|
PR TESTOSTERONE CYPIONAT 100 MG
|
Professional
|
Both
|
$10.00
|
|
|
Service Code
|
HCPCS J1070
|
| Min. Negotiated Rate |
$4.00 |
| Max. Negotiated Rate |
$7.00 |
| Rate for Payer: BCBS Complete |
$4.00
|
| Rate for Payer: BCN Commercial |
$5.03
|
| Rate for Payer: Cash Price |
$8.00
|
| Rate for Payer: Cash Price |
$8.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.00
|
|
|
PR TESTOSTERONE CYPIONAT 200 MG
|
Professional
|
Both
|
$32.00
|
|
|
Service Code
|
HCPCS J1080
|
| Min. Negotiated Rate |
$5.07 |
| Max. Negotiated Rate |
$22.40 |
| Rate for Payer: BCBS Complete |
$12.80
|
| Rate for Payer: BCN Commercial |
$5.07
|
| Rate for Payer: Cash Price |
$25.60
|
| Rate for Payer: Cash Price |
$25.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$22.40
|
|
|
PR TESTOSTERONE CYPIONATE 1 ML
|
Professional
|
Both
|
$6.00
|
|
|
Service Code
|
HCPCS J1060
|
| Min. Negotiated Rate |
$2.40 |
| Max. Negotiated Rate |
$4.20 |
| Rate for Payer: BCBS Complete |
$2.40
|
| Rate for Payer: Cash Price |
$4.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4.20
|
|
|
PR TESTOSTERONE ENANTHATE INJ
|
Professional
|
Both
|
$32.00
|
|
|
Service Code
|
HCPCS J3130
|
| Min. Negotiated Rate |
$9.08 |
| Max. Negotiated Rate |
$22.40 |
| Rate for Payer: BCBS Complete |
$12.80
|
| Rate for Payer: BCN Commercial |
$9.08
|
| Rate for Payer: Cash Price |
$25.60
|
| Rate for Payer: Cash Price |
$25.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$22.40
|
|
|
PR TESTOSTERONE PELLET 75 MG
|
Professional
|
Both
|
$120.00
|
|
|
Service Code
|
HCPCS S0189
|
| Min. Negotiated Rate |
$48.00 |
| Max. Negotiated Rate |
$106.79 |
| Rate for Payer: Aetna Commercial |
$100.93
|
| Rate for Payer: BCBS Complete |
$48.00
|
| Rate for Payer: BCBS Trust/PPO |
$106.47
|
| Rate for Payer: BCN Commercial |
$106.79
|
| Rate for Payer: Cash Price |
$96.00
|
| Rate for Payer: Cash Price |
$96.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$84.00
|
|
|
PR TESTOSTERONE UNDECANOATE 1MG
|
Professional
|
Both
|
$5.00
|
|
|
Service Code
|
HCPCS J3145
|
| Min. Negotiated Rate |
$1.87 |
| Max. Negotiated Rate |
$3.50 |
| Rate for Payer: Aetna Commercial |
$2.55
|
| Rate for Payer: Aetna Medicare |
$1.98
|
| Rate for Payer: BCBS Complete |
$2.00
|
| Rate for Payer: BCBS MAPPO |
$1.90
|
| Rate for Payer: BCBS Trust/PPO |
$1.87
|
| Rate for Payer: BCN Commercial |
$1.87
|
| Rate for Payer: BCN Medicare Advantage |
$1.90
|
| Rate for Payer: Cash Price |
$4.00
|
| Rate for Payer: Cash Price |
$4.00
|
| Rate for Payer: Cofinity Commercial |
$2.55
|
| Rate for Payer: Cofinity Commercial |
$2.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1.90
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2.00
|
| Rate for Payer: PACE SWMI |
$1.90
|
| Rate for Payer: PHP Medicare Advantage |
$1.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3.50
|
| Rate for Payer: Priority Health Medicare |
$1.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$1.90
|
| Rate for Payer: UHC Medicare Advantage |
$1.96
|
|
|
PR TETANUS IMMUNIZATION, IM
|
Professional
|
Both
|
$44.00
|
|
|
Service Code
|
HCPCS 90703
|
| Min. Negotiated Rate |
$17.60 |
| Max. Negotiated Rate |
$30.80 |
| Rate for Payer: BCBS Complete |
$17.60
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.80
|
|
|
PR THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN
|
Professional
|
Both
|
$55.00
|
|
|
Service Code
|
HCPCS 97530
|
| Min. Negotiated Rate |
$22.00 |
| Max. Negotiated Rate |
$3,205.12 |
| Rate for Payer: Aetna Commercial |
$47.77
|
| Rate for Payer: Aetna Medicare |
$37.08
|
| Rate for Payer: BCBS Complete |
$22.00
|
| Rate for Payer: BCBS MAPPO |
$35.65
|
| Rate for Payer: BCBS Trust/PPO |
$3,205.12
|
| Rate for Payer: BCN Commercial |
$36.21
|
| Rate for Payer: BCN Medicare Advantage |
$35.65
|
| Rate for Payer: Cash Price |
$44.00
|
| Rate for Payer: Cash Price |
$44.00
|
| Rate for Payer: Cofinity Commercial |
$47.77
|
| Rate for Payer: Cofinity Commercial |
$51.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.65
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$37.43
|
| Rate for Payer: PACE SWMI |
$35.65
|
| Rate for Payer: PHP Medicare Advantage |
$35.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$38.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$75.00
|
| Rate for Payer: Priority Health Medicare |
$35.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$75.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$35.65
|
| Rate for Payer: UHC Medicare Advantage |
$36.72
|
|
|
PR THERAPEUTIC APHERESIS PLASMA PHERESIS
|
Professional
|
Both
|
$852.00
|
|
|
Service Code
|
HCPCS 36514
|
| Min. Negotiated Rate |
$58.58 |
| Max. Negotiated Rate |
$1,024.37 |
| Rate for Payer: Aetna Commercial |
$121.71
|
| Rate for Payer: Aetna Medicare |
$94.46
|
| Rate for Payer: BCBS Complete |
$61.51
|
| Rate for Payer: BCBS MAPPO |
$90.83
|
| Rate for Payer: BCBS Trust/PPO |
$1,024.37
|
| Rate for Payer: BCN Commercial |
$823.91
|
| Rate for Payer: BCN Medicare Advantage |
$90.83
|
| Rate for Payer: Cash Price |
$681.60
|
| Rate for Payer: Cash Price |
$681.60
|
| Rate for Payer: Cofinity Commercial |
$121.71
|
| Rate for Payer: Cofinity Commercial |
$130.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$90.83
|
| Rate for Payer: Mclaren Medicaid |
$58.58
|
| Rate for Payer: Meridian Medicaid |
$61.51
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$95.37
|
| Rate for Payer: PACE SWMI |
$90.83
|
| Rate for Payer: PHP Medicare Advantage |
$90.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$58.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$596.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$145.75
|
| Rate for Payer: Priority Health Medicare |
$90.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$145.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$90.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$90.83
|
| Rate for Payer: UHC Medicare Advantage |
$93.55
|
|
|
PR THERAPEUTIC PROCEDURES GROUP 2/> INDIVIDUALS
|
Professional
|
Both
|
$33.00
|
|
|
Service Code
|
HCPCS 97150
|
| Min. Negotiated Rate |
$13.20 |
| Max. Negotiated Rate |
$831.02 |
| Rate for Payer: Aetna Commercial |
$23.17
|
| Rate for Payer: Aetna Medicare |
$17.98
|
| Rate for Payer: BCBS Complete |
$13.20
|
| Rate for Payer: BCBS MAPPO |
$17.29
|
| Rate for Payer: BCBS Trust/PPO |
$831.02
|
| Rate for Payer: BCN Commercial |
$17.29
|
| Rate for Payer: BCN Medicare Advantage |
$17.29
|
| Rate for Payer: Cash Price |
$26.40
|
| Rate for Payer: Cash Price |
$26.40
|
| Rate for Payer: Cofinity Commercial |
$23.17
|
| Rate for Payer: Cofinity Commercial |
$24.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17.29
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$18.15
|
| Rate for Payer: PACE SWMI |
$17.29
|
| Rate for Payer: PHP Medicare Advantage |
$17.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$23.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$75.00
|
| Rate for Payer: Priority Health Medicare |
$17.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$75.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$17.29
|
| Rate for Payer: UHC Medicare Advantage |
$17.81
|
|
|
PR THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM
|
Professional
|
Both
|
$43.00
|
|
|
Service Code
|
HCPCS 96372
|
| Min. Negotiated Rate |
$13.53 |
| Max. Negotiated Rate |
$1,275.84 |
| Rate for Payer: Aetna Commercial |
$18.13
|
| Rate for Payer: Aetna Medicare |
$14.07
|
| Rate for Payer: BCBS Complete |
$17.20
|
| Rate for Payer: BCBS MAPPO |
$13.53
|
| Rate for Payer: BCBS Trust/PPO |
$1,275.84
|
| Rate for Payer: BCN Commercial |
$13.70
|
| Rate for Payer: BCN Medicare Advantage |
$13.53
|
| Rate for Payer: Cash Price |
$34.40
|
| Rate for Payer: Cash Price |
$34.40
|
| Rate for Payer: Cofinity Commercial |
$19.48
|
| Rate for Payer: Cofinity Commercial |
$18.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.53
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$14.21
|
| Rate for Payer: PACE SWMI |
$13.53
|
| Rate for Payer: PHP Medicare Advantage |
$13.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$18.86
|
| Rate for Payer: Priority Health Medicare |
$13.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$13.53
|
| Rate for Payer: UHC Medicare Advantage |
$13.94
|
|
|
PR THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES
|
Professional
|
Both
|
$52.00
|
|
|
Service Code
|
HCPCS 97110
|
| Min. Negotiated Rate |
$20.80 |
| Max. Negotiated Rate |
$1,141.13 |
| Rate for Payer: Aetna Commercial |
$38.30
|
| Rate for Payer: Aetna Medicare |
$29.72
|
| Rate for Payer: BCBS Complete |
$20.80
|
| Rate for Payer: BCBS MAPPO |
$28.58
|
| Rate for Payer: BCBS Trust/PPO |
$1,141.13
|
| Rate for Payer: BCN Commercial |
$28.71
|
| Rate for Payer: BCN Medicare Advantage |
$28.58
|
| Rate for Payer: Cash Price |
$41.60
|
| Rate for Payer: Cash Price |
$41.60
|
| Rate for Payer: Cofinity Commercial |
$41.16
|
| Rate for Payer: Cofinity Commercial |
$38.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.58
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$30.01
|
| Rate for Payer: PACE SWMI |
$28.58
|
| Rate for Payer: PHP Medicare Advantage |
$28.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$36.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$75.00
|
| Rate for Payer: Priority Health Medicare |
$28.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$75.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$28.58
|
| Rate for Payer: UHC Medicare Advantage |
$29.44
|
|
|
PR THERAPEUTIC SPINAL PNXR DRAINAGE CSF W/FLUOR/CT
|
Professional
|
Both
|
$224.00
|
|
|
Service Code
|
HCPCS 62329
|
| Min. Negotiated Rate |
$65.82 |
| Max. Negotiated Rate |
$1,621.88 |
| Rate for Payer: Aetna Commercial |
$143.84
|
| Rate for Payer: Aetna Medicare |
$111.63
|
| Rate for Payer: BCBS Complete |
$69.11
|
| Rate for Payer: BCBS MAPPO |
$107.34
|
| Rate for Payer: BCBS Trust/PPO |
$1,621.88
|
| Rate for Payer: BCN Commercial |
$419.77
|
| Rate for Payer: BCN Medicare Advantage |
$107.34
|
| Rate for Payer: Cash Price |
$179.20
|
| Rate for Payer: Cash Price |
$179.20
|
| Rate for Payer: Cofinity Commercial |
$154.57
|
| Rate for Payer: Cofinity Commercial |
$143.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$107.34
|
| Rate for Payer: Mclaren Medicaid |
$65.82
|
| Rate for Payer: Meridian Medicaid |
$69.11
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$112.71
|
| Rate for Payer: PACE SWMI |
$107.34
|
| Rate for Payer: PHP Medicare Advantage |
$107.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$65.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$156.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$181.76
|
| Rate for Payer: Priority Health Medicare |
$107.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$181.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$107.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$107.34
|
| Rate for Payer: UHC Medicare Advantage |
$110.56
|
|
|
PR THERAPEUTIC SPINAL PUNCTURE DRAINAGE CSF
|
Professional
|
Both
|
$462.00
|
|
|
Service Code
|
HCPCS 62272
|
| Min. Negotiated Rate |
$58.58 |
| Max. Negotiated Rate |
$996.90 |
| Rate for Payer: Aetna Commercial |
$121.30
|
| Rate for Payer: Aetna Medicare |
$94.14
|
| Rate for Payer: BCBS Complete |
$61.51
|
| Rate for Payer: BCBS MAPPO |
$90.52
|
| Rate for Payer: BCBS Trust/PPO |
$996.90
|
| Rate for Payer: BCN Commercial |
$261.44
|
| Rate for Payer: BCN Medicare Advantage |
$90.52
|
| Rate for Payer: Cash Price |
$369.60
|
| Rate for Payer: Cash Price |
$369.60
|
| Rate for Payer: Cofinity Commercial |
$121.30
|
| Rate for Payer: Cofinity Commercial |
$130.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$90.52
|
| Rate for Payer: Mclaren Medicaid |
$58.58
|
| Rate for Payer: Meridian Medicaid |
$61.51
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$95.05
|
| Rate for Payer: PACE SWMI |
$90.52
|
| Rate for Payer: PHP Medicare Advantage |
$90.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$58.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$323.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$152.89
|
| Rate for Payer: Priority Health Medicare |
$90.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$152.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$90.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$90.52
|
| Rate for Payer: UHC Medicare Advantage |
$93.24
|
|
|
PR THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG
|
Professional
|
Both
|
$105.00
|
|
|
Service Code
|
HCPCS 96374
|
| Min. Negotiated Rate |
$34.92 |
| Max. Negotiated Rate |
$1,546.86 |
| Rate for Payer: Aetna Commercial |
$46.79
|
| Rate for Payer: Aetna Medicare |
$36.32
|
| Rate for Payer: BCBS Complete |
$42.00
|
| Rate for Payer: BCBS MAPPO |
$34.92
|
| Rate for Payer: BCBS Trust/PPO |
$1,546.86
|
| Rate for Payer: BCN Commercial |
$54.24
|
| Rate for Payer: BCN Medicare Advantage |
$34.92
|
| Rate for Payer: Cash Price |
$84.00
|
| Rate for Payer: Cash Price |
$84.00
|
| Rate for Payer: Cofinity Commercial |
$50.28
|
| Rate for Payer: Cofinity Commercial |
$46.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$34.92
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$36.67
|
| Rate for Payer: PACE SWMI |
$34.92
|
| Rate for Payer: PHP Medicare Advantage |
$34.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$73.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49.85
|
| Rate for Payer: Priority Health Medicare |
$34.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$49.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$34.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$34.92
|
| Rate for Payer: UHC Medicare Advantage |
$35.97
|
|
|
PR THER PX 1/> AREAS EACH 15 MIN NEUROMUSC REEDUCA
|
Professional
|
Both
|
$54.00
|
|
|
Service Code
|
HCPCS 97112
|
| Min. Negotiated Rate |
$21.60 |
| Max. Negotiated Rate |
$1,233.58 |
| Rate for Payer: Aetna Commercial |
$43.87
|
| Rate for Payer: Aetna Medicare |
$34.05
|
| Rate for Payer: BCBS Complete |
$21.60
|
| Rate for Payer: BCBS MAPPO |
$32.74
|
| Rate for Payer: BCBS Trust/PPO |
$1,233.58
|
| Rate for Payer: BCN Commercial |
$32.95
|
| Rate for Payer: BCN Medicare Advantage |
$32.74
|
| Rate for Payer: Cash Price |
$43.20
|
| Rate for Payer: Cash Price |
$43.20
|
| Rate for Payer: Cofinity Commercial |
$47.15
|
| Rate for Payer: Cofinity Commercial |
$43.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32.74
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$34.38
|
| Rate for Payer: PACE SWMI |
$32.74
|
| Rate for Payer: PHP Medicare Advantage |
$32.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$75.00
|
| Rate for Payer: Priority Health Medicare |
$32.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$75.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$32.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$32.74
|
| Rate for Payer: UHC Medicare Advantage |
$33.72
|
|
|
PR THER PX 1/> AREAS EACH 15 MINUTES MASSAGE
|
Professional
|
Both
|
$42.00
|
|
|
Service Code
|
HCPCS 97124
|
| Min. Negotiated Rate |
$14.23 |
| Max. Negotiated Rate |
$1,345.58 |
| Rate for Payer: Aetna Commercial |
$38.73
|
| Rate for Payer: Aetna Medicare |
$30.06
|
| Rate for Payer: BCBS Complete |
$16.80
|
| Rate for Payer: BCBS MAPPO |
$28.90
|
| Rate for Payer: BCBS Trust/PPO |
$1,345.58
|
| Rate for Payer: BCN Commercial |
$14.23
|
| Rate for Payer: BCN Medicare Advantage |
$28.90
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cofinity Commercial |
$41.62
|
| Rate for Payer: Cofinity Commercial |
$38.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.90
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$30.34
|
| Rate for Payer: PACE SWMI |
$28.90
|
| Rate for Payer: PHP Medicare Advantage |
$28.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$75.00
|
| Rate for Payer: Priority Health Medicare |
$28.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$75.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$28.90
|
| Rate for Payer: UHC Medicare Advantage |
$29.77
|
|
|
PR THIGHPLASTY
|
Professional
|
Both
|
$4,500.00
|
|
|
Service Code
|
HCPCS 00538
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$1,800.00 |
| Max. Negotiated Rate |
$3,150.00 |
| Rate for Payer: BCBS Complete |
$1,800.00
|
| Rate for Payer: Cash Price |
$3,600.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,150.00
|
|
|
PR THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING
|
Professional
|
Both
|
$519.00
|
|
|
Service Code
|
HCPCS 32555
|
| Min. Negotiated Rate |
$68.16 |
| Max. Negotiated Rate |
$826.79 |
| Rate for Payer: Aetna Commercial |
$143.46
|
| Rate for Payer: Aetna Medicare |
$111.34
|
| Rate for Payer: BCBS Complete |
$71.57
|
| Rate for Payer: BCBS MAPPO |
$107.06
|
| Rate for Payer: BCBS Trust/PPO |
$826.79
|
| Rate for Payer: BCN Commercial |
$463.76
|
| Rate for Payer: BCN Medicare Advantage |
$107.06
|
| Rate for Payer: Cash Price |
$415.20
|
| Rate for Payer: Cash Price |
$415.20
|
| Rate for Payer: Cofinity Commercial |
$154.17
|
| Rate for Payer: Cofinity Commercial |
$143.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$107.06
|
| Rate for Payer: Mclaren Medicaid |
$68.16
|
| Rate for Payer: Meridian Medicaid |
$71.57
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$112.41
|
| Rate for Payer: PACE SWMI |
$107.06
|
| Rate for Payer: PHP Medicare Advantage |
$107.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$68.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$363.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$148.64
|
| Rate for Payer: Priority Health Medicare |
$107.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$148.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$107.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$107.06
|
| Rate for Payer: UHC Medicare Advantage |
$110.27
|
|
|
PR THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING
|
Professional
|
Both
|
$745.00
|
|
|
Service Code
|
HCPCS 32554
|
| Min. Negotiated Rate |
$55.59 |
| Max. Negotiated Rate |
$813.58 |
| Rate for Payer: Aetna Commercial |
$116.41
|
| Rate for Payer: Aetna Medicare |
$90.34
|
| Rate for Payer: BCBS Complete |
$58.37
|
| Rate for Payer: BCBS MAPPO |
$86.87
|
| Rate for Payer: BCBS Trust/PPO |
$813.58
|
| Rate for Payer: BCN Commercial |
$343.54
|
| Rate for Payer: BCN Medicare Advantage |
$86.87
|
| Rate for Payer: Cash Price |
$596.00
|
| Rate for Payer: Cash Price |
$596.00
|
| Rate for Payer: Cofinity Commercial |
$116.41
|
| Rate for Payer: Cofinity Commercial |
$125.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$86.87
|
| Rate for Payer: Mclaren Medicaid |
$55.59
|
| Rate for Payer: Meridian Medicaid |
$58.37
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$91.21
|
| Rate for Payer: PACE SWMI |
$86.87
|
| Rate for Payer: PHP Medicare Advantage |
$86.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$55.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$521.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$120.40
|
| Rate for Payer: Priority Health Medicare |
$86.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$120.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$86.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$86.87
|
| Rate for Payer: UHC Medicare Advantage |
$89.48
|
|
|
PR THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING
|
Facility
|
OP
|
$745.00
|
|
|
Service Code
|
CPT 32554
|
| Hospital Charge Code |
32554
|
| Min. Negotiated Rate |
$176.94 |
| Max. Negotiated Rate |
$670.50 |
| Rate for Payer: Aetna Commercial |
$633.25
|
| Rate for Payer: Aetna Medicare |
$193.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$232.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$232.81
|
| Rate for Payer: BCBS Complete |
$432.70
|
| Rate for Payer: BCBS MAPPO |
$186.25
|
| Rate for Payer: BCBS Trust/PPO |
$579.24
|
| Rate for Payer: BCN Commercial |
$579.24
|
| Rate for Payer: BCN Medicare Advantage |
$186.25
|
| Rate for Payer: Cash Price |
$596.00
|
| Rate for Payer: Cash Price |
$596.00
|
| Rate for Payer: Cofinity Commercial |
$640.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$596.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$186.25
|
| Rate for Payer: Healthscope Commercial |
$670.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$558.75
|
| Rate for Payer: Mclaren Medicaid |
$412.10
|
| Rate for Payer: Meridian Medicaid |
$432.70
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$195.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$214.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$633.25
|
| Rate for Payer: PACE Senior Care Partners |
$176.94
|
| Rate for Payer: PACE SWMI |
$186.25
|
| Rate for Payer: PHP Commercial |
$633.25
|
| Rate for Payer: PHP Medicare Advantage |
$186.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$412.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$521.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$648.15
|
| Rate for Payer: Priority Health Medicare |
$186.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$454.38
|
| Rate for Payer: Railroad Medicare Medicare |
$186.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$655.60
|
| Rate for Payer: UHC Core |
$622.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$186.25
|
| Rate for Payer: UHC Medicare Advantage |
$191.84
|
| Rate for Payer: VA VA |
$186.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$558.75
|
|
|
PR THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING
|
Facility
|
IP
|
$745.00
|
|
|
Service Code
|
CPT 32554
|
| Hospital Charge Code |
32554
|
| Min. Negotiated Rate |
$454.38 |
| Max. Negotiated Rate |
$670.50 |
| Rate for Payer: Aetna Commercial |
$633.25
|
| Rate for Payer: BCBS Trust/PPO |
$575.74
|
| Rate for Payer: BCN Commercial |
$575.74
|
| Rate for Payer: Cash Price |
$596.00
|
| Rate for Payer: Cofinity Commercial |
$640.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$596.00
|
| Rate for Payer: Healthscope Commercial |
$670.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$558.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$633.25
|
| Rate for Payer: PHP Commercial |
$633.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$521.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$648.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$454.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$655.60
|
| Rate for Payer: UHC Core |
$622.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$558.75
|
|
|
PR THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING
|
Professional
|
Both
|
$745.00
|
|
|
Service Code
|
HCPCS 32554
|
| Hospital Charge Code |
32554
|
| Min. Negotiated Rate |
$55.59 |
| Max. Negotiated Rate |
$813.58 |
| Rate for Payer: Aetna Commercial |
$116.41
|
| Rate for Payer: Aetna Medicare |
$90.34
|
| Rate for Payer: BCBS Complete |
$58.37
|
| Rate for Payer: BCBS MAPPO |
$86.87
|
| Rate for Payer: BCBS Trust/PPO |
$813.58
|
| Rate for Payer: BCN Commercial |
$343.54
|
| Rate for Payer: BCN Medicare Advantage |
$86.87
|
| Rate for Payer: Cash Price |
$596.00
|
| Rate for Payer: Cash Price |
$596.00
|
| Rate for Payer: Cofinity Commercial |
$116.41
|
| Rate for Payer: Cofinity Commercial |
$125.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$86.87
|
| Rate for Payer: Mclaren Medicaid |
$55.59
|
| Rate for Payer: Meridian Medicaid |
$58.37
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$91.21
|
| Rate for Payer: PACE SWMI |
$86.87
|
| Rate for Payer: PHP Medicare Advantage |
$86.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$55.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$521.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$120.40
|
| Rate for Payer: Priority Health Medicare |
$86.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$120.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$86.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$86.87
|
| Rate for Payer: UHC Medicare Advantage |
$89.48
|
|
|
PR THORACOPLASTY SCHEDE TYPE/EXTRAPLEURAL
|
Professional
|
Both
|
$2,559.00
|
|
|
Service Code
|
HCPCS 32905
|
| Min. Negotiated Rate |
$840.92 |
| Max. Negotiated Rate |
$1,919.03 |
| Rate for Payer: Aetna Commercial |
$1,760.59
|
| Rate for Payer: Aetna Medicare |
$1,366.42
|
| Rate for Payer: BCBS Complete |
$882.97
|
| Rate for Payer: BCBS MAPPO |
$1,313.87
|
| Rate for Payer: BCBS Trust/PPO |
$1,120.52
|
| Rate for Payer: BCN Commercial |
$1,919.03
|
| Rate for Payer: BCN Medicare Advantage |
$1,313.87
|
| Rate for Payer: Cash Price |
$2,047.20
|
| Rate for Payer: Cash Price |
$2,047.20
|
| Rate for Payer: Cofinity Commercial |
$1,760.59
|
| Rate for Payer: Cofinity Commercial |
$1,891.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,313.87
|
| Rate for Payer: Mclaren Medicaid |
$840.92
|
| Rate for Payer: Meridian Medicaid |
$882.97
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,379.56
|
| Rate for Payer: PACE SWMI |
$1,313.87
|
| Rate for Payer: PHP Medicare Advantage |
$1,313.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$840.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,791.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,818.38
|
| Rate for Payer: Priority Health Medicare |
$1,313.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,818.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,313.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,313.87
|
| Rate for Payer: UHC Medicare Advantage |
$1,353.29
|
|
|
PR THORACOP SCHEDE TYP/XTRPLEURAL CLSR BRNCPLR FSTL
|
Professional
|
Both
|
$3,168.00
|
|
|
Service Code
|
HCPCS 32906
|
| Min. Negotiated Rate |
$1,036.25 |
| Max. Negotiated Rate |
$2,366.18 |
| Rate for Payer: Aetna Commercial |
$2,174.32
|
| Rate for Payer: Aetna Medicare |
$1,687.54
|
| Rate for Payer: BCBS Complete |
$1,088.06
|
| Rate for Payer: BCBS MAPPO |
$1,622.63
|
| Rate for Payer: BCBS Trust/PPO |
$1,074.56
|
| Rate for Payer: BCN Commercial |
$2,366.18
|
| Rate for Payer: BCN Medicare Advantage |
$1,622.63
|
| Rate for Payer: Cash Price |
$2,534.40
|
| Rate for Payer: Cash Price |
$2,534.40
|
| Rate for Payer: Cofinity Commercial |
$2,174.32
|
| Rate for Payer: Cofinity Commercial |
$2,336.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,622.63
|
| Rate for Payer: Mclaren Medicaid |
$1,036.25
|
| Rate for Payer: Meridian Medicaid |
$1,088.06
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,703.76
|
| Rate for Payer: PACE SWMI |
$1,622.63
|
| Rate for Payer: PHP Medicare Advantage |
$1,622.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,036.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,217.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,242.07
|
| Rate for Payer: Priority Health Medicare |
$1,622.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,242.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,622.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,622.63
|
| Rate for Payer: UHC Medicare Advantage |
$1,671.31
|
|
