|
CHG ORTHOPANTOGRAM
|
Professional
|
$37.24
|
|
|
Service Code
|
HCPCS 70355 TC
|
| Min. Negotiated Rate |
$7.45 |
| Max. Negotiated Rate |
$57.38 |
| Rate for Payer: Cash Price |
$10.45
|
| Rate for Payer: Cash Price |
$10.45
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$9.58
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$9.58
|
| Rate for Payer: Fidelis Essential Plan QHP |
$10.11
|
| Rate for Payer: Fidelis Medicare Advantage |
$10.64
|
| Rate for Payer: Fidelis Qualified Health Plan |
$10.11
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$10.64
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$10.64
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$7.98
|
| Rate for Payer: Healthfirst Medicare Advantage |
$10.11
|
| Rate for Payer: Healthfirst QHP |
$10.64
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$7.45
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$10.64
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$9.04
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$7.45
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$10.64
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$27.93
|
| Rate for Payer: SOMOS Essential |
$27.93
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$10.64
|
|
|
CHG ORTHOPANTOGRAM
|
Professional
|
$76.51
|
|
|
Service Code
|
HCPCS 70355
|
| Min. Negotiated Rate |
$7.45 |
| Max. Negotiated Rate |
$57.38 |
| Rate for Payer: Cash Price |
$21.19
|
| Rate for Payer: Cash Price |
$21.19
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$19.67
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$19.67
|
| Rate for Payer: Fidelis Essential Plan QHP |
$20.77
|
| Rate for Payer: Fidelis Medicare Advantage |
$21.86
|
| Rate for Payer: Fidelis Qualified Health Plan |
$20.77
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$21.86
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$21.86
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$16.40
|
| Rate for Payer: Healthfirst Medicare Advantage |
$20.77
|
| Rate for Payer: Healthfirst QHP |
$21.86
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$15.30
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$21.86
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$18.58
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$15.30
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$21.86
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$57.38
|
| Rate for Payer: SOMOS Essential |
$57.38
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$21.86
|
|
|
CHG PARATHYROID IMAGING W/TOMOGRAPHIC SPECT & CT
|
Professional
|
$1,735.69
|
|
|
Service Code
|
HCPCS 78072
|
| Min. Negotiated Rate |
$58.02 |
| Max. Negotiated Rate |
$1,301.77 |
| Rate for Payer: Cash Price |
$464.33
|
| Rate for Payer: Cash Price |
$464.33
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$446.32
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$446.32
|
| Rate for Payer: Fidelis Essential Plan QHP |
$471.11
|
| Rate for Payer: Fidelis Medicare Advantage |
$495.91
|
| Rate for Payer: Fidelis Qualified Health Plan |
$471.11
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$495.91
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$495.91
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$371.93
|
| Rate for Payer: Healthfirst Medicare Advantage |
$471.11
|
| Rate for Payer: Healthfirst QHP |
$495.91
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$347.14
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$495.91
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$421.52
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$347.14
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$495.91
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$1,301.77
|
| Rate for Payer: SOMOS Essential |
$1,301.77
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$495.91
|
|
|
CHG PARATHYROID IMAGING W/TOMOGRAPHIC SPECT & CT
|
Professional
|
$1,445.57
|
|
|
Service Code
|
HCPCS 78072 TC
|
| Min. Negotiated Rate |
$58.02 |
| Max. Negotiated Rate |
$1,301.77 |
| Rate for Payer: Cash Price |
$384.90
|
| Rate for Payer: Cash Price |
$384.90
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$371.72
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$371.72
|
| Rate for Payer: Fidelis Essential Plan QHP |
$392.37
|
| Rate for Payer: Fidelis Medicare Advantage |
$413.02
|
| Rate for Payer: Fidelis Qualified Health Plan |
$392.37
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$413.02
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$413.02
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$309.76
|
| Rate for Payer: Healthfirst Medicare Advantage |
$392.37
|
| Rate for Payer: Healthfirst QHP |
$413.02
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$289.11
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$413.02
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$351.07
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$289.11
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$413.02
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$1,084.18
|
| Rate for Payer: SOMOS Essential |
$1,084.18
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$413.02
|
|
|
CHG PARATHYROID IMAGING W/TOMOGRAPHIC SPECT & CT
|
Professional
|
$290.12
|
|
|
Service Code
|
HCPCS 78072 26
|
| Min. Negotiated Rate |
$58.02 |
| Max. Negotiated Rate |
$1,301.77 |
| Rate for Payer: Cash Price |
$79.43
|
| Rate for Payer: Cash Price |
$79.43
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$74.60
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$74.60
|
| Rate for Payer: Fidelis Essential Plan QHP |
$78.75
|
| Rate for Payer: Fidelis Medicare Advantage |
$82.89
|
| Rate for Payer: Fidelis Qualified Health Plan |
$78.75
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$82.89
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$82.89
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$62.17
|
| Rate for Payer: Healthfirst Medicare Advantage |
$78.75
|
| Rate for Payer: Healthfirst QHP |
$82.89
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$58.02
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$82.89
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$70.46
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$58.02
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$82.89
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$217.59
|
| Rate for Payer: SOMOS Essential |
$217.59
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$82.89
|
|
|
CHG PARATHYROID PLANAR IMAGING
|
Professional
|
$149.94
|
|
|
Service Code
|
HCPCS 78070 26
|
| Min. Negotiated Rate |
$29.99 |
| Max. Negotiated Rate |
$879.67 |
| Rate for Payer: Cash Price |
$41.01
|
| Rate for Payer: Cash Price |
$41.01
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$38.56
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$38.56
|
| Rate for Payer: Fidelis Essential Plan QHP |
$40.70
|
| Rate for Payer: Fidelis Medicare Advantage |
$42.84
|
| Rate for Payer: Fidelis Qualified Health Plan |
$40.70
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$42.84
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$42.84
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$32.13
|
| Rate for Payer: Healthfirst Medicare Advantage |
$40.70
|
| Rate for Payer: Healthfirst QHP |
$42.84
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$29.99
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$42.84
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$36.41
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$29.99
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$42.84
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$112.46
|
| Rate for Payer: SOMOS Essential |
$112.46
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$42.84
|
|
|
CHG PARATHYROID PLANAR IMAGING
|
Professional
|
$1,022.95
|
|
|
Service Code
|
HCPCS 78070 TC
|
| Min. Negotiated Rate |
$29.99 |
| Max. Negotiated Rate |
$879.67 |
| Rate for Payer: Cash Price |
$275.04
|
| Rate for Payer: Cash Price |
$275.04
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$263.04
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$263.04
|
| Rate for Payer: Fidelis Essential Plan QHP |
$277.66
|
| Rate for Payer: Fidelis Medicare Advantage |
$292.27
|
| Rate for Payer: Fidelis Qualified Health Plan |
$277.66
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$292.27
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$292.27
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$219.20
|
| Rate for Payer: Healthfirst Medicare Advantage |
$277.66
|
| Rate for Payer: Healthfirst QHP |
$292.27
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$204.59
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$292.27
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$248.43
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$204.59
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$292.27
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$767.21
|
| Rate for Payer: SOMOS Essential |
$767.21
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$292.27
|
|
|
CHG PARATHYROID PLANAR IMAGING
|
Professional
|
$1,172.89
|
|
|
Service Code
|
HCPCS 78070
|
| Min. Negotiated Rate |
$29.99 |
| Max. Negotiated Rate |
$879.67 |
| Rate for Payer: Cash Price |
$316.05
|
| Rate for Payer: Cash Price |
$316.05
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$301.60
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$301.60
|
| Rate for Payer: Fidelis Essential Plan QHP |
$318.35
|
| Rate for Payer: Fidelis Medicare Advantage |
$335.11
|
| Rate for Payer: Fidelis Qualified Health Plan |
$318.35
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$335.11
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$335.11
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$251.33
|
| Rate for Payer: Healthfirst Medicare Advantage |
$318.35
|
| Rate for Payer: Healthfirst QHP |
$335.11
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$234.58
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$335.11
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$284.84
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$234.58
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$335.11
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$879.67
|
| Rate for Payer: SOMOS Essential |
$879.67
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$335.11
|
|
|
CHG PARATHYROID PLANAR IMAGING W/WO SUBTRACTION
|
Professional
|
$224.21
|
|
|
Service Code
|
HCPCS 78071 26
|
| Min. Negotiated Rate |
$44.84 |
| Max. Negotiated Rate |
$1,047.48 |
| Rate for Payer: Cash Price |
$60.93
|
| Rate for Payer: Cash Price |
$60.93
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$57.65
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$57.65
|
| Rate for Payer: Fidelis Essential Plan QHP |
$60.86
|
| Rate for Payer: Fidelis Medicare Advantage |
$64.06
|
| Rate for Payer: Fidelis Qualified Health Plan |
$60.86
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$64.06
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$64.06
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$48.04
|
| Rate for Payer: Healthfirst Medicare Advantage |
$60.86
|
| Rate for Payer: Healthfirst QHP |
$64.06
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$44.84
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$64.06
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$54.45
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$44.84
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$64.06
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$168.16
|
| Rate for Payer: SOMOS Essential |
$168.16
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$64.06
|
|
|
CHG PARATHYROID PLANAR IMAGING W/WO SUBTRACTION
|
Professional
|
$1,396.64
|
|
|
Service Code
|
HCPCS 78071
|
| Min. Negotiated Rate |
$44.84 |
| Max. Negotiated Rate |
$1,047.48 |
| Rate for Payer: Cash Price |
$374.86
|
| Rate for Payer: Cash Price |
$374.86
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$359.14
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$359.14
|
| Rate for Payer: Fidelis Essential Plan QHP |
$379.09
|
| Rate for Payer: Fidelis Medicare Advantage |
$399.04
|
| Rate for Payer: Fidelis Qualified Health Plan |
$379.09
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$399.04
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$399.04
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$299.28
|
| Rate for Payer: Healthfirst Medicare Advantage |
$379.09
|
| Rate for Payer: Healthfirst QHP |
$399.04
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$279.33
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$399.04
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$339.18
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$279.33
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$399.04
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$1,047.48
|
| Rate for Payer: SOMOS Essential |
$1,047.48
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$399.04
|
|
|
CHG PARATHYROID PLANAR IMAGING W/WO SUBTRACTION
|
Professional
|
$1,172.43
|
|
|
Service Code
|
HCPCS 78071 TC
|
| Min. Negotiated Rate |
$44.84 |
| Max. Negotiated Rate |
$1,047.48 |
| Rate for Payer: Cash Price |
$313.94
|
| Rate for Payer: Cash Price |
$313.94
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$301.48
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$301.48
|
| Rate for Payer: Fidelis Essential Plan QHP |
$318.23
|
| Rate for Payer: Fidelis Medicare Advantage |
$334.98
|
| Rate for Payer: Fidelis Qualified Health Plan |
$318.23
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$334.98
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$334.98
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$251.24
|
| Rate for Payer: Healthfirst Medicare Advantage |
$318.23
|
| Rate for Payer: Healthfirst QHP |
$334.98
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$234.49
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$334.98
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$284.73
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$234.49
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$334.98
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$879.32
|
| Rate for Payer: SOMOS Essential |
$879.32
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$334.98
|
|
|
CHG PATH CONSLTJ SURG 1ST BLK FROZEN SCTJ 1ST SPEC
|
Professional
|
$417.45
|
|
|
Service Code
|
HCPCS 88331
|
| Min. Negotiated Rate |
$35.62 |
| Max. Negotiated Rate |
$313.09 |
| Rate for Payer: Cash Price |
$114.50
|
| Rate for Payer: Cash Price |
$114.50
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$107.34
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$107.34
|
| Rate for Payer: Fidelis Essential Plan QHP |
$113.31
|
| Rate for Payer: Fidelis Medicare Advantage |
$119.27
|
| Rate for Payer: Fidelis Qualified Health Plan |
$113.31
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$119.27
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$119.27
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$89.45
|
| Rate for Payer: Healthfirst Medicare Advantage |
$113.31
|
| Rate for Payer: Healthfirst QHP |
$119.27
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$83.49
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$119.27
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$101.38
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$83.49
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$119.27
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$313.09
|
| Rate for Payer: SOMOS Essential |
$313.09
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$119.27
|
|
|
CHG PATH CONSLTJ SURG 1ST BLK FROZEN SCTJ 1ST SPEC
|
Professional
|
$178.12
|
|
|
Service Code
|
HCPCS 88331 TC
|
| Min. Negotiated Rate |
$35.62 |
| Max. Negotiated Rate |
$313.09 |
| Rate for Payer: Cash Price |
$48.96
|
| Rate for Payer: Cash Price |
$48.96
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$45.80
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$45.80
|
| Rate for Payer: Fidelis Essential Plan QHP |
$48.35
|
| Rate for Payer: Fidelis Medicare Advantage |
$50.89
|
| Rate for Payer: Fidelis Qualified Health Plan |
$48.35
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$50.89
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$50.89
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$38.17
|
| Rate for Payer: Healthfirst Medicare Advantage |
$48.35
|
| Rate for Payer: Healthfirst QHP |
$50.89
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$35.62
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$50.89
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$43.26
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$35.62
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$50.89
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$133.59
|
| Rate for Payer: SOMOS Essential |
$133.59
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$50.89
|
|
|
CHG PATH CONSLTJ SURG 1ST BLK FROZEN SCTJ 1ST SPEC
|
Professional
|
$239.33
|
|
|
Service Code
|
HCPCS 88331 26
|
| Min. Negotiated Rate |
$35.62 |
| Max. Negotiated Rate |
$313.09 |
| Rate for Payer: Cash Price |
$65.54
|
| Rate for Payer: Cash Price |
$65.54
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$61.54
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$61.54
|
| Rate for Payer: Fidelis Essential Plan QHP |
$64.96
|
| Rate for Payer: Fidelis Medicare Advantage |
$68.38
|
| Rate for Payer: Fidelis Qualified Health Plan |
$64.96
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$68.38
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$68.38
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$51.28
|
| Rate for Payer: Healthfirst Medicare Advantage |
$64.96
|
| Rate for Payer: Healthfirst QHP |
$68.38
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$47.87
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$68.38
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$58.12
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$47.87
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$68.38
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$179.50
|
| Rate for Payer: SOMOS Essential |
$179.50
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$68.38
|
|
|
CHG PATH CONSLTJ SURG CYTOLOGIC EXAM EACH ADDL SITE
|
Professional
|
$144.48
|
|
|
Service Code
|
HCPCS 88334 26
|
| Min. Negotiated Rate |
$16.67 |
| Max. Negotiated Rate |
$170.89 |
| Rate for Payer: Cash Price |
$39.44
|
| Rate for Payer: Cash Price |
$39.44
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$37.15
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$37.15
|
| Rate for Payer: Fidelis Essential Plan QHP |
$39.22
|
| Rate for Payer: Fidelis Medicare Advantage |
$41.28
|
| Rate for Payer: Fidelis Qualified Health Plan |
$39.22
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$41.28
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$41.28
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$30.96
|
| Rate for Payer: Healthfirst Medicare Advantage |
$39.22
|
| Rate for Payer: Healthfirst QHP |
$41.28
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$28.90
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$41.28
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$35.09
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$28.90
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$41.28
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$108.36
|
| Rate for Payer: SOMOS Essential |
$108.36
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$41.28
|
|
|
CHG PATH CONSLTJ SURG CYTOLOGIC EXAM EACH ADDL SITE
|
Professional
|
$83.37
|
|
|
Service Code
|
HCPCS 88334 TC
|
| Min. Negotiated Rate |
$16.67 |
| Max. Negotiated Rate |
$170.89 |
| Rate for Payer: Cash Price |
$22.79
|
| Rate for Payer: Cash Price |
$22.79
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$21.44
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$21.44
|
| Rate for Payer: Fidelis Essential Plan QHP |
$22.63
|
| Rate for Payer: Fidelis Medicare Advantage |
$23.82
|
| Rate for Payer: Fidelis Qualified Health Plan |
$22.63
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$23.82
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$23.82
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$17.86
|
| Rate for Payer: Healthfirst Medicare Advantage |
$22.63
|
| Rate for Payer: Healthfirst QHP |
$23.82
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$16.67
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$23.82
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$20.25
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$16.67
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$23.82
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$62.53
|
| Rate for Payer: SOMOS Essential |
$62.53
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$23.82
|
|
|
CHG PATH CONSLTJ SURG CYTOLOGIC EXAM EACH ADDL SITE
|
Professional
|
$227.85
|
|
|
Service Code
|
HCPCS 88334
|
| Min. Negotiated Rate |
$16.67 |
| Max. Negotiated Rate |
$170.89 |
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$58.59
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$58.59
|
| Rate for Payer: Fidelis Essential Plan QHP |
$61.84
|
| Rate for Payer: Fidelis Medicare Advantage |
$65.10
|
| Rate for Payer: Fidelis Qualified Health Plan |
$61.84
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$65.10
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$65.10
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$48.82
|
| Rate for Payer: Healthfirst Medicare Advantage |
$61.84
|
| Rate for Payer: Healthfirst QHP |
$65.10
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$45.57
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$65.10
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$55.34
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$45.57
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$65.10
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$170.89
|
| Rate for Payer: SOMOS Essential |
$170.89
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$65.10
|
|
|
CHG PATH CONSLTJ SURG CYTOLOGIC EXAM INITIAL SITE
|
Professional
|
$378.46
|
|
|
Service Code
|
HCPCS 88333
|
| Min. Negotiated Rate |
$27.86 |
| Max. Negotiated Rate |
$283.84 |
| Rate for Payer: Cash Price |
$103.06
|
| Rate for Payer: Cash Price |
$103.06
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$97.32
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$97.32
|
| Rate for Payer: Fidelis Essential Plan QHP |
$102.72
|
| Rate for Payer: Fidelis Medicare Advantage |
$108.13
|
| Rate for Payer: Fidelis Qualified Health Plan |
$102.72
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$108.13
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$108.13
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$81.10
|
| Rate for Payer: Healthfirst Medicare Advantage |
$102.72
|
| Rate for Payer: Healthfirst QHP |
$108.13
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$75.69
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$108.13
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$91.91
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$75.69
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$108.13
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$283.84
|
| Rate for Payer: SOMOS Essential |
$283.84
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$108.13
|
|
|
CHG PATH CONSLTJ SURG CYTOLOGIC EXAM INITIAL SITE
|
Professional
|
$239.16
|
|
|
Service Code
|
HCPCS 88333 26
|
| Min. Negotiated Rate |
$27.86 |
| Max. Negotiated Rate |
$283.84 |
| Rate for Payer: Cash Price |
$65.10
|
| Rate for Payer: Cash Price |
$65.10
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$61.50
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$61.50
|
| Rate for Payer: Fidelis Essential Plan QHP |
$64.91
|
| Rate for Payer: Fidelis Medicare Advantage |
$68.33
|
| Rate for Payer: Fidelis Qualified Health Plan |
$64.91
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$68.33
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$68.33
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$51.25
|
| Rate for Payer: Healthfirst Medicare Advantage |
$64.91
|
| Rate for Payer: Healthfirst QHP |
$68.33
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$47.83
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$68.33
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$58.08
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$47.83
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$68.33
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$179.37
|
| Rate for Payer: SOMOS Essential |
$179.37
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$68.33
|
|
|
CHG PATH CONSLTJ SURG CYTOLOGIC EXAM INITIAL SITE
|
Professional
|
$139.30
|
|
|
Service Code
|
HCPCS 88333 TC
|
| Min. Negotiated Rate |
$27.86 |
| Max. Negotiated Rate |
$283.84 |
| Rate for Payer: Cash Price |
$37.95
|
| Rate for Payer: Cash Price |
$37.95
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$35.82
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$35.82
|
| Rate for Payer: Fidelis Essential Plan QHP |
$37.81
|
| Rate for Payer: Fidelis Medicare Advantage |
$39.80
|
| Rate for Payer: Fidelis Qualified Health Plan |
$37.81
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$39.80
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$39.80
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$29.85
|
| Rate for Payer: Healthfirst Medicare Advantage |
$37.81
|
| Rate for Payer: Healthfirst QHP |
$39.80
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$27.86
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$39.80
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$33.83
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$27.86
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$39.80
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$104.48
|
| Rate for Payer: SOMOS Essential |
$104.48
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$39.80
|
|
|
CHG PATH CONSLTJ SURG EA ADDL BLK FROZEN SECTION
|
Professional
|
$226.00
|
|
|
Service Code
|
HCPCS 88332
|
| Min. Negotiated Rate |
$21.53 |
| Max. Negotiated Rate |
$169.50 |
| Rate for Payer: Cash Price |
$61.91
|
| Rate for Payer: Cash Price |
$61.91
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$58.11
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$58.11
|
| Rate for Payer: Fidelis Essential Plan QHP |
$61.34
|
| Rate for Payer: Fidelis Medicare Advantage |
$64.57
|
| Rate for Payer: Fidelis Qualified Health Plan |
$61.34
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$64.57
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$64.57
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$48.43
|
| Rate for Payer: Healthfirst Medicare Advantage |
$61.34
|
| Rate for Payer: Healthfirst QHP |
$64.57
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$45.20
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$64.57
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$54.88
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$45.20
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$64.57
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$169.50
|
| Rate for Payer: SOMOS Essential |
$169.50
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$64.57
|
|
|
CHG PATH CONSLTJ SURG EA ADDL BLK FROZEN SECTION
|
Professional
|
$107.66
|
|
|
Service Code
|
HCPCS 88332 TC
|
| Min. Negotiated Rate |
$21.53 |
| Max. Negotiated Rate |
$169.50 |
| Rate for Payer: Cash Price |
$29.70
|
| Rate for Payer: Cash Price |
$29.70
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$27.68
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$27.68
|
| Rate for Payer: Fidelis Essential Plan QHP |
$29.22
|
| Rate for Payer: Fidelis Medicare Advantage |
$30.76
|
| Rate for Payer: Fidelis Qualified Health Plan |
$29.22
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$30.76
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$30.76
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$23.07
|
| Rate for Payer: Healthfirst Medicare Advantage |
$29.22
|
| Rate for Payer: Healthfirst QHP |
$30.76
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$21.53
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$30.76
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$26.15
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$21.53
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$30.76
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$80.74
|
| Rate for Payer: SOMOS Essential |
$80.74
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$30.76
|
|
|
CHG PATH CONSLTJ SURG EA ADDL BLK FROZEN SECTION
|
Professional
|
$118.34
|
|
|
Service Code
|
HCPCS 88332 26
|
| Min. Negotiated Rate |
$21.53 |
| Max. Negotiated Rate |
$169.50 |
| Rate for Payer: Cash Price |
$32.20
|
| Rate for Payer: Cash Price |
$32.20
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$30.43
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$30.43
|
| Rate for Payer: Fidelis Essential Plan QHP |
$32.12
|
| Rate for Payer: Fidelis Medicare Advantage |
$33.81
|
| Rate for Payer: Fidelis Qualified Health Plan |
$32.12
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$33.81
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$33.81
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$25.36
|
| Rate for Payer: Healthfirst Medicare Advantage |
$32.12
|
| Rate for Payer: Healthfirst QHP |
$33.81
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$23.67
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$33.81
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$28.74
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$23.67
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$33.81
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$88.76
|
| Rate for Payer: SOMOS Essential |
$88.76
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$33.81
|
|
|
CHG PATHOLOGY CLINICAL CONSLTJ PROLNG SVC EA ADDL 30
|
Professional
|
$172.97
|
|
|
Service Code
|
HCPCS 80506
|
| Min. Negotiated Rate |
$34.59 |
| Max. Negotiated Rate |
$129.73 |
| Rate for Payer: Cash Price |
$46.90
|
| Rate for Payer: Cash Price |
$46.90
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$44.48
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$44.48
|
| Rate for Payer: Fidelis Essential Plan QHP |
$46.95
|
| Rate for Payer: Fidelis Medicare Advantage |
$49.42
|
| Rate for Payer: Fidelis Qualified Health Plan |
$46.95
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$49.42
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$49.42
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$37.06
|
| Rate for Payer: Healthfirst Medicare Advantage |
$46.95
|
| Rate for Payer: Healthfirst QHP |
$49.42
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$34.59
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$49.42
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$42.01
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$34.59
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$49.42
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$129.73
|
| Rate for Payer: SOMOS Essential |
$129.73
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$49.42
|
|
|
CHG PATHOLOGY CLINICAL CONSULTATION HI MDM 41-60 MIN
|
Professional
|
$363.72
|
|
|
Service Code
|
HCPCS 80505
|
| Min. Negotiated Rate |
$72.74 |
| Max. Negotiated Rate |
$272.79 |
| Rate for Payer: Cash Price |
$98.11
|
| Rate for Payer: Cash Price |
$98.11
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$93.53
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$93.53
|
| Rate for Payer: Fidelis Essential Plan QHP |
$98.72
|
| Rate for Payer: Fidelis Medicare Advantage |
$103.92
|
| Rate for Payer: Fidelis Qualified Health Plan |
$98.72
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$103.92
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$103.92
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$77.94
|
| Rate for Payer: Healthfirst Medicare Advantage |
$98.72
|
| Rate for Payer: Healthfirst QHP |
$103.92
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$72.74
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$103.92
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$88.33
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$72.74
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$103.92
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$272.79
|
| Rate for Payer: SOMOS Essential |
$272.79
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$103.92
|
|
