|
PR THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN
|
Professional
|
Both
|
$56.00
|
|
|
Service Code
|
HCPCS 97530
|
| Min. Negotiated Rate |
$22.40 |
| Max. Negotiated Rate |
$3,205.12 |
| Rate for Payer: Aetna Commercial |
$44.06
|
| Rate for Payer: Aetna Medicare |
$34.20
|
| Rate for Payer: BCBS Complete |
$22.40
|
| Rate for Payer: BCBS MAPPO |
$32.88
|
| Rate for Payer: BCBS Trust/PPO |
$3,205.12
|
| Rate for Payer: BCN Commercial |
$36.21
|
| Rate for Payer: BCN Medicare Advantage |
$32.88
|
| Rate for Payer: Cash Price |
$44.80
|
| Rate for Payer: Cash Price |
$44.80
|
| Rate for Payer: Cofinity Commercial |
$44.06
|
| Rate for Payer: Cofinity Commercial |
$47.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34.52
|
| Rate for Payer: Nomi Health Commercial |
$39.46
|
| Rate for Payer: PACE SWMI |
$32.88
|
| Rate for Payer: PHP Medicare Advantage |
$32.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$36.40
|
| Rate for Payer: Priority Health HMO/PPO |
$77.25
|
| Rate for Payer: Priority Health Medicare |
$33.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$77.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$32.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$32.88
|
| Rate for Payer: UHC Exchange |
$32.88
|
| Rate for Payer: UHC Medicare Advantage |
$32.88
|
|
|
PR THERAPEUTIC APHERESIS PLASMA PHERESIS
|
Professional
|
Both
|
$869.00
|
|
|
Service Code
|
HCPCS 36514
|
| Min. Negotiated Rate |
$59.00 |
| Max. Negotiated Rate |
$1,024.37 |
| Rate for Payer: Aetna Commercial |
$118.17
|
| Rate for Payer: Aetna Medicare |
$91.72
|
| Rate for Payer: BCBS Complete |
$61.95
|
| Rate for Payer: BCBS MAPPO |
$88.19
|
| Rate for Payer: BCBS Trust/PPO |
$1,024.37
|
| Rate for Payer: BCN Commercial |
$823.91
|
| Rate for Payer: BCN Medicare Advantage |
$88.19
|
| Rate for Payer: Cash Price |
$695.20
|
| Rate for Payer: Cash Price |
$695.20
|
| Rate for Payer: Cofinity Commercial |
$126.99
|
| Rate for Payer: Cofinity Commercial |
$118.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$88.19
|
| Rate for Payer: Mclaren Medicaid |
$59.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$92.60
|
| Rate for Payer: Meridian Medicaid |
$61.95
|
| Rate for Payer: Nomi Health Commercial |
$105.83
|
| Rate for Payer: PACE SWMI |
$88.19
|
| Rate for Payer: PHP Medicare Advantage |
$88.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$59.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$564.85
|
| Rate for Payer: Priority Health HMO/PPO |
$146.25
|
| Rate for Payer: Priority Health Medicare |
$89.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$146.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$88.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$88.19
|
| Rate for Payer: UHC Exchange |
$88.19
|
| Rate for Payer: UHC Medicare Advantage |
$88.19
|
| Rate for Payer: UHCCP Medicaid |
$59.00
|
|
|
PR THERAPEUTIC PROCEDURES GROUP 2/> INDIVIDUALS
|
Professional
|
Both
|
$34.00
|
|
|
Service Code
|
HCPCS 97150
|
| Min. Negotiated Rate |
$13.60 |
| Max. Negotiated Rate |
$831.02 |
| Rate for Payer: Aetna Commercial |
$22.55
|
| Rate for Payer: Aetna Medicare |
$17.50
|
| Rate for Payer: BCBS Complete |
$13.60
|
| Rate for Payer: BCBS MAPPO |
$16.83
|
| Rate for Payer: BCBS Trust/PPO |
$831.02
|
| Rate for Payer: BCN Commercial |
$17.29
|
| Rate for Payer: BCN Medicare Advantage |
$16.83
|
| Rate for Payer: Cash Price |
$27.20
|
| Rate for Payer: Cash Price |
$27.20
|
| Rate for Payer: Cofinity Commercial |
$24.24
|
| Rate for Payer: Cofinity Commercial |
$22.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17.67
|
| Rate for Payer: Nomi Health Commercial |
$20.20
|
| Rate for Payer: PACE SWMI |
$16.83
|
| Rate for Payer: PHP Medicare Advantage |
$16.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$22.10
|
| Rate for Payer: Priority Health HMO/PPO |
$77.25
|
| Rate for Payer: Priority Health Medicare |
$17.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$77.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$16.83
|
| Rate for Payer: UHC Exchange |
$16.83
|
| Rate for Payer: UHC Medicare Advantage |
$16.83
|
|
|
PR THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM
|
Professional
|
Both
|
$44.00
|
|
|
Service Code
|
HCPCS 96372
|
| Min. Negotiated Rate |
$13.25 |
| Max. Negotiated Rate |
$1,275.84 |
| Rate for Payer: Aetna Commercial |
$17.76
|
| Rate for Payer: Aetna Medicare |
$13.78
|
| Rate for Payer: BCBS Complete |
$17.60
|
| Rate for Payer: BCBS MAPPO |
$13.25
|
| Rate for Payer: BCBS Trust/PPO |
$1,275.84
|
| Rate for Payer: BCN Commercial |
$13.70
|
| Rate for Payer: BCN Medicare Advantage |
$13.25
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cofinity Commercial |
$19.08
|
| Rate for Payer: Cofinity Commercial |
$17.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13.91
|
| Rate for Payer: Nomi Health Commercial |
$15.90
|
| Rate for Payer: PACE SWMI |
$13.25
|
| Rate for Payer: PHP Medicare Advantage |
$13.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.60
|
| Rate for Payer: Priority Health HMO/PPO |
$19.44
|
| Rate for Payer: Priority Health Medicare |
$13.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$19.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$13.25
|
| Rate for Payer: UHC Exchange |
$13.25
|
| Rate for Payer: UHC Medicare Advantage |
$13.25
|
|
|
PR THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES
|
Professional
|
Both
|
$53.00
|
|
|
Service Code
|
HCPCS 97110
|
| Min. Negotiated Rate |
$21.20 |
| Max. Negotiated Rate |
$1,141.13 |
| Rate for Payer: Aetna Commercial |
$37.00
|
| Rate for Payer: Aetna Medicare |
$28.71
|
| Rate for Payer: BCBS Complete |
$21.20
|
| Rate for Payer: BCBS MAPPO |
$27.61
|
| Rate for Payer: BCBS Trust/PPO |
$1,141.13
|
| Rate for Payer: BCN Commercial |
$28.71
|
| Rate for Payer: BCN Medicare Advantage |
$27.61
|
| Rate for Payer: Cash Price |
$42.40
|
| Rate for Payer: Cash Price |
$42.40
|
| Rate for Payer: Cofinity Commercial |
$39.76
|
| Rate for Payer: Cofinity Commercial |
$37.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28.99
|
| Rate for Payer: Nomi Health Commercial |
$33.13
|
| Rate for Payer: PACE SWMI |
$27.61
|
| Rate for Payer: PHP Medicare Advantage |
$27.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$34.45
|
| Rate for Payer: Priority Health HMO/PPO |
$77.25
|
| Rate for Payer: Priority Health Medicare |
$27.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$77.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$27.61
|
| Rate for Payer: UHC Exchange |
$27.61
|
| Rate for Payer: UHC Medicare Advantage |
$27.61
|
|
|
PR THERAPEUTIC SPINAL PNXR DRAINAGE CSF W/FLUOR/CT
|
Professional
|
Both
|
$228.00
|
|
|
Service Code
|
HCPCS 62329
|
| Min. Negotiated Rate |
$66.24 |
| Max. Negotiated Rate |
$1,621.88 |
| Rate for Payer: Aetna Commercial |
$133.93
|
| Rate for Payer: Aetna Medicare |
$103.95
|
| Rate for Payer: BCBS Complete |
$69.55
|
| Rate for Payer: BCBS MAPPO |
$99.95
|
| Rate for Payer: BCBS Trust/PPO |
$1,621.88
|
| Rate for Payer: BCN Commercial |
$419.77
|
| Rate for Payer: BCN Medicare Advantage |
$99.95
|
| Rate for Payer: Cash Price |
$182.40
|
| Rate for Payer: Cash Price |
$182.40
|
| Rate for Payer: Cofinity Commercial |
$133.93
|
| Rate for Payer: Cofinity Commercial |
$143.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$99.95
|
| Rate for Payer: Mclaren Medicaid |
$66.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$104.95
|
| Rate for Payer: Meridian Medicaid |
$69.55
|
| Rate for Payer: Nomi Health Commercial |
$119.94
|
| Rate for Payer: PACE SWMI |
$99.95
|
| Rate for Payer: PHP Medicare Advantage |
$99.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$66.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$148.20
|
| Rate for Payer: Priority Health HMO/PPO |
$175.74
|
| Rate for Payer: Priority Health Medicare |
$100.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$175.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$99.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$99.95
|
| Rate for Payer: UHC Exchange |
$99.95
|
| Rate for Payer: UHC Medicare Advantage |
$99.95
|
| Rate for Payer: UHCCP Medicaid |
$66.24
|
|
|
PR THERAPEUTIC SPINAL PUNCTURE DRAINAGE CSF
|
Professional
|
Both
|
$471.00
|
|
|
Service Code
|
HCPCS 62272
|
| Min. Negotiated Rate |
$59.85 |
| Max. Negotiated Rate |
$996.90 |
| Rate for Payer: Aetna Commercial |
$122.73
|
| Rate for Payer: Aetna Medicare |
$95.25
|
| Rate for Payer: BCBS Complete |
$62.84
|
| Rate for Payer: BCBS MAPPO |
$91.59
|
| Rate for Payer: BCBS Trust/PPO |
$996.90
|
| Rate for Payer: BCN Commercial |
$261.44
|
| Rate for Payer: BCN Medicare Advantage |
$91.59
|
| Rate for Payer: Cash Price |
$376.80
|
| Rate for Payer: Cash Price |
$376.80
|
| Rate for Payer: Cofinity Commercial |
$122.73
|
| Rate for Payer: Cofinity Commercial |
$131.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$91.59
|
| Rate for Payer: Mclaren Medicaid |
$59.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$96.17
|
| Rate for Payer: Meridian Medicaid |
$62.84
|
| Rate for Payer: Nomi Health Commercial |
$109.91
|
| Rate for Payer: PACE SWMI |
$91.59
|
| Rate for Payer: PHP Medicare Advantage |
$91.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$59.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$306.15
|
| Rate for Payer: Priority Health HMO/PPO |
$156.40
|
| Rate for Payer: Priority Health Medicare |
$92.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$156.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$91.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$91.59
|
| Rate for Payer: UHC Exchange |
$91.59
|
| Rate for Payer: UHC Medicare Advantage |
$91.59
|
| Rate for Payer: UHCCP Medicaid |
$59.85
|
|
|
PR THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG
|
Professional
|
Both
|
$107.00
|
|
|
Service Code
|
HCPCS 96374
|
| Min. Negotiated Rate |
$31.63 |
| Max. Negotiated Rate |
$1,546.86 |
| Rate for Payer: Aetna Commercial |
$42.38
|
| Rate for Payer: Aetna Medicare |
$32.90
|
| Rate for Payer: BCBS Complete |
$42.80
|
| Rate for Payer: BCBS MAPPO |
$31.63
|
| Rate for Payer: BCBS Trust/PPO |
$1,546.86
|
| Rate for Payer: BCN Commercial |
$54.24
|
| Rate for Payer: BCN Medicare Advantage |
$31.63
|
| Rate for Payer: Cash Price |
$85.60
|
| Rate for Payer: Cash Price |
$85.60
|
| Rate for Payer: Cofinity Commercial |
$42.38
|
| Rate for Payer: Cofinity Commercial |
$45.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33.21
|
| Rate for Payer: Nomi Health Commercial |
$37.96
|
| Rate for Payer: PACE SWMI |
$31.63
|
| Rate for Payer: PHP Medicare Advantage |
$31.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$69.55
|
| Rate for Payer: Priority Health HMO/PPO |
$49.76
|
| Rate for Payer: Priority Health Medicare |
$31.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$49.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$31.63
|
| Rate for Payer: UHC Exchange |
$31.63
|
| Rate for Payer: UHC Medicare Advantage |
$31.63
|
|
|
PR THER PX 1/> AREAS EACH 15 MIN NEUROMUSC REEDUCA
|
Professional
|
Both
|
$55.00
|
|
|
Service Code
|
HCPCS 97112
|
| Min. Negotiated Rate |
$22.00 |
| Max. Negotiated Rate |
$1,233.58 |
| Rate for Payer: Aetna Commercial |
$41.14
|
| Rate for Payer: Aetna Medicare |
$31.93
|
| Rate for Payer: BCBS Complete |
$22.00
|
| Rate for Payer: BCBS MAPPO |
$30.70
|
| Rate for Payer: BCBS Trust/PPO |
$1,233.58
|
| Rate for Payer: BCN Commercial |
$32.95
|
| Rate for Payer: BCN Medicare Advantage |
$30.70
|
| Rate for Payer: Cash Price |
$44.00
|
| Rate for Payer: Cash Price |
$44.00
|
| Rate for Payer: Cofinity Commercial |
$44.21
|
| Rate for Payer: Cofinity Commercial |
$41.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.24
|
| Rate for Payer: Nomi Health Commercial |
$36.84
|
| Rate for Payer: PACE SWMI |
$30.70
|
| Rate for Payer: PHP Medicare Advantage |
$30.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$35.75
|
| Rate for Payer: Priority Health HMO/PPO |
$77.25
|
| Rate for Payer: Priority Health Medicare |
$31.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$77.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$30.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$30.70
|
| Rate for Payer: UHC Exchange |
$30.70
|
| Rate for Payer: UHC Medicare Advantage |
$30.70
|
|
|
PR THER PX 1/> AREAS EACH 15 MINUTES MASSAGE
|
Professional
|
Both
|
$43.00
|
|
|
Service Code
|
HCPCS 97124
|
| Min. Negotiated Rate |
$14.23 |
| Max. Negotiated Rate |
$1,345.58 |
| Rate for Payer: Aetna Commercial |
$37.79
|
| Rate for Payer: Aetna Medicare |
$29.33
|
| Rate for Payer: BCBS Complete |
$17.20
|
| Rate for Payer: BCBS MAPPO |
$28.20
|
| Rate for Payer: BCBS Trust/PPO |
$1,345.58
|
| Rate for Payer: BCN Commercial |
$14.23
|
| Rate for Payer: BCN Medicare Advantage |
$28.20
|
| Rate for Payer: Cash Price |
$34.40
|
| Rate for Payer: Cash Price |
$34.40
|
| Rate for Payer: Cofinity Commercial |
$40.61
|
| Rate for Payer: Cofinity Commercial |
$37.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29.61
|
| Rate for Payer: Nomi Health Commercial |
$33.84
|
| Rate for Payer: PACE SWMI |
$28.20
|
| Rate for Payer: PHP Medicare Advantage |
$28.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.95
|
| Rate for Payer: Priority Health HMO/PPO |
$77.25
|
| Rate for Payer: Priority Health Medicare |
$28.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$77.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$28.20
|
| Rate for Payer: UHC Exchange |
$28.20
|
| Rate for Payer: UHC Medicare Advantage |
$28.20
|
|
|
PR THIGHPLASTY
|
Professional
|
Both
|
$4,590.00
|
|
|
Service Code
|
HCPCS 00538
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$1,836.00 |
| Max. Negotiated Rate |
$2,983.50 |
| Rate for Payer: Aetna Medicare |
$2,295.00
|
| Rate for Payer: BCBS Complete |
$1,836.00
|
| Rate for Payer: Cash Price |
$3,672.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,983.50
|
|
|
PR THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING
|
Professional
|
Both
|
$529.00
|
|
|
Service Code
|
HCPCS 32555
|
| Min. Negotiated Rate |
$68.37 |
| Max. Negotiated Rate |
$826.79 |
| Rate for Payer: Aetna Commercial |
$137.90
|
| Rate for Payer: Aetna Medicare |
$107.03
|
| Rate for Payer: BCBS Complete |
$71.79
|
| Rate for Payer: BCBS MAPPO |
$102.91
|
| Rate for Payer: BCBS Trust/PPO |
$826.79
|
| Rate for Payer: BCN Commercial |
$463.76
|
| Rate for Payer: BCN Medicare Advantage |
$102.91
|
| Rate for Payer: Cash Price |
$423.20
|
| Rate for Payer: Cash Price |
$423.20
|
| Rate for Payer: Cofinity Commercial |
$148.19
|
| Rate for Payer: Cofinity Commercial |
$137.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$102.91
|
| Rate for Payer: Mclaren Medicaid |
$68.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$108.06
|
| Rate for Payer: Meridian Medicaid |
$71.79
|
| Rate for Payer: Nomi Health Commercial |
$123.49
|
| Rate for Payer: PACE SWMI |
$102.91
|
| Rate for Payer: PHP Medicare Advantage |
$102.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$68.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$343.85
|
| Rate for Payer: Priority Health HMO/PPO |
$148.31
|
| Rate for Payer: Priority Health Medicare |
$103.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$148.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$102.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$102.91
|
| Rate for Payer: UHC Exchange |
$102.91
|
| Rate for Payer: UHC Medicare Advantage |
$102.91
|
| Rate for Payer: UHCCP Medicaid |
$68.37
|
|
|
PR THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING
|
Professional
|
Both
|
$760.00
|
|
|
Service Code
|
HCPCS 32554
|
| Min. Negotiated Rate |
$55.59 |
| Max. Negotiated Rate |
$813.58 |
| Rate for Payer: Aetna Commercial |
$112.47
|
| Rate for Payer: Aetna Medicare |
$87.29
|
| Rate for Payer: BCBS Complete |
$58.37
|
| Rate for Payer: BCBS MAPPO |
$83.93
|
| Rate for Payer: BCBS Trust/PPO |
$813.58
|
| Rate for Payer: BCN Commercial |
$343.54
|
| Rate for Payer: BCN Medicare Advantage |
$83.93
|
| Rate for Payer: Cash Price |
$608.00
|
| Rate for Payer: Cash Price |
$608.00
|
| Rate for Payer: Cofinity Commercial |
$120.86
|
| Rate for Payer: Cofinity Commercial |
$112.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$83.93
|
| Rate for Payer: Mclaren Medicaid |
$55.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$88.13
|
| Rate for Payer: Meridian Medicaid |
$58.37
|
| Rate for Payer: Nomi Health Commercial |
$100.72
|
| Rate for Payer: PACE SWMI |
$83.93
|
| Rate for Payer: PHP Medicare Advantage |
$83.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$55.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$494.00
|
| Rate for Payer: Priority Health HMO/PPO |
$120.96
|
| Rate for Payer: Priority Health Medicare |
$84.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$120.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$83.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$83.93
|
| Rate for Payer: UHC Exchange |
$83.93
|
| Rate for Payer: UHC Medicare Advantage |
$83.93
|
| Rate for Payer: UHCCP Medicaid |
$55.59
|
|
|
PR THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING
|
Facility
|
IP
|
$760.00
|
|
|
Service Code
|
CPT 32554
|
| Hospital Charge Code |
32554
|
| Min. Negotiated Rate |
$494.00 |
| Max. Negotiated Rate |
$684.00 |
| Rate for Payer: Aetna Commercial |
$646.00
|
| Rate for Payer: BCBS Trust/PPO |
$620.39
|
| Rate for Payer: BCN Commercial |
$587.33
|
| Rate for Payer: Cash Price |
$608.00
|
| Rate for Payer: Cofinity Commercial |
$653.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$608.00
|
| Rate for Payer: Healthscope Commercial |
$684.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$570.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$646.00
|
| Rate for Payer: Nomi Health Commercial |
$623.20
|
| Rate for Payer: PHP Commercial |
$646.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$494.00
|
| Rate for Payer: Priority Health HMO/PPO |
$661.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$509.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$668.80
|
| Rate for Payer: UHC Core |
$634.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$570.00
|
|
|
PR THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING
|
Professional
|
Both
|
$760.00
|
|
|
Service Code
|
HCPCS 32554
|
| Hospital Charge Code |
32554
|
| Min. Negotiated Rate |
$55.59 |
| Max. Negotiated Rate |
$813.58 |
| Rate for Payer: Aetna Commercial |
$112.47
|
| Rate for Payer: Aetna Medicare |
$87.29
|
| Rate for Payer: BCBS Complete |
$58.37
|
| Rate for Payer: BCBS MAPPO |
$83.93
|
| Rate for Payer: BCBS Trust/PPO |
$813.58
|
| Rate for Payer: BCN Commercial |
$343.54
|
| Rate for Payer: BCN Medicare Advantage |
$83.93
|
| Rate for Payer: Cash Price |
$608.00
|
| Rate for Payer: Cash Price |
$608.00
|
| Rate for Payer: Cofinity Commercial |
$120.86
|
| Rate for Payer: Cofinity Commercial |
$112.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$83.93
|
| Rate for Payer: Mclaren Medicaid |
$55.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$88.13
|
| Rate for Payer: Meridian Medicaid |
$58.37
|
| Rate for Payer: Nomi Health Commercial |
$100.72
|
| Rate for Payer: PACE SWMI |
$83.93
|
| Rate for Payer: PHP Medicare Advantage |
$83.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$55.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$494.00
|
| Rate for Payer: Priority Health HMO/PPO |
$120.96
|
| Rate for Payer: Priority Health Medicare |
$84.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$120.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$83.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$83.93
|
| Rate for Payer: UHC Exchange |
$83.93
|
| Rate for Payer: UHC Medicare Advantage |
$83.93
|
| Rate for Payer: UHCCP Medicaid |
$55.59
|
|
|
PR THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING
|
Facility
|
OP
|
$760.00
|
|
|
Service Code
|
CPT 32554
|
| Hospital Charge Code |
32554
|
| Min. Negotiated Rate |
$180.50 |
| Max. Negotiated Rate |
$684.00 |
| Rate for Payer: Aetna Commercial |
$646.00
|
| Rate for Payer: Aetna Medicare |
$197.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$237.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$237.50
|
| Rate for Payer: BCBS Complete |
$459.89
|
| Rate for Payer: BCBS MAPPO |
$190.00
|
| Rate for Payer: BCBS Trust/PPO |
$624.80
|
| Rate for Payer: BCN Commercial |
$590.90
|
| Rate for Payer: BCN Medicare Advantage |
$190.00
|
| Rate for Payer: Cash Price |
$608.00
|
| Rate for Payer: Cash Price |
$608.00
|
| Rate for Payer: Cofinity Commercial |
$653.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$608.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$190.00
|
| Rate for Payer: Healthscope Commercial |
$684.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$570.00
|
| Rate for Payer: Mclaren Medicaid |
$437.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$199.50
|
| Rate for Payer: Meridian Medicaid |
$459.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$218.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$646.00
|
| Rate for Payer: Nomi Health Commercial |
$623.20
|
| Rate for Payer: PACE Senior Care Partners |
$180.50
|
| Rate for Payer: PACE SWMI |
$190.00
|
| Rate for Payer: PHP Commercial |
$646.00
|
| Rate for Payer: PHP Medicare Advantage |
$190.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$437.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$494.00
|
| Rate for Payer: Priority Health HMO/PPO |
$661.20
|
| Rate for Payer: Priority Health Medicare |
$191.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$509.20
|
| Rate for Payer: Railroad Medicare Medicare |
$190.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$668.80
|
| Rate for Payer: UHC Core |
$634.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$190.00
|
| Rate for Payer: UHC Exchange |
$190.00
|
| Rate for Payer: UHC Medicare Advantage |
$190.00
|
| Rate for Payer: UHCCP Medicaid |
$437.96
|
| Rate for Payer: VA VA |
$190.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$570.00
|
|
|
PR THORACOPLASTY SCHEDE TYPE/EXTRAPLEURAL
|
Professional
|
Both
|
$2,610.00
|
|
|
Service Code
|
HCPCS 32905
|
| Min. Negotiated Rate |
$843.91 |
| Max. Negotiated Rate |
$1,919.03 |
| Rate for Payer: Aetna Commercial |
$1,718.93
|
| Rate for Payer: Aetna Medicare |
$1,334.09
|
| Rate for Payer: BCBS Complete |
$886.11
|
| Rate for Payer: BCBS MAPPO |
$1,282.78
|
| Rate for Payer: BCBS Trust/PPO |
$1,120.52
|
| Rate for Payer: BCN Commercial |
$1,919.03
|
| Rate for Payer: BCN Medicare Advantage |
$1,282.78
|
| Rate for Payer: Cash Price |
$2,088.00
|
| Rate for Payer: Cash Price |
$2,088.00
|
| Rate for Payer: Cofinity Commercial |
$1,847.20
|
| Rate for Payer: Cofinity Commercial |
$1,718.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,282.78
|
| Rate for Payer: Mclaren Medicaid |
$843.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,346.92
|
| Rate for Payer: Meridian Medicaid |
$886.11
|
| Rate for Payer: Nomi Health Commercial |
$1,539.34
|
| Rate for Payer: PACE SWMI |
$1,282.78
|
| Rate for Payer: PHP Medicare Advantage |
$1,282.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$843.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,696.50
|
| Rate for Payer: Priority Health HMO/PPO |
$1,829.76
|
| Rate for Payer: Priority Health Medicare |
$1,295.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,829.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,282.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,282.78
|
| Rate for Payer: UHC Exchange |
$1,282.78
|
| Rate for Payer: UHC Medicare Advantage |
$1,282.78
|
| Rate for Payer: UHCCP Medicaid |
$843.91
|
|
|
PR THORACOP SCHEDE TYP/XTRPLEURAL CLSR BRNCPLR FSTL
|
Professional
|
Both
|
$3,231.00
|
|
|
Service Code
|
HCPCS 32906
|
| Min. Negotiated Rate |
$1,039.23 |
| Max. Negotiated Rate |
$2,366.18 |
| Rate for Payer: Aetna Commercial |
$2,120.90
|
| Rate for Payer: Aetna Medicare |
$1,646.07
|
| Rate for Payer: BCBS Complete |
$1,091.19
|
| Rate for Payer: BCBS MAPPO |
$1,582.76
|
| Rate for Payer: BCBS Trust/PPO |
$1,074.56
|
| Rate for Payer: BCN Commercial |
$2,366.18
|
| Rate for Payer: BCN Medicare Advantage |
$1,582.76
|
| Rate for Payer: Cash Price |
$2,584.80
|
| Rate for Payer: Cash Price |
$2,584.80
|
| Rate for Payer: Cofinity Commercial |
$2,279.17
|
| Rate for Payer: Cofinity Commercial |
$2,120.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,582.76
|
| Rate for Payer: Mclaren Medicaid |
$1,039.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,661.90
|
| Rate for Payer: Meridian Medicaid |
$1,091.19
|
| Rate for Payer: Nomi Health Commercial |
$1,899.31
|
| Rate for Payer: PACE SWMI |
$1,582.76
|
| Rate for Payer: PHP Medicare Advantage |
$1,582.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,039.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,100.15
|
| Rate for Payer: Priority Health HMO/PPO |
$2,254.77
|
| Rate for Payer: Priority Health Medicare |
$1,598.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,254.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,582.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,582.76
|
| Rate for Payer: UHC Exchange |
$1,582.76
|
| Rate for Payer: UHC Medicare Advantage |
$1,582.76
|
| Rate for Payer: UHCCP Medicaid |
$1,039.23
|
|
|
PR THORACOSCOPY CONTROL TRAUMATIC HEMORRHAGE
|
Professional
|
Both
|
$2,370.00
|
|
|
Service Code
|
HCPCS 32654
|
| Min. Negotiated Rate |
$571.09 |
| Max. Negotiated Rate |
$1,694.73 |
| Rate for Payer: Aetna Commercial |
$1,541.83
|
| Rate for Payer: Aetna Medicare |
$1,196.64
|
| Rate for Payer: BCBS Complete |
$796.87
|
| Rate for Payer: BCBS MAPPO |
$1,150.62
|
| Rate for Payer: BCBS Trust/PPO |
$571.09
|
| Rate for Payer: BCN Commercial |
$1,694.73
|
| Rate for Payer: BCN Medicare Advantage |
$1,150.62
|
| Rate for Payer: Cash Price |
$1,896.00
|
| Rate for Payer: Cash Price |
$1,896.00
|
| Rate for Payer: Cofinity Commercial |
$1,656.89
|
| Rate for Payer: Cofinity Commercial |
$1,541.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,150.62
|
| Rate for Payer: Mclaren Medicaid |
$758.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,208.15
|
| Rate for Payer: Meridian Medicaid |
$796.87
|
| Rate for Payer: Nomi Health Commercial |
$1,380.74
|
| Rate for Payer: PACE SWMI |
$1,150.62
|
| Rate for Payer: PHP Medicare Advantage |
$1,150.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$758.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,540.50
|
| Rate for Payer: Priority Health HMO/PPO |
$1,622.60
|
| Rate for Payer: Priority Health Medicare |
$1,162.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,622.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,150.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,150.62
|
| Rate for Payer: UHC Exchange |
$1,150.62
|
| Rate for Payer: UHC Medicare Advantage |
$1,150.62
|
| Rate for Payer: UHCCP Medicaid |
$758.92
|
|
|
PR THORACOSCOPY DX MEDIASTINAL SPACE W/BIOPSY SPX
|
Professional
|
Both
|
$1,413.00
|
|
|
Service Code
|
HCPCS 32606
|
| Min. Negotiated Rate |
$291.17 |
| Max. Negotiated Rate |
$918.45 |
| Rate for Payer: Aetna Commercial |
$595.31
|
| Rate for Payer: Aetna Medicare |
$462.03
|
| Rate for Payer: BCBS Complete |
$305.73
|
| Rate for Payer: BCBS MAPPO |
$444.26
|
| Rate for Payer: BCBS Trust/PPO |
$909.20
|
| Rate for Payer: BCN Commercial |
$661.18
|
| Rate for Payer: BCN Medicare Advantage |
$444.26
|
| Rate for Payer: Cash Price |
$1,130.40
|
| Rate for Payer: Cash Price |
$1,130.40
|
| Rate for Payer: Cofinity Commercial |
$639.73
|
| Rate for Payer: Cofinity Commercial |
$595.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$444.26
|
| Rate for Payer: Mclaren Medicaid |
$291.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$466.47
|
| Rate for Payer: Meridian Medicaid |
$305.73
|
| Rate for Payer: Nomi Health Commercial |
$533.11
|
| Rate for Payer: PACE SWMI |
$444.26
|
| Rate for Payer: PHP Medicare Advantage |
$444.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$291.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$918.45
|
| Rate for Payer: Priority Health HMO/PPO |
$629.85
|
| Rate for Payer: Priority Health Medicare |
$448.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$629.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$444.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$444.26
|
| Rate for Payer: UHC Exchange |
$444.26
|
| Rate for Payer: UHC Medicare Advantage |
$444.26
|
| Rate for Payer: UHCCP Medicaid |
$291.17
|
|
|
PR THORACOSCOPY DX PERICARDIAL SAC W/BIOPSY SPX
|
Professional
|
Both
|
$919.00
|
|
|
Service Code
|
HCPCS 32604
|
| Min. Negotiated Rate |
$301.40 |
| Max. Negotiated Rate |
$719.54 |
| Rate for Payer: Aetna Commercial |
$616.87
|
| Rate for Payer: Aetna Medicare |
$478.76
|
| Rate for Payer: BCBS Complete |
$316.47
|
| Rate for Payer: BCBS MAPPO |
$460.35
|
| Rate for Payer: BCBS Trust/PPO |
$719.54
|
| Rate for Payer: BCN Commercial |
$686.10
|
| Rate for Payer: BCN Medicare Advantage |
$460.35
|
| Rate for Payer: Cash Price |
$735.20
|
| Rate for Payer: Cash Price |
$735.20
|
| Rate for Payer: Cofinity Commercial |
$662.90
|
| Rate for Payer: Cofinity Commercial |
$616.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$460.35
|
| Rate for Payer: Mclaren Medicaid |
$301.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$483.37
|
| Rate for Payer: Meridian Medicaid |
$316.47
|
| Rate for Payer: Nomi Health Commercial |
$552.42
|
| Rate for Payer: PACE SWMI |
$460.35
|
| Rate for Payer: PHP Medicare Advantage |
$460.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$301.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$597.35
|
| Rate for Payer: Priority Health HMO/PPO |
$653.96
|
| Rate for Payer: Priority Health Medicare |
$464.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$653.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$460.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$460.35
|
| Rate for Payer: UHC Exchange |
$460.35
|
| Rate for Payer: UHC Medicare Advantage |
$460.35
|
| Rate for Payer: UHCCP Medicaid |
$301.40
|
|
|
PR THORACOSCOPY RESEXN THYMUS UNI/BILATERAL
|
Professional
|
Both
|
$4,831.00
|
|
|
Service Code
|
HCPCS 32673
|
| Min. Negotiated Rate |
$768.08 |
| Max. Negotiated Rate |
$3,140.15 |
| Rate for Payer: Aetna Commercial |
$1,563.77
|
| Rate for Payer: Aetna Medicare |
$1,213.67
|
| Rate for Payer: BCBS Complete |
$806.48
|
| Rate for Payer: BCBS MAPPO |
$1,166.99
|
| Rate for Payer: BCBS Trust/PPO |
$1,478.18
|
| Rate for Payer: BCN Commercial |
$1,747.02
|
| Rate for Payer: BCN Medicare Advantage |
$1,166.99
|
| Rate for Payer: Cash Price |
$3,864.80
|
| Rate for Payer: Cash Price |
$3,864.80
|
| Rate for Payer: Cofinity Commercial |
$1,680.47
|
| Rate for Payer: Cofinity Commercial |
$1,563.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,166.99
|
| Rate for Payer: Mclaren Medicaid |
$768.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,225.34
|
| Rate for Payer: Meridian Medicaid |
$806.48
|
| Rate for Payer: Nomi Health Commercial |
$1,400.39
|
| Rate for Payer: PACE SWMI |
$1,166.99
|
| Rate for Payer: PHP Medicare Advantage |
$1,166.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$768.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,140.15
|
| Rate for Payer: Priority Health HMO/PPO |
$1,665.69
|
| Rate for Payer: Priority Health Medicare |
$1,178.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,665.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,166.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,166.99
|
| Rate for Payer: UHC Exchange |
$1,166.99
|
| Rate for Payer: UHC Medicare Advantage |
$1,166.99
|
| Rate for Payer: UHCCP Medicaid |
$768.08
|
|
|
PR THORACOSCOPY RMVL INTRAPLEURAL FB/FIBRIN DEPOSIT
|
Professional
|
Both
|
$3,001.00
|
|
|
Service Code
|
HCPCS 32653
|
| Min. Negotiated Rate |
$561.58 |
| Max. Negotiated Rate |
$1,950.65 |
| Rate for Payer: Aetna Commercial |
$1,363.60
|
| Rate for Payer: Aetna Medicare |
$1,058.31
|
| Rate for Payer: BCBS Complete |
$705.62
|
| Rate for Payer: BCBS MAPPO |
$1,017.61
|
| Rate for Payer: BCBS Trust/PPO |
$561.58
|
| Rate for Payer: BCN Commercial |
$1,524.19
|
| Rate for Payer: BCN Medicare Advantage |
$1,017.61
|
| Rate for Payer: Cash Price |
$2,400.80
|
| Rate for Payer: Cash Price |
$2,400.80
|
| Rate for Payer: Cofinity Commercial |
$1,465.36
|
| Rate for Payer: Cofinity Commercial |
$1,363.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,017.61
|
| Rate for Payer: Mclaren Medicaid |
$672.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,068.49
|
| Rate for Payer: Meridian Medicaid |
$705.62
|
| Rate for Payer: Nomi Health Commercial |
$1,221.13
|
| Rate for Payer: PACE SWMI |
$1,017.61
|
| Rate for Payer: PHP Medicare Advantage |
$1,017.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$672.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,950.65
|
| Rate for Payer: Priority Health HMO/PPO |
$1,452.50
|
| Rate for Payer: Priority Health Medicare |
$1,027.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,452.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,017.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,017.61
|
| Rate for Payer: UHC Exchange |
$1,017.61
|
| Rate for Payer: UHC Medicare Advantage |
$1,017.61
|
| Rate for Payer: UHCCP Medicaid |
$672.02
|
|
|
PR THORACOSCOPY W/BILOBECTOMY
|
Professional
|
Both
|
$6,456.00
|
|
|
Service Code
|
HCPCS 32670
|
| Min. Negotiated Rate |
$969.96 |
| Max. Negotiated Rate |
$4,196.40 |
| Rate for Payer: Aetna Commercial |
$2,058.91
|
| Rate for Payer: Aetna Medicare |
$1,597.96
|
| Rate for Payer: BCBS Complete |
$1,059.65
|
| Rate for Payer: BCBS MAPPO |
$1,536.50
|
| Rate for Payer: BCBS Trust/PPO |
$969.96
|
| Rate for Payer: BCN Commercial |
$2,304.60
|
| Rate for Payer: BCN Medicare Advantage |
$1,536.50
|
| Rate for Payer: Cash Price |
$5,164.80
|
| Rate for Payer: Cash Price |
$5,164.80
|
| Rate for Payer: Cofinity Commercial |
$2,212.56
|
| Rate for Payer: Cofinity Commercial |
$2,058.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,536.50
|
| Rate for Payer: Mclaren Medicaid |
$1,009.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,613.32
|
| Rate for Payer: Meridian Medicaid |
$1,059.65
|
| Rate for Payer: Nomi Health Commercial |
$1,843.80
|
| Rate for Payer: PACE SWMI |
$1,536.50
|
| Rate for Payer: PHP Medicare Advantage |
$1,536.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,009.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,196.40
|
| Rate for Payer: Priority Health HMO/PPO |
$2,188.02
|
| Rate for Payer: Priority Health Medicare |
$1,551.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,188.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,536.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,536.50
|
| Rate for Payer: UHC Exchange |
$1,536.50
|
| Rate for Payer: UHC Medicare Advantage |
$1,536.50
|
| Rate for Payer: UHCCP Medicaid |
$1,009.19
|
|
|
PR THORACOSCOPY W/DX BX OF LUNG INFILTRATE UNILATRL
|
Professional
|
Both
|
$1,247.00
|
|
|
Service Code
|
HCPCS 32607
|
| Min. Negotiated Rate |
$194.26 |
| Max. Negotiated Rate |
$810.55 |
| Rate for Payer: Aetna Commercial |
$396.21
|
| Rate for Payer: Aetna Medicare |
$307.51
|
| Rate for Payer: BCBS Complete |
$203.97
|
| Rate for Payer: BCBS MAPPO |
$295.68
|
| Rate for Payer: BCBS Trust/PPO |
$801.43
|
| Rate for Payer: BCN Commercial |
$441.76
|
| Rate for Payer: BCN Medicare Advantage |
$295.68
|
| Rate for Payer: Cash Price |
$997.60
|
| Rate for Payer: Cash Price |
$997.60
|
| Rate for Payer: Cofinity Commercial |
$425.78
|
| Rate for Payer: Cofinity Commercial |
$396.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$295.68
|
| Rate for Payer: Mclaren Medicaid |
$194.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$310.46
|
| Rate for Payer: Meridian Medicaid |
$203.97
|
| Rate for Payer: Nomi Health Commercial |
$354.82
|
| Rate for Payer: PACE SWMI |
$295.68
|
| Rate for Payer: PHP Medicare Advantage |
$295.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$194.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$810.55
|
| Rate for Payer: Priority Health HMO/PPO |
$420.37
|
| Rate for Payer: Priority Health Medicare |
$298.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$420.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$295.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$295.68
|
| Rate for Payer: UHC Exchange |
$295.68
|
| Rate for Payer: UHC Medicare Advantage |
$295.68
|
| Rate for Payer: UHCCP Medicaid |
$194.26
|
|
