|
CHG OPHTHALMIC US DX QUANTITATIVE A-SCAN ONLY
|
Professional
|
Both
|
$94.75
|
|
|
Service Code
|
HCPCS 76511 TC
|
| Min. Negotiated Rate |
$17.55 |
| Max. Negotiated Rate |
$56.41 |
| Rate for Payer: Cash Price |
$26.17
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$25.07
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$22.56
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$22.56
|
| Rate for Payer: Fidelis Essential Plan QHP |
$23.82
|
| Rate for Payer: Fidelis Medicare Advantage |
$25.07
|
| Rate for Payer: Fidelis Qualified Health Plan |
$23.82
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$25.07
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$25.07
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$18.80
|
| Rate for Payer: Healthfirst Commercial |
$25.07
|
| Rate for Payer: Healthfirst Essential Plan |
$56.41
|
| Rate for Payer: Healthfirst Medicare Advantage |
$23.82
|
| Rate for Payer: Healthfirst QHP |
$25.07
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$17.55
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$25.07
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$21.31
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$17.55
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$25.07
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$18.80
|
| Rate for Payer: SOMOS Essential |
$18.80
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$25.07
|
|
|
CHG ORTHOPANTOGRAM
|
Professional
|
Both
|
$39.27
|
|
|
Service Code
|
HCPCS 70355 26
|
| Min. Negotiated Rate |
$7.70 |
| Max. Negotiated Rate |
$24.75 |
| Rate for Payer: Cash Price |
$10.74
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$11.00
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$9.90
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$9.90
|
| Rate for Payer: Fidelis Essential Plan QHP |
$10.45
|
| Rate for Payer: Fidelis Medicare Advantage |
$11.00
|
| Rate for Payer: Fidelis Qualified Health Plan |
$10.45
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$11.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$11.00
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$8.25
|
| Rate for Payer: Healthfirst Commercial |
$11.00
|
| Rate for Payer: Healthfirst Essential Plan |
$24.75
|
| Rate for Payer: Healthfirst Medicare Advantage |
$10.45
|
| Rate for Payer: Healthfirst QHP |
$11.00
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$7.70
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$11.00
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$9.35
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$7.70
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$11.00
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$8.25
|
| Rate for Payer: SOMOS Essential |
$8.25
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$11.00
|
|
|
CHG ORTHOPANTOGRAM
|
Professional
|
Both
|
$76.51
|
|
|
Service Code
|
HCPCS 70355
|
| Min. Negotiated Rate |
$15.20 |
| Max. Negotiated Rate |
$48.85 |
| Rate for Payer: Cash Price |
$21.19
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$21.71
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$19.54
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$19.54
|
| Rate for Payer: Fidelis Essential Plan QHP |
$20.62
|
| Rate for Payer: Fidelis Medicare Advantage |
$21.71
|
| Rate for Payer: Fidelis Qualified Health Plan |
$20.62
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$21.71
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$21.71
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$16.28
|
| Rate for Payer: Healthfirst Commercial |
$21.71
|
| Rate for Payer: Healthfirst Essential Plan |
$48.85
|
| Rate for Payer: Healthfirst Medicare Advantage |
$20.62
|
| Rate for Payer: Healthfirst QHP |
$21.71
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$15.20
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$21.71
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$18.45
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$15.20
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$21.71
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$16.28
|
| Rate for Payer: SOMOS Essential |
$16.28
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$21.71
|
|
|
CHG ORTHOPANTOGRAM
|
Professional
|
Both
|
$37.24
|
|
|
Service Code
|
HCPCS 70355 TC
|
| Min. Negotiated Rate |
$7.50 |
| Max. Negotiated Rate |
$24.10 |
| Rate for Payer: Cash Price |
$10.45
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$10.71
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$9.64
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$9.64
|
| Rate for Payer: Fidelis Essential Plan QHP |
$10.17
|
| Rate for Payer: Fidelis Medicare Advantage |
$10.71
|
| Rate for Payer: Fidelis Qualified Health Plan |
$10.17
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$10.71
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$10.71
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$8.03
|
| Rate for Payer: Healthfirst Commercial |
$10.71
|
| Rate for Payer: Healthfirst Essential Plan |
$24.10
|
| Rate for Payer: Healthfirst Medicare Advantage |
$10.17
|
| Rate for Payer: Healthfirst QHP |
$10.71
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$7.50
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$10.71
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$9.10
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$7.50
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$10.71
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$8.03
|
| Rate for Payer: SOMOS Essential |
$8.03
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$10.71
|
|
|
CHG PARATHYROID IMAGING W/TOMOGRAPHIC SPECT & CT
|
Professional
|
Both
|
$290.12
|
|
|
Service Code
|
HCPCS 78072 26
|
| Min. Negotiated Rate |
$55.03 |
| Max. Negotiated Rate |
$176.90 |
| Rate for Payer: Cash Price |
$79.43
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$78.62
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$70.76
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$70.76
|
| Rate for Payer: Fidelis Essential Plan QHP |
$74.69
|
| Rate for Payer: Fidelis Medicare Advantage |
$78.62
|
| Rate for Payer: Fidelis Qualified Health Plan |
$74.69
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$78.62
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$78.62
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$58.97
|
| Rate for Payer: Healthfirst Commercial |
$78.62
|
| Rate for Payer: Healthfirst Essential Plan |
$176.90
|
| Rate for Payer: Healthfirst Medicare Advantage |
$74.69
|
| Rate for Payer: Healthfirst QHP |
$78.62
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$55.03
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$78.62
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$66.83
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$55.03
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$78.62
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$58.97
|
| Rate for Payer: SOMOS Essential |
$58.97
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$78.62
|
|
|
CHG PARATHYROID IMAGING W/TOMOGRAPHIC SPECT & CT
|
Professional
|
Both
|
$1,735.69
|
|
|
Service Code
|
HCPCS 78072
|
| Min. Negotiated Rate |
$313.96 |
| Max. Negotiated Rate |
$1,009.17 |
| Rate for Payer: Cash Price |
$464.33
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$448.52
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$403.67
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$403.67
|
| Rate for Payer: Fidelis Essential Plan QHP |
$426.09
|
| Rate for Payer: Fidelis Medicare Advantage |
$448.52
|
| Rate for Payer: Fidelis Qualified Health Plan |
$426.09
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$448.52
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$448.52
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$336.39
|
| Rate for Payer: Healthfirst Commercial |
$448.52
|
| Rate for Payer: Healthfirst Essential Plan |
$1,009.17
|
| Rate for Payer: Healthfirst Medicare Advantage |
$426.09
|
| Rate for Payer: Healthfirst QHP |
$448.52
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$313.96
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$448.52
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$381.24
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$313.96
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$448.52
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$336.39
|
| Rate for Payer: SOMOS Essential |
$336.39
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$448.52
|
|
|
CHG PARATHYROID IMAGING W/TOMOGRAPHIC SPECT & CT
|
Professional
|
Both
|
$1,445.57
|
|
|
Service Code
|
HCPCS 78072 TC
|
| Min. Negotiated Rate |
$258.93 |
| Max. Negotiated Rate |
$832.27 |
| Rate for Payer: Cash Price |
$384.90
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$369.90
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$332.91
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$332.91
|
| Rate for Payer: Fidelis Essential Plan QHP |
$351.40
|
| Rate for Payer: Fidelis Medicare Advantage |
$369.90
|
| Rate for Payer: Fidelis Qualified Health Plan |
$351.40
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$369.90
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$369.90
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$277.43
|
| Rate for Payer: Healthfirst Commercial |
$369.90
|
| Rate for Payer: Healthfirst Essential Plan |
$832.27
|
| Rate for Payer: Healthfirst Medicare Advantage |
$351.40
|
| Rate for Payer: Healthfirst QHP |
$369.90
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$258.93
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$369.90
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$314.42
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$258.93
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$369.90
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$277.43
|
| Rate for Payer: SOMOS Essential |
$277.43
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$369.90
|
|
|
CHG PARATHYROID PLANAR IMAGING
|
Professional
|
Both
|
$149.94
|
|
|
Service Code
|
HCPCS 78070 26
|
| Min. Negotiated Rate |
$28.63 |
| Max. Negotiated Rate |
$92.03 |
| Rate for Payer: Cash Price |
$41.01
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$40.90
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$36.81
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$36.81
|
| Rate for Payer: Fidelis Essential Plan QHP |
$38.85
|
| Rate for Payer: Fidelis Medicare Advantage |
$40.90
|
| Rate for Payer: Fidelis Qualified Health Plan |
$38.85
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$40.90
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$40.90
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$30.68
|
| Rate for Payer: Healthfirst Commercial |
$40.90
|
| Rate for Payer: Healthfirst Essential Plan |
$92.03
|
| Rate for Payer: Healthfirst Medicare Advantage |
$38.85
|
| Rate for Payer: Healthfirst QHP |
$40.90
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$28.63
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$40.90
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$34.77
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$28.63
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$40.90
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$30.68
|
| Rate for Payer: SOMOS Essential |
$30.68
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$40.90
|
|
|
CHG PARATHYROID PLANAR IMAGING
|
Professional
|
Both
|
$1,022.95
|
|
|
Service Code
|
HCPCS 78070 TC
|
| Min. Negotiated Rate |
$185.95 |
| Max. Negotiated Rate |
$597.69 |
| Rate for Payer: Cash Price |
$275.04
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$265.64
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$239.08
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$239.08
|
| Rate for Payer: Fidelis Essential Plan QHP |
$252.36
|
| Rate for Payer: Fidelis Medicare Advantage |
$265.64
|
| Rate for Payer: Fidelis Qualified Health Plan |
$252.36
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$265.64
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$265.64
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$199.23
|
| Rate for Payer: Healthfirst Commercial |
$265.64
|
| Rate for Payer: Healthfirst Essential Plan |
$597.69
|
| Rate for Payer: Healthfirst Medicare Advantage |
$252.36
|
| Rate for Payer: Healthfirst QHP |
$265.64
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$185.95
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$265.64
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$225.79
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$185.95
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$265.64
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$199.23
|
| Rate for Payer: SOMOS Essential |
$199.23
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$265.64
|
|
|
CHG PARATHYROID PLANAR IMAGING
|
Professional
|
Both
|
$1,172.89
|
|
|
Service Code
|
HCPCS 78070
|
| Min. Negotiated Rate |
$214.58 |
| Max. Negotiated Rate |
$689.72 |
| Rate for Payer: Cash Price |
$316.05
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$306.54
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$275.89
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$275.89
|
| Rate for Payer: Fidelis Essential Plan QHP |
$291.21
|
| Rate for Payer: Fidelis Medicare Advantage |
$306.54
|
| Rate for Payer: Fidelis Qualified Health Plan |
$291.21
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$306.54
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$306.54
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$229.91
|
| Rate for Payer: Healthfirst Commercial |
$306.54
|
| Rate for Payer: Healthfirst Essential Plan |
$689.72
|
| Rate for Payer: Healthfirst Medicare Advantage |
$291.21
|
| Rate for Payer: Healthfirst QHP |
$306.54
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$214.58
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$306.54
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$260.56
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$214.58
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$306.54
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$229.91
|
| Rate for Payer: SOMOS Essential |
$229.91
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$306.54
|
|
|
CHG PARATHYROID PLANAR IMAGING W/WO SUBTRACTION
|
Professional
|
Both
|
$224.21
|
|
|
Service Code
|
HCPCS 78071 26
|
| Min. Negotiated Rate |
$41.97 |
| Max. Negotiated Rate |
$134.91 |
| Rate for Payer: Cash Price |
$60.93
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$59.96
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$53.96
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$53.96
|
| Rate for Payer: Fidelis Essential Plan QHP |
$56.96
|
| Rate for Payer: Fidelis Medicare Advantage |
$59.96
|
| Rate for Payer: Fidelis Qualified Health Plan |
$56.96
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$59.96
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$59.96
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$44.97
|
| Rate for Payer: Healthfirst Commercial |
$59.96
|
| Rate for Payer: Healthfirst Essential Plan |
$134.91
|
| Rate for Payer: Healthfirst Medicare Advantage |
$56.96
|
| Rate for Payer: Healthfirst QHP |
$59.96
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$41.97
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$59.96
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$50.97
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$41.97
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$59.96
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$44.97
|
| Rate for Payer: SOMOS Essential |
$44.97
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$59.96
|
|
|
CHG PARATHYROID PLANAR IMAGING W/WO SUBTRACTION
|
Professional
|
Both
|
$1,172.43
|
|
|
Service Code
|
HCPCS 78071 TC
|
| Min. Negotiated Rate |
$211.76 |
| Max. Negotiated Rate |
$680.67 |
| Rate for Payer: Cash Price |
$313.94
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$302.52
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$272.27
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$272.27
|
| Rate for Payer: Fidelis Essential Plan QHP |
$287.39
|
| Rate for Payer: Fidelis Medicare Advantage |
$302.52
|
| Rate for Payer: Fidelis Qualified Health Plan |
$287.39
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$302.52
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$302.52
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$226.89
|
| Rate for Payer: Healthfirst Commercial |
$302.52
|
| Rate for Payer: Healthfirst Essential Plan |
$680.67
|
| Rate for Payer: Healthfirst Medicare Advantage |
$287.39
|
| Rate for Payer: Healthfirst QHP |
$302.52
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$211.76
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$302.52
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$257.14
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$211.76
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$302.52
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$226.89
|
| Rate for Payer: SOMOS Essential |
$226.89
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$302.52
|
|
|
CHG PARATHYROID PLANAR IMAGING W/WO SUBTRACTION
|
Professional
|
Both
|
$1,396.64
|
|
|
Service Code
|
HCPCS 78071
|
| Min. Negotiated Rate |
$253.73 |
| Max. Negotiated Rate |
$815.56 |
| Rate for Payer: Cash Price |
$374.86
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$362.47
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$326.22
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$326.22
|
| Rate for Payer: Fidelis Essential Plan QHP |
$344.35
|
| Rate for Payer: Fidelis Medicare Advantage |
$362.47
|
| Rate for Payer: Fidelis Qualified Health Plan |
$344.35
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$362.47
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$362.47
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$271.85
|
| Rate for Payer: Healthfirst Commercial |
$362.47
|
| Rate for Payer: Healthfirst Essential Plan |
$815.56
|
| Rate for Payer: Healthfirst Medicare Advantage |
$344.35
|
| Rate for Payer: Healthfirst QHP |
$362.47
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$253.73
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$362.47
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$308.10
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$253.73
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$362.47
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$271.85
|
| Rate for Payer: SOMOS Essential |
$271.85
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$362.47
|
|
|
CHG PATH CONSLTJ SURG 1ST BLK FROZEN SCTJ 1ST SPEC
|
Professional
|
Both
|
$178.12
|
|
|
Service Code
|
HCPCS 88331 TC
|
| Min. Negotiated Rate |
$33.31 |
| Max. Negotiated Rate |
$107.08 |
| Rate for Payer: Cash Price |
$48.96
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$47.59
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$42.83
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$42.83
|
| Rate for Payer: Fidelis Essential Plan QHP |
$45.21
|
| Rate for Payer: Fidelis Medicare Advantage |
$47.59
|
| Rate for Payer: Fidelis Qualified Health Plan |
$45.21
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$47.59
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$47.59
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$35.69
|
| Rate for Payer: Healthfirst Commercial |
$47.59
|
| Rate for Payer: Healthfirst Essential Plan |
$107.08
|
| Rate for Payer: Healthfirst Medicare Advantage |
$45.21
|
| Rate for Payer: Healthfirst QHP |
$47.59
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$33.31
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$47.59
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$40.45
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$33.31
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$47.59
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$35.69
|
| Rate for Payer: SOMOS Essential |
$35.69
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$47.59
|
|
|
CHG PATH CONSLTJ SURG 1ST BLK FROZEN SCTJ 1ST SPEC
|
Professional
|
Both
|
$417.45
|
|
|
Service Code
|
HCPCS 88331
|
| Min. Negotiated Rate |
$78.90 |
| Max. Negotiated Rate |
$253.62 |
| Rate for Payer: Cash Price |
$114.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$112.72
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$101.45
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$101.45
|
| Rate for Payer: Fidelis Essential Plan QHP |
$107.08
|
| Rate for Payer: Fidelis Medicare Advantage |
$112.72
|
| Rate for Payer: Fidelis Qualified Health Plan |
$107.08
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$112.72
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$112.72
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$84.54
|
| Rate for Payer: Healthfirst Commercial |
$112.72
|
| Rate for Payer: Healthfirst Essential Plan |
$253.62
|
| Rate for Payer: Healthfirst Medicare Advantage |
$107.08
|
| Rate for Payer: Healthfirst QHP |
$112.72
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$78.90
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$112.72
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$95.81
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$78.90
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$112.72
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$84.54
|
| Rate for Payer: SOMOS Essential |
$84.54
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$112.72
|
|
|
CHG PATH CONSLTJ SURG 1ST BLK FROZEN SCTJ 1ST SPEC
|
Professional
|
Both
|
$239.33
|
|
|
Service Code
|
HCPCS 88331 26
|
| Min. Negotiated Rate |
$45.59 |
| Max. Negotiated Rate |
$146.54 |
| Rate for Payer: Cash Price |
$65.54
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$65.13
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$58.62
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$58.62
|
| Rate for Payer: Fidelis Essential Plan QHP |
$61.87
|
| Rate for Payer: Fidelis Medicare Advantage |
$65.13
|
| Rate for Payer: Fidelis Qualified Health Plan |
$61.87
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$65.13
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$65.13
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$48.85
|
| Rate for Payer: Healthfirst Commercial |
$65.13
|
| Rate for Payer: Healthfirst Essential Plan |
$146.54
|
| Rate for Payer: Healthfirst Medicare Advantage |
$61.87
|
| Rate for Payer: Healthfirst QHP |
$65.13
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$45.59
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$65.13
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$55.36
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$45.59
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$65.13
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$48.85
|
| Rate for Payer: SOMOS Essential |
$48.85
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$65.13
|
|
|
CHG PATH CONSLTJ SURG CYTOLOGIC EXAM EACH ADDL SITE
|
Professional
|
Both
|
$144.48
|
|
|
Service Code
|
HCPCS 88334 26
|
| Min. Negotiated Rate |
$27.55 |
| Max. Negotiated Rate |
$88.54 |
| Rate for Payer: Cash Price |
$39.44
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$39.35
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$35.41
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$35.41
|
| Rate for Payer: Fidelis Essential Plan QHP |
$37.38
|
| Rate for Payer: Fidelis Medicare Advantage |
$39.35
|
| Rate for Payer: Fidelis Qualified Health Plan |
$37.38
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$39.35
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$39.35
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$29.51
|
| Rate for Payer: Healthfirst Commercial |
$39.35
|
| Rate for Payer: Healthfirst Essential Plan |
$88.54
|
| Rate for Payer: Healthfirst Medicare Advantage |
$37.38
|
| Rate for Payer: Healthfirst QHP |
$39.35
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$27.55
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$39.35
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$33.45
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$27.55
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$39.35
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$29.51
|
| Rate for Payer: SOMOS Essential |
$29.51
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$39.35
|
|
|
CHG PATH CONSLTJ SURG CYTOLOGIC EXAM EACH ADDL SITE
|
Professional
|
Both
|
$227.85
|
|
|
Service Code
|
HCPCS 88334
|
| Min. Negotiated Rate |
$43.30 |
| Max. Negotiated Rate |
$139.19 |
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$61.86
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$55.67
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$55.67
|
| Rate for Payer: Fidelis Essential Plan QHP |
$58.77
|
| Rate for Payer: Fidelis Medicare Advantage |
$61.86
|
| Rate for Payer: Fidelis Qualified Health Plan |
$58.77
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$61.86
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$61.86
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$46.40
|
| Rate for Payer: Healthfirst Commercial |
$61.86
|
| Rate for Payer: Healthfirst Essential Plan |
$139.19
|
| Rate for Payer: Healthfirst Medicare Advantage |
$58.77
|
| Rate for Payer: Healthfirst QHP |
$61.86
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$43.30
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$61.86
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$52.58
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$43.30
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$61.86
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$46.40
|
| Rate for Payer: SOMOS Essential |
$46.40
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$61.86
|
|
|
CHG PATH CONSLTJ SURG CYTOLOGIC EXAM EACH ADDL SITE
|
Professional
|
Both
|
$83.37
|
|
|
Service Code
|
HCPCS 88334 TC
|
| Min. Negotiated Rate |
$15.76 |
| Max. Negotiated Rate |
$50.65 |
| Rate for Payer: Cash Price |
$22.79
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$22.51
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$20.26
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$20.26
|
| Rate for Payer: Fidelis Essential Plan QHP |
$21.38
|
| Rate for Payer: Fidelis Medicare Advantage |
$22.51
|
| Rate for Payer: Fidelis Qualified Health Plan |
$21.38
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$22.51
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$22.51
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$16.88
|
| Rate for Payer: Healthfirst Commercial |
$22.51
|
| Rate for Payer: Healthfirst Essential Plan |
$50.65
|
| Rate for Payer: Healthfirst Medicare Advantage |
$21.38
|
| Rate for Payer: Healthfirst QHP |
$22.51
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$15.76
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$22.51
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$19.13
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$15.76
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$22.51
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$16.88
|
| Rate for Payer: SOMOS Essential |
$16.88
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$22.51
|
|
|
CHG PATH CONSLTJ SURG CYTOLOGIC EXAM INITIAL SITE
|
Professional
|
Both
|
$139.30
|
|
|
Service Code
|
HCPCS 88333 TC
|
| Min. Negotiated Rate |
$25.70 |
| Max. Negotiated Rate |
$82.62 |
| Rate for Payer: Cash Price |
$37.95
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$36.72
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$33.05
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$33.05
|
| Rate for Payer: Fidelis Essential Plan QHP |
$34.88
|
| Rate for Payer: Fidelis Medicare Advantage |
$36.72
|
| Rate for Payer: Fidelis Qualified Health Plan |
$34.88
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$36.72
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$36.72
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$27.54
|
| Rate for Payer: Healthfirst Commercial |
$36.72
|
| Rate for Payer: Healthfirst Essential Plan |
$82.62
|
| Rate for Payer: Healthfirst Medicare Advantage |
$34.88
|
| Rate for Payer: Healthfirst QHP |
$36.72
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$25.70
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$36.72
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$31.21
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$25.70
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$36.72
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$27.54
|
| Rate for Payer: SOMOS Essential |
$27.54
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$36.72
|
|
|
CHG PATH CONSLTJ SURG CYTOLOGIC EXAM INITIAL SITE
|
Professional
|
Both
|
$239.16
|
|
|
Service Code
|
HCPCS 88333 26
|
| Min. Negotiated Rate |
$45.29 |
| Max. Negotiated Rate |
$145.57 |
| Rate for Payer: Cash Price |
$65.10
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$64.70
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$58.23
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$58.23
|
| Rate for Payer: Fidelis Essential Plan QHP |
$61.47
|
| Rate for Payer: Fidelis Medicare Advantage |
$64.70
|
| Rate for Payer: Fidelis Qualified Health Plan |
$61.47
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$64.70
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$64.70
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$48.52
|
| Rate for Payer: Healthfirst Commercial |
$64.70
|
| Rate for Payer: Healthfirst Essential Plan |
$145.57
|
| Rate for Payer: Healthfirst Medicare Advantage |
$61.47
|
| Rate for Payer: Healthfirst QHP |
$64.70
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$45.29
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$64.70
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$54.99
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$45.29
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$64.70
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$48.52
|
| Rate for Payer: SOMOS Essential |
$48.52
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$64.70
|
|
|
CHG PATH CONSLTJ SURG CYTOLOGIC EXAM INITIAL SITE
|
Professional
|
Both
|
$378.46
|
|
|
Service Code
|
HCPCS 88333
|
| Min. Negotiated Rate |
$70.99 |
| Max. Negotiated Rate |
$228.19 |
| Rate for Payer: Cash Price |
$103.06
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$101.42
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$91.28
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$91.28
|
| Rate for Payer: Fidelis Essential Plan QHP |
$96.35
|
| Rate for Payer: Fidelis Medicare Advantage |
$101.42
|
| Rate for Payer: Fidelis Qualified Health Plan |
$96.35
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$101.42
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$101.42
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$76.06
|
| Rate for Payer: Healthfirst Commercial |
$101.42
|
| Rate for Payer: Healthfirst Essential Plan |
$228.19
|
| Rate for Payer: Healthfirst Medicare Advantage |
$96.35
|
| Rate for Payer: Healthfirst QHP |
$101.42
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$70.99
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$101.42
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$86.21
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$70.99
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$101.42
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$76.06
|
| Rate for Payer: SOMOS Essential |
$76.06
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$101.42
|
|
|
CHG PATH CONSLTJ SURG EA ADDL BLK FROZEN SECTION
|
Professional
|
Both
|
$226.00
|
|
|
Service Code
|
HCPCS 88332
|
| Min. Negotiated Rate |
$43.08 |
| Max. Negotiated Rate |
$138.47 |
| Rate for Payer: Cash Price |
$61.91
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$61.54
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$55.39
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$55.39
|
| Rate for Payer: Fidelis Essential Plan QHP |
$58.46
|
| Rate for Payer: Fidelis Medicare Advantage |
$61.54
|
| Rate for Payer: Fidelis Qualified Health Plan |
$58.46
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$61.54
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$61.54
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$46.16
|
| Rate for Payer: Healthfirst Commercial |
$61.54
|
| Rate for Payer: Healthfirst Essential Plan |
$138.47
|
| Rate for Payer: Healthfirst Medicare Advantage |
$58.46
|
| Rate for Payer: Healthfirst QHP |
$61.54
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$43.08
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$61.54
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$52.31
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$43.08
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$61.54
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$46.16
|
| Rate for Payer: SOMOS Essential |
$46.16
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$61.54
|
|
|
CHG PATH CONSLTJ SURG EA ADDL BLK FROZEN SECTION
|
Professional
|
Both
|
$107.66
|
|
|
Service Code
|
HCPCS 88332 TC
|
| Min. Negotiated Rate |
$20.54 |
| Max. Negotiated Rate |
$66.02 |
| Rate for Payer: Cash Price |
$29.70
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$29.34
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$26.41
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$26.41
|
| Rate for Payer: Fidelis Essential Plan QHP |
$27.87
|
| Rate for Payer: Fidelis Medicare Advantage |
$29.34
|
| Rate for Payer: Fidelis Qualified Health Plan |
$27.87
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$29.34
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$29.34
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$22.00
|
| Rate for Payer: Healthfirst Commercial |
$29.34
|
| Rate for Payer: Healthfirst Essential Plan |
$66.02
|
| Rate for Payer: Healthfirst Medicare Advantage |
$27.87
|
| Rate for Payer: Healthfirst QHP |
$29.34
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$20.54
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$29.34
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$24.94
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$20.54
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$29.34
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$22.00
|
| Rate for Payer: SOMOS Essential |
$22.00
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$29.34
|
|
|
CHG PATH CONSLTJ SURG EA ADDL BLK FROZEN SECTION
|
Professional
|
Both
|
$118.34
|
|
|
Service Code
|
HCPCS 88332 26
|
| Min. Negotiated Rate |
$22.54 |
| Max. Negotiated Rate |
$72.45 |
| Rate for Payer: Cash Price |
$32.20
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$32.20
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$28.98
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$28.98
|
| Rate for Payer: Fidelis Essential Plan QHP |
$30.59
|
| Rate for Payer: Fidelis Medicare Advantage |
$32.20
|
| Rate for Payer: Fidelis Qualified Health Plan |
$30.59
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$32.20
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$32.20
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$24.15
|
| Rate for Payer: Healthfirst Commercial |
$32.20
|
| Rate for Payer: Healthfirst Essential Plan |
$72.45
|
| Rate for Payer: Healthfirst Medicare Advantage |
$30.59
|
| Rate for Payer: Healthfirst QHP |
$32.20
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$22.54
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$32.20
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$27.37
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$22.54
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$32.20
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$24.15
|
| Rate for Payer: SOMOS Essential |
$24.15
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$32.20
|
|
