|
CHG CYTP EVAL FINE NEEDLE ASPIRATE INTERP & REPORT
|
Professional
|
Both
|
$268.70
|
|
|
Service Code
|
HCPCS 88173 26
|
| Min. Negotiated Rate |
$50.96 |
| Max. Negotiated Rate |
$163.80 |
| Rate for Payer: Cash Price |
$73.69
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$72.80
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$65.52
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$65.52
|
| Rate for Payer: Fidelis Essential Plan QHP |
$69.16
|
| Rate for Payer: Fidelis Medicare Advantage |
$72.80
|
| Rate for Payer: Fidelis Qualified Health Plan |
$69.16
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$72.80
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$72.80
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$54.60
|
| Rate for Payer: Healthfirst Commercial |
$72.80
|
| Rate for Payer: Healthfirst Essential Plan |
$163.80
|
| Rate for Payer: Healthfirst Medicare Advantage |
$69.16
|
| Rate for Payer: Healthfirst QHP |
$72.80
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$50.96
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$72.80
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$61.88
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$50.96
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$72.80
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$54.60
|
| Rate for Payer: SOMOS Essential |
$54.60
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$72.80
|
|
|
CHG CYTP EVAL FINE NEEDLE ASPIRATE INTERP & REPORT
|
Professional
|
Both
|
$404.81
|
|
|
Service Code
|
HCPCS 88173 TC
|
| Min. Negotiated Rate |
$85.42 |
| Max. Negotiated Rate |
$274.57 |
| Rate for Payer: Cash Price |
$118.58
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$122.03
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$109.83
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$109.83
|
| Rate for Payer: Fidelis Essential Plan QHP |
$115.93
|
| Rate for Payer: Fidelis Medicare Advantage |
$122.03
|
| Rate for Payer: Fidelis Qualified Health Plan |
$115.93
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$122.03
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$122.03
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$91.52
|
| Rate for Payer: Healthfirst Commercial |
$122.03
|
| Rate for Payer: Healthfirst Essential Plan |
$274.57
|
| Rate for Payer: Healthfirst Medicare Advantage |
$115.93
|
| Rate for Payer: Healthfirst QHP |
$122.03
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$85.42
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$122.03
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$103.73
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$85.42
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$122.03
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$91.52
|
| Rate for Payer: SOMOS Essential |
$91.52
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$122.03
|
|
|
CHG CYTP EVAL FINE NEEDLE ASPIRATE INTERP & REPORT
|
Professional
|
Both
|
$673.51
|
|
|
Service Code
|
HCPCS 88173
|
| Min. Negotiated Rate |
$136.37 |
| Max. Negotiated Rate |
$438.35 |
| Rate for Payer: Cash Price |
$192.27
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$194.82
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$175.34
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$175.34
|
| Rate for Payer: Fidelis Essential Plan QHP |
$185.08
|
| Rate for Payer: Fidelis Medicare Advantage |
$194.82
|
| Rate for Payer: Fidelis Qualified Health Plan |
$185.08
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$194.82
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$194.82
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$146.12
|
| Rate for Payer: Healthfirst Commercial |
$194.82
|
| Rate for Payer: Healthfirst Essential Plan |
$438.35
|
| Rate for Payer: Healthfirst Medicare Advantage |
$185.08
|
| Rate for Payer: Healthfirst QHP |
$194.82
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$136.37
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$194.82
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$165.60
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$136.37
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$194.82
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$146.12
|
| Rate for Payer: SOMOS Essential |
$146.12
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$194.82
|
|
|
CHG CYTP FINE NDL ASPIRATE IMMT CYTOHIST STD DX 1ST
|
Professional
|
Both
|
$90.44
|
|
|
Service Code
|
HCPCS 88172 TC
|
| Min. Negotiated Rate |
$18.09 |
| Max. Negotiated Rate |
$58.16 |
| Rate for Payer: Cash Price |
$25.77
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$25.85
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$23.27
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$23.27
|
| Rate for Payer: Fidelis Essential Plan QHP |
$24.56
|
| Rate for Payer: Fidelis Medicare Advantage |
$25.85
|
| Rate for Payer: Fidelis Qualified Health Plan |
$24.56
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$25.85
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$25.85
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$19.39
|
| Rate for Payer: Healthfirst Commercial |
$25.85
|
| Rate for Payer: Healthfirst Essential Plan |
$58.16
|
| Rate for Payer: Healthfirst Medicare Advantage |
$24.56
|
| Rate for Payer: Healthfirst QHP |
$25.85
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$18.09
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$25.85
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$21.97
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$18.09
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$25.85
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$19.39
|
| Rate for Payer: SOMOS Essential |
$19.39
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$25.85
|
|
|
CHG CYTP FINE NDL ASPIRATE IMMT CYTOHIST STD DX 1ST
|
Professional
|
Both
|
$227.01
|
|
|
Service Code
|
HCPCS 88172
|
| Min. Negotiated Rate |
$44.13 |
| Max. Negotiated Rate |
$141.86 |
| Rate for Payer: Cash Price |
$63.03
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$63.05
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$56.74
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$56.74
|
| Rate for Payer: Fidelis Essential Plan QHP |
$59.90
|
| Rate for Payer: Fidelis Medicare Advantage |
$63.05
|
| Rate for Payer: Fidelis Qualified Health Plan |
$59.90
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$63.05
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$63.05
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$47.29
|
| Rate for Payer: Healthfirst Commercial |
$63.05
|
| Rate for Payer: Healthfirst Essential Plan |
$141.86
|
| Rate for Payer: Healthfirst Medicare Advantage |
$59.90
|
| Rate for Payer: Healthfirst QHP |
$63.05
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$44.13
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$63.05
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$53.59
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$44.13
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$63.05
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$47.29
|
| Rate for Payer: SOMOS Essential |
$47.29
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$63.05
|
|
|
CHG CYTP FINE NDL ASPIRATE IMMT CYTOHIST STD DX 1ST
|
Professional
|
Both
|
$136.61
|
|
|
Service Code
|
HCPCS 88172 26
|
| Min. Negotiated Rate |
$26.04 |
| Max. Negotiated Rate |
$83.70 |
| Rate for Payer: Cash Price |
$37.26
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$37.20
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$33.48
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$33.48
|
| Rate for Payer: Fidelis Essential Plan QHP |
$35.34
|
| Rate for Payer: Fidelis Medicare Advantage |
$37.20
|
| Rate for Payer: Fidelis Qualified Health Plan |
$35.34
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$37.20
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$37.20
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$27.90
|
| Rate for Payer: Healthfirst Commercial |
$37.20
|
| Rate for Payer: Healthfirst Essential Plan |
$83.70
|
| Rate for Payer: Healthfirst Medicare Advantage |
$35.34
|
| Rate for Payer: Healthfirst QHP |
$37.20
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$26.04
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$37.20
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$31.62
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$26.04
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$37.20
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$27.90
|
| Rate for Payer: SOMOS Essential |
$27.90
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$37.20
|
|
|
CHG CYTP FINE NDL ASPIRATE IMMT CYTOHIST STD EA EVAL
|
Professional
|
Both
|
$118.58
|
|
|
Service Code
|
HCPCS 88177
|
| Min. Negotiated Rate |
$23.06 |
| Max. Negotiated Rate |
$74.11 |
| Rate for Payer: Cash Price |
$32.95
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$32.94
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$29.65
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$29.65
|
| Rate for Payer: Fidelis Essential Plan QHP |
$31.29
|
| Rate for Payer: Fidelis Medicare Advantage |
$32.94
|
| Rate for Payer: Fidelis Qualified Health Plan |
$31.29
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$32.94
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$32.94
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$24.70
|
| Rate for Payer: Healthfirst Commercial |
$32.94
|
| Rate for Payer: Healthfirst Essential Plan |
$74.11
|
| Rate for Payer: Healthfirst Medicare Advantage |
$31.29
|
| Rate for Payer: Healthfirst QHP |
$32.94
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$23.06
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$32.94
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$28.00
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$23.06
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$32.94
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$24.70
|
| Rate for Payer: SOMOS Essential |
$24.70
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$32.94
|
|
|
CHG CYTP FINE NDL ASPIRATE IMMT CYTOHIST STD EA EVAL
|
Professional
|
Both
|
$84.11
|
|
|
Service Code
|
HCPCS 88177 26
|
| Min. Negotiated Rate |
$15.99 |
| Max. Negotiated Rate |
$51.41 |
| Rate for Payer: Cash Price |
$23.13
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$22.85
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$20.57
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$20.57
|
| Rate for Payer: Fidelis Essential Plan QHP |
$21.71
|
| Rate for Payer: Fidelis Medicare Advantage |
$22.85
|
| Rate for Payer: Fidelis Qualified Health Plan |
$21.71
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$22.85
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$22.85
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$17.14
|
| Rate for Payer: Healthfirst Commercial |
$22.85
|
| Rate for Payer: Healthfirst Essential Plan |
$51.41
|
| Rate for Payer: Healthfirst Medicare Advantage |
$21.71
|
| Rate for Payer: Healthfirst QHP |
$22.85
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$15.99
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$22.85
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$19.42
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$15.99
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$22.85
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$17.14
|
| Rate for Payer: SOMOS Essential |
$17.14
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$22.85
|
|
|
CHG CYTP FINE NDL ASPIRATE IMMT CYTOHIST STD EA EVAL
|
Professional
|
Both
|
$34.51
|
|
|
Service Code
|
HCPCS 88177 TC
|
| Min. Negotiated Rate |
$7.06 |
| Max. Negotiated Rate |
$22.70 |
| Rate for Payer: Cash Price |
$9.82
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$10.09
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$9.08
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$9.08
|
| Rate for Payer: Fidelis Essential Plan QHP |
$9.59
|
| Rate for Payer: Fidelis Medicare Advantage |
$10.09
|
| Rate for Payer: Fidelis Qualified Health Plan |
$9.59
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$10.09
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$10.09
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$7.57
|
| Rate for Payer: Healthfirst Commercial |
$10.09
|
| Rate for Payer: Healthfirst Essential Plan |
$22.70
|
| Rate for Payer: Healthfirst Medicare Advantage |
$9.59
|
| Rate for Payer: Healthfirst QHP |
$10.09
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$7.06
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$10.09
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$8.58
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$7.06
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$10.09
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$7.57
|
| Rate for Payer: SOMOS Essential |
$7.57
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$10.09
|
|
|
CHG CYTP FLU BR/WA XCPT C/V FILTER METH ONLY INTERPJ
|
Professional
|
Both
|
$74.97
|
|
|
Service Code
|
HCPCS 88106 26
|
| Min. Negotiated Rate |
$13.97 |
| Max. Negotiated Rate |
$44.91 |
| Rate for Payer: Cash Price |
$20.21
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$19.96
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$17.96
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$17.96
|
| Rate for Payer: Fidelis Essential Plan QHP |
$18.96
|
| Rate for Payer: Fidelis Medicare Advantage |
$19.96
|
| Rate for Payer: Fidelis Qualified Health Plan |
$18.96
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$19.96
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$19.96
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$14.97
|
| Rate for Payer: Healthfirst Commercial |
$19.96
|
| Rate for Payer: Healthfirst Essential Plan |
$44.91
|
| Rate for Payer: Healthfirst Medicare Advantage |
$18.96
|
| Rate for Payer: Healthfirst QHP |
$19.96
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$13.97
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$19.96
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$16.97
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$13.97
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$19.96
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$14.97
|
| Rate for Payer: SOMOS Essential |
$14.97
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$19.96
|
|
|
CHG CYTP FLU BR/WA XCPT C/V FILTER METH ONLY INTERPJ
|
Professional
|
Both
|
$219.80
|
|
|
Service Code
|
HCPCS 88106 TC
|
| Min. Negotiated Rate |
$43.25 |
| Max. Negotiated Rate |
$139.03 |
| Rate for Payer: Cash Price |
$62.94
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$61.79
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$55.61
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$55.61
|
| Rate for Payer: Fidelis Essential Plan QHP |
$58.70
|
| Rate for Payer: Fidelis Medicare Advantage |
$61.79
|
| Rate for Payer: Fidelis Qualified Health Plan |
$58.70
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$61.79
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$61.79
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$46.34
|
| Rate for Payer: Healthfirst Commercial |
$61.79
|
| Rate for Payer: Healthfirst Essential Plan |
$139.03
|
| Rate for Payer: Healthfirst Medicare Advantage |
$58.70
|
| Rate for Payer: Healthfirst QHP |
$61.79
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$43.25
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$61.79
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$52.52
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$43.25
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$61.79
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$46.34
|
| Rate for Payer: SOMOS Essential |
$46.34
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$61.79
|
|
|
CHG CYTP FLU BR/WA XCPT C/V FILTER METH ONLY INTERPJ
|
Professional
|
Both
|
$294.74
|
|
|
Service Code
|
HCPCS 88106
|
| Min. Negotiated Rate |
$57.23 |
| Max. Negotiated Rate |
$183.94 |
| Rate for Payer: Cash Price |
$83.15
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$81.75
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$73.58
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$73.58
|
| Rate for Payer: Fidelis Essential Plan QHP |
$77.66
|
| Rate for Payer: Fidelis Medicare Advantage |
$81.75
|
| Rate for Payer: Fidelis Qualified Health Plan |
$77.66
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$81.75
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$81.75
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$61.31
|
| Rate for Payer: Healthfirst Commercial |
$81.75
|
| Rate for Payer: Healthfirst Essential Plan |
$183.94
|
| Rate for Payer: Healthfirst Medicare Advantage |
$77.66
|
| Rate for Payer: Healthfirst QHP |
$81.75
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$57.23
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$81.75
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$69.49
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$57.23
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$81.75
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$61.31
|
| Rate for Payer: SOMOS Essential |
$61.31
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$81.75
|
|
|
CHG CYTP FLU WASHGS/BRUSHINGS XCPT C/V SMRS INTERPJ
|
Professional
|
Both
|
$104.51
|
|
|
Service Code
|
HCPCS 88104 26
|
| Min. Negotiated Rate |
$20.46 |
| Max. Negotiated Rate |
$65.77 |
| Rate for Payer: Cash Price |
$29.19
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$29.23
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$26.31
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$26.31
|
| Rate for Payer: Fidelis Essential Plan QHP |
$27.77
|
| Rate for Payer: Fidelis Medicare Advantage |
$29.23
|
| Rate for Payer: Fidelis Qualified Health Plan |
$27.77
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$29.23
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$29.23
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$21.92
|
| Rate for Payer: Healthfirst Commercial |
$29.23
|
| Rate for Payer: Healthfirst Essential Plan |
$65.77
|
| Rate for Payer: Healthfirst Medicare Advantage |
$27.77
|
| Rate for Payer: Healthfirst QHP |
$29.23
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$20.46
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$29.23
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$24.85
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$20.46
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$29.23
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$21.92
|
| Rate for Payer: SOMOS Essential |
$21.92
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$29.23
|
|
|
CHG CYTP FLU WASHGS/BRUSHINGS XCPT C/V SMRS INTERPJ
|
Professional
|
Both
|
$289.66
|
|
|
Service Code
|
HCPCS 88104
|
| Min. Negotiated Rate |
$63.98 |
| Max. Negotiated Rate |
$205.65 |
| Rate for Payer: Cash Price |
$87.42
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$91.40
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$82.26
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$82.26
|
| Rate for Payer: Fidelis Essential Plan QHP |
$86.83
|
| Rate for Payer: Fidelis Medicare Advantage |
$91.40
|
| Rate for Payer: Fidelis Qualified Health Plan |
$86.83
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$91.40
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$91.40
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$68.55
|
| Rate for Payer: Healthfirst Commercial |
$91.40
|
| Rate for Payer: Healthfirst Essential Plan |
$205.65
|
| Rate for Payer: Healthfirst Medicare Advantage |
$86.83
|
| Rate for Payer: Healthfirst QHP |
$91.40
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$63.98
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$91.40
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$77.69
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$63.98
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$91.40
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$68.55
|
| Rate for Payer: SOMOS Essential |
$68.55
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$91.40
|
|
|
CHG CYTP FLU WASHGS/BRUSHINGS XCPT C/V SMRS INTERPJ
|
Professional
|
Both
|
$185.15
|
|
|
Service Code
|
HCPCS 88104 TC
|
| Min. Negotiated Rate |
$43.53 |
| Max. Negotiated Rate |
$139.91 |
| Rate for Payer: Cash Price |
$58.23
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$62.18
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$55.96
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$55.96
|
| Rate for Payer: Fidelis Essential Plan QHP |
$59.07
|
| Rate for Payer: Fidelis Medicare Advantage |
$62.18
|
| Rate for Payer: Fidelis Qualified Health Plan |
$59.07
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$62.18
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$62.18
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$46.63
|
| Rate for Payer: Healthfirst Commercial |
$62.18
|
| Rate for Payer: Healthfirst Essential Plan |
$139.91
|
| Rate for Payer: Healthfirst Medicare Advantage |
$59.07
|
| Rate for Payer: Healthfirst QHP |
$62.18
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$43.53
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$62.18
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$52.85
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$43.53
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$62.18
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$46.63
|
| Rate for Payer: SOMOS Essential |
$46.63
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$62.18
|
|
|
CHG CYTP INSITU HYBRID URINE SPEC 3-5 PROBES EA MNL
|
Professional
|
Both
|
$2,547.20
|
|
|
Service Code
|
HCPCS 88120
|
| Min. Negotiated Rate |
$452.80 |
| Max. Negotiated Rate |
$1,455.41 |
| Rate for Payer: Cash Price |
$679.17
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$646.85
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$582.16
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$582.16
|
| Rate for Payer: Fidelis Essential Plan QHP |
$614.51
|
| Rate for Payer: Fidelis Medicare Advantage |
$646.85
|
| Rate for Payer: Fidelis Qualified Health Plan |
$614.51
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$646.85
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$646.85
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$485.14
|
| Rate for Payer: Healthfirst Commercial |
$646.85
|
| Rate for Payer: Healthfirst Essential Plan |
$1,455.41
|
| Rate for Payer: Healthfirst Medicare Advantage |
$614.51
|
| Rate for Payer: Healthfirst QHP |
$646.85
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$452.80
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$646.85
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$549.82
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$452.80
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$646.85
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$485.14
|
| Rate for Payer: SOMOS Essential |
$485.14
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$646.85
|
|
|
CHG CYTP INSITU HYBRID URINE SPEC 3-5 PROBES EA MNL
|
Professional
|
Both
|
$2,323.86
|
|
|
Service Code
|
HCPCS 88120 TC
|
| Min. Negotiated Rate |
$410.22 |
| Max. Negotiated Rate |
$1,318.57 |
| Rate for Payer: Cash Price |
$617.99
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$586.03
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$527.43
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$527.43
|
| Rate for Payer: Fidelis Essential Plan QHP |
$556.73
|
| Rate for Payer: Fidelis Medicare Advantage |
$586.03
|
| Rate for Payer: Fidelis Qualified Health Plan |
$556.73
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$586.03
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$586.03
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$439.52
|
| Rate for Payer: Healthfirst Commercial |
$586.03
|
| Rate for Payer: Healthfirst Essential Plan |
$1,318.57
|
| Rate for Payer: Healthfirst Medicare Advantage |
$556.73
|
| Rate for Payer: Healthfirst QHP |
$586.03
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$410.22
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$586.03
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$498.13
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$410.22
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$586.03
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$439.52
|
| Rate for Payer: SOMOS Essential |
$439.52
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$586.03
|
|
|
CHG CYTP INSITU HYBRID URINE SPEC 3-5 PROBES EA MNL
|
Professional
|
Both
|
$223.34
|
|
|
Service Code
|
HCPCS 88120 26
|
| Min. Negotiated Rate |
$42.57 |
| Max. Negotiated Rate |
$136.84 |
| Rate for Payer: Cash Price |
$61.17
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$60.82
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$54.74
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$54.74
|
| Rate for Payer: Fidelis Essential Plan QHP |
$57.78
|
| Rate for Payer: Fidelis Medicare Advantage |
$60.82
|
| Rate for Payer: Fidelis Qualified Health Plan |
$57.78
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$60.82
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$60.82
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$45.62
|
| Rate for Payer: Healthfirst Commercial |
$60.82
|
| Rate for Payer: Healthfirst Essential Plan |
$136.84
|
| Rate for Payer: Healthfirst Medicare Advantage |
$57.78
|
| Rate for Payer: Healthfirst QHP |
$60.82
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$42.57
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$60.82
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$51.70
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$42.57
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$60.82
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$45.62
|
| Rate for Payer: SOMOS Essential |
$45.62
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$60.82
|
|
|
CHG CYTP INSITU HYBRID URNE SPEC 3-5 PROBES CPTR EA
|
Professional
|
Both
|
$1,785.14
|
|
|
Service Code
|
HCPCS 88121
|
| Min. Negotiated Rate |
$327.99 |
| Max. Negotiated Rate |
$1,054.24 |
| Rate for Payer: Cash Price |
$490.82
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$468.55
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$421.69
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$421.69
|
| Rate for Payer: Fidelis Essential Plan QHP |
$445.12
|
| Rate for Payer: Fidelis Medicare Advantage |
$468.55
|
| Rate for Payer: Fidelis Qualified Health Plan |
$445.12
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$468.55
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$468.55
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$351.41
|
| Rate for Payer: Healthfirst Commercial |
$468.55
|
| Rate for Payer: Healthfirst Essential Plan |
$1,054.24
|
| Rate for Payer: Healthfirst Medicare Advantage |
$445.12
|
| Rate for Payer: Healthfirst QHP |
$468.55
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$327.99
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$468.55
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$398.27
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$327.99
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$468.55
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$351.41
|
| Rate for Payer: SOMOS Essential |
$351.41
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$468.55
|
|
|
CHG CYTP INSITU HYBRID URNE SPEC 3-5 PROBES CPTR EA
|
Professional
|
Both
|
$1,599.78
|
|
|
Service Code
|
HCPCS 88121 TC
|
| Min. Negotiated Rate |
$292.41 |
| Max. Negotiated Rate |
$939.89 |
| Rate for Payer: Cash Price |
$439.76
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$417.73
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$375.96
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$375.96
|
| Rate for Payer: Fidelis Essential Plan QHP |
$396.84
|
| Rate for Payer: Fidelis Medicare Advantage |
$417.73
|
| Rate for Payer: Fidelis Qualified Health Plan |
$396.84
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$417.73
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$417.73
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$313.30
|
| Rate for Payer: Healthfirst Commercial |
$417.73
|
| Rate for Payer: Healthfirst Essential Plan |
$939.89
|
| Rate for Payer: Healthfirst Medicare Advantage |
$396.84
|
| Rate for Payer: Healthfirst QHP |
$417.73
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$292.41
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$417.73
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$355.07
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$292.41
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$417.73
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$313.30
|
| Rate for Payer: SOMOS Essential |
$313.30
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$417.73
|
|
|
CHG CYTP INSITU HYBRID URNE SPEC 3-5 PROBES CPTR EA
|
Professional
|
Both
|
$185.36
|
|
|
Service Code
|
HCPCS 88121 26
|
| Min. Negotiated Rate |
$35.57 |
| Max. Negotiated Rate |
$114.34 |
| Rate for Payer: Cash Price |
$51.06
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$50.82
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$45.74
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$45.74
|
| Rate for Payer: Fidelis Essential Plan QHP |
$48.28
|
| Rate for Payer: Fidelis Medicare Advantage |
$50.82
|
| Rate for Payer: Fidelis Qualified Health Plan |
$48.28
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$50.82
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$50.82
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$38.12
|
| Rate for Payer: Healthfirst Commercial |
$50.82
|
| Rate for Payer: Healthfirst Essential Plan |
$114.34
|
| Rate for Payer: Healthfirst Medicare Advantage |
$48.28
|
| Rate for Payer: Healthfirst QHP |
$50.82
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$35.57
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$50.82
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$43.20
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$35.57
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$50.82
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$38.12
|
| Rate for Payer: SOMOS Essential |
$38.12
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$50.82
|
|
|
CHG CYTP SLCTV CELL ENHANCEMENT INTERPJ XCPT C/V
|
Professional
|
Both
|
$278.29
|
|
|
Service Code
|
HCPCS 88112
|
| Min. Negotiated Rate |
$53.77 |
| Max. Negotiated Rate |
$172.82 |
| Rate for Payer: Cash Price |
$78.15
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$76.81
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$69.13
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$69.13
|
| Rate for Payer: Fidelis Essential Plan QHP |
$72.97
|
| Rate for Payer: Fidelis Medicare Advantage |
$76.81
|
| Rate for Payer: Fidelis Qualified Health Plan |
$72.97
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$76.81
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$76.81
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$57.61
|
| Rate for Payer: Healthfirst Commercial |
$76.81
|
| Rate for Payer: Healthfirst Essential Plan |
$172.82
|
| Rate for Payer: Healthfirst Medicare Advantage |
$72.97
|
| Rate for Payer: Healthfirst QHP |
$76.81
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$53.77
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$76.81
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$65.29
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$53.77
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$76.81
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$57.61
|
| Rate for Payer: SOMOS Essential |
$57.61
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$76.81
|
|
|
CHG CYTP SLCTV CELL ENHANCEMENT INTERPJ XCPT C/V
|
Professional
|
Both
|
$172.38
|
|
|
Service Code
|
HCPCS 88112 TC
|
| Min. Negotiated Rate |
$33.58 |
| Max. Negotiated Rate |
$107.93 |
| Rate for Payer: Cash Price |
$48.96
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$47.97
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$43.17
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$43.17
|
| Rate for Payer: Fidelis Essential Plan QHP |
$45.57
|
| Rate for Payer: Fidelis Medicare Advantage |
$47.97
|
| Rate for Payer: Fidelis Qualified Health Plan |
$45.57
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$47.97
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$47.97
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$35.98
|
| Rate for Payer: Healthfirst Commercial |
$47.97
|
| Rate for Payer: Healthfirst Essential Plan |
$107.93
|
| Rate for Payer: Healthfirst Medicare Advantage |
$45.57
|
| Rate for Payer: Healthfirst QHP |
$47.97
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$33.58
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$47.97
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$40.77
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$33.58
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$47.97
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$35.98
|
| Rate for Payer: SOMOS Essential |
$35.98
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$47.97
|
|
|
CHG CYTP SLCTV CELL ENHANCEMENT INTERPJ XCPT C/V
|
Professional
|
Both
|
$105.95
|
|
|
Service Code
|
HCPCS 88112 26
|
| Min. Negotiated Rate |
$20.19 |
| Max. Negotiated Rate |
$64.89 |
| Rate for Payer: Cash Price |
$29.19
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$28.84
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$25.96
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$25.96
|
| Rate for Payer: Fidelis Essential Plan QHP |
$27.40
|
| Rate for Payer: Fidelis Medicare Advantage |
$28.84
|
| Rate for Payer: Fidelis Qualified Health Plan |
$27.40
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$28.84
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$28.84
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$21.63
|
| Rate for Payer: Healthfirst Commercial |
$28.84
|
| Rate for Payer: Healthfirst Essential Plan |
$64.89
|
| Rate for Payer: Healthfirst Medicare Advantage |
$27.40
|
| Rate for Payer: Healthfirst QHP |
$28.84
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$20.19
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$28.84
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$24.51
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$20.19
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$28.84
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$21.63
|
| Rate for Payer: SOMOS Essential |
$21.63
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$28.84
|
|
|
CHG CYTP SMRS ANY OTH SRC EXTND STD > 5 SLIDES
|
Professional
|
Both
|
$151.10
|
|
|
Service Code
|
HCPCS 88162 26
|
| Min. Negotiated Rate |
$28.81 |
| Max. Negotiated Rate |
$92.61 |
| Rate for Payer: Cash Price |
$41.67
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$41.16
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$37.04
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$37.04
|
| Rate for Payer: Fidelis Essential Plan QHP |
$39.10
|
| Rate for Payer: Fidelis Medicare Advantage |
$41.16
|
| Rate for Payer: Fidelis Qualified Health Plan |
$39.10
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$41.16
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$41.16
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$30.87
|
| Rate for Payer: Healthfirst Commercial |
$41.16
|
| Rate for Payer: Healthfirst Essential Plan |
$92.61
|
| Rate for Payer: Healthfirst Medicare Advantage |
$39.10
|
| Rate for Payer: Healthfirst QHP |
$41.16
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$28.81
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$41.16
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$34.99
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$28.81
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$41.16
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$30.87
|
| Rate for Payer: SOMOS Essential |
$30.87
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$41.16
|
|
