|
PR THORACOSCOPY W/PNEUMONECTOMY
|
Professional
|
Both
|
$7,168.00
|
|
|
Service Code
|
HCPCS 32671
|
| Min. Negotiated Rate |
$1,702.40 |
| 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 |
$2,867.20
|
| Rate for Payer: BCBS MAPPO |
$1,702.40
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,787.52
|
| 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 Cigna Priority Health |
$4,659.20
|
| Rate for Payer: Priority Health Medicare |
$1,719.42
|
| 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
|
|
|
PR THORACOSCOPY W/RESECTION BULLAE W/WO PLEURAL PX
|
Professional
|
Both
|
$3,416.00
|
|
|
Service Code
|
HCPCS 32655
|
| Min. Negotiated Rate |
$919.22 |
| 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 |
$1,366.40
|
| Rate for Payer: BCBS MAPPO |
$919.22
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$965.18
|
| 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 Cigna Priority Health |
$2,220.40
|
| Rate for Payer: Priority Health Medicare |
$928.41
|
| 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
|
|
|
PR THORACOSCOPY W/RESEXN-PLICAJ EMPHYSEMA LUNG UNIL
|
Professional
|
Both
|
$6,130.00
|
|
|
Service Code
|
HCPCS 32672
|
| Min. Negotiated Rate |
$1,457.81 |
| 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 |
$2,452.00
|
| Rate for Payer: BCBS MAPPO |
$1,457.81
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,530.70
|
| 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 Cigna Priority Health |
$3,984.50
|
| Rate for Payer: Priority Health Medicare |
$1,472.39
|
| 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
|
|
|
PR THORACOSCOPY W/RMVL CLOT/FB FROM PERICARDIAL SAC
|
Professional
|
Both
|
$2,819.00
|
|
|
Service Code
|
HCPCS 32658
|
| Min. Negotiated Rate |
$687.38 |
| 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 |
$1,127.60
|
| Rate for Payer: BCBS MAPPO |
$687.38
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$721.75
|
| 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 Cigna Priority Health |
$1,832.35
|
| Rate for Payer: Priority Health Medicare |
$694.25
|
| 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
|
|
|
PR THORACOSCOPY W/SEGMENTECTOMY
|
Professional
|
Both
|
$2,288.00
|
|
|
Service Code
|
HCPCS 32669
|
| Min. Negotiated Rate |
$915.20 |
| Max. Negotiated Rate |
$1,856.32 |
| Rate for Payer: Aetna Commercial |
$1,727.41
|
| Rate for Payer: Aetna Medicare |
$1,340.67
|
| Rate for Payer: BCBS Complete |
$915.20
|
| Rate for Payer: BCBS MAPPO |
$1,289.11
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,353.57
|
| 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 Cigna Priority Health |
$1,487.20
|
| Rate for Payer: Priority Health Medicare |
$1,302.00
|
| 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
|
|
|
PR THORACOSCOPY W/THERA WEDGE RESEXN ADDL IPSILATRL
|
Professional
|
Both
|
$3,513.00
|
|
|
Service Code
|
HCPCS 32667
|
| Min. Negotiated Rate |
$149.70 |
| 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 |
$1,405.20
|
| Rate for Payer: BCBS MAPPO |
$149.70
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$157.19
|
| 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 Cigna Priority Health |
$2,283.45
|
| Rate for Payer: Priority Health Medicare |
$151.20
|
| 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
|
|
|
PR THORACOSCOPY W/THERA WEDGE RESEXN INITIAL UNILAT
|
Professional
|
Both
|
$1,807.00
|
|
|
Service Code
|
HCPCS 32666
|
| Min. Negotiated Rate |
$722.80 |
| Max. Negotiated Rate |
$1,203.67 |
| Rate for Payer: Aetna Commercial |
$1,120.08
|
| Rate for Payer: Aetna Medicare |
$869.32
|
| Rate for Payer: BCBS Complete |
$722.80
|
| Rate for Payer: BCBS MAPPO |
$835.88
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$877.67
|
| 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 Cigna Priority Health |
$1,174.55
|
| Rate for Payer: Priority Health Medicare |
$844.24
|
| 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
|
|
|
PR THORACOSTOMY OPEN FLAP DRAINAGE EMPYEMA
|
Professional
|
Both
|
$1,863.00
|
|
|
Service Code
|
HCPCS 32036
|
| Min. Negotiated Rate |
$745.20 |
| 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 |
$745.20
|
| Rate for Payer: BCBS MAPPO |
$753.91
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$791.61
|
| 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 Cigna Priority Health |
$1,210.95
|
| Rate for Payer: Priority Health Medicare |
$761.45
|
| 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
|
|
|
PR THORACOSTOMY W/RIB RESECTION EMPYEMA
|
Professional
|
Both
|
$2,372.00
|
|
|
Service Code
|
HCPCS 32035
|
| Min. Negotiated Rate |
$704.86 |
| Max. Negotiated Rate |
$1,541.80 |
| Rate for Payer: Aetna Commercial |
$944.51
|
| Rate for Payer: Aetna Medicare |
$733.05
|
| Rate for Payer: BCBS Complete |
$948.80
|
| Rate for Payer: BCBS MAPPO |
$704.86
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$740.10
|
| 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 Cigna Priority Health |
$1,541.80
|
| Rate for Payer: Priority Health Medicare |
$711.91
|
| 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
|
|
|
PR THORACOTOMY OPN INTRAPLEURAL PNEUMONOLYSIS
|
Professional
|
Both
|
$2,824.00
|
|
|
Service Code
|
HCPCS 32124
|
| Min. Negotiated Rate |
$887.83 |
| 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 |
$1,129.60
|
| Rate for Payer: BCBS MAPPO |
$887.83
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$932.22
|
| 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 Cigna Priority Health |
$1,835.60
|
| Rate for Payer: Priority Health Medicare |
$896.71
|
| 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
|
|
|
PR THORACOTOMY POSTOPERATIVE COMPLICATIONS
|
Professional
|
Both
|
$1,958.00
|
|
|
Service Code
|
HCPCS 32120
|
| Min. Negotiated Rate |
$783.20 |
| 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 |
$783.20
|
| Rate for Payer: BCBS MAPPO |
$841.12
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$883.18
|
| 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 Cigna Priority Health |
$1,272.70
|
| Rate for Payer: Priority Health Medicare |
$849.53
|
| 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
|
|
|
PR THORACOTOMY W/BIOPSY OF PLEURA
|
Professional
|
Both
|
$3,059.00
|
|
|
Service Code
|
HCPCS 32098
|
| Min. Negotiated Rate |
$727.21 |
| 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 |
$1,223.60
|
| Rate for Payer: BCBS MAPPO |
$727.21
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$763.57
|
| 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 Cigna Priority Health |
$1,988.35
|
| Rate for Payer: Priority Health Medicare |
$734.48
|
| 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
|
|
|
PR THORACOTOMY W/CARDIAC MASSAGE
|
Professional
|
Both
|
$3,531.00
|
|
|
Service Code
|
HCPCS 32160
|
| Min. Negotiated Rate |
$769.77 |
| 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 |
$1,412.40
|
| Rate for Payer: BCBS MAPPO |
$769.77
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$808.26
|
| 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 Cigna Priority Health |
$2,295.15
|
| Rate for Payer: Priority Health Medicare |
$777.47
|
| 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
|
|
|
PR THORACOTOMY W/DX WEDGE RESEXN & ANTOM LUNG RESE
|
Professional
|
Both
|
$700.00
|
|
|
Service Code
|
HCPCS 32507
|
| Min. Negotiated Rate |
$149.32 |
| Max. Negotiated Rate |
$455.00 |
| Rate for Payer: Aetna Commercial |
$200.09
|
| Rate for Payer: Aetna Medicare |
$155.29
|
| Rate for Payer: BCBS Complete |
$280.00
|
| Rate for Payer: BCBS MAPPO |
$149.32
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$156.79
|
| 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 Cigna Priority Health |
$455.00
|
| Rate for Payer: Priority Health Medicare |
$150.81
|
| 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
|
|
|
PR THORACOTOMY WITH EXPLORATION
|
Professional
|
Both
|
$2,824.00
|
|
|
Service Code
|
HCPCS 32100
|
| Min. Negotiated Rate |
$781.93 |
| 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 |
$1,129.60
|
| Rate for Payer: BCBS MAPPO |
$781.93
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$821.03
|
| 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 Cigna Priority Health |
$1,835.60
|
| Rate for Payer: Priority Health Medicare |
$789.75
|
| 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
|
|
|
PR THORACOTOMY W/RESECTION BULLAE
|
Professional
|
Both
|
$2,855.00
|
|
|
Service Code
|
HCPCS 32141
|
| Min. Negotiated Rate |
$1,142.00 |
| Max. Negotiated Rate |
$2,107.81 |
| Rate for Payer: Aetna Commercial |
$1,961.44
|
| Rate for Payer: Aetna Medicare |
$1,522.31
|
| Rate for Payer: BCBS Complete |
$1,142.00
|
| Rate for Payer: BCBS MAPPO |
$1,463.76
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,536.95
|
| 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 Cigna Priority Health |
$1,855.75
|
| Rate for Payer: Priority Health Medicare |
$1,478.40
|
| 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
|
|
|
PR THORACOTOMY W/THERAPEUTIC WEDGE RESEXN INITIAL
|
Professional
|
Both
|
$2,415.00
|
|
|
Service Code
|
HCPCS 32505
|
| Min. Negotiated Rate |
$895.10 |
| Max. Negotiated Rate |
$1,569.75 |
| Rate for Payer: Aetna Commercial |
$1,199.43
|
| Rate for Payer: Aetna Medicare |
$930.90
|
| Rate for Payer: BCBS Complete |
$966.00
|
| Rate for Payer: BCBS MAPPO |
$895.10
|
| Rate for Payer: BCN Medicare Advantage |
$895.10
|
| Rate for Payer: Cash Price |
$1,932.00
|
| Rate for Payer: Cash Price |
$1,932.00
|
| Rate for Payer: Cofinity Commercial |
$1,288.94
|
| Rate for Payer: Cofinity Commercial |
$1,199.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$895.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$939.86
|
| Rate for Payer: Nomi Health Commercial |
$1,074.12
|
| Rate for Payer: PACE SWMI |
$895.10
|
| Rate for Payer: PHP Medicare Advantage |
$895.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,569.75
|
| Rate for Payer: Priority Health Medicare |
$904.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$895.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$895.10
|
| Rate for Payer: UHC Exchange |
$895.10
|
| Rate for Payer: UHC Medicare Advantage |
$895.10
|
|
|
PR THORACOTOMY W/THERAP WEDGE RESEXN ADDL IPSILATRL
|
Professional
|
Both
|
$352.00
|
|
|
Service Code
|
HCPCS 32506
|
| Min. Negotiated Rate |
$140.80 |
| Max. Negotiated Rate |
$228.80 |
| Rate for Payer: Aetna Commercial |
$200.09
|
| Rate for Payer: Aetna Medicare |
$155.29
|
| Rate for Payer: BCBS Complete |
$140.80
|
| Rate for Payer: BCBS MAPPO |
$149.32
|
| Rate for Payer: BCN Medicare Advantage |
$149.32
|
| Rate for Payer: Cash Price |
$281.60
|
| Rate for Payer: Cash Price |
$281.60
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$156.79
|
| 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 Cigna Priority Health |
$228.80
|
| Rate for Payer: Priority Health Medicare |
$150.81
|
| 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
|
|
|
PR THORACTOMY W/DX BX LUNG INFILTRATE UNILATERAL
|
Professional
|
Both
|
$3,255.00
|
|
|
Service Code
|
HCPCS 32096
|
| Min. Negotiated Rate |
$772.29 |
| Max. Negotiated Rate |
$2,115.75 |
| Rate for Payer: Aetna Commercial |
$1,034.87
|
| Rate for Payer: Aetna Medicare |
$803.18
|
| Rate for Payer: BCBS Complete |
$1,302.00
|
| Rate for Payer: BCBS MAPPO |
$772.29
|
| Rate for Payer: BCN Medicare Advantage |
$772.29
|
| Rate for Payer: Cash Price |
$2,604.00
|
| Rate for Payer: Cash Price |
$2,604.00
|
| Rate for Payer: Cofinity Commercial |
$1,112.10
|
| Rate for Payer: Cofinity Commercial |
$1,034.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$772.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$810.90
|
| Rate for Payer: Nomi Health Commercial |
$926.75
|
| Rate for Payer: PACE SWMI |
$772.29
|
| Rate for Payer: PHP Medicare Advantage |
$772.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,115.75
|
| Rate for Payer: Priority Health Medicare |
$780.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$772.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$772.29
|
| Rate for Payer: UHC Exchange |
$772.29
|
| Rate for Payer: UHC Medicare Advantage |
$772.29
|
|
|
PR THORACTOMY W/DX BX LUNG NODULE/MASS UNILATERAL
|
Professional
|
Both
|
$3,255.00
|
|
|
Service Code
|
HCPCS 32097
|
| Min. Negotiated Rate |
$773.01 |
| Max. Negotiated Rate |
$2,115.75 |
| Rate for Payer: Aetna Commercial |
$1,035.83
|
| Rate for Payer: Aetna Medicare |
$803.93
|
| Rate for Payer: BCBS Complete |
$1,302.00
|
| Rate for Payer: BCBS MAPPO |
$773.01
|
| Rate for Payer: BCN Medicare Advantage |
$773.01
|
| Rate for Payer: Cash Price |
$2,604.00
|
| Rate for Payer: Cash Price |
$2,604.00
|
| Rate for Payer: Cofinity Commercial |
$1,113.13
|
| Rate for Payer: Cofinity Commercial |
$1,035.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$773.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$811.66
|
| Rate for Payer: Nomi Health Commercial |
$927.61
|
| Rate for Payer: PACE SWMI |
$773.01
|
| Rate for Payer: PHP Medicare Advantage |
$773.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,115.75
|
| Rate for Payer: Priority Health Medicare |
$780.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$773.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$773.01
|
| Rate for Payer: UHC Exchange |
$773.01
|
| Rate for Payer: UHC Medicare Advantage |
$773.01
|
|
|
PR THORCOM CTRL TRAUMTC HEMRRG&/RPR LNG TEAR
|
Professional
|
Both
|
$3,317.00
|
|
|
Service Code
|
HCPCS 32110
|
| Min. Negotiated Rate |
$1,326.80 |
| Max. Negotiated Rate |
$2,156.05 |
| Rate for Payer: Aetna Commercial |
$1,909.22
|
| Rate for Payer: Aetna Medicare |
$1,481.78
|
| Rate for Payer: BCBS Complete |
$1,326.80
|
| Rate for Payer: BCBS MAPPO |
$1,424.79
|
| Rate for Payer: BCN Medicare Advantage |
$1,424.79
|
| Rate for Payer: Cash Price |
$2,653.60
|
| Rate for Payer: Cash Price |
$2,653.60
|
| Rate for Payer: Cofinity Commercial |
$2,051.70
|
| Rate for Payer: Cofinity Commercial |
$1,909.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,424.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,496.03
|
| Rate for Payer: Nomi Health Commercial |
$1,709.75
|
| Rate for Payer: PACE SWMI |
$1,424.79
|
| Rate for Payer: PHP Medicare Advantage |
$1,424.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,156.05
|
| Rate for Payer: Priority Health Medicare |
$1,439.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,424.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,424.79
|
| Rate for Payer: UHC Exchange |
$1,424.79
|
| Rate for Payer: UHC Medicare Advantage |
$1,424.79
|
|
|
PR THORCOM THRC W/MEDSTNL & REGIONAL LMPHADEC
|
Professional
|
Both
|
$1,519.00
|
|
|
Service Code
|
HCPCS 38746
|
| Min. Negotiated Rate |
$205.98 |
| Max. Negotiated Rate |
$987.35 |
| Rate for Payer: Aetna Commercial |
$276.01
|
| Rate for Payer: Aetna Medicare |
$214.22
|
| Rate for Payer: BCBS Complete |
$607.60
|
| Rate for Payer: BCBS MAPPO |
$205.98
|
| Rate for Payer: BCN Medicare Advantage |
$205.98
|
| Rate for Payer: Cash Price |
$1,215.20
|
| Rate for Payer: Cash Price |
$1,215.20
|
| Rate for Payer: Cofinity Commercial |
$296.61
|
| Rate for Payer: Cofinity Commercial |
$276.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$205.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$216.28
|
| Rate for Payer: Nomi Health Commercial |
$247.18
|
| Rate for Payer: PACE SWMI |
$205.98
|
| Rate for Payer: PHP Medicare Advantage |
$205.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$987.35
|
| Rate for Payer: Priority Health Medicare |
$208.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$205.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$205.98
|
| Rate for Payer: UHC Exchange |
$205.98
|
| Rate for Payer: UHC Medicare Advantage |
$205.98
|
|
|
PR THORCOM W/REMOVAL OF CYST
|
Professional
|
Both
|
$2,356.00
|
|
|
Service Code
|
HCPCS 32140
|
| Min. Negotiated Rate |
$942.40 |
| Max. Negotiated Rate |
$1,531.40 |
| Rate for Payer: Aetna Commercial |
$1,277.94
|
| Rate for Payer: Aetna Medicare |
$991.84
|
| Rate for Payer: BCBS Complete |
$942.40
|
| Rate for Payer: BCBS MAPPO |
$953.69
|
| Rate for Payer: BCN Medicare Advantage |
$953.69
|
| Rate for Payer: Cash Price |
$1,884.80
|
| Rate for Payer: Cash Price |
$1,884.80
|
| Rate for Payer: Cofinity Commercial |
$1,373.31
|
| Rate for Payer: Cofinity Commercial |
$1,277.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$953.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,001.37
|
| Rate for Payer: Nomi Health Commercial |
$1,144.43
|
| Rate for Payer: PACE SWMI |
$953.69
|
| Rate for Payer: PHP Medicare Advantage |
$953.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,531.40
|
| Rate for Payer: Priority Health Medicare |
$963.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$953.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$953.69
|
| Rate for Payer: UHC Exchange |
$953.69
|
| Rate for Payer: UHC Medicare Advantage |
$953.69
|
|
|
PR THORCOM W/RMVL INTRAPLEURAL FB/FIBRIN DEP
|
Professional
|
Both
|
$2,632.00
|
|
|
Service Code
|
HCPCS 32150
|
| Min. Negotiated Rate |
$977.42 |
| Max. Negotiated Rate |
$1,710.80 |
| Rate for Payer: Aetna Commercial |
$1,309.74
|
| Rate for Payer: Aetna Medicare |
$1,016.52
|
| Rate for Payer: BCBS Complete |
$1,052.80
|
| Rate for Payer: BCBS MAPPO |
$977.42
|
| Rate for Payer: BCN Medicare Advantage |
$977.42
|
| Rate for Payer: Cash Price |
$2,105.60
|
| Rate for Payer: Cash Price |
$2,105.60
|
| Rate for Payer: Cofinity Commercial |
$1,407.48
|
| Rate for Payer: Cofinity Commercial |
$1,309.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$977.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,026.29
|
| Rate for Payer: Nomi Health Commercial |
$1,172.90
|
| Rate for Payer: PACE SWMI |
$977.42
|
| Rate for Payer: PHP Medicare Advantage |
$977.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,710.80
|
| Rate for Payer: Priority Health Medicare |
$987.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$977.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$977.42
|
| Rate for Payer: UHC Exchange |
$977.42
|
| Rate for Payer: UHC Medicare Advantage |
$977.42
|
|
|
PR THORCOM W/RMVL IPUL FB
|
Professional
|
Both
|
$2,474.00
|
|
|
Service Code
|
HCPCS 32151
|
| Min. Negotiated Rate |
$967.00 |
| Max. Negotiated Rate |
$1,608.10 |
| Rate for Payer: Aetna Commercial |
$1,295.78
|
| Rate for Payer: Aetna Medicare |
$1,005.68
|
| Rate for Payer: BCBS Complete |
$989.60
|
| Rate for Payer: BCBS MAPPO |
$967.00
|
| Rate for Payer: BCN Medicare Advantage |
$967.00
|
| Rate for Payer: Cash Price |
$1,979.20
|
| Rate for Payer: Cash Price |
$1,979.20
|
| Rate for Payer: Cofinity Commercial |
$1,392.48
|
| Rate for Payer: Cofinity Commercial |
$1,295.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$967.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,015.35
|
| Rate for Payer: Nomi Health Commercial |
$1,160.40
|
| Rate for Payer: PACE SWMI |
$967.00
|
| Rate for Payer: PHP Medicare Advantage |
$967.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,608.10
|
| Rate for Payer: Priority Health Medicare |
$976.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$967.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$967.00
|
| Rate for Payer: UHC Exchange |
$967.00
|
| Rate for Payer: UHC Medicare Advantage |
$967.00
|
|
