|
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 |
$4,911.00 |
| 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: BCBS Trust/PPO |
$1,233.58
|
| Rate for Payer: BCN Commercial |
$32.95
|
| 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 |
$49.12
|
| Rate for Payer: Healthscope Commercial |
$56.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,911.00
|
| 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 HMO/PPO/Tiered Network |
$77.25
|
| Rate for Payer: Priority Health Medicare |
$30.70
|
| Rate for Payer: Priority Health Narrow Network |
$77.25
|
| Rate for Payer: Priority Health SBD |
$77.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$30.70
|
| Rate for Payer: UHC Exchange |
$31.76
|
| 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 |
$14.23 |
| Max. Negotiated Rate |
$4,335.00 |
| Rate for Payer: Aetna Commercial |
$37.79
|
| Rate for Payer: Aetna Medicare |
$29.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$37.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40.61
|
| Rate for Payer: BCBS Complete |
$17.20
|
| Rate for Payer: BCBS MAPPO |
$28.20
|
| Rate for Payer: BCBS Trust/PPO |
$1,345.58
|
| Rate for Payer: BCN Commercial |
$14.23
|
| 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 |
$52.17
|
| Rate for Payer: Healthscope Commercial |
$45.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,335.00
|
| 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 HMO/PPO/Tiered Network |
$77.25
|
| Rate for Payer: Priority Health Medicare |
$28.20
|
| Rate for Payer: Priority Health Narrow Network |
$77.25
|
| Rate for Payer: Priority Health SBD |
$77.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$28.20
|
| Rate for Payer: UHC Exchange |
$23.35
|
| 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 |
$68.37 |
| Max. Negotiated Rate |
$19,271.00 |
| 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 |
$71.79
|
| Rate for Payer: BCBS MAPPO |
$102.91
|
| Rate for Payer: BCBS Trust/PPO |
$826.79
|
| Rate for Payer: BCN Commercial |
$463.76
|
| 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 |
$164.66
|
| Rate for Payer: Healthscope Commercial |
$190.38
|
| Rate for Payer: Mclaren Medicaid |
$68.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$108.06
|
| Rate for Payer: Meridian Medicaid |
$71.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19,271.00
|
| 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 Choice Medicaid |
$68.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$343.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$148.31
|
| Rate for Payer: Priority Health Medicare |
$102.91
|
| Rate for Payer: Priority Health Narrow Network |
$148.31
|
| Rate for Payer: Priority Health SBD |
$148.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$102.91
|
| Rate for Payer: UHC Medicare Advantage |
$102.91
|
| Rate for Payer: UHCCP Medicaid |
$68.37
|
|
|
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
|
| Min. Negotiated Rate |
$55.59 |
| Max. Negotiated Rate |
$15,637.00 |
| 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 |
$58.37
|
| Rate for Payer: BCBS MAPPO |
$83.93
|
| Rate for Payer: BCBS Trust/PPO |
$813.58
|
| Rate for Payer: BCN Commercial |
$343.54
|
| 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 |
$134.29
|
| Rate for Payer: Healthscope Commercial |
$155.27
|
| Rate for Payer: Mclaren Medicaid |
$55.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$88.13
|
| Rate for Payer: Meridian Medicaid |
$58.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15,637.00
|
| 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 Choice Medicaid |
$55.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$494.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$120.96
|
| Rate for Payer: Priority Health Medicare |
$83.93
|
| Rate for Payer: Priority Health Narrow Network |
$120.96
|
| Rate for Payer: Priority Health SBD |
$120.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$83.93
|
| Rate for Payer: UHC Medicare Advantage |
$83.93
|
| Rate for Payer: UHCCP Medicaid |
$55.59
|
|
|
PR THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING
|
Facility
|
OP
|
$760.00
|
|
|
Service Code
|
CPT 32554
|
| Hospital Charge Code |
32554
|
| Min. Negotiated Rate |
$93.46 |
| Max. Negotiated Rate |
$1,903.90 |
| Rate for Payer: Aetna Commercial |
$646.00
|
| Rate for Payer: Aetna Medicare |
$629.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$494.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$757.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$757.20
|
| Rate for Payer: BCBS Complete |
$340.92
|
| Rate for Payer: BCBS MAPPO |
$605.76
|
| Rate for Payer: BCBS Trust/PPO |
$261.30
|
| Rate for Payer: BCN Commercial |
$261.30
|
| Rate for Payer: BCN Medicare Advantage |
$605.76
|
| Rate for Payer: Cash Price |
$608.00
|
| 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 |
$605.76
|
| Rate for Payer: Healthscope Commercial |
$684.00
|
| Rate for Payer: Mclaren Medicaid |
$324.69
|
| Rate for Payer: Mclaren Medicare |
$605.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$636.05
|
| Rate for Payer: Meridian Medicaid |
$340.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$696.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$646.00
|
| Rate for Payer: Nomi Health Commercial |
$1,272.10
|
| Rate for Payer: PACE Medicare |
$575.47
|
| Rate for Payer: PACE SWMI |
$605.76
|
| Rate for Payer: PHP Commercial |
$646.00
|
| Rate for Payer: PHP Medicare Advantage |
$605.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$324.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$494.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,903.90
|
| Rate for Payer: Priority Health Medicare |
$605.76
|
| Rate for Payer: Priority Health Narrow Network |
$1,523.12
|
| Rate for Payer: Priority Health SBD |
$478.80
|
| Rate for Payer: Railroad Medicare Medicare |
$605.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$93.46
|
| Rate for Payer: UHC Core |
$1,463.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$605.76
|
| Rate for Payer: UHC Medicare Advantage |
$605.76
|
| Rate for Payer: UHCCP Medicaid |
$341.04
|
| Rate for Payer: VA VA |
$605.76
|
|
|
PR THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING
|
Professional
|
Both
|
$760.00
|
|
|
Service Code
|
HCPCS 32554
|
| Hospital Charge Code |
32554
|
| Min. Negotiated Rate |
$55.59 |
| Max. Negotiated Rate |
$15,637.00 |
| 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 |
$58.37
|
| Rate for Payer: BCBS MAPPO |
$83.93
|
| Rate for Payer: BCBS Trust/PPO |
$813.58
|
| Rate for Payer: BCN Commercial |
$343.54
|
| 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 |
$134.29
|
| Rate for Payer: Healthscope Commercial |
$155.27
|
| Rate for Payer: Mclaren Medicaid |
$55.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$88.13
|
| Rate for Payer: Meridian Medicaid |
$58.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15,637.00
|
| 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 Choice Medicaid |
$55.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$494.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$120.96
|
| Rate for Payer: Priority Health Medicare |
$83.93
|
| Rate for Payer: Priority Health Narrow Network |
$120.96
|
| Rate for Payer: Priority Health SBD |
$120.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$83.93
|
| Rate for Payer: UHC Medicare Advantage |
$83.93
|
| Rate for Payer: UHCCP Medicaid |
$55.59
|
|
|
PR THORACOPLASTY SCHEDE TYPE/EXTRAPLEURAL
|
Professional
|
Both
|
$2,610.00
|
|
|
Service Code
|
HCPCS 32905
|
| Min. Negotiated Rate |
$843.91 |
| Max. Negotiated Rate |
$236,497.00 |
| Rate for Payer: Aetna Commercial |
$1,718.93
|
| Rate for Payer: Aetna Medicare |
$1,334.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,718.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,847.20
|
| Rate for Payer: BCBS Complete |
$886.11
|
| Rate for Payer: BCBS MAPPO |
$1,282.78
|
| Rate for Payer: BCBS Trust/PPO |
$1,120.52
|
| Rate for Payer: BCN Commercial |
$1,919.03
|
| 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: Mclaren Medicaid |
$843.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,346.92
|
| Rate for Payer: Meridian Medicaid |
$886.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$236,497.00
|
| 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 Choice Medicaid |
$843.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,696.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,829.76
|
| Rate for Payer: Priority Health Medicare |
$1,282.78
|
| Rate for Payer: Priority Health Narrow Network |
$1,829.76
|
| Rate for Payer: Priority Health SBD |
$1,829.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,542.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,282.78
|
| Rate for Payer: UHC Exchange |
$1,542.75
|
| Rate for Payer: UHC Medicare Advantage |
$1,282.78
|
| Rate for Payer: UHCCP Medicaid |
$843.91
|
|
|
PR THORACOP SCHEDE TYP/XTRPLEURAL CLSR BRNCPLR FSTL
|
Professional
|
Both
|
$3,231.00
|
|
|
Service Code
|
HCPCS 32906
|
| Min. Negotiated Rate |
$1,039.23 |
| Max. Negotiated Rate |
$292,073.00 |
| Rate for Payer: Aetna Commercial |
$2,120.90
|
| Rate for Payer: Aetna Medicare |
$1,646.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,120.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,279.17
|
| Rate for Payer: BCBS Complete |
$1,091.19
|
| Rate for Payer: BCBS MAPPO |
$1,582.76
|
| Rate for Payer: BCBS Trust/PPO |
$1,074.56
|
| Rate for Payer: BCN Commercial |
$2,366.18
|
| 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 |
$2,928.11
|
| Rate for Payer: Healthscope Commercial |
$2,532.42
|
| Rate for Payer: Mclaren Medicaid |
$1,039.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,661.90
|
| Rate for Payer: Meridian Medicaid |
$1,091.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$292,073.00
|
| 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 Choice Medicaid |
$1,039.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,100.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,254.77
|
| Rate for Payer: Priority Health Medicare |
$1,582.76
|
| Rate for Payer: Priority Health Narrow Network |
$2,254.77
|
| Rate for Payer: Priority Health SBD |
$2,254.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,887.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,582.76
|
| Rate for Payer: UHC Exchange |
$1,887.59
|
| Rate for Payer: UHC Medicare Advantage |
$1,582.76
|
| Rate for Payer: UHCCP Medicaid |
$1,039.23
|
|
|
PR THORACOSCOPY CONTROL TRAUMATIC HEMORRHAGE
|
Professional
|
Both
|
$2,370.00
|
|
|
Service Code
|
HCPCS 32654
|
| Min. Negotiated Rate |
$571.09 |
| Max. Negotiated Rate |
$208,490.00 |
| Rate for Payer: Aetna Commercial |
$1,541.83
|
| Rate for Payer: Aetna Medicare |
$1,196.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,541.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,656.89
|
| Rate for Payer: BCBS Complete |
$796.87
|
| Rate for Payer: BCBS MAPPO |
$1,150.62
|
| Rate for Payer: BCBS Trust/PPO |
$571.09
|
| Rate for Payer: BCN Commercial |
$1,694.73
|
| 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: Mclaren Medicaid |
$758.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,208.15
|
| Rate for Payer: Meridian Medicaid |
$796.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$208,490.00
|
| 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 Choice Medicaid |
$758.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,540.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,622.60
|
| Rate for Payer: Priority Health Medicare |
$1,150.62
|
| Rate for Payer: Priority Health Narrow Network |
$1,622.60
|
| Rate for Payer: Priority Health SBD |
$1,622.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,029.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,150.62
|
| Rate for Payer: UHC Exchange |
$1,029.52
|
| Rate for Payer: UHC Medicare Advantage |
$1,150.62
|
| Rate for Payer: UHCCP Medicaid |
$758.92
|
|
|
PR THORACOSCOPY DX MEDIASTINAL SPACE W/BIOPSY SPX
|
Professional
|
Both
|
$1,413.00
|
|
|
Service Code
|
HCPCS 32606
|
| Min. Negotiated Rate |
$291.17 |
| Max. Negotiated Rate |
$81,751.00 |
| Rate for Payer: Aetna Commercial |
$595.31
|
| Rate for Payer: Aetna Medicare |
$462.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$595.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$639.73
|
| Rate for Payer: BCBS Complete |
$305.73
|
| Rate for Payer: BCBS MAPPO |
$444.26
|
| Rate for Payer: BCBS Trust/PPO |
$909.20
|
| Rate for Payer: BCN Commercial |
$661.18
|
| 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 |
$821.88
|
| Rate for Payer: Healthscope Commercial |
$710.82
|
| Rate for Payer: Mclaren Medicaid |
$291.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$466.47
|
| Rate for Payer: Meridian Medicaid |
$305.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$81,751.00
|
| 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 Choice Medicaid |
$291.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$918.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$629.85
|
| Rate for Payer: Priority Health Medicare |
$444.26
|
| Rate for Payer: Priority Health Narrow Network |
$629.85
|
| Rate for Payer: Priority Health SBD |
$629.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$611.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$444.26
|
| Rate for Payer: UHC Exchange |
$611.87
|
| Rate for Payer: UHC Medicare Advantage |
$444.26
|
| Rate for Payer: UHCCP Medicaid |
$291.17
|
|
|
PR THORACOSCOPY DX PERICARDIAL SAC W/BIOPSY SPX
|
Professional
|
Both
|
$919.00
|
|
|
Service Code
|
HCPCS 32604
|
| Min. Negotiated Rate |
$301.40 |
| Max. Negotiated Rate |
$84,892.00 |
| Rate for Payer: Aetna Commercial |
$616.87
|
| Rate for Payer: Aetna Medicare |
$478.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$616.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$662.90
|
| Rate for Payer: BCBS Complete |
$316.47
|
| Rate for Payer: BCBS MAPPO |
$460.35
|
| Rate for Payer: BCBS Trust/PPO |
$719.54
|
| Rate for Payer: BCN Commercial |
$686.10
|
| 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: Mclaren Medicaid |
$301.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$483.37
|
| Rate for Payer: Meridian Medicaid |
$316.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$84,892.00
|
| 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 Choice Medicaid |
$301.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$597.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$653.96
|
| Rate for Payer: Priority Health Medicare |
$460.35
|
| Rate for Payer: Priority Health Narrow Network |
$653.96
|
| Rate for Payer: Priority Health SBD |
$653.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$637.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$460.35
|
| Rate for Payer: UHC Exchange |
$637.91
|
| Rate for Payer: UHC Medicare Advantage |
$460.35
|
| Rate for Payer: UHCCP Medicaid |
$301.40
|
|
|
PR THORACOSCOPY RESEXN THYMUS UNI/BILATERAL
|
Professional
|
Both
|
$4,831.00
|
|
|
Service Code
|
HCPCS 32673
|
| Min. Negotiated Rate |
$768.08 |
| Max. Negotiated Rate |
$215,230.00 |
| Rate for Payer: Aetna Commercial |
$1,563.77
|
| Rate for Payer: Aetna Medicare |
$1,213.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,563.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,680.47
|
| Rate for Payer: BCBS Complete |
$806.48
|
| Rate for Payer: BCBS MAPPO |
$1,166.99
|
| Rate for Payer: BCBS Trust/PPO |
$1,478.18
|
| Rate for Payer: BCN Commercial |
$1,747.02
|
| 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: Mclaren Medicaid |
$768.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,225.34
|
| Rate for Payer: Meridian Medicaid |
$806.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$215,230.00
|
| 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 Choice Medicaid |
$768.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,140.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,665.69
|
| Rate for Payer: Priority Health Medicare |
$1,166.99
|
| Rate for Payer: Priority Health Narrow Network |
$1,665.69
|
| Rate for Payer: Priority Health SBD |
$1,665.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,166.99
|
| Rate for Payer: UHC Medicare Advantage |
$1,166.99
|
| Rate for Payer: UHCCP Medicaid |
$768.08
|
|
|
PR THORACOSCOPY RMVL INTRAPLEURAL FB/FIBRIN DEPOSIT
|
Professional
|
Both
|
$3,001.00
|
|
|
Service Code
|
HCPCS 32653
|
| Min. Negotiated Rate |
$561.58 |
| Max. Negotiated Rate |
$187,418.00 |
| Rate for Payer: Aetna Commercial |
$1,363.60
|
| Rate for Payer: Aetna Medicare |
$1,058.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,363.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,465.36
|
| Rate for Payer: BCBS Complete |
$705.62
|
| Rate for Payer: BCBS MAPPO |
$1,017.61
|
| Rate for Payer: BCBS Trust/PPO |
$561.58
|
| Rate for Payer: BCN Commercial |
$1,524.19
|
| 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: Mclaren Medicaid |
$672.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,068.49
|
| Rate for Payer: Meridian Medicaid |
$705.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$187,418.00
|
| 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 Choice Medicaid |
$672.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,950.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,452.50
|
| Rate for Payer: Priority Health Medicare |
$1,017.61
|
| Rate for Payer: Priority Health Narrow Network |
$1,452.50
|
| Rate for Payer: Priority Health SBD |
$1,452.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,034.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,017.61
|
| Rate for Payer: UHC Exchange |
$1,034.19
|
| Rate for Payer: UHC Medicare Advantage |
$1,017.61
|
| Rate for Payer: UHCCP Medicaid |
$672.02
|
|
|
PR THORACOSCOPY W/BILOBECTOMY
|
Professional
|
Both
|
$6,456.00
|
|
|
Service Code
|
HCPCS 32670
|
| Min. Negotiated Rate |
$969.96 |
| Max. Negotiated Rate |
$284,377.00 |
| Rate for Payer: Aetna Commercial |
$2,058.91
|
| Rate for Payer: Aetna Medicare |
$1,597.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,058.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,212.56
|
| Rate for Payer: BCBS Complete |
$1,059.65
|
| Rate for Payer: BCBS MAPPO |
$1,536.50
|
| Rate for Payer: BCBS Trust/PPO |
$969.96
|
| Rate for Payer: BCN Commercial |
$2,304.60
|
| 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 |
$2,842.52
|
| Rate for Payer: Mclaren Medicaid |
$1,009.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,613.32
|
| Rate for Payer: Meridian Medicaid |
$1,059.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$284,377.00
|
| 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 Choice Medicaid |
$1,009.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,196.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,188.02
|
| Rate for Payer: Priority Health Medicare |
$1,536.50
|
| Rate for Payer: Priority Health Narrow Network |
$2,188.02
|
| Rate for Payer: Priority Health SBD |
$2,188.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,536.50
|
| Rate for Payer: UHC Medicare Advantage |
$1,536.50
|
| Rate for Payer: UHCCP Medicaid |
$1,009.19
|
|
|
PR THORACOSCOPY W/DX BX OF LUNG INFILTRATE UNILATRL
|
Professional
|
Both
|
$1,247.00
|
|
|
Service Code
|
HCPCS 32607
|
| Min. Negotiated Rate |
$194.26 |
| Max. Negotiated Rate |
$54,527.00 |
| Rate for Payer: Aetna Commercial |
$396.21
|
| Rate for Payer: Aetna Medicare |
$307.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$396.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$425.78
|
| Rate for Payer: BCBS Complete |
$203.97
|
| Rate for Payer: BCBS MAPPO |
$295.68
|
| Rate for Payer: BCBS Trust/PPO |
$801.43
|
| Rate for Payer: BCN Commercial |
$441.76
|
| 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 |
$473.09
|
| Rate for Payer: Healthscope Commercial |
$547.01
|
| Rate for Payer: Mclaren Medicaid |
$194.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$310.46
|
| Rate for Payer: Meridian Medicaid |
$203.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$54,527.00
|
| 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 Choice Medicaid |
$194.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$810.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$420.37
|
| Rate for Payer: Priority Health Medicare |
$295.68
|
| Rate for Payer: Priority Health Narrow Network |
$420.37
|
| Rate for Payer: Priority Health SBD |
$420.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$295.68
|
| Rate for Payer: UHC Medicare Advantage |
$295.68
|
| Rate for Payer: UHCCP Medicaid |
$194.26
|
|
|
PR THORACOSCOPY W/DX BX OF LUNG NODULES UNILATRL
|
Professional
|
Both
|
$1,532.00
|
|
|
Service Code
|
HCPCS 32608
|
| Min. Negotiated Rate |
$238.77 |
| Max. Negotiated Rate |
$67,025.00 |
| Rate for Payer: Aetna Commercial |
$488.00
|
| Rate for Payer: Aetna Medicare |
$378.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$488.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$524.42
|
| Rate for Payer: BCBS Complete |
$250.71
|
| Rate for Payer: BCBS MAPPO |
$364.18
|
| Rate for Payer: BCBS Trust/PPO |
$788.75
|
| Rate for Payer: BCN Commercial |
$542.43
|
| 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: Mclaren Medicaid |
$238.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$382.39
|
| Rate for Payer: Meridian Medicaid |
$250.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$67,025.00
|
| 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 Choice Medicaid |
$238.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$995.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$516.77
|
| Rate for Payer: Priority Health Medicare |
$364.18
|
| Rate for Payer: Priority Health Narrow Network |
$516.77
|
| Rate for Payer: Priority Health SBD |
$516.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$364.18
|
| Rate for Payer: UHC Medicare Advantage |
$364.18
|
| Rate for Payer: UHCCP Medicaid |
$238.77
|
|
|
PR THORACOSCOPY W/DX WEDGE RESEXN ANATO LUNG RESEXN
|
Professional
|
Both
|
$633.00
|
|
|
Service Code
|
HCPCS 32668
|
| Min. Negotiated Rate |
$97.77 |
| Max. Negotiated Rate |
$27,803.00 |
| Rate for Payer: Aetna Commercial |
$200.99
|
| Rate for Payer: Aetna Medicare |
$155.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$200.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$215.99
|
| Rate for Payer: BCBS Complete |
$102.66
|
| Rate for Payer: BCBS MAPPO |
$149.99
|
| Rate for Payer: BCBS Trust/PPO |
$1,408.98
|
| Rate for Payer: BCN Commercial |
$223.81
|
| 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 |
$239.98
|
| Rate for Payer: Healthscope Commercial |
$277.48
|
| Rate for Payer: Mclaren Medicaid |
$97.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$157.49
|
| Rate for Payer: Meridian Medicaid |
$102.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27,803.00
|
| 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 Choice Medicaid |
$97.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$411.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$212.73
|
| Rate for Payer: Priority Health Medicare |
$149.99
|
| Rate for Payer: Priority Health Narrow Network |
$212.73
|
| Rate for Payer: Priority Health SBD |
$212.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$149.99
|
| Rate for Payer: UHC Medicare Advantage |
$149.99
|
| Rate for Payer: UHCCP Medicaid |
$97.77
|
|
|
PR THORACOSCOPY W/EXC MEDIASTINAL CYST TUMOR/MASS
|
Professional
|
Both
|
$4,061.00
|
|
|
Service Code
|
HCPCS 32662
|
| Min. Negotiated Rate |
$567.65 |
| Max. Negotiated Rate |
$158,218.00 |
| Rate for Payer: Aetna Commercial |
$1,151.60
|
| Rate for Payer: Aetna Medicare |
$893.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,151.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,237.54
|
| Rate for Payer: BCBS Complete |
$596.03
|
| Rate for Payer: BCBS MAPPO |
$859.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,566.94
|
| Rate for Payer: BCN Commercial |
$1,288.16
|
| 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 |
$1,589.89
|
| Rate for Payer: Healthscope Commercial |
$1,375.04
|
| Rate for Payer: Mclaren Medicaid |
$567.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$902.37
|
| Rate for Payer: Meridian Medicaid |
$596.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$158,218.00
|
| 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 Choice Medicaid |
$567.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,639.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,229.58
|
| Rate for Payer: Priority Health Medicare |
$859.40
|
| Rate for Payer: Priority Health Narrow Network |
$1,229.58
|
| Rate for Payer: Priority Health SBD |
$1,229.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,316.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$859.40
|
| Rate for Payer: UHC Exchange |
$1,316.56
|
| Rate for Payer: UHC Medicare Advantage |
$859.40
|
| Rate for Payer: UHCCP Medicaid |
$567.65
|
|
|
PR THORACOSCOPY W/EXC PERICARDIAL CYST TUMOR/MASS
|
Professional
|
Both
|
$3,852.00
|
|
|
Service Code
|
HCPCS 32661
|
| Min. Negotiated Rate |
$507.15 |
| Max. Negotiated Rate |
$141,451.00 |
| Rate for Payer: Aetna Commercial |
$1,028.50
|
| Rate for Payer: Aetna Medicare |
$798.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,028.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,105.26
|
| Rate for Payer: BCBS Complete |
$532.51
|
| Rate for Payer: BCBS MAPPO |
$767.54
|
| Rate for Payer: BCBS Trust/PPO |
$1,423.24
|
| Rate for Payer: BCN Commercial |
$1,151.81
|
| 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: Mclaren Medicaid |
$507.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$805.92
|
| Rate for Payer: Meridian Medicaid |
$532.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$141,451.00
|
| 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 Choice Medicaid |
$507.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,503.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,099.34
|
| Rate for Payer: Priority Health Medicare |
$767.54
|
| Rate for Payer: Priority Health Narrow Network |
$1,099.34
|
| Rate for Payer: Priority Health SBD |
$1,099.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,091.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$767.54
|
| Rate for Payer: UHC Exchange |
$1,091.52
|
| Rate for Payer: UHC Medicare Advantage |
$767.54
|
| Rate for Payer: UHCCP Medicaid |
$507.15
|
|
|
PR THORACOSCOPY WITH BIOPSYIES OF PLEURA
|
Professional
|
Both
|
$1,059.00
|
|
|
Service Code
|
HCPCS 32609
|
| Min. Negotiated Rate |
$160.82 |
| Max. Negotiated Rate |
$45,194.00 |
| Rate for Payer: Aetna Commercial |
$326.58
|
| Rate for Payer: Aetna Medicare |
$253.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$326.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$350.96
|
| Rate for Payer: BCBS Complete |
$168.86
|
| Rate for Payer: BCBS MAPPO |
$243.72
|
| Rate for Payer: BCBS Trust/PPO |
$706.87
|
| Rate for Payer: BCN Commercial |
$366.99
|
| Rate for Payer: BCN Medicare Advantage |
$243.72
|
| Rate for Payer: Cash Price |
$847.20
|
| Rate for Payer: Cash Price |
$847.20
|
| Rate for Payer: Cofinity Commercial |
$350.96
|
| Rate for Payer: Cofinity Commercial |
$326.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$243.72
|
| Rate for Payer: Healthscope Commercial |
$389.95
|
| Rate for Payer: Healthscope Commercial |
$450.88
|
| Rate for Payer: Mclaren Medicaid |
$160.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$255.91
|
| Rate for Payer: Meridian Medicaid |
$168.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$45,194.00
|
| Rate for Payer: Nomi Health Commercial |
$292.46
|
| Rate for Payer: PACE SWMI |
$243.72
|
| Rate for Payer: PHP Medicare Advantage |
$243.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$160.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$688.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$349.92
|
| Rate for Payer: Priority Health Medicare |
$243.72
|
| Rate for Payer: Priority Health Narrow Network |
$349.92
|
| Rate for Payer: Priority Health SBD |
$349.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$243.72
|
| Rate for Payer: UHC Medicare Advantage |
$243.72
|
| Rate for Payer: UHCCP Medicaid |
$160.82
|
|
|
PR THORACOSCOPY W/LOBECTOMY SINGLE LOBE
|
Professional
|
Both
|
$4,590.00
|
|
|
Service Code
|
HCPCS 32663
|
| Min. Negotiated Rate |
$882.67 |
| Max. Negotiated Rate |
$247,811.00 |
| Rate for Payer: Aetna Commercial |
$1,799.41
|
| Rate for Payer: Aetna Medicare |
$1,396.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,799.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,933.69
|
| Rate for Payer: BCBS Complete |
$926.80
|
| Rate for Payer: BCBS MAPPO |
$1,342.84
|
| Rate for Payer: BCBS Trust/PPO |
$1,261.58
|
| Rate for Payer: BCN Commercial |
$2,009.44
|
| Rate for Payer: BCN Medicare Advantage |
$1,342.84
|
| Rate for Payer: Cash Price |
$3,672.00
|
| Rate for Payer: Cash Price |
$3,672.00
|
| Rate for Payer: Cofinity Commercial |
$1,933.69
|
| Rate for Payer: Cofinity Commercial |
$1,799.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,342.84
|
| Rate for Payer: Healthscope Commercial |
$2,484.25
|
| Rate for Payer: Healthscope Commercial |
$2,148.54
|
| Rate for Payer: Mclaren Medicaid |
$882.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,409.98
|
| Rate for Payer: Meridian Medicaid |
$926.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$247,811.00
|
| Rate for Payer: Nomi Health Commercial |
$1,611.41
|
| Rate for Payer: PACE SWMI |
$1,342.84
|
| Rate for Payer: PHP Medicare Advantage |
$1,342.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$882.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,983.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,913.65
|
| Rate for Payer: Priority Health Medicare |
$1,342.84
|
| Rate for Payer: Priority Health Narrow Network |
$1,913.65
|
| Rate for Payer: Priority Health SBD |
$1,913.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,510.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,342.84
|
| Rate for Payer: UHC Exchange |
$1,510.33
|
| Rate for Payer: UHC Medicare Advantage |
$1,342.84
|
| Rate for Payer: UHCCP Medicaid |
$882.67
|
|
|
PR THORACOSCOPY W/PARIETAL PLEURECTOMY
|
Professional
|
Both
|
$2,890.00
|
|
|
Service Code
|
HCPCS 32656
|
| Min. Negotiated Rate |
$511.41 |
| Max. Negotiated Rate |
$142,252.00 |
| Rate for Payer: Aetna Commercial |
$1,035.69
|
| Rate for Payer: Aetna Medicare |
$803.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,035.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,112.98
|
| Rate for Payer: BCBS Complete |
$536.98
|
| Rate for Payer: BCBS MAPPO |
$772.90
|
| Rate for Payer: BCBS Trust/PPO |
$1,201.35
|
| Rate for Payer: BCN Commercial |
$1,159.64
|
| Rate for Payer: BCN Medicare Advantage |
$772.90
|
| Rate for Payer: Cash Price |
$2,312.00
|
| Rate for Payer: Cash Price |
$2,312.00
|
| Rate for Payer: Cofinity Commercial |
$1,112.98
|
| Rate for Payer: Cofinity Commercial |
$1,035.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$772.90
|
| Rate for Payer: Healthscope Commercial |
$1,429.86
|
| Rate for Payer: Healthscope Commercial |
$1,236.64
|
| Rate for Payer: Mclaren Medicaid |
$511.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$811.54
|
| Rate for Payer: Meridian Medicaid |
$536.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$142,252.00
|
| Rate for Payer: Nomi Health Commercial |
$927.48
|
| Rate for Payer: PACE SWMI |
$772.90
|
| Rate for Payer: PHP Medicare Advantage |
$772.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$511.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,878.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,105.83
|
| Rate for Payer: Priority Health Medicare |
$772.90
|
| Rate for Payer: Priority Health Narrow Network |
$1,105.83
|
| Rate for Payer: Priority Health SBD |
$1,105.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,074.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$772.90
|
| Rate for Payer: UHC Exchange |
$1,074.24
|
| Rate for Payer: UHC Medicare Advantage |
$772.90
|
| Rate for Payer: UHCCP Medicaid |
$511.41
|
|
|
PR THORACOSCOPY W/PARTIAL PULMONARY DECORTICATION
|
Professional
|
Both
|
$3,220.00
|
|
|
Service Code
|
HCPCS 32651
|
| Min. Negotiated Rate |
$693.95 |
| Max. Negotiated Rate |
$193,901.00 |
| Rate for Payer: Aetna Commercial |
$1,410.26
|
| Rate for Payer: Aetna Medicare |
$1,094.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,410.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,515.50
|
| Rate for Payer: BCBS Complete |
$728.65
|
| Rate for Payer: BCBS MAPPO |
$1,052.43
|
| Rate for Payer: BCBS Trust/PPO |
$1,266.86
|
| Rate for Payer: BCN Commercial |
$1,575.99
|
| Rate for Payer: BCN Medicare Advantage |
$1,052.43
|
| Rate for Payer: Cash Price |
$2,576.00
|
| Rate for Payer: Cash Price |
$2,576.00
|
| Rate for Payer: Cofinity Commercial |
$1,515.50
|
| Rate for Payer: Cofinity Commercial |
$1,410.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,052.43
|
| Rate for Payer: Healthscope Commercial |
$1,947.00
|
| Rate for Payer: Healthscope Commercial |
$1,683.89
|
| Rate for Payer: Mclaren Medicaid |
$693.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,105.05
|
| Rate for Payer: Meridian Medicaid |
$728.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$193,901.00
|
| Rate for Payer: Nomi Health Commercial |
$1,262.92
|
| Rate for Payer: PACE SWMI |
$1,052.43
|
| Rate for Payer: PHP Medicare Advantage |
$1,052.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$693.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,093.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,503.02
|
| Rate for Payer: Priority Health Medicare |
$1,052.43
|
| Rate for Payer: Priority Health Narrow Network |
$1,503.02
|
| Rate for Payer: Priority Health SBD |
$1,503.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,044.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,052.43
|
| Rate for Payer: UHC Exchange |
$1,044.45
|
| Rate for Payer: UHC Medicare Advantage |
$1,052.43
|
| Rate for Payer: UHCCP Medicaid |
$693.95
|
|
