|
PR THER PX 1/> AREAS EACH 15 MINUTES MASSAGE
|
Professional
|
Both
|
$44.00
|
|
|
Service Code
|
HCPCS 97124
|
| Min. Negotiated Rate |
$14.38 |
| Max. Negotiated Rate |
$89.48 |
| Rate for Payer: Aetna Commercial |
$37.83
|
| Rate for Payer: Aetna Medicare |
$29.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$37.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40.65
|
| Rate for Payer: BCBS MAPPO |
$28.23
|
| Rate for Payer: BCN Commercial |
$14.38
|
| Rate for Payer: BCN Medicare Advantage |
$28.23
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cofinity Commercial |
$40.65
|
| Rate for Payer: Cofinity Commercial |
$37.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29.64
|
| Rate for Payer: Molina Medicare/Medicaid |
$31.05
|
| Rate for Payer: Nomi Health Commercial |
$33.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$33.00
|
| Rate for Payer: PACE SWMI |
$28.23
|
| Rate for Payer: PHP Commercial |
$39.52
|
| Rate for Payer: PHP Medicare Advantage |
$28.23
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$89.48
|
| Rate for Payer: Priority Health Medicare |
$28.23
|
| Rate for Payer: Priority Health SBD |
$89.48
|
| Rate for Payer: Priority Health Tiered Network |
$89.48
|
| Rate for Payer: Railroad Medicare Medicare |
$28.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25.66
|
| Rate for Payer: UHC Core |
$25.66
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$28.23
|
| Rate for Payer: UHC Exchange |
$25.66
|
| Rate for Payer: UMR Bronson Commercial |
$20.24
|
|
|
PR THIGHPLASTY
|
Professional
|
Both
|
$6,309.00
|
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$2,523.60 |
| Max. Negotiated Rate |
$4,731.75 |
| Rate for Payer: Aetna Medicare |
$3,154.50
|
| Rate for Payer: BCBS Complete |
$2,523.60
|
| Rate for Payer: Cash Price |
$5,047.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,731.75
|
| Rate for Payer: UMR Bronson Commercial |
$2,902.14
|
|
|
PR THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING
|
Professional
|
Both
|
$545.00
|
|
|
Service Code
|
HCPCS 32555
|
| Min. Negotiated Rate |
$59.85 |
| Max. Negotiated Rate |
$408.75 |
| Rate for Payer: Aetna Commercial |
$125.56
|
| Rate for Payer: Aetna Medicare |
$97.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$125.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$134.93
|
| Rate for Payer: BCBS Complete |
$62.84
|
| Rate for Payer: BCBS MAPPO |
$93.70
|
| Rate for Payer: BCN Commercial |
$159.85
|
| Rate for Payer: BCN Medicare Advantage |
$93.70
|
| Rate for Payer: Cash Price |
$436.00
|
| Rate for Payer: Cash Price |
$436.00
|
| Rate for Payer: Cofinity Commercial |
$125.56
|
| Rate for Payer: Cofinity Commercial |
$134.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$93.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$98.39
|
| Rate for Payer: Meridian Medicaid |
$62.84
|
| Rate for Payer: Molina Medicare/Medicaid |
$103.07
|
| Rate for Payer: Nomi Health Commercial |
$112.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$408.75
|
| Rate for Payer: PACE SWMI |
$93.70
|
| Rate for Payer: PHP Commercial |
$131.18
|
| Rate for Payer: PHP Medicare Advantage |
$93.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$59.85
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$150.53
|
| Rate for Payer: Priority Health Medicare |
$93.70
|
| Rate for Payer: Priority Health SBD |
$150.53
|
| Rate for Payer: Priority Health Tiered Network |
$150.53
|
| Rate for Payer: Railroad Medicare Medicare |
$93.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$198.13
|
| Rate for Payer: UHC Core |
$198.13
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$93.70
|
| Rate for Payer: UHC Exchange |
$198.13
|
| Rate for Payer: UHC Medicaid |
$59.85
|
| Rate for Payer: UHCCP Medicaid |
$59.85
|
| Rate for Payer: UMR Bronson Commercial |
$250.70
|
|
|
PR THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING
|
Professional
|
Both
|
$783.00
|
|
|
Service Code
|
HCPCS 32554
|
| Min. Negotiated Rate |
$50.48 |
| Max. Negotiated Rate |
$587.25 |
| Rate for Payer: Aetna Commercial |
$105.77
|
| Rate for Payer: Aetna Medicare |
$82.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$105.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$113.66
|
| Rate for Payer: BCBS Complete |
$53.00
|
| Rate for Payer: BCBS MAPPO |
$78.93
|
| Rate for Payer: BCN Commercial |
$129.97
|
| Rate for Payer: BCN Medicare Advantage |
$78.93
|
| Rate for Payer: Cash Price |
$626.40
|
| Rate for Payer: Cash Price |
$626.40
|
| Rate for Payer: Cofinity Commercial |
$105.77
|
| Rate for Payer: Cofinity Commercial |
$113.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$78.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$82.88
|
| Rate for Payer: Meridian Medicaid |
$53.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$86.82
|
| Rate for Payer: Nomi Health Commercial |
$94.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$587.25
|
| Rate for Payer: PACE SWMI |
$78.93
|
| Rate for Payer: PHP Commercial |
$110.50
|
| Rate for Payer: PHP Medicare Advantage |
$78.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$50.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$122.39
|
| Rate for Payer: Priority Health Medicare |
$78.93
|
| Rate for Payer: Priority Health SBD |
$122.39
|
| Rate for Payer: Priority Health Tiered Network |
$122.39
|
| Rate for Payer: Railroad Medicare Medicare |
$78.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$159.54
|
| Rate for Payer: UHC Core |
$159.54
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$78.93
|
| Rate for Payer: UHC Exchange |
$159.54
|
| Rate for Payer: UHC Medicaid |
$50.48
|
| Rate for Payer: UHCCP Medicaid |
$50.48
|
| Rate for Payer: UMR Bronson Commercial |
$360.18
|
|
|
PR THORACOPLASTY SCHEDE TYPE/EXTRAPLEURAL
|
Professional
|
Both
|
$2,688.00
|
|
|
Service Code
|
HCPCS 32905
|
| Min. Negotiated Rate |
$808.34 |
| Max. Negotiated Rate |
$2,367.86 |
| Rate for Payer: Aetna Commercial |
$1,694.50
|
| Rate for Payer: Aetna Medicare |
$1,315.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,694.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,820.95
|
| Rate for Payer: BCBS Complete |
$848.76
|
| Rate for Payer: BCBS MAPPO |
$1,264.55
|
| Rate for Payer: BCN Commercial |
$1,973.00
|
| Rate for Payer: BCN Medicare Advantage |
$1,264.55
|
| Rate for Payer: Cash Price |
$2,150.40
|
| Rate for Payer: Cash Price |
$2,150.40
|
| Rate for Payer: Cofinity Commercial |
$1,694.50
|
| Rate for Payer: Cofinity Commercial |
$1,820.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,264.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,327.78
|
| Rate for Payer: Meridian Medicaid |
$848.76
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,391.01
|
| Rate for Payer: Nomi Health Commercial |
$1,517.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,016.00
|
| Rate for Payer: PACE SWMI |
$1,264.55
|
| Rate for Payer: PHP Commercial |
$1,770.37
|
| Rate for Payer: PHP Medicare Advantage |
$1,264.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$808.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,857.98
|
| Rate for Payer: Priority Health Medicare |
$1,264.55
|
| Rate for Payer: Priority Health SBD |
$1,857.98
|
| Rate for Payer: Priority Health Tiered Network |
$1,857.98
|
| Rate for Payer: Railroad Medicare Medicare |
$1,264.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,367.86
|
| Rate for Payer: UHC Core |
$2,367.86
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,264.55
|
| Rate for Payer: UHC Exchange |
$2,367.86
|
| Rate for Payer: UHC Medicaid |
$808.34
|
| Rate for Payer: UHCCP Medicaid |
$808.34
|
| Rate for Payer: UMR Bronson Commercial |
$1,236.48
|
|
|
PR THORACOP SCHEDE TYP/XTRPLEURAL CLSR BRNCPLR FSTL
|
Professional
|
Both
|
$3,328.00
|
|
|
Service Code
|
HCPCS 32906
|
| Min. Negotiated Rate |
$989.39 |
| Max. Negotiated Rate |
$2,930.14 |
| Rate for Payer: Aetna Commercial |
$2,079.05
|
| Rate for Payer: Aetna Medicare |
$1,613.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,079.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,234.20
|
| Rate for Payer: BCBS Complete |
$1,038.86
|
| Rate for Payer: BCBS MAPPO |
$1,551.53
|
| Rate for Payer: BCN Commercial |
$2,429.65
|
| Rate for Payer: BCN Medicare Advantage |
$1,551.53
|
| Rate for Payer: Cash Price |
$2,662.40
|
| Rate for Payer: Cash Price |
$2,662.40
|
| Rate for Payer: Cofinity Commercial |
$2,079.05
|
| Rate for Payer: Cofinity Commercial |
$2,234.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,551.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,629.11
|
| Rate for Payer: Meridian Medicaid |
$1,038.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,706.68
|
| Rate for Payer: Nomi Health Commercial |
$1,861.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,496.00
|
| Rate for Payer: PACE SWMI |
$1,551.53
|
| Rate for Payer: PHP Commercial |
$2,172.14
|
| Rate for Payer: PHP Medicare Advantage |
$1,551.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$989.39
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,288.02
|
| Rate for Payer: Priority Health Medicare |
$1,551.53
|
| Rate for Payer: Priority Health SBD |
$2,288.02
|
| Rate for Payer: Priority Health Tiered Network |
$2,288.02
|
| Rate for Payer: Railroad Medicare Medicare |
$1,551.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,930.14
|
| Rate for Payer: UHC Core |
$2,930.14
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,551.53
|
| Rate for Payer: UHC Exchange |
$2,930.14
|
| Rate for Payer: UHC Medicaid |
$989.39
|
| Rate for Payer: UHCCP Medicaid |
$989.39
|
| Rate for Payer: UMR Bronson Commercial |
$1,530.88
|
|
|
PR THORACOSCOPY CONTROL TRAUMATIC HEMORRHAGE
|
Professional
|
Both
|
$2,441.00
|
|
|
Service Code
|
HCPCS 32654
|
| Min. Negotiated Rate |
$719.30 |
| Max. Negotiated Rate |
$2,059.57 |
| Rate for Payer: Aetna Commercial |
$1,504.57
|
| Rate for Payer: Aetna Medicare |
$1,167.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,504.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,616.85
|
| Rate for Payer: BCBS Complete |
$755.26
|
| Rate for Payer: BCBS MAPPO |
$1,122.81
|
| Rate for Payer: BCN Commercial |
$1,774.30
|
| Rate for Payer: BCN Medicare Advantage |
$1,122.81
|
| Rate for Payer: Cash Price |
$1,952.80
|
| Rate for Payer: Cash Price |
$1,952.80
|
| Rate for Payer: Cofinity Commercial |
$1,504.57
|
| Rate for Payer: Cofinity Commercial |
$1,616.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,122.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,178.95
|
| Rate for Payer: Meridian Medicaid |
$755.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,235.09
|
| Rate for Payer: Nomi Health Commercial |
$1,347.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,830.75
|
| Rate for Payer: PACE SWMI |
$1,122.81
|
| Rate for Payer: PHP Commercial |
$1,571.93
|
| Rate for Payer: PHP Medicare Advantage |
$1,122.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$719.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,670.88
|
| Rate for Payer: Priority Health Medicare |
$1,122.81
|
| Rate for Payer: Priority Health SBD |
$1,670.88
|
| Rate for Payer: Priority Health Tiered Network |
$1,670.88
|
| Rate for Payer: Railroad Medicare Medicare |
$1,122.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,059.57
|
| Rate for Payer: UHC Core |
$2,059.57
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,122.81
|
| Rate for Payer: UHC Exchange |
$2,059.57
|
| Rate for Payer: UHC Medicaid |
$719.30
|
| Rate for Payer: UHCCP Medicaid |
$719.30
|
| Rate for Payer: UMR Bronson Commercial |
$1,122.86
|
|
|
PR THORACOSCOPY DX MEDIASTINAL SPACE W/BIOPSY SPX
|
Professional
|
Both
|
$1,455.00
|
|
|
Service Code
|
HCPCS 32606
|
| Min. Negotiated Rate |
$273.28 |
| Max. Negotiated Rate |
$1,091.25 |
| Rate for Payer: Aetna Commercial |
$575.95
|
| Rate for Payer: Aetna Medicare |
$447.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$575.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$618.93
|
| Rate for Payer: BCBS Complete |
$286.94
|
| Rate for Payer: BCBS MAPPO |
$429.81
|
| Rate for Payer: BCN Commercial |
$680.74
|
| Rate for Payer: BCN Medicare Advantage |
$429.81
|
| Rate for Payer: Cash Price |
$1,164.00
|
| Rate for Payer: Cash Price |
$1,164.00
|
| Rate for Payer: Cofinity Commercial |
$575.95
|
| Rate for Payer: Cofinity Commercial |
$618.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$429.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$451.30
|
| Rate for Payer: Meridian Medicaid |
$286.94
|
| Rate for Payer: Molina Medicare/Medicaid |
$472.79
|
| Rate for Payer: Nomi Health Commercial |
$515.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,091.25
|
| Rate for Payer: PACE SWMI |
$429.81
|
| Rate for Payer: PHP Commercial |
$601.73
|
| Rate for Payer: PHP Medicare Advantage |
$429.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$273.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$641.06
|
| Rate for Payer: Priority Health Medicare |
$429.81
|
| Rate for Payer: Priority Health SBD |
$641.06
|
| Rate for Payer: Priority Health Tiered Network |
$641.06
|
| Rate for Payer: Railroad Medicare Medicare |
$429.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$823.65
|
| Rate for Payer: UHC Core |
$823.65
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$429.81
|
| Rate for Payer: UHC Exchange |
$823.65
|
| Rate for Payer: UHC Medicaid |
$273.28
|
| Rate for Payer: UHCCP Medicaid |
$273.28
|
| Rate for Payer: UMR Bronson Commercial |
$669.30
|
|
|
PR THORACOSCOPY DX PERICARDIAL SAC W/BIOPSY SPX
|
Professional
|
Both
|
$947.00
|
|
|
Service Code
|
HCPCS 32604
|
| Min. Negotiated Rate |
$284.36 |
| Max. Negotiated Rate |
$854.20 |
| Rate for Payer: Aetna Commercial |
$599.61
|
| Rate for Payer: Aetna Medicare |
$465.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$599.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$644.36
|
| Rate for Payer: BCBS Complete |
$298.58
|
| Rate for Payer: BCBS MAPPO |
$447.47
|
| Rate for Payer: BCN Commercial |
$704.64
|
| Rate for Payer: BCN Medicare Advantage |
$447.47
|
| Rate for Payer: Cash Price |
$757.60
|
| Rate for Payer: Cash Price |
$757.60
|
| Rate for Payer: Cofinity Commercial |
$599.61
|
| Rate for Payer: Cofinity Commercial |
$644.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$447.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$469.84
|
| Rate for Payer: Meridian Medicaid |
$298.58
|
| Rate for Payer: Molina Medicare/Medicaid |
$492.22
|
| Rate for Payer: Nomi Health Commercial |
$536.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$710.25
|
| Rate for Payer: PACE SWMI |
$447.47
|
| Rate for Payer: PHP Commercial |
$626.46
|
| Rate for Payer: PHP Medicare Advantage |
$447.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$284.36
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$663.56
|
| Rate for Payer: Priority Health Medicare |
$447.47
|
| Rate for Payer: Priority Health SBD |
$663.56
|
| Rate for Payer: Priority Health Tiered Network |
$663.56
|
| Rate for Payer: Railroad Medicare Medicare |
$447.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$854.20
|
| Rate for Payer: UHC Core |
$854.20
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$447.47
|
| Rate for Payer: UHC Exchange |
$854.20
|
| Rate for Payer: UHC Medicaid |
$284.36
|
| Rate for Payer: UHCCP Medicaid |
$284.36
|
| Rate for Payer: UMR Bronson Commercial |
$435.62
|
|
|
PR THORACOSCOPY RESEXN THYMUS UNI/BILATERAL
|
Professional
|
Both
|
$4,976.00
|
|
|
Service Code
|
HCPCS 32673
|
| Min. Negotiated Rate |
$734.00 |
| Max. Negotiated Rate |
$3,732.00 |
| Rate for Payer: Aetna Commercial |
$1,538.25
|
| Rate for Payer: Aetna Medicare |
$1,193.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,538.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,653.05
|
| Rate for Payer: BCBS Complete |
$770.70
|
| Rate for Payer: BCBS MAPPO |
$1,147.95
|
| Rate for Payer: BCN Commercial |
$1,795.72
|
| Rate for Payer: BCN Medicare Advantage |
$1,147.95
|
| Rate for Payer: Cash Price |
$3,980.80
|
| Rate for Payer: Cash Price |
$3,980.80
|
| Rate for Payer: Cofinity Commercial |
$1,538.25
|
| Rate for Payer: Cofinity Commercial |
$1,653.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,147.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,205.35
|
| Rate for Payer: Meridian Medicaid |
$770.70
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,262.74
|
| Rate for Payer: Nomi Health Commercial |
$1,377.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,732.00
|
| Rate for Payer: PACE SWMI |
$1,147.95
|
| Rate for Payer: PHP Commercial |
$1,607.13
|
| Rate for Payer: PHP Medicare Advantage |
$1,147.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$734.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,691.03
|
| Rate for Payer: Priority Health Medicare |
$1,147.95
|
| Rate for Payer: Priority Health SBD |
$1,691.03
|
| Rate for Payer: Priority Health Tiered Network |
$1,691.03
|
| Rate for Payer: Railroad Medicare Medicare |
$1,147.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,158.96
|
| Rate for Payer: UHC Core |
$2,158.96
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,147.95
|
| Rate for Payer: UHC Exchange |
$2,158.96
|
| Rate for Payer: UHC Medicaid |
$734.00
|
| Rate for Payer: UHCCP Medicaid |
$734.00
|
| Rate for Payer: UMR Bronson Commercial |
$2,288.96
|
|
|
PR THORACOSCOPY RMVL INTRAPLEURAL FB/FIBRIN DEPOSIT
|
Professional
|
Both
|
$3,091.00
|
|
|
Service Code
|
HCPCS 32653
|
| Min. Negotiated Rate |
$641.77 |
| Max. Negotiated Rate |
$2,318.25 |
| Rate for Payer: Aetna Commercial |
$1,341.10
|
| Rate for Payer: Aetna Medicare |
$1,040.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,341.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,441.18
|
| Rate for Payer: BCBS Complete |
$673.86
|
| Rate for Payer: BCBS MAPPO |
$1,000.82
|
| Rate for Payer: BCN Commercial |
$1,571.13
|
| Rate for Payer: BCN Medicare Advantage |
$1,000.82
|
| Rate for Payer: Cash Price |
$2,472.80
|
| Rate for Payer: Cash Price |
$2,472.80
|
| Rate for Payer: Cofinity Commercial |
$1,341.10
|
| Rate for Payer: Cofinity Commercial |
$1,441.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,000.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,050.86
|
| Rate for Payer: Meridian Medicaid |
$673.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,100.90
|
| Rate for Payer: Nomi Health Commercial |
$1,200.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,318.25
|
| Rate for Payer: PACE SWMI |
$1,000.82
|
| Rate for Payer: PHP Commercial |
$1,401.15
|
| Rate for Payer: PHP Medicare Advantage |
$1,000.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$641.77
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,479.54
|
| Rate for Payer: Priority Health Medicare |
$1,000.82
|
| Rate for Payer: Priority Health SBD |
$1,479.54
|
| Rate for Payer: Priority Health Tiered Network |
$1,479.54
|
| Rate for Payer: Railroad Medicare Medicare |
$1,000.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,880.91
|
| Rate for Payer: UHC Core |
$1,880.91
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,000.82
|
| Rate for Payer: UHC Exchange |
$1,880.91
|
| Rate for Payer: UHC Medicaid |
$641.77
|
| Rate for Payer: UHCCP Medicaid |
$641.77
|
| Rate for Payer: UMR Bronson Commercial |
$1,421.86
|
|
|
PR THORACOSCOPY W/BILOBECTOMY
|
Professional
|
Both
|
$6,650.00
|
|
|
Service Code
|
HCPCS 32670
|
| Min. Negotiated Rate |
$956.58 |
| Max. Negotiated Rate |
$4,987.50 |
| Rate for Payer: Aetna Commercial |
$2,010.55
|
| Rate for Payer: Aetna Medicare |
$1,560.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,010.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,160.59
|
| Rate for Payer: BCBS Complete |
$1,004.41
|
| Rate for Payer: BCBS MAPPO |
$1,500.41
|
| Rate for Payer: BCN Commercial |
$2,359.44
|
| Rate for Payer: BCN Medicare Advantage |
$1,500.41
|
| Rate for Payer: Cash Price |
$5,320.00
|
| Rate for Payer: Cash Price |
$5,320.00
|
| Rate for Payer: Cofinity Commercial |
$2,010.55
|
| Rate for Payer: Cofinity Commercial |
$2,160.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,500.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,575.43
|
| Rate for Payer: Meridian Medicaid |
$1,004.41
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,650.45
|
| Rate for Payer: Nomi Health Commercial |
$1,800.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,987.50
|
| Rate for Payer: PACE SWMI |
$1,500.41
|
| Rate for Payer: PHP Commercial |
$2,100.57
|
| Rate for Payer: PHP Medicare Advantage |
$1,500.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$956.58
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,221.89
|
| Rate for Payer: Priority Health Medicare |
$1,500.41
|
| Rate for Payer: Priority Health SBD |
$2,221.89
|
| Rate for Payer: Priority Health Tiered Network |
$2,221.89
|
| Rate for Payer: Railroad Medicare Medicare |
$1,500.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,850.54
|
| Rate for Payer: UHC Core |
$2,850.54
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,500.41
|
| Rate for Payer: UHC Exchange |
$2,850.54
|
| Rate for Payer: UHC Medicaid |
$956.58
|
| Rate for Payer: UHCCP Medicaid |
$956.58
|
| Rate for Payer: UMR Bronson Commercial |
$3,059.00
|
|
|
PR THORACOSCOPY W/DX BX OF LUNG INFILTRATE UNILATRL
|
Professional
|
Both
|
$1,284.00
|
|
|
Service Code
|
HCPCS 32607
|
| Min. Negotiated Rate |
$184.46 |
| Max. Negotiated Rate |
$963.00 |
| Rate for Payer: Aetna Commercial |
$387.61
|
| Rate for Payer: Aetna Medicare |
$300.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$387.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$416.53
|
| Rate for Payer: BCBS Complete |
$193.68
|
| Rate for Payer: BCBS MAPPO |
$289.26
|
| Rate for Payer: BCN Commercial |
$454.16
|
| Rate for Payer: BCN Medicare Advantage |
$289.26
|
| Rate for Payer: Cash Price |
$1,027.20
|
| Rate for Payer: Cash Price |
$1,027.20
|
| Rate for Payer: Cofinity Commercial |
$387.61
|
| Rate for Payer: Cofinity Commercial |
$416.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$289.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$303.72
|
| Rate for Payer: Meridian Medicaid |
$193.68
|
| Rate for Payer: Molina Medicare/Medicaid |
$318.19
|
| Rate for Payer: Nomi Health Commercial |
$347.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$963.00
|
| Rate for Payer: PACE SWMI |
$289.26
|
| Rate for Payer: PHP Commercial |
$404.96
|
| Rate for Payer: PHP Medicare Advantage |
$289.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$184.46
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$427.68
|
| Rate for Payer: Priority Health Medicare |
$289.26
|
| Rate for Payer: Priority Health SBD |
$427.68
|
| Rate for Payer: Priority Health Tiered Network |
$427.68
|
| Rate for Payer: Railroad Medicare Medicare |
$289.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$548.48
|
| Rate for Payer: UHC Core |
$548.48
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$289.26
|
| Rate for Payer: UHC Exchange |
$548.48
|
| Rate for Payer: UHC Medicaid |
$184.46
|
| Rate for Payer: UHCCP Medicaid |
$184.46
|
| Rate for Payer: UMR Bronson Commercial |
$590.64
|
|
|
PR THORACOSCOPY W/DX BX OF LUNG NODULES UNILATRL
|
Professional
|
Both
|
$1,578.00
|
|
|
Service Code
|
HCPCS 32608
|
| Min. Negotiated Rate |
$225.14 |
| Max. Negotiated Rate |
$1,183.50 |
| Rate for Payer: Aetna Commercial |
$474.04
|
| Rate for Payer: Aetna Medicare |
$367.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$474.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$509.41
|
| Rate for Payer: BCBS Complete |
$236.40
|
| Rate for Payer: BCBS MAPPO |
$353.76
|
| Rate for Payer: BCN Commercial |
$558.23
|
| Rate for Payer: BCN Medicare Advantage |
$353.76
|
| Rate for Payer: Cash Price |
$1,262.40
|
| Rate for Payer: Cash Price |
$1,262.40
|
| Rate for Payer: Cofinity Commercial |
$474.04
|
| Rate for Payer: Cofinity Commercial |
$509.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$353.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$371.45
|
| Rate for Payer: Meridian Medicaid |
$236.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$389.14
|
| Rate for Payer: Nomi Health Commercial |
$424.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,183.50
|
| Rate for Payer: PACE SWMI |
$353.76
|
| Rate for Payer: PHP Commercial |
$495.26
|
| Rate for Payer: PHP Medicare Advantage |
$353.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$225.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$525.69
|
| Rate for Payer: Priority Health Medicare |
$353.76
|
| Rate for Payer: Priority Health SBD |
$525.69
|
| Rate for Payer: Priority Health Tiered Network |
$525.69
|
| Rate for Payer: Railroad Medicare Medicare |
$353.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$674.48
|
| Rate for Payer: UHC Core |
$674.48
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$353.76
|
| Rate for Payer: UHC Exchange |
$674.48
|
| Rate for Payer: UHC Medicaid |
$225.14
|
| Rate for Payer: UHCCP Medicaid |
$225.14
|
| Rate for Payer: UMR Bronson Commercial |
$725.88
|
|
|
PR THORACOSCOPY W/DX WEDGE RESEXN ANATO LUNG RESEXN
|
Professional
|
Both
|
$652.00
|
|
|
Service Code
|
HCPCS 32668
|
| Min. Negotiated Rate |
$90.53 |
| Max. Negotiated Rate |
$489.00 |
| Rate for Payer: Aetna Commercial |
$192.13
|
| Rate for Payer: Aetna Medicare |
$149.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$192.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$206.47
|
| Rate for Payer: BCBS Complete |
$95.06
|
| Rate for Payer: BCBS MAPPO |
$143.38
|
| Rate for Payer: BCN Commercial |
$228.57
|
| Rate for Payer: BCN Medicare Advantage |
$143.38
|
| Rate for Payer: Cash Price |
$521.60
|
| Rate for Payer: Cash Price |
$521.60
|
| Rate for Payer: Cofinity Commercial |
$192.13
|
| Rate for Payer: Cofinity Commercial |
$206.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$143.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$150.55
|
| Rate for Payer: Meridian Medicaid |
$95.06
|
| Rate for Payer: Molina Medicare/Medicaid |
$157.72
|
| Rate for Payer: Nomi Health Commercial |
$172.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$489.00
|
| Rate for Payer: PACE SWMI |
$143.38
|
| Rate for Payer: PHP Commercial |
$200.73
|
| Rate for Payer: PHP Medicare Advantage |
$143.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$90.53
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$215.25
|
| Rate for Payer: Priority Health Medicare |
$143.38
|
| Rate for Payer: Priority Health SBD |
$215.25
|
| Rate for Payer: Priority Health Tiered Network |
$215.25
|
| Rate for Payer: Railroad Medicare Medicare |
$143.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$279.77
|
| Rate for Payer: UHC Core |
$279.77
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$143.38
|
| Rate for Payer: UHC Exchange |
$279.77
|
| Rate for Payer: UHC Medicaid |
$90.53
|
| Rate for Payer: UHCCP Medicaid |
$90.53
|
| Rate for Payer: UMR Bronson Commercial |
$299.92
|
|
|
PR THORACOSCOPY W/EXC MEDIASTINAL CYST TUMOR/MASS
|
Professional
|
Both
|
$4,183.00
|
|
|
Service Code
|
HCPCS 32662
|
| Min. Negotiated Rate |
$548.90 |
| Max. Negotiated Rate |
$3,137.25 |
| Rate for Payer: Aetna Commercial |
$1,145.37
|
| Rate for Payer: Aetna Medicare |
$888.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,145.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,230.84
|
| Rate for Payer: BCBS Complete |
$576.35
|
| Rate for Payer: BCBS MAPPO |
$854.75
|
| Rate for Payer: BCN Commercial |
$1,327.12
|
| Rate for Payer: BCN Medicare Advantage |
$854.75
|
| Rate for Payer: Cash Price |
$3,346.40
|
| Rate for Payer: Cash Price |
$3,346.40
|
| Rate for Payer: Cofinity Commercial |
$1,145.37
|
| Rate for Payer: Cofinity Commercial |
$1,230.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$854.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$897.49
|
| Rate for Payer: Meridian Medicaid |
$576.35
|
| Rate for Payer: Molina Medicare/Medicaid |
$940.23
|
| Rate for Payer: Nomi Health Commercial |
$1,025.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,137.25
|
| Rate for Payer: PACE SWMI |
$854.75
|
| Rate for Payer: PHP Commercial |
$1,196.65
|
| Rate for Payer: PHP Medicare Advantage |
$854.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$548.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,249.75
|
| Rate for Payer: Priority Health Medicare |
$854.75
|
| Rate for Payer: Priority Health SBD |
$1,249.75
|
| Rate for Payer: Priority Health Tiered Network |
$1,249.75
|
| Rate for Payer: Railroad Medicare Medicare |
$854.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,577.55
|
| Rate for Payer: UHC Core |
$1,577.55
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$854.75
|
| Rate for Payer: UHC Exchange |
$1,577.55
|
| Rate for Payer: UHC Medicaid |
$548.90
|
| Rate for Payer: UHCCP Medicaid |
$548.90
|
| Rate for Payer: UMR Bronson Commercial |
$1,924.18
|
|
|
PR THORACOSCOPY W/EXC PERICARDIAL CYST TUMOR/MASS
|
Professional
|
Both
|
$3,968.00
|
|
|
Service Code
|
HCPCS 32661
|
| Min. Negotiated Rate |
$492.03 |
| Max. Negotiated Rate |
$2,976.00 |
| Rate for Payer: Aetna Commercial |
$1,026.08
|
| Rate for Payer: Aetna Medicare |
$796.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,026.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,102.65
|
| Rate for Payer: BCBS Complete |
$516.63
|
| Rate for Payer: BCBS MAPPO |
$765.73
|
| Rate for Payer: BCN Commercial |
$1,185.69
|
| Rate for Payer: BCN Medicare Advantage |
$765.73
|
| Rate for Payer: Cash Price |
$3,174.40
|
| Rate for Payer: Cash Price |
$3,174.40
|
| Rate for Payer: Cofinity Commercial |
$1,026.08
|
| Rate for Payer: Cofinity Commercial |
$1,102.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$765.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$804.02
|
| Rate for Payer: Meridian Medicaid |
$516.63
|
| Rate for Payer: Molina Medicare/Medicaid |
$842.30
|
| Rate for Payer: Nomi Health Commercial |
$918.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,976.00
|
| Rate for Payer: PACE SWMI |
$765.73
|
| Rate for Payer: PHP Commercial |
$1,072.02
|
| Rate for Payer: PHP Medicare Advantage |
$765.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$492.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,116.57
|
| Rate for Payer: Priority Health Medicare |
$765.73
|
| Rate for Payer: Priority Health SBD |
$1,116.57
|
| Rate for Payer: Priority Health Tiered Network |
$1,116.57
|
| Rate for Payer: Railroad Medicare Medicare |
$765.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,410.44
|
| Rate for Payer: UHC Core |
$1,410.44
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$765.73
|
| Rate for Payer: UHC Exchange |
$1,410.44
|
| Rate for Payer: UHC Medicaid |
$492.03
|
| Rate for Payer: UHCCP Medicaid |
$492.03
|
| Rate for Payer: UMR Bronson Commercial |
$1,825.28
|
|
|
PR THORACOSCOPY WITH BIOPSYIES OF PLEURA
|
Professional
|
Both
|
$1,091.00
|
|
|
Service Code
|
HCPCS 32609
|
| Min. Negotiated Rate |
$152.30 |
| Max. Negotiated Rate |
$818.25 |
| Rate for Payer: Aetna Commercial |
$318.76
|
| Rate for Payer: Aetna Medicare |
$247.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$318.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$342.55
|
| Rate for Payer: BCBS Complete |
$159.91
|
| Rate for Payer: BCBS MAPPO |
$237.88
|
| Rate for Payer: BCN Commercial |
$375.97
|
| Rate for Payer: BCN Medicare Advantage |
$237.88
|
| Rate for Payer: Cash Price |
$872.80
|
| Rate for Payer: Cash Price |
$872.80
|
| Rate for Payer: Cofinity Commercial |
$318.76
|
| Rate for Payer: Cofinity Commercial |
$342.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$237.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$249.77
|
| Rate for Payer: Meridian Medicaid |
$159.91
|
| Rate for Payer: Molina Medicare/Medicaid |
$261.67
|
| Rate for Payer: Nomi Health Commercial |
$285.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$818.25
|
| Rate for Payer: PACE SWMI |
$237.88
|
| Rate for Payer: PHP Commercial |
$333.03
|
| Rate for Payer: PHP Medicare Advantage |
$237.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$152.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$354.06
|
| Rate for Payer: Priority Health Medicare |
$237.88
|
| Rate for Payer: Priority Health SBD |
$354.06
|
| Rate for Payer: Priority Health Tiered Network |
$354.06
|
| Rate for Payer: Railroad Medicare Medicare |
$237.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$456.37
|
| Rate for Payer: UHC Core |
$456.37
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$237.88
|
| Rate for Payer: UHC Exchange |
$456.37
|
| Rate for Payer: UHC Medicaid |
$152.30
|
| Rate for Payer: UHCCP Medicaid |
$152.30
|
| Rate for Payer: UMR Bronson Commercial |
$501.86
|
|
|
PR THORACOSCOPY W/LOBECTOMY SINGLE LOBE
|
Professional
|
Both
|
$4,728.00
|
|
|
Service Code
|
HCPCS 32663
|
| Min. Negotiated Rate |
$840.92 |
| Max. Negotiated Rate |
$3,546.00 |
| Rate for Payer: Aetna Commercial |
$1,765.12
|
| Rate for Payer: Aetna Medicare |
$1,369.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,765.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,896.84
|
| Rate for Payer: BCBS Complete |
$882.97
|
| Rate for Payer: BCBS MAPPO |
$1,317.25
|
| Rate for Payer: BCN Commercial |
$2,063.63
|
| Rate for Payer: BCN Medicare Advantage |
$1,317.25
|
| Rate for Payer: Cash Price |
$3,782.40
|
| Rate for Payer: Cash Price |
$3,782.40
|
| Rate for Payer: Cofinity Commercial |
$1,765.12
|
| Rate for Payer: Cofinity Commercial |
$1,896.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,317.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,383.11
|
| Rate for Payer: Meridian Medicaid |
$882.97
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,448.97
|
| Rate for Payer: Nomi Health Commercial |
$1,580.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,546.00
|
| Rate for Payer: PACE SWMI |
$1,317.25
|
| Rate for Payer: PHP Commercial |
$1,844.15
|
| Rate for Payer: PHP Medicare Advantage |
$1,317.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$840.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,943.33
|
| Rate for Payer: Priority Health Medicare |
$1,317.25
|
| Rate for Payer: Priority Health SBD |
$1,943.33
|
| Rate for Payer: Priority Health Tiered Network |
$1,943.33
|
| Rate for Payer: Railroad Medicare Medicare |
$1,317.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,483.99
|
| Rate for Payer: UHC Core |
$2,483.99
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,317.25
|
| Rate for Payer: UHC Exchange |
$2,483.99
|
| Rate for Payer: UHC Medicaid |
$840.92
|
| Rate for Payer: UHCCP Medicaid |
$840.92
|
| Rate for Payer: UMR Bronson Commercial |
$2,174.88
|
|
|
PR THORACOSCOPY W/PARIETAL PLEURECTOMY
|
Professional
|
Both
|
$2,977.00
|
|
|
Service Code
|
HCPCS 32656
|
| Min. Negotiated Rate |
$496.93 |
| Max. Negotiated Rate |
$2,232.75 |
| Rate for Payer: Aetna Commercial |
$1,035.02
|
| Rate for Payer: Aetna Medicare |
$803.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,035.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,112.26
|
| Rate for Payer: BCBS Complete |
$521.78
|
| Rate for Payer: BCBS MAPPO |
$772.40
|
| Rate for Payer: BCN Commercial |
$1,195.65
|
| Rate for Payer: BCN Medicare Advantage |
$772.40
|
| Rate for Payer: Cash Price |
$2,381.60
|
| Rate for Payer: Cash Price |
$2,381.60
|
| Rate for Payer: Cofinity Commercial |
$1,035.02
|
| Rate for Payer: Cofinity Commercial |
$1,112.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$772.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$811.02
|
| Rate for Payer: Meridian Medicaid |
$521.78
|
| Rate for Payer: Molina Medicare/Medicaid |
$849.64
|
| Rate for Payer: Nomi Health Commercial |
$926.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,232.75
|
| Rate for Payer: PACE SWMI |
$772.40
|
| Rate for Payer: PHP Commercial |
$1,081.36
|
| Rate for Payer: PHP Medicare Advantage |
$772.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$496.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,125.95
|
| Rate for Payer: Priority Health Medicare |
$772.40
|
| Rate for Payer: Priority Health SBD |
$1,125.95
|
| Rate for Payer: Priority Health Tiered Network |
$1,125.95
|
| Rate for Payer: Railroad Medicare Medicare |
$772.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,416.81
|
| Rate for Payer: UHC Core |
$1,416.81
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$772.40
|
| Rate for Payer: UHC Exchange |
$1,416.81
|
| Rate for Payer: UHC Medicaid |
$496.93
|
| Rate for Payer: UHCCP Medicaid |
$496.93
|
| Rate for Payer: UMR Bronson Commercial |
$1,369.42
|
|
|
PR THORACOSCOPY W/PARTIAL PULMONARY DECORTICATION
|
Professional
|
Both
|
$3,317.00
|
|
|
Service Code
|
HCPCS 32651
|
| Min. Negotiated Rate |
$663.07 |
| Max. Negotiated Rate |
$2,487.75 |
| Rate for Payer: Aetna Commercial |
$1,387.36
|
| Rate for Payer: Aetna Medicare |
$1,076.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,387.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,490.89
|
| Rate for Payer: BCBS Complete |
$696.22
|
| Rate for Payer: BCBS MAPPO |
$1,035.34
|
| Rate for Payer: BCN Commercial |
$1,622.42
|
| Rate for Payer: BCN Medicare Advantage |
$1,035.34
|
| Rate for Payer: Cash Price |
$2,653.60
|
| Rate for Payer: Cash Price |
$2,653.60
|
| Rate for Payer: Cofinity Commercial |
$1,387.36
|
| Rate for Payer: Cofinity Commercial |
$1,490.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,035.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,087.11
|
| Rate for Payer: Meridian Medicaid |
$696.22
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,138.87
|
| Rate for Payer: Nomi Health Commercial |
$1,242.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,487.75
|
| Rate for Payer: PACE SWMI |
$1,035.34
|
| Rate for Payer: PHP Commercial |
$1,449.48
|
| Rate for Payer: PHP Medicare Advantage |
$1,035.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$663.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,527.84
|
| Rate for Payer: Priority Health Medicare |
$1,035.34
|
| Rate for Payer: Priority Health SBD |
$1,527.84
|
| Rate for Payer: Priority Health Tiered Network |
$1,527.84
|
| Rate for Payer: Railroad Medicare Medicare |
$1,035.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,940.22
|
| Rate for Payer: UHC Core |
$1,940.22
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,035.34
|
| Rate for Payer: UHC Exchange |
$1,940.22
|
| Rate for Payer: UHC Medicaid |
$663.07
|
| Rate for Payer: UHCCP Medicaid |
$663.07
|
| Rate for Payer: UMR Bronson Commercial |
$1,525.82
|
|
|
PR THORACOSCOPY W/PLEURODESIS
|
Professional
|
Both
|
$3,259.00
|
|
|
Service Code
|
HCPCS 32650
|
| Min. Negotiated Rate |
$414.71 |
| Max. Negotiated Rate |
$2,444.25 |
| Rate for Payer: Aetna Commercial |
$861.47
|
| Rate for Payer: Aetna Medicare |
$668.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$861.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$925.76
|
| Rate for Payer: BCBS Complete |
$435.45
|
| Rate for Payer: BCBS MAPPO |
$642.89
|
| Rate for Payer: BCN Commercial |
$994.96
|
| Rate for Payer: BCN Medicare Advantage |
$642.89
|
| Rate for Payer: Cash Price |
$2,607.20
|
| Rate for Payer: Cash Price |
$2,607.20
|
| Rate for Payer: Cofinity Commercial |
$861.47
|
| Rate for Payer: Cofinity Commercial |
$925.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$642.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$675.03
|
| Rate for Payer: Meridian Medicaid |
$435.45
|
| Rate for Payer: Molina Medicare/Medicaid |
$707.18
|
| Rate for Payer: Nomi Health Commercial |
$771.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,444.25
|
| Rate for Payer: PACE SWMI |
$642.89
|
| Rate for Payer: PHP Commercial |
$900.05
|
| Rate for Payer: PHP Medicare Advantage |
$642.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$414.71
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$936.96
|
| Rate for Payer: Priority Health Medicare |
$642.89
|
| Rate for Payer: Priority Health SBD |
$936.96
|
| Rate for Payer: Priority Health Tiered Network |
$936.96
|
| Rate for Payer: Railroad Medicare Medicare |
$642.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,174.34
|
| Rate for Payer: UHC Core |
$1,174.34
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$642.89
|
| Rate for Payer: UHC Exchange |
$1,174.34
|
| Rate for Payer: UHC Medicaid |
$414.71
|
| Rate for Payer: UHCCP Medicaid |
$414.71
|
| Rate for Payer: UMR Bronson Commercial |
$1,499.14
|
|
|
PR THORACOSCOPY W/PNEUMONECTOMY
|
Professional
|
Both
|
$7,383.00
|
|
|
Service Code
|
HCPCS 32671
|
| Min. Negotiated Rate |
$1,058.61 |
| Max. Negotiated Rate |
$5,537.25 |
| Rate for Payer: Aetna Commercial |
$2,227.98
|
| Rate for Payer: Aetna Medicare |
$1,729.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,227.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,394.24
|
| Rate for Payer: BCBS Complete |
$1,111.54
|
| Rate for Payer: BCBS MAPPO |
$1,662.67
|
| Rate for Payer: BCN Commercial |
$2,609.92
|
| Rate for Payer: BCN Medicare Advantage |
$1,662.67
|
| Rate for Payer: Cash Price |
$5,906.40
|
| Rate for Payer: Cash Price |
$5,906.40
|
| Rate for Payer: Cofinity Commercial |
$2,227.98
|
| Rate for Payer: Cofinity Commercial |
$2,394.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,662.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,745.80
|
| Rate for Payer: Meridian Medicaid |
$1,111.54
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,828.94
|
| Rate for Payer: Nomi Health Commercial |
$1,995.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,537.25
|
| Rate for Payer: PACE SWMI |
$1,662.67
|
| Rate for Payer: PHP Commercial |
$2,327.74
|
| Rate for Payer: PHP Medicare Advantage |
$1,662.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,058.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,457.77
|
| Rate for Payer: Priority Health Medicare |
$1,662.67
|
| Rate for Payer: Priority Health SBD |
$2,457.77
|
| Rate for Payer: Priority Health Tiered Network |
$2,457.77
|
| Rate for Payer: Railroad Medicare Medicare |
$1,662.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,158.69
|
| Rate for Payer: UHC Core |
$3,158.69
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,662.67
|
| Rate for Payer: UHC Exchange |
$3,158.69
|
| Rate for Payer: UHC Medicaid |
$1,058.61
|
| Rate for Payer: UHCCP Medicaid |
$1,058.61
|
| Rate for Payer: UMR Bronson Commercial |
$3,396.18
|
|
|
PR THORACOSCOPY W/RESECTION BULLAE W/WO PLEURAL PX
|
Professional
|
Both
|
$3,518.00
|
|
|
Service Code
|
HCPCS 32655
|
| Min. Negotiated Rate |
$584.05 |
| Max. Negotiated Rate |
$2,638.50 |
| Rate for Payer: Aetna Commercial |
$1,220.07
|
| Rate for Payer: Aetna Medicare |
$946.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,220.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,311.12
|
| Rate for Payer: BCBS Complete |
$613.25
|
| Rate for Payer: BCBS MAPPO |
$910.50
|
| Rate for Payer: BCN Commercial |
$1,418.75
|
| Rate for Payer: BCN Medicare Advantage |
$910.50
|
| Rate for Payer: Cash Price |
$2,814.40
|
| Rate for Payer: Cash Price |
$2,814.40
|
| Rate for Payer: Cofinity Commercial |
$1,220.07
|
| Rate for Payer: Cofinity Commercial |
$1,311.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$910.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$956.02
|
| Rate for Payer: Meridian Medicaid |
$613.25
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,001.55
|
| Rate for Payer: Nomi Health Commercial |
$1,092.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,638.50
|
| Rate for Payer: PACE SWMI |
$910.50
|
| Rate for Payer: PHP Commercial |
$1,274.70
|
| Rate for Payer: PHP Medicare Advantage |
$910.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$584.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,336.04
|
| Rate for Payer: Priority Health Medicare |
$910.50
|
| Rate for Payer: Priority Health SBD |
$1,336.04
|
| Rate for Payer: Priority Health Tiered Network |
$1,336.04
|
| Rate for Payer: Railroad Medicare Medicare |
$910.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,691.11
|
| Rate for Payer: UHC Core |
$1,691.11
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$910.50
|
| Rate for Payer: UHC Exchange |
$1,691.11
|
| Rate for Payer: UHC Medicaid |
$584.05
|
| Rate for Payer: UHCCP Medicaid |
$584.05
|
| Rate for Payer: UMR Bronson Commercial |
$1,618.28
|
|
|
PR THORACOSCOPY W/RESEXN-PLICAJ EMPHYSEMA LUNG UNIL
|
Professional
|
Both
|
$6,314.00
|
|
|
Service Code
|
HCPCS 32672
|
| Min. Negotiated Rate |
$910.15 |
| Max. Negotiated Rate |
$4,735.50 |
| Rate for Payer: Aetna Commercial |
$1,912.61
|
| Rate for Payer: Aetna Medicare |
$1,484.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,912.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,055.34
|
| Rate for Payer: BCBS Complete |
$955.66
|
| Rate for Payer: BCBS MAPPO |
$1,427.32
|
| Rate for Payer: BCN Commercial |
$2,237.43
|
| Rate for Payer: BCN Medicare Advantage |
$1,427.32
|
| Rate for Payer: Cash Price |
$5,051.20
|
| Rate for Payer: Cash Price |
$5,051.20
|
| Rate for Payer: Cofinity Commercial |
$1,912.61
|
| Rate for Payer: Cofinity Commercial |
$2,055.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,427.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,498.69
|
| Rate for Payer: Meridian Medicaid |
$955.66
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,570.05
|
| Rate for Payer: Nomi Health Commercial |
$1,712.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,735.50
|
| Rate for Payer: PACE SWMI |
$1,427.32
|
| Rate for Payer: PHP Commercial |
$1,998.25
|
| Rate for Payer: PHP Medicare Advantage |
$1,427.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$910.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,107.00
|
| Rate for Payer: Priority Health Medicare |
$1,427.32
|
| Rate for Payer: Priority Health SBD |
$2,107.00
|
| Rate for Payer: Priority Health Tiered Network |
$2,107.00
|
| Rate for Payer: Railroad Medicare Medicare |
$1,427.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,705.72
|
| Rate for Payer: UHC Core |
$2,705.72
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,427.32
|
| Rate for Payer: UHC Exchange |
$2,705.72
|
| Rate for Payer: UHC Medicaid |
$910.15
|
| Rate for Payer: UHCCP Medicaid |
$910.15
|
| Rate for Payer: UMR Bronson Commercial |
$2,904.44
|
|
