|
PR THER PX 1/> AREAS EACH 15 MINUTES MASSAGE
|
Professional
|
Both
|
$43.00
|
|
|
Service Code
|
HCPCS 97124
|
| Min. Negotiated Rate |
$17.20 |
| Max. Negotiated Rate |
$40.61 |
| 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: 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 Medicare |
$28.48
|
| 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 |
$102.91 |
| Max. Negotiated Rate |
$343.85 |
| Rate for Payer: Aetna Commercial |
$137.90
|
| Rate for Payer: Aetna Medicare |
$107.03
|
| Rate for Payer: BCBS Complete |
$211.60
|
| Rate for Payer: BCBS MAPPO |
$102.91
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$108.06
|
| 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 Cigna Priority Health |
$343.85
|
| Rate for Payer: Priority Health Medicare |
$103.94
|
| 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
|
|
|
PR THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING
|
Professional
|
Both
|
$760.00
|
|
|
Service Code
|
HCPCS 32554
|
| Min. Negotiated Rate |
$83.93 |
| Max. Negotiated Rate |
$494.00 |
| Rate for Payer: Aetna Commercial |
$112.47
|
| Rate for Payer: Aetna Medicare |
$87.29
|
| Rate for Payer: BCBS Complete |
$304.00
|
| Rate for Payer: BCBS MAPPO |
$83.93
|
| 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 |
$112.47
|
| Rate for Payer: Cofinity Commercial |
$120.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$83.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$88.13
|
| 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 Cigna Priority Health |
$494.00
|
| Rate for Payer: Priority Health Medicare |
$84.77
|
| 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
|
|
|
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
|
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 |
$469.38
|
| 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 |
$447.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$199.50
|
| Rate for Payer: Meridian Medicaid |
$469.38
|
| 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 |
$447.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$494.00
|
| Rate for Payer: Priority Health HMO/PPO |
$661.20
|
| Rate for Payer: Priority Health 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 |
$447.00
|
| Rate for Payer: VA VA |
$190.00
|
| 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 |
$83.93 |
| Max. Negotiated Rate |
$494.00 |
| Rate for Payer: Aetna Commercial |
$112.47
|
| Rate for Payer: Aetna Medicare |
$87.29
|
| Rate for Payer: BCBS Complete |
$304.00
|
| Rate for Payer: BCBS MAPPO |
$83.93
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$88.13
|
| 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 Cigna Priority Health |
$494.00
|
| Rate for Payer: Priority Health Medicare |
$84.77
|
| 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
|
|
|
PR THORACOPLASTY SCHEDE TYPE/EXTRAPLEURAL
|
Professional
|
Both
|
$2,610.00
|
|
|
Service Code
|
HCPCS 32905
|
| Min. Negotiated Rate |
$1,044.00 |
| Max. Negotiated Rate |
$1,847.20 |
| Rate for Payer: Aetna Commercial |
$1,718.93
|
| Rate for Payer: Aetna Medicare |
$1,334.09
|
| Rate for Payer: BCBS Complete |
$1,044.00
|
| Rate for Payer: BCBS MAPPO |
$1,282.78
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,346.92
|
| 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 Cigna Priority Health |
$1,696.50
|
| Rate for Payer: Priority Health Medicare |
$1,295.61
|
| 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
|
|
|
PR THORACOP SCHEDE TYP/XTRPLEURAL CLSR BRNCPLR FSTL
|
Professional
|
Both
|
$3,231.00
|
|
|
Service Code
|
HCPCS 32906
|
| Min. Negotiated Rate |
$1,292.40 |
| Max. Negotiated Rate |
$2,279.17 |
| Rate for Payer: Aetna Commercial |
$2,120.90
|
| Rate for Payer: Aetna Medicare |
$1,646.07
|
| Rate for Payer: BCBS Complete |
$1,292.40
|
| Rate for Payer: BCBS MAPPO |
$1,582.76
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,661.90
|
| 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 Cigna Priority Health |
$2,100.15
|
| Rate for Payer: Priority Health Medicare |
$1,598.59
|
| 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
|
|
|
PR THORACOSCOPY CONTROL TRAUMATIC HEMORRHAGE
|
Professional
|
Both
|
$2,370.00
|
|
|
Service Code
|
HCPCS 32654
|
| Min. Negotiated Rate |
$948.00 |
| Max. Negotiated Rate |
$1,656.89 |
| Rate for Payer: Aetna Commercial |
$1,541.83
|
| Rate for Payer: Aetna Medicare |
$1,196.64
|
| Rate for Payer: BCBS Complete |
$948.00
|
| Rate for Payer: BCBS MAPPO |
$1,150.62
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,208.15
|
| 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 Cigna Priority Health |
$1,540.50
|
| Rate for Payer: Priority Health Medicare |
$1,162.13
|
| 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
|
|
|
PR THORACOSCOPY DX MEDIASTINAL SPACE W/BIOPSY SPX
|
Professional
|
Both
|
$1,413.00
|
|
|
Service Code
|
HCPCS 32606
|
| Min. Negotiated Rate |
$444.26 |
| Max. Negotiated Rate |
$918.45 |
| Rate for Payer: Aetna Commercial |
$595.31
|
| Rate for Payer: Aetna Medicare |
$462.03
|
| Rate for Payer: BCBS Complete |
$565.20
|
| Rate for Payer: BCBS MAPPO |
$444.26
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$466.47
|
| 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 Cigna Priority Health |
$918.45
|
| Rate for Payer: Priority Health Medicare |
$448.70
|
| 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
|
|
|
PR THORACOSCOPY DX PERICARDIAL SAC W/BIOPSY SPX
|
Professional
|
Both
|
$919.00
|
|
|
Service Code
|
HCPCS 32604
|
| Min. Negotiated Rate |
$367.60 |
| Max. Negotiated Rate |
$662.90 |
| Rate for Payer: Aetna Commercial |
$616.87
|
| Rate for Payer: Aetna Medicare |
$478.76
|
| Rate for Payer: BCBS Complete |
$367.60
|
| Rate for Payer: BCBS MAPPO |
$460.35
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$483.37
|
| 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 Cigna Priority Health |
$597.35
|
| Rate for Payer: Priority Health Medicare |
$464.95
|
| 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
|
|
|
PR THORACOSCOPY RESEXN THYMUS UNI/BILATERAL
|
Professional
|
Both
|
$4,831.00
|
|
|
Service Code
|
HCPCS 32673
|
| Min. Negotiated Rate |
$1,166.99 |
| 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 |
$1,932.40
|
| Rate for Payer: BCBS MAPPO |
$1,166.99
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,225.34
|
| 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 Cigna Priority Health |
$3,140.15
|
| Rate for Payer: Priority Health Medicare |
$1,178.66
|
| 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
|
|
|
PR THORACOSCOPY RMVL INTRAPLEURAL FB/FIBRIN DEPOSIT
|
Professional
|
Both
|
$3,001.00
|
|
|
Service Code
|
HCPCS 32653
|
| Min. Negotiated Rate |
$1,017.61 |
| 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 |
$1,200.40
|
| Rate for Payer: BCBS MAPPO |
$1,017.61
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,068.49
|
| 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 Cigna Priority Health |
$1,950.65
|
| Rate for Payer: Priority Health Medicare |
$1,027.79
|
| 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
|
|
|
PR THORACOSCOPY W/BILOBECTOMY
|
Professional
|
Both
|
$6,456.00
|
|
|
Service Code
|
HCPCS 32670
|
| Min. Negotiated Rate |
$1,536.50 |
| 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 |
$2,582.40
|
| Rate for Payer: BCBS MAPPO |
$1,536.50
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,613.33
|
| 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 Cigna Priority Health |
$4,196.40
|
| Rate for Payer: Priority Health Medicare |
$1,551.87
|
| 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
|
|
|
PR THORACOSCOPY W/DX BX OF LUNG INFILTRATE UNILATRL
|
Professional
|
Both
|
$1,247.00
|
|
|
Service Code
|
HCPCS 32607
|
| Min. Negotiated Rate |
$295.68 |
| Max. Negotiated Rate |
$810.55 |
| Rate for Payer: Aetna Commercial |
$396.21
|
| Rate for Payer: Aetna Medicare |
$307.51
|
| Rate for Payer: BCBS Complete |
$498.80
|
| Rate for Payer: BCBS MAPPO |
$295.68
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$310.46
|
| 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 Cigna Priority Health |
$810.55
|
| Rate for Payer: Priority Health Medicare |
$298.64
|
| 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
|
|
|
PR THORACOSCOPY W/DX BX OF LUNG NODULES UNILATRL
|
Professional
|
Both
|
$1,532.00
|
|
|
Service Code
|
HCPCS 32608
|
| Min. Negotiated Rate |
$364.18 |
| Max. Negotiated Rate |
$995.80 |
| Rate for Payer: Aetna Commercial |
$488.00
|
| Rate for Payer: Aetna Medicare |
$378.75
|
| Rate for Payer: BCBS Complete |
$612.80
|
| Rate for Payer: BCBS MAPPO |
$364.18
|
| Rate for Payer: BCN Medicare Advantage |
$364.18
|
| Rate for Payer: Cash Price |
$1,225.60
|
| Rate for Payer: Cash Price |
$1,225.60
|
| Rate for Payer: Cofinity Commercial |
$524.42
|
| Rate for Payer: Cofinity Commercial |
$488.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$364.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$382.39
|
| Rate for Payer: Nomi Health Commercial |
$437.02
|
| Rate for Payer: PACE SWMI |
$364.18
|
| Rate for Payer: PHP Medicare Advantage |
$364.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$995.80
|
| Rate for Payer: Priority Health Medicare |
$367.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$364.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$364.18
|
| Rate for Payer: UHC Exchange |
$364.18
|
| Rate for Payer: UHC Medicare Advantage |
$364.18
|
|
|
PR THORACOSCOPY W/DX WEDGE RESEXN ANATO LUNG RESEXN
|
Professional
|
Both
|
$633.00
|
|
|
Service Code
|
HCPCS 32668
|
| Min. Negotiated Rate |
$149.99 |
| Max. Negotiated Rate |
$411.45 |
| Rate for Payer: Aetna Commercial |
$200.99
|
| Rate for Payer: Aetna Medicare |
$155.99
|
| Rate for Payer: BCBS Complete |
$253.20
|
| Rate for Payer: BCBS MAPPO |
$149.99
|
| Rate for Payer: BCN Medicare Advantage |
$149.99
|
| Rate for Payer: Cash Price |
$506.40
|
| Rate for Payer: Cash Price |
$506.40
|
| Rate for Payer: Cofinity Commercial |
$215.99
|
| Rate for Payer: Cofinity Commercial |
$200.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$149.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$157.49
|
| Rate for Payer: Nomi Health Commercial |
$179.99
|
| Rate for Payer: PACE SWMI |
$149.99
|
| Rate for Payer: PHP Medicare Advantage |
$149.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$411.45
|
| Rate for Payer: Priority Health Medicare |
$151.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$149.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$149.99
|
| Rate for Payer: UHC Exchange |
$149.99
|
| Rate for Payer: UHC Medicare Advantage |
$149.99
|
|
|
PR THORACOSCOPY W/EXC MEDIASTINAL CYST TUMOR/MASS
|
Professional
|
Both
|
$4,061.00
|
|
|
Service Code
|
HCPCS 32662
|
| Min. Negotiated Rate |
$859.40 |
| Max. Negotiated Rate |
$2,639.65 |
| Rate for Payer: Aetna Commercial |
$1,151.60
|
| Rate for Payer: Aetna Medicare |
$893.78
|
| Rate for Payer: BCBS Complete |
$1,624.40
|
| Rate for Payer: BCBS MAPPO |
$859.40
|
| Rate for Payer: BCN Medicare Advantage |
$859.40
|
| Rate for Payer: Cash Price |
$3,248.80
|
| Rate for Payer: Cash Price |
$3,248.80
|
| Rate for Payer: Cofinity Commercial |
$1,237.54
|
| Rate for Payer: Cofinity Commercial |
$1,151.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$859.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$902.37
|
| Rate for Payer: Nomi Health Commercial |
$1,031.28
|
| Rate for Payer: PACE SWMI |
$859.40
|
| Rate for Payer: PHP Medicare Advantage |
$859.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,639.65
|
| Rate for Payer: Priority Health Medicare |
$867.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$859.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$859.40
|
| Rate for Payer: UHC Exchange |
$859.40
|
| Rate for Payer: UHC Medicare Advantage |
$859.40
|
|
|
PR THORACOSCOPY W/EXC PERICARDIAL CYST TUMOR/MASS
|
Professional
|
Both
|
$3,852.00
|
|
|
Service Code
|
HCPCS 32661
|
| Min. Negotiated Rate |
$767.54 |
| Max. Negotiated Rate |
$2,503.80 |
| Rate for Payer: Aetna Commercial |
$1,028.50
|
| Rate for Payer: Aetna Medicare |
$798.24
|
| Rate for Payer: BCBS Complete |
$1,540.80
|
| Rate for Payer: BCBS MAPPO |
$767.54
|
| Rate for Payer: BCN Medicare Advantage |
$767.54
|
| Rate for Payer: Cash Price |
$3,081.60
|
| Rate for Payer: Cash Price |
$3,081.60
|
| Rate for Payer: Cofinity Commercial |
$1,105.26
|
| Rate for Payer: Cofinity Commercial |
$1,028.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$767.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$805.92
|
| Rate for Payer: Nomi Health Commercial |
$921.05
|
| Rate for Payer: PACE SWMI |
$767.54
|
| Rate for Payer: PHP Medicare Advantage |
$767.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,503.80
|
| Rate for Payer: Priority Health Medicare |
$775.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$767.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$767.54
|
| Rate for Payer: UHC Exchange |
$767.54
|
| Rate for Payer: UHC Medicare Advantage |
$767.54
|
|
|
PR THORACOSCOPY WITH BIOPSYIES OF PLEURA
|
Professional
|
Both
|
$1,059.00
|
|
|
Service Code
|
HCPCS 32609
|
| Min. Negotiated Rate |
$243.72 |
| Max. Negotiated Rate |
$688.35 |
| Rate for Payer: Aetna Commercial |
$326.58
|
| Rate for Payer: Aetna Medicare |
$253.47
|
| Rate for Payer: BCBS Complete |
$423.60
|
| Rate for Payer: BCBS MAPPO |
$243.72
|
| Rate for Payer: BCN Medicare Advantage |
$243.72
|
| Rate for Payer: Cash Price |
$847.20
|
| Rate for Payer: Cash Price |
$847.20
|
| Rate for Payer: Cofinity Commercial |
$350.96
|
| Rate for Payer: Cofinity Commercial |
$326.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$243.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$255.91
|
| Rate for Payer: Nomi Health Commercial |
$292.46
|
| Rate for Payer: PACE SWMI |
$243.72
|
| Rate for Payer: PHP Medicare Advantage |
$243.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$688.35
|
| Rate for Payer: Priority Health Medicare |
$246.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$243.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$243.72
|
| Rate for Payer: UHC Exchange |
$243.72
|
| Rate for Payer: UHC Medicare Advantage |
$243.72
|
|
|
PR THORACOSCOPY W/LOBECTOMY SINGLE LOBE
|
Professional
|
Both
|
$4,590.00
|
|
|
Service Code
|
HCPCS 32663
|
| Min. Negotiated Rate |
$1,342.84 |
| Max. Negotiated Rate |
$2,983.50 |
| Rate for Payer: Aetna Commercial |
$1,799.41
|
| Rate for Payer: Aetna Medicare |
$1,396.55
|
| Rate for Payer: BCBS Complete |
$1,836.00
|
| Rate for Payer: BCBS MAPPO |
$1,342.84
|
| Rate for Payer: BCN Medicare Advantage |
$1,342.84
|
| Rate for Payer: Cash Price |
$3,672.00
|
| Rate for Payer: Cash Price |
$3,672.00
|
| Rate for Payer: Cofinity Commercial |
$1,933.69
|
| Rate for Payer: Cofinity Commercial |
$1,799.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,342.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,409.98
|
| Rate for Payer: Nomi Health Commercial |
$1,611.41
|
| Rate for Payer: PACE SWMI |
$1,342.84
|
| Rate for Payer: PHP Medicare Advantage |
$1,342.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,983.50
|
| Rate for Payer: Priority Health Medicare |
$1,356.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,342.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,342.84
|
| Rate for Payer: UHC Exchange |
$1,342.84
|
| Rate for Payer: UHC Medicare Advantage |
$1,342.84
|
|
|
PR THORACOSCOPY W/PARIETAL PLEURECTOMY
|
Professional
|
Both
|
$2,890.00
|
|
|
Service Code
|
HCPCS 32656
|
| Min. Negotiated Rate |
$772.90 |
| Max. Negotiated Rate |
$1,878.50 |
| Rate for Payer: Aetna Commercial |
$1,035.69
|
| Rate for Payer: Aetna Medicare |
$803.82
|
| Rate for Payer: BCBS Complete |
$1,156.00
|
| Rate for Payer: BCBS MAPPO |
$772.90
|
| Rate for Payer: BCN Medicare Advantage |
$772.90
|
| Rate for Payer: Cash Price |
$2,312.00
|
| Rate for Payer: Cash Price |
$2,312.00
|
| Rate for Payer: Cofinity Commercial |
$1,112.98
|
| Rate for Payer: Cofinity Commercial |
$1,035.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$772.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$811.54
|
| Rate for Payer: Nomi Health Commercial |
$927.48
|
| Rate for Payer: PACE SWMI |
$772.90
|
| Rate for Payer: PHP Medicare Advantage |
$772.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,878.50
|
| Rate for Payer: Priority Health Medicare |
$780.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$772.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$772.90
|
| Rate for Payer: UHC Exchange |
$772.90
|
| Rate for Payer: UHC Medicare Advantage |
$772.90
|
|
|
PR THORACOSCOPY W/PARTIAL PULMONARY DECORTICATION
|
Professional
|
Both
|
$3,220.00
|
|
|
Service Code
|
HCPCS 32651
|
| Min. Negotiated Rate |
$1,052.43 |
| Max. Negotiated Rate |
$2,093.00 |
| Rate for Payer: Aetna Commercial |
$1,410.26
|
| Rate for Payer: Aetna Medicare |
$1,094.53
|
| Rate for Payer: BCBS Complete |
$1,288.00
|
| Rate for Payer: BCBS MAPPO |
$1,052.43
|
| Rate for Payer: BCN Medicare Advantage |
$1,052.43
|
| Rate for Payer: Cash Price |
$2,576.00
|
| Rate for Payer: Cash Price |
$2,576.00
|
| Rate for Payer: Cofinity Commercial |
$1,515.50
|
| Rate for Payer: Cofinity Commercial |
$1,410.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,052.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,105.05
|
| Rate for Payer: Nomi Health Commercial |
$1,262.92
|
| Rate for Payer: PACE SWMI |
$1,052.43
|
| Rate for Payer: PHP Medicare Advantage |
$1,052.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,093.00
|
| Rate for Payer: Priority Health Medicare |
$1,062.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,052.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,052.43
|
| Rate for Payer: UHC Exchange |
$1,052.43
|
| Rate for Payer: UHC Medicare Advantage |
$1,052.43
|
|
|
PR THORACOSCOPY W/PLEURODESIS
|
Professional
|
Both
|
$3,164.00
|
|
|
Service Code
|
HCPCS 32650
|
| Min. Negotiated Rate |
$641.38 |
| Max. Negotiated Rate |
$2,056.60 |
| Rate for Payer: Aetna Commercial |
$859.45
|
| Rate for Payer: Aetna Medicare |
$667.04
|
| Rate for Payer: BCBS Complete |
$1,265.60
|
| Rate for Payer: BCBS MAPPO |
$641.38
|
| Rate for Payer: BCN Medicare Advantage |
$641.38
|
| Rate for Payer: Cash Price |
$2,531.20
|
| Rate for Payer: Cash Price |
$2,531.20
|
| Rate for Payer: Cofinity Commercial |
$923.59
|
| Rate for Payer: Cofinity Commercial |
$859.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$641.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$673.45
|
| Rate for Payer: Nomi Health Commercial |
$769.66
|
| Rate for Payer: PACE SWMI |
$641.38
|
| Rate for Payer: PHP Medicare Advantage |
$641.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,056.60
|
| Rate for Payer: Priority Health Medicare |
$647.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$641.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$641.38
|
| Rate for Payer: UHC Exchange |
$641.38
|
| Rate for Payer: UHC Medicare Advantage |
$641.38
|
|
