|
PR THORACOSCOPY W/DX BX OF LUNG NODULES UNILATRL
|
Professional
|
Both
|
$1,532.00
|
|
|
Service Code
|
HCPCS 32608
|
| Min. Negotiated Rate |
$238.77 |
| Max. Negotiated Rate |
$995.80 |
| Rate for Payer: Aetna Commercial |
$488.00
|
| Rate for Payer: Aetna Medicare |
$378.75
|
| Rate for Payer: BCBS Complete |
$250.71
|
| Rate for Payer: BCBS MAPPO |
$364.18
|
| Rate for Payer: BCBS Trust/PPO |
$788.75
|
| Rate for Payer: BCN Commercial |
$542.43
|
| 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: Mclaren Medicaid |
$238.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$382.39
|
| Rate for Payer: Meridian Medicaid |
$250.71
|
| 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 Choice Medicaid |
$238.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$995.80
|
| Rate for Payer: Priority Health HMO/PPO |
$516.77
|
| Rate for Payer: Priority Health Medicare |
$367.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$516.77
|
| 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
|
| Rate for Payer: UHCCP Medicaid |
$238.77
|
|
|
PR THORACOSCOPY W/DX WEDGE RESEXN ANATO LUNG RESEXN
|
Professional
|
Both
|
$633.00
|
|
|
Service Code
|
HCPCS 32668
|
| Min. Negotiated Rate |
$97.77 |
| Max. Negotiated Rate |
$1,408.98 |
| Rate for Payer: Aetna Commercial |
$200.99
|
| Rate for Payer: Aetna Medicare |
$155.99
|
| Rate for Payer: BCBS Complete |
$102.66
|
| Rate for Payer: BCBS MAPPO |
$149.99
|
| Rate for Payer: BCBS Trust/PPO |
$1,408.98
|
| Rate for Payer: BCN Commercial |
$223.81
|
| 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: Mclaren Medicaid |
$97.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$157.49
|
| Rate for Payer: Meridian Medicaid |
$102.66
|
| 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 Choice Medicaid |
$97.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$411.45
|
| Rate for Payer: Priority Health HMO/PPO |
$212.73
|
| Rate for Payer: Priority Health Medicare |
$151.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$212.73
|
| 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
|
| Rate for Payer: UHCCP Medicaid |
$97.77
|
|
|
PR THORACOSCOPY W/EXC MEDIASTINAL CYST TUMOR/MASS
|
Professional
|
Both
|
$4,061.00
|
|
|
Service Code
|
HCPCS 32662
|
| Min. Negotiated Rate |
$567.65 |
| 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 |
$596.03
|
| Rate for Payer: BCBS MAPPO |
$859.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,566.94
|
| Rate for Payer: BCN Commercial |
$1,288.16
|
| 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: Mclaren Medicaid |
$567.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$902.37
|
| Rate for Payer: Meridian Medicaid |
$596.03
|
| 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 Choice Medicaid |
$567.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,639.65
|
| Rate for Payer: Priority Health HMO/PPO |
$1,229.58
|
| Rate for Payer: Priority Health Medicare |
$867.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,229.58
|
| 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
|
| Rate for Payer: UHCCP Medicaid |
$567.65
|
|
|
PR THORACOSCOPY W/EXC PERICARDIAL CYST TUMOR/MASS
|
Professional
|
Both
|
$3,852.00
|
|
|
Service Code
|
HCPCS 32661
|
| Min. Negotiated Rate |
$507.15 |
| 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 |
$532.51
|
| Rate for Payer: BCBS MAPPO |
$767.54
|
| Rate for Payer: BCBS Trust/PPO |
$1,423.24
|
| Rate for Payer: BCN Commercial |
$1,151.81
|
| 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: Mclaren Medicaid |
$507.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$805.92
|
| Rate for Payer: Meridian Medicaid |
$532.51
|
| 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 Choice Medicaid |
$507.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,503.80
|
| Rate for Payer: Priority Health HMO/PPO |
$1,099.34
|
| Rate for Payer: Priority Health Medicare |
$775.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,099.34
|
| 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
|
| Rate for Payer: UHCCP Medicaid |
$507.15
|
|
|
PR THORACOSCOPY WITH BIOPSYIES OF PLEURA
|
Professional
|
Both
|
$1,059.00
|
|
|
Service Code
|
HCPCS 32609
|
| Min. Negotiated Rate |
$160.82 |
| Max. Negotiated Rate |
$706.87 |
| Rate for Payer: Aetna Commercial |
$326.58
|
| Rate for Payer: Aetna Medicare |
$253.47
|
| Rate for Payer: BCBS Complete |
$168.86
|
| Rate for Payer: BCBS MAPPO |
$243.72
|
| Rate for Payer: BCBS Trust/PPO |
$706.87
|
| Rate for Payer: BCN Commercial |
$366.99
|
| 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: Mclaren Medicaid |
$160.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$255.91
|
| Rate for Payer: Meridian Medicaid |
$168.86
|
| 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 Choice Medicaid |
$160.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$688.35
|
| Rate for Payer: Priority Health HMO/PPO |
$349.92
|
| Rate for Payer: Priority Health Medicare |
$246.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$349.92
|
| 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
|
| Rate for Payer: UHCCP Medicaid |
$160.82
|
|
|
PR THORACOSCOPY W/LOBECTOMY SINGLE LOBE
|
Professional
|
Both
|
$4,590.00
|
|
|
Service Code
|
HCPCS 32663
|
| Min. Negotiated Rate |
$882.67 |
| 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 |
$926.80
|
| Rate for Payer: BCBS MAPPO |
$1,342.84
|
| Rate for Payer: BCBS Trust/PPO |
$1,261.58
|
| Rate for Payer: BCN Commercial |
$2,009.44
|
| 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: Mclaren Medicaid |
$882.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,409.98
|
| Rate for Payer: Meridian Medicaid |
$926.80
|
| 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 Choice Medicaid |
$882.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,983.50
|
| Rate for Payer: Priority Health HMO/PPO |
$1,913.65
|
| Rate for Payer: Priority Health Medicare |
$1,356.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,913.65
|
| 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
|
| Rate for Payer: UHCCP Medicaid |
$882.67
|
|
|
PR THORACOSCOPY W/PARIETAL PLEURECTOMY
|
Professional
|
Both
|
$2,890.00
|
|
|
Service Code
|
HCPCS 32656
|
| Min. Negotiated Rate |
$511.41 |
| 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 |
$536.98
|
| Rate for Payer: BCBS MAPPO |
$772.90
|
| Rate for Payer: BCBS Trust/PPO |
$1,201.35
|
| Rate for Payer: BCN Commercial |
$1,159.64
|
| 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: Mclaren Medicaid |
$511.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$811.54
|
| Rate for Payer: Meridian Medicaid |
$536.98
|
| 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 Choice Medicaid |
$511.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,878.50
|
| Rate for Payer: Priority Health HMO/PPO |
$1,105.83
|
| Rate for Payer: Priority Health Medicare |
$780.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,105.83
|
| 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
|
| Rate for Payer: UHCCP Medicaid |
$511.41
|
|
|
PR THORACOSCOPY W/PARTIAL PULMONARY DECORTICATION
|
Professional
|
Both
|
$3,220.00
|
|
|
Service Code
|
HCPCS 32651
|
| Min. Negotiated Rate |
$693.95 |
| 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 |
$728.65
|
| Rate for Payer: BCBS MAPPO |
$1,052.43
|
| Rate for Payer: BCBS Trust/PPO |
$1,266.86
|
| Rate for Payer: BCN Commercial |
$1,575.99
|
| 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: Mclaren Medicaid |
$693.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,105.05
|
| Rate for Payer: Meridian Medicaid |
$728.65
|
| 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 Choice Medicaid |
$693.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,093.00
|
| Rate for Payer: Priority Health HMO/PPO |
$1,503.02
|
| Rate for Payer: Priority Health Medicare |
$1,062.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,503.02
|
| 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
|
| Rate for Payer: UHCCP Medicaid |
$693.95
|
|
|
PR THORACOSCOPY W/PLEURODESIS
|
Professional
|
Both
|
$3,164.00
|
|
|
Service Code
|
HCPCS 32650
|
| Min. Negotiated Rate |
$425.57 |
| 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 |
$446.85
|
| Rate for Payer: BCBS MAPPO |
$641.38
|
| Rate for Payer: BCBS Trust/PPO |
$1,687.92
|
| Rate for Payer: BCN Commercial |
$963.67
|
| 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: Mclaren Medicaid |
$425.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$673.45
|
| Rate for Payer: Meridian Medicaid |
$446.85
|
| 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 Choice Medicaid |
$425.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,056.60
|
| Rate for Payer: Priority Health HMO/PPO |
$921.84
|
| Rate for Payer: Priority Health Medicare |
$647.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$921.84
|
| 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
|
| Rate for Payer: UHCCP Medicaid |
$425.57
|
|
|
PR THORACOSCOPY W/PNEUMONECTOMY
|
Professional
|
Both
|
$7,168.00
|
|
|
Service Code
|
HCPCS 32671
|
| Min. Negotiated Rate |
$1,116.33 |
| Max. Negotiated Rate |
$4,659.20 |
| Rate for Payer: Aetna Commercial |
$2,281.22
|
| Rate for Payer: Aetna Medicare |
$1,770.50
|
| Rate for Payer: BCBS Complete |
$1,172.15
|
| Rate for Payer: BCBS MAPPO |
$1,702.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,154.34
|
| Rate for Payer: BCN Commercial |
$2,544.55
|
| Rate for Payer: BCN Medicare Advantage |
$1,702.40
|
| Rate for Payer: Cash Price |
$5,734.40
|
| Rate for Payer: Cash Price |
$5,734.40
|
| Rate for Payer: Cofinity Commercial |
$2,451.46
|
| Rate for Payer: Cofinity Commercial |
$2,281.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,702.40
|
| Rate for Payer: Mclaren Medicaid |
$1,116.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,787.52
|
| Rate for Payer: Meridian Medicaid |
$1,172.15
|
| Rate for Payer: Nomi Health Commercial |
$2,042.88
|
| Rate for Payer: PACE SWMI |
$1,702.40
|
| Rate for Payer: PHP Medicare Advantage |
$1,702.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,116.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,659.20
|
| Rate for Payer: Priority Health HMO/PPO |
$2,421.61
|
| Rate for Payer: Priority Health Medicare |
$1,719.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,421.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,702.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,702.40
|
| Rate for Payer: UHC Exchange |
$1,702.40
|
| Rate for Payer: UHC Medicare Advantage |
$1,702.40
|
| Rate for Payer: UHCCP Medicaid |
$1,116.33
|
|
|
PR THORACOSCOPY W/RESECTION BULLAE W/WO PLEURAL PX
|
Professional
|
Both
|
$3,416.00
|
|
|
Service Code
|
HCPCS 32655
|
| Min. Negotiated Rate |
$124.68 |
| Max. Negotiated Rate |
$2,220.40 |
| Rate for Payer: Aetna Commercial |
$1,231.75
|
| Rate for Payer: Aetna Medicare |
$955.99
|
| Rate for Payer: BCBS Complete |
$637.18
|
| Rate for Payer: BCBS MAPPO |
$919.22
|
| Rate for Payer: BCBS Trust/PPO |
$124.68
|
| Rate for Payer: BCN Commercial |
$1,379.54
|
| Rate for Payer: BCN Medicare Advantage |
$919.22
|
| Rate for Payer: Cash Price |
$2,732.80
|
| Rate for Payer: Cash Price |
$2,732.80
|
| Rate for Payer: Cofinity Commercial |
$1,323.68
|
| Rate for Payer: Cofinity Commercial |
$1,231.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$919.22
|
| Rate for Payer: Mclaren Medicaid |
$606.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$965.18
|
| Rate for Payer: Meridian Medicaid |
$637.18
|
| Rate for Payer: Nomi Health Commercial |
$1,103.06
|
| Rate for Payer: PACE SWMI |
$919.22
|
| Rate for Payer: PHP Medicare Advantage |
$919.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$606.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,220.40
|
| Rate for Payer: Priority Health HMO/PPO |
$1,314.86
|
| Rate for Payer: Priority Health Medicare |
$928.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,314.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$919.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$919.22
|
| Rate for Payer: UHC Exchange |
$919.22
|
| Rate for Payer: UHC Medicare Advantage |
$919.22
|
| Rate for Payer: UHCCP Medicaid |
$606.84
|
|
|
PR THORACOSCOPY W/RESEXN-PLICAJ EMPHYSEMA LUNG UNIL
|
Professional
|
Both
|
$6,130.00
|
|
|
Service Code
|
HCPCS 32672
|
| Min. Negotiated Rate |
$957.01 |
| Max. Negotiated Rate |
$3,984.50 |
| Rate for Payer: Aetna Commercial |
$1,953.47
|
| Rate for Payer: Aetna Medicare |
$1,516.12
|
| Rate for Payer: BCBS Complete |
$1,004.86
|
| Rate for Payer: BCBS MAPPO |
$1,457.81
|
| Rate for Payer: BCBS Trust/PPO |
$1,367.77
|
| Rate for Payer: BCN Commercial |
$2,174.13
|
| Rate for Payer: BCN Medicare Advantage |
$1,457.81
|
| Rate for Payer: Cash Price |
$4,904.00
|
| Rate for Payer: Cash Price |
$4,904.00
|
| Rate for Payer: Cofinity Commercial |
$2,099.25
|
| Rate for Payer: Cofinity Commercial |
$1,953.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,457.81
|
| Rate for Payer: Mclaren Medicaid |
$957.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,530.70
|
| Rate for Payer: Meridian Medicaid |
$1,004.86
|
| Rate for Payer: Nomi Health Commercial |
$1,749.37
|
| Rate for Payer: PACE SWMI |
$1,457.81
|
| Rate for Payer: PHP Medicare Advantage |
$1,457.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$957.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,984.50
|
| Rate for Payer: Priority Health HMO/PPO |
$2,076.33
|
| Rate for Payer: Priority Health Medicare |
$1,472.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,076.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,457.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,457.81
|
| Rate for Payer: UHC Exchange |
$1,457.81
|
| Rate for Payer: UHC Medicare Advantage |
$1,457.81
|
| Rate for Payer: UHCCP Medicaid |
$957.01
|
|
|
PR THORACOSCOPY W/RMVL CLOT/FB FROM PERICARDIAL SAC
|
Professional
|
Both
|
$2,819.00
|
|
|
Service Code
|
HCPCS 32658
|
| Min. Negotiated Rate |
$454.97 |
| Max. Negotiated Rate |
$1,832.35 |
| Rate for Payer: Aetna Commercial |
$921.09
|
| Rate for Payer: Aetna Medicare |
$714.88
|
| Rate for Payer: BCBS Complete |
$477.72
|
| Rate for Payer: BCBS MAPPO |
$687.38
|
| Rate for Payer: BCBS Trust/PPO |
$1,340.30
|
| Rate for Payer: BCN Commercial |
$1,032.09
|
| Rate for Payer: BCN Medicare Advantage |
$687.38
|
| Rate for Payer: Cash Price |
$2,255.20
|
| Rate for Payer: Cash Price |
$2,255.20
|
| Rate for Payer: Cofinity Commercial |
$989.83
|
| Rate for Payer: Cofinity Commercial |
$921.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$687.38
|
| Rate for Payer: Mclaren Medicaid |
$454.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$721.75
|
| Rate for Payer: Meridian Medicaid |
$477.72
|
| Rate for Payer: Nomi Health Commercial |
$824.86
|
| Rate for Payer: PACE SWMI |
$687.38
|
| Rate for Payer: PHP Medicare Advantage |
$687.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$454.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,832.35
|
| Rate for Payer: Priority Health HMO/PPO |
$984.87
|
| Rate for Payer: Priority Health Medicare |
$694.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$984.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$687.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$687.38
|
| Rate for Payer: UHC Exchange |
$687.38
|
| Rate for Payer: UHC Medicare Advantage |
$687.38
|
| Rate for Payer: UHCCP Medicaid |
$454.97
|
|
|
PR THORACOSCOPY W/SEGMENTECTOMY
|
Professional
|
Both
|
$2,288.00
|
|
|
Service Code
|
HCPCS 32669
|
| Min. Negotiated Rate |
$847.74 |
| Max. Negotiated Rate |
$1,928.81 |
| Rate for Payer: Aetna Commercial |
$1,727.41
|
| Rate for Payer: Aetna Medicare |
$1,340.67
|
| Rate for Payer: BCBS Complete |
$890.13
|
| Rate for Payer: BCBS MAPPO |
$1,289.11
|
| Rate for Payer: BCBS Trust/PPO |
$1,605.50
|
| Rate for Payer: BCN Commercial |
$1,928.81
|
| Rate for Payer: BCN Medicare Advantage |
$1,289.11
|
| Rate for Payer: Cash Price |
$1,830.40
|
| Rate for Payer: Cash Price |
$1,830.40
|
| Rate for Payer: Cofinity Commercial |
$1,856.32
|
| Rate for Payer: Cofinity Commercial |
$1,727.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,289.11
|
| Rate for Payer: Mclaren Medicaid |
$847.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,353.57
|
| Rate for Payer: Meridian Medicaid |
$890.13
|
| Rate for Payer: Nomi Health Commercial |
$1,546.93
|
| Rate for Payer: PACE SWMI |
$1,289.11
|
| Rate for Payer: PHP Medicare Advantage |
$1,289.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$847.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,487.20
|
| Rate for Payer: Priority Health HMO/PPO |
$1,837.64
|
| Rate for Payer: Priority Health Medicare |
$1,302.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,837.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,289.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,289.11
|
| Rate for Payer: UHC Exchange |
$1,289.11
|
| Rate for Payer: UHC Medicare Advantage |
$1,289.11
|
| Rate for Payer: UHCCP Medicaid |
$847.74
|
|
|
PR THORACOSCOPY W/THERA WEDGE RESEXN ADDL IPSILATRL
|
Professional
|
Both
|
$3,513.00
|
|
|
Service Code
|
HCPCS 32667
|
| Min. Negotiated Rate |
$97.55 |
| Max. Negotiated Rate |
$2,283.45 |
| Rate for Payer: Aetna Commercial |
$200.60
|
| Rate for Payer: Aetna Medicare |
$155.69
|
| Rate for Payer: BCBS Complete |
$102.43
|
| Rate for Payer: BCBS MAPPO |
$149.70
|
| Rate for Payer: BCBS Trust/PPO |
$1,415.84
|
| Rate for Payer: BCN Commercial |
$223.81
|
| Rate for Payer: BCN Medicare Advantage |
$149.70
|
| Rate for Payer: Cash Price |
$2,810.40
|
| Rate for Payer: Cash Price |
$2,810.40
|
| Rate for Payer: Cofinity Commercial |
$215.57
|
| Rate for Payer: Cofinity Commercial |
$200.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$149.70
|
| Rate for Payer: Mclaren Medicaid |
$97.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$157.18
|
| Rate for Payer: Meridian Medicaid |
$102.43
|
| Rate for Payer: Nomi Health Commercial |
$179.64
|
| Rate for Payer: PACE SWMI |
$149.70
|
| Rate for Payer: PHP Medicare Advantage |
$149.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$97.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,283.45
|
| Rate for Payer: Priority Health HMO/PPO |
$212.73
|
| Rate for Payer: Priority Health Medicare |
$151.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$212.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$149.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$149.70
|
| Rate for Payer: UHC Exchange |
$149.70
|
| Rate for Payer: UHC Medicare Advantage |
$149.70
|
| Rate for Payer: UHCCP Medicaid |
$97.55
|
|
|
PR THORACOSCOPY W/THERA WEDGE RESEXN INITIAL UNILAT
|
Professional
|
Both
|
$1,807.00
|
|
|
Service Code
|
HCPCS 32666
|
| Min. Negotiated Rate |
$552.52 |
| Max. Negotiated Rate |
$1,469.73 |
| Rate for Payer: Aetna Commercial |
$1,120.08
|
| Rate for Payer: Aetna Medicare |
$869.32
|
| Rate for Payer: BCBS Complete |
$580.15
|
| Rate for Payer: BCBS MAPPO |
$835.88
|
| Rate for Payer: BCBS Trust/PPO |
$1,469.73
|
| Rate for Payer: BCN Commercial |
$1,253.95
|
| Rate for Payer: BCN Medicare Advantage |
$835.88
|
| Rate for Payer: Cash Price |
$1,445.60
|
| Rate for Payer: Cash Price |
$1,445.60
|
| Rate for Payer: Cofinity Commercial |
$1,203.67
|
| Rate for Payer: Cofinity Commercial |
$1,120.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$835.88
|
| Rate for Payer: Mclaren Medicaid |
$552.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$877.67
|
| Rate for Payer: Meridian Medicaid |
$580.15
|
| Rate for Payer: Nomi Health Commercial |
$1,003.06
|
| Rate for Payer: PACE SWMI |
$835.88
|
| Rate for Payer: PHP Medicare Advantage |
$835.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$552.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,174.55
|
| Rate for Payer: Priority Health HMO/PPO |
$1,196.66
|
| Rate for Payer: Priority Health Medicare |
$844.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,196.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$835.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$835.88
|
| Rate for Payer: UHC Exchange |
$835.88
|
| Rate for Payer: UHC Medicare Advantage |
$835.88
|
| Rate for Payer: UHCCP Medicaid |
$552.52
|
|
|
PR THORACOSTOMY OPEN FLAP DRAINAGE EMPYEMA
|
Professional
|
Both
|
$1,863.00
|
|
|
Service Code
|
HCPCS 32036
|
| Min. Negotiated Rate |
$500.98 |
| Max. Negotiated Rate |
$1,210.95 |
| Rate for Payer: Aetna Commercial |
$1,010.24
|
| Rate for Payer: Aetna Medicare |
$784.07
|
| Rate for Payer: BCBS Complete |
$526.03
|
| Rate for Payer: BCBS MAPPO |
$753.91
|
| Rate for Payer: BCBS Trust/PPO |
$1,167.01
|
| Rate for Payer: BCN Commercial |
$1,146.44
|
| Rate for Payer: BCN Medicare Advantage |
$753.91
|
| Rate for Payer: Cash Price |
$1,490.40
|
| Rate for Payer: Cash Price |
$1,490.40
|
| Rate for Payer: Cofinity Commercial |
$1,085.63
|
| Rate for Payer: Cofinity Commercial |
$1,010.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$753.91
|
| Rate for Payer: Mclaren Medicaid |
$500.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$791.61
|
| Rate for Payer: Meridian Medicaid |
$526.03
|
| Rate for Payer: Nomi Health Commercial |
$904.69
|
| Rate for Payer: PACE SWMI |
$753.91
|
| Rate for Payer: PHP Medicare Advantage |
$753.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$500.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,210.95
|
| Rate for Payer: Priority Health HMO/PPO |
$1,094.25
|
| Rate for Payer: Priority Health Medicare |
$761.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,094.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$753.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$753.91
|
| Rate for Payer: UHC Exchange |
$753.91
|
| Rate for Payer: UHC Medicare Advantage |
$753.91
|
| Rate for Payer: UHCCP Medicaid |
$500.98
|
|
|
PR THORACOSTOMY W/RIB RESECTION EMPYEMA
|
Professional
|
Both
|
$2,372.00
|
|
|
Service Code
|
HCPCS 32035
|
| Min. Negotiated Rate |
$469.03 |
| Max. Negotiated Rate |
$1,846.41 |
| Rate for Payer: Aetna Commercial |
$944.51
|
| Rate for Payer: Aetna Medicare |
$733.05
|
| Rate for Payer: BCBS Complete |
$492.48
|
| Rate for Payer: BCBS MAPPO |
$704.86
|
| Rate for Payer: BCBS Trust/PPO |
$1,846.41
|
| Rate for Payer: BCN Commercial |
$1,063.36
|
| Rate for Payer: BCN Medicare Advantage |
$704.86
|
| Rate for Payer: Cash Price |
$1,897.60
|
| Rate for Payer: Cash Price |
$1,897.60
|
| Rate for Payer: Cofinity Commercial |
$944.51
|
| Rate for Payer: Cofinity Commercial |
$1,015.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$704.86
|
| Rate for Payer: Mclaren Medicaid |
$469.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$740.10
|
| Rate for Payer: Meridian Medicaid |
$492.48
|
| Rate for Payer: Nomi Health Commercial |
$845.83
|
| Rate for Payer: PACE SWMI |
$704.86
|
| Rate for Payer: PHP Medicare Advantage |
$704.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$469.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,541.80
|
| Rate for Payer: Priority Health HMO/PPO |
$1,015.91
|
| Rate for Payer: Priority Health Medicare |
$711.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,015.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$704.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$704.86
|
| Rate for Payer: UHC Exchange |
$704.86
|
| Rate for Payer: UHC Medicare Advantage |
$704.86
|
| Rate for Payer: UHCCP Medicaid |
$469.03
|
|
|
PR THORACOTOMY OPN INTRAPLEURAL PNEUMONOLYSIS
|
Professional
|
Both
|
$2,824.00
|
|
|
Service Code
|
HCPCS 32124
|
| Min. Negotiated Rate |
$295.85 |
| Max. Negotiated Rate |
$1,835.60 |
| Rate for Payer: Aetna Commercial |
$1,189.69
|
| Rate for Payer: Aetna Medicare |
$923.34
|
| Rate for Payer: BCBS Complete |
$616.60
|
| Rate for Payer: BCBS MAPPO |
$887.83
|
| Rate for Payer: BCBS Trust/PPO |
$295.85
|
| Rate for Payer: BCN Commercial |
$1,330.18
|
| Rate for Payer: BCN Medicare Advantage |
$887.83
|
| Rate for Payer: Cash Price |
$2,259.20
|
| Rate for Payer: Cash Price |
$2,259.20
|
| Rate for Payer: Cofinity Commercial |
$1,278.48
|
| Rate for Payer: Cofinity Commercial |
$1,189.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$887.83
|
| Rate for Payer: Mclaren Medicaid |
$587.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$932.22
|
| Rate for Payer: Meridian Medicaid |
$616.60
|
| Rate for Payer: Nomi Health Commercial |
$1,065.40
|
| Rate for Payer: PACE SWMI |
$887.83
|
| Rate for Payer: PHP Medicare Advantage |
$887.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$587.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,835.60
|
| Rate for Payer: Priority Health HMO/PPO |
$1,269.43
|
| Rate for Payer: Priority Health Medicare |
$896.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,269.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$887.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$887.83
|
| Rate for Payer: UHC Exchange |
$887.83
|
| Rate for Payer: UHC Medicare Advantage |
$887.83
|
| Rate for Payer: UHCCP Medicaid |
$587.24
|
|
|
PR THORACOTOMY POSTOPERATIVE COMPLICATIONS
|
Professional
|
Both
|
$1,958.00
|
|
|
Service Code
|
HCPCS 32120
|
| Min. Negotiated Rate |
$224.53 |
| Max. Negotiated Rate |
$1,272.70 |
| Rate for Payer: Aetna Commercial |
$1,127.10
|
| Rate for Payer: Aetna Medicare |
$874.76
|
| Rate for Payer: BCBS Complete |
$584.62
|
| Rate for Payer: BCBS MAPPO |
$841.12
|
| Rate for Payer: BCBS Trust/PPO |
$224.53
|
| Rate for Payer: BCN Commercial |
$1,258.83
|
| Rate for Payer: BCN Medicare Advantage |
$841.12
|
| Rate for Payer: Cash Price |
$1,566.40
|
| Rate for Payer: Cash Price |
$1,566.40
|
| Rate for Payer: Cofinity Commercial |
$1,211.21
|
| Rate for Payer: Cofinity Commercial |
$1,127.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$841.12
|
| Rate for Payer: Mclaren Medicaid |
$556.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$883.18
|
| Rate for Payer: Meridian Medicaid |
$584.62
|
| Rate for Payer: Nomi Health Commercial |
$1,009.34
|
| Rate for Payer: PACE SWMI |
$841.12
|
| Rate for Payer: PHP Medicare Advantage |
$841.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$556.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,272.70
|
| Rate for Payer: Priority Health HMO/PPO |
$1,202.23
|
| Rate for Payer: Priority Health Medicare |
$849.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,202.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$841.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$841.12
|
| Rate for Payer: UHC Exchange |
$841.12
|
| Rate for Payer: UHC Medicare Advantage |
$841.12
|
| Rate for Payer: UHCCP Medicaid |
$556.78
|
|
|
PR THORACOTOMY W/BIOPSY OF PLEURA
|
Professional
|
Both
|
$3,059.00
|
|
|
Service Code
|
HCPCS 32098
|
| Min. Negotiated Rate |
$480.10 |
| Max. Negotiated Rate |
$1,988.35 |
| Rate for Payer: Aetna Commercial |
$974.46
|
| Rate for Payer: Aetna Medicare |
$756.30
|
| Rate for Payer: BCBS Complete |
$504.10
|
| Rate for Payer: BCBS MAPPO |
$727.21
|
| Rate for Payer: BCBS Trust/PPO |
$1,384.67
|
| Rate for Payer: BCN Commercial |
$1,095.62
|
| Rate for Payer: BCN Medicare Advantage |
$727.21
|
| Rate for Payer: Cash Price |
$2,447.20
|
| Rate for Payer: Cash Price |
$2,447.20
|
| Rate for Payer: Cofinity Commercial |
$974.46
|
| Rate for Payer: Cofinity Commercial |
$1,047.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$727.21
|
| Rate for Payer: Mclaren Medicaid |
$480.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$763.57
|
| Rate for Payer: Meridian Medicaid |
$504.10
|
| Rate for Payer: Nomi Health Commercial |
$872.65
|
| Rate for Payer: PACE SWMI |
$727.21
|
| Rate for Payer: PHP Medicare Advantage |
$727.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$480.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,988.35
|
| Rate for Payer: Priority Health HMO/PPO |
$1,041.41
|
| Rate for Payer: Priority Health Medicare |
$734.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,041.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$727.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$727.21
|
| Rate for Payer: UHC Exchange |
$727.21
|
| Rate for Payer: UHC Medicare Advantage |
$727.21
|
| Rate for Payer: UHCCP Medicaid |
$480.10
|
|
|
PR THORACOTOMY W/CARDIAC MASSAGE
|
Professional
|
Both
|
$3,531.00
|
|
|
Service Code
|
HCPCS 32160
|
| Min. Negotiated Rate |
$510.77 |
| Max. Negotiated Rate |
$2,295.15 |
| Rate for Payer: Aetna Commercial |
$1,031.49
|
| Rate for Payer: Aetna Medicare |
$800.56
|
| Rate for Payer: BCBS Complete |
$536.31
|
| Rate for Payer: BCBS MAPPO |
$769.77
|
| Rate for Payer: BCBS Trust/PPO |
$1,370.94
|
| Rate for Payer: BCN Commercial |
$1,152.79
|
| Rate for Payer: BCN Medicare Advantage |
$769.77
|
| Rate for Payer: Cash Price |
$2,824.80
|
| Rate for Payer: Cash Price |
$2,824.80
|
| Rate for Payer: Cofinity Commercial |
$1,108.47
|
| Rate for Payer: Cofinity Commercial |
$1,031.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$769.77
|
| Rate for Payer: Mclaren Medicaid |
$510.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$808.26
|
| Rate for Payer: Meridian Medicaid |
$536.31
|
| Rate for Payer: Nomi Health Commercial |
$923.72
|
| Rate for Payer: PACE SWMI |
$769.77
|
| Rate for Payer: PHP Medicare Advantage |
$769.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$510.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,295.15
|
| Rate for Payer: Priority Health HMO/PPO |
$1,099.80
|
| Rate for Payer: Priority Health Medicare |
$777.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,099.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$769.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$769.77
|
| Rate for Payer: UHC Exchange |
$769.77
|
| Rate for Payer: UHC Medicare Advantage |
$769.77
|
| Rate for Payer: UHCCP Medicaid |
$510.77
|
|
|
PR THORACOTOMY W/DX WEDGE RESEXN & ANTOM LUNG RESE
|
Professional
|
Both
|
$700.00
|
|
|
Service Code
|
HCPCS 32507
|
| Min. Negotiated Rate |
$97.34 |
| Max. Negotiated Rate |
$959.39 |
| Rate for Payer: Aetna Commercial |
$200.09
|
| Rate for Payer: Aetna Medicare |
$155.29
|
| Rate for Payer: BCBS Complete |
$102.21
|
| Rate for Payer: BCBS MAPPO |
$149.32
|
| Rate for Payer: BCBS Trust/PPO |
$959.39
|
| Rate for Payer: BCN Commercial |
$223.81
|
| Rate for Payer: BCN Medicare Advantage |
$149.32
|
| Rate for Payer: Cash Price |
$560.00
|
| Rate for Payer: Cash Price |
$560.00
|
| Rate for Payer: Cofinity Commercial |
$215.02
|
| Rate for Payer: Cofinity Commercial |
$200.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$149.32
|
| Rate for Payer: Mclaren Medicaid |
$97.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$156.79
|
| Rate for Payer: Meridian Medicaid |
$102.21
|
| Rate for Payer: Nomi Health Commercial |
$179.18
|
| Rate for Payer: PACE SWMI |
$149.32
|
| Rate for Payer: PHP Medicare Advantage |
$149.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$97.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$455.00
|
| Rate for Payer: Priority Health HMO/PPO |
$211.80
|
| Rate for Payer: Priority Health Medicare |
$150.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$211.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$149.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$149.32
|
| Rate for Payer: UHC Exchange |
$149.32
|
| Rate for Payer: UHC Medicare Advantage |
$149.32
|
| Rate for Payer: UHCCP Medicaid |
$97.34
|
|
|
PR THORACOTOMY WITH EXPLORATION
|
Professional
|
Both
|
$2,824.00
|
|
|
Service Code
|
HCPCS 32100
|
| Min. Negotiated Rate |
$516.74 |
| Max. Negotiated Rate |
$1,835.60 |
| Rate for Payer: Aetna Commercial |
$1,047.79
|
| Rate for Payer: Aetna Medicare |
$813.21
|
| Rate for Payer: BCBS Complete |
$542.58
|
| Rate for Payer: BCBS MAPPO |
$781.93
|
| Rate for Payer: BCBS Trust/PPO |
$957.28
|
| Rate for Payer: BCN Commercial |
$1,165.98
|
| Rate for Payer: BCN Medicare Advantage |
$781.93
|
| Rate for Payer: Cash Price |
$2,259.20
|
| Rate for Payer: Cash Price |
$2,259.20
|
| Rate for Payer: Cofinity Commercial |
$1,125.98
|
| Rate for Payer: Cofinity Commercial |
$1,047.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$781.93
|
| Rate for Payer: Mclaren Medicaid |
$516.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$821.03
|
| Rate for Payer: Meridian Medicaid |
$542.58
|
| Rate for Payer: Nomi Health Commercial |
$938.32
|
| Rate for Payer: PACE SWMI |
$781.93
|
| Rate for Payer: PHP Medicare Advantage |
$781.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$516.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,835.60
|
| Rate for Payer: Priority Health HMO/PPO |
$1,115.56
|
| Rate for Payer: Priority Health Medicare |
$789.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,115.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$781.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$781.93
|
| Rate for Payer: UHC Exchange |
$781.93
|
| Rate for Payer: UHC Medicare Advantage |
$781.93
|
| Rate for Payer: UHCCP Medicaid |
$516.74
|
|
|
PR THORACOTOMY W/RESECTION BULLAE
|
Professional
|
Both
|
$2,855.00
|
|
|
Service Code
|
HCPCS 32141
|
| Min. Negotiated Rate |
$672.00 |
| Max. Negotiated Rate |
$2,189.27 |
| Rate for Payer: Aetna Commercial |
$1,961.44
|
| Rate for Payer: Aetna Medicare |
$1,522.31
|
| Rate for Payer: BCBS Complete |
$1,009.55
|
| Rate for Payer: BCBS MAPPO |
$1,463.76
|
| Rate for Payer: BCBS Trust/PPO |
$672.00
|
| Rate for Payer: BCN Commercial |
$2,189.27
|
| Rate for Payer: BCN Medicare Advantage |
$1,463.76
|
| Rate for Payer: Cash Price |
$2,284.00
|
| Rate for Payer: Cash Price |
$2,284.00
|
| Rate for Payer: Cofinity Commercial |
$2,107.81
|
| Rate for Payer: Cofinity Commercial |
$1,961.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,463.76
|
| Rate for Payer: Mclaren Medicaid |
$961.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,536.95
|
| Rate for Payer: Meridian Medicaid |
$1,009.55
|
| Rate for Payer: Nomi Health Commercial |
$1,756.51
|
| Rate for Payer: PACE SWMI |
$1,463.76
|
| Rate for Payer: PHP Medicare Advantage |
$1,463.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$961.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,855.75
|
| Rate for Payer: Priority Health HMO/PPO |
$2,081.88
|
| Rate for Payer: Priority Health Medicare |
$1,478.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,081.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,463.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,463.76
|
| Rate for Payer: UHC Exchange |
$1,463.76
|
| Rate for Payer: UHC Medicare Advantage |
$1,463.76
|
| Rate for Payer: UHCCP Medicaid |
$961.48
|
|
