|
PR NEEDLE ELECTROMYOGRAPHY HEMIDIAPHRAGM
|
Professional
|
Both
|
$250.88
|
|
|
Service Code
|
HCPCS 95866 26
|
| Min. Negotiated Rate |
$49.27 |
| Max. Negotiated Rate |
$158.35 |
| Rate for Payer: Amida Care Medicaid |
$67.02
|
| Rate for Payer: Cash Price |
$68.72
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$70.38
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$63.34
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$63.34
|
| Rate for Payer: Fidelis Essential Plan QHP |
$66.86
|
| Rate for Payer: Fidelis Medicare Advantage |
$70.38
|
| Rate for Payer: Fidelis Qualified Health Plan |
$66.86
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$70.38
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$70.38
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$52.78
|
| Rate for Payer: Healthfirst Commercial |
$70.38
|
| Rate for Payer: Healthfirst Essential Plan |
$158.35
|
| Rate for Payer: Healthfirst Medicare Advantage |
$66.86
|
| Rate for Payer: Healthfirst QHP |
$70.38
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$49.27
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$70.38
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$59.82
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$49.27
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$70.38
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$52.78
|
| Rate for Payer: SOMOS Essential |
$52.78
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$70.38
|
|
|
PR NEEDLE ELECTROMYOGRAPHY HEMIDIAPHRAGM
|
Professional
|
Both
|
$275.87
|
|
|
Service Code
|
HCPCS 95866 TC
|
| Min. Negotiated Rate |
$53.42 |
| Max. Negotiated Rate |
$171.70 |
| Rate for Payer: Amida Care Medicaid |
$67.02
|
| Rate for Payer: Cash Price |
$71.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$76.31
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$68.68
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$68.68
|
| Rate for Payer: Fidelis Essential Plan QHP |
$72.49
|
| Rate for Payer: Fidelis Medicare Advantage |
$76.31
|
| Rate for Payer: Fidelis Qualified Health Plan |
$72.49
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$76.31
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$76.31
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$57.23
|
| Rate for Payer: Healthfirst Commercial |
$76.31
|
| Rate for Payer: Healthfirst Essential Plan |
$171.70
|
| Rate for Payer: Healthfirst Medicare Advantage |
$72.49
|
| Rate for Payer: Healthfirst QHP |
$76.31
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$53.42
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$76.31
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$64.86
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$53.42
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$76.31
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$57.23
|
| Rate for Payer: SOMOS Essential |
$57.23
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$76.31
|
|
|
PR NEEDLE ELECTROMYOGRAPHY HEMIDIAPHRAGM
|
Professional
|
Both
|
$526.75
|
|
|
Service Code
|
HCPCS 95866
|
| Min. Negotiated Rate |
$67.02 |
| Max. Negotiated Rate |
$330.03 |
| Rate for Payer: Amida Care Medicaid |
$67.02
|
| Rate for Payer: Cash Price |
$140.08
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$146.68
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$132.01
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$132.01
|
| Rate for Payer: Fidelis Essential Plan QHP |
$139.35
|
| Rate for Payer: Fidelis Medicare Advantage |
$146.68
|
| Rate for Payer: Fidelis Qualified Health Plan |
$139.35
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$146.68
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$146.68
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$110.01
|
| Rate for Payer: Healthfirst Commercial |
$146.68
|
| Rate for Payer: Healthfirst Essential Plan |
$330.03
|
| Rate for Payer: Healthfirst Medicare Advantage |
$139.35
|
| Rate for Payer: Healthfirst QHP |
$146.68
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$102.68
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$146.68
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$124.68
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$102.68
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$146.68
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$110.01
|
| Rate for Payer: SOMOS Essential |
$110.01
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$146.68
|
|
|
PR NEEDLE ELECTROMYOGRAPHY LARYNX
|
Professional
|
Both
|
$323.75
|
|
|
Service Code
|
HCPCS 95865 26
|
| Min. Negotiated Rate |
$61.49 |
| Max. Negotiated Rate |
$197.64 |
| Rate for Payer: Amida Care Medicaid |
$87.62
|
| Rate for Payer: Cash Price |
$89.55
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$87.84
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$79.06
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$79.06
|
| Rate for Payer: Fidelis Essential Plan QHP |
$83.45
|
| Rate for Payer: Fidelis Medicare Advantage |
$87.84
|
| Rate for Payer: Fidelis Qualified Health Plan |
$83.45
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$87.84
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$87.84
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$65.88
|
| Rate for Payer: Healthfirst Commercial |
$87.84
|
| Rate for Payer: Healthfirst Essential Plan |
$197.64
|
| Rate for Payer: Healthfirst Medicare Advantage |
$83.45
|
| Rate for Payer: Healthfirst QHP |
$87.84
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$61.49
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$87.84
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$74.66
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$61.49
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$87.84
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$65.88
|
| Rate for Payer: SOMOS Essential |
$65.88
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$87.84
|
|
|
PR NEEDLE ELECTROMYOGRAPHY LARYNX
|
Professional
|
Both
|
$297.43
|
|
|
Service Code
|
HCPCS 95865 TC
|
| Min. Negotiated Rate |
$53.14 |
| Max. Negotiated Rate |
$170.82 |
| Rate for Payer: Amida Care Medicaid |
$87.62
|
| Rate for Payer: Cash Price |
$80.39
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$75.92
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$68.33
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$68.33
|
| Rate for Payer: Fidelis Essential Plan QHP |
$72.12
|
| Rate for Payer: Fidelis Medicare Advantage |
$75.92
|
| Rate for Payer: Fidelis Qualified Health Plan |
$72.12
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$75.92
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$75.92
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$56.94
|
| Rate for Payer: Healthfirst Commercial |
$75.92
|
| Rate for Payer: Healthfirst Essential Plan |
$170.82
|
| Rate for Payer: Healthfirst Medicare Advantage |
$72.12
|
| Rate for Payer: Healthfirst QHP |
$75.92
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$53.14
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$75.92
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$64.53
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$53.14
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$75.92
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$56.94
|
| Rate for Payer: SOMOS Essential |
$56.94
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$75.92
|
|
|
PR NEEDLE ELECTROMYOGRAPHY LARYNX
|
Professional
|
Both
|
$621.18
|
|
|
Service Code
|
HCPCS 95865
|
| Min. Negotiated Rate |
$87.62 |
| Max. Negotiated Rate |
$368.46 |
| Rate for Payer: Amida Care Medicaid |
$87.62
|
| Rate for Payer: Cash Price |
$169.94
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$163.76
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$147.38
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$147.38
|
| Rate for Payer: Fidelis Essential Plan QHP |
$155.57
|
| Rate for Payer: Fidelis Medicare Advantage |
$163.76
|
| Rate for Payer: Fidelis Qualified Health Plan |
$155.57
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$163.76
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$163.76
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$122.82
|
| Rate for Payer: Healthfirst Commercial |
$163.76
|
| Rate for Payer: Healthfirst Essential Plan |
$368.46
|
| Rate for Payer: Healthfirst Medicare Advantage |
$155.57
|
| Rate for Payer: Healthfirst QHP |
$163.76
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$114.63
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$163.76
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$139.20
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$114.63
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$163.76
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$122.82
|
| Rate for Payer: SOMOS Essential |
$122.82
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$163.76
|
|
|
PR NEEDLE EMG EA EXTREMITY W/PARASPINL AREA LIMITED
|
Professional
|
Both
|
$71.02
|
|
|
Service Code
|
HCPCS 95885 26
|
| Min. Negotiated Rate |
$13.76 |
| Max. Negotiated Rate |
$44.23 |
| Rate for Payer: Amida Care Medicaid |
$25.84
|
| Rate for Payer: Cash Price |
$19.90
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$19.66
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$17.69
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$17.69
|
| Rate for Payer: Fidelis Essential Plan QHP |
$18.68
|
| Rate for Payer: Fidelis Medicare Advantage |
$19.66
|
| Rate for Payer: Fidelis Qualified Health Plan |
$18.68
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$19.66
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$19.66
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$14.74
|
| Rate for Payer: Healthfirst Commercial |
$19.66
|
| Rate for Payer: Healthfirst Essential Plan |
$44.23
|
| Rate for Payer: Healthfirst Medicare Advantage |
$18.68
|
| Rate for Payer: Healthfirst QHP |
$19.66
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$13.76
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$19.66
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$16.71
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$13.76
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$19.66
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$14.74
|
| Rate for Payer: SOMOS Essential |
$14.74
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$19.66
|
|
|
PR NEEDLE EMG EA EXTREMITY W/PARASPINL AREA LIMITED
|
Professional
|
Both
|
$189.74
|
|
|
Service Code
|
HCPCS 95885 TC
|
| Min. Negotiated Rate |
$25.84 |
| Max. Negotiated Rate |
$109.17 |
| Rate for Payer: Amida Care Medicaid |
$25.84
|
| Rate for Payer: Cash Price |
$51.47
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$48.52
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$43.67
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$43.67
|
| Rate for Payer: Fidelis Essential Plan QHP |
$46.09
|
| Rate for Payer: Fidelis Medicare Advantage |
$48.52
|
| Rate for Payer: Fidelis Qualified Health Plan |
$46.09
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$48.52
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$48.52
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$36.39
|
| Rate for Payer: Healthfirst Commercial |
$48.52
|
| Rate for Payer: Healthfirst Essential Plan |
$109.17
|
| Rate for Payer: Healthfirst Medicare Advantage |
$46.09
|
| Rate for Payer: Healthfirst QHP |
$48.52
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$33.96
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$48.52
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$41.24
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$33.96
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$48.52
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$36.39
|
| Rate for Payer: SOMOS Essential |
$36.39
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$48.52
|
|
|
PR NEEDLE EMG EA EXTREMITY W/PARASPINL AREA LIMITED
|
Professional
|
Both
|
$260.75
|
|
|
Service Code
|
HCPCS 95885
|
| Min. Negotiated Rate |
$25.84 |
| Max. Negotiated Rate |
$153.41 |
| Rate for Payer: Amida Care Medicaid |
$25.84
|
| Rate for Payer: Cash Price |
$71.38
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$68.18
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$61.36
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$61.36
|
| Rate for Payer: Fidelis Essential Plan QHP |
$64.77
|
| Rate for Payer: Fidelis Medicare Advantage |
$68.18
|
| Rate for Payer: Fidelis Qualified Health Plan |
$64.77
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$68.18
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$68.18
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$51.13
|
| Rate for Payer: Healthfirst Commercial |
$68.18
|
| Rate for Payer: Healthfirst Essential Plan |
$153.41
|
| Rate for Payer: Healthfirst Medicare Advantage |
$64.77
|
| Rate for Payer: Healthfirst QHP |
$68.18
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$47.73
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$68.18
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$57.95
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$47.73
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$68.18
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$51.13
|
| Rate for Payer: SOMOS Essential |
$51.13
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$68.18
|
|
|
PR NEEDLE EMG EA EXTREMTY W/PARASPINL AREA COMPLETE
|
Professional
|
Both
|
$180.46
|
|
|
Service Code
|
HCPCS 95886 26
|
| Min. Negotiated Rate |
$33.99 |
| Max. Negotiated Rate |
$109.26 |
| Rate for Payer: Amida Care Medicaid |
$40.19
|
| Rate for Payer: Cash Price |
$48.76
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$48.56
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$43.70
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$43.70
|
| Rate for Payer: Fidelis Essential Plan QHP |
$46.13
|
| Rate for Payer: Fidelis Medicare Advantage |
$48.56
|
| Rate for Payer: Fidelis Qualified Health Plan |
$46.13
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$48.56
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$48.56
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$36.42
|
| Rate for Payer: Healthfirst Commercial |
$48.56
|
| Rate for Payer: Healthfirst Essential Plan |
$109.26
|
| Rate for Payer: Healthfirst Medicare Advantage |
$46.13
|
| Rate for Payer: Healthfirst QHP |
$48.56
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$33.99
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$48.56
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$41.28
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$33.99
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$48.56
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$36.42
|
| Rate for Payer: SOMOS Essential |
$36.42
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$48.56
|
|
|
PR NEEDLE EMG EA EXTREMTY W/PARASPINL AREA COMPLETE
|
Professional
|
Both
|
$227.12
|
|
|
Service Code
|
HCPCS 95886 TC
|
| Min. Negotiated Rate |
$39.94 |
| Max. Negotiated Rate |
$128.38 |
| Rate for Payer: Amida Care Medicaid |
$40.19
|
| Rate for Payer: Cash Price |
$61.30
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$57.06
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$51.35
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$51.35
|
| Rate for Payer: Fidelis Essential Plan QHP |
$54.21
|
| Rate for Payer: Fidelis Medicare Advantage |
$57.06
|
| Rate for Payer: Fidelis Qualified Health Plan |
$54.21
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$57.06
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$57.06
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$42.80
|
| Rate for Payer: Healthfirst Commercial |
$57.06
|
| Rate for Payer: Healthfirst Essential Plan |
$128.38
|
| Rate for Payer: Healthfirst Medicare Advantage |
$54.21
|
| Rate for Payer: Healthfirst QHP |
$57.06
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$39.94
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$57.06
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$48.50
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$39.94
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$57.06
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$42.80
|
| Rate for Payer: SOMOS Essential |
$42.80
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$57.06
|
|
|
PR NEEDLE EMG EA EXTREMTY W/PARASPINL AREA COMPLETE
|
Professional
|
Both
|
$407.61
|
|
|
Service Code
|
HCPCS 95886
|
| Min. Negotiated Rate |
$40.19 |
| Max. Negotiated Rate |
$237.65 |
| Rate for Payer: Amida Care Medicaid |
$40.19
|
| Rate for Payer: Cash Price |
$110.06
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$105.62
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$95.06
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$95.06
|
| Rate for Payer: Fidelis Essential Plan QHP |
$100.34
|
| Rate for Payer: Fidelis Medicare Advantage |
$105.62
|
| Rate for Payer: Fidelis Qualified Health Plan |
$100.34
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$105.62
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$105.62
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$79.22
|
| Rate for Payer: Healthfirst Commercial |
$105.62
|
| Rate for Payer: Healthfirst Essential Plan |
$237.65
|
| Rate for Payer: Healthfirst Medicare Advantage |
$100.34
|
| Rate for Payer: Healthfirst QHP |
$105.62
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$73.93
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$105.62
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$89.78
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$73.93
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$105.62
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$79.22
|
| Rate for Payer: SOMOS Essential |
$79.22
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$105.62
|
|
|
PR NEEDLE EMG GUID W/CHEMODENERVATION
|
Professional
|
Both
|
$76.41
|
|
|
Service Code
|
HCPCS 95874 26
|
| Min. Negotiated Rate |
$14.52 |
| Max. Negotiated Rate |
$46.66 |
| Rate for Payer: Cash Price |
$20.99
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$20.74
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$18.67
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$18.67
|
| Rate for Payer: Fidelis Essential Plan QHP |
$19.70
|
| Rate for Payer: Fidelis Medicare Advantage |
$20.74
|
| Rate for Payer: Fidelis Qualified Health Plan |
$19.70
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$20.74
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$20.74
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$15.55
|
| Rate for Payer: Healthfirst Commercial |
$20.74
|
| Rate for Payer: Healthfirst Essential Plan |
$46.66
|
| Rate for Payer: Healthfirst Medicare Advantage |
$19.70
|
| Rate for Payer: Healthfirst QHP |
$20.74
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$14.52
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$20.74
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$17.63
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$14.52
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$20.74
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$15.55
|
| Rate for Payer: SOMOS Essential |
$15.55
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$20.74
|
|
|
PR NEEDLE EMG GUID W/CHEMODENERVATION
|
Professional
|
Both
|
$250.11
|
|
|
Service Code
|
HCPCS 95874 TC
|
| Min. Negotiated Rate |
$44.29 |
| Max. Negotiated Rate |
$142.36 |
| Rate for Payer: Cash Price |
$67.19
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$63.27
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$56.94
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$56.94
|
| Rate for Payer: Fidelis Essential Plan QHP |
$60.11
|
| Rate for Payer: Fidelis Medicare Advantage |
$63.27
|
| Rate for Payer: Fidelis Qualified Health Plan |
$60.11
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$63.27
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$63.27
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$47.45
|
| Rate for Payer: Healthfirst Commercial |
$63.27
|
| Rate for Payer: Healthfirst Essential Plan |
$142.36
|
| Rate for Payer: Healthfirst Medicare Advantage |
$60.11
|
| Rate for Payer: Healthfirst QHP |
$63.27
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$44.29
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$63.27
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$53.78
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$44.29
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$63.27
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$47.45
|
| Rate for Payer: SOMOS Essential |
$47.45
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$63.27
|
|
|
PR NEEDLE EMG GUID W/CHEMODENERVATION
|
Professional
|
Both
|
$326.52
|
|
|
Service Code
|
HCPCS 95874
|
| Min. Negotiated Rate |
$58.81 |
| Max. Negotiated Rate |
$189.02 |
| Rate for Payer: Cash Price |
$88.19
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$84.01
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$75.61
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$75.61
|
| Rate for Payer: Fidelis Essential Plan QHP |
$79.81
|
| Rate for Payer: Fidelis Medicare Advantage |
$84.01
|
| Rate for Payer: Fidelis Qualified Health Plan |
$79.81
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$84.01
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$84.01
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$63.01
|
| Rate for Payer: Healthfirst Commercial |
$84.01
|
| Rate for Payer: Healthfirst Essential Plan |
$189.02
|
| Rate for Payer: Healthfirst Medicare Advantage |
$79.81
|
| Rate for Payer: Healthfirst QHP |
$84.01
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$58.81
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$84.01
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$71.41
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$58.81
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$84.01
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$63.01
|
| Rate for Payer: SOMOS Essential |
$63.01
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$84.01
|
|
|
PR NEEDLE EMG LMTD STD MUSC 1 XTR/NON-LIMB UNI/BI
|
Professional
|
Both
|
$77.70
|
|
|
Service Code
|
HCPCS 95870 26
|
| Min. Negotiated Rate |
$14.95 |
| Max. Negotiated Rate |
$48.06 |
| Rate for Payer: Amida Care Medicaid |
$31.93
|
| Rate for Payer: Cash Price |
$21.62
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$21.36
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$19.22
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$19.22
|
| Rate for Payer: Fidelis Essential Plan QHP |
$20.29
|
| Rate for Payer: Fidelis Medicare Advantage |
$21.36
|
| Rate for Payer: Fidelis Qualified Health Plan |
$20.29
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$21.36
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$21.36
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$16.02
|
| Rate for Payer: Healthfirst Commercial |
$21.36
|
| Rate for Payer: Healthfirst Essential Plan |
$48.06
|
| Rate for Payer: Healthfirst Medicare Advantage |
$20.29
|
| Rate for Payer: Healthfirst QHP |
$21.36
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$14.95
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$21.36
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$18.16
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$14.95
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$21.36
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$16.02
|
| Rate for Payer: SOMOS Essential |
$16.02
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$21.36
|
|
|
PR NEEDLE EMG LMTD STD MUSC 1 XTR/NON-LIMB UNI/BI
|
Professional
|
Both
|
$277.31
|
|
|
Service Code
|
HCPCS 95870 TC
|
| Min. Negotiated Rate |
$31.93 |
| Max. Negotiated Rate |
$159.46 |
| Rate for Payer: Amida Care Medicaid |
$31.93
|
| Rate for Payer: Cash Price |
$75.28
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$70.87
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$63.78
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$63.78
|
| Rate for Payer: Fidelis Essential Plan QHP |
$67.33
|
| Rate for Payer: Fidelis Medicare Advantage |
$70.87
|
| Rate for Payer: Fidelis Qualified Health Plan |
$67.33
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$70.87
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$70.87
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$53.15
|
| Rate for Payer: Healthfirst Commercial |
$70.87
|
| Rate for Payer: Healthfirst Essential Plan |
$159.46
|
| Rate for Payer: Healthfirst Medicare Advantage |
$67.33
|
| Rate for Payer: Healthfirst QHP |
$70.87
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$49.61
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$70.87
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$60.24
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$49.61
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$70.87
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$53.15
|
| Rate for Payer: SOMOS Essential |
$53.15
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$70.87
|
|
|
PR NEEDLE EMG LMTD STD MUSC 1 XTR/NON-LIMB UNI/BI
|
Professional
|
Both
|
$354.97
|
|
|
Service Code
|
HCPCS 95870
|
| Min. Negotiated Rate |
$31.93 |
| Max. Negotiated Rate |
$207.52 |
| Rate for Payer: Amida Care Medicaid |
$31.93
|
| Rate for Payer: Cash Price |
$96.90
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$92.23
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$83.01
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$83.01
|
| Rate for Payer: Fidelis Essential Plan QHP |
$87.62
|
| Rate for Payer: Fidelis Medicare Advantage |
$92.23
|
| Rate for Payer: Fidelis Qualified Health Plan |
$87.62
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$92.23
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$92.23
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$69.17
|
| Rate for Payer: Healthfirst Commercial |
$92.23
|
| Rate for Payer: Healthfirst Essential Plan |
$207.52
|
| Rate for Payer: Healthfirst Medicare Advantage |
$87.62
|
| Rate for Payer: Healthfirst QHP |
$92.23
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$64.56
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$92.23
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$78.40
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$64.56
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$92.23
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$69.17
|
| Rate for Payer: SOMOS Essential |
$69.17
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$92.23
|
|
|
PR NEEDLE EMG NONEXTREMTY MSCLES W/NERVE CONDUCTION
|
Professional
|
Both
|
$148.75
|
|
|
Service Code
|
HCPCS 95887 26
|
| Min. Negotiated Rate |
$27.93 |
| Max. Negotiated Rate |
$89.78 |
| Rate for Payer: Amida Care Medicaid |
$35.89
|
| Rate for Payer: Cash Price |
$40.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$39.90
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$35.91
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$35.91
|
| Rate for Payer: Fidelis Essential Plan QHP |
$37.91
|
| Rate for Payer: Fidelis Medicare Advantage |
$39.90
|
| Rate for Payer: Fidelis Qualified Health Plan |
$37.91
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$39.90
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$39.90
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$29.93
|
| Rate for Payer: Healthfirst Commercial |
$39.90
|
| Rate for Payer: Healthfirst Essential Plan |
$89.78
|
| Rate for Payer: Healthfirst Medicare Advantage |
$37.91
|
| Rate for Payer: Healthfirst QHP |
$39.90
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$27.93
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$39.90
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$33.91
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$27.93
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$39.90
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$29.93
|
| Rate for Payer: SOMOS Essential |
$29.93
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$39.90
|
|
|
PR NEEDLE EMG NONEXTREMTY MSCLES W/NERVE CONDUCTION
|
Professional
|
Both
|
$202.69
|
|
|
Service Code
|
HCPCS 95887 TC
|
| Min. Negotiated Rate |
$35.89 |
| Max. Negotiated Rate |
$117.90 |
| Rate for Payer: Amida Care Medicaid |
$35.89
|
| Rate for Payer: Cash Price |
$55.01
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$52.40
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$47.16
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$47.16
|
| Rate for Payer: Fidelis Essential Plan QHP |
$49.78
|
| Rate for Payer: Fidelis Medicare Advantage |
$52.40
|
| Rate for Payer: Fidelis Qualified Health Plan |
$49.78
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$52.40
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$52.40
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$39.30
|
| Rate for Payer: Healthfirst Commercial |
$52.40
|
| Rate for Payer: Healthfirst Essential Plan |
$117.90
|
| Rate for Payer: Healthfirst Medicare Advantage |
$49.78
|
| Rate for Payer: Healthfirst QHP |
$52.40
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$36.68
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$52.40
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$44.54
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$36.68
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$52.40
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$39.30
|
| Rate for Payer: SOMOS Essential |
$39.30
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$52.40
|
|
|
PR NEEDLE EMG NONEXTREMTY MSCLES W/NERVE CONDUCTION
|
Professional
|
Both
|
$351.44
|
|
|
Service Code
|
HCPCS 95887
|
| Min. Negotiated Rate |
$35.89 |
| Max. Negotiated Rate |
$207.68 |
| Rate for Payer: Amida Care Medicaid |
$35.89
|
| Rate for Payer: Cash Price |
$95.01
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$92.30
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$83.07
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$83.07
|
| Rate for Payer: Fidelis Essential Plan QHP |
$87.69
|
| Rate for Payer: Fidelis Medicare Advantage |
$92.30
|
| Rate for Payer: Fidelis Qualified Health Plan |
$87.69
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$92.30
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$92.30
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$69.22
|
| Rate for Payer: Healthfirst Commercial |
$92.30
|
| Rate for Payer: Healthfirst Essential Plan |
$207.68
|
| Rate for Payer: Healthfirst Medicare Advantage |
$87.69
|
| Rate for Payer: Healthfirst QHP |
$92.30
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$64.61
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$92.30
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$78.45
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$64.61
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$92.30
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$69.22
|
| Rate for Payer: SOMOS Essential |
$69.22
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$92.30
|
|
|
PR NEEDLE EMG THRC PARASPI MUSC EXCLUDING T1/T12
|
Professional
|
Both
|
$79.14
|
|
|
Service Code
|
HCPCS 95869 26
|
| Min. Negotiated Rate |
$14.95 |
| Max. Negotiated Rate |
$48.06 |
| Rate for Payer: Amida Care Medicaid |
$32.54
|
| Rate for Payer: Cash Price |
$21.62
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$21.36
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$19.22
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$19.22
|
| Rate for Payer: Fidelis Essential Plan QHP |
$20.29
|
| Rate for Payer: Fidelis Medicare Advantage |
$21.36
|
| Rate for Payer: Fidelis Qualified Health Plan |
$20.29
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$21.36
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$21.36
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$16.02
|
| Rate for Payer: Healthfirst Commercial |
$21.36
|
| Rate for Payer: Healthfirst Essential Plan |
$48.06
|
| Rate for Payer: Healthfirst Medicare Advantage |
$20.29
|
| Rate for Payer: Healthfirst QHP |
$21.36
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$14.95
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$21.36
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$18.16
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$14.95
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$21.36
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$16.02
|
| Rate for Payer: SOMOS Essential |
$16.02
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$21.36
|
|
|
PR NEEDLE EMG THRC PARASPI MUSC EXCLUDING T1/T12
|
Professional
|
Both
|
$409.61
|
|
|
Service Code
|
HCPCS 95869
|
| Min. Negotiated Rate |
$32.54 |
| Max. Negotiated Rate |
$235.46 |
| Rate for Payer: Amida Care Medicaid |
$32.54
|
| Rate for Payer: Cash Price |
$111.05
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$104.65
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$94.19
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$94.19
|
| Rate for Payer: Fidelis Essential Plan QHP |
$99.42
|
| Rate for Payer: Fidelis Medicare Advantage |
$104.65
|
| Rate for Payer: Fidelis Qualified Health Plan |
$99.42
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$104.65
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$104.65
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$78.49
|
| Rate for Payer: Healthfirst Commercial |
$104.65
|
| Rate for Payer: Healthfirst Essential Plan |
$235.46
|
| Rate for Payer: Healthfirst Medicare Advantage |
$99.42
|
| Rate for Payer: Healthfirst QHP |
$104.65
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$73.25
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$104.65
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$88.95
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$73.25
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$104.65
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$78.49
|
| Rate for Payer: SOMOS Essential |
$78.49
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$104.65
|
|
|
PR NEEDLE EMG THRC PARASPI MUSC EXCLUDING T1/T12
|
Professional
|
Both
|
$330.47
|
|
|
Service Code
|
HCPCS 95869 TC
|
| Min. Negotiated Rate |
$32.54 |
| Max. Negotiated Rate |
$187.43 |
| Rate for Payer: Amida Care Medicaid |
$32.54
|
| Rate for Payer: Cash Price |
$89.43
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$83.30
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$74.97
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$74.97
|
| Rate for Payer: Fidelis Essential Plan QHP |
$79.14
|
| Rate for Payer: Fidelis Medicare Advantage |
$83.30
|
| Rate for Payer: Fidelis Qualified Health Plan |
$79.14
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$83.30
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$83.30
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$62.48
|
| Rate for Payer: Healthfirst Commercial |
$83.30
|
| Rate for Payer: Healthfirst Essential Plan |
$187.43
|
| Rate for Payer: Healthfirst Medicare Advantage |
$79.14
|
| Rate for Payer: Healthfirst QHP |
$83.30
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$58.31
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$83.30
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$70.81
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$58.31
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$83.30
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$62.48
|
| Rate for Payer: SOMOS Essential |
$62.48
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$83.30
|
|
|
PR NEEDLE EMG W/1 FIBER ELECTRODE QUAN MEAS JITTER
|
Professional
|
Both
|
$815.33
|
|
|
Service Code
|
HCPCS 95872
|
| Min. Negotiated Rate |
$122.43 |
| Max. Negotiated Rate |
$459.09 |
| Rate for Payer: Amida Care Medicaid |
$122.43
|
| Rate for Payer: Cash Price |
$211.98
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$204.04
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$183.64
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$183.64
|
| Rate for Payer: Fidelis Essential Plan QHP |
$193.84
|
| Rate for Payer: Fidelis Medicare Advantage |
$204.04
|
| Rate for Payer: Fidelis Qualified Health Plan |
$193.84
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$204.04
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$204.04
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$153.03
|
| Rate for Payer: Healthfirst Commercial |
$204.04
|
| Rate for Payer: Healthfirst Essential Plan |
$459.09
|
| Rate for Payer: Healthfirst Medicare Advantage |
$193.84
|
| Rate for Payer: Healthfirst QHP |
$204.04
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$142.83
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$204.04
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$173.43
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$142.83
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$204.04
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$153.03
|
| Rate for Payer: SOMOS Essential |
$153.03
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$204.04
|
|
