|
PR BRIEF CHECK IN BY MD/QHP
|
Professional
|
Both
|
$30.00
|
|
|
Service Code
|
HCPCS G2012
|
| Min. Negotiated Rate |
$12.00 |
| Max. Negotiated Rate |
$1,844.00 |
| Rate for Payer: Aetna Commercial |
$13.03
|
| Rate for Payer: Aetna Medicare |
$15.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.03
|
| Rate for Payer: BCBS Complete |
$12.00
|
| Rate for Payer: BCBS Trust/PPO |
$403.09
|
| Rate for Payer: BCN Commercial |
$20.53
|
| Rate for Payer: Cash Price |
$24.00
|
| Rate for Payer: Cash Price |
$24.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,844.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17.05
|
| Rate for Payer: Priority Health Narrow Network |
$17.05
|
| Rate for Payer: Priority Health SBD |
$17.05
|
|
|
PR BRIEF COMMUNICATION TECH-BSD SVC EST PT 5-10 MIN
|
Professional
|
Both
|
$43.00
|
|
|
Service Code
|
HCPCS 98016
|
| Min. Negotiated Rate |
$9.59 |
| Max. Negotiated Rate |
$27.95 |
| Rate for Payer: Aetna Commercial |
$19.15
|
| Rate for Payer: Aetna Medicare |
$14.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$20.58
|
| Rate for Payer: BCBS Complete |
$10.07
|
| Rate for Payer: BCBS MAPPO |
$14.29
|
| Rate for Payer: BCN Medicare Advantage |
$14.29
|
| Rate for Payer: Cash Price |
$34.40
|
| Rate for Payer: Cash Price |
$34.40
|
| Rate for Payer: Cofinity Commercial |
$20.58
|
| Rate for Payer: Cofinity Commercial |
$19.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.29
|
| Rate for Payer: Healthscope Commercial |
$26.44
|
| Rate for Payer: Healthscope Commercial |
$22.86
|
| Rate for Payer: Mclaren Medicaid |
$9.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15.00
|
| Rate for Payer: Meridian Medicaid |
$10.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27.95
|
| Rate for Payer: Nomi Health Commercial |
$17.15
|
| Rate for Payer: PACE SWMI |
$14.29
|
| Rate for Payer: PHP Medicare Advantage |
$14.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.95
|
| Rate for Payer: Priority Health Medicare |
$14.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$14.29
|
| Rate for Payer: UHC Medicare Advantage |
$14.29
|
| Rate for Payer: UHCCP Medicaid |
$9.59
|
|
|
PR BRNCDILAT RSPSE SPMTRY PRE&POST-BRNCDILAT ADMN
|
Professional
|
Both
|
$28.00
|
|
|
Service Code
|
HCPCS 94060
|
| Min. Negotiated Rate |
$6.39 |
| Max. Negotiated Rate |
$5,442.00 |
| Rate for Payer: Aetna Commercial |
$47.28
|
| Rate for Payer: Aetna Commercial |
$47.28
|
| Rate for Payer: Aetna Medicare |
$36.69
|
| Rate for Payer: Aetna Medicare |
$36.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$50.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$50.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.28
|
| Rate for Payer: BCBS Complete |
$6.71
|
| Rate for Payer: BCBS Complete |
$6.71
|
| Rate for Payer: BCBS MAPPO |
$35.28
|
| Rate for Payer: BCBS MAPPO |
$35.28
|
| Rate for Payer: BCBS Trust/PPO |
$1,399.47
|
| Rate for Payer: BCBS Trust/PPO |
$1,399.47
|
| Rate for Payer: BCN Commercial |
$56.19
|
| Rate for Payer: BCN Commercial |
$56.19
|
| Rate for Payer: BCN Medicare Advantage |
$35.28
|
| Rate for Payer: BCN Medicare Advantage |
$35.28
|
| Rate for Payer: Cash Price |
$22.40
|
| Rate for Payer: Cash Price |
$98.40
|
| Rate for Payer: Cash Price |
$98.40
|
| Rate for Payer: Cash Price |
$22.40
|
| Rate for Payer: Cofinity Commercial |
$50.80
|
| Rate for Payer: Cofinity Commercial |
$47.28
|
| Rate for Payer: Cofinity Commercial |
$47.28
|
| Rate for Payer: Cofinity Commercial |
$50.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.28
|
| Rate for Payer: Healthscope Commercial |
$56.45
|
| Rate for Payer: Healthscope Commercial |
$65.27
|
| Rate for Payer: Healthscope Commercial |
$56.45
|
| Rate for Payer: Healthscope Commercial |
$65.27
|
| Rate for Payer: Mclaren Medicaid |
$6.39
|
| Rate for Payer: Mclaren Medicaid |
$6.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37.04
|
| Rate for Payer: Meridian Medicaid |
$6.71
|
| Rate for Payer: Meridian Medicaid |
$6.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,442.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,442.00
|
| Rate for Payer: Nomi Health Commercial |
$42.34
|
| Rate for Payer: Nomi Health Commercial |
$42.34
|
| Rate for Payer: PACE SWMI |
$35.28
|
| Rate for Payer: PACE SWMI |
$35.28
|
| Rate for Payer: PHP Medicare Advantage |
$35.28
|
| Rate for Payer: PHP Medicare Advantage |
$35.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$79.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$85.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$85.70
|
| Rate for Payer: Priority Health Medicare |
$35.28
|
| Rate for Payer: Priority Health Medicare |
$35.28
|
| Rate for Payer: Priority Health Narrow Network |
$85.70
|
| Rate for Payer: Priority Health Narrow Network |
$85.70
|
| Rate for Payer: Priority Health SBD |
$18.98
|
| Rate for Payer: Priority Health SBD |
$18.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$90.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$90.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$35.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$35.28
|
| Rate for Payer: UHC Exchange |
$90.00
|
| Rate for Payer: UHC Exchange |
$90.00
|
| Rate for Payer: UHC Medicare Advantage |
$35.28
|
| Rate for Payer: UHC Medicare Advantage |
$35.28
|
| Rate for Payer: UHCCP Medicaid |
$6.39
|
| Rate for Payer: UHCCP Medicaid |
$6.39
|
|
|
PR BRNCHSC BRUSHING/PROTECTED BRUSHINGS
|
Professional
|
Both
|
$649.00
|
|
|
Service Code
|
HCPCS 31623
|
| Min. Negotiated Rate |
$82.64 |
| Max. Negotiated Rate |
$22,988.00 |
| Rate for Payer: Aetna Commercial |
$165.97
|
| Rate for Payer: Aetna Medicare |
$128.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$165.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$178.36
|
| Rate for Payer: BCBS Complete |
$86.77
|
| Rate for Payer: BCBS MAPPO |
$123.86
|
| Rate for Payer: BCBS Trust/PPO |
$720.60
|
| Rate for Payer: BCN Commercial |
$399.74
|
| Rate for Payer: BCN Medicare Advantage |
$123.86
|
| Rate for Payer: Cash Price |
$519.20
|
| Rate for Payer: Cash Price |
$519.20
|
| Rate for Payer: Cofinity Commercial |
$178.36
|
| Rate for Payer: Cofinity Commercial |
$165.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$123.86
|
| Rate for Payer: Healthscope Commercial |
$229.14
|
| Rate for Payer: Healthscope Commercial |
$198.18
|
| Rate for Payer: Mclaren Medicaid |
$82.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$130.05
|
| Rate for Payer: Meridian Medicaid |
$86.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22,988.00
|
| Rate for Payer: Nomi Health Commercial |
$148.63
|
| Rate for Payer: PACE SWMI |
$123.86
|
| Rate for Payer: PHP Medicare Advantage |
$123.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$82.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$421.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$179.36
|
| Rate for Payer: Priority Health Medicare |
$123.86
|
| Rate for Payer: Priority Health Narrow Network |
$179.36
|
| Rate for Payer: Priority Health SBD |
$179.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$365.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$123.86
|
| Rate for Payer: UHC Exchange |
$365.04
|
| Rate for Payer: UHC Medicare Advantage |
$123.86
|
| Rate for Payer: UHCCP Medicaid |
$82.64
|
|
|
PR BRNCHSC EBUS GUIDED SAMPL 1/2 NODE STATION/STRUX
|
Professional
|
Both
|
$482.00
|
|
|
Service Code
|
HCPCS 31652
|
| Min. Negotiated Rate |
$138.02 |
| Max. Negotiated Rate |
$38,574.00 |
| Rate for Payer: Aetna Commercial |
$277.96
|
| Rate for Payer: Aetna Medicare |
$215.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$277.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$298.70
|
| Rate for Payer: BCBS Complete |
$144.92
|
| Rate for Payer: BCBS MAPPO |
$207.43
|
| Rate for Payer: BCBS Trust/PPO |
$853.73
|
| Rate for Payer: BCN Commercial |
$1,843.29
|
| Rate for Payer: BCN Medicare Advantage |
$207.43
|
| Rate for Payer: Cash Price |
$385.60
|
| Rate for Payer: Cash Price |
$385.60
|
| Rate for Payer: Cofinity Commercial |
$298.70
|
| Rate for Payer: Cofinity Commercial |
$277.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$207.43
|
| Rate for Payer: Healthscope Commercial |
$331.89
|
| Rate for Payer: Healthscope Commercial |
$383.75
|
| Rate for Payer: Mclaren Medicaid |
$138.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$217.80
|
| Rate for Payer: Meridian Medicaid |
$144.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38,574.00
|
| Rate for Payer: Nomi Health Commercial |
$248.92
|
| Rate for Payer: PACE SWMI |
$207.43
|
| Rate for Payer: PHP Medicare Advantage |
$207.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$138.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$313.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$298.93
|
| Rate for Payer: Priority Health Medicare |
$207.43
|
| Rate for Payer: Priority Health Narrow Network |
$298.93
|
| Rate for Payer: Priority Health SBD |
$298.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$207.43
|
| Rate for Payer: UHC Medicare Advantage |
$207.43
|
| Rate for Payer: UHCCP Medicaid |
$138.02
|
|
|
PR BRNCHSC EBUS GUIDED SAMPL 3/> NODE STATION/STRUX
|
Professional
|
Both
|
$532.00
|
|
|
Service Code
|
HCPCS 31653
|
| Min. Negotiated Rate |
$152.93 |
| Max. Negotiated Rate |
$42,786.00 |
| Rate for Payer: Aetna Commercial |
$308.21
|
| Rate for Payer: Aetna Medicare |
$239.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$308.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$331.21
|
| Rate for Payer: BCBS Complete |
$160.58
|
| Rate for Payer: BCBS MAPPO |
$230.01
|
| Rate for Payer: BCBS Trust/PPO |
$1,172.30
|
| Rate for Payer: BCN Commercial |
$1,916.10
|
| Rate for Payer: BCN Medicare Advantage |
$230.01
|
| Rate for Payer: Cash Price |
$425.60
|
| Rate for Payer: Cash Price |
$425.60
|
| Rate for Payer: Cofinity Commercial |
$331.21
|
| Rate for Payer: Cofinity Commercial |
$308.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$230.01
|
| Rate for Payer: Healthscope Commercial |
$368.02
|
| Rate for Payer: Healthscope Commercial |
$425.52
|
| Rate for Payer: Mclaren Medicaid |
$152.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$241.51
|
| Rate for Payer: Meridian Medicaid |
$160.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$42,786.00
|
| Rate for Payer: Nomi Health Commercial |
$276.01
|
| Rate for Payer: PACE SWMI |
$230.01
|
| Rate for Payer: PHP Medicare Advantage |
$230.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$152.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$345.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$331.38
|
| Rate for Payer: Priority Health Medicare |
$230.01
|
| Rate for Payer: Priority Health Narrow Network |
$331.38
|
| Rate for Payer: Priority Health SBD |
$331.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$230.01
|
| Rate for Payer: UHC Medicare Advantage |
$230.01
|
| Rate for Payer: UHCCP Medicaid |
$152.93
|
|
|
PR BRNCHSC INCL FLUOR GDNCE DX W/CELL WASHG SPX
|
Professional
|
Both
|
$596.00
|
|
|
Service Code
|
HCPCS 31622
|
| Min. Negotiated Rate |
$83.07 |
| Max. Negotiated Rate |
$23,060.00 |
| Rate for Payer: Aetna Commercial |
$167.06
|
| Rate for Payer: Aetna Medicare |
$129.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$167.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$179.52
|
| Rate for Payer: BCBS Complete |
$87.22
|
| Rate for Payer: BCBS MAPPO |
$124.67
|
| Rate for Payer: BCBS Trust/PPO |
$372.29
|
| Rate for Payer: BCN Commercial |
$397.64
|
| Rate for Payer: BCN Medicare Advantage |
$124.67
|
| Rate for Payer: Cash Price |
$476.80
|
| Rate for Payer: Cash Price |
$476.80
|
| Rate for Payer: Cofinity Commercial |
$179.52
|
| Rate for Payer: Cofinity Commercial |
$167.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$124.67
|
| Rate for Payer: Healthscope Commercial |
$230.64
|
| Rate for Payer: Healthscope Commercial |
$199.47
|
| Rate for Payer: Mclaren Medicaid |
$83.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$130.90
|
| Rate for Payer: Meridian Medicaid |
$87.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23,060.00
|
| Rate for Payer: Nomi Health Commercial |
$149.60
|
| Rate for Payer: PACE SWMI |
$124.67
|
| Rate for Payer: PHP Medicare Advantage |
$124.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$83.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$387.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$180.75
|
| Rate for Payer: Priority Health Medicare |
$124.67
|
| Rate for Payer: Priority Health Narrow Network |
$180.75
|
| Rate for Payer: Priority Health SBD |
$180.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$334.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$124.67
|
| Rate for Payer: UHC Exchange |
$334.73
|
| Rate for Payer: UHC Medicare Advantage |
$124.67
|
| Rate for Payer: UHCCP Medicaid |
$83.07
|
|
|
PR BRNCHSC W/BRNCL ALVEOLAR LAVAGE
|
Professional
|
Both
|
$605.00
|
|
|
Service Code
|
HCPCS 31624
|
| Min. Negotiated Rate |
$83.92 |
| Max. Negotiated Rate |
$23,407.00 |
| Rate for Payer: Aetna Commercial |
$168.45
|
| Rate for Payer: Aetna Medicare |
$130.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$168.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$181.02
|
| Rate for Payer: BCBS Complete |
$88.12
|
| Rate for Payer: BCBS MAPPO |
$125.71
|
| Rate for Payer: BCBS Trust/PPO |
$1,147.47
|
| Rate for Payer: BCN Commercial |
$371.40
|
| Rate for Payer: BCN Medicare Advantage |
$125.71
|
| Rate for Payer: Cash Price |
$484.00
|
| Rate for Payer: Cash Price |
$484.00
|
| Rate for Payer: Cofinity Commercial |
$181.02
|
| Rate for Payer: Cofinity Commercial |
$168.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$125.71
|
| Rate for Payer: Healthscope Commercial |
$232.56
|
| Rate for Payer: Healthscope Commercial |
$201.14
|
| Rate for Payer: Mclaren Medicaid |
$83.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$132.00
|
| Rate for Payer: Meridian Medicaid |
$88.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23,407.00
|
| Rate for Payer: Nomi Health Commercial |
$150.85
|
| Rate for Payer: PACE SWMI |
$125.71
|
| Rate for Payer: PHP Medicare Advantage |
$125.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$83.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$393.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$181.68
|
| Rate for Payer: Priority Health Medicare |
$125.71
|
| Rate for Payer: Priority Health Narrow Network |
$181.68
|
| Rate for Payer: Priority Health SBD |
$181.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$340.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$125.71
|
| Rate for Payer: UHC Exchange |
$340.78
|
| Rate for Payer: UHC Medicare Advantage |
$125.71
|
| Rate for Payer: UHCCP Medicaid |
$83.92
|
|
|
PR BRNCHSC W/TRACHEAL/BRONCHIAL DILAT/CLSD RDCTJ FX
|
Professional
|
Both
|
$377.00
|
|
|
Service Code
|
HCPCS 31630
|
| Min. Negotiated Rate |
$124.61 |
| Max. Negotiated Rate |
$34,762.00 |
| Rate for Payer: Aetna Commercial |
$251.04
|
| Rate for Payer: Aetna Medicare |
$194.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$251.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$269.77
|
| Rate for Payer: BCBS Complete |
$130.84
|
| Rate for Payer: BCBS MAPPO |
$187.34
|
| Rate for Payer: BCBS Trust/PPO |
$786.64
|
| Rate for Payer: BCN Commercial |
$283.43
|
| Rate for Payer: BCN Medicare Advantage |
$187.34
|
| Rate for Payer: Cash Price |
$301.60
|
| Rate for Payer: Cash Price |
$301.60
|
| Rate for Payer: Cofinity Commercial |
$269.77
|
| Rate for Payer: Cofinity Commercial |
$251.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$187.34
|
| Rate for Payer: Healthscope Commercial |
$346.58
|
| Rate for Payer: Healthscope Commercial |
$299.74
|
| Rate for Payer: Mclaren Medicaid |
$124.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$196.71
|
| Rate for Payer: Meridian Medicaid |
$130.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$34,762.00
|
| Rate for Payer: Nomi Health Commercial |
$224.81
|
| Rate for Payer: PACE SWMI |
$187.34
|
| Rate for Payer: PHP Medicare Advantage |
$187.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$124.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$245.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$269.73
|
| Rate for Payer: Priority Health Medicare |
$187.34
|
| Rate for Payer: Priority Health Narrow Network |
$269.73
|
| Rate for Payer: Priority Health SBD |
$269.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$293.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$187.34
|
| Rate for Payer: UHC Exchange |
$293.03
|
| Rate for Payer: UHC Medicare Advantage |
$187.34
|
| Rate for Payer: UHCCP Medicaid |
$124.61
|
|
|
PR BRNCSPSM PROVOCATION EVAL MLT SPMTRY W/ADMN AGT
|
Professional
|
Both
|
$53.00
|
|
|
Service Code
|
HCPCS 94070
|
| Min. Negotiated Rate |
$17.25 |
| Max. Negotiated Rate |
$8,724.00 |
| Rate for Payer: Aetna Commercial |
$77.79
|
| Rate for Payer: Aetna Commercial |
$77.79
|
| Rate for Payer: Aetna Medicare |
$60.37
|
| Rate for Payer: Aetna Medicare |
$60.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$83.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$83.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$77.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$77.79
|
| Rate for Payer: BCBS Complete |
$18.11
|
| Rate for Payer: BCBS Complete |
$18.11
|
| Rate for Payer: BCBS MAPPO |
$58.05
|
| Rate for Payer: BCBS MAPPO |
$58.05
|
| Rate for Payer: BCBS Trust/PPO |
$1,284.30
|
| Rate for Payer: BCBS Trust/PPO |
$1,284.30
|
| Rate for Payer: BCN Commercial |
$88.94
|
| Rate for Payer: BCN Commercial |
$88.94
|
| Rate for Payer: BCN Medicare Advantage |
$58.05
|
| Rate for Payer: BCN Medicare Advantage |
$58.05
|
| Rate for Payer: Cash Price |
$42.40
|
| Rate for Payer: Cash Price |
$110.40
|
| Rate for Payer: Cash Price |
$110.40
|
| Rate for Payer: Cash Price |
$42.40
|
| Rate for Payer: Cofinity Commercial |
$83.59
|
| Rate for Payer: Cofinity Commercial |
$77.79
|
| Rate for Payer: Cofinity Commercial |
$77.79
|
| Rate for Payer: Cofinity Commercial |
$83.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$58.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$58.05
|
| Rate for Payer: Healthscope Commercial |
$107.39
|
| Rate for Payer: Healthscope Commercial |
$92.88
|
| Rate for Payer: Healthscope Commercial |
$107.39
|
| Rate for Payer: Healthscope Commercial |
$92.88
|
| Rate for Payer: Mclaren Medicaid |
$17.25
|
| Rate for Payer: Mclaren Medicaid |
$17.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$60.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$60.95
|
| Rate for Payer: Meridian Medicaid |
$18.11
|
| Rate for Payer: Meridian Medicaid |
$18.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,724.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,724.00
|
| Rate for Payer: Nomi Health Commercial |
$69.66
|
| Rate for Payer: Nomi Health Commercial |
$69.66
|
| Rate for Payer: PACE SWMI |
$58.05
|
| Rate for Payer: PACE SWMI |
$58.05
|
| Rate for Payer: PHP Medicare Advantage |
$58.05
|
| Rate for Payer: PHP Medicare Advantage |
$58.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$17.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$17.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$34.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$89.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$85.48
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$85.48
|
| Rate for Payer: Priority Health Medicare |
$58.05
|
| Rate for Payer: Priority Health Medicare |
$58.05
|
| Rate for Payer: Priority Health Narrow Network |
$85.48
|
| Rate for Payer: Priority Health Narrow Network |
$85.48
|
| Rate for Payer: Priority Health SBD |
$36.63
|
| Rate for Payer: Priority Health SBD |
$36.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$198.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$198.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$58.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$58.05
|
| Rate for Payer: UHC Exchange |
$198.84
|
| Rate for Payer: UHC Exchange |
$198.84
|
| Rate for Payer: UHC Medicare Advantage |
$58.05
|
| Rate for Payer: UHC Medicare Advantage |
$58.05
|
| Rate for Payer: UHCCP Medicaid |
$17.25
|
| Rate for Payer: UHCCP Medicaid |
$17.25
|
|
|
PR BRNSCHSC TNDSC EBUS DX/TX INTERVENTION PERPH LES
|
Professional
|
Both
|
$216.00
|
|
|
Service Code
|
HCPCS 31654
|
| Min. Negotiated Rate |
$41.75 |
| Max. Negotiated Rate |
$11,660.00 |
| Rate for Payer: Aetna Commercial |
$84.27
|
| Rate for Payer: Aetna Medicare |
$65.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$84.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$90.56
|
| Rate for Payer: BCBS Complete |
$43.84
|
| Rate for Payer: BCBS MAPPO |
$62.89
|
| Rate for Payer: BCBS Trust/PPO |
$791.92
|
| Rate for Payer: BCN Commercial |
$174.95
|
| Rate for Payer: BCN Medicare Advantage |
$62.89
|
| Rate for Payer: Cash Price |
$172.80
|
| Rate for Payer: Cash Price |
$172.80
|
| Rate for Payer: Cofinity Commercial |
$90.56
|
| Rate for Payer: Cofinity Commercial |
$84.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$62.89
|
| Rate for Payer: Healthscope Commercial |
$100.62
|
| Rate for Payer: Healthscope Commercial |
$116.35
|
| Rate for Payer: Mclaren Medicaid |
$41.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$66.03
|
| Rate for Payer: Meridian Medicaid |
$43.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,660.00
|
| Rate for Payer: Nomi Health Commercial |
$75.47
|
| Rate for Payer: PACE SWMI |
$62.89
|
| Rate for Payer: PHP Medicare Advantage |
$62.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$41.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$140.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$90.83
|
| Rate for Payer: Priority Health Medicare |
$62.89
|
| Rate for Payer: Priority Health Narrow Network |
$90.83
|
| Rate for Payer: Priority Health SBD |
$90.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$62.89
|
| Rate for Payer: UHC Medicare Advantage |
$62.89
|
| Rate for Payer: UHCCP Medicaid |
$41.75
|
|
|
PR BRONCHOPLASTY GRAFT REPAIR
|
Professional
|
Both
|
$2,953.00
|
|
|
Service Code
|
HCPCS 31770
|
| Min. Negotiated Rate |
$838.58 |
| Max. Negotiated Rate |
$235,647.00 |
| Rate for Payer: Aetna Commercial |
$1,710.70
|
| Rate for Payer: Aetna Medicare |
$1,327.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,710.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,838.36
|
| Rate for Payer: BCBS Complete |
$880.51
|
| Rate for Payer: BCBS MAPPO |
$1,276.64
|
| Rate for Payer: BCBS Trust/PPO |
$1,379.92
|
| Rate for Payer: BCN Commercial |
$1,909.76
|
| Rate for Payer: BCN Medicare Advantage |
$1,276.64
|
| Rate for Payer: Cash Price |
$2,362.40
|
| Rate for Payer: Cash Price |
$2,362.40
|
| Rate for Payer: Cofinity Commercial |
$1,838.36
|
| Rate for Payer: Cofinity Commercial |
$1,710.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,276.64
|
| Rate for Payer: Healthscope Commercial |
$2,361.78
|
| Rate for Payer: Healthscope Commercial |
$2,042.62
|
| Rate for Payer: Mclaren Medicaid |
$838.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,340.47
|
| Rate for Payer: Meridian Medicaid |
$880.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$235,647.00
|
| Rate for Payer: Nomi Health Commercial |
$1,531.97
|
| Rate for Payer: PACE SWMI |
$1,276.64
|
| Rate for Payer: PHP Medicare Advantage |
$1,276.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$838.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,919.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,818.64
|
| Rate for Payer: Priority Health Medicare |
$1,276.64
|
| Rate for Payer: Priority Health Narrow Network |
$1,818.64
|
| Rate for Payer: Priority Health SBD |
$1,818.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,834.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,276.64
|
| Rate for Payer: UHC Exchange |
$1,834.65
|
| Rate for Payer: UHC Medicare Advantage |
$1,276.64
|
| Rate for Payer: UHCCP Medicaid |
$838.58
|
|
|
PR BRONCHOSCOPY BRONCHIAL/ENDOBRNCL BX 1+ SITES
|
Professional
|
Both
|
$648.00
|
|
|
Service Code
|
HCPCS 31625
|
| Min. Negotiated Rate |
$97.55 |
| Max. Negotiated Rate |
$27,209.00 |
| Rate for Payer: Aetna Commercial |
$196.14
|
| Rate for Payer: Aetna Medicare |
$152.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$196.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$210.77
|
| Rate for Payer: BCBS Complete |
$102.43
|
| Rate for Payer: BCBS MAPPO |
$146.37
|
| Rate for Payer: BCBS Trust/PPO |
$463.32
|
| Rate for Payer: BCN Commercial |
$508.71
|
| Rate for Payer: BCN Medicare Advantage |
$146.37
|
| Rate for Payer: Cash Price |
$518.40
|
| Rate for Payer: Cash Price |
$518.40
|
| Rate for Payer: Cofinity Commercial |
$210.77
|
| Rate for Payer: Cofinity Commercial |
$196.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$146.37
|
| Rate for Payer: Healthscope Commercial |
$270.78
|
| Rate for Payer: Healthscope Commercial |
$234.19
|
| Rate for Payer: Mclaren Medicaid |
$97.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$153.69
|
| Rate for Payer: Meridian Medicaid |
$102.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27,209.00
|
| Rate for Payer: Nomi Health Commercial |
$175.64
|
| Rate for Payer: PACE SWMI |
$146.37
|
| Rate for Payer: PHP Medicare Advantage |
$146.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$97.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$421.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$212.27
|
| Rate for Payer: Priority Health Medicare |
$146.37
|
| Rate for Payer: Priority Health Narrow Network |
$212.27
|
| Rate for Payer: Priority Health SBD |
$212.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$363.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$146.37
|
| Rate for Payer: UHC Exchange |
$363.99
|
| Rate for Payer: UHC Medicare Advantage |
$146.37
|
| Rate for Payer: UHCCP Medicaid |
$97.55
|
|
|
PR BRONCHOSCOPY NEEDLE BX TRACHEA MAIN STEM&/BRON
|
Professional
|
Both
|
$1,259.00
|
|
|
Service Code
|
HCPCS 31629
|
| Min. Negotiated Rate |
$116.94 |
| Max. Negotiated Rate |
$32,562.00 |
| Rate for Payer: Aetna Commercial |
$235.33
|
| Rate for Payer: Aetna Medicare |
$182.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$235.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$252.89
|
| Rate for Payer: BCBS Complete |
$122.79
|
| Rate for Payer: BCBS MAPPO |
$175.62
|
| Rate for Payer: BCBS Trust/PPO |
$499.77
|
| Rate for Payer: BCN Commercial |
$661.18
|
| Rate for Payer: BCN Medicare Advantage |
$175.62
|
| Rate for Payer: Cash Price |
$1,007.20
|
| Rate for Payer: Cash Price |
$1,007.20
|
| Rate for Payer: Cofinity Commercial |
$252.89
|
| Rate for Payer: Cofinity Commercial |
$235.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$175.62
|
| Rate for Payer: Healthscope Commercial |
$324.90
|
| Rate for Payer: Healthscope Commercial |
$280.99
|
| Rate for Payer: Mclaren Medicaid |
$116.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$184.40
|
| Rate for Payer: Meridian Medicaid |
$122.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$32,562.00
|
| Rate for Payer: Nomi Health Commercial |
$210.74
|
| Rate for Payer: PACE SWMI |
$175.62
|
| Rate for Payer: PHP Medicare Advantage |
$175.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$116.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$818.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$253.51
|
| Rate for Payer: Priority Health Medicare |
$175.62
|
| Rate for Payer: Priority Health Narrow Network |
$253.51
|
| Rate for Payer: Priority Health SBD |
$253.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$267.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$175.62
|
| Rate for Payer: UHC Exchange |
$267.59
|
| Rate for Payer: UHC Medicare Advantage |
$175.62
|
| Rate for Payer: UHCCP Medicaid |
$116.94
|
|
|
PR BRONCHOSCOPY W/CPTR-ASST IMAGE-GUIDED NAVIGATION
|
Professional
|
Both
|
$173.00
|
|
|
Service Code
|
HCPCS 31627
|
| Min. Negotiated Rate |
$60.07 |
| Max. Negotiated Rate |
$16,846.00 |
| Rate for Payer: Aetna Commercial |
$121.34
|
| Rate for Payer: Aetna Medicare |
$94.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$121.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$130.39
|
| Rate for Payer: BCBS Complete |
$63.07
|
| Rate for Payer: BCBS MAPPO |
$90.55
|
| Rate for Payer: BCBS Trust/PPO |
$684.15
|
| Rate for Payer: BCN Commercial |
$1,591.62
|
| Rate for Payer: BCN Medicare Advantage |
$90.55
|
| Rate for Payer: Cash Price |
$138.40
|
| Rate for Payer: Cash Price |
$138.40
|
| Rate for Payer: Cofinity Commercial |
$130.39
|
| Rate for Payer: Cofinity Commercial |
$121.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$90.55
|
| Rate for Payer: Healthscope Commercial |
$144.88
|
| Rate for Payer: Healthscope Commercial |
$167.52
|
| Rate for Payer: Mclaren Medicaid |
$60.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$95.08
|
| Rate for Payer: Meridian Medicaid |
$63.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16,846.00
|
| Rate for Payer: Nomi Health Commercial |
$108.66
|
| Rate for Payer: PACE SWMI |
$90.55
|
| Rate for Payer: PHP Medicare Advantage |
$90.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$60.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$112.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$130.70
|
| Rate for Payer: Priority Health Medicare |
$90.55
|
| Rate for Payer: Priority Health Narrow Network |
$130.70
|
| Rate for Payer: Priority Health SBD |
$130.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$90.55
|
| Rate for Payer: UHC Medicare Advantage |
$90.55
|
| Rate for Payer: UHCCP Medicaid |
$60.07
|
|
|
PR BRONCHOSCOPY W/EXCISION TUMOR
|
Professional
|
Both
|
$521.00
|
|
|
Service Code
|
HCPCS 31640
|
| Min. Negotiated Rate |
$154.21 |
| Max. Negotiated Rate |
$43,477.00 |
| Rate for Payer: Aetna Commercial |
$310.36
|
| Rate for Payer: Aetna Medicare |
$240.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$310.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$333.52
|
| Rate for Payer: BCBS Complete |
$161.92
|
| Rate for Payer: BCBS MAPPO |
$231.61
|
| Rate for Payer: BCBS Trust/PPO |
$852.15
|
| Rate for Payer: BCN Commercial |
$354.29
|
| Rate for Payer: BCN Medicare Advantage |
$231.61
|
| Rate for Payer: Cash Price |
$416.80
|
| Rate for Payer: Cash Price |
$416.80
|
| Rate for Payer: Cofinity Commercial |
$333.52
|
| Rate for Payer: Cofinity Commercial |
$310.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$231.61
|
| Rate for Payer: Healthscope Commercial |
$428.48
|
| Rate for Payer: Healthscope Commercial |
$370.58
|
| Rate for Payer: Mclaren Medicaid |
$154.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$243.19
|
| Rate for Payer: Meridian Medicaid |
$161.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$43,477.00
|
| Rate for Payer: Nomi Health Commercial |
$277.93
|
| Rate for Payer: PACE SWMI |
$231.61
|
| Rate for Payer: PHP Medicare Advantage |
$231.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$154.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$338.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$335.55
|
| Rate for Payer: Priority Health Medicare |
$231.61
|
| Rate for Payer: Priority Health Narrow Network |
$335.55
|
| Rate for Payer: Priority Health SBD |
$335.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$368.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$231.61
|
| Rate for Payer: UHC Exchange |
$368.29
|
| Rate for Payer: UHC Medicare Advantage |
$231.61
|
| Rate for Payer: UHCCP Medicaid |
$154.21
|
|
|
PR BRONCHOSCOPY W/PLACEMENT TRACHEAL STENT
|
Professional
|
Both
|
$765.00
|
|
|
Service Code
|
HCPCS 31631
|
| Min. Negotiated Rate |
$142.07 |
| Max. Negotiated Rate |
$39,697.00 |
| Rate for Payer: Aetna Commercial |
$285.98
|
| Rate for Payer: Aetna Medicare |
$221.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$285.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$307.32
|
| Rate for Payer: BCBS Complete |
$149.17
|
| Rate for Payer: BCBS MAPPO |
$213.42
|
| Rate for Payer: BCN Commercial |
$323.50
|
| Rate for Payer: BCN Medicare Advantage |
$213.42
|
| Rate for Payer: Cash Price |
$612.00
|
| Rate for Payer: Cash Price |
$612.00
|
| Rate for Payer: Cofinity Commercial |
$307.32
|
| Rate for Payer: Cofinity Commercial |
$285.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$213.42
|
| Rate for Payer: Healthscope Commercial |
$394.83
|
| Rate for Payer: Healthscope Commercial |
$341.47
|
| Rate for Payer: Mclaren Medicaid |
$142.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$224.09
|
| Rate for Payer: Meridian Medicaid |
$149.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$39,697.00
|
| Rate for Payer: Nomi Health Commercial |
$256.10
|
| Rate for Payer: PACE SWMI |
$213.42
|
| Rate for Payer: PHP Medicare Advantage |
$213.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$142.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$497.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$307.28
|
| Rate for Payer: Priority Health Medicare |
$213.42
|
| Rate for Payer: Priority Health Narrow Network |
$307.28
|
| Rate for Payer: Priority Health SBD |
$307.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$321.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$213.42
|
| Rate for Payer: UHC Exchange |
$321.80
|
| Rate for Payer: UHC Medicare Advantage |
$213.42
|
| Rate for Payer: UHCCP Medicaid |
$142.07
|
|
|
PR BRONCHOSCOPY W/REMOVAL FOREIGN BODY
|
Professional
|
Both
|
$1,137.00
|
|
|
Service Code
|
HCPCS 31635
|
| Min. Negotiated Rate |
$109.91 |
| Max. Negotiated Rate |
$30,559.00 |
| Rate for Payer: Aetna Commercial |
$221.03
|
| Rate for Payer: Aetna Medicare |
$171.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$221.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$237.53
|
| Rate for Payer: BCBS Complete |
$115.41
|
| Rate for Payer: BCBS MAPPO |
$164.95
|
| Rate for Payer: BCBS Trust/PPO |
$972.60
|
| Rate for Payer: BCN Commercial |
$425.15
|
| Rate for Payer: BCN Medicare Advantage |
$164.95
|
| Rate for Payer: Cash Price |
$909.60
|
| Rate for Payer: Cash Price |
$909.60
|
| Rate for Payer: Cofinity Commercial |
$237.53
|
| Rate for Payer: Cofinity Commercial |
$221.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$164.95
|
| Rate for Payer: Healthscope Commercial |
$305.16
|
| Rate for Payer: Healthscope Commercial |
$263.92
|
| Rate for Payer: Mclaren Medicaid |
$109.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$173.20
|
| Rate for Payer: Meridian Medicaid |
$115.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30,559.00
|
| Rate for Payer: Nomi Health Commercial |
$197.94
|
| Rate for Payer: PACE SWMI |
$164.95
|
| Rate for Payer: PHP Medicare Advantage |
$164.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$109.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$739.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$238.68
|
| Rate for Payer: Priority Health Medicare |
$164.95
|
| Rate for Payer: Priority Health Narrow Network |
$238.68
|
| Rate for Payer: Priority Health SBD |
$238.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$266.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$164.95
|
| Rate for Payer: UHC Exchange |
$266.14
|
| Rate for Payer: UHC Medicare Advantage |
$164.95
|
| Rate for Payer: UHCCP Medicaid |
$109.91
|
|
|
PR BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE 1ST
|
Professional
|
Both
|
$689.00
|
|
|
Service Code
|
HCPCS 31645
|
| Min. Negotiated Rate |
$92.23 |
| Max. Negotiated Rate |
$25,618.00 |
| Rate for Payer: Aetna Commercial |
$185.27
|
| Rate for Payer: Aetna Medicare |
$143.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$185.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$199.09
|
| Rate for Payer: BCBS Complete |
$96.84
|
| Rate for Payer: BCBS MAPPO |
$138.26
|
| Rate for Payer: BCBS Trust/PPO |
$667.24
|
| Rate for Payer: BCN Commercial |
$397.30
|
| Rate for Payer: BCN Medicare Advantage |
$138.26
|
| Rate for Payer: Cash Price |
$551.20
|
| Rate for Payer: Cash Price |
$551.20
|
| Rate for Payer: Cofinity Commercial |
$199.09
|
| Rate for Payer: Cofinity Commercial |
$185.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$138.26
|
| Rate for Payer: Healthscope Commercial |
$255.78
|
| Rate for Payer: Healthscope Commercial |
$221.22
|
| Rate for Payer: Mclaren Medicaid |
$92.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$145.17
|
| Rate for Payer: Meridian Medicaid |
$96.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25,618.00
|
| Rate for Payer: Nomi Health Commercial |
$165.91
|
| Rate for Payer: PACE SWMI |
$138.26
|
| Rate for Payer: PHP Medicare Advantage |
$138.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$92.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$447.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$200.21
|
| Rate for Payer: Priority Health Medicare |
$138.26
|
| Rate for Payer: Priority Health Narrow Network |
$200.21
|
| Rate for Payer: Priority Health SBD |
$200.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$330.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$138.26
|
| Rate for Payer: UHC Exchange |
$330.35
|
| Rate for Payer: UHC Medicare Advantage |
$138.26
|
| Rate for Payer: UHCCP Medicaid |
$92.23
|
|
|
PR BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE SBSQ
|
Professional
|
Both
|
$614.00
|
|
|
Service Code
|
HCPCS 31646
|
| Min. Negotiated Rate |
$89.46 |
| Max. Negotiated Rate |
$24,721.00 |
| Rate for Payer: Aetna Commercial |
$179.64
|
| Rate for Payer: Aetna Medicare |
$139.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$179.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$193.05
|
| Rate for Payer: BCBS Complete |
$93.93
|
| Rate for Payer: BCBS MAPPO |
$134.06
|
| Rate for Payer: BCBS Trust/PPO |
$1,008.00
|
| Rate for Payer: BCN Commercial |
$201.83
|
| Rate for Payer: BCN Medicare Advantage |
$134.06
|
| Rate for Payer: Cash Price |
$491.20
|
| Rate for Payer: Cash Price |
$491.20
|
| Rate for Payer: Cofinity Commercial |
$193.05
|
| Rate for Payer: Cofinity Commercial |
$179.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$134.06
|
| Rate for Payer: Healthscope Commercial |
$248.01
|
| Rate for Payer: Healthscope Commercial |
$214.50
|
| Rate for Payer: Mclaren Medicaid |
$89.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$140.76
|
| Rate for Payer: Meridian Medicaid |
$93.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24,721.00
|
| Rate for Payer: Nomi Health Commercial |
$160.87
|
| Rate for Payer: PACE SWMI |
$134.06
|
| Rate for Payer: PHP Medicare Advantage |
$134.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$89.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$399.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$193.27
|
| Rate for Payer: Priority Health Medicare |
$134.06
|
| Rate for Payer: Priority Health Narrow Network |
$193.27
|
| Rate for Payer: Priority Health SBD |
$193.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$187.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$134.06
|
| Rate for Payer: UHC Exchange |
$187.59
|
| Rate for Payer: UHC Medicare Advantage |
$134.06
|
| Rate for Payer: UHCCP Medicaid |
$89.46
|
|
|
PR BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX 1 LOBE
|
Professional
|
Both
|
$760.00
|
|
|
Service Code
|
HCPCS 31628
|
| Min. Negotiated Rate |
$109.70 |
| Max. Negotiated Rate |
$30,679.00 |
| Rate for Payer: Aetna Commercial |
$220.35
|
| Rate for Payer: Aetna Medicare |
$171.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$220.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$236.79
|
| Rate for Payer: BCBS Complete |
$115.18
|
| Rate for Payer: BCBS MAPPO |
$164.44
|
| Rate for Payer: BCBS Trust/PPO |
$915.54
|
| Rate for Payer: BCN Commercial |
$597.26
|
| Rate for Payer: BCN Medicare Advantage |
$164.44
|
| Rate for Payer: Cash Price |
$608.00
|
| Rate for Payer: Cash Price |
$608.00
|
| Rate for Payer: Cofinity Commercial |
$236.79
|
| Rate for Payer: Cofinity Commercial |
$220.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$164.44
|
| Rate for Payer: Healthscope Commercial |
$304.21
|
| Rate for Payer: Healthscope Commercial |
$263.10
|
| Rate for Payer: Mclaren Medicaid |
$109.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$172.66
|
| Rate for Payer: Meridian Medicaid |
$115.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30,679.00
|
| Rate for Payer: Nomi Health Commercial |
$197.33
|
| Rate for Payer: PACE SWMI |
$164.44
|
| Rate for Payer: PHP Medicare Advantage |
$164.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$109.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$494.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$238.68
|
| Rate for Payer: Priority Health Medicare |
$164.44
|
| Rate for Payer: Priority Health Narrow Network |
$238.68
|
| Rate for Payer: Priority Health SBD |
$238.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$426.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$164.44
|
| Rate for Payer: UHC Exchange |
$426.22
|
| Rate for Payer: UHC Medicare Advantage |
$164.44
|
| Rate for Payer: UHCCP Medicaid |
$109.70
|
|
|
PR BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX EACH LOBE
|
Professional
|
Both
|
$129.00
|
|
|
Service Code
|
HCPCS 31632
|
| Min. Negotiated Rate |
$30.25 |
| Max. Negotiated Rate |
$8,662.00 |
| Rate for Payer: Aetna Commercial |
$60.96
|
| Rate for Payer: Aetna Medicare |
$47.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$60.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$65.51
|
| Rate for Payer: BCBS Complete |
$31.76
|
| Rate for Payer: BCBS MAPPO |
$45.49
|
| Rate for Payer: BCBS Trust/PPO |
$996.90
|
| Rate for Payer: BCN Commercial |
$93.82
|
| Rate for Payer: BCN Medicare Advantage |
$45.49
|
| Rate for Payer: Cash Price |
$103.20
|
| Rate for Payer: Cash Price |
$103.20
|
| Rate for Payer: Cofinity Commercial |
$65.51
|
| Rate for Payer: Cofinity Commercial |
$60.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$45.49
|
| Rate for Payer: Healthscope Commercial |
$84.16
|
| Rate for Payer: Healthscope Commercial |
$72.78
|
| Rate for Payer: Mclaren Medicaid |
$30.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$47.76
|
| Rate for Payer: Meridian Medicaid |
$31.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,662.00
|
| Rate for Payer: Nomi Health Commercial |
$54.59
|
| Rate for Payer: PACE SWMI |
$45.49
|
| Rate for Payer: PHP Medicare Advantage |
$45.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$30.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$83.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$66.27
|
| Rate for Payer: Priority Health Medicare |
$45.49
|
| Rate for Payer: Priority Health Narrow Network |
$66.27
|
| Rate for Payer: Priority Health SBD |
$66.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$97.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$45.49
|
| Rate for Payer: UHC Exchange |
$97.34
|
| Rate for Payer: UHC Medicare Advantage |
$45.49
|
| Rate for Payer: UHCCP Medicaid |
$30.25
|
|
|
PR BRONCHOSCOPY W/TRANSBRONCL NDL ASPIR BX EA LOBE
|
Professional
|
Both
|
$99.00
|
|
|
Service Code
|
HCPCS 31633
|
| Min. Negotiated Rate |
$39.41 |
| Max. Negotiated Rate |
$11,007.00 |
| Rate for Payer: Aetna Commercial |
$79.62
|
| Rate for Payer: Aetna Medicare |
$61.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$79.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$85.56
|
| Rate for Payer: BCBS Complete |
$41.38
|
| Rate for Payer: BCBS MAPPO |
$59.42
|
| Rate for Payer: BCBS Trust/PPO |
$724.83
|
| Rate for Payer: BCN Commercial |
$115.82
|
| Rate for Payer: BCN Medicare Advantage |
$59.42
|
| Rate for Payer: Cash Price |
$79.20
|
| Rate for Payer: Cash Price |
$79.20
|
| Rate for Payer: Cofinity Commercial |
$85.56
|
| Rate for Payer: Cofinity Commercial |
$79.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$59.42
|
| Rate for Payer: Healthscope Commercial |
$95.07
|
| Rate for Payer: Healthscope Commercial |
$109.93
|
| Rate for Payer: Mclaren Medicaid |
$39.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$62.39
|
| Rate for Payer: Meridian Medicaid |
$41.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,007.00
|
| Rate for Payer: Nomi Health Commercial |
$71.30
|
| Rate for Payer: PACE SWMI |
$59.42
|
| Rate for Payer: PHP Medicare Advantage |
$59.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$39.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$64.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$85.28
|
| Rate for Payer: Priority Health Medicare |
$59.42
|
| Rate for Payer: Priority Health Narrow Network |
$85.28
|
| Rate for Payer: Priority Health SBD |
$85.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$118.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$59.42
|
| Rate for Payer: UHC Exchange |
$118.25
|
| Rate for Payer: UHC Medicare Advantage |
$59.42
|
| Rate for Payer: UHCCP Medicaid |
$39.41
|
|
|
PR BROWLIFT
|
Professional
|
Both
|
$2,652.00
|
|
|
Service Code
|
HCPCS 00532
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$1,060.80 |
| Max. Negotiated Rate |
$5,000.00 |
| Rate for Payer: Aetna Medicare |
$1,326.00
|
| Rate for Payer: BCBS Complete |
$1,060.80
|
| Rate for Payer: Cash Price |
$2,121.60
|
| Rate for Payer: Cash Price |
$2,121.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,000.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,723.80
|
|
|
PR BSO W/OMENTECTOMY TAH DEBULKING W/LMPHADECTOMY
|
Professional
|
Both
|
$5,993.00
|
|
|
Service Code
|
HCPCS 58954
|
| Min. Negotiated Rate |
$131.02 |
| Max. Negotiated Rate |
$385,560.00 |
| Rate for Payer: Aetna Commercial |
$2,792.36
|
| Rate for Payer: Aetna Medicare |
$2,167.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,792.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,000.74
|
| Rate for Payer: BCBS Complete |
$1,459.98
|
| Rate for Payer: BCBS MAPPO |
$2,083.85
|
| Rate for Payer: BCBS Trust/PPO |
$131.02
|
| Rate for Payer: BCN Commercial |
$3,158.81
|
| Rate for Payer: BCN Medicare Advantage |
$2,083.85
|
| Rate for Payer: Cash Price |
$4,794.40
|
| Rate for Payer: Cash Price |
$4,794.40
|
| Rate for Payer: Cofinity Commercial |
$2,792.36
|
| Rate for Payer: Cofinity Commercial |
$3,000.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,083.85
|
| Rate for Payer: Healthscope Commercial |
$3,855.12
|
| Rate for Payer: Healthscope Commercial |
$3,334.16
|
| Rate for Payer: Mclaren Medicaid |
$1,390.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,188.04
|
| Rate for Payer: Meridian Medicaid |
$1,459.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$385,560.00
|
| Rate for Payer: Nomi Health Commercial |
$2,500.62
|
| Rate for Payer: PACE SWMI |
$2,083.85
|
| Rate for Payer: PHP Medicare Advantage |
$2,083.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,390.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,895.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,235.71
|
| Rate for Payer: Priority Health Medicare |
$2,083.85
|
| Rate for Payer: Priority Health Narrow Network |
$3,235.71
|
| Rate for Payer: Priority Health SBD |
$3,235.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,353.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,083.85
|
| Rate for Payer: UHC Exchange |
$2,353.61
|
| Rate for Payer: UHC Medicare Advantage |
$2,083.85
|
| Rate for Payer: UHCCP Medicaid |
$1,390.46
|
|
