|
PR THERAPEUTIC SPINAL PUNCTURE DRAINAGE CSF
|
Professional
|
Both
|
$485.00
|
|
|
Service Code
|
HCPCS 62272
|
| Min. Negotiated Rate |
$54.10 |
| Max. Negotiated Rate |
$363.75 |
| Rate for Payer: Aetna Commercial |
$113.63
|
| Rate for Payer: Aetna Medicare |
$242.50
|
| Rate for Payer: BCBS Complete |
$56.80
|
| Rate for Payer: BCN Commercial |
$139.93
|
| Rate for Payer: Cash Price |
$388.00
|
| Rate for Payer: Cash Price |
$388.00
|
| Rate for Payer: Mclaren Medicaid |
$54.10
|
| Rate for Payer: Meridian Medicaid |
$56.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$363.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$54.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$162.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$162.52
|
| Rate for Payer: UHC Medicaid |
$54.10
|
| Rate for Payer: UHCCP Medicaid |
$54.10
|
|
|
PR THERMAL DSTRJ INTRAOSSEOUS BVN 1ST 2 LMBR/SAC
|
Professional
|
Both
|
$880.00
|
|
|
Service Code
|
HCPCS 64628
|
| Min. Negotiated Rate |
$232.60 |
| Max. Negotiated Rate |
$713.75 |
| Rate for Payer: Aetna Commercial |
$590.21
|
| Rate for Payer: Aetna Medicare |
$440.00
|
| Rate for Payer: BCBS Complete |
$244.23
|
| Rate for Payer: BCN Commercial |
$614.51
|
| Rate for Payer: Cash Price |
$704.00
|
| Rate for Payer: Cash Price |
$704.00
|
| Rate for Payer: Mclaren Medicaid |
$232.60
|
| Rate for Payer: Meridian Medicaid |
$244.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$660.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$232.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$713.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$713.75
|
| Rate for Payer: UHC Medicaid |
$232.60
|
| Rate for Payer: UHCCP Medicaid |
$232.60
|
|
|
PR THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG
|
Professional
|
Both
|
$110.00
|
|
|
Service Code
|
HCPCS 96374
|
| Min. Negotiated Rate |
$43.40 |
| Max. Negotiated Rate |
$82.50 |
| Rate for Payer: Aetna Commercial |
$43.40
|
| Rate for Payer: Aetna Medicare |
$55.00
|
| Rate for Payer: BCN Commercial |
$52.29
|
| Rate for Payer: Cash Price |
$88.00
|
| Rate for Payer: Cash Price |
$88.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$82.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$48.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$48.22
|
|
|
PR THER PX 1/> AREAS EACH 15 MIN NEUROMUSC REEDUCA
|
Professional
|
Both
|
$57.00
|
|
|
Service Code
|
HCPCS 97112
|
| Min. Negotiated Rate |
$25.28 |
| Max. Negotiated Rate |
$89.48 |
| Rate for Payer: Aetna Commercial |
$25.28
|
| Rate for Payer: Aetna Medicare |
$28.50
|
| Rate for Payer: BCN Commercial |
$33.04
|
| Rate for Payer: Cash Price |
$45.60
|
| Rate for Payer: Cash Price |
$45.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$42.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$89.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$89.48
|
|
|
PR THER PX 1/> AREAS EACH 15 MINUTES MASSAGE
|
Professional
|
Both
|
$44.00
|
|
|
Service Code
|
HCPCS 97124
|
| Min. Negotiated Rate |
$14.38 |
| Max. Negotiated Rate |
$89.48 |
| Rate for Payer: Aetna Commercial |
$21.10
|
| Rate for Payer: Aetna Medicare |
$22.00
|
| Rate for Payer: BCN Commercial |
$14.38
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$33.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$89.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$89.48
|
|
|
PR THIGHPLASTY
|
Professional
|
Both
|
$6,309.00
|
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$2,523.60 |
| Max. Negotiated Rate |
$4,731.75 |
| Rate for Payer: Aetna Medicare |
$3,154.50
|
| Rate for Payer: BCBS Complete |
$2,523.60
|
| Rate for Payer: Cash Price |
$5,047.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,731.75
|
|
|
PR THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING
|
Professional
|
Both
|
$545.00
|
|
|
Service Code
|
HCPCS 32555
|
| Min. Negotiated Rate |
$59.85 |
| Max. Negotiated Rate |
$408.75 |
| Rate for Payer: Aetna Commercial |
$142.84
|
| Rate for Payer: Aetna Medicare |
$272.50
|
| Rate for Payer: BCBS Complete |
$62.84
|
| Rate for Payer: BCN Commercial |
$159.85
|
| Rate for Payer: Cash Price |
$436.00
|
| Rate for Payer: Cash Price |
$436.00
|
| Rate for Payer: Mclaren Medicaid |
$59.85
|
| Rate for Payer: Meridian Medicaid |
$62.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$408.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$59.85
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$150.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$150.53
|
| Rate for Payer: UHC Medicaid |
$59.85
|
| Rate for Payer: UHCCP Medicaid |
$59.85
|
|
|
PR THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING
|
Professional
|
Both
|
$783.00
|
|
|
Service Code
|
HCPCS 32554
|
| Min. Negotiated Rate |
$50.48 |
| Max. Negotiated Rate |
$587.25 |
| Rate for Payer: Aetna Commercial |
$115.79
|
| Rate for Payer: Aetna Medicare |
$391.50
|
| Rate for Payer: BCBS Complete |
$53.00
|
| Rate for Payer: BCN Commercial |
$129.97
|
| Rate for Payer: Cash Price |
$626.40
|
| Rate for Payer: Cash Price |
$626.40
|
| Rate for Payer: Mclaren Medicaid |
$50.48
|
| Rate for Payer: Meridian Medicaid |
$53.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$587.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$50.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$122.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$122.39
|
| Rate for Payer: UHC Medicaid |
$50.48
|
| Rate for Payer: UHCCP Medicaid |
$50.48
|
|
|
PR THORACOPLASTY SCHEDE TYPE/EXTRAPLEURAL
|
Professional
|
Both
|
$2,688.00
|
|
|
Service Code
|
HCPCS 32905
|
| Min. Negotiated Rate |
$808.34 |
| Max. Negotiated Rate |
$2,016.00 |
| Rate for Payer: Aetna Commercial |
$1,722.95
|
| Rate for Payer: Aetna Medicare |
$1,344.00
|
| Rate for Payer: BCBS Complete |
$848.76
|
| Rate for Payer: BCN Commercial |
$1,973.00
|
| Rate for Payer: Cash Price |
$2,150.40
|
| Rate for Payer: Cash Price |
$2,150.40
|
| Rate for Payer: Mclaren Medicaid |
$808.34
|
| Rate for Payer: Meridian Medicaid |
$848.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,016.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$808.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,857.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,857.98
|
| Rate for Payer: UHC Medicaid |
$808.34
|
| Rate for Payer: UHCCP Medicaid |
$808.34
|
|
|
PR THORACOP SCHEDE TYP/XTRPLEURAL CLSR BRNCPLR FSTL
|
Professional
|
Both
|
$3,328.00
|
|
|
Service Code
|
HCPCS 32906
|
| Min. Negotiated Rate |
$989.39 |
| Max. Negotiated Rate |
$2,496.00 |
| Rate for Payer: Aetna Commercial |
$2,129.21
|
| Rate for Payer: Aetna Medicare |
$1,664.00
|
| Rate for Payer: BCBS Complete |
$1,038.86
|
| Rate for Payer: BCN Commercial |
$2,429.65
|
| Rate for Payer: Cash Price |
$2,662.40
|
| Rate for Payer: Cash Price |
$2,662.40
|
| Rate for Payer: Mclaren Medicaid |
$989.39
|
| Rate for Payer: Meridian Medicaid |
$1,038.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,496.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$989.39
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,288.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,288.02
|
| Rate for Payer: UHC Medicaid |
$989.39
|
| Rate for Payer: UHCCP Medicaid |
$989.39
|
|
|
PR THORACOSCOPY CONTROL TRAUMATIC HEMORRHAGE
|
Professional
|
Both
|
$2,441.00
|
|
|
Service Code
|
HCPCS 32654
|
| Min. Negotiated Rate |
$719.30 |
| Max. Negotiated Rate |
$1,830.75 |
| Rate for Payer: Aetna Commercial |
$1,491.87
|
| Rate for Payer: Aetna Medicare |
$1,220.50
|
| Rate for Payer: BCBS Complete |
$755.26
|
| Rate for Payer: BCN Commercial |
$1,774.30
|
| Rate for Payer: Cash Price |
$1,952.80
|
| Rate for Payer: Cash Price |
$1,952.80
|
| Rate for Payer: Mclaren Medicaid |
$719.30
|
| Rate for Payer: Meridian Medicaid |
$755.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,830.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$719.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,670.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,670.88
|
| Rate for Payer: UHC Medicaid |
$719.30
|
| Rate for Payer: UHCCP Medicaid |
$719.30
|
|
|
PR THORACOSCOPY DX MEDIASTINAL SPACE W/BIOPSY SPX
|
Professional
|
Both
|
$1,455.00
|
|
|
Service Code
|
HCPCS 32606
|
| Min. Negotiated Rate |
$273.28 |
| Max. Negotiated Rate |
$1,091.25 |
| Rate for Payer: Aetna Commercial |
$596.46
|
| Rate for Payer: Aetna Medicare |
$727.50
|
| Rate for Payer: BCBS Complete |
$286.94
|
| Rate for Payer: BCN Commercial |
$680.74
|
| Rate for Payer: Cash Price |
$1,164.00
|
| Rate for Payer: Cash Price |
$1,164.00
|
| Rate for Payer: Mclaren Medicaid |
$273.28
|
| Rate for Payer: Meridian Medicaid |
$286.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,091.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$273.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$641.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$641.06
|
| Rate for Payer: UHC Medicaid |
$273.28
|
| Rate for Payer: UHCCP Medicaid |
$273.28
|
|
|
PR THORACOSCOPY DX PERICARDIAL SAC W/BIOPSY SPX
|
Professional
|
Both
|
$947.00
|
|
|
Service Code
|
HCPCS 32604
|
| Min. Negotiated Rate |
$284.36 |
| Max. Negotiated Rate |
$710.25 |
| Rate for Payer: Aetna Commercial |
$618.84
|
| Rate for Payer: Aetna Medicare |
$473.50
|
| Rate for Payer: BCBS Complete |
$298.58
|
| Rate for Payer: BCN Commercial |
$704.64
|
| Rate for Payer: Cash Price |
$757.60
|
| Rate for Payer: Cash Price |
$757.60
|
| Rate for Payer: Mclaren Medicaid |
$284.36
|
| Rate for Payer: Meridian Medicaid |
$298.58
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$710.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$284.36
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$663.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$663.56
|
| Rate for Payer: UHC Medicaid |
$284.36
|
| Rate for Payer: UHCCP Medicaid |
$284.36
|
|
|
PR THORACOSCOPY RESEXN THYMUS UNI/BILATERAL
|
Professional
|
Both
|
$4,976.00
|
|
|
Service Code
|
HCPCS 32673
|
| Min. Negotiated Rate |
$734.00 |
| Max. Negotiated Rate |
$3,732.00 |
| Rate for Payer: Aetna Commercial |
$1,568.06
|
| Rate for Payer: Aetna Medicare |
$2,488.00
|
| Rate for Payer: BCBS Complete |
$770.70
|
| Rate for Payer: BCN Commercial |
$1,795.72
|
| Rate for Payer: Cash Price |
$3,980.80
|
| Rate for Payer: Cash Price |
$3,980.80
|
| Rate for Payer: Mclaren Medicaid |
$734.00
|
| Rate for Payer: Meridian Medicaid |
$770.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,732.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$734.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,691.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,691.03
|
| Rate for Payer: UHC Medicaid |
$734.00
|
| Rate for Payer: UHCCP Medicaid |
$734.00
|
|
|
PR THORACOSCOPY RMVL INTRAPLEURAL FB/FIBRIN DEPOSIT
|
Professional
|
Both
|
$3,091.00
|
|
|
Service Code
|
HCPCS 32653
|
| Min. Negotiated Rate |
$641.77 |
| Max. Negotiated Rate |
$2,318.25 |
| Rate for Payer: Aetna Commercial |
$1,367.46
|
| Rate for Payer: Aetna Medicare |
$1,545.50
|
| Rate for Payer: BCBS Complete |
$673.86
|
| Rate for Payer: BCN Commercial |
$1,571.13
|
| Rate for Payer: Cash Price |
$2,472.80
|
| Rate for Payer: Cash Price |
$2,472.80
|
| Rate for Payer: Mclaren Medicaid |
$641.77
|
| Rate for Payer: Meridian Medicaid |
$673.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,318.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$641.77
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,479.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,479.54
|
| Rate for Payer: UHC Medicaid |
$641.77
|
| Rate for Payer: UHCCP Medicaid |
$641.77
|
|
|
PR THORACOSCOPY W/BILOBECTOMY
|
Professional
|
Both
|
$6,650.00
|
|
|
Service Code
|
HCPCS 32670
|
| Min. Negotiated Rate |
$956.58 |
| Max. Negotiated Rate |
$4,987.50 |
| Rate for Payer: Aetna Commercial |
$2,072.10
|
| Rate for Payer: Aetna Medicare |
$3,325.00
|
| Rate for Payer: BCBS Complete |
$1,004.41
|
| Rate for Payer: BCN Commercial |
$2,359.44
|
| Rate for Payer: Cash Price |
$5,320.00
|
| Rate for Payer: Cash Price |
$5,320.00
|
| Rate for Payer: Mclaren Medicaid |
$956.58
|
| Rate for Payer: Meridian Medicaid |
$1,004.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,987.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$956.58
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,221.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,221.89
|
| Rate for Payer: UHC Medicaid |
$956.58
|
| Rate for Payer: UHCCP Medicaid |
$956.58
|
|
|
PR THORACOSCOPY W/DX BX OF LUNG INFILTRATE UNILATRL
|
Professional
|
Both
|
$1,284.00
|
|
|
Service Code
|
HCPCS 32607
|
| Min. Negotiated Rate |
$184.46 |
| Max. Negotiated Rate |
$963.00 |
| Rate for Payer: Aetna Commercial |
$397.15
|
| Rate for Payer: Aetna Medicare |
$642.00
|
| Rate for Payer: BCBS Complete |
$193.68
|
| Rate for Payer: BCN Commercial |
$454.16
|
| Rate for Payer: Cash Price |
$1,027.20
|
| Rate for Payer: Cash Price |
$1,027.20
|
| Rate for Payer: Mclaren Medicaid |
$184.46
|
| Rate for Payer: Meridian Medicaid |
$193.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$963.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$184.46
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$427.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$427.68
|
| Rate for Payer: UHC Medicaid |
$184.46
|
| Rate for Payer: UHCCP Medicaid |
$184.46
|
|
|
PR THORACOSCOPY W/DX BX OF LUNG NODULES UNILATRL
|
Professional
|
Both
|
$1,578.00
|
|
|
Service Code
|
HCPCS 32608
|
| Min. Negotiated Rate |
$225.14 |
| Max. Negotiated Rate |
$1,183.50 |
| Rate for Payer: Aetna Commercial |
$489.53
|
| Rate for Payer: Aetna Medicare |
$789.00
|
| Rate for Payer: BCBS Complete |
$236.40
|
| Rate for Payer: BCN Commercial |
$558.23
|
| Rate for Payer: Cash Price |
$1,262.40
|
| Rate for Payer: Cash Price |
$1,262.40
|
| Rate for Payer: Mclaren Medicaid |
$225.14
|
| Rate for Payer: Meridian Medicaid |
$236.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,183.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$225.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$525.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$525.69
|
| Rate for Payer: UHC Medicaid |
$225.14
|
| Rate for Payer: UHCCP Medicaid |
$225.14
|
|
|
PR THORACOSCOPY W/DX WEDGE RESEXN ANATO LUNG RESEXN
|
Professional
|
Both
|
$652.00
|
|
|
Service Code
|
HCPCS 32668
|
| Min. Negotiated Rate |
$90.53 |
| Max. Negotiated Rate |
$489.00 |
| Rate for Payer: Aetna Commercial |
$203.50
|
| Rate for Payer: Aetna Medicare |
$326.00
|
| Rate for Payer: BCBS Complete |
$95.06
|
| Rate for Payer: BCN Commercial |
$228.57
|
| Rate for Payer: Cash Price |
$521.60
|
| Rate for Payer: Cash Price |
$521.60
|
| Rate for Payer: Mclaren Medicaid |
$90.53
|
| Rate for Payer: Meridian Medicaid |
$95.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$489.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$90.53
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$215.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$215.25
|
| Rate for Payer: UHC Medicaid |
$90.53
|
| Rate for Payer: UHCCP Medicaid |
$90.53
|
|
|
PR THORACOSCOPY W/EXC MEDIASTINAL CYST TUMOR/MASS
|
Professional
|
Both
|
$4,183.00
|
|
|
Service Code
|
HCPCS 32662
|
| Min. Negotiated Rate |
$548.90 |
| Max. Negotiated Rate |
$3,137.25 |
| Rate for Payer: Aetna Commercial |
$1,150.48
|
| Rate for Payer: Aetna Medicare |
$2,091.50
|
| Rate for Payer: BCBS Complete |
$576.35
|
| Rate for Payer: BCN Commercial |
$1,327.12
|
| Rate for Payer: Cash Price |
$3,346.40
|
| Rate for Payer: Cash Price |
$3,346.40
|
| Rate for Payer: Mclaren Medicaid |
$548.90
|
| Rate for Payer: Meridian Medicaid |
$576.35
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,137.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$548.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,249.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,249.75
|
| Rate for Payer: UHC Medicaid |
$548.90
|
| Rate for Payer: UHCCP Medicaid |
$548.90
|
|
|
PR THORACOSCOPY W/EXC PERICARDIAL CYST TUMOR/MASS
|
Professional
|
Both
|
$3,968.00
|
|
|
Service Code
|
HCPCS 32661
|
| Min. Negotiated Rate |
$492.03 |
| Max. Negotiated Rate |
$2,976.00 |
| Rate for Payer: Aetna Commercial |
$1,028.58
|
| Rate for Payer: Aetna Medicare |
$1,984.00
|
| Rate for Payer: BCBS Complete |
$516.63
|
| Rate for Payer: BCN Commercial |
$1,185.69
|
| Rate for Payer: Cash Price |
$3,174.40
|
| Rate for Payer: Cash Price |
$3,174.40
|
| Rate for Payer: Mclaren Medicaid |
$492.03
|
| Rate for Payer: Meridian Medicaid |
$516.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,976.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$492.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,116.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,116.57
|
| Rate for Payer: UHC Medicaid |
$492.03
|
| Rate for Payer: UHCCP Medicaid |
$492.03
|
|
|
PR THORACOSCOPY WITH BIOPSYIES OF PLEURA
|
Professional
|
Both
|
$1,091.00
|
|
|
Service Code
|
HCPCS 32609
|
| Min. Negotiated Rate |
$152.30 |
| Max. Negotiated Rate |
$818.25 |
| Rate for Payer: Aetna Commercial |
$330.94
|
| Rate for Payer: Aetna Medicare |
$545.50
|
| Rate for Payer: BCBS Complete |
$159.91
|
| Rate for Payer: BCN Commercial |
$375.97
|
| Rate for Payer: Cash Price |
$872.80
|
| Rate for Payer: Cash Price |
$872.80
|
| Rate for Payer: Mclaren Medicaid |
$152.30
|
| Rate for Payer: Meridian Medicaid |
$159.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$818.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$152.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$354.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$354.06
|
| Rate for Payer: UHC Medicaid |
$152.30
|
| Rate for Payer: UHCCP Medicaid |
$152.30
|
|
|
PR THORACOSCOPY W/LOBECTOMY SINGLE LOBE
|
Professional
|
Both
|
$4,728.00
|
|
|
Service Code
|
HCPCS 32663
|
| Min. Negotiated Rate |
$840.92 |
| Max. Negotiated Rate |
$3,546.00 |
| Rate for Payer: Aetna Commercial |
$1,807.94
|
| Rate for Payer: Aetna Medicare |
$2,364.00
|
| Rate for Payer: BCBS Complete |
$882.97
|
| Rate for Payer: BCN Commercial |
$2,063.63
|
| Rate for Payer: Cash Price |
$3,782.40
|
| Rate for Payer: Cash Price |
$3,782.40
|
| Rate for Payer: Mclaren Medicaid |
$840.92
|
| Rate for Payer: Meridian Medicaid |
$882.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,546.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$840.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,943.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,943.33
|
| Rate for Payer: UHC Medicaid |
$840.92
|
| Rate for Payer: UHCCP Medicaid |
$840.92
|
|
|
PR THORACOSCOPY W/PARIETAL PLEURECTOMY
|
Professional
|
Both
|
$2,977.00
|
|
|
Service Code
|
HCPCS 32656
|
| Min. Negotiated Rate |
$496.93 |
| Max. Negotiated Rate |
$2,232.75 |
| Rate for Payer: Aetna Commercial |
$1,034.05
|
| Rate for Payer: Aetna Medicare |
$1,488.50
|
| Rate for Payer: BCBS Complete |
$521.78
|
| Rate for Payer: BCN Commercial |
$1,195.65
|
| Rate for Payer: Cash Price |
$2,381.60
|
| Rate for Payer: Cash Price |
$2,381.60
|
| Rate for Payer: Mclaren Medicaid |
$496.93
|
| Rate for Payer: Meridian Medicaid |
$521.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,232.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$496.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,125.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,125.95
|
| Rate for Payer: UHC Medicaid |
$496.93
|
| Rate for Payer: UHCCP Medicaid |
$496.93
|
|
|
PR THORACOSCOPY W/PARTIAL PULMONARY DECORTICATION
|
Professional
|
Both
|
$3,317.00
|
|
|
Service Code
|
HCPCS 32651
|
| Min. Negotiated Rate |
$663.07 |
| Max. Negotiated Rate |
$2,487.75 |
| Rate for Payer: Aetna Commercial |
$1,412.72
|
| Rate for Payer: Aetna Medicare |
$1,658.50
|
| Rate for Payer: BCBS Complete |
$696.22
|
| Rate for Payer: BCN Commercial |
$1,622.42
|
| Rate for Payer: Cash Price |
$2,653.60
|
| Rate for Payer: Cash Price |
$2,653.60
|
| Rate for Payer: Mclaren Medicaid |
$663.07
|
| Rate for Payer: Meridian Medicaid |
$696.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,487.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$663.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,527.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,527.84
|
| Rate for Payer: UHC Medicaid |
$663.07
|
| Rate for Payer: UHCCP Medicaid |
$663.07
|
|
