|
PR THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES
|
Professional
|
Both
|
$53.00
|
|
|
Service Code
|
HCPCS 97110
|
| Min. Negotiated Rate |
$21.20 |
| Max. Negotiated Rate |
$51.08 |
| Rate for Payer: Aetna Commercial |
$37.00
|
| Rate for Payer: Aetna Medicare |
$28.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$37.00
|
| Rate for Payer: BCBS Complete |
$21.20
|
| Rate for Payer: BCBS MAPPO |
$27.61
|
| Rate for Payer: BCN Medicare Advantage |
$27.61
|
| Rate for Payer: Cash Price |
$42.40
|
| Rate for Payer: Cash Price |
$42.40
|
| Rate for Payer: Cofinity Commercial |
$39.76
|
| Rate for Payer: Cofinity Commercial |
$37.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27.61
|
| Rate for Payer: Healthscope Commercial |
$51.08
|
| Rate for Payer: Healthscope Commercial |
$44.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$34.45
|
| Rate for Payer: Nomi Health Commercial |
$33.13
|
| Rate for Payer: PACE SWMI |
$27.61
|
| Rate for Payer: PHP Medicare Advantage |
$27.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$34.45
|
| Rate for Payer: Priority Health Medicare |
$27.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$27.61
|
| Rate for Payer: UHC Medicare Advantage |
$27.61
|
|
|
PR THERAPEUTIC SPINAL PNXR DRAINAGE CSF W/FLUOR/CT
|
Professional
|
Both
|
$228.00
|
|
|
Service Code
|
HCPCS 62329
|
| Min. Negotiated Rate |
$91.20 |
| Max. Negotiated Rate |
$184.91 |
| Rate for Payer: Aetna Commercial |
$133.93
|
| Rate for Payer: Aetna Medicare |
$103.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$143.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$133.93
|
| Rate for Payer: BCBS Complete |
$91.20
|
| Rate for Payer: BCBS MAPPO |
$99.95
|
| Rate for Payer: BCN Medicare Advantage |
$99.95
|
| Rate for Payer: Cash Price |
$182.40
|
| Rate for Payer: Cash Price |
$182.40
|
| Rate for Payer: Cofinity Commercial |
$143.93
|
| Rate for Payer: Cofinity Commercial |
$133.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$99.95
|
| Rate for Payer: Healthscope Commercial |
$159.92
|
| Rate for Payer: Healthscope Commercial |
$184.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$104.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$148.20
|
| Rate for Payer: Nomi Health Commercial |
$119.94
|
| Rate for Payer: PACE SWMI |
$99.95
|
| Rate for Payer: PHP Medicare Advantage |
$99.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$148.20
|
| Rate for Payer: Priority Health Medicare |
$99.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$99.95
|
| Rate for Payer: UHC Medicare Advantage |
$99.95
|
|
|
PR THERAPEUTIC SPINAL PUNCTURE DRAINAGE CSF
|
Professional
|
Both
|
$471.00
|
|
|
Service Code
|
HCPCS 62272
|
| Min. Negotiated Rate |
$91.59 |
| Max. Negotiated Rate |
$306.15 |
| Rate for Payer: Aetna Commercial |
$122.73
|
| Rate for Payer: Aetna Medicare |
$95.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$131.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$122.73
|
| Rate for Payer: BCBS Complete |
$188.40
|
| Rate for Payer: BCBS MAPPO |
$91.59
|
| Rate for Payer: BCN Medicare Advantage |
$91.59
|
| Rate for Payer: Cash Price |
$376.80
|
| Rate for Payer: Cash Price |
$376.80
|
| Rate for Payer: Cofinity Commercial |
$131.89
|
| Rate for Payer: Cofinity Commercial |
$122.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$91.59
|
| Rate for Payer: Healthscope Commercial |
$169.44
|
| Rate for Payer: Healthscope Commercial |
$146.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$96.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$306.15
|
| Rate for Payer: Nomi Health Commercial |
$109.91
|
| Rate for Payer: PACE SWMI |
$91.59
|
| Rate for Payer: PHP Medicare Advantage |
$91.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$306.15
|
| Rate for Payer: Priority Health Medicare |
$91.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$91.59
|
| Rate for Payer: UHC Medicare Advantage |
$91.59
|
|
|
PR THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG
|
Professional
|
Both
|
$107.00
|
|
|
Service Code
|
HCPCS 96374
|
| Min. Negotiated Rate |
$31.63 |
| Max. Negotiated Rate |
$69.55 |
| Rate for Payer: Aetna Commercial |
$42.38
|
| Rate for Payer: Aetna Medicare |
$32.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$45.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$42.38
|
| Rate for Payer: BCBS Complete |
$42.80
|
| Rate for Payer: BCBS MAPPO |
$31.63
|
| Rate for Payer: BCN Medicare Advantage |
$31.63
|
| Rate for Payer: Cash Price |
$85.60
|
| Rate for Payer: Cash Price |
$85.60
|
| Rate for Payer: Cofinity Commercial |
$45.55
|
| Rate for Payer: Cofinity Commercial |
$42.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31.63
|
| Rate for Payer: Healthscope Commercial |
$50.61
|
| Rate for Payer: Healthscope Commercial |
$58.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$69.55
|
| Rate for Payer: Nomi Health Commercial |
$37.96
|
| Rate for Payer: PACE SWMI |
$31.63
|
| Rate for Payer: PHP Medicare Advantage |
$31.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$69.55
|
| Rate for Payer: Priority Health Medicare |
$31.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$31.63
|
| Rate for Payer: UHC Medicare Advantage |
$31.63
|
|
|
PR THER PX 1/> AREAS EACH 15 MIN NEUROMUSC REEDUCA
|
Professional
|
Both
|
$55.00
|
|
|
Service Code
|
HCPCS 97112
|
| Min. Negotiated Rate |
$22.00 |
| Max. Negotiated Rate |
$56.80 |
| Rate for Payer: Aetna Commercial |
$41.14
|
| Rate for Payer: Aetna Medicare |
$31.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.14
|
| Rate for Payer: BCBS Complete |
$22.00
|
| Rate for Payer: BCBS MAPPO |
$30.70
|
| Rate for Payer: BCN Medicare Advantage |
$30.70
|
| Rate for Payer: Cash Price |
$44.00
|
| Rate for Payer: Cash Price |
$44.00
|
| Rate for Payer: Cofinity Commercial |
$44.21
|
| Rate for Payer: Cofinity Commercial |
$41.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.70
|
| Rate for Payer: Healthscope Commercial |
$56.80
|
| Rate for Payer: Healthscope Commercial |
$49.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$35.75
|
| Rate for Payer: Nomi Health Commercial |
$36.84
|
| Rate for Payer: PACE SWMI |
$30.70
|
| Rate for Payer: PHP Medicare Advantage |
$30.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$35.75
|
| Rate for Payer: Priority Health Medicare |
$30.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$30.70
|
| Rate for Payer: UHC Medicare Advantage |
$30.70
|
|
|
PR THER PX 1/> AREAS EACH 15 MINUTES MASSAGE
|
Professional
|
Both
|
$43.00
|
|
|
Service Code
|
HCPCS 97124
|
| Min. Negotiated Rate |
$17.20 |
| Max. Negotiated Rate |
$52.17 |
| Rate for Payer: Aetna Commercial |
$37.79
|
| Rate for Payer: Aetna Medicare |
$29.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$37.79
|
| Rate for Payer: BCBS Complete |
$17.20
|
| Rate for Payer: BCBS MAPPO |
$28.20
|
| Rate for Payer: BCN Medicare Advantage |
$28.20
|
| Rate for Payer: Cash Price |
$34.40
|
| Rate for Payer: Cash Price |
$34.40
|
| Rate for Payer: Cofinity Commercial |
$40.61
|
| Rate for Payer: Cofinity Commercial |
$37.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.20
|
| Rate for Payer: Healthscope Commercial |
$45.12
|
| Rate for Payer: Healthscope Commercial |
$52.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27.95
|
| Rate for Payer: Nomi Health Commercial |
$33.84
|
| Rate for Payer: PACE SWMI |
$28.20
|
| Rate for Payer: PHP Medicare Advantage |
$28.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.95
|
| Rate for Payer: Priority Health Medicare |
$28.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$28.20
|
| Rate for Payer: UHC Medicare Advantage |
$28.20
|
|
|
PR THIGHPLASTY
|
Professional
|
Both
|
$4,590.00
|
|
|
Service Code
|
HCPCS 00538
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$1,836.00 |
| Max. Negotiated Rate |
$2,983.50 |
| Rate for Payer: Aetna Medicare |
$2,295.00
|
| Rate for Payer: BCBS Complete |
$1,836.00
|
| Rate for Payer: Cash Price |
$3,672.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,983.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,983.50
|
|
|
PR THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING
|
Professional
|
Both
|
$529.00
|
|
|
Service Code
|
HCPCS 32555
|
| Min. Negotiated Rate |
$102.91 |
| Max. Negotiated Rate |
$343.85 |
| Rate for Payer: Aetna Commercial |
$137.90
|
| Rate for Payer: Aetna Medicare |
$107.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$137.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$148.19
|
| Rate for Payer: BCBS Complete |
$211.60
|
| Rate for Payer: BCBS MAPPO |
$102.91
|
| Rate for Payer: BCN Medicare Advantage |
$102.91
|
| Rate for Payer: Cash Price |
$423.20
|
| Rate for Payer: Cash Price |
$423.20
|
| Rate for Payer: Cofinity Commercial |
$148.19
|
| Rate for Payer: Cofinity Commercial |
$137.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$102.91
|
| Rate for Payer: Healthscope Commercial |
$190.38
|
| Rate for Payer: Healthscope Commercial |
$164.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$108.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$343.85
|
| Rate for Payer: Nomi Health Commercial |
$123.49
|
| Rate for Payer: PACE SWMI |
$102.91
|
| Rate for Payer: PHP Medicare Advantage |
$102.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$343.85
|
| Rate for Payer: Priority Health Medicare |
$102.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$102.91
|
| Rate for Payer: UHC Medicare Advantage |
$102.91
|
|
|
PR THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING
|
Professional
|
Both
|
$760.00
|
|
|
Service Code
|
HCPCS 32554
|
| Min. Negotiated Rate |
$83.93 |
| Max. Negotiated Rate |
$494.00 |
| Rate for Payer: Aetna Commercial |
$112.47
|
| Rate for Payer: Aetna Medicare |
$87.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$112.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$120.86
|
| Rate for Payer: BCBS Complete |
$304.00
|
| Rate for Payer: BCBS MAPPO |
$83.93
|
| Rate for Payer: BCN Medicare Advantage |
$83.93
|
| Rate for Payer: Cash Price |
$608.00
|
| Rate for Payer: Cash Price |
$608.00
|
| Rate for Payer: Cofinity Commercial |
$112.47
|
| Rate for Payer: Cofinity Commercial |
$120.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$83.93
|
| Rate for Payer: Healthscope Commercial |
$134.29
|
| Rate for Payer: Healthscope Commercial |
$155.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$88.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$494.00
|
| Rate for Payer: Nomi Health Commercial |
$100.72
|
| Rate for Payer: PACE SWMI |
$83.93
|
| Rate for Payer: PHP Medicare Advantage |
$83.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$494.00
|
| Rate for Payer: Priority Health Medicare |
$83.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$83.93
|
| Rate for Payer: UHC Medicare Advantage |
$83.93
|
|
|
PR THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING
|
Facility
|
IP
|
$760.00
|
|
|
Service Code
|
CPT 32554
|
| Hospital Charge Code |
32554
|
| Min. Negotiated Rate |
$478.80 |
| Max. Negotiated Rate |
$684.00 |
| Rate for Payer: Aetna Commercial |
$646.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$494.00
|
| Rate for Payer: Cash Price |
$608.00
|
| Rate for Payer: Cofinity Commercial |
$532.00
|
| Rate for Payer: Cofinity Commercial |
$653.60
|
| Rate for Payer: Cofinity Medicare Advantage |
$532.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$608.00
|
| Rate for Payer: Healthscope Commercial |
$684.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$646.00
|
| Rate for Payer: PHP Commercial |
$646.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$494.00
|
| Rate for Payer: Priority Health SBD |
$478.80
|
|
|
PR THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING
|
Professional
|
Both
|
$760.00
|
|
|
Service Code
|
HCPCS 32554
|
| Hospital Charge Code |
32554
|
| Min. Negotiated Rate |
$83.93 |
| Max. Negotiated Rate |
$494.00 |
| Rate for Payer: Aetna Commercial |
$112.47
|
| Rate for Payer: Aetna Medicare |
$87.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$120.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$112.47
|
| Rate for Payer: BCBS Complete |
$304.00
|
| Rate for Payer: BCBS MAPPO |
$83.93
|
| Rate for Payer: BCN Medicare Advantage |
$83.93
|
| Rate for Payer: Cash Price |
$608.00
|
| Rate for Payer: Cash Price |
$608.00
|
| Rate for Payer: Cofinity Commercial |
$120.86
|
| Rate for Payer: Cofinity Commercial |
$112.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$83.93
|
| Rate for Payer: Healthscope Commercial |
$155.27
|
| Rate for Payer: Healthscope Commercial |
$134.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$88.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$494.00
|
| Rate for Payer: Nomi Health Commercial |
$100.72
|
| Rate for Payer: PACE SWMI |
$83.93
|
| Rate for Payer: PHP Medicare Advantage |
$83.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$494.00
|
| Rate for Payer: Priority Health Medicare |
$83.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$83.93
|
| Rate for Payer: UHC Medicare Advantage |
$83.93
|
|
|
PR THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING
|
Facility
|
OP
|
$760.00
|
|
|
Service Code
|
CPT 32554
|
| Hospital Charge Code |
32554
|
| Min. Negotiated Rate |
$323.20 |
| Max. Negotiated Rate |
$1,697.33 |
| Rate for Payer: Aetna Commercial |
$646.00
|
| Rate for Payer: Aetna Medicare |
$627.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$494.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$753.73
|
| Rate for Payer: Amish Plain Church Group Commercial |
$753.73
|
| Rate for Payer: BCBS Complete |
$339.36
|
| Rate for Payer: BCBS MAPPO |
$602.98
|
| Rate for Payer: BCN Medicare Advantage |
$602.98
|
| Rate for Payer: Cash Price |
$608.00
|
| Rate for Payer: Cash Price |
$608.00
|
| Rate for Payer: Cofinity Commercial |
$532.00
|
| Rate for Payer: Cofinity Commercial |
$653.60
|
| Rate for Payer: Cofinity Medicare Advantage |
$532.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$608.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$602.98
|
| Rate for Payer: Healthscope Commercial |
$684.00
|
| Rate for Payer: Mclaren Medicaid |
$323.20
|
| Rate for Payer: Mclaren Medicare |
$602.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$633.13
|
| Rate for Payer: Meridian Medicaid |
$339.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$693.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$646.00
|
| Rate for Payer: PACE Medicare |
$572.83
|
| Rate for Payer: PACE SWMI |
$602.98
|
| Rate for Payer: PHP Commercial |
$646.00
|
| Rate for Payer: PHP Medicare Advantage |
$602.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$323.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$494.00
|
| Rate for Payer: Priority Health Medicare |
$602.98
|
| Rate for Payer: Priority Health SBD |
$478.80
|
| Rate for Payer: Railroad Medicare Medicare |
$602.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,697.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$602.98
|
| Rate for Payer: UHC Medicare Advantage |
$602.98
|
| Rate for Payer: UHCCP Medicaid |
$339.48
|
| Rate for Payer: VA VA |
$602.98
|
|
|
PR THORACOPLASTY SCHEDE TYPE/EXTRAPLEURAL
|
Professional
|
Both
|
$2,610.00
|
|
|
Service Code
|
HCPCS 32905
|
| Min. Negotiated Rate |
$1,044.00 |
| Max. Negotiated Rate |
$2,373.14 |
| Rate for Payer: Aetna Commercial |
$1,718.93
|
| Rate for Payer: Aetna Medicare |
$1,334.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,847.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,718.93
|
| Rate for Payer: BCBS Complete |
$1,044.00
|
| Rate for Payer: BCBS MAPPO |
$1,282.78
|
| Rate for Payer: BCN Medicare Advantage |
$1,282.78
|
| Rate for Payer: Cash Price |
$2,088.00
|
| Rate for Payer: Cash Price |
$2,088.00
|
| Rate for Payer: Cofinity Commercial |
$1,847.20
|
| Rate for Payer: Cofinity Commercial |
$1,718.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,282.78
|
| Rate for Payer: Healthscope Commercial |
$2,373.14
|
| Rate for Payer: Healthscope Commercial |
$2,052.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,346.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,696.50
|
| Rate for Payer: Nomi Health Commercial |
$1,539.34
|
| Rate for Payer: PACE SWMI |
$1,282.78
|
| Rate for Payer: PHP Medicare Advantage |
$1,282.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,696.50
|
| Rate for Payer: Priority Health Medicare |
$1,282.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,282.78
|
| Rate for Payer: UHC Medicare Advantage |
$1,282.78
|
|
|
PR THORACOP SCHEDE TYP/XTRPLEURAL CLSR BRNCPLR FSTL
|
Professional
|
Both
|
$3,231.00
|
|
|
Service Code
|
HCPCS 32906
|
| Min. Negotiated Rate |
$1,292.40 |
| Max. Negotiated Rate |
$2,928.11 |
| Rate for Payer: UHC Dual Complete DSNP |
$1,582.76
|
| Rate for Payer: UHC Medicare Advantage |
$1,582.76
|
| Rate for Payer: Aetna Commercial |
$2,120.90
|
| Rate for Payer: Aetna Medicare |
$1,646.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,279.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,120.90
|
| Rate for Payer: BCBS Complete |
$1,292.40
|
| Rate for Payer: BCBS MAPPO |
$1,582.76
|
| Rate for Payer: BCN Medicare Advantage |
$1,582.76
|
| Rate for Payer: Cash Price |
$2,584.80
|
| Rate for Payer: Cash Price |
$2,584.80
|
| Rate for Payer: Cofinity Commercial |
$2,279.17
|
| Rate for Payer: Cofinity Commercial |
$2,120.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,582.76
|
| Rate for Payer: Healthscope Commercial |
$2,532.42
|
| Rate for Payer: Healthscope Commercial |
$2,928.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,661.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,100.15
|
| Rate for Payer: Nomi Health Commercial |
$1,899.31
|
| Rate for Payer: PACE SWMI |
$1,582.76
|
| Rate for Payer: PHP Medicare Advantage |
$1,582.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,100.15
|
| Rate for Payer: Priority Health Medicare |
$1,582.76
|
|
|
PR THORACOSCOPY CONTROL TRAUMATIC HEMORRHAGE
|
Professional
|
Both
|
$2,370.00
|
|
|
Service Code
|
HCPCS 32654
|
| Min. Negotiated Rate |
$948.00 |
| Max. Negotiated Rate |
$2,128.65 |
| Rate for Payer: Aetna Commercial |
$1,541.83
|
| Rate for Payer: Aetna Medicare |
$1,196.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,656.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,541.83
|
| Rate for Payer: BCBS Complete |
$948.00
|
| Rate for Payer: BCBS MAPPO |
$1,150.62
|
| Rate for Payer: BCN Medicare Advantage |
$1,150.62
|
| Rate for Payer: Cash Price |
$1,896.00
|
| Rate for Payer: Cash Price |
$1,896.00
|
| Rate for Payer: Cofinity Commercial |
$1,656.89
|
| Rate for Payer: Cofinity Commercial |
$1,541.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,150.62
|
| Rate for Payer: Healthscope Commercial |
$2,128.65
|
| Rate for Payer: Healthscope Commercial |
$1,840.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,208.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,540.50
|
| Rate for Payer: Nomi Health Commercial |
$1,380.74
|
| Rate for Payer: PACE SWMI |
$1,150.62
|
| Rate for Payer: PHP Medicare Advantage |
$1,150.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,540.50
|
| Rate for Payer: Priority Health Medicare |
$1,150.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,150.62
|
| Rate for Payer: UHC Medicare Advantage |
$1,150.62
|
|
|
PR THORACOSCOPY DX MEDIASTINAL SPACE W/BIOPSY SPX
|
Professional
|
Both
|
$1,413.00
|
|
|
Service Code
|
HCPCS 32606
|
| Min. Negotiated Rate |
$444.26 |
| Max. Negotiated Rate |
$918.45 |
| Rate for Payer: Aetna Commercial |
$595.31
|
| Rate for Payer: Aetna Medicare |
$462.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$639.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$595.31
|
| Rate for Payer: BCBS Complete |
$565.20
|
| Rate for Payer: BCBS MAPPO |
$444.26
|
| Rate for Payer: BCN Medicare Advantage |
$444.26
|
| Rate for Payer: Cash Price |
$1,130.40
|
| Rate for Payer: Cash Price |
$1,130.40
|
| Rate for Payer: Cofinity Commercial |
$639.73
|
| Rate for Payer: Cofinity Commercial |
$595.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$444.26
|
| Rate for Payer: Healthscope Commercial |
$710.82
|
| Rate for Payer: Healthscope Commercial |
$821.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$466.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$918.45
|
| Rate for Payer: Nomi Health Commercial |
$533.11
|
| Rate for Payer: PACE SWMI |
$444.26
|
| Rate for Payer: PHP Medicare Advantage |
$444.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$918.45
|
| Rate for Payer: Priority Health Medicare |
$444.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$444.26
|
| Rate for Payer: UHC Medicare Advantage |
$444.26
|
|
|
PR THORACOSCOPY DX PERICARDIAL SAC W/BIOPSY SPX
|
Professional
|
Both
|
$919.00
|
|
|
Service Code
|
HCPCS 32604
|
| Min. Negotiated Rate |
$367.60 |
| Max. Negotiated Rate |
$851.65 |
| Rate for Payer: Aetna Commercial |
$616.87
|
| Rate for Payer: Aetna Medicare |
$478.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$662.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$616.87
|
| Rate for Payer: BCBS Complete |
$367.60
|
| Rate for Payer: BCBS MAPPO |
$460.35
|
| Rate for Payer: BCN Medicare Advantage |
$460.35
|
| Rate for Payer: Cash Price |
$735.20
|
| Rate for Payer: Cash Price |
$735.20
|
| Rate for Payer: Cofinity Commercial |
$662.90
|
| Rate for Payer: Cofinity Commercial |
$616.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$460.35
|
| Rate for Payer: Healthscope Commercial |
$851.65
|
| Rate for Payer: Healthscope Commercial |
$736.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$483.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$597.35
|
| Rate for Payer: Nomi Health Commercial |
$552.42
|
| Rate for Payer: PACE SWMI |
$460.35
|
| Rate for Payer: PHP Medicare Advantage |
$460.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$597.35
|
| Rate for Payer: Priority Health Medicare |
$460.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$460.35
|
| Rate for Payer: UHC Medicare Advantage |
$460.35
|
|
|
PR THORACOSCOPY RESEXN THYMUS UNI/BILATERAL
|
Professional
|
Both
|
$4,831.00
|
|
|
Service Code
|
HCPCS 32673
|
| Min. Negotiated Rate |
$1,166.99 |
| Max. Negotiated Rate |
$3,140.15 |
| Rate for Payer: Aetna Commercial |
$1,563.77
|
| Rate for Payer: Aetna Medicare |
$1,213.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,680.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,563.77
|
| Rate for Payer: BCBS Complete |
$1,932.40
|
| Rate for Payer: BCBS MAPPO |
$1,166.99
|
| Rate for Payer: BCN Medicare Advantage |
$1,166.99
|
| Rate for Payer: Cash Price |
$3,864.80
|
| Rate for Payer: Cash Price |
$3,864.80
|
| Rate for Payer: Cofinity Commercial |
$1,680.47
|
| Rate for Payer: Cofinity Commercial |
$1,563.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,166.99
|
| Rate for Payer: Healthscope Commercial |
$1,867.18
|
| Rate for Payer: Healthscope Commercial |
$2,158.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,225.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,140.15
|
| Rate for Payer: Nomi Health Commercial |
$1,400.39
|
| Rate for Payer: PACE SWMI |
$1,166.99
|
| Rate for Payer: PHP Medicare Advantage |
$1,166.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,140.15
|
| Rate for Payer: Priority Health Medicare |
$1,166.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,166.99
|
| Rate for Payer: UHC Medicare Advantage |
$1,166.99
|
|
|
PR THORACOSCOPY RMVL INTRAPLEURAL FB/FIBRIN DEPOSIT
|
Professional
|
Both
|
$3,001.00
|
|
|
Service Code
|
HCPCS 32653
|
| Min. Negotiated Rate |
$1,017.61 |
| Max. Negotiated Rate |
$1,950.65 |
| Rate for Payer: Aetna Commercial |
$1,363.60
|
| Rate for Payer: Aetna Medicare |
$1,058.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,465.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,363.60
|
| Rate for Payer: BCBS Complete |
$1,200.40
|
| Rate for Payer: BCBS MAPPO |
$1,017.61
|
| Rate for Payer: BCN Medicare Advantage |
$1,017.61
|
| Rate for Payer: Cash Price |
$2,400.80
|
| Rate for Payer: Cash Price |
$2,400.80
|
| Rate for Payer: Cofinity Commercial |
$1,465.36
|
| Rate for Payer: Cofinity Commercial |
$1,363.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,017.61
|
| Rate for Payer: Healthscope Commercial |
$1,882.58
|
| Rate for Payer: Healthscope Commercial |
$1,628.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,068.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,950.65
|
| Rate for Payer: Nomi Health Commercial |
$1,221.13
|
| Rate for Payer: PACE SWMI |
$1,017.61
|
| Rate for Payer: PHP Medicare Advantage |
$1,017.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,950.65
|
| Rate for Payer: Priority Health Medicare |
$1,017.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,017.61
|
| Rate for Payer: UHC Medicare Advantage |
$1,017.61
|
|
|
PR THORACOSCOPY W/BILOBECTOMY
|
Professional
|
Both
|
$6,456.00
|
|
|
Service Code
|
HCPCS 32670
|
| Min. Negotiated Rate |
$1,536.50 |
| Max. Negotiated Rate |
$4,196.40 |
| Rate for Payer: Aetna Commercial |
$2,058.91
|
| Rate for Payer: Aetna Medicare |
$1,597.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,212.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,058.91
|
| Rate for Payer: BCBS Complete |
$2,582.40
|
| Rate for Payer: BCBS MAPPO |
$1,536.50
|
| Rate for Payer: BCN Medicare Advantage |
$1,536.50
|
| Rate for Payer: Cash Price |
$5,164.80
|
| Rate for Payer: Cash Price |
$5,164.80
|
| Rate for Payer: Cofinity Commercial |
$2,212.56
|
| Rate for Payer: Cofinity Commercial |
$2,058.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,536.50
|
| Rate for Payer: Healthscope Commercial |
$2,458.40
|
| Rate for Payer: Healthscope Commercial |
$2,842.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,613.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,196.40
|
| Rate for Payer: Nomi Health Commercial |
$1,843.80
|
| Rate for Payer: PACE SWMI |
$1,536.50
|
| Rate for Payer: PHP Medicare Advantage |
$1,536.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,196.40
|
| Rate for Payer: Priority Health Medicare |
$1,536.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,536.50
|
| Rate for Payer: UHC Medicare Advantage |
$1,536.50
|
|
|
PR THORACOSCOPY W/DX BX OF LUNG INFILTRATE UNILATRL
|
Professional
|
Both
|
$1,247.00
|
|
|
Service Code
|
HCPCS 32607
|
| Min. Negotiated Rate |
$295.68 |
| Max. Negotiated Rate |
$810.55 |
| Rate for Payer: Aetna Commercial |
$396.21
|
| Rate for Payer: Aetna Medicare |
$307.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$425.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$396.21
|
| Rate for Payer: BCBS Complete |
$498.80
|
| Rate for Payer: BCBS MAPPO |
$295.68
|
| Rate for Payer: BCN Medicare Advantage |
$295.68
|
| Rate for Payer: Cash Price |
$997.60
|
| Rate for Payer: Cash Price |
$997.60
|
| Rate for Payer: Cofinity Commercial |
$425.78
|
| Rate for Payer: Cofinity Commercial |
$396.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$295.68
|
| Rate for Payer: Healthscope Commercial |
$547.01
|
| Rate for Payer: Healthscope Commercial |
$473.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$310.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$810.55
|
| Rate for Payer: Nomi Health Commercial |
$354.82
|
| Rate for Payer: PACE SWMI |
$295.68
|
| Rate for Payer: PHP Medicare Advantage |
$295.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$810.55
|
| Rate for Payer: Priority Health Medicare |
$295.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$295.68
|
| Rate for Payer: UHC Medicare Advantage |
$295.68
|
|
|
PR THORACOSCOPY W/DX BX OF LUNG NODULES UNILATRL
|
Professional
|
Both
|
$1,532.00
|
|
|
Service Code
|
HCPCS 32608
|
| Min. Negotiated Rate |
$364.18 |
| Max. Negotiated Rate |
$995.80 |
| Rate for Payer: Aetna Commercial |
$488.00
|
| Rate for Payer: Aetna Medicare |
$378.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$524.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$488.00
|
| Rate for Payer: BCBS Complete |
$612.80
|
| Rate for Payer: BCBS MAPPO |
$364.18
|
| Rate for Payer: BCN Medicare Advantage |
$364.18
|
| Rate for Payer: Cash Price |
$1,225.60
|
| Rate for Payer: Cash Price |
$1,225.60
|
| Rate for Payer: Cofinity Commercial |
$524.42
|
| Rate for Payer: Cofinity Commercial |
$488.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$364.18
|
| Rate for Payer: Healthscope Commercial |
$582.69
|
| Rate for Payer: Healthscope Commercial |
$673.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$382.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$995.80
|
| Rate for Payer: Nomi Health Commercial |
$437.02
|
| Rate for Payer: PACE SWMI |
$364.18
|
| Rate for Payer: PHP Medicare Advantage |
$364.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$995.80
|
| Rate for Payer: Priority Health Medicare |
$364.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$364.18
|
| Rate for Payer: UHC Medicare Advantage |
$364.18
|
|
|
PR THORACOSCOPY W/DX WEDGE RESEXN ANATO LUNG RESEXN
|
Professional
|
Both
|
$633.00
|
|
|
Service Code
|
HCPCS 32668
|
| Min. Negotiated Rate |
$149.99 |
| Max. Negotiated Rate |
$411.45 |
| Rate for Payer: Aetna Commercial |
$200.99
|
| Rate for Payer: Aetna Medicare |
$155.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$215.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$200.99
|
| Rate for Payer: BCBS Complete |
$253.20
|
| Rate for Payer: BCBS MAPPO |
$149.99
|
| Rate for Payer: BCN Medicare Advantage |
$149.99
|
| Rate for Payer: Cash Price |
$506.40
|
| Rate for Payer: Cash Price |
$506.40
|
| Rate for Payer: Cofinity Commercial |
$215.99
|
| Rate for Payer: Cofinity Commercial |
$200.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$149.99
|
| Rate for Payer: Healthscope Commercial |
$277.48
|
| Rate for Payer: Healthscope Commercial |
$239.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$157.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$411.45
|
| Rate for Payer: Nomi Health Commercial |
$179.99
|
| Rate for Payer: PACE SWMI |
$149.99
|
| Rate for Payer: PHP Medicare Advantage |
$149.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$411.45
|
| Rate for Payer: Priority Health Medicare |
$149.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$149.99
|
| Rate for Payer: UHC Medicare Advantage |
$149.99
|
|
|
PR THORACOSCOPY W/EXC MEDIASTINAL CYST TUMOR/MASS
|
Professional
|
Both
|
$4,061.00
|
|
|
Service Code
|
HCPCS 32662
|
| Min. Negotiated Rate |
$859.40 |
| Max. Negotiated Rate |
$2,639.65 |
| Rate for Payer: Aetna Commercial |
$1,151.60
|
| Rate for Payer: Aetna Medicare |
$893.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,237.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,151.60
|
| Rate for Payer: BCBS Complete |
$1,624.40
|
| Rate for Payer: BCBS MAPPO |
$859.40
|
| Rate for Payer: BCN Medicare Advantage |
$859.40
|
| Rate for Payer: Cash Price |
$3,248.80
|
| Rate for Payer: Cash Price |
$3,248.80
|
| Rate for Payer: Cofinity Commercial |
$1,237.54
|
| Rate for Payer: Cofinity Commercial |
$1,151.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$859.40
|
| Rate for Payer: Healthscope Commercial |
$1,375.04
|
| Rate for Payer: Healthscope Commercial |
$1,589.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$902.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,639.65
|
| Rate for Payer: Nomi Health Commercial |
$1,031.28
|
| Rate for Payer: PACE SWMI |
$859.40
|
| Rate for Payer: PHP Medicare Advantage |
$859.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,639.65
|
| Rate for Payer: Priority Health Medicare |
$859.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$859.40
|
| Rate for Payer: UHC Medicare Advantage |
$859.40
|
|
|
PR THORACOSCOPY W/EXC PERICARDIAL CYST TUMOR/MASS
|
Professional
|
Both
|
$3,852.00
|
|
|
Service Code
|
HCPCS 32661
|
| Min. Negotiated Rate |
$767.54 |
| Max. Negotiated Rate |
$2,503.80 |
| Rate for Payer: Aetna Commercial |
$1,028.50
|
| Rate for Payer: Aetna Medicare |
$798.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,105.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,028.50
|
| Rate for Payer: BCBS Complete |
$1,540.80
|
| Rate for Payer: BCBS MAPPO |
$767.54
|
| Rate for Payer: BCN Medicare Advantage |
$767.54
|
| Rate for Payer: Cash Price |
$3,081.60
|
| Rate for Payer: Cash Price |
$3,081.60
|
| Rate for Payer: Cofinity Commercial |
$1,105.26
|
| Rate for Payer: Cofinity Commercial |
$1,028.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$767.54
|
| Rate for Payer: Healthscope Commercial |
$1,419.95
|
| Rate for Payer: Healthscope Commercial |
$1,228.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$805.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,503.80
|
| Rate for Payer: Nomi Health Commercial |
$921.05
|
| Rate for Payer: PACE SWMI |
$767.54
|
| Rate for Payer: PHP Medicare Advantage |
$767.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,503.80
|
| Rate for Payer: Priority Health Medicare |
$767.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$767.54
|
| Rate for Payer: UHC Medicare Advantage |
$767.54
|
|
