|
PR THORACOSCOPY W/PLEURODESIS
|
Professional
|
Both
|
$3,164.00
|
|
|
Service Code
|
HCPCS 32650
|
| Min. Negotiated Rate |
$425.57 |
| Max. Negotiated Rate |
$117,976.00 |
| Rate for Payer: Aetna Commercial |
$859.45
|
| Rate for Payer: Aetna Medicare |
$667.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$859.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$923.59
|
| Rate for Payer: BCBS Complete |
$446.85
|
| Rate for Payer: BCBS MAPPO |
$641.38
|
| Rate for Payer: BCBS Trust/PPO |
$1,687.92
|
| Rate for Payer: BCN Commercial |
$963.67
|
| Rate for Payer: BCN Medicare Advantage |
$641.38
|
| Rate for Payer: Cash Price |
$2,531.20
|
| Rate for Payer: Cash Price |
$2,531.20
|
| Rate for Payer: Cofinity Commercial |
$923.59
|
| Rate for Payer: Cofinity Commercial |
$859.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$641.38
|
| Rate for Payer: Healthscope Commercial |
$1,186.55
|
| Rate for Payer: Healthscope Commercial |
$1,026.21
|
| Rate for Payer: Mclaren Medicaid |
$425.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$673.45
|
| Rate for Payer: Meridian Medicaid |
$446.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$117,976.00
|
| Rate for Payer: Nomi Health Commercial |
$769.66
|
| Rate for Payer: PACE SWMI |
$641.38
|
| Rate for Payer: PHP Medicare Advantage |
$641.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$425.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,056.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$921.84
|
| Rate for Payer: Priority Health Medicare |
$641.38
|
| Rate for Payer: Priority Health Narrow Network |
$921.84
|
| Rate for Payer: Priority Health SBD |
$921.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$914.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$641.38
|
| Rate for Payer: UHC Exchange |
$914.43
|
| Rate for Payer: UHC Medicare Advantage |
$641.38
|
| Rate for Payer: UHCCP Medicaid |
$425.57
|
|
|
PR THORACOSCOPY W/PNEUMONECTOMY
|
Professional
|
Both
|
$7,168.00
|
|
|
Service Code
|
HCPCS 32671
|
| Min. Negotiated Rate |
$1,116.33 |
| Max. Negotiated Rate |
$314,422.00 |
| Rate for Payer: Aetna Commercial |
$2,281.22
|
| Rate for Payer: Aetna Medicare |
$1,770.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,281.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,451.46
|
| Rate for Payer: BCBS Complete |
$1,172.15
|
| Rate for Payer: BCBS MAPPO |
$1,702.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,154.34
|
| Rate for Payer: BCN Commercial |
$2,544.55
|
| Rate for Payer: BCN Medicare Advantage |
$1,702.40
|
| Rate for Payer: Cash Price |
$5,734.40
|
| Rate for Payer: Cash Price |
$5,734.40
|
| Rate for Payer: Cofinity Commercial |
$2,451.46
|
| Rate for Payer: Cofinity Commercial |
$2,281.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,702.40
|
| Rate for Payer: Healthscope Commercial |
$2,723.84
|
| Rate for Payer: Healthscope Commercial |
$3,149.44
|
| Rate for Payer: Mclaren Medicaid |
$1,116.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,787.52
|
| Rate for Payer: Meridian Medicaid |
$1,172.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$314,422.00
|
| Rate for Payer: Nomi Health Commercial |
$2,042.88
|
| Rate for Payer: PACE SWMI |
$1,702.40
|
| Rate for Payer: PHP Medicare Advantage |
$1,702.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,116.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,659.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,421.61
|
| Rate for Payer: Priority Health Medicare |
$1,702.40
|
| Rate for Payer: Priority Health Narrow Network |
$2,421.61
|
| Rate for Payer: Priority Health SBD |
$2,421.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,702.40
|
| Rate for Payer: UHC Medicare Advantage |
$1,702.40
|
| Rate for Payer: UHCCP Medicaid |
$1,116.33
|
|
|
PR THORACOSCOPY W/RESECTION BULLAE W/WO PLEURAL PX
|
Professional
|
Both
|
$3,416.00
|
|
|
Service Code
|
HCPCS 32655
|
| Min. Negotiated Rate |
$124.68 |
| Max. Negotiated Rate |
$169,542.00 |
| Rate for Payer: Aetna Commercial |
$1,231.75
|
| Rate for Payer: Aetna Medicare |
$955.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,231.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,323.68
|
| Rate for Payer: BCBS Complete |
$637.18
|
| Rate for Payer: BCBS MAPPO |
$919.22
|
| Rate for Payer: BCBS Trust/PPO |
$124.68
|
| Rate for Payer: BCN Commercial |
$1,379.54
|
| Rate for Payer: BCN Medicare Advantage |
$919.22
|
| Rate for Payer: Cash Price |
$2,732.80
|
| Rate for Payer: Cash Price |
$2,732.80
|
| Rate for Payer: Cofinity Commercial |
$1,323.68
|
| Rate for Payer: Cofinity Commercial |
$1,231.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$919.22
|
| Rate for Payer: Healthscope Commercial |
$1,700.56
|
| Rate for Payer: Healthscope Commercial |
$1,470.75
|
| Rate for Payer: Mclaren Medicaid |
$606.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$965.18
|
| Rate for Payer: Meridian Medicaid |
$637.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$169,542.00
|
| Rate for Payer: Nomi Health Commercial |
$1,103.06
|
| Rate for Payer: PACE SWMI |
$919.22
|
| Rate for Payer: PHP Medicare Advantage |
$919.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$606.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,220.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,314.86
|
| Rate for Payer: Priority Health Medicare |
$919.22
|
| Rate for Payer: Priority Health Narrow Network |
$1,314.86
|
| Rate for Payer: Priority Health SBD |
$1,314.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,056.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$919.22
|
| Rate for Payer: UHC Exchange |
$1,056.65
|
| Rate for Payer: UHC Medicare Advantage |
$919.22
|
| Rate for Payer: UHCCP Medicaid |
$606.84
|
|
|
PR THORACOSCOPY W/RESEXN-PLICAJ EMPHYSEMA LUNG UNIL
|
Professional
|
Both
|
$6,130.00
|
|
|
Service Code
|
HCPCS 32672
|
| Min. Negotiated Rate |
$957.01 |
| Max. Negotiated Rate |
$268,393.00 |
| Rate for Payer: Aetna Commercial |
$1,953.47
|
| Rate for Payer: Aetna Medicare |
$1,516.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,953.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,099.25
|
| Rate for Payer: BCBS Complete |
$1,004.86
|
| Rate for Payer: BCBS MAPPO |
$1,457.81
|
| Rate for Payer: BCBS Trust/PPO |
$1,367.77
|
| Rate for Payer: BCN Commercial |
$2,174.13
|
| Rate for Payer: BCN Medicare Advantage |
$1,457.81
|
| Rate for Payer: Cash Price |
$4,904.00
|
| Rate for Payer: Cash Price |
$4,904.00
|
| Rate for Payer: Cofinity Commercial |
$2,099.25
|
| Rate for Payer: Cofinity Commercial |
$1,953.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,457.81
|
| Rate for Payer: Healthscope Commercial |
$2,332.50
|
| Rate for Payer: Healthscope Commercial |
$2,696.95
|
| Rate for Payer: Mclaren Medicaid |
$957.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,530.70
|
| Rate for Payer: Meridian Medicaid |
$1,004.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$268,393.00
|
| Rate for Payer: Nomi Health Commercial |
$1,749.37
|
| Rate for Payer: PACE SWMI |
$1,457.81
|
| Rate for Payer: PHP Medicare Advantage |
$1,457.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$957.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,984.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,076.33
|
| Rate for Payer: Priority Health Medicare |
$1,457.81
|
| Rate for Payer: Priority Health Narrow Network |
$2,076.33
|
| Rate for Payer: Priority Health SBD |
$2,076.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,457.81
|
| Rate for Payer: UHC Medicare Advantage |
$1,457.81
|
| Rate for Payer: UHCCP Medicaid |
$957.01
|
|
|
PR THORACOSCOPY W/RMVL CLOT/FB FROM PERICARDIAL SAC
|
Professional
|
Both
|
$2,819.00
|
|
|
Service Code
|
HCPCS 32658
|
| Min. Negotiated Rate |
$454.97 |
| Max. Negotiated Rate |
$126,565.00 |
| Rate for Payer: Aetna Commercial |
$921.09
|
| Rate for Payer: Aetna Medicare |
$714.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$921.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$989.83
|
| Rate for Payer: BCBS Complete |
$477.72
|
| Rate for Payer: BCBS MAPPO |
$687.38
|
| Rate for Payer: BCBS Trust/PPO |
$1,340.30
|
| Rate for Payer: BCN Commercial |
$1,032.09
|
| Rate for Payer: BCN Medicare Advantage |
$687.38
|
| Rate for Payer: Cash Price |
$2,255.20
|
| Rate for Payer: Cash Price |
$2,255.20
|
| Rate for Payer: Cofinity Commercial |
$989.83
|
| Rate for Payer: Cofinity Commercial |
$921.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$687.38
|
| Rate for Payer: Healthscope Commercial |
$1,271.65
|
| Rate for Payer: Healthscope Commercial |
$1,099.81
|
| Rate for Payer: Mclaren Medicaid |
$454.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$721.75
|
| Rate for Payer: Meridian Medicaid |
$477.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$126,565.00
|
| Rate for Payer: Nomi Health Commercial |
$824.86
|
| Rate for Payer: PACE SWMI |
$687.38
|
| Rate for Payer: PHP Medicare Advantage |
$687.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$454.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,832.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$984.87
|
| Rate for Payer: Priority Health Medicare |
$687.38
|
| Rate for Payer: Priority Health Narrow Network |
$984.87
|
| Rate for Payer: Priority Health SBD |
$984.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,130.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$687.38
|
| Rate for Payer: UHC Exchange |
$1,130.04
|
| Rate for Payer: UHC Medicare Advantage |
$687.38
|
| Rate for Payer: UHCCP Medicaid |
$454.97
|
|
|
PR THORACOSCOPY W/SEGMENTECTOMY
|
Professional
|
Both
|
$2,288.00
|
|
|
Service Code
|
HCPCS 32669
|
| Min. Negotiated Rate |
$847.74 |
| Max. Negotiated Rate |
$237,778.00 |
| Rate for Payer: Aetna Commercial |
$1,727.41
|
| Rate for Payer: Aetna Medicare |
$1,340.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,727.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,856.32
|
| Rate for Payer: BCBS Complete |
$890.13
|
| Rate for Payer: BCBS MAPPO |
$1,289.11
|
| Rate for Payer: BCBS Trust/PPO |
$1,605.50
|
| Rate for Payer: BCN Commercial |
$1,928.81
|
| Rate for Payer: BCN Medicare Advantage |
$1,289.11
|
| Rate for Payer: Cash Price |
$1,830.40
|
| Rate for Payer: Cash Price |
$1,830.40
|
| Rate for Payer: Cofinity Commercial |
$1,856.32
|
| Rate for Payer: Cofinity Commercial |
$1,727.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,289.11
|
| Rate for Payer: Healthscope Commercial |
$2,062.58
|
| Rate for Payer: Healthscope Commercial |
$2,384.85
|
| Rate for Payer: Mclaren Medicaid |
$847.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,353.57
|
| Rate for Payer: Meridian Medicaid |
$890.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$237,778.00
|
| Rate for Payer: Nomi Health Commercial |
$1,546.93
|
| Rate for Payer: PACE SWMI |
$1,289.11
|
| Rate for Payer: PHP Medicare Advantage |
$1,289.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$847.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,487.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,837.64
|
| Rate for Payer: Priority Health Medicare |
$1,289.11
|
| Rate for Payer: Priority Health Narrow Network |
$1,837.64
|
| Rate for Payer: Priority Health SBD |
$1,837.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,289.11
|
| Rate for Payer: UHC Medicare Advantage |
$1,289.11
|
| Rate for Payer: UHCCP Medicaid |
$847.74
|
|
|
PR THORACOSCOPY W/THERA WEDGE RESEXN ADDL IPSILATRL
|
Professional
|
Both
|
$3,513.00
|
|
|
Service Code
|
HCPCS 32667
|
| Min. Negotiated Rate |
$97.55 |
| Max. Negotiated Rate |
$27,803.00 |
| Rate for Payer: Aetna Commercial |
$200.60
|
| Rate for Payer: Aetna Medicare |
$155.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$200.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$215.57
|
| Rate for Payer: BCBS Complete |
$102.43
|
| Rate for Payer: BCBS MAPPO |
$149.70
|
| Rate for Payer: BCBS Trust/PPO |
$1,415.84
|
| Rate for Payer: BCN Commercial |
$223.81
|
| Rate for Payer: BCN Medicare Advantage |
$149.70
|
| Rate for Payer: Cash Price |
$2,810.40
|
| Rate for Payer: Cash Price |
$2,810.40
|
| Rate for Payer: Cofinity Commercial |
$215.57
|
| Rate for Payer: Cofinity Commercial |
$200.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$149.70
|
| Rate for Payer: Healthscope Commercial |
$239.52
|
| Rate for Payer: Healthscope Commercial |
$276.94
|
| Rate for Payer: Mclaren Medicaid |
$97.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$157.18
|
| Rate for Payer: Meridian Medicaid |
$102.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27,803.00
|
| Rate for Payer: Nomi Health Commercial |
$179.64
|
| Rate for Payer: PACE SWMI |
$149.70
|
| Rate for Payer: PHP Medicare Advantage |
$149.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$97.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,283.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$212.73
|
| Rate for Payer: Priority Health Medicare |
$149.70
|
| Rate for Payer: Priority Health Narrow Network |
$212.73
|
| Rate for Payer: Priority Health SBD |
$212.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$149.70
|
| Rate for Payer: UHC Medicare Advantage |
$149.70
|
| Rate for Payer: UHCCP Medicaid |
$97.55
|
|
|
PR THORACOSCOPY W/THERA WEDGE RESEXN INITIAL UNILAT
|
Professional
|
Both
|
$1,807.00
|
|
|
Service Code
|
HCPCS 32666
|
| Min. Negotiated Rate |
$552.52 |
| Max. Negotiated Rate |
$153,952.00 |
| Rate for Payer: Aetna Commercial |
$1,120.08
|
| Rate for Payer: Aetna Medicare |
$869.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,120.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,203.67
|
| Rate for Payer: BCBS Complete |
$580.15
|
| Rate for Payer: BCBS MAPPO |
$835.88
|
| Rate for Payer: BCBS Trust/PPO |
$1,469.73
|
| Rate for Payer: BCN Commercial |
$1,253.95
|
| Rate for Payer: BCN Medicare Advantage |
$835.88
|
| Rate for Payer: Cash Price |
$1,445.60
|
| Rate for Payer: Cash Price |
$1,445.60
|
| Rate for Payer: Cofinity Commercial |
$1,203.67
|
| Rate for Payer: Cofinity Commercial |
$1,120.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$835.88
|
| Rate for Payer: Healthscope Commercial |
$1,337.41
|
| Rate for Payer: Healthscope Commercial |
$1,546.38
|
| Rate for Payer: Mclaren Medicaid |
$552.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$877.67
|
| Rate for Payer: Meridian Medicaid |
$580.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$153,952.00
|
| Rate for Payer: Nomi Health Commercial |
$1,003.06
|
| Rate for Payer: PACE SWMI |
$835.88
|
| Rate for Payer: PHP Medicare Advantage |
$835.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$552.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,174.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,196.66
|
| Rate for Payer: Priority Health Medicare |
$835.88
|
| Rate for Payer: Priority Health Narrow Network |
$1,196.66
|
| Rate for Payer: Priority Health SBD |
$1,196.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$835.88
|
| Rate for Payer: UHC Medicare Advantage |
$835.88
|
| Rate for Payer: UHCCP Medicaid |
$552.52
|
|
|
PR THORACOSTOMY OPEN FLAP DRAINAGE EMPYEMA
|
Professional
|
Both
|
$1,863.00
|
|
|
Service Code
|
HCPCS 32036
|
| Min. Negotiated Rate |
$500.98 |
| Max. Negotiated Rate |
$139,979.00 |
| Rate for Payer: Aetna Commercial |
$1,010.24
|
| Rate for Payer: Aetna Medicare |
$784.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,010.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,085.63
|
| Rate for Payer: BCBS Complete |
$526.03
|
| Rate for Payer: BCBS MAPPO |
$753.91
|
| Rate for Payer: BCBS Trust/PPO |
$1,167.01
|
| Rate for Payer: BCN Commercial |
$1,146.44
|
| Rate for Payer: BCN Medicare Advantage |
$753.91
|
| Rate for Payer: Cash Price |
$1,490.40
|
| Rate for Payer: Cash Price |
$1,490.40
|
| Rate for Payer: Cofinity Commercial |
$1,085.63
|
| Rate for Payer: Cofinity Commercial |
$1,010.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$753.91
|
| Rate for Payer: Healthscope Commercial |
$1,394.73
|
| Rate for Payer: Healthscope Commercial |
$1,206.26
|
| Rate for Payer: Mclaren Medicaid |
$500.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$791.61
|
| Rate for Payer: Meridian Medicaid |
$526.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$139,979.00
|
| Rate for Payer: Nomi Health Commercial |
$904.69
|
| Rate for Payer: PACE SWMI |
$753.91
|
| Rate for Payer: PHP Medicare Advantage |
$753.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$500.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,210.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,094.25
|
| Rate for Payer: Priority Health Medicare |
$753.91
|
| Rate for Payer: Priority Health Narrow Network |
$1,094.25
|
| Rate for Payer: Priority Health SBD |
$1,094.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$832.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$753.91
|
| Rate for Payer: UHC Exchange |
$832.84
|
| Rate for Payer: UHC Medicare Advantage |
$753.91
|
| Rate for Payer: UHCCP Medicaid |
$500.98
|
|
|
PR THORACOSTOMY W/RIB RESECTION EMPYEMA
|
Professional
|
Both
|
$2,372.00
|
|
|
Service Code
|
HCPCS 32035
|
| Min. Negotiated Rate |
$469.03 |
| Max. Negotiated Rate |
$129,773.00 |
| Rate for Payer: Aetna Commercial |
$944.51
|
| Rate for Payer: Aetna Medicare |
$733.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,015.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$944.51
|
| Rate for Payer: BCBS Complete |
$492.48
|
| Rate for Payer: BCBS MAPPO |
$704.86
|
| Rate for Payer: BCBS Trust/PPO |
$1,846.41
|
| Rate for Payer: BCN Commercial |
$1,063.36
|
| Rate for Payer: BCN Medicare Advantage |
$704.86
|
| Rate for Payer: Cash Price |
$1,897.60
|
| Rate for Payer: Cash Price |
$1,897.60
|
| Rate for Payer: Cofinity Commercial |
$944.51
|
| Rate for Payer: Cofinity Commercial |
$1,015.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$704.86
|
| Rate for Payer: Healthscope Commercial |
$1,303.99
|
| Rate for Payer: Healthscope Commercial |
$1,127.78
|
| Rate for Payer: Mclaren Medicaid |
$469.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$740.10
|
| Rate for Payer: Meridian Medicaid |
$492.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$129,773.00
|
| Rate for Payer: Nomi Health Commercial |
$845.83
|
| Rate for Payer: PACE SWMI |
$704.86
|
| Rate for Payer: PHP Medicare Advantage |
$704.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$469.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,541.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,015.91
|
| Rate for Payer: Priority Health Medicare |
$704.86
|
| Rate for Payer: Priority Health Narrow Network |
$1,015.91
|
| Rate for Payer: Priority Health SBD |
$1,015.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$749.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$704.86
|
| Rate for Payer: UHC Exchange |
$749.71
|
| Rate for Payer: UHC Medicare Advantage |
$704.86
|
| Rate for Payer: UHCCP Medicaid |
$469.03
|
|
|
PR THORACOTOMY OPN INTRAPLEURAL PNEUMONOLYSIS
|
Professional
|
Both
|
$2,824.00
|
|
|
Service Code
|
HCPCS 32124
|
| Min. Negotiated Rate |
$295.85 |
| Max. Negotiated Rate |
$163,247.00 |
| Rate for Payer: Aetna Commercial |
$1,189.69
|
| Rate for Payer: Aetna Medicare |
$923.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,189.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,278.48
|
| Rate for Payer: BCBS Complete |
$616.60
|
| Rate for Payer: BCBS MAPPO |
$887.83
|
| Rate for Payer: BCBS Trust/PPO |
$295.85
|
| Rate for Payer: BCN Commercial |
$1,330.18
|
| Rate for Payer: BCN Medicare Advantage |
$887.83
|
| Rate for Payer: Cash Price |
$2,259.20
|
| Rate for Payer: Cash Price |
$2,259.20
|
| Rate for Payer: Cofinity Commercial |
$1,278.48
|
| Rate for Payer: Cofinity Commercial |
$1,189.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$887.83
|
| Rate for Payer: Healthscope Commercial |
$1,642.49
|
| Rate for Payer: Healthscope Commercial |
$1,420.53
|
| Rate for Payer: Mclaren Medicaid |
$587.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$932.22
|
| Rate for Payer: Meridian Medicaid |
$616.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$163,247.00
|
| Rate for Payer: Nomi Health Commercial |
$1,065.40
|
| Rate for Payer: PACE SWMI |
$887.83
|
| Rate for Payer: PHP Medicare Advantage |
$887.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$587.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,835.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,269.43
|
| Rate for Payer: Priority Health Medicare |
$887.83
|
| Rate for Payer: Priority Health Narrow Network |
$1,269.43
|
| Rate for Payer: Priority Health SBD |
$1,269.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,142.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$887.83
|
| Rate for Payer: UHC Exchange |
$1,142.45
|
| Rate for Payer: UHC Medicare Advantage |
$887.83
|
| Rate for Payer: UHCCP Medicaid |
$587.24
|
|
|
PR THORACOTOMY POSTOPERATIVE COMPLICATIONS
|
Professional
|
Both
|
$1,958.00
|
|
|
Service Code
|
HCPCS 32120
|
| Min. Negotiated Rate |
$224.53 |
| Max. Negotiated Rate |
$154,377.00 |
| Rate for Payer: Aetna Commercial |
$1,127.10
|
| Rate for Payer: Aetna Medicare |
$874.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,127.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,211.21
|
| Rate for Payer: BCBS Complete |
$584.62
|
| Rate for Payer: BCBS MAPPO |
$841.12
|
| Rate for Payer: BCBS Trust/PPO |
$224.53
|
| Rate for Payer: BCN Commercial |
$1,258.83
|
| Rate for Payer: BCN Medicare Advantage |
$841.12
|
| Rate for Payer: Cash Price |
$1,566.40
|
| Rate for Payer: Cash Price |
$1,566.40
|
| Rate for Payer: Cofinity Commercial |
$1,211.21
|
| Rate for Payer: Cofinity Commercial |
$1,127.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$841.12
|
| Rate for Payer: Healthscope Commercial |
$1,556.07
|
| Rate for Payer: Healthscope Commercial |
$1,345.79
|
| Rate for Payer: Mclaren Medicaid |
$556.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$883.18
|
| Rate for Payer: Meridian Medicaid |
$584.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$154,377.00
|
| Rate for Payer: Nomi Health Commercial |
$1,009.34
|
| Rate for Payer: PACE SWMI |
$841.12
|
| Rate for Payer: PHP Medicare Advantage |
$841.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$556.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,272.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,202.23
|
| Rate for Payer: Priority Health Medicare |
$841.12
|
| Rate for Payer: Priority Health Narrow Network |
$1,202.23
|
| Rate for Payer: Priority Health SBD |
$1,202.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,007.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$841.12
|
| Rate for Payer: UHC Exchange |
$1,007.26
|
| Rate for Payer: UHC Medicare Advantage |
$841.12
|
| Rate for Payer: UHCCP Medicaid |
$556.78
|
|
|
PR THORACOTOMY W/BIOPSY OF PLEURA
|
Professional
|
Both
|
$3,059.00
|
|
|
Service Code
|
HCPCS 32098
|
| Min. Negotiated Rate |
$480.10 |
| Max. Negotiated Rate |
$134,672.00 |
| Rate for Payer: Aetna Commercial |
$974.46
|
| Rate for Payer: Aetna Medicare |
$756.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,047.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$974.46
|
| Rate for Payer: BCBS Complete |
$504.10
|
| Rate for Payer: BCBS MAPPO |
$727.21
|
| Rate for Payer: BCBS Trust/PPO |
$1,384.67
|
| Rate for Payer: BCN Commercial |
$1,095.62
|
| Rate for Payer: BCN Medicare Advantage |
$727.21
|
| Rate for Payer: Cash Price |
$2,447.20
|
| Rate for Payer: Cash Price |
$2,447.20
|
| Rate for Payer: Cofinity Commercial |
$974.46
|
| Rate for Payer: Cofinity Commercial |
$1,047.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$727.21
|
| Rate for Payer: Healthscope Commercial |
$1,163.54
|
| Rate for Payer: Healthscope Commercial |
$1,345.34
|
| Rate for Payer: Mclaren Medicaid |
$480.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$763.57
|
| Rate for Payer: Meridian Medicaid |
$504.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$134,672.00
|
| Rate for Payer: Nomi Health Commercial |
$872.65
|
| Rate for Payer: PACE SWMI |
$727.21
|
| Rate for Payer: PHP Medicare Advantage |
$727.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$480.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,988.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,041.41
|
| Rate for Payer: Priority Health Medicare |
$727.21
|
| Rate for Payer: Priority Health Narrow Network |
$1,041.41
|
| Rate for Payer: Priority Health SBD |
$1,041.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$727.21
|
| Rate for Payer: UHC Medicare Advantage |
$727.21
|
| Rate for Payer: UHCCP Medicaid |
$480.10
|
|
|
PR THORACOTOMY W/CARDIAC MASSAGE
|
Professional
|
Both
|
$3,531.00
|
|
|
Service Code
|
HCPCS 32160
|
| Min. Negotiated Rate |
$510.77 |
| Max. Negotiated Rate |
$141,246.00 |
| Rate for Payer: Aetna Commercial |
$1,031.49
|
| Rate for Payer: Aetna Medicare |
$800.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,031.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,108.47
|
| Rate for Payer: BCBS Complete |
$536.31
|
| Rate for Payer: BCBS MAPPO |
$769.77
|
| Rate for Payer: BCBS Trust/PPO |
$1,370.94
|
| Rate for Payer: BCN Commercial |
$1,152.79
|
| Rate for Payer: BCN Medicare Advantage |
$769.77
|
| Rate for Payer: Cash Price |
$2,824.80
|
| Rate for Payer: Cash Price |
$2,824.80
|
| Rate for Payer: Cofinity Commercial |
$1,108.47
|
| Rate for Payer: Cofinity Commercial |
$1,031.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$769.77
|
| Rate for Payer: Healthscope Commercial |
$1,424.07
|
| Rate for Payer: Healthscope Commercial |
$1,231.63
|
| Rate for Payer: Mclaren Medicaid |
$510.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$808.26
|
| Rate for Payer: Meridian Medicaid |
$536.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$141,246.00
|
| Rate for Payer: Nomi Health Commercial |
$923.72
|
| Rate for Payer: PACE SWMI |
$769.77
|
| Rate for Payer: PHP Medicare Advantage |
$769.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$510.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,295.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,099.80
|
| Rate for Payer: Priority Health Medicare |
$769.77
|
| Rate for Payer: Priority Health Narrow Network |
$1,099.80
|
| Rate for Payer: Priority Health SBD |
$1,099.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$802.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$769.77
|
| Rate for Payer: UHC Exchange |
$802.32
|
| Rate for Payer: UHC Medicare Advantage |
$769.77
|
| Rate for Payer: UHCCP Medicaid |
$510.77
|
|
|
PR THORACOTOMY W/DX WEDGE RESEXN & ANTOM LUNG RESE
|
Professional
|
Both
|
$700.00
|
|
|
Service Code
|
HCPCS 32507
|
| Min. Negotiated Rate |
$97.34 |
| Max. Negotiated Rate |
$27,803.00 |
| Rate for Payer: Aetna Commercial |
$200.09
|
| Rate for Payer: Aetna Medicare |
$155.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$200.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$215.02
|
| Rate for Payer: BCBS Complete |
$102.21
|
| Rate for Payer: BCBS MAPPO |
$149.32
|
| Rate for Payer: BCBS Trust/PPO |
$959.39
|
| Rate for Payer: BCN Commercial |
$223.81
|
| Rate for Payer: BCN Medicare Advantage |
$149.32
|
| Rate for Payer: Cash Price |
$560.00
|
| Rate for Payer: Cash Price |
$560.00
|
| Rate for Payer: Cofinity Commercial |
$215.02
|
| Rate for Payer: Cofinity Commercial |
$200.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$149.32
|
| Rate for Payer: Healthscope Commercial |
$238.91
|
| Rate for Payer: Healthscope Commercial |
$276.24
|
| Rate for Payer: Mclaren Medicaid |
$97.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$156.79
|
| Rate for Payer: Meridian Medicaid |
$102.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27,803.00
|
| Rate for Payer: Nomi Health Commercial |
$179.18
|
| Rate for Payer: PACE SWMI |
$149.32
|
| Rate for Payer: PHP Medicare Advantage |
$149.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$97.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$455.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$211.80
|
| Rate for Payer: Priority Health Medicare |
$149.32
|
| Rate for Payer: Priority Health Narrow Network |
$211.80
|
| Rate for Payer: Priority Health SBD |
$211.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$149.32
|
| Rate for Payer: UHC Medicare Advantage |
$149.32
|
| Rate for Payer: UHCCP Medicaid |
$97.34
|
|
|
PR THORACOTOMY WITH EXPLORATION
|
Professional
|
Both
|
$2,824.00
|
|
|
Service Code
|
HCPCS 32100
|
| Min. Negotiated Rate |
$516.74 |
| Max. Negotiated Rate |
$143,291.00 |
| Rate for Payer: Aetna Commercial |
$1,047.79
|
| Rate for Payer: Aetna Medicare |
$813.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,047.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,125.98
|
| Rate for Payer: BCBS Complete |
$542.58
|
| Rate for Payer: BCBS MAPPO |
$781.93
|
| Rate for Payer: BCBS Trust/PPO |
$957.28
|
| Rate for Payer: BCN Commercial |
$1,165.98
|
| Rate for Payer: BCN Medicare Advantage |
$781.93
|
| Rate for Payer: Cash Price |
$2,259.20
|
| Rate for Payer: Cash Price |
$2,259.20
|
| Rate for Payer: Cofinity Commercial |
$1,125.98
|
| Rate for Payer: Cofinity Commercial |
$1,047.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$781.93
|
| Rate for Payer: Healthscope Commercial |
$1,446.57
|
| Rate for Payer: Healthscope Commercial |
$1,251.09
|
| Rate for Payer: Mclaren Medicaid |
$516.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$821.03
|
| Rate for Payer: Meridian Medicaid |
$542.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$143,291.00
|
| Rate for Payer: Nomi Health Commercial |
$938.32
|
| Rate for Payer: PACE SWMI |
$781.93
|
| Rate for Payer: PHP Medicare Advantage |
$781.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$516.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,835.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,115.56
|
| Rate for Payer: Priority Health Medicare |
$781.93
|
| Rate for Payer: Priority Health Narrow Network |
$1,115.56
|
| Rate for Payer: Priority Health SBD |
$1,115.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,151.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$781.93
|
| Rate for Payer: UHC Exchange |
$1,151.41
|
| Rate for Payer: UHC Medicare Advantage |
$781.93
|
| Rate for Payer: UHCCP Medicaid |
$516.74
|
|
|
PR THORACOTOMY W/RESECTION BULLAE
|
Professional
|
Both
|
$2,855.00
|
|
|
Service Code
|
HCPCS 32141
|
| Min. Negotiated Rate |
$672.00 |
| Max. Negotiated Rate |
$270,162.00 |
| Rate for Payer: Aetna Commercial |
$1,961.44
|
| Rate for Payer: Aetna Medicare |
$1,522.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,961.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,107.81
|
| Rate for Payer: BCBS Complete |
$1,009.55
|
| Rate for Payer: BCBS MAPPO |
$1,463.76
|
| Rate for Payer: BCBS Trust/PPO |
$672.00
|
| Rate for Payer: BCN Commercial |
$2,189.27
|
| Rate for Payer: BCN Medicare Advantage |
$1,463.76
|
| Rate for Payer: Cash Price |
$2,284.00
|
| Rate for Payer: Cash Price |
$2,284.00
|
| Rate for Payer: Cofinity Commercial |
$2,107.81
|
| Rate for Payer: Cofinity Commercial |
$1,961.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,463.76
|
| Rate for Payer: Healthscope Commercial |
$2,707.96
|
| Rate for Payer: Healthscope Commercial |
$2,342.02
|
| Rate for Payer: Mclaren Medicaid |
$961.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,536.95
|
| Rate for Payer: Meridian Medicaid |
$1,009.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$270,162.00
|
| Rate for Payer: Nomi Health Commercial |
$1,756.51
|
| Rate for Payer: PACE SWMI |
$1,463.76
|
| Rate for Payer: PHP Medicare Advantage |
$1,463.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$961.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,855.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,081.88
|
| Rate for Payer: Priority Health Medicare |
$1,463.76
|
| Rate for Payer: Priority Health Narrow Network |
$2,081.88
|
| Rate for Payer: Priority Health SBD |
$2,081.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,239.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,463.76
|
| Rate for Payer: UHC Exchange |
$1,239.45
|
| Rate for Payer: UHC Medicare Advantage |
$1,463.76
|
| Rate for Payer: UHCCP Medicaid |
$961.48
|
|
|
PR THORACOTOMY W/THERAPEUTIC WEDGE RESEXN INITIAL
|
Professional
|
Both
|
$2,415.00
|
|
|
Service Code
|
HCPCS 32505
|
| Min. Negotiated Rate |
$591.08 |
| Max. Negotiated Rate |
$164,950.00 |
| Rate for Payer: Aetna Commercial |
$1,199.43
|
| Rate for Payer: Aetna Medicare |
$930.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,199.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,288.94
|
| Rate for Payer: BCBS Complete |
$620.63
|
| Rate for Payer: BCBS MAPPO |
$895.10
|
| Rate for Payer: BCBS Trust/PPO |
$1,180.22
|
| Rate for Payer: BCN Commercial |
$1,342.40
|
| Rate for Payer: BCN Medicare Advantage |
$895.10
|
| Rate for Payer: Cash Price |
$1,932.00
|
| Rate for Payer: Cash Price |
$1,932.00
|
| Rate for Payer: Cofinity Commercial |
$1,288.94
|
| Rate for Payer: Cofinity Commercial |
$1,199.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$895.10
|
| Rate for Payer: Healthscope Commercial |
$1,432.16
|
| Rate for Payer: Healthscope Commercial |
$1,655.94
|
| Rate for Payer: Mclaren Medicaid |
$591.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$939.86
|
| Rate for Payer: Meridian Medicaid |
$620.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$164,950.00
|
| Rate for Payer: Nomi Health Commercial |
$1,074.12
|
| Rate for Payer: PACE SWMI |
$895.10
|
| Rate for Payer: PHP Medicare Advantage |
$895.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$591.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,569.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,279.63
|
| Rate for Payer: Priority Health Medicare |
$895.10
|
| Rate for Payer: Priority Health Narrow Network |
$1,279.63
|
| Rate for Payer: Priority Health SBD |
$1,279.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$895.10
|
| Rate for Payer: UHC Medicare Advantage |
$895.10
|
| Rate for Payer: UHCCP Medicaid |
$591.08
|
|
|
PR THORACOTOMY W/THERAP WEDGE RESEXN ADDL IPSILATRL
|
Professional
|
Both
|
$352.00
|
|
|
Service Code
|
HCPCS 32506
|
| Min. Negotiated Rate |
$97.34 |
| Max. Negotiated Rate |
$27,803.00 |
| Rate for Payer: Aetna Commercial |
$200.09
|
| Rate for Payer: Aetna Medicare |
$155.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$200.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$215.02
|
| Rate for Payer: BCBS Complete |
$102.21
|
| Rate for Payer: BCBS MAPPO |
$149.32
|
| Rate for Payer: BCBS Trust/PPO |
$1,673.13
|
| Rate for Payer: BCN Commercial |
$223.81
|
| Rate for Payer: BCN Medicare Advantage |
$149.32
|
| Rate for Payer: Cash Price |
$281.60
|
| Rate for Payer: Cash Price |
$281.60
|
| Rate for Payer: Cofinity Commercial |
$215.02
|
| Rate for Payer: Cofinity Commercial |
$200.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$149.32
|
| Rate for Payer: Healthscope Commercial |
$238.91
|
| Rate for Payer: Healthscope Commercial |
$276.24
|
| Rate for Payer: Mclaren Medicaid |
$97.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$156.79
|
| Rate for Payer: Meridian Medicaid |
$102.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27,803.00
|
| Rate for Payer: Nomi Health Commercial |
$179.18
|
| Rate for Payer: PACE SWMI |
$149.32
|
| Rate for Payer: PHP Medicare Advantage |
$149.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$97.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$228.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$212.27
|
| Rate for Payer: Priority Health Medicare |
$149.32
|
| Rate for Payer: Priority Health Narrow Network |
$212.27
|
| Rate for Payer: Priority Health SBD |
$212.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$149.32
|
| Rate for Payer: UHC Medicare Advantage |
$149.32
|
| Rate for Payer: UHCCP Medicaid |
$97.34
|
|
|
PR THORACTOMY W/DX BX LUNG INFILTRATE UNILATERAL
|
Professional
|
Both
|
$3,255.00
|
|
|
Service Code
|
HCPCS 32096
|
| Min. Negotiated Rate |
$509.71 |
| Max. Negotiated Rate |
$141,644.00 |
| Rate for Payer: Aetna Commercial |
$1,034.87
|
| Rate for Payer: Aetna Medicare |
$803.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,034.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,112.10
|
| Rate for Payer: BCBS Complete |
$535.20
|
| Rate for Payer: BCBS MAPPO |
$772.29
|
| Rate for Payer: BCBS Trust/PPO |
$1,034.94
|
| Rate for Payer: BCN Commercial |
$1,151.32
|
| Rate for Payer: BCN Medicare Advantage |
$772.29
|
| Rate for Payer: Cash Price |
$2,604.00
|
| Rate for Payer: Cash Price |
$2,604.00
|
| Rate for Payer: Cofinity Commercial |
$1,112.10
|
| Rate for Payer: Cofinity Commercial |
$1,034.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$772.29
|
| Rate for Payer: Healthscope Commercial |
$1,235.66
|
| Rate for Payer: Healthscope Commercial |
$1,428.74
|
| Rate for Payer: Mclaren Medicaid |
$509.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$810.90
|
| Rate for Payer: Meridian Medicaid |
$535.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$141,644.00
|
| Rate for Payer: Nomi Health Commercial |
$926.75
|
| Rate for Payer: PACE SWMI |
$772.29
|
| Rate for Payer: PHP Medicare Advantage |
$772.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$509.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,115.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,099.34
|
| Rate for Payer: Priority Health Medicare |
$772.29
|
| Rate for Payer: Priority Health Narrow Network |
$1,099.34
|
| Rate for Payer: Priority Health SBD |
$1,099.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$772.29
|
| Rate for Payer: UHC Medicare Advantage |
$772.29
|
| Rate for Payer: UHCCP Medicaid |
$509.71
|
|
|
PR THORACTOMY W/DX BX LUNG NODULE/MASS UNILATERAL
|
Professional
|
Both
|
$3,255.00
|
|
|
Service Code
|
HCPCS 32097
|
| Min. Negotiated Rate |
$509.92 |
| Max. Negotiated Rate |
$141,968.00 |
| Rate for Payer: Aetna Commercial |
$1,035.83
|
| Rate for Payer: Aetna Medicare |
$803.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,035.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,113.13
|
| Rate for Payer: BCBS Complete |
$535.42
|
| Rate for Payer: BCBS MAPPO |
$773.01
|
| Rate for Payer: BCBS Trust/PPO |
$1,140.07
|
| Rate for Payer: BCN Commercial |
$1,154.25
|
| Rate for Payer: BCN Medicare Advantage |
$773.01
|
| Rate for Payer: Cash Price |
$2,604.00
|
| Rate for Payer: Cash Price |
$2,604.00
|
| Rate for Payer: Cofinity Commercial |
$1,113.13
|
| Rate for Payer: Cofinity Commercial |
$1,035.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$773.01
|
| Rate for Payer: Healthscope Commercial |
$1,236.82
|
| Rate for Payer: Healthscope Commercial |
$1,430.07
|
| Rate for Payer: Mclaren Medicaid |
$509.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$811.66
|
| Rate for Payer: Meridian Medicaid |
$535.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$141,968.00
|
| Rate for Payer: Nomi Health Commercial |
$927.61
|
| Rate for Payer: PACE SWMI |
$773.01
|
| Rate for Payer: PHP Medicare Advantage |
$773.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$509.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,115.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,101.19
|
| Rate for Payer: Priority Health Medicare |
$773.01
|
| Rate for Payer: Priority Health Narrow Network |
$1,101.19
|
| Rate for Payer: Priority Health SBD |
$1,101.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$773.01
|
| Rate for Payer: UHC Medicare Advantage |
$773.01
|
| Rate for Payer: UHCCP Medicaid |
$509.92
|
|
|
PR THORCOM CTRL TRAUMTC HEMRRG&/RPR LNG TEAR
|
Professional
|
Both
|
$3,317.00
|
|
|
Service Code
|
HCPCS 32110
|
| Min. Negotiated Rate |
$940.40 |
| Max. Negotiated Rate |
$261,081.00 |
| Rate for Payer: Aetna Commercial |
$1,909.22
|
| Rate for Payer: Aetna Medicare |
$1,481.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,909.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,051.70
|
| Rate for Payer: BCBS Complete |
$987.42
|
| Rate for Payer: BCBS MAPPO |
$1,424.79
|
| Rate for Payer: BCBS Trust/PPO |
$1,281.66
|
| Rate for Payer: BCN Commercial |
$2,122.82
|
| Rate for Payer: BCN Medicare Advantage |
$1,424.79
|
| Rate for Payer: Cash Price |
$2,653.60
|
| Rate for Payer: Cash Price |
$2,653.60
|
| Rate for Payer: Cofinity Commercial |
$2,051.70
|
| Rate for Payer: Cofinity Commercial |
$1,909.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,424.79
|
| Rate for Payer: Healthscope Commercial |
$2,635.86
|
| Rate for Payer: Healthscope Commercial |
$2,279.66
|
| Rate for Payer: Mclaren Medicaid |
$940.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,496.03
|
| Rate for Payer: Meridian Medicaid |
$987.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$261,081.00
|
| Rate for Payer: Nomi Health Commercial |
$1,709.75
|
| Rate for Payer: PACE SWMI |
$1,424.79
|
| Rate for Payer: PHP Medicare Advantage |
$1,424.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$940.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,156.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,030.45
|
| Rate for Payer: Priority Health Medicare |
$1,424.79
|
| Rate for Payer: Priority Health Narrow Network |
$2,030.45
|
| Rate for Payer: Priority Health SBD |
$2,030.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,589.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,424.79
|
| Rate for Payer: UHC Exchange |
$1,589.88
|
| Rate for Payer: UHC Medicare Advantage |
$1,424.79
|
| Rate for Payer: UHCCP Medicaid |
$940.40
|
|
|
PR THORCOM THRC W/MEDSTNL & REGIONAL LMPHADEC
|
Professional
|
Both
|
$1,519.00
|
|
|
Service Code
|
HCPCS 38746
|
| Min. Negotiated Rate |
$134.19 |
| Max. Negotiated Rate |
$37,998.00 |
| Rate for Payer: Aetna Commercial |
$276.01
|
| Rate for Payer: Aetna Medicare |
$214.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$276.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$296.61
|
| Rate for Payer: BCBS Complete |
$140.90
|
| Rate for Payer: BCBS MAPPO |
$205.98
|
| Rate for Payer: BCBS Trust/PPO |
$572.68
|
| Rate for Payer: BCN Commercial |
$305.92
|
| Rate for Payer: BCN Medicare Advantage |
$205.98
|
| Rate for Payer: Cash Price |
$1,215.20
|
| Rate for Payer: Cash Price |
$1,215.20
|
| Rate for Payer: Cofinity Commercial |
$296.61
|
| Rate for Payer: Cofinity Commercial |
$276.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$205.98
|
| Rate for Payer: Healthscope Commercial |
$381.06
|
| Rate for Payer: Healthscope Commercial |
$329.57
|
| Rate for Payer: Mclaren Medicaid |
$134.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$216.28
|
| Rate for Payer: Meridian Medicaid |
$140.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$37,998.00
|
| Rate for Payer: Nomi Health Commercial |
$247.18
|
| Rate for Payer: PACE SWMI |
$205.98
|
| Rate for Payer: PHP Medicare Advantage |
$205.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$134.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$987.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$418.76
|
| Rate for Payer: Priority Health Medicare |
$205.98
|
| Rate for Payer: Priority Health Narrow Network |
$418.76
|
| Rate for Payer: Priority Health SBD |
$418.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$350.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$205.98
|
| Rate for Payer: UHC Exchange |
$350.08
|
| Rate for Payer: UHC Medicare Advantage |
$205.98
|
| Rate for Payer: UHCCP Medicaid |
$134.19
|
|
|
PR THORCOM W/REMOVAL OF CYST
|
Professional
|
Both
|
$2,356.00
|
|
|
Service Code
|
HCPCS 32140
|
| Min. Negotiated Rate |
$629.63 |
| Max. Negotiated Rate |
$175,385.00 |
| Rate for Payer: Aetna Commercial |
$1,277.94
|
| Rate for Payer: Aetna Medicare |
$991.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,277.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,373.31
|
| Rate for Payer: BCBS Complete |
$661.11
|
| Rate for Payer: BCBS MAPPO |
$953.69
|
| Rate for Payer: BCBS Trust/PPO |
$890.19
|
| Rate for Payer: BCN Commercial |
$1,427.42
|
| Rate for Payer: BCN Medicare Advantage |
$953.69
|
| Rate for Payer: Cash Price |
$1,884.80
|
| Rate for Payer: Cash Price |
$1,884.80
|
| Rate for Payer: Cofinity Commercial |
$1,373.31
|
| Rate for Payer: Cofinity Commercial |
$1,277.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$953.69
|
| Rate for Payer: Healthscope Commercial |
$1,764.33
|
| Rate for Payer: Healthscope Commercial |
$1,525.90
|
| Rate for Payer: Mclaren Medicaid |
$629.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,001.37
|
| Rate for Payer: Meridian Medicaid |
$661.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$175,385.00
|
| Rate for Payer: Nomi Health Commercial |
$1,144.43
|
| Rate for Payer: PACE SWMI |
$953.69
|
| Rate for Payer: PHP Medicare Advantage |
$953.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$629.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,531.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,363.06
|
| Rate for Payer: Priority Health Medicare |
$953.69
|
| Rate for Payer: Priority Health Narrow Network |
$1,363.06
|
| Rate for Payer: Priority Health SBD |
$1,363.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,237.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$953.69
|
| Rate for Payer: UHC Exchange |
$1,237.59
|
| Rate for Payer: UHC Medicare Advantage |
$953.69
|
| Rate for Payer: UHCCP Medicaid |
$629.63
|
|
|
PR THORCOM W/RMVL INTRAPLEURAL FB/FIBRIN DEP
|
Professional
|
Both
|
$2,632.00
|
|
|
Service Code
|
HCPCS 32150
|
| Min. Negotiated Rate |
$646.88 |
| Max. Negotiated Rate |
$179,044.00 |
| Rate for Payer: Aetna Commercial |
$1,309.74
|
| Rate for Payer: Aetna Medicare |
$1,016.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,309.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,407.48
|
| Rate for Payer: BCBS Complete |
$679.22
|
| Rate for Payer: BCBS MAPPO |
$977.42
|
| Rate for Payer: BCBS Trust/PPO |
$786.11
|
| Rate for Payer: BCN Commercial |
$1,459.19
|
| Rate for Payer: BCN Medicare Advantage |
$977.42
|
| Rate for Payer: Cash Price |
$2,105.60
|
| Rate for Payer: Cash Price |
$2,105.60
|
| Rate for Payer: Cofinity Commercial |
$1,407.48
|
| Rate for Payer: Cofinity Commercial |
$1,309.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$977.42
|
| Rate for Payer: Healthscope Commercial |
$1,808.23
|
| Rate for Payer: Healthscope Commercial |
$1,563.87
|
| Rate for Payer: Mclaren Medicaid |
$646.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,026.29
|
| Rate for Payer: Meridian Medicaid |
$679.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$179,044.00
|
| Rate for Payer: Nomi Health Commercial |
$1,172.90
|
| Rate for Payer: PACE SWMI |
$977.42
|
| Rate for Payer: PHP Medicare Advantage |
$977.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$646.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,710.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,400.60
|
| Rate for Payer: Priority Health Medicare |
$977.42
|
| Rate for Payer: Priority Health Narrow Network |
$1,400.60
|
| Rate for Payer: Priority Health SBD |
$1,400.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,201.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$977.42
|
| Rate for Payer: UHC Exchange |
$1,201.34
|
| Rate for Payer: UHC Medicare Advantage |
$977.42
|
| Rate for Payer: UHCCP Medicaid |
$646.88
|
|
