|
PR BREAST RECONSTRUCTION SINGLE PEDICLED TRAM FLAP
|
Professional
|
Both
|
$3,123.00
|
|
|
Service Code
|
HCPCS 19367
|
| Min. Negotiated Rate |
$994.28 |
| Max. Negotiated Rate |
$2,663.20 |
| Rate for Payer: Aetna Commercial |
$1,924.16
|
| Rate for Payer: Aetna Medicare |
$1,561.50
|
| Rate for Payer: BCBS Complete |
$1,043.99
|
| Rate for Payer: BCN Commercial |
$2,663.20
|
| Rate for Payer: Cash Price |
$2,498.40
|
| Rate for Payer: Cash Price |
$2,498.40
|
| Rate for Payer: Mclaren Medicaid |
$994.28
|
| Rate for Payer: Meridian Medicaid |
$1,043.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,342.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$994.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,437.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,437.52
|
| Rate for Payer: UHC Medicaid |
$994.28
|
| Rate for Payer: UHCCP Medicaid |
$994.28
|
|
|
PR BREAST RECONSTRUCTION W/LATISSIMUS DORSI FLAP
|
Professional
|
Both
|
$3,008.00
|
|
|
Service Code
|
HCPCS 19361
|
| Min. Negotiated Rate |
$881.39 |
| Max. Negotiated Rate |
$2,345.99 |
| Rate for Payer: Aetna Commercial |
$1,693.89
|
| Rate for Payer: Aetna Medicare |
$1,504.00
|
| Rate for Payer: BCBS Complete |
$925.46
|
| Rate for Payer: BCN Commercial |
$2,345.99
|
| Rate for Payer: Cash Price |
$2,406.40
|
| Rate for Payer: Cash Price |
$2,406.40
|
| Rate for Payer: Mclaren Medicaid |
$881.39
|
| Rate for Payer: Meridian Medicaid |
$925.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,256.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$881.39
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,147.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,147.18
|
| Rate for Payer: UHC Medicaid |
$881.39
|
| Rate for Payer: UHCCP Medicaid |
$881.39
|
|
|
PR BREAST RECONSTRUC W OTHR TECHNIQ
|
Professional
|
Both
|
$2,990.00
|
|
|
Service Code
|
HCPCS 19366
|
| Min. Negotiated Rate |
$1,196.00 |
| Max. Negotiated Rate |
$2,242.50 |
| Rate for Payer: Aetna Medicare |
$1,495.00
|
| Rate for Payer: BCBS Complete |
$1,196.00
|
| Rate for Payer: Cash Price |
$2,392.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,242.50
|
|
|
PR BREAST REDUCTION
|
Professional
|
Both
|
$1,996.00
|
|
|
Service Code
|
HCPCS 19318
|
| Min. Negotiated Rate |
$625.16 |
| Max. Negotiated Rate |
$1,650.81 |
| Rate for Payer: Aetna Commercial |
$1,186.12
|
| Rate for Payer: Aetna Medicare |
$998.00
|
| Rate for Payer: BCBS Complete |
$656.42
|
| Rate for Payer: BCN Commercial |
$1,650.81
|
| Rate for Payer: Cash Price |
$1,596.80
|
| Rate for Payer: Cash Price |
$1,596.80
|
| Rate for Payer: Mclaren Medicaid |
$625.16
|
| Rate for Payer: Meridian Medicaid |
$656.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,497.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$625.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,510.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,510.92
|
| Rate for Payer: UHC Medicaid |
$625.16
|
| Rate for Payer: UHCCP Medicaid |
$625.16
|
|
|
PR BREATH HYDROGEN/METHANE TEST
|
Professional
|
Both
|
$172.00
|
|
|
Service Code
|
HCPCS 91065
|
| Min. Negotiated Rate |
$86.00 |
| Max. Negotiated Rate |
$129.00 |
| Rate for Payer: Aetna Commercial |
$96.87
|
| Rate for Payer: Aetna Medicare |
$86.00
|
| Rate for Payer: BCN Commercial |
$97.60
|
| Rate for Payer: Cash Price |
$137.60
|
| Rate for Payer: Cash Price |
$137.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$129.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$90.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$90.01
|
|
|
PR BREATHING RESPONSE TO HYPOXIA
|
Professional
|
Both
|
$185.00
|
|
|
Service Code
|
HCPCS 94450
|
| Min. Negotiated Rate |
$65.23 |
| Max. Negotiated Rate |
$138.75 |
| Rate for Payer: Aetna Commercial |
$65.23
|
| Rate for Payer: Aetna Medicare |
$92.50
|
| Rate for Payer: BCN Commercial |
$130.97
|
| Rate for Payer: Cash Price |
$148.00
|
| Rate for Payer: Cash Price |
$148.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$138.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$120.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$120.78
|
|
|
PR BRIEF CHECK IN BY MD/QHP
|
Professional
|
Both
|
$31.00
|
|
|
Service Code
|
HCPCS G2012
|
| Min. Negotiated Rate |
$12.40 |
| Max. Negotiated Rate |
$23.25 |
| Rate for Payer: Aetna Commercial |
$13.03
|
| Rate for Payer: Aetna Medicare |
$15.50
|
| Rate for Payer: BCBS Complete |
$12.40
|
| Rate for Payer: BCN Commercial |
$18.72
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$23.25
|
|
|
PR BRIEF COMMUNICATION TECH-BSD SVC EST PT 5-10 MIN
|
Professional
|
Both
|
$44.00
|
|
|
Service Code
|
HCPCS 98016
|
| Min. Negotiated Rate |
$8.31 |
| Max. Negotiated Rate |
$33.00 |
| Rate for Payer: Aetna Medicare |
$22.00
|
| Rate for Payer: BCBS Complete |
$8.73
|
| Rate for Payer: BCN Commercial |
$16.34
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Mclaren Medicaid |
$8.31
|
| Rate for Payer: Meridian Medicaid |
$8.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$33.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$20.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$20.16
|
| Rate for Payer: UHC Medicaid |
$8.31
|
| Rate for Payer: UHCCP Medicaid |
$8.31
|
|
|
PR BRNCDILAT RSPSE SPMTRY PRE&POST-BRNCDILAT ADMN
|
Professional
|
Both
|
$127.00
|
|
|
Service Code
|
HCPCS 94060
|
| Min. Negotiated Rate |
$48.88 |
| Max. Negotiated Rate |
$95.25 |
| Rate for Payer: Aetna Commercial |
$48.88
|
| Rate for Payer: Aetna Commercial |
$48.88
|
| Rate for Payer: Aetna Medicare |
$14.50
|
| Rate for Payer: Aetna Medicare |
$63.50
|
| Rate for Payer: BCN Commercial |
$58.26
|
| Rate for Payer: BCN Commercial |
$58.26
|
| Rate for Payer: Cash Price |
$101.60
|
| Rate for Payer: Cash Price |
$101.60
|
| Rate for Payer: Cash Price |
$23.20
|
| Rate for Payer: Cash Price |
$23.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$95.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$85.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$85.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$85.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$85.70
|
|
|
PR BRNCHSC BRUSHING/PROTECTED BRUSHINGS
|
Professional
|
Both
|
$668.00
|
|
|
Service Code
|
HCPCS 31623
|
| Min. Negotiated Rate |
$76.04 |
| Max. Negotiated Rate |
$501.00 |
| Rate for Payer: Aetna Commercial |
$170.36
|
| Rate for Payer: Aetna Medicare |
$334.00
|
| Rate for Payer: BCBS Complete |
$79.84
|
| Rate for Payer: BCN Commercial |
$193.22
|
| Rate for Payer: Cash Price |
$534.40
|
| Rate for Payer: Cash Price |
$534.40
|
| Rate for Payer: Mclaren Medicaid |
$76.04
|
| Rate for Payer: Meridian Medicaid |
$79.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$501.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$76.04
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$181.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$181.95
|
| Rate for Payer: UHC Medicaid |
$76.04
|
| Rate for Payer: UHCCP Medicaid |
$76.04
|
|
|
PR BRNCHSC EBUS GUIDED SAMPL 1/2 NODE STATION/STRUX
|
Professional
|
Both
|
$496.00
|
|
|
Service Code
|
HCPCS 31652
|
| Min. Negotiated Rate |
$126.31 |
| Max. Negotiated Rate |
$372.00 |
| Rate for Payer: Aetna Commercial |
$286.67
|
| Rate for Payer: Aetna Medicare |
$248.00
|
| Rate for Payer: BCBS Complete |
$132.63
|
| Rate for Payer: BCN Commercial |
$322.69
|
| Rate for Payer: Cash Price |
$396.80
|
| Rate for Payer: Cash Price |
$396.80
|
| Rate for Payer: Mclaren Medicaid |
$126.31
|
| Rate for Payer: Meridian Medicaid |
$132.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$372.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$126.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$303.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$303.89
|
| Rate for Payer: UHC Medicaid |
$126.31
|
| Rate for Payer: UHCCP Medicaid |
$126.31
|
|
|
PR BRNCHSC EBUS GUIDED SAMPL 3/> NODE STATION/STRUX
|
Professional
|
Both
|
$548.00
|
|
|
Service Code
|
HCPCS 31653
|
| Min. Negotiated Rate |
$139.73 |
| Max. Negotiated Rate |
$411.00 |
| Rate for Payer: Aetna Commercial |
$316.88
|
| Rate for Payer: Aetna Medicare |
$274.00
|
| Rate for Payer: BCBS Complete |
$146.72
|
| Rate for Payer: BCN Commercial |
$357.55
|
| Rate for Payer: Cash Price |
$438.40
|
| Rate for Payer: Cash Price |
$438.40
|
| Rate for Payer: Mclaren Medicaid |
$139.73
|
| Rate for Payer: Meridian Medicaid |
$146.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$411.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$139.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$336.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$336.71
|
| Rate for Payer: UHC Medicaid |
$139.73
|
| Rate for Payer: UHCCP Medicaid |
$139.73
|
|
|
PR BRNCHSC INCL FLUOR GDNCE DX W/CELL WASHG SPX
|
Professional
|
Both
|
$614.00
|
|
|
Service Code
|
HCPCS 31622
|
| Min. Negotiated Rate |
$76.68 |
| Max. Negotiated Rate |
$460.50 |
| Rate for Payer: Aetna Commercial |
$169.32
|
| Rate for Payer: Aetna Medicare |
$307.00
|
| Rate for Payer: BCBS Complete |
$80.51
|
| Rate for Payer: BCN Commercial |
$213.36
|
| Rate for Payer: Cash Price |
$491.20
|
| Rate for Payer: Cash Price |
$491.20
|
| Rate for Payer: Mclaren Medicaid |
$76.68
|
| Rate for Payer: Meridian Medicaid |
$80.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$460.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$76.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$182.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$182.89
|
| Rate for Payer: UHC Medicaid |
$76.68
|
| Rate for Payer: UHCCP Medicaid |
$76.68
|
|
|
PR BRNCHSC W/BRNCL ALVEOLAR LAVAGE
|
Professional
|
Both
|
$623.00
|
|
|
Service Code
|
HCPCS 31624
|
| Min. Negotiated Rate |
$77.11 |
| Max. Negotiated Rate |
$467.25 |
| Rate for Payer: Aetna Commercial |
$172.05
|
| Rate for Payer: Aetna Medicare |
$311.50
|
| Rate for Payer: BCBS Complete |
$80.97
|
| Rate for Payer: BCN Commercial |
$196.20
|
| Rate for Payer: Cash Price |
$498.40
|
| Rate for Payer: Cash Price |
$498.40
|
| Rate for Payer: Mclaren Medicaid |
$77.11
|
| Rate for Payer: Meridian Medicaid |
$80.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$467.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$77.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$184.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$184.77
|
| Rate for Payer: UHC Medicaid |
$77.11
|
| Rate for Payer: UHCCP Medicaid |
$77.11
|
|
|
PR BRNCHSC W/TRACHEAL/BRONCHIAL DILAT/CLSD RDCTJ FX
|
Professional
|
Both
|
$388.00
|
|
|
Service Code
|
HCPCS 31630
|
| Min. Negotiated Rate |
$112.68 |
| Max. Negotiated Rate |
$291.32 |
| Rate for Payer: Aetna Commercial |
$255.59
|
| Rate for Payer: Aetna Medicare |
$194.00
|
| Rate for Payer: BCBS Complete |
$118.31
|
| Rate for Payer: BCN Commercial |
$291.32
|
| Rate for Payer: Cash Price |
$310.40
|
| Rate for Payer: Cash Price |
$310.40
|
| Rate for Payer: Mclaren Medicaid |
$112.68
|
| Rate for Payer: Meridian Medicaid |
$118.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$291.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$112.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$274.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$274.34
|
| Rate for Payer: UHC Medicaid |
$112.68
|
| Rate for Payer: UHCCP Medicaid |
$112.68
|
|
|
PR BRNCSPSM PROVOCATION EVAL MLT SPMTRY W/ADMN AGT
|
Professional
|
Both
|
$142.00
|
|
|
Service Code
|
HCPCS 94070
|
| Min. Negotiated Rate |
$66.61 |
| Max. Negotiated Rate |
$106.50 |
| Rate for Payer: Aetna Commercial |
$66.61
|
| Rate for Payer: Aetna Commercial |
$66.61
|
| Rate for Payer: Aetna Medicare |
$71.00
|
| Rate for Payer: Aetna Medicare |
$27.50
|
| Rate for Payer: BCN Commercial |
$94.61
|
| Rate for Payer: BCN Commercial |
$94.61
|
| Rate for Payer: Cash Price |
$113.60
|
| Rate for Payer: Cash Price |
$113.60
|
| Rate for Payer: Cash Price |
$44.00
|
| Rate for Payer: Cash Price |
$44.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$106.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$41.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$87.26
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$87.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$87.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$87.26
|
|
|
PR BRNSCHSC TNDSC EBUS DX/TX INTERVENTION PERPH LES
|
Professional
|
Both
|
$222.00
|
|
|
Service Code
|
HCPCS 31654
|
| Min. Negotiated Rate |
$38.13 |
| Max. Negotiated Rate |
$166.50 |
| Rate for Payer: Aetna Commercial |
$86.57
|
| Rate for Payer: Aetna Medicare |
$111.00
|
| Rate for Payer: BCBS Complete |
$40.04
|
| Rate for Payer: BCN Commercial |
$97.60
|
| Rate for Payer: Cash Price |
$177.60
|
| Rate for Payer: Cash Price |
$177.60
|
| Rate for Payer: Mclaren Medicaid |
$38.13
|
| Rate for Payer: Meridian Medicaid |
$40.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$166.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$38.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$91.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$91.92
|
| Rate for Payer: UHC Medicaid |
$38.13
|
| Rate for Payer: UHCCP Medicaid |
$38.13
|
|
|
PR BRONCHOPLASTY GRAFT REPAIR
|
Professional
|
Both
|
$3,042.00
|
|
|
Service Code
|
HCPCS 31770
|
| Min. Negotiated Rate |
$799.18 |
| Max. Negotiated Rate |
$2,281.50 |
| Rate for Payer: Aetna Commercial |
$1,717.54
|
| Rate for Payer: Aetna Medicare |
$1,521.00
|
| Rate for Payer: BCBS Complete |
$839.14
|
| Rate for Payer: BCN Commercial |
$1,960.55
|
| Rate for Payer: Cash Price |
$2,433.60
|
| Rate for Payer: Cash Price |
$2,433.60
|
| Rate for Payer: Mclaren Medicaid |
$799.18
|
| Rate for Payer: Meridian Medicaid |
$839.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,281.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$799.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,846.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,846.26
|
| Rate for Payer: UHC Medicaid |
$799.18
|
| Rate for Payer: UHCCP Medicaid |
$799.18
|
|
|
PR BRONCHOSCOPY BRONCHIAL/ENDOBRNCL BX 1+ SITES
|
Professional
|
Both
|
$667.00
|
|
|
Service Code
|
HCPCS 31625
|
| Min. Negotiated Rate |
$89.67 |
| Max. Negotiated Rate |
$500.25 |
| Rate for Payer: Aetna Commercial |
$200.97
|
| Rate for Payer: Aetna Medicare |
$333.50
|
| Rate for Payer: BCBS Complete |
$94.15
|
| Rate for Payer: BCN Commercial |
$228.07
|
| Rate for Payer: Cash Price |
$533.60
|
| Rate for Payer: Cash Price |
$533.60
|
| Rate for Payer: Mclaren Medicaid |
$89.67
|
| Rate for Payer: Meridian Medicaid |
$94.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$500.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$89.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$214.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$214.78
|
| Rate for Payer: UHC Medicaid |
$89.67
|
| Rate for Payer: UHCCP Medicaid |
$89.67
|
|
|
PR BRONCHOSCOPY NEEDLE BX TRACHEA MAIN STEM&/BRON
|
Professional
|
Both
|
$1,297.00
|
|
|
Service Code
|
HCPCS 31629
|
| Min. Negotiated Rate |
$107.35 |
| Max. Negotiated Rate |
$972.75 |
| Rate for Payer: Aetna Commercial |
$240.07
|
| Rate for Payer: Aetna Medicare |
$648.50
|
| Rate for Payer: BCBS Complete |
$112.72
|
| Rate for Payer: BCN Commercial |
$273.39
|
| Rate for Payer: Cash Price |
$1,037.60
|
| Rate for Payer: Cash Price |
$1,037.60
|
| Rate for Payer: Mclaren Medicaid |
$107.35
|
| Rate for Payer: Meridian Medicaid |
$112.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$972.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$107.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$257.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$257.45
|
| Rate for Payer: UHC Medicaid |
$107.35
|
| Rate for Payer: UHCCP Medicaid |
$107.35
|
|
|
PR BRONCHOSCOPY W/CPTR-ASST IMAGE-GUIDED NAVIGATION
|
Professional
|
Both
|
$178.00
|
|
|
Service Code
|
HCPCS 31627
|
| Min. Negotiated Rate |
$54.32 |
| Max. Negotiated Rate |
$140.43 |
| Rate for Payer: Aetna Commercial |
$125.22
|
| Rate for Payer: Aetna Medicare |
$89.00
|
| Rate for Payer: BCBS Complete |
$57.04
|
| Rate for Payer: BCN Commercial |
$140.43
|
| Rate for Payer: Cash Price |
$142.40
|
| Rate for Payer: Cash Price |
$142.40
|
| Rate for Payer: Mclaren Medicaid |
$54.32
|
| Rate for Payer: Meridian Medicaid |
$57.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$133.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$54.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$132.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$132.25
|
| Rate for Payer: UHC Medicaid |
$54.32
|
| Rate for Payer: UHCCP Medicaid |
$54.32
|
|
|
PR BRONCHOSCOPY W/EXCISION TUMOR
|
Professional
|
Both
|
$537.00
|
|
|
Service Code
|
HCPCS 31640
|
| Min. Negotiated Rate |
$139.09 |
| Max. Negotiated Rate |
$402.75 |
| Rate for Payer: Aetna Commercial |
$320.57
|
| Rate for Payer: Aetna Medicare |
$268.50
|
| Rate for Payer: BCBS Complete |
$146.04
|
| Rate for Payer: BCN Commercial |
$360.54
|
| Rate for Payer: Cash Price |
$429.60
|
| Rate for Payer: Cash Price |
$429.60
|
| Rate for Payer: Mclaren Medicaid |
$139.09
|
| Rate for Payer: Meridian Medicaid |
$146.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$402.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$139.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$339.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$339.52
|
| Rate for Payer: UHC Medicaid |
$139.09
|
| Rate for Payer: UHCCP Medicaid |
$139.09
|
|
|
PR BRONCHOSCOPY W/PLACEMENT TRACHEAL STENT
|
Professional
|
Both
|
$788.00
|
|
|
Service Code
|
HCPCS 31631
|
| Min. Negotiated Rate |
$127.37 |
| Max. Negotiated Rate |
$591.00 |
| Rate for Payer: Aetna Commercial |
$292.80
|
| Rate for Payer: Aetna Medicare |
$394.00
|
| Rate for Payer: BCBS Complete |
$133.74
|
| Rate for Payer: BCN Commercial |
$332.15
|
| Rate for Payer: Cash Price |
$630.40
|
| Rate for Payer: Cash Price |
$630.40
|
| Rate for Payer: Mclaren Medicaid |
$127.37
|
| Rate for Payer: Meridian Medicaid |
$133.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$591.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$127.37
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$312.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$312.79
|
| Rate for Payer: UHC Medicaid |
$127.37
|
| Rate for Payer: UHCCP Medicaid |
$127.37
|
|
|
PR BRONCHOSCOPY W/REMOVAL FOREIGN BODY
|
Professional
|
Both
|
$1,171.00
|
|
|
Service Code
|
HCPCS 31635
|
| Min. Negotiated Rate |
$100.96 |
| Max. Negotiated Rate |
$878.25 |
| Rate for Payer: Aetna Commercial |
$225.61
|
| Rate for Payer: Aetna Medicare |
$585.50
|
| Rate for Payer: BCBS Complete |
$106.01
|
| Rate for Payer: BCN Commercial |
$256.96
|
| Rate for Payer: Cash Price |
$936.80
|
| Rate for Payer: Cash Price |
$936.80
|
| Rate for Payer: Mclaren Medicaid |
$100.96
|
| Rate for Payer: Meridian Medicaid |
$106.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$878.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$100.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$241.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$241.98
|
| Rate for Payer: UHC Medicaid |
$100.96
|
| Rate for Payer: UHCCP Medicaid |
$100.96
|
|
|
PR BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE 1ST
|
Professional
|
Both
|
$710.00
|
|
|
Service Code
|
HCPCS 31645
|
| Min. Negotiated Rate |
$84.99 |
| Max. Negotiated Rate |
$532.50 |
| Rate for Payer: Aetna Commercial |
$188.88
|
| Rate for Payer: Aetna Medicare |
$355.00
|
| Rate for Payer: BCBS Complete |
$89.24
|
| Rate for Payer: BCN Commercial |
$215.63
|
| Rate for Payer: Cash Price |
$568.00
|
| Rate for Payer: Cash Price |
$568.00
|
| Rate for Payer: Mclaren Medicaid |
$84.99
|
| Rate for Payer: Meridian Medicaid |
$89.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$532.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$84.99
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$203.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$203.06
|
| Rate for Payer: UHC Medicaid |
$84.99
|
| Rate for Payer: UHCCP Medicaid |
$84.99
|
|
