CHG CYTOPATHOLOGY FORENSIC
|
Professional
|
Both
|
$118.55
|
|
Service Code
|
HCPCS 88125
|
Min. Negotiated Rate |
$88.91 |
Max. Negotiated Rate |
$88.91 |
Rate for Payer: Cash Price |
$33.11
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$88.91
|
Rate for Payer: SOMOS Essential |
$88.91
|
|
CHG CYTP CERVICAL/VAGINAL REQ INTERP PHYSICIAN
|
Professional
|
Both
|
$94.26
|
|
Service Code
|
HCPCS 88141
|
Min. Negotiated Rate |
$70.70 |
Max. Negotiated Rate |
$70.70 |
Rate for Payer: Cash Price |
$27.37
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$70.70
|
Rate for Payer: SOMOS Essential |
$70.70
|
|
CHG CYTP CONCENTRATION SMEARS & INTERPRETATION
|
Professional
|
Both
|
$191.07
|
|
Service Code
|
HCPCS 88108 TC
|
Min. Negotiated Rate |
$143.30 |
Max. Negotiated Rate |
$143.30 |
Rate for Payer: Cash Price |
$55.64
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$143.30
|
Rate for Payer: SOMOS Essential |
$143.30
|
|
CHG CYTP CONCENTRATION SMEARS & INTERPRETATION
|
Professional
|
Both
|
$277.66
|
|
Service Code
|
HCPCS 88108
|
Min. Negotiated Rate |
$208.24 |
Max. Negotiated Rate |
$208.24 |
Rate for Payer: Cash Price |
$79.46
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$208.24
|
Rate for Payer: SOMOS Essential |
$208.24
|
|
CHG CYTP CONCENTRATION SMEARS & INTERPRETATION
|
Professional
|
Both
|
$86.59
|
|
Service Code
|
HCPCS 88108 26
|
Min. Negotiated Rate |
$64.94 |
Max. Negotiated Rate |
$64.94 |
Rate for Payer: Cash Price |
$23.83
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$64.94
|
Rate for Payer: SOMOS Essential |
$64.94
|
|
CHG CYTP EVAL FINE NEEDLE ASPIRATE INTERP & REPORT
|
Professional
|
Both
|
$673.51
|
|
Service Code
|
HCPCS 88173
|
Min. Negotiated Rate |
$505.13 |
Max. Negotiated Rate |
$505.13 |
Rate for Payer: Cash Price |
$192.27
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$505.13
|
Rate for Payer: SOMOS Essential |
$505.13
|
|
CHG CYTP EVAL FINE NEEDLE ASPIRATE INTERP & REPORT
|
Professional
|
Both
|
$404.81
|
|
Service Code
|
HCPCS 88173 TC
|
Min. Negotiated Rate |
$303.61 |
Max. Negotiated Rate |
$303.61 |
Rate for Payer: Cash Price |
$118.58
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$303.61
|
Rate for Payer: SOMOS Essential |
$303.61
|
|
CHG CYTP EVAL FINE NEEDLE ASPIRATE INTERP & REPORT
|
Professional
|
Both
|
$268.70
|
|
Service Code
|
HCPCS 88173 26
|
Min. Negotiated Rate |
$201.52 |
Max. Negotiated Rate |
$201.52 |
Rate for Payer: Cash Price |
$73.69
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$201.52
|
Rate for Payer: SOMOS Essential |
$201.52
|
|
CHG CYTP FINE NDL ASPIRATE IMMT CYTOHIST STD DX 1ST
|
Professional
|
Both
|
$227.01
|
|
Service Code
|
HCPCS 88172
|
Min. Negotiated Rate |
$170.26 |
Max. Negotiated Rate |
$170.26 |
Rate for Payer: Cash Price |
$63.03
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$170.26
|
Rate for Payer: SOMOS Essential |
$170.26
|
|
CHG CYTP FINE NDL ASPIRATE IMMT CYTOHIST STD DX 1ST
|
Professional
|
Both
|
$136.61
|
|
Service Code
|
HCPCS 88172 26
|
Min. Negotiated Rate |
$102.46 |
Max. Negotiated Rate |
$102.46 |
Rate for Payer: Cash Price |
$37.26
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$102.46
|
Rate for Payer: SOMOS Essential |
$102.46
|
|
CHG CYTP FINE NDL ASPIRATE IMMT CYTOHIST STD DX 1ST
|
Professional
|
Both
|
$90.44
|
|
Service Code
|
HCPCS 88172 TC
|
Min. Negotiated Rate |
$67.83 |
Max. Negotiated Rate |
$67.83 |
Rate for Payer: Cash Price |
$25.77
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$67.83
|
Rate for Payer: SOMOS Essential |
$67.83
|
|
CHG CYTP FINE NDL ASPIRATE IMMT CYTOHIST STD EA EVAL
|
Professional
|
Both
|
$34.51
|
|
Service Code
|
HCPCS 88177 TC
|
Min. Negotiated Rate |
$25.88 |
Max. Negotiated Rate |
$25.88 |
Rate for Payer: Cash Price |
$9.82
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$25.88
|
Rate for Payer: SOMOS Essential |
$25.88
|
|
CHG CYTP FINE NDL ASPIRATE IMMT CYTOHIST STD EA EVAL
|
Professional
|
Both
|
$84.11
|
|
Service Code
|
HCPCS 88177 26
|
Min. Negotiated Rate |
$63.08 |
Max. Negotiated Rate |
$63.08 |
Rate for Payer: Cash Price |
$23.13
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$63.08
|
Rate for Payer: SOMOS Essential |
$63.08
|
|
CHG CYTP FINE NDL ASPIRATE IMMT CYTOHIST STD EA EVAL
|
Professional
|
Both
|
$118.58
|
|
Service Code
|
HCPCS 88177
|
Min. Negotiated Rate |
$88.94 |
Max. Negotiated Rate |
$88.94 |
Rate for Payer: Cash Price |
$32.95
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$88.94
|
Rate for Payer: SOMOS Essential |
$88.94
|
|
CHG CYTP FLU BR/WA XCPT C/V FILTER METH ONLY INTERPJ
|
Professional
|
Both
|
$294.74
|
|
Service Code
|
HCPCS 88106
|
Min. Negotiated Rate |
$221.06 |
Max. Negotiated Rate |
$221.06 |
Rate for Payer: Cash Price |
$83.15
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$221.06
|
Rate for Payer: SOMOS Essential |
$221.06
|
|
CHG CYTP FLU BR/WA XCPT C/V FILTER METH ONLY INTERPJ
|
Professional
|
Both
|
$219.80
|
|
Service Code
|
HCPCS 88106 TC
|
Min. Negotiated Rate |
$164.85 |
Max. Negotiated Rate |
$164.85 |
Rate for Payer: Cash Price |
$62.94
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$164.85
|
Rate for Payer: SOMOS Essential |
$164.85
|
|
CHG CYTP FLU BR/WA XCPT C/V FILTER METH ONLY INTERPJ
|
Professional
|
Both
|
$74.97
|
|
Service Code
|
HCPCS 88106 26
|
Min. Negotiated Rate |
$56.23 |
Max. Negotiated Rate |
$56.23 |
Rate for Payer: Cash Price |
$20.21
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$56.23
|
Rate for Payer: SOMOS Essential |
$56.23
|
|
CHG CYTP FLU WASHGS/BRUSHINGS XCPT C/V SMRS INTERPJ
|
Professional
|
Both
|
$289.66
|
|
Service Code
|
HCPCS 88104
|
Min. Negotiated Rate |
$217.24 |
Max. Negotiated Rate |
$217.24 |
Rate for Payer: Cash Price |
$87.42
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$217.24
|
Rate for Payer: SOMOS Essential |
$217.24
|
|
CHG CYTP FLU WASHGS/BRUSHINGS XCPT C/V SMRS INTERPJ
|
Professional
|
Both
|
$185.15
|
|
Service Code
|
HCPCS 88104 TC
|
Min. Negotiated Rate |
$138.86 |
Max. Negotiated Rate |
$138.86 |
Rate for Payer: Cash Price |
$58.23
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$138.86
|
Rate for Payer: SOMOS Essential |
$138.86
|
|
CHG CYTP FLU WASHGS/BRUSHINGS XCPT C/V SMRS INTERPJ
|
Professional
|
Both
|
$104.51
|
|
Service Code
|
HCPCS 88104 26
|
Min. Negotiated Rate |
$78.38 |
Max. Negotiated Rate |
$78.38 |
Rate for Payer: Cash Price |
$29.19
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$78.38
|
Rate for Payer: SOMOS Essential |
$78.38
|
|
CHG CYTP INSITU HYBRID URINE SPEC 3-5 PROBES EA MNL
|
Professional
|
Both
|
$2,547.20
|
|
Service Code
|
HCPCS 88120
|
Min. Negotiated Rate |
$1,910.40 |
Max. Negotiated Rate |
$1,910.40 |
Rate for Payer: Cash Price |
$679.17
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$1,910.40
|
Rate for Payer: SOMOS Essential |
$1,910.40
|
|
CHG CYTP INSITU HYBRID URINE SPEC 3-5 PROBES EA MNL
|
Professional
|
Both
|
$223.34
|
|
Service Code
|
HCPCS 88120 26
|
Min. Negotiated Rate |
$167.50 |
Max. Negotiated Rate |
$167.50 |
Rate for Payer: Cash Price |
$61.17
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$167.50
|
Rate for Payer: SOMOS Essential |
$167.50
|
|
CHG CYTP INSITU HYBRID URINE SPEC 3-5 PROBES EA MNL
|
Professional
|
Both
|
$2,323.86
|
|
Service Code
|
HCPCS 88120 TC
|
Min. Negotiated Rate |
$1,742.90 |
Max. Negotiated Rate |
$1,742.90 |
Rate for Payer: Cash Price |
$617.99
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$1,742.90
|
Rate for Payer: SOMOS Essential |
$1,742.90
|
|
CHG CYTP INSITU HYBRID URNE SPEC 3-5 PROBES CPTR EA
|
Professional
|
Both
|
$1,785.14
|
|
Service Code
|
HCPCS 88121
|
Min. Negotiated Rate |
$1,338.86 |
Max. Negotiated Rate |
$1,338.86 |
Rate for Payer: Cash Price |
$490.82
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$1,338.86
|
Rate for Payer: SOMOS Essential |
$1,338.86
|
|
CHG CYTP INSITU HYBRID URNE SPEC 3-5 PROBES CPTR EA
|
Professional
|
Both
|
$1,599.78
|
|
Service Code
|
HCPCS 88121 TC
|
Min. Negotiated Rate |
$1,199.84 |
Max. Negotiated Rate |
$1,199.84 |
Rate for Payer: Cash Price |
$439.76
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$1,199.84
|
Rate for Payer: SOMOS Essential |
$1,199.84
|
|