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Charge Type Setting Price  
Service Code HCPCS 37252
Min. Negotiated Rate $77.20
Max. Negotiated Rate $125.45
Rate for Payer: Aetna Commercial $114.09
Rate for Payer: Aetna Medicare $85.14
Rate for Payer: BCBS Complete $77.20
Rate for Payer: BCBS MAPPO $85.14
Rate for Payer: BCN Medicare Advantage $85.14
Rate for Payer: Cash Price $154.40
Rate for Payer: Cash Price $154.40
Rate for Payer: Cofinity Commercial $122.60
Rate for Payer: Cofinity Commercial $114.09
Rate for Payer: Health Alliance Plan Medicare Advantage $85.14
Rate for Payer: Healthscope Commercial $102.17
Rate for Payer: Healthscope Whirlpool $102.17
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $89.40
Rate for Payer: Nomi Health Commercial $102.17
Rate for Payer: PACE SWMI $85.14
Rate for Payer: PHP Medicare Advantage $85.14
Rate for Payer: Priority Health Cigna Priority Health $125.45
Rate for Payer: Priority Health Medicare $85.14
Rate for Payer: UHC Dual Complete DSNP $85.14
Rate for Payer: UHC Medicare Advantage $85.14
Rate for Payer: UHCCP DNSP $85.14
Service Code HCPCS 37251
Min. Negotiated Rate $163.20
Max. Negotiated Rate $265.20
Rate for Payer: Aetna Medicare $204.00
Rate for Payer: BCBS Complete $163.20
Rate for Payer: Cash Price $326.40
Rate for Payer: Priority Health Cigna Priority Health $265.20
Service Code HCPCS 93609
Min. Negotiated Rate $233.60
Max. Negotiated Rate $379.60
Rate for Payer: Aetna Medicare $292.00
Rate for Payer: BCBS Complete $233.60
Rate for Payer: Cash Price $467.20
Rate for Payer: Priority Health Cigna Priority Health $379.60
Service Code HCPCS 57180
Min. Negotiated Rate $88.40
Max. Negotiated Rate $165.05
Rate for Payer: Aetna Commercial $153.59
Rate for Payer: Aetna Medicare $114.62
Rate for Payer: BCBS Complete $88.40
Rate for Payer: BCBS MAPPO $114.62
Rate for Payer: BCN Medicare Advantage $114.62
Rate for Payer: Cash Price $176.80
Rate for Payer: Cash Price $176.80
Rate for Payer: Cofinity Commercial $165.05
Rate for Payer: Cofinity Commercial $153.59
Rate for Payer: Health Alliance Plan Medicare Advantage $114.62
Rate for Payer: Healthscope Commercial $137.54
Rate for Payer: Healthscope Whirlpool $137.54
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $120.35
Rate for Payer: Nomi Health Commercial $137.54
Rate for Payer: PACE SWMI $114.62
Rate for Payer: PHP Medicare Advantage $114.62
Rate for Payer: Priority Health Cigna Priority Health $143.65
Rate for Payer: Priority Health Medicare $114.62
Rate for Payer: UHC Dual Complete DSNP $114.62
Rate for Payer: UHC Medicare Advantage $114.62
Rate for Payer: UHCCP DNSP $114.62
Service Code HCPCS 36901
Min. Negotiated Rate $151.20
Max. Negotiated Rate $245.70
Rate for Payer: Aetna Commercial $213.93
Rate for Payer: Aetna Medicare $159.65
Rate for Payer: BCBS Complete $151.20
Rate for Payer: BCBS MAPPO $159.65
Rate for Payer: BCN Medicare Advantage $159.65
Rate for Payer: Cash Price $302.40
Rate for Payer: Cash Price $302.40
Rate for Payer: Cofinity Commercial $229.90
Rate for Payer: Cofinity Commercial $213.93
Rate for Payer: Health Alliance Plan Medicare Advantage $159.65
Rate for Payer: Healthscope Commercial $191.58
Rate for Payer: Healthscope Whirlpool $191.58
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $167.63
Rate for Payer: Nomi Health Commercial $191.58
Rate for Payer: PACE SWMI $159.65
Rate for Payer: PHP Medicare Advantage $159.65
Rate for Payer: Priority Health Cigna Priority Health $245.70
Rate for Payer: Priority Health Medicare $159.65
Rate for Payer: UHC Dual Complete DSNP $159.65
Rate for Payer: UHC Medicare Advantage $159.65
Rate for Payer: UHCCP DNSP $159.65
Service Code HCPCS 36903
Min. Negotiated Rate $298.73
Max. Negotiated Rate $501.15
Rate for Payer: Aetna Commercial $400.30
Rate for Payer: Aetna Medicare $298.73
Rate for Payer: BCBS Complete $308.40
Rate for Payer: BCBS MAPPO $298.73
Rate for Payer: BCN Medicare Advantage $298.73
Rate for Payer: Cash Price $616.80
Rate for Payer: Cash Price $616.80
Rate for Payer: Cofinity Commercial $430.17
Rate for Payer: Cofinity Commercial $400.30
Rate for Payer: Health Alliance Plan Medicare Advantage $298.73
Rate for Payer: Healthscope Commercial $358.48
Rate for Payer: Healthscope Whirlpool $358.48
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $313.67
Rate for Payer: Nomi Health Commercial $358.48
Rate for Payer: PACE SWMI $298.73
Rate for Payer: PHP Medicare Advantage $298.73
Rate for Payer: Priority Health Cigna Priority Health $501.15
Rate for Payer: Priority Health Medicare $298.73
Rate for Payer: UHC Dual Complete DSNP $298.73
Rate for Payer: UHC Medicare Advantage $298.73
Rate for Payer: UHCCP DNSP $298.73
Service Code HCPCS 36902
Min. Negotiated Rate $225.20
Max. Negotiated Rate $365.95
Rate for Payer: Aetna Commercial $303.50
Rate for Payer: Aetna Medicare $226.49
Rate for Payer: BCBS Complete $225.20
Rate for Payer: BCBS MAPPO $226.49
Rate for Payer: BCN Medicare Advantage $226.49
Rate for Payer: Cash Price $450.40
Rate for Payer: Cash Price $450.40
Rate for Payer: Cofinity Commercial $326.15
Rate for Payer: Cofinity Commercial $303.50
Rate for Payer: Health Alliance Plan Medicare Advantage $226.49
Rate for Payer: Healthscope Commercial $271.79
Rate for Payer: Healthscope Whirlpool $271.79
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $237.81
Rate for Payer: Nomi Health Commercial $271.79
Rate for Payer: PACE SWMI $226.49
Rate for Payer: PHP Medicare Advantage $226.49
Rate for Payer: Priority Health Cigna Priority Health $365.95
Rate for Payer: Priority Health Medicare $226.49
Rate for Payer: UHC Dual Complete DSNP $226.49
Rate for Payer: UHC Medicare Advantage $226.49
Rate for Payer: UHCCP DNSP $226.49
Service Code HCPCS 36013
Min. Negotiated Rate $119.25
Max. Negotiated Rate $485.55
Rate for Payer: Aetna Commercial $159.79
Rate for Payer: Aetna Medicare $119.25
Rate for Payer: BCBS Complete $298.80
Rate for Payer: BCBS MAPPO $119.25
Rate for Payer: BCN Medicare Advantage $119.25
Rate for Payer: Cash Price $597.60
Rate for Payer: Cash Price $597.60
Rate for Payer: Cofinity Commercial $171.72
Rate for Payer: Cofinity Commercial $159.79
Rate for Payer: Health Alliance Plan Medicare Advantage $119.25
Rate for Payer: Healthscope Commercial $143.10
Rate for Payer: Healthscope Whirlpool $143.10
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $125.21
Rate for Payer: Nomi Health Commercial $143.10
Rate for Payer: PACE SWMI $119.25
Rate for Payer: PHP Medicare Advantage $119.25
Rate for Payer: Priority Health Cigna Priority Health $485.55
Rate for Payer: Priority Health Medicare $119.25
Rate for Payer: UHC Dual Complete DSNP $119.25
Rate for Payer: UHC Medicare Advantage $119.25
Rate for Payer: UHCCP DNSP $119.25
Service Code HCPCS 36010
Min. Negotiated Rate $102.70
Max. Negotiated Rate $633.10
Rate for Payer: Aetna Commercial $137.62
Rate for Payer: Aetna Medicare $102.70
Rate for Payer: BCBS Complete $389.60
Rate for Payer: BCBS MAPPO $102.70
Rate for Payer: BCN Medicare Advantage $102.70
Rate for Payer: Cash Price $779.20
Rate for Payer: Cash Price $779.20
Rate for Payer: Cofinity Commercial $147.89
Rate for Payer: Cofinity Commercial $137.62
Rate for Payer: Health Alliance Plan Medicare Advantage $102.70
Rate for Payer: Healthscope Commercial $123.24
Rate for Payer: Healthscope Whirlpool $123.24
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $107.83
Rate for Payer: Nomi Health Commercial $123.24
Rate for Payer: PACE SWMI $102.70
Rate for Payer: PHP Medicare Advantage $102.70
Rate for Payer: Priority Health Cigna Priority Health $633.10
Rate for Payer: Priority Health Medicare $102.70
Rate for Payer: UHC Dual Complete DSNP $102.70
Rate for Payer: UHC Medicare Advantage $102.70
Rate for Payer: UHCCP DNSP $102.70
Service Code HCPCS 36200
Min. Negotiated Rate $134.13
Max. Negotiated Rate $374.40
Rate for Payer: Aetna Commercial $179.73
Rate for Payer: Aetna Medicare $134.13
Rate for Payer: BCBS Complete $230.40
Rate for Payer: BCBS MAPPO $134.13
Rate for Payer: BCN Medicare Advantage $134.13
Rate for Payer: Cash Price $460.80
Rate for Payer: Cash Price $460.80
Rate for Payer: Cofinity Commercial $193.15
Rate for Payer: Cofinity Commercial $179.73
Rate for Payer: Health Alliance Plan Medicare Advantage $134.13
Rate for Payer: Healthscope Commercial $160.96
Rate for Payer: Healthscope Whirlpool $160.96
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $140.84
Rate for Payer: Nomi Health Commercial $160.96
Rate for Payer: PACE SWMI $134.13
Rate for Payer: PHP Medicare Advantage $134.13
Rate for Payer: Priority Health Cigna Priority Health $374.40
Rate for Payer: Priority Health Medicare $134.13
Rate for Payer: UHC Dual Complete DSNP $134.13
Rate for Payer: UHC Medicare Advantage $134.13
Rate for Payer: UHCCP DNSP $134.13
Service Code HCPCS 44500
Min. Negotiated Rate $18.26
Max. Negotiated Rate $90.35
Rate for Payer: Aetna Commercial $24.47
Rate for Payer: Aetna Medicare $18.26
Rate for Payer: BCBS Complete $55.60
Rate for Payer: BCBS MAPPO $18.26
Rate for Payer: BCN Medicare Advantage $18.26
Rate for Payer: Cash Price $111.20
Rate for Payer: Cash Price $111.20
Rate for Payer: Cofinity Commercial $26.29
Rate for Payer: Cofinity Commercial $24.47
Rate for Payer: Health Alliance Plan Medicare Advantage $18.26
Rate for Payer: Healthscope Commercial $21.91
Rate for Payer: Healthscope Whirlpool $21.91
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $19.17
Rate for Payer: Nomi Health Commercial $21.91
Rate for Payer: PACE SWMI $18.26
Rate for Payer: PHP Medicare Advantage $18.26
Rate for Payer: Priority Health Cigna Priority Health $90.35
Rate for Payer: Priority Health Medicare $18.26
Rate for Payer: UHC Dual Complete DSNP $18.26
Rate for Payer: UHC Medicare Advantage $18.26
Rate for Payer: UHCCP DNSP $18.26
Service Code HCPCS 36000
Min. Negotiated Rate $72.00
Max. Negotiated Rate $117.00
Rate for Payer: Aetna Medicare $90.00
Rate for Payer: BCBS Complete $72.00
Rate for Payer: Cash Price $144.00
Rate for Payer: Priority Health Cigna Priority Health $117.00
Service Code HCPCS 36100
Min. Negotiated Rate $146.56
Max. Negotiated Rate $477.75
Rate for Payer: Aetna Commercial $196.39
Rate for Payer: Aetna Medicare $146.56
Rate for Payer: BCBS Complete $294.00
Rate for Payer: BCBS MAPPO $146.56
Rate for Payer: BCN Medicare Advantage $146.56
Rate for Payer: Cash Price $588.00
Rate for Payer: Cash Price $588.00
Rate for Payer: Cofinity Commercial $211.05
Rate for Payer: Cofinity Commercial $196.39
Rate for Payer: Health Alliance Plan Medicare Advantage $146.56
Rate for Payer: Healthscope Commercial $175.87
Rate for Payer: Healthscope Whirlpool $175.87
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $153.89
Rate for Payer: Nomi Health Commercial $175.87
Rate for Payer: PACE SWMI $146.56
Rate for Payer: PHP Medicare Advantage $146.56
Rate for Payer: Priority Health Cigna Priority Health $477.75
Rate for Payer: Priority Health Medicare $146.56
Rate for Payer: UHC Dual Complete DSNP $146.56
Rate for Payer: UHC Medicare Advantage $146.56
Rate for Payer: UHCCP DNSP $146.56
Service Code HCPCS 36140
Min. Negotiated Rate $84.73
Max. Negotiated Rate $612.30
Rate for Payer: Aetna Commercial $113.54
Rate for Payer: Aetna Medicare $84.73
Rate for Payer: BCBS Complete $376.80
Rate for Payer: BCBS MAPPO $84.73
Rate for Payer: BCN Medicare Advantage $84.73
Rate for Payer: Cash Price $753.60
Rate for Payer: Cash Price $753.60
Rate for Payer: Cofinity Commercial $122.01
Rate for Payer: Cofinity Commercial $113.54
Rate for Payer: Health Alliance Plan Medicare Advantage $84.73
Rate for Payer: Healthscope Commercial $101.68
Rate for Payer: Healthscope Whirlpool $101.68
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $88.97
Rate for Payer: Nomi Health Commercial $101.68
Rate for Payer: PACE SWMI $84.73
Rate for Payer: PHP Medicare Advantage $84.73
Rate for Payer: Priority Health Cigna Priority Health $612.30
Rate for Payer: Priority Health Medicare $84.73
Rate for Payer: UHC Dual Complete DSNP $84.73
Rate for Payer: UHC Medicare Advantage $84.73
Rate for Payer: UHCCP DNSP $84.73
Service Code HCPCS 44615
Min. Negotiated Rate $1,037.74
Max. Negotiated Rate $1,928.55
Rate for Payer: Aetna Commercial $1,390.57
Rate for Payer: Aetna Medicare $1,037.74
Rate for Payer: BCBS Complete $1,186.80
Rate for Payer: BCBS MAPPO $1,037.74
Rate for Payer: BCN Medicare Advantage $1,037.74
Rate for Payer: Cash Price $2,373.60
Rate for Payer: Cash Price $2,373.60
Rate for Payer: Cofinity Commercial $1,494.35
Rate for Payer: Cofinity Commercial $1,390.57
Rate for Payer: Health Alliance Plan Medicare Advantage $1,037.74
Rate for Payer: Healthscope Commercial $1,245.29
Rate for Payer: Healthscope Whirlpool $1,245.29
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $1,089.63
Rate for Payer: Nomi Health Commercial $1,245.29
Rate for Payer: PACE SWMI $1,037.74
Rate for Payer: PHP Medicare Advantage $1,037.74
Rate for Payer: Priority Health Cigna Priority Health $1,928.55
Rate for Payer: Priority Health Medicare $1,037.74
Rate for Payer: UHC Dual Complete DSNP $1,037.74
Rate for Payer: UHC Medicare Advantage $1,037.74
Rate for Payer: UHCCP DNSP $1,037.74
Service Code HCPCS 31500
Min. Negotiated Rate $137.27
Max. Negotiated Rate $236.60
Rate for Payer: Aetna Commercial $183.94
Rate for Payer: Aetna Medicare $137.27
Rate for Payer: BCBS Complete $145.60
Rate for Payer: BCBS MAPPO $137.27
Rate for Payer: BCN Medicare Advantage $137.27
Rate for Payer: Cash Price $291.20
Rate for Payer: Cash Price $291.20
Rate for Payer: Cofinity Commercial $197.67
Rate for Payer: Cofinity Commercial $183.94
Rate for Payer: Health Alliance Plan Medicare Advantage $137.27
Rate for Payer: Healthscope Commercial $164.72
Rate for Payer: Healthscope Whirlpool $164.72
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $144.13
Rate for Payer: Nomi Health Commercial $164.72
Rate for Payer: PACE SWMI $137.27
Rate for Payer: PHP Medicare Advantage $137.27
Rate for Payer: Priority Health Cigna Priority Health $236.60
Rate for Payer: Priority Health Medicare $137.27
Rate for Payer: UHC Dual Complete DSNP $137.27
Rate for Payer: UHC Medicare Advantage $137.27
Rate for Payer: UHCCP DNSP $137.27
Service Code HCPCS 95940
Min. Negotiated Rate $22.40
Max. Negotiated Rate $43.72
Rate for Payer: Aetna Commercial $40.68
Rate for Payer: Aetna Medicare $30.36
Rate for Payer: BCBS Complete $22.40
Rate for Payer: BCBS MAPPO $30.36
Rate for Payer: BCN Medicare Advantage $30.36
Rate for Payer: Cash Price $44.80
Rate for Payer: Cash Price $44.80
Rate for Payer: Cofinity Commercial $43.72
Rate for Payer: Cofinity Commercial $40.68
Rate for Payer: Health Alliance Plan Medicare Advantage $30.36
Rate for Payer: Healthscope Commercial $36.43
Rate for Payer: Healthscope Whirlpool $36.43
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $31.88
Rate for Payer: Nomi Health Commercial $36.43
Rate for Payer: PACE SWMI $30.36
Rate for Payer: PHP Medicare Advantage $30.36
Rate for Payer: Priority Health Cigna Priority Health $36.40
Rate for Payer: Priority Health Medicare $30.36
Rate for Payer: UHC Dual Complete DSNP $30.36
Rate for Payer: UHC Medicare Advantage $30.36
Rate for Payer: UHCCP DNSP $30.36
Service Code HCPCS 95941
Min. Negotiated Rate $51.20
Max. Negotiated Rate $83.20
Rate for Payer: Aetna Medicare $64.00
Rate for Payer: BCBS Complete $51.20
Rate for Payer: Cash Price $102.40
Rate for Payer: Priority Health Cigna Priority Health $83.20
Service Code HCPCS 99255
Min. Negotiated Rate $139.20
Max. Negotiated Rate $226.20
Rate for Payer: Aetna Medicare $174.00
Rate for Payer: BCBS Complete $139.20
Rate for Payer: Cash Price $278.40
Rate for Payer: Priority Health Cigna Priority Health $226.20
Service Code HCPCS 99253
Min. Negotiated Rate $83.60
Max. Negotiated Rate $135.85
Rate for Payer: Aetna Medicare $104.50
Rate for Payer: BCBS Complete $83.60
Rate for Payer: Cash Price $167.20
Rate for Payer: Priority Health Cigna Priority Health $135.85
Service Code HCPCS 99254
Min. Negotiated Rate $106.40
Max. Negotiated Rate $172.90
Rate for Payer: Aetna Medicare $133.00
Rate for Payer: BCBS Complete $106.40
Rate for Payer: Cash Price $212.80
Rate for Payer: Priority Health Cigna Priority Health $172.90
Service Code HCPCS 99252
Min. Negotiated Rate $67.20
Max. Negotiated Rate $109.20
Rate for Payer: Aetna Medicare $84.00
Rate for Payer: BCBS Complete $67.20
Rate for Payer: Cash Price $134.40
Rate for Payer: Priority Health Cigna Priority Health $109.20
Service Code HCPCS J7644
Min. Negotiated Rate $0.39
Max. Negotiated Rate $2.60
Rate for Payer: Aetna Commercial $0.52
Rate for Payer: Aetna Medicare $0.39
Rate for Payer: BCBS Complete $1.60
Rate for Payer: BCBS MAPPO $0.39
Rate for Payer: BCN Medicare Advantage $0.39
Rate for Payer: Cash Price $3.20
Rate for Payer: Cash Price $3.20
Rate for Payer: Cofinity Commercial $0.56
Rate for Payer: Cofinity Commercial $0.52
Rate for Payer: Health Alliance Plan Medicare Advantage $0.39
Rate for Payer: Healthscope Commercial $0.47
Rate for Payer: Healthscope Whirlpool $0.47
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $0.41
Rate for Payer: Nomi Health Commercial $0.47
Rate for Payer: PACE SWMI $0.39
Rate for Payer: PHP Medicare Advantage $0.39
Rate for Payer: Priority Health Cigna Priority Health $2.60
Rate for Payer: Priority Health Medicare $0.39
Rate for Payer: UHC Dual Complete DSNP $0.39
Rate for Payer: UHC Medicare Advantage $0.39
Rate for Payer: UHCCP DNSP $0.39
Service Code HCPCS 00099
Hospital Revenue Code 990
Min. Negotiated Rate $20.40
Max. Negotiated Rate $33.15
Rate for Payer: Aetna Medicare $25.50
Rate for Payer: BCBS Complete $20.40
Rate for Payer: Cash Price $40.80
Rate for Payer: Priority Health Cigna Priority Health $33.15
Service Code HCPCS 96523
Min. Negotiated Rate $18.80
Max. Negotiated Rate $30.84
Rate for Payer: Aetna Commercial $28.70
Rate for Payer: Aetna Medicare $21.42
Rate for Payer: BCBS Complete $18.80
Rate for Payer: BCBS MAPPO $21.42
Rate for Payer: BCN Medicare Advantage $21.42
Rate for Payer: Cash Price $37.60
Rate for Payer: Cash Price $37.60
Rate for Payer: Cofinity Commercial $30.84
Rate for Payer: Cofinity Commercial $28.70
Rate for Payer: Health Alliance Plan Medicare Advantage $21.42
Rate for Payer: Healthscope Commercial $25.70
Rate for Payer: Healthscope Whirlpool $25.70
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $22.49
Rate for Payer: Nomi Health Commercial $25.70
Rate for Payer: PACE SWMI $21.42
Rate for Payer: PHP Medicare Advantage $21.42
Rate for Payer: Priority Health Cigna Priority Health $30.55
Rate for Payer: Priority Health Medicare $21.42
Rate for Payer: UHC Dual Complete DSNP $21.42
Rate for Payer: UHC Medicare Advantage $21.42
Rate for Payer: UHCCP DNSP $21.42