|
CHG FLUOROSCOPY UP TO 1 HOUR PHYSICIAN/QHP TIME
|
Professional
|
Both
|
$55.00
|
|
|
Service Code
|
HCPCS 76000
|
| Min. Negotiated Rate |
$9.59 |
| Max. Negotiated Rate |
$366.11 |
| Rate for Payer: Aetna Commercial |
$48.94
|
| Rate for Payer: Aetna Medicare |
$27.50
|
| Rate for Payer: BCBS Complete |
$10.07
|
| Rate for Payer: BCBS Trust/PPO |
$366.11
|
| Rate for Payer: BCN Commercial |
$63.53
|
| Rate for Payer: Cash Price |
$44.00
|
| Rate for Payer: Cash Price |
$44.00
|
| Rate for Payer: Meridian Medicaid |
$10.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$35.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22.59
|
| Rate for Payer: Priority Health Narrow Network |
$22.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$104.93
|
| Rate for Payer: UHC Exchange |
$104.93
|
| Rate for Payer: UHCCP Medicaid |
$9.59
|
|
|
CHG GASTROESOPHAGEAL REFLUX STUDY
|
Professional
|
Both
|
$103.00
|
|
|
Service Code
|
HCPCS 78262
|
| Min. Negotiated Rate |
$20.45 |
| Max. Negotiated Rate |
$653.51 |
| Rate for Payer: Aetna Commercial |
$274.74
|
| Rate for Payer: Aetna Medicare |
$51.50
|
| Rate for Payer: BCBS Complete |
$21.47
|
| Rate for Payer: BCBS Trust/PPO |
$653.51
|
| Rate for Payer: BCN Commercial |
$337.19
|
| Rate for Payer: Cash Price |
$82.40
|
| Rate for Payer: Cash Price |
$82.40
|
| Rate for Payer: Meridian Medicaid |
$21.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$20.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$66.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$48.75
|
| Rate for Payer: Priority Health Narrow Network |
$48.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$234.30
|
| Rate for Payer: UHC Exchange |
$234.30
|
| Rate for Payer: UHCCP Medicaid |
$20.45
|
|
|
CHG GLUC BLD GLUC MNTR DEV CLEARED FDA SPEC HOME USE
|
Professional
|
Both
|
$12.00
|
|
|
Service Code
|
HCPCS 82962
|
| Min. Negotiated Rate |
$3.12 |
| Max. Negotiated Rate |
$1,864.90 |
| Rate for Payer: Aetna Commercial |
$3.12
|
| Rate for Payer: Aetna Medicare |
$6.00
|
| Rate for Payer: BCBS Complete |
$4.80
|
| Rate for Payer: BCBS Trust/PPO |
$1,864.90
|
| Rate for Payer: BCN Commercial |
$3.28
|
| Rate for Payer: Cash Price |
$9.60
|
| Rate for Payer: Cash Price |
$9.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3.33
|
| Rate for Payer: Priority Health Narrow Network |
$3.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3.35
|
| Rate for Payer: UHC Exchange |
$3.35
|
|
|
CHG GLUCOSE BLOOD REAGENT STRIP
|
Professional
|
Both
|
$14.00
|
|
|
Service Code
|
HCPCS 82948
|
| Min. Negotiated Rate |
$3.78 |
| Max. Negotiated Rate |
$2,965.35 |
| Rate for Payer: Aetna Commercial |
$4.79
|
| Rate for Payer: Aetna Medicare |
$7.00
|
| Rate for Payer: BCBS Complete |
$5.60
|
| Rate for Payer: BCBS Trust/PPO |
$2,965.35
|
| Rate for Payer: BCN Commercial |
$3.78
|
| Rate for Payer: Cash Price |
$11.20
|
| Rate for Payer: Cash Price |
$11.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4.99
|
| Rate for Payer: Priority Health Narrow Network |
$4.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4.54
|
| Rate for Payer: UHC Exchange |
$4.54
|
|
|
CHG GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP
|
Professional
|
Both
|
$17.00
|
|
|
Service Code
|
HCPCS 82947
|
| Min. Negotiated Rate |
$1.71 |
| Max. Negotiated Rate |
$2,179.24 |
| Rate for Payer: Aetna Commercial |
$3.73
|
| Rate for Payer: Aetna Medicare |
$8.50
|
| Rate for Payer: BCBS Complete |
$6.80
|
| Rate for Payer: BCBS Trust/PPO |
$2,179.24
|
| Rate for Payer: BCN Commercial |
$1.71
|
| Rate for Payer: Cash Price |
$13.60
|
| Rate for Payer: Cash Price |
$13.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3.99
|
| Rate for Payer: Priority Health Narrow Network |
$3.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5.38
|
| Rate for Payer: UHC Exchange |
$5.38
|
|
|
CHG GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS
|
Professional
|
Both
|
$47.00
|
|
|
Service Code
|
HCPCS 82951
|
| Min. Negotiated Rate |
$9.65 |
| Max. Negotiated Rate |
$3,628.36 |
| Rate for Payer: Aetna Commercial |
$12.23
|
| Rate for Payer: Aetna Medicare |
$23.50
|
| Rate for Payer: BCBS Complete |
$18.80
|
| Rate for Payer: BCBS Trust/PPO |
$3,628.36
|
| Rate for Payer: BCN Commercial |
$9.65
|
| Rate for Payer: Cash Price |
$37.60
|
| Rate for Payer: Cash Price |
$37.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12.98
|
| Rate for Payer: Priority Health Narrow Network |
$12.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$18.44
|
| Rate for Payer: UHC Exchange |
$18.44
|
|
|
CHG GONADOTROPIN CHORIONIC QUALITATIVE
|
Professional
|
Both
|
$26.00
|
|
|
Service Code
|
HCPCS 84703
|
| Min. Negotiated Rate |
$5.64 |
| Max. Negotiated Rate |
$4,545.49 |
| Rate for Payer: Aetna Commercial |
$7.14
|
| Rate for Payer: Aetna Medicare |
$13.00
|
| Rate for Payer: BCBS Complete |
$10.40
|
| Rate for Payer: BCBS Trust/PPO |
$4,545.49
|
| Rate for Payer: BCN Commercial |
$5.64
|
| Rate for Payer: Cash Price |
$20.80
|
| Rate for Payer: Cash Price |
$20.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7.66
|
| Rate for Payer: Priority Health Narrow Network |
$7.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6.46
|
| Rate for Payer: UHC Exchange |
$6.46
|
|
|
CHG GUIDANCE FOR LOCLZJ TARGET VOL FOR RADJ TX DLVR
|
Professional
|
Both
|
$60.00
|
|
|
Service Code
|
HCPCS 77387
|
| Min. Negotiated Rate |
$24.00 |
| Max. Negotiated Rate |
$2,278.56 |
| Rate for Payer: Aetna Commercial |
$130.08
|
| Rate for Payer: Aetna Medicare |
$30.00
|
| Rate for Payer: BCBS Complete |
$24.00
|
| Rate for Payer: BCBS Trust/PPO |
$2,278.56
|
| Rate for Payer: BCN Commercial |
$104.62
|
| Rate for Payer: Cash Price |
$48.00
|
| Rate for Payer: Cash Price |
$48.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$40.03
|
| Rate for Payer: Priority Health Narrow Network |
$40.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$85.87
|
| Rate for Payer: UHC Exchange |
$85.87
|
|
|
CHG HDR RDNCL NTRSTL/INTRCAV BRACHYTX 1 CHANNEL
|
Professional
|
Both
|
$207.00
|
|
|
Service Code
|
HCPCS 77770
|
| Min. Negotiated Rate |
$66.03 |
| Max. Negotiated Rate |
$505.29 |
| Rate for Payer: Aetna Commercial |
$393.99
|
| Rate for Payer: Aetna Commercial |
$393.99
|
| Rate for Payer: Aetna Medicare |
$320.00
|
| Rate for Payer: Aetna Medicare |
$103.50
|
| Rate for Payer: BCBS Complete |
$69.33
|
| Rate for Payer: BCBS Complete |
$69.33
|
| Rate for Payer: BCBS Trust/PPO |
$406.79
|
| Rate for Payer: BCBS Trust/PPO |
$406.79
|
| Rate for Payer: BCN Commercial |
$505.29
|
| Rate for Payer: BCN Commercial |
$505.29
|
| Rate for Payer: Cash Price |
$165.60
|
| Rate for Payer: Cash Price |
$512.00
|
| Rate for Payer: Cash Price |
$512.00
|
| Rate for Payer: Cash Price |
$165.60
|
| Rate for Payer: Meridian Medicaid |
$69.33
|
| Rate for Payer: Meridian Medicaid |
$69.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$66.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$66.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$134.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$416.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$156.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$156.55
|
| Rate for Payer: Priority Health Narrow Network |
$156.55
|
| Rate for Payer: Priority Health Narrow Network |
$156.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$438.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$438.26
|
| Rate for Payer: UHC Exchange |
$438.26
|
| Rate for Payer: UHC Exchange |
$438.26
|
| Rate for Payer: UHCCP Medicaid |
$66.03
|
| Rate for Payer: UHCCP Medicaid |
$66.03
|
|
|
CHG HEMOGLOBIN GLYCOSYLATED A1C
|
Professional
|
Both
|
$23.00
|
|
|
Service Code
|
HCPCS 83036
|
| Min. Negotiated Rate |
$8.34 |
| Max. Negotiated Rate |
$1,402.11 |
| Rate for Payer: Aetna Commercial |
$9.22
|
| Rate for Payer: Aetna Medicare |
$11.50
|
| Rate for Payer: BCBS Complete |
$9.20
|
| Rate for Payer: BCBS Trust/PPO |
$1,402.11
|
| Rate for Payer: BCN Commercial |
$14.71
|
| Rate for Payer: Cash Price |
$18.40
|
| Rate for Payer: Cash Price |
$18.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9.65
|
| Rate for Payer: Priority Health Narrow Network |
$9.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$8.34
|
| Rate for Payer: UHC Exchange |
$8.34
|
|
|
CHG HETEROPHILE ANTIBODIES SCREEN
|
Professional
|
Both
|
$15.00
|
|
|
Service Code
|
HCPCS 86308
|
| Min. Negotiated Rate |
$4.92 |
| Max. Negotiated Rate |
$1,818.41 |
| Rate for Payer: Aetna Commercial |
$4.92
|
| Rate for Payer: Aetna Medicare |
$7.50
|
| Rate for Payer: BCBS Complete |
$6.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,818.41
|
| Rate for Payer: BCN Commercial |
$5.18
|
| Rate for Payer: Cash Price |
$12.00
|
| Rate for Payer: Cash Price |
$12.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5.33
|
| Rate for Payer: Priority Health Narrow Network |
$5.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7.41
|
| Rate for Payer: UHC Exchange |
$7.41
|
|
|
CHG HYSTEROSALPINGOGRAPHY RS&I
|
Professional
|
Both
|
$153.00
|
|
|
Service Code
|
HCPCS 74740
|
| Min. Negotiated Rate |
$11.50 |
| Max. Negotiated Rate |
$140.74 |
| Rate for Payer: Aetna Commercial |
$110.60
|
| Rate for Payer: Aetna Medicare |
$76.50
|
| Rate for Payer: BCBS Complete |
$12.08
|
| Rate for Payer: BCBS Trust/PPO |
$133.66
|
| Rate for Payer: BCN Commercial |
$140.74
|
| Rate for Payer: Cash Price |
$122.40
|
| Rate for Payer: Cash Price |
$122.40
|
| Rate for Payer: Meridian Medicaid |
$12.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$99.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$27.72
|
| Rate for Payer: Priority Health Narrow Network |
$27.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$81.46
|
| Rate for Payer: UHC Exchange |
$81.46
|
| Rate for Payer: UHCCP Medicaid |
$11.50
|
|
|
CHG IAADIADOO INFLUENZA
|
Professional
|
Both
|
$30.00
|
|
|
Service Code
|
HCPCS 87804
|
| Min. Negotiated Rate |
$12.00 |
| Max. Negotiated Rate |
$1,216.15 |
| Rate for Payer: Aetna Commercial |
$15.72
|
| Rate for Payer: Aetna Medicare |
$15.00
|
| Rate for Payer: BCBS Complete |
$12.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,216.15
|
| Rate for Payer: BCN Commercial |
$16.55
|
| Rate for Payer: Cash Price |
$24.00
|
| Rate for Payer: Cash Price |
$24.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16.64
|
| Rate for Payer: Priority Health Narrow Network |
$16.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$17.18
|
| Rate for Payer: UHC Exchange |
$17.18
|
|
|
CHG IAADIADOO RESPIRATORY SYNCTIAL VIRUS
|
Professional
|
Both
|
$18.00
|
|
|
Service Code
|
HCPCS 87807
|
| Min. Negotiated Rate |
$7.20 |
| Max. Negotiated Rate |
$114.11 |
| Rate for Payer: Aetna Commercial |
$12.45
|
| Rate for Payer: Aetna Medicare |
$9.00
|
| Rate for Payer: BCBS Complete |
$7.20
|
| Rate for Payer: BCBS Trust/PPO |
$114.11
|
| Rate for Payer: BCN Commercial |
$13.10
|
| Rate for Payer: Cash Price |
$14.40
|
| Rate for Payer: Cash Price |
$14.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12.98
|
| Rate for Payer: Priority Health Narrow Network |
$12.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$10.31
|
| Rate for Payer: UHC Exchange |
$10.31
|
|
|
CHG IAADIADOO STREPTOCOCCUS GROUP A
|
Professional
|
Both
|
$29.00
|
|
|
Service Code
|
HCPCS 87880
|
| Min. Negotiated Rate |
$11.60 |
| Max. Negotiated Rate |
$164.83 |
| Rate for Payer: Aetna Commercial |
$15.70
|
| Rate for Payer: Aetna Medicare |
$14.50
|
| Rate for Payer: BCBS Complete |
$11.60
|
| Rate for Payer: BCBS Trust/PPO |
$164.83
|
| Rate for Payer: BCN Commercial |
$16.53
|
| Rate for Payer: Cash Price |
$23.20
|
| Rate for Payer: Cash Price |
$23.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16.64
|
| Rate for Payer: Priority Health Narrow Network |
$16.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$17.18
|
| Rate for Payer: UHC Exchange |
$17.18
|
|
|
CHG IAAD IA SEVERE AQT RESPIR SYND CORONAVIRUS
|
Professional
|
Both
|
$41.00
|
|
|
Service Code
|
HCPCS 87426
|
| Min. Negotiated Rate |
$16.40 |
| Max. Negotiated Rate |
$1,641.96 |
| Rate for Payer: Aetna Commercial |
$45.23
|
| Rate for Payer: Aetna Medicare |
$20.50
|
| Rate for Payer: BCBS Complete |
$16.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,641.96
|
| Rate for Payer: BCN Commercial |
$35.33
|
| Rate for Payer: Cash Price |
$32.80
|
| Rate for Payer: Cash Price |
$32.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$26.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$35.28
|
| Rate for Payer: Priority Health Narrow Network |
$35.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$26.60
|
| Rate for Payer: UHC Exchange |
$26.60
|
|
|
CHG IAADI BORDETELLA PRTUSSIS/PARAPRTUSSIS
|
Professional
|
Both
|
$44.00
|
|
|
Service Code
|
HCPCS 87265
|
| Min. Negotiated Rate |
$8.99 |
| Max. Negotiated Rate |
$1,212.98 |
| Rate for Payer: Aetna Commercial |
$11.38
|
| Rate for Payer: Aetna Medicare |
$22.00
|
| Rate for Payer: BCBS Complete |
$17.60
|
| Rate for Payer: BCBS Trust/PPO |
$1,212.98
|
| Rate for Payer: BCN Commercial |
$8.99
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11.98
|
| Rate for Payer: Priority Health Narrow Network |
$11.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$10.31
|
| Rate for Payer: UHC Exchange |
$10.31
|
|
|
CHG IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ
|
Professional
|
Both
|
$77.00
|
|
|
Service Code
|
HCPCS 87491
|
| Min. Negotiated Rate |
$26.32 |
| Max. Negotiated Rate |
$1,449.13 |
| Rate for Payer: Aetna Commercial |
$33.34
|
| Rate for Payer: Aetna Medicare |
$38.50
|
| Rate for Payer: BCBS Complete |
$30.80
|
| Rate for Payer: BCBS Trust/PPO |
$1,449.13
|
| Rate for Payer: BCN Commercial |
$26.32
|
| Rate for Payer: Cash Price |
$61.60
|
| Rate for Payer: Cash Price |
$61.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$50.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$34.95
|
| Rate for Payer: Priority Health Narrow Network |
$34.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$30.16
|
| Rate for Payer: UHC Exchange |
$30.16
|
|
|
CHG IADNA MULTIPLE ORGANISMS DIRECT PROBE TQ
|
Professional
|
Both
|
$83.00
|
|
|
Service Code
|
HCPCS 87800
|
| Min. Negotiated Rate |
$32.75 |
| Max. Negotiated Rate |
$1,724.37 |
| Rate for Payer: Aetna Commercial |
$41.49
|
| Rate for Payer: Aetna Medicare |
$41.50
|
| Rate for Payer: BCBS Complete |
$33.20
|
| Rate for Payer: BCBS Trust/PPO |
$1,724.37
|
| Rate for Payer: BCN Commercial |
$32.75
|
| Rate for Payer: Cash Price |
$66.40
|
| Rate for Payer: Cash Price |
$66.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$53.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$43.61
|
| Rate for Payer: Priority Health Narrow Network |
$43.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$34.47
|
| Rate for Payer: UHC Exchange |
$34.47
|
|
|
CHG IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ
|
Professional
|
Both
|
$77.00
|
|
|
Service Code
|
HCPCS 87591
|
| Min. Negotiated Rate |
$26.32 |
| Max. Negotiated Rate |
$593.81 |
| Rate for Payer: Aetna Commercial |
$33.34
|
| Rate for Payer: Aetna Medicare |
$38.50
|
| Rate for Payer: BCBS Complete |
$30.80
|
| Rate for Payer: BCBS Trust/PPO |
$593.81
|
| Rate for Payer: BCN Commercial |
$26.32
|
| Rate for Payer: Cash Price |
$61.60
|
| Rate for Payer: Cash Price |
$61.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$50.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$34.95
|
| Rate for Payer: Priority Health Narrow Network |
$34.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$30.16
|
| Rate for Payer: UHC Exchange |
$30.16
|
|
|
CHG IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ
|
Professional
|
Both
|
$148.00
|
|
|
Service Code
|
HCPCS 87635
|
| Min. Negotiated Rate |
$51.26 |
| Max. Negotiated Rate |
$2,508.37 |
| Rate for Payer: Aetna Commercial |
$51.31
|
| Rate for Payer: Aetna Medicare |
$74.00
|
| Rate for Payer: BCBS Complete |
$59.20
|
| Rate for Payer: BCBS Trust/PPO |
$2,508.37
|
| Rate for Payer: BCN Commercial |
$70.00
|
| Rate for Payer: Cash Price |
$118.40
|
| Rate for Payer: Cash Price |
$118.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$96.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$51.26
|
| Rate for Payer: Priority Health Narrow Network |
$51.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$51.31
|
| Rate for Payer: UHC Exchange |
$51.31
|
|
|
CHG IA INFECTIOUS AGT ANTIBODY QUAL/SEMIQ 1STEP METH
|
Professional
|
Both
|
$47.00
|
|
|
Service Code
|
HCPCS 86318
|
| Min. Negotiated Rate |
$17.19 |
| Max. Negotiated Rate |
$1,735.47 |
| Rate for Payer: Aetna Commercial |
$17.19
|
| Rate for Payer: Aetna Medicare |
$23.50
|
| Rate for Payer: BCBS Complete |
$18.80
|
| Rate for Payer: BCBS Trust/PPO |
$1,735.47
|
| Rate for Payer: BCN Commercial |
$18.09
|
| Rate for Payer: Cash Price |
$37.60
|
| Rate for Payer: Cash Price |
$37.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17.98
|
| Rate for Payer: Priority Health Narrow Network |
$17.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$18.54
|
| Rate for Payer: UHC Exchange |
$18.54
|
|
|
CHG IMMUNOASSAY TUMOR ANTIGEN QUAL/SEMIQUANTITATIVE
|
Professional
|
Both
|
$40.00
|
|
|
Service Code
|
HCPCS 86294
|
| Min. Negotiated Rate |
$13.68 |
| Max. Negotiated Rate |
$167.47 |
| Rate for Payer: Aetna Commercial |
$24.29
|
| Rate for Payer: Aetna Medicare |
$20.00
|
| Rate for Payer: BCBS Complete |
$16.00
|
| Rate for Payer: BCBS Trust/PPO |
$167.47
|
| Rate for Payer: BCN Commercial |
$19.18
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$26.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25.63
|
| Rate for Payer: Priority Health Narrow Network |
$25.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$13.68
|
| Rate for Payer: UHC Exchange |
$13.68
|
|
|
CHG INFECTIOUS AGENT DNA/RNA INFLUENZA 1ST 2 TYPES
|
Professional
|
Both
|
$147.00
|
|
|
Service Code
|
HCPCS 87502
|
| Min. Negotiated Rate |
$58.80 |
| Max. Negotiated Rate |
$713.73 |
| Rate for Payer: Aetna Commercial |
$91.01
|
| Rate for Payer: Aetna Medicare |
$73.50
|
| Rate for Payer: BCBS Complete |
$58.80
|
| Rate for Payer: BCBS Trust/PPO |
$713.73
|
| Rate for Payer: BCN Commercial |
$71.85
|
| Rate for Payer: Cash Price |
$117.60
|
| Rate for Payer: Cash Price |
$117.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$95.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$95.87
|
| Rate for Payer: Priority Health Narrow Network |
$95.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$71.85
|
| Rate for Payer: UHC Exchange |
$71.85
|
|
|
CHG INTEN MOD RADIOTHER PLAN, SIN/MULT FIELD
|
Professional
|
Both
|
$940.00
|
|
|
Service Code
|
HCPCS 77418
|
| Min. Negotiated Rate |
$376.00 |
| Max. Negotiated Rate |
$611.00 |
| Rate for Payer: Aetna Medicare |
$470.00
|
| Rate for Payer: BCBS Complete |
$376.00
|
| Rate for Payer: Cash Price |
$752.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$611.00
|
|
