|
PR THORACOTOMY W/CARDIAC MASSAGE
|
Professional
|
Both
|
$3,637.00
|
|
|
Service Code
|
HCPCS 32160
|
| Min. Negotiated Rate |
$492.46 |
| Max. Negotiated Rate |
$2,727.75 |
| Rate for Payer: Aetna Commercial |
$1,024.46
|
| Rate for Payer: Aetna Medicare |
$795.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,024.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,100.91
|
| Rate for Payer: BCBS Complete |
$517.08
|
| Rate for Payer: BCBS MAPPO |
$764.52
|
| Rate for Payer: BCN Commercial |
$1,194.15
|
| Rate for Payer: BCN Medicare Advantage |
$764.52
|
| Rate for Payer: Cash Price |
$2,909.60
|
| Rate for Payer: Cash Price |
$2,909.60
|
| Rate for Payer: Cofinity Commercial |
$1,100.91
|
| Rate for Payer: Cofinity Commercial |
$1,024.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$764.52
|
| Rate for Payer: Healthscope Commercial |
$1,414.36
|
| Rate for Payer: Healthscope Commercial |
$1,223.23
|
| Rate for Payer: Mclaren Medicaid |
$492.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$802.75
|
| Rate for Payer: Meridian Medicaid |
$517.08
|
| Rate for Payer: Molina Medicare/Medicaid |
$840.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,412.46
|
| Rate for Payer: Nomi Health Commercial |
$917.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,727.75
|
| Rate for Payer: PACE SWMI |
$764.52
|
| Rate for Payer: PHP Medicare Advantage |
$764.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$492.46
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,124.54
|
| Rate for Payer: Priority Health Medicare |
$764.52
|
| Rate for Payer: Priority Health SBD |
$1,124.54
|
| Rate for Payer: Priority Health Tiered Network |
$1,124.54
|
| Rate for Payer: Railroad Medicare Medicare |
$764.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,405.19
|
| Rate for Payer: UHC Core |
$1,405.19
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$764.52
|
| Rate for Payer: UHC Exchange |
$1,405.19
|
| Rate for Payer: UHC Medicaid |
$492.46
|
| Rate for Payer: UHCCP Medicaid |
$492.46
|
|
|
PR THORACOTOMY W/DX WEDGE RESEXN & ANTOM LUNG RESE
|
Professional
|
Both
|
$721.00
|
|
|
Service Code
|
HCPCS 32507
|
| Min. Negotiated Rate |
$90.10 |
| Max. Negotiated Rate |
$540.75 |
| Rate for Payer: Aetna Commercial |
$191.22
|
| Rate for Payer: Aetna Medicare |
$148.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$191.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$205.49
|
| Rate for Payer: BCBS Complete |
$94.61
|
| Rate for Payer: BCBS MAPPO |
$142.70
|
| Rate for Payer: BCN Commercial |
$227.58
|
| Rate for Payer: BCN Medicare Advantage |
$142.70
|
| Rate for Payer: Cash Price |
$576.80
|
| Rate for Payer: Cash Price |
$576.80
|
| Rate for Payer: Cofinity Commercial |
$205.49
|
| Rate for Payer: Cofinity Commercial |
$191.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$142.70
|
| Rate for Payer: Healthscope Commercial |
$264.00
|
| Rate for Payer: Healthscope Commercial |
$228.32
|
| Rate for Payer: Mclaren Medicaid |
$90.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$149.84
|
| Rate for Payer: Meridian Medicaid |
$94.61
|
| Rate for Payer: Molina Medicare/Medicaid |
$156.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$278.03
|
| Rate for Payer: Nomi Health Commercial |
$171.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$540.75
|
| Rate for Payer: PACE SWMI |
$142.70
|
| Rate for Payer: PHP Medicare Advantage |
$142.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$90.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$214.31
|
| Rate for Payer: Priority Health Medicare |
$142.70
|
| Rate for Payer: Priority Health SBD |
$214.31
|
| Rate for Payer: Priority Health Tiered Network |
$214.31
|
| Rate for Payer: Railroad Medicare Medicare |
$142.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$279.20
|
| Rate for Payer: UHC Core |
$279.20
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$142.70
|
| Rate for Payer: UHC Exchange |
$279.20
|
| Rate for Payer: UHC Medicaid |
$90.10
|
| Rate for Payer: UHCCP Medicaid |
$90.10
|
|
|
PR THORACOTOMY WITH EXPLORATION
|
Professional
|
Both
|
$2,909.00
|
|
|
Service Code
|
HCPCS 32100
|
| Min. Negotiated Rate |
$495.65 |
| Max. Negotiated Rate |
$2,181.75 |
| Rate for Payer: Aetna Commercial |
$1,035.11
|
| Rate for Payer: Aetna Medicare |
$803.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,035.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,112.36
|
| Rate for Payer: BCBS Complete |
$520.43
|
| Rate for Payer: BCBS MAPPO |
$772.47
|
| Rate for Payer: BCN Commercial |
$1,208.10
|
| Rate for Payer: BCN Medicare Advantage |
$772.47
|
| Rate for Payer: Cash Price |
$2,327.20
|
| Rate for Payer: Cash Price |
$2,327.20
|
| Rate for Payer: Cofinity Commercial |
$1,112.36
|
| Rate for Payer: Cofinity Commercial |
$1,035.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$772.47
|
| Rate for Payer: Healthscope Commercial |
$1,429.07
|
| Rate for Payer: Healthscope Commercial |
$1,235.95
|
| Rate for Payer: Mclaren Medicaid |
$495.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$811.09
|
| Rate for Payer: Meridian Medicaid |
$520.43
|
| Rate for Payer: Molina Medicare/Medicaid |
$849.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,432.91
|
| Rate for Payer: Nomi Health Commercial |
$926.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,181.75
|
| Rate for Payer: PACE SWMI |
$772.47
|
| Rate for Payer: PHP Medicare Advantage |
$772.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$495.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,137.68
|
| Rate for Payer: Priority Health Medicare |
$772.47
|
| Rate for Payer: Priority Health SBD |
$1,137.68
|
| Rate for Payer: Priority Health Tiered Network |
$1,137.68
|
| Rate for Payer: Railroad Medicare Medicare |
$772.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,433.69
|
| Rate for Payer: UHC Core |
$1,433.69
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$772.47
|
| Rate for Payer: UHC Exchange |
$1,433.69
|
| Rate for Payer: UHC Medicaid |
$495.65
|
| Rate for Payer: UHCCP Medicaid |
$495.65
|
|
|
PR THORACOTOMY W/RESECTION BULLAE
|
Professional
|
Both
|
$2,941.00
|
|
|
Service Code
|
HCPCS 32141
|
| Min. Negotiated Rate |
$914.20 |
| Max. Negotiated Rate |
$2,708.08 |
| Rate for Payer: Aetna Commercial |
$1,920.65
|
| Rate for Payer: Aetna Medicare |
$1,490.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,920.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,063.98
|
| Rate for Payer: BCBS Complete |
$959.91
|
| Rate for Payer: BCBS MAPPO |
$1,433.32
|
| Rate for Payer: BCN Commercial |
$2,247.89
|
| Rate for Payer: BCN Medicare Advantage |
$1,433.32
|
| Rate for Payer: Cash Price |
$2,352.80
|
| Rate for Payer: Cash Price |
$2,352.80
|
| Rate for Payer: Cofinity Commercial |
$2,063.98
|
| Rate for Payer: Cofinity Commercial |
$1,920.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,433.32
|
| Rate for Payer: Healthscope Commercial |
$2,651.64
|
| Rate for Payer: Healthscope Commercial |
$2,293.31
|
| Rate for Payer: Mclaren Medicaid |
$914.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,504.99
|
| Rate for Payer: Meridian Medicaid |
$959.91
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,576.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,701.62
|
| Rate for Payer: Nomi Health Commercial |
$1,719.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,205.75
|
| Rate for Payer: PACE SWMI |
$1,433.32
|
| Rate for Payer: PHP Medicare Advantage |
$1,433.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$914.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,116.84
|
| Rate for Payer: Priority Health Medicare |
$1,433.32
|
| Rate for Payer: Priority Health SBD |
$2,116.84
|
| Rate for Payer: Priority Health Tiered Network |
$2,116.84
|
| Rate for Payer: Railroad Medicare Medicare |
$1,433.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,708.08
|
| Rate for Payer: UHC Core |
$2,708.08
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,433.32
|
| Rate for Payer: UHC Exchange |
$2,708.08
|
| Rate for Payer: UHC Medicaid |
$914.20
|
| Rate for Payer: UHCCP Medicaid |
$914.20
|
|
|
PR THORACOTOMY W/THERAPEUTIC WEDGE RESEXN INITIAL
|
Professional
|
Both
|
$2,487.00
|
|
|
Service Code
|
HCPCS 32505
|
| Min. Negotiated Rate |
$570.63 |
| Max. Negotiated Rate |
$1,865.25 |
| Rate for Payer: Aetna Commercial |
$1,191.37
|
| Rate for Payer: Aetna Medicare |
$924.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,191.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,280.28
|
| Rate for Payer: BCBS Complete |
$599.16
|
| Rate for Payer: BCBS MAPPO |
$889.08
|
| Rate for Payer: BCN Commercial |
$1,381.90
|
| Rate for Payer: BCN Medicare Advantage |
$889.08
|
| Rate for Payer: Cash Price |
$1,989.60
|
| Rate for Payer: Cash Price |
$1,989.60
|
| Rate for Payer: Cofinity Commercial |
$1,280.28
|
| Rate for Payer: Cofinity Commercial |
$1,191.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$889.08
|
| Rate for Payer: Healthscope Commercial |
$1,644.80
|
| Rate for Payer: Healthscope Commercial |
$1,422.53
|
| Rate for Payer: Mclaren Medicaid |
$570.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$933.53
|
| Rate for Payer: Meridian Medicaid |
$599.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$977.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,649.50
|
| Rate for Payer: Nomi Health Commercial |
$1,066.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,865.25
|
| Rate for Payer: PACE SWMI |
$889.08
|
| Rate for Payer: PHP Medicare Advantage |
$889.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$570.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,301.34
|
| Rate for Payer: Priority Health Medicare |
$889.08
|
| Rate for Payer: Priority Health SBD |
$1,301.34
|
| Rate for Payer: Priority Health Tiered Network |
$1,301.34
|
| Rate for Payer: Railroad Medicare Medicare |
$889.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,648.58
|
| Rate for Payer: UHC Core |
$1,648.58
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$889.08
|
| Rate for Payer: UHC Exchange |
$1,648.58
|
| Rate for Payer: UHC Medicaid |
$570.63
|
| Rate for Payer: UHCCP Medicaid |
$570.63
|
|
|
PR THORACOTOMY W/THERAP WEDGE RESEXN ADDL IPSILATRL
|
Professional
|
Both
|
$363.00
|
|
|
Service Code
|
HCPCS 32506
|
| Min. Negotiated Rate |
$90.10 |
| Max. Negotiated Rate |
$279.20 |
| Rate for Payer: Aetna Commercial |
$191.22
|
| Rate for Payer: Aetna Medicare |
$148.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$191.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$205.49
|
| Rate for Payer: BCBS Complete |
$94.61
|
| Rate for Payer: BCBS MAPPO |
$142.70
|
| Rate for Payer: BCN Commercial |
$227.58
|
| Rate for Payer: BCN Medicare Advantage |
$142.70
|
| Rate for Payer: Cash Price |
$290.40
|
| Rate for Payer: Cash Price |
$290.40
|
| Rate for Payer: Cofinity Commercial |
$205.49
|
| Rate for Payer: Cofinity Commercial |
$191.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$142.70
|
| Rate for Payer: Healthscope Commercial |
$264.00
|
| Rate for Payer: Healthscope Commercial |
$228.32
|
| Rate for Payer: Mclaren Medicaid |
$90.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$149.84
|
| Rate for Payer: Meridian Medicaid |
$94.61
|
| Rate for Payer: Molina Medicare/Medicaid |
$156.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$278.03
|
| Rate for Payer: Nomi Health Commercial |
$171.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$272.25
|
| Rate for Payer: PACE SWMI |
$142.70
|
| Rate for Payer: PHP Medicare Advantage |
$142.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$90.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$214.31
|
| Rate for Payer: Priority Health Medicare |
$142.70
|
| Rate for Payer: Priority Health SBD |
$214.31
|
| Rate for Payer: Priority Health Tiered Network |
$214.31
|
| Rate for Payer: Railroad Medicare Medicare |
$142.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$279.20
|
| Rate for Payer: UHC Core |
$279.20
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$142.70
|
| Rate for Payer: UHC Exchange |
$279.20
|
| Rate for Payer: UHC Medicaid |
$90.10
|
| Rate for Payer: UHCCP Medicaid |
$90.10
|
|
|
PR THORACTOMY W/DX BX LUNG INFILTRATE UNILATERAL
|
Professional
|
Both
|
$3,353.00
|
|
|
Service Code
|
HCPCS 32096
|
| Min. Negotiated Rate |
$487.34 |
| Max. Negotiated Rate |
$2,514.75 |
| Rate for Payer: Aetna Commercial |
$1,019.36
|
| Rate for Payer: Aetna Medicare |
$791.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,019.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,095.44
|
| Rate for Payer: BCBS Complete |
$511.71
|
| Rate for Payer: BCBS MAPPO |
$760.72
|
| Rate for Payer: BCN Commercial |
$1,191.67
|
| Rate for Payer: BCN Medicare Advantage |
$760.72
|
| Rate for Payer: Cash Price |
$2,682.40
|
| Rate for Payer: Cash Price |
$2,682.40
|
| Rate for Payer: Cofinity Commercial |
$1,095.44
|
| Rate for Payer: Cofinity Commercial |
$1,019.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$760.72
|
| Rate for Payer: Healthscope Commercial |
$1,407.33
|
| Rate for Payer: Healthscope Commercial |
$1,217.15
|
| Rate for Payer: Mclaren Medicaid |
$487.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$798.76
|
| Rate for Payer: Meridian Medicaid |
$511.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$836.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,416.44
|
| Rate for Payer: Nomi Health Commercial |
$912.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,514.75
|
| Rate for Payer: PACE SWMI |
$760.72
|
| Rate for Payer: PHP Medicare Advantage |
$760.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$487.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,122.20
|
| Rate for Payer: Priority Health Medicare |
$760.72
|
| Rate for Payer: Priority Health SBD |
$1,122.20
|
| Rate for Payer: Priority Health Tiered Network |
$1,122.20
|
| Rate for Payer: Railroad Medicare Medicare |
$760.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,419.91
|
| Rate for Payer: UHC Core |
$1,419.91
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$760.72
|
| Rate for Payer: UHC Exchange |
$1,419.91
|
| Rate for Payer: UHC Medicaid |
$487.34
|
| Rate for Payer: UHCCP Medicaid |
$487.34
|
|
|
PR THORACTOMY W/DX BX LUNG NODULE/MASS UNILATERAL
|
Professional
|
Both
|
$3,353.00
|
|
|
Service Code
|
HCPCS 32097
|
| Min. Negotiated Rate |
$490.97 |
| Max. Negotiated Rate |
$2,514.75 |
| Rate for Payer: Aetna Commercial |
$1,026.21
|
| Rate for Payer: Aetna Medicare |
$796.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,026.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,102.80
|
| Rate for Payer: BCBS Complete |
$515.52
|
| Rate for Payer: BCBS MAPPO |
$765.83
|
| Rate for Payer: BCN Commercial |
$1,192.16
|
| Rate for Payer: BCN Medicare Advantage |
$765.83
|
| Rate for Payer: Cash Price |
$2,682.40
|
| Rate for Payer: Cash Price |
$2,682.40
|
| Rate for Payer: Cofinity Commercial |
$1,102.80
|
| Rate for Payer: Cofinity Commercial |
$1,026.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$765.83
|
| Rate for Payer: Healthscope Commercial |
$1,416.79
|
| Rate for Payer: Healthscope Commercial |
$1,225.33
|
| Rate for Payer: Mclaren Medicaid |
$490.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$804.12
|
| Rate for Payer: Meridian Medicaid |
$515.52
|
| Rate for Payer: Molina Medicare/Medicaid |
$842.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,419.68
|
| Rate for Payer: Nomi Health Commercial |
$919.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,514.75
|
| Rate for Payer: PACE SWMI |
$765.83
|
| Rate for Payer: PHP Medicare Advantage |
$765.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$490.97
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,122.67
|
| Rate for Payer: Priority Health Medicare |
$765.83
|
| Rate for Payer: Priority Health SBD |
$1,122.67
|
| Rate for Payer: Priority Health Tiered Network |
$1,122.67
|
| Rate for Payer: Railroad Medicare Medicare |
$765.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,421.06
|
| Rate for Payer: UHC Core |
$1,421.06
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$765.83
|
| Rate for Payer: UHC Exchange |
$1,421.06
|
| Rate for Payer: UHC Medicaid |
$490.97
|
| Rate for Payer: UHCCP Medicaid |
$490.97
|
|
|
PR THORCOM CTRL TRAUMTC HEMRRG&/RPR LNG TEAR
|
Professional
|
Both
|
$3,417.00
|
|
|
Service Code
|
HCPCS 32110
|
| Min. Negotiated Rate |
$890.13 |
| Max. Negotiated Rate |
$2,610.81 |
| Rate for Payer: Aetna Commercial |
$1,862.64
|
| Rate for Payer: Aetna Medicare |
$1,445.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,862.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,001.64
|
| Rate for Payer: BCBS Complete |
$934.64
|
| Rate for Payer: BCBS MAPPO |
$1,390.03
|
| Rate for Payer: BCN Commercial |
$2,198.59
|
| Rate for Payer: BCN Medicare Advantage |
$1,390.03
|
| Rate for Payer: Cash Price |
$2,733.60
|
| Rate for Payer: Cash Price |
$2,733.60
|
| Rate for Payer: Cofinity Commercial |
$2,001.64
|
| Rate for Payer: Cofinity Commercial |
$1,862.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,390.03
|
| Rate for Payer: Healthscope Commercial |
$2,571.56
|
| Rate for Payer: Healthscope Commercial |
$2,224.05
|
| Rate for Payer: Mclaren Medicaid |
$890.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,459.53
|
| Rate for Payer: Meridian Medicaid |
$934.64
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,529.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,610.81
|
| Rate for Payer: Nomi Health Commercial |
$1,668.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,562.75
|
| Rate for Payer: PACE SWMI |
$1,390.03
|
| Rate for Payer: PHP Medicare Advantage |
$1,390.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$890.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,070.42
|
| Rate for Payer: Priority Health Medicare |
$1,390.03
|
| Rate for Payer: Priority Health SBD |
$2,070.42
|
| Rate for Payer: Priority Health Tiered Network |
$2,070.42
|
| Rate for Payer: Railroad Medicare Medicare |
$1,390.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,600.97
|
| Rate for Payer: UHC Core |
$2,600.97
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,390.03
|
| Rate for Payer: UHC Exchange |
$2,600.97
|
| Rate for Payer: UHC Medicaid |
$890.13
|
| Rate for Payer: UHCCP Medicaid |
$890.13
|
|
|
PR THORCOM THRC W/MEDSTNL & REGIONAL LMPHADEC
|
Professional
|
Both
|
$1,565.00
|
|
|
Service Code
|
HCPCS 38746
|
| Min. Negotiated Rate |
$124.61 |
| Max. Negotiated Rate |
$1,173.75 |
| Rate for Payer: Aetna Commercial |
$264.57
|
| Rate for Payer: Aetna Medicare |
$205.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$264.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$284.31
|
| Rate for Payer: BCBS Complete |
$130.84
|
| Rate for Payer: BCBS MAPPO |
$197.44
|
| Rate for Payer: BCN Commercial |
$313.73
|
| Rate for Payer: BCN Medicare Advantage |
$197.44
|
| Rate for Payer: Cash Price |
$1,252.00
|
| Rate for Payer: Cash Price |
$1,252.00
|
| Rate for Payer: Cofinity Commercial |
$284.31
|
| Rate for Payer: Cofinity Commercial |
$264.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$197.44
|
| Rate for Payer: Healthscope Commercial |
$365.26
|
| Rate for Payer: Healthscope Commercial |
$315.90
|
| Rate for Payer: Mclaren Medicaid |
$124.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$207.31
|
| Rate for Payer: Meridian Medicaid |
$130.84
|
| Rate for Payer: Molina Medicare/Medicaid |
$217.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$379.98
|
| Rate for Payer: Nomi Health Commercial |
$236.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,173.75
|
| Rate for Payer: PACE SWMI |
$197.44
|
| Rate for Payer: PHP Medicare Advantage |
$197.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$124.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$417.43
|
| Rate for Payer: Priority Health Medicare |
$197.44
|
| Rate for Payer: Priority Health SBD |
$417.43
|
| Rate for Payer: Priority Health Tiered Network |
$417.43
|
| Rate for Payer: Railroad Medicare Medicare |
$197.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$384.28
|
| Rate for Payer: UHC Core |
$384.28
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$197.44
|
| Rate for Payer: UHC Exchange |
$384.28
|
| Rate for Payer: UHC Medicaid |
$124.61
|
| Rate for Payer: UHCCP Medicaid |
$124.61
|
|
|
PR THORCOM W/REMOVAL OF CYST
|
Professional
|
Both
|
$2,427.00
|
|
|
Service Code
|
HCPCS 32140
|
| Min. Negotiated Rate |
$609.18 |
| Max. Negotiated Rate |
$1,820.25 |
| Rate for Payer: Aetna Commercial |
$1,271.37
|
| Rate for Payer: Aetna Medicare |
$986.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,271.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,366.24
|
| Rate for Payer: BCBS Complete |
$639.64
|
| Rate for Payer: BCBS MAPPO |
$948.78
|
| Rate for Payer: BCN Commercial |
$1,472.04
|
| Rate for Payer: BCN Medicare Advantage |
$948.78
|
| Rate for Payer: Cash Price |
$1,941.60
|
| Rate for Payer: Cash Price |
$1,941.60
|
| Rate for Payer: Cofinity Commercial |
$1,366.24
|
| Rate for Payer: Cofinity Commercial |
$1,271.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$948.78
|
| Rate for Payer: Healthscope Commercial |
$1,755.24
|
| Rate for Payer: Healthscope Commercial |
$1,518.05
|
| Rate for Payer: Mclaren Medicaid |
$609.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$996.22
|
| Rate for Payer: Meridian Medicaid |
$639.64
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,043.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,753.85
|
| Rate for Payer: Nomi Health Commercial |
$1,138.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,820.25
|
| Rate for Payer: PACE SWMI |
$948.78
|
| Rate for Payer: PHP Medicare Advantage |
$948.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$609.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,386.21
|
| Rate for Payer: Priority Health Medicare |
$948.78
|
| Rate for Payer: Priority Health SBD |
$1,386.21
|
| Rate for Payer: Priority Health Tiered Network |
$1,386.21
|
| Rate for Payer: Railroad Medicare Medicare |
$948.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,751.69
|
| Rate for Payer: UHC Core |
$1,751.69
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$948.78
|
| Rate for Payer: UHC Exchange |
$1,751.69
|
| Rate for Payer: UHC Medicaid |
$609.18
|
| Rate for Payer: UHCCP Medicaid |
$609.18
|
|
|
PR THORCOM W/RMVL INTRAPLEURAL FB/FIBRIN DEP
|
Professional
|
Both
|
$2,711.00
|
|
|
Service Code
|
HCPCS 32150
|
| Min. Negotiated Rate |
$622.17 |
| Max. Negotiated Rate |
$2,033.25 |
| Rate for Payer: Aetna Commercial |
$1,296.92
|
| Rate for Payer: Aetna Medicare |
$1,006.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,296.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,393.70
|
| Rate for Payer: BCBS Complete |
$653.28
|
| Rate for Payer: BCBS MAPPO |
$967.85
|
| Rate for Payer: BCN Commercial |
$1,512.37
|
| Rate for Payer: BCN Medicare Advantage |
$967.85
|
| Rate for Payer: Cash Price |
$2,168.80
|
| Rate for Payer: Cash Price |
$2,168.80
|
| Rate for Payer: Cofinity Commercial |
$1,393.70
|
| Rate for Payer: Cofinity Commercial |
$1,296.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$967.85
|
| Rate for Payer: Healthscope Commercial |
$1,790.52
|
| Rate for Payer: Healthscope Commercial |
$1,548.56
|
| Rate for Payer: Mclaren Medicaid |
$622.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,016.24
|
| Rate for Payer: Meridian Medicaid |
$653.28
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,064.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,790.44
|
| Rate for Payer: Nomi Health Commercial |
$1,161.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,033.25
|
| Rate for Payer: PACE SWMI |
$967.85
|
| Rate for Payer: PHP Medicare Advantage |
$967.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$622.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,424.20
|
| Rate for Payer: Priority Health Medicare |
$967.85
|
| Rate for Payer: Priority Health SBD |
$1,424.20
|
| Rate for Payer: Priority Health Tiered Network |
$1,424.20
|
| Rate for Payer: Railroad Medicare Medicare |
$967.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,774.59
|
| Rate for Payer: UHC Core |
$1,774.59
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$967.85
|
| Rate for Payer: UHC Exchange |
$1,774.59
|
| Rate for Payer: UHC Medicaid |
$622.17
|
| Rate for Payer: UHCCP Medicaid |
$622.17
|
|
|
PR THORCOM W/RMVL IPUL FB
|
Professional
|
Both
|
$2,548.00
|
|
|
Service Code
|
HCPCS 32151
|
| Min. Negotiated Rate |
$617.70 |
| Max. Negotiated Rate |
$1,911.00 |
| Rate for Payer: Aetna Commercial |
$1,289.48
|
| Rate for Payer: Aetna Medicare |
$1,000.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,289.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,385.71
|
| Rate for Payer: BCBS Complete |
$648.59
|
| Rate for Payer: BCBS MAPPO |
$962.30
|
| Rate for Payer: BCN Commercial |
$1,492.45
|
| Rate for Payer: BCN Medicare Advantage |
$962.30
|
| Rate for Payer: Cash Price |
$2,038.40
|
| Rate for Payer: Cash Price |
$2,038.40
|
| Rate for Payer: Cofinity Commercial |
$1,385.71
|
| Rate for Payer: Cofinity Commercial |
$1,289.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$962.30
|
| Rate for Payer: Healthscope Commercial |
$1,780.26
|
| Rate for Payer: Healthscope Commercial |
$1,539.68
|
| Rate for Payer: Mclaren Medicaid |
$617.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,010.41
|
| Rate for Payer: Meridian Medicaid |
$648.59
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,058.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,779.97
|
| Rate for Payer: Nomi Health Commercial |
$1,154.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,911.00
|
| Rate for Payer: PACE SWMI |
$962.30
|
| Rate for Payer: PHP Medicare Advantage |
$962.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$617.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,405.44
|
| Rate for Payer: Priority Health Medicare |
$962.30
|
| Rate for Payer: Priority Health SBD |
$1,405.44
|
| Rate for Payer: Priority Health Tiered Network |
$1,405.44
|
| Rate for Payer: Railroad Medicare Medicare |
$962.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,777.64
|
| Rate for Payer: UHC Core |
$1,777.64
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$962.30
|
| Rate for Payer: UHC Exchange |
$1,777.64
|
| Rate for Payer: UHC Medicaid |
$617.70
|
| Rate for Payer: UHCCP Medicaid |
$617.70
|
|
|
PR THORCOSCPY W/MEDIASTINL & REGIONL LYMPHDENECTOMY
|
Professional
|
Both
|
$894.00
|
|
|
Service Code
|
HCPCS 32674
|
| Min. Negotiated Rate |
$124.61 |
| Max. Negotiated Rate |
$670.50 |
| Rate for Payer: Aetna Commercial |
$264.57
|
| Rate for Payer: Aetna Medicare |
$205.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$264.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$284.31
|
| Rate for Payer: BCBS Complete |
$130.84
|
| Rate for Payer: BCBS MAPPO |
$197.44
|
| Rate for Payer: BCN Commercial |
$314.23
|
| Rate for Payer: BCN Medicare Advantage |
$197.44
|
| Rate for Payer: Cash Price |
$715.20
|
| Rate for Payer: Cash Price |
$715.20
|
| Rate for Payer: Cofinity Commercial |
$284.31
|
| Rate for Payer: Cofinity Commercial |
$264.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$197.44
|
| Rate for Payer: Healthscope Commercial |
$365.26
|
| Rate for Payer: Healthscope Commercial |
$315.90
|
| Rate for Payer: Mclaren Medicaid |
$124.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$207.31
|
| Rate for Payer: Meridian Medicaid |
$130.84
|
| Rate for Payer: Molina Medicare/Medicaid |
$217.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$380.65
|
| Rate for Payer: Nomi Health Commercial |
$236.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$670.50
|
| Rate for Payer: PACE SWMI |
$197.44
|
| Rate for Payer: PHP Medicare Advantage |
$197.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$124.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$295.91
|
| Rate for Payer: Priority Health Medicare |
$197.44
|
| Rate for Payer: Priority Health SBD |
$295.91
|
| Rate for Payer: Priority Health Tiered Network |
$295.91
|
| Rate for Payer: Railroad Medicare Medicare |
$197.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$384.85
|
| Rate for Payer: UHC Core |
$384.85
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$197.44
|
| Rate for Payer: UHC Exchange |
$384.85
|
| Rate for Payer: UHC Medicaid |
$124.61
|
| Rate for Payer: UHCCP Medicaid |
$124.61
|
|
|
PR THORSC DX LUNGS/PERICAR/MED/PLEURAL SPACE W/O BX
|
Professional
|
Both
|
$1,092.00
|
|
|
Service Code
|
HCPCS 32601
|
| Min. Negotiated Rate |
$183.82 |
| Max. Negotiated Rate |
$819.00 |
| Rate for Payer: Aetna Commercial |
$386.19
|
| Rate for Payer: Aetna Medicare |
$299.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$386.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$415.01
|
| Rate for Payer: BCBS Complete |
$193.01
|
| Rate for Payer: BCBS MAPPO |
$288.20
|
| Rate for Payer: BCN Commercial |
$454.65
|
| Rate for Payer: BCN Medicare Advantage |
$288.20
|
| Rate for Payer: Cash Price |
$873.60
|
| Rate for Payer: Cash Price |
$873.60
|
| Rate for Payer: Cofinity Commercial |
$415.01
|
| Rate for Payer: Cofinity Commercial |
$386.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$288.20
|
| Rate for Payer: Healthscope Commercial |
$533.17
|
| Rate for Payer: Healthscope Commercial |
$461.12
|
| Rate for Payer: Mclaren Medicaid |
$183.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$302.61
|
| Rate for Payer: Meridian Medicaid |
$193.01
|
| Rate for Payer: Molina Medicare/Medicaid |
$317.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$545.18
|
| Rate for Payer: Nomi Health Commercial |
$345.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$819.00
|
| Rate for Payer: PACE SWMI |
$288.20
|
| Rate for Payer: PHP Medicare Advantage |
$288.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$183.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$428.15
|
| Rate for Payer: Priority Health Medicare |
$288.20
|
| Rate for Payer: Priority Health SBD |
$428.15
|
| Rate for Payer: Priority Health Tiered Network |
$428.15
|
| Rate for Payer: Railroad Medicare Medicare |
$288.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$549.06
|
| Rate for Payer: UHC Core |
$549.06
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$288.20
|
| Rate for Payer: UHC Exchange |
$549.06
|
| Rate for Payer: UHC Medicaid |
$183.82
|
| Rate for Payer: UHCCP Medicaid |
$183.82
|
|
|
PR THREE AREA LIPOSUCTION - 3 AREA 3.0 HR
|
Professional
|
Both
|
$5,408.00
|
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$2,163.20 |
| Max. Negotiated Rate |
$4,056.00 |
| Rate for Payer: Aetna Medicare |
$2,704.00
|
| Rate for Payer: BCBS Complete |
$2,163.20
|
| Rate for Payer: Cash Price |
$4,326.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,515.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,056.00
|
|
|
PR THRMBC ARTL/VEN GRF OTH/THN HEMO GRF/FSTL
|
Professional
|
Both
|
$2,080.00
|
|
|
Service Code
|
HCPCS 35875
|
| Min. Negotiated Rate |
$343.36 |
| Max. Negotiated Rate |
$1,560.00 |
| Rate for Payer: Aetna Commercial |
$724.93
|
| Rate for Payer: Aetna Medicare |
$562.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$724.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$779.03
|
| Rate for Payer: BCBS Complete |
$360.53
|
| Rate for Payer: BCBS MAPPO |
$540.99
|
| Rate for Payer: BCN Commercial |
$864.49
|
| Rate for Payer: BCN Medicare Advantage |
$540.99
|
| Rate for Payer: Cash Price |
$1,664.00
|
| Rate for Payer: Cash Price |
$1,664.00
|
| Rate for Payer: Cofinity Commercial |
$779.03
|
| Rate for Payer: Cofinity Commercial |
$724.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$540.99
|
| Rate for Payer: Healthscope Commercial |
$1,000.83
|
| Rate for Payer: Healthscope Commercial |
$865.58
|
| Rate for Payer: Mclaren Medicaid |
$343.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$568.04
|
| Rate for Payer: Meridian Medicaid |
$360.53
|
| Rate for Payer: Molina Medicare/Medicaid |
$595.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,047.06
|
| Rate for Payer: Nomi Health Commercial |
$649.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,560.00
|
| Rate for Payer: PACE SWMI |
$540.99
|
| Rate for Payer: PHP Medicare Advantage |
$540.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$343.36
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$929.66
|
| Rate for Payer: Priority Health Medicare |
$540.99
|
| Rate for Payer: Priority Health SBD |
$929.66
|
| Rate for Payer: Priority Health Tiered Network |
$929.66
|
| Rate for Payer: Railroad Medicare Medicare |
$540.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,064.76
|
| Rate for Payer: UHC Core |
$1,064.76
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$540.99
|
| Rate for Payer: UHC Exchange |
$1,064.76
|
| Rate for Payer: UHC Medicaid |
$343.36
|
| Rate for Payer: UHCCP Medicaid |
$343.36
|
|
|
PR THRMBC ARTL/VEN GRF XCP HEMO GRF/FSTL W/REVJ GRF
|
Professional
|
Both
|
$2,902.00
|
|
|
Service Code
|
HCPCS 35876
|
| Min. Negotiated Rate |
$546.13 |
| Max. Negotiated Rate |
$2,176.50 |
| Rate for Payer: Aetna Commercial |
$1,157.24
|
| Rate for Payer: Aetna Medicare |
$898.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,157.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,243.60
|
| Rate for Payer: BCBS Complete |
$573.44
|
| Rate for Payer: BCBS MAPPO |
$863.61
|
| Rate for Payer: BCN Commercial |
$1,376.92
|
| Rate for Payer: BCN Medicare Advantage |
$863.61
|
| Rate for Payer: Cash Price |
$2,321.60
|
| Rate for Payer: Cash Price |
$2,321.60
|
| Rate for Payer: Cofinity Commercial |
$1,243.60
|
| Rate for Payer: Cofinity Commercial |
$1,157.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$863.61
|
| Rate for Payer: Healthscope Commercial |
$1,597.68
|
| Rate for Payer: Healthscope Commercial |
$1,381.78
|
| Rate for Payer: Mclaren Medicaid |
$546.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$906.79
|
| Rate for Payer: Meridian Medicaid |
$573.44
|
| Rate for Payer: Molina Medicare/Medicaid |
$949.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,668.74
|
| Rate for Payer: Nomi Health Commercial |
$1,036.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,176.50
|
| Rate for Payer: PACE SWMI |
$863.61
|
| Rate for Payer: PHP Medicare Advantage |
$863.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$546.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,480.70
|
| Rate for Payer: Priority Health Medicare |
$863.61
|
| Rate for Payer: Priority Health SBD |
$1,480.70
|
| Rate for Payer: Priority Health Tiered Network |
$1,480.70
|
| Rate for Payer: Railroad Medicare Medicare |
$863.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,698.47
|
| Rate for Payer: UHC Core |
$1,698.47
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$863.61
|
| Rate for Payer: UHC Exchange |
$1,698.47
|
| Rate for Payer: UHC Medicaid |
$546.13
|
| Rate for Payer: UHCCP Medicaid |
$546.13
|
|
|
PR THRMBC DIR/W/CATH AXILL&SUBCLAVIAN VEIN ARM IN
|
Professional
|
Both
|
$1,324.00
|
|
|
Service Code
|
HCPCS 34490
|
| Min. Negotiated Rate |
$336.54 |
| Max. Negotiated Rate |
$1,148.00 |
| Rate for Payer: Aetna Commercial |
$713.36
|
| Rate for Payer: Aetna Medicare |
$553.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$713.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$766.60
|
| Rate for Payer: BCBS Complete |
$353.37
|
| Rate for Payer: BCBS MAPPO |
$532.36
|
| Rate for Payer: BCN Commercial |
$844.58
|
| Rate for Payer: BCN Medicare Advantage |
$532.36
|
| Rate for Payer: Cash Price |
$1,059.20
|
| Rate for Payer: Cash Price |
$1,059.20
|
| Rate for Payer: Cofinity Commercial |
$766.60
|
| Rate for Payer: Cofinity Commercial |
$713.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$532.36
|
| Rate for Payer: Healthscope Commercial |
$984.87
|
| Rate for Payer: Healthscope Commercial |
$851.78
|
| Rate for Payer: Mclaren Medicaid |
$336.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$558.98
|
| Rate for Payer: Meridian Medicaid |
$353.37
|
| Rate for Payer: Molina Medicare/Medicaid |
$585.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,148.00
|
| Rate for Payer: Nomi Health Commercial |
$638.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$993.00
|
| Rate for Payer: PACE SWMI |
$532.36
|
| Rate for Payer: PHP Medicare Advantage |
$532.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$336.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$908.24
|
| Rate for Payer: Priority Health Medicare |
$532.36
|
| Rate for Payer: Priority Health SBD |
$908.24
|
| Rate for Payer: Priority Health Tiered Network |
$908.24
|
| Rate for Payer: Railroad Medicare Medicare |
$532.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,135.30
|
| Rate for Payer: UHC Core |
$1,135.30
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$532.36
|
| Rate for Payer: UHC Exchange |
$1,135.30
|
| Rate for Payer: UHC Medicaid |
$336.54
|
| Rate for Payer: UHCCP Medicaid |
$336.54
|
|
|
PR THRMBC DIR/W/CATH VENA CAVA ILIAC VEIN ABDL INC
|
Professional
|
Both
|
$2,659.00
|
|
|
Service Code
|
HCPCS 34401
|
| Min. Negotiated Rate |
$777.24 |
| Max. Negotiated Rate |
$2,620.37 |
| Rate for Payer: Aetna Commercial |
$1,655.61
|
| Rate for Payer: Aetna Medicare |
$1,284.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,655.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,779.16
|
| Rate for Payer: BCBS Complete |
$816.10
|
| Rate for Payer: BCBS MAPPO |
$1,235.53
|
| Rate for Payer: BCN Commercial |
$1,960.05
|
| Rate for Payer: BCN Medicare Advantage |
$1,235.53
|
| Rate for Payer: Cash Price |
$2,127.20
|
| Rate for Payer: Cash Price |
$2,127.20
|
| Rate for Payer: Cofinity Commercial |
$1,779.16
|
| Rate for Payer: Cofinity Commercial |
$1,655.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,235.53
|
| Rate for Payer: Healthscope Commercial |
$2,285.73
|
| Rate for Payer: Healthscope Commercial |
$1,976.85
|
| Rate for Payer: Mclaren Medicaid |
$777.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,297.31
|
| Rate for Payer: Meridian Medicaid |
$816.10
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,359.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,620.37
|
| Rate for Payer: Nomi Health Commercial |
$1,482.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,994.25
|
| Rate for Payer: PACE SWMI |
$1,235.53
|
| Rate for Payer: PHP Medicare Advantage |
$1,235.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$777.24
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,107.79
|
| Rate for Payer: Priority Health Medicare |
$1,235.53
|
| Rate for Payer: Priority Health SBD |
$2,107.79
|
| Rate for Payer: Priority Health Tiered Network |
$2,107.79
|
| Rate for Payer: Railroad Medicare Medicare |
$1,235.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,596.31
|
| Rate for Payer: UHC Core |
$2,596.31
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,235.53
|
| Rate for Payer: UHC Exchange |
$2,596.31
|
| Rate for Payer: UHC Medicaid |
$777.24
|
| Rate for Payer: UHCCP Medicaid |
$777.24
|
|
|
PR THRMBC OPN ARVEN FSTL W/O REVJ DIAL GRF
|
Professional
|
Both
|
$2,178.00
|
|
|
Service Code
|
HCPCS 36831
|
| Min. Negotiated Rate |
$360.82 |
| Max. Negotiated Rate |
$1,633.50 |
| Rate for Payer: Aetna Commercial |
$760.60
|
| Rate for Payer: Aetna Medicare |
$590.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$760.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$817.36
|
| Rate for Payer: BCBS Complete |
$378.86
|
| Rate for Payer: BCBS MAPPO |
$567.61
|
| Rate for Payer: BCN Commercial |
$906.82
|
| Rate for Payer: BCN Medicare Advantage |
$567.61
|
| Rate for Payer: Cash Price |
$1,742.40
|
| Rate for Payer: Cash Price |
$1,742.40
|
| Rate for Payer: Cofinity Commercial |
$817.36
|
| Rate for Payer: Cofinity Commercial |
$760.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$567.61
|
| Rate for Payer: Healthscope Commercial |
$908.18
|
| Rate for Payer: Healthscope Commercial |
$1,050.08
|
| Rate for Payer: Mclaren Medicaid |
$360.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$595.99
|
| Rate for Payer: Meridian Medicaid |
$378.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$624.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,089.59
|
| Rate for Payer: Nomi Health Commercial |
$681.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,633.50
|
| Rate for Payer: PACE SWMI |
$567.61
|
| Rate for Payer: PHP Medicare Advantage |
$567.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$360.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$975.17
|
| Rate for Payer: Priority Health Medicare |
$567.61
|
| Rate for Payer: Priority Health SBD |
$975.17
|
| Rate for Payer: Priority Health Tiered Network |
$975.17
|
| Rate for Payer: Railroad Medicare Medicare |
$567.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,101.04
|
| Rate for Payer: UHC Core |
$1,101.04
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$567.61
|
| Rate for Payer: UHC Exchange |
$1,101.04
|
| Rate for Payer: UHC Medicaid |
$360.82
|
| Rate for Payer: UHCCP Medicaid |
$360.82
|
|
|
PR THROMBECTOMY,ARTERIOVENOUS FISTULA
|
Professional
|
Both
|
$1,967.00
|
|
|
Service Code
|
HCPCS 36870
|
| Min. Negotiated Rate |
$786.80 |
| Max. Negotiated Rate |
$1,475.25 |
| Rate for Payer: Aetna Medicare |
$983.50
|
| Rate for Payer: BCBS Complete |
$786.80
|
| Rate for Payer: Cash Price |
$1,573.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,278.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,475.25
|
|
|
PR THROMBOLYSIS ARTERIAL INFUSION ICRA RS&I INIT TX
|
Professional
|
Both
|
$641.00
|
|
|
Service Code
|
HCPCS 37211
|
| Min. Negotiated Rate |
$215.77 |
| Max. Negotiated Rate |
$693.06 |
| Rate for Payer: Aetna Commercial |
$457.88
|
| Rate for Payer: Aetna Medicare |
$355.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$457.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$492.05
|
| Rate for Payer: BCBS Complete |
$226.56
|
| Rate for Payer: BCBS MAPPO |
$341.70
|
| Rate for Payer: BCN Commercial |
$563.71
|
| Rate for Payer: BCN Medicare Advantage |
$341.70
|
| Rate for Payer: Cash Price |
$512.80
|
| Rate for Payer: Cash Price |
$512.80
|
| Rate for Payer: Cofinity Commercial |
$492.05
|
| Rate for Payer: Cofinity Commercial |
$457.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$341.70
|
| Rate for Payer: Healthscope Commercial |
$546.72
|
| Rate for Payer: Healthscope Commercial |
$632.14
|
| Rate for Payer: Mclaren Medicaid |
$215.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$358.79
|
| Rate for Payer: Meridian Medicaid |
$226.56
|
| Rate for Payer: Molina Medicare/Medicaid |
$375.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$680.65
|
| Rate for Payer: Nomi Health Commercial |
$410.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$480.75
|
| Rate for Payer: PACE SWMI |
$341.70
|
| Rate for Payer: PHP Medicare Advantage |
$341.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$215.77
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$606.20
|
| Rate for Payer: Priority Health Medicare |
$341.70
|
| Rate for Payer: Priority Health SBD |
$606.20
|
| Rate for Payer: Priority Health Tiered Network |
$606.20
|
| Rate for Payer: Railroad Medicare Medicare |
$341.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$693.06
|
| Rate for Payer: UHC Core |
$693.06
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$341.70
|
| Rate for Payer: UHC Exchange |
$693.06
|
| Rate for Payer: UHC Medicaid |
$215.77
|
| Rate for Payer: UHCCP Medicaid |
$215.77
|
|
|
PR THROMBOLYSIS ART/VENOUS INFSN W/IMAGE SUBSQ TX
|
Professional
|
Both
|
$1,124.00
|
|
|
Service Code
|
HCPCS 37213
|
| Min. Negotiated Rate |
$129.08 |
| Max. Negotiated Rate |
$843.00 |
| Rate for Payer: Aetna Commercial |
$273.88
|
| Rate for Payer: Aetna Medicare |
$212.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$273.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$294.32
|
| Rate for Payer: BCBS Complete |
$135.53
|
| Rate for Payer: BCBS MAPPO |
$204.39
|
| Rate for Payer: BCN Commercial |
$336.64
|
| Rate for Payer: BCN Medicare Advantage |
$204.39
|
| Rate for Payer: Cash Price |
$899.20
|
| Rate for Payer: Cash Price |
$899.20
|
| Rate for Payer: Cofinity Commercial |
$294.32
|
| Rate for Payer: Cofinity Commercial |
$273.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$204.39
|
| Rate for Payer: Healthscope Commercial |
$378.12
|
| Rate for Payer: Healthscope Commercial |
$327.02
|
| Rate for Payer: Mclaren Medicaid |
$129.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$214.61
|
| Rate for Payer: Meridian Medicaid |
$135.53
|
| Rate for Payer: Molina Medicare/Medicaid |
$224.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$407.16
|
| Rate for Payer: Nomi Health Commercial |
$245.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$843.00
|
| Rate for Payer: PACE SWMI |
$204.39
|
| Rate for Payer: PHP Medicare Advantage |
$204.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$129.08
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$362.00
|
| Rate for Payer: Priority Health Medicare |
$204.39
|
| Rate for Payer: Priority Health SBD |
$362.00
|
| Rate for Payer: Priority Health Tiered Network |
$362.00
|
| Rate for Payer: Railroad Medicare Medicare |
$204.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$417.57
|
| Rate for Payer: UHC Core |
$417.57
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$204.39
|
| Rate for Payer: UHC Exchange |
$417.57
|
| Rate for Payer: UHC Medicaid |
$129.08
|
| Rate for Payer: UHCCP Medicaid |
$129.08
|
|
|
PR THROMBOLYSIS CEREBRAL IV INFUSION
|
Professional
|
Both
|
$1,451.00
|
|
|
Service Code
|
HCPCS 37195
|
| Min. Negotiated Rate |
$241.57 |
| Max. Negotiated Rate |
$1,477.49 |
| Rate for Payer: Aetna Commercial |
$1,244.65
|
| Rate for Payer: Aetna Medicare |
$725.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,244.65
|
| Rate for Payer: BCBS Complete |
$253.65
|
| Rate for Payer: BCN Commercial |
$310.13
|
| Rate for Payer: Cash Price |
$1,160.80
|
| Rate for Payer: Cash Price |
$1,160.80
|
| Rate for Payer: Mclaren Medicaid |
$241.57
|
| Rate for Payer: Meridian Medicaid |
$253.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,477.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,088.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$241.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,273.46
|
| Rate for Payer: Priority Health SBD |
$1,273.46
|
| Rate for Payer: Priority Health Tiered Network |
$1,273.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$683.42
|
| Rate for Payer: UHC Core |
$683.42
|
| Rate for Payer: UHC Exchange |
$683.42
|
| Rate for Payer: UHC Medicaid |
$241.57
|
| Rate for Payer: UHCCP Medicaid |
$241.57
|
|
