40 |
| Rate for Payer: BCBS Complete |
$4.80
|
| Rate for Payer: Cash Price |
$9.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8.40
|
|
|
PR EAR MOLD/INSERT
|
Professional
|
Both
|
$70.00
|
|
|
Service Code
|
HCPCS V5264
|
| Min. Negotiated Rate |
$28.00 |
| Max. Negotiated Rate |
$57.45 |
| Rate for Payer: Aetna Commercial |
$57.45
|
| Rate for Payer: BCBS Complete |
$28.00
|
| Rate for Payer: Cash Price |
$56.00
|
| Rate for Payer: Cash Price |
$56.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$49.00
|
|
|
PR EAR PIERCING
|
Professional
|
Both
|
$70.00
|
|
|
Service Code
|
HCPCS 69090
|
| Min. Negotiated Rate |
$28.00 |
| Max. Negotiated Rate |
$248.83 |
| Rate for Payer: Aetna Commercial |
$35.41
|
| Rate for Payer: BCBS Complete |
$28.00
|
| Rate for Payer: BCBS Trust/PPO |
$248.83
|
| Rate for Payer: Cash Price |
$56.00
|
| Rate for Payer: Cash Price |
$56.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$49.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$43.85
|
| Rate for Payer: Priority Health Narrow Network |
$43.85
|
|
|
PR ECG ROUTINE ECG W/LEAST 12 LDS I&R ONLY
|
Professional
|
Both
|
$23.00
|
|
|
Service Code
|
HCPCS 93010
|
| Min. Negotiated Rate |
$5.11 |
| Max. Negotiated Rate |
$2,320.82 |
| Rate for Payer: Aetna Commercial |
$10.69
|
| Rate for Payer: Aetna Medicare |
$7.98
|
| Rate for Payer: BCBS Complete |
$5.37
|
| Rate for Payer: BCBS MAPPO |
$7.98
|
| Rate for Payer: BCBS Trust/PPO |
$2,320.82
|
| Rate for Payer: BCN Commercial |
$9.43
|
| Rate for Payer: BCN Medicare Advantage |
$7.98
|
| Rate for Payer: Cash Price |
$18.40
|
| Rate for Payer: Cash Price |
$18.40
|
| Rate for Payer: Cofinity Commercial |
$11.49
|
| Rate for Payer: Cofinity Commercial |
$10.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.98
|
| Rate for Payer: Healthscope Commercial |
$9.58
|
| Rate for Payer: Healthscope Whirlpool |
$9.58
|
| Rate for Payer: Meridian Medicaid |
$5.37
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$8.38
|
| Rate for Payer: PACE SWMI |
$7.98
|
| Rate for Payer: PHP Medicare Advantage |
$7.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11.34
|
| Rate for Payer: Priority Health Medicare |
$7.98
|
| Rate for Payer: Priority Health Narrow Network |
$11.34
|
| Rate for Payer: UHC Medicare Advantage |
$8.22
|
|
|
PR ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I&R
|
Professional
|
Both
|
$42.00
|
|
|
Service Code
|
HCPCS 93005
|
| Min. Negotiated Rate |
$5.92 |
| Max. Negotiated Rate |
$1,832.67 |
| Rate for Payer: Aetna Commercial |
$7.93
|
| Rate for Payer: Aetna Medicare |
$5.92
|
| Rate for Payer: BCBS Complete |
$16.80
|
| Rate for Payer: BCBS MAPPO |
$5.92
|
| Rate for Payer: BCBS Trust/PPO |
$1,832.67
|
| Rate for Payer: BCN Commercial |
$7.46
|
| Rate for Payer: BCN Medicare Advantage |
$5.92
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cofinity Commercial |
$8.52
|
| Rate for Payer: Cofinity Commercial |
$7.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.92
|
| Rate for Payer: Healthscope Commercial |
$7.10
|
| Rate for Payer: Healthscope Whirlpool |
$7.10
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6.22
|
| Rate for Payer: PACE SWMI |
$5.92
|
| Rate for Payer: PHP Medicare Advantage |
$5.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8.99
|
| Rate for Payer: Priority Health Medicare |
$5.92
|
| Rate for Payer: Priority Health Narrow Network |
$8.99
|
| Rate for Payer: UHC Medicare Advantage |
$6.10
|
|
|
PR ECG ROUTINE ECG W/LEAST 12 LDS W/I&R
|
Professional
|
Both
|
$77.00
|
|
|
Service Code
|
HCPCS 93000
|
| Min. Negotiated Rate |
$13.90 |
| Max. Negotiated Rate |
$1,966.86 |
| Rate for Payer: Aetna Commercial |
$18.63
|
| Rate for Payer: Aetna Medicare |
$13.90
|
| Rate for Payer: BCBS Complete |
$30.80
|
| Rate for Payer: BCBS MAPPO |
$13.90
|
| Rate for Payer: BCBS Trust/PPO |
$1,966.86
|
| Rate for Payer: BCN Commercial |
$16.88
|
| Rate for Payer: BCN Medicare Advantage |
$13.90
|
| Rate for Payer: Cash Price |
$61.60
|
| Rate for Payer: Cash Price |
$61.60
|
| Rate for Payer: Cofinity Commercial |
$20.02
|
| Rate for Payer: Cofinity Commercial |
$18.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.90
|
| Rate for Payer: Healthscope Commercial |
$16.68
|
| Rate for Payer: Healthscope Whirlpool |
$16.68
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$14.60
|
| Rate for Payer: PACE SWMI |
$13.90
|
| Rate for Payer: PHP Medicare Advantage |
$13.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$53.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20.33
|
| Rate for Payer: Priority Health Medicare |
$13.90
|
| Rate for Payer: Priority Health Narrow Network |
$20.33
|
| Rate for Payer: UHC Medicare Advantage |
$14.32
|
|
|
PR ECHO R-T 2D W/PROBE PLACEMENT ONLY
|
Professional
|
Both
|
$746.00
|
|
|
Service Code
|
HCPCS 93313
|
| Min. Negotiated Rate |
$7.03 |
| Max. Negotiated Rate |
$1,750.26 |
| Rate for Payer: Aetna Commercial |
$14.85
|
| Rate for Payer: Aetna Medicare |
$11.08
|
| Rate for Payer: BCBS Complete |
$7.38
|
| Rate for Payer: BCBS MAPPO |
$11.08
|
| Rate for Payer: BCBS Trust/PPO |
$1,750.26
|
| Rate for Payer: BCN Commercial |
$16.12
|
| Rate for Payer: BCN Medicare Advantage |
$11.08
|
| Rate for Payer: Cash Price |
$596.80
|
| Rate for Payer: Cash Price |
$596.80
|
| Rate for Payer: Cofinity Commercial |
$15.96
|
| Rate for Payer: Cofinity Commercial |
$14.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11.08
|
| Rate for Payer: Healthscope Commercial |
$13.30
|
| Rate for Payer: Healthscope Whirlpool |
$13.30
|
| Rate for Payer: Meridian Medicaid |
$7.38
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$11.63
|
| Rate for Payer: PACE SWMI |
$11.08
|
| Rate for Payer: PHP Medicare Advantage |
$11.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$522.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15.60
|
| Rate for Payer: Priority Health Medicare |
$11.08
|
| Rate for Payer: Priority Health Narrow Network |
$15.60
|
| Rate for Payer: UHC Medicare Advantage |
$11.41
|
|
|
PR ECHO TEE GUID TCAT ICAR/VESSEL STRUCTURAL INTVN
|
Professional
|
Both
|
$452.00
|
|
|
Service Code
|
HCPCS 93355
|
| Min. Negotiated Rate |
$140.15 |
| Max. Negotiated Rate |
$1,372.52 |
| Rate for Payer: Aetna Commercial |
$292.94
|
| Rate for Payer: Aetna Medicare |
$218.61
|
| Rate for Payer: BCBS Complete |
$147.16
|
| Rate for Payer: BCBS MAPPO |
$218.61
|
| Rate for Payer: BCBS Trust/PPO |
$1,372.52
|
| Rate for Payer: BCN Commercial |
$321.06
|
| Rate for Payer: BCN Medicare Advantage |
$218.61
|
| Rate for Payer: Cash Price |
$361.60
|
| Rate for Payer: Cash Price |
$361.60
|
| Rate for Payer: Cofinity Commercial |
$292.94
|
| Rate for Payer: Cofinity Commercial |
$314.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$218.61
|
| Rate for Payer: Healthscope Commercial |
$262.33
|
| Rate for Payer: Healthscope Whirlpool |
$262.33
|
| Rate for Payer: Meridian Medicaid |
$147.16
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$229.54
|
| Rate for Payer: PACE SWMI |
$218.61
|
| Rate for Payer: PHP Medicare Advantage |
$218.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$140.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$316.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$310.68
|
| Rate for Payer: Priority Health Medicare |
$218.61
|
| Rate for Payer: Priority Health Narrow Network |
$310.68
|
| Rate for Payer: UHC Medicare Advantage |
$225.17
|
|
|
PR ECHO TRANSESOPHAG CONGEN PROBE PLCMT IMGNG I&R
|
Professional
|
Both
|
$580.00
|
|
|
Service Code
|
HCPCS 93315
|
| Hospital Charge Code |
93315
|
| Min. Negotiated Rate |
$232.00 |
| Max. Negotiated Rate |
$1,889.20 |
| Rate for Payer: Aetna Commercial |
$637.15
|
| Rate for Payer: BCBS Complete |
$232.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,889.20
|
| Rate for Payer: BCN Commercial |
$646.21
|
| Rate for Payer: Cash Price |
$464.00
|
| Rate for Payer: Cash Price |
$464.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$406.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$350.39
|
| Rate for Payer: Priority Health Narrow Network |
$350.39
|
|
|
PR ECHO TRANSESOPHAG CONGEN PROBE PLCMT IMGNG I&R
|
Facility
|
OP
|
$580.00
|
|
|
Service Code
|
CPT 93315
|
| Hospital Charge Code |
93315
|
| Min. Negotiated Rate |
$268.23 |
| Max. Negotiated Rate |
$612.96 |
| Rate for Payer: Aetna Commercial |
$522.00
|
| Rate for Payer: Aetna Medicare |
$490.37
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$612.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$612.96
|
| Rate for Payer: ASR ASR |
$562.60
|
| Rate for Payer: BCBS Complete |
$281.67
|
| Rate for Payer: BCBS MAPPO |
$490.37
|
| Rate for Payer: BCBS Trust/PPO |
$449.67
|
| Rate for Payer: BCN Commercial |
$449.67
|
| Rate for Payer: BCN Medicare Advantage |
$490.37
|
| Rate for Payer: Cash Price |
$464.00
|
| Rate for Payer: Cash Price |
$464.00
|
| Rate for Payer: Cofinity Commercial |
$545.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$464.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$490.37
|
| Rate for Payer: Healthscope Commercial |
$580.00
|
| Rate for Payer: Healthscope Whirlpool |
$562.60
|
| Rate for Payer: Humana Choice PPO Medicare |
$490.37
|
| Rate for Payer: Mclaren Commercial |
$522.00
|
| Rate for Payer: Mclaren Medicaid |
$268.23
|
| Rate for Payer: Mclaren Medicare |
$490.37
|
| Rate for Payer: Meridian Medicaid |
$281.67
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$514.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$563.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$493.00
|
| Rate for Payer: PACE Medicare |
$465.85
|
| Rate for Payer: PACE SWMI |
$490.37
|
| Rate for Payer: PHP Commercial |
$539.41
|
| Rate for Payer: PHP Medicaid |
$268.23
|
| Rate for Payer: PHP Medicare Advantage |
$490.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$268.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$406.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$527.80
|
| Rate for Payer: Priority Health Medicare |
$490.37
|
| Rate for Payer: Priority Health Narrow Network |
$411.80
|
| Rate for Payer: Railroad Medicare Medicare |
$490.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$510.40
|
| Rate for Payer: UHC Medicare Advantage |
$505.08
|
| Rate for Payer: VA VA |
$490.37
|
|
|
PR ECHO TRANSESOPHAG CONGEN PROBE PLCMT IMGNG I&R
|
Professional
|
Both
|
$580.00
|
|
|
Service Code
|
HCPCS 93315
|
| Min. Negotiated Rate |
$232.00 |
| Max. Negotiated Rate |
$1,889.20 |
| Rate for Payer: Aetna Commercial |
$637.15
|
| Rate for Payer: BCBS Complete |
$232.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,889.20
|
| Rate for Payer: BCN Commercial |
$646.21
|
| Rate for Payer: Cash Price |
$464.00
|
| Rate for Payer: Cash Price |
$464.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$406.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$350.39
|
| Rate for Payer: Priority Health Narrow Network |
$350.39
|
|
