|
PR THORACOSCOPY W/RMVL CLOT/FB FROM PERICARDIAL SAC
|
Professional
|
Both
|
$2,904.00
|
|
|
Service Code
|
HCPCS 32658
|
| Min. Negotiated Rate |
$443.47 |
| Max. Negotiated Rate |
$2,178.00 |
| Rate for Payer: Aetna Commercial |
$922.99
|
| Rate for Payer: Aetna Medicare |
$716.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$922.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$991.87
|
| Rate for Payer: BCBS Complete |
$465.64
|
| Rate for Payer: BCBS MAPPO |
$688.80
|
| Rate for Payer: BCN Commercial |
$1,063.68
|
| Rate for Payer: BCN Medicare Advantage |
$688.80
|
| Rate for Payer: Cash Price |
$2,323.20
|
| Rate for Payer: Cash Price |
$2,323.20
|
| Rate for Payer: Cofinity Commercial |
$922.99
|
| Rate for Payer: Cofinity Commercial |
$991.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$688.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$723.24
|
| Rate for Payer: Meridian Medicaid |
$465.64
|
| Rate for Payer: Molina Medicare/Medicaid |
$757.68
|
| Rate for Payer: Nomi Health Commercial |
$826.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,178.00
|
| Rate for Payer: PACE SWMI |
$688.80
|
| Rate for Payer: PHP Commercial |
$964.32
|
| Rate for Payer: PHP Medicare Advantage |
$688.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$443.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,001.68
|
| Rate for Payer: Priority Health Medicare |
$688.80
|
| Rate for Payer: Priority Health SBD |
$1,001.68
|
| Rate for Payer: Priority Health Tiered Network |
$1,001.68
|
| Rate for Payer: Railroad Medicare Medicare |
$688.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,260.33
|
| Rate for Payer: UHC Core |
$1,260.33
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$688.80
|
| Rate for Payer: UHC Exchange |
$1,260.33
|
| Rate for Payer: UHC Medicaid |
$443.47
|
| Rate for Payer: UHCCP Medicaid |
$443.47
|
| Rate for Payer: UMR Bronson Commercial |
$1,335.84
|
|
|
PR THORACOSCOPY W/SEGMENTECTOMY
|
Professional
|
Both
|
$2,357.00
|
|
|
Service Code
|
HCPCS 32669
|
| Min. Negotiated Rate |
$808.34 |
| Max. Negotiated Rate |
$2,385.12 |
| Rate for Payer: Aetna Commercial |
$1,695.88
|
| Rate for Payer: Aetna Medicare |
$1,316.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,695.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,822.44
|
| Rate for Payer: BCBS Complete |
$848.76
|
| Rate for Payer: BCBS MAPPO |
$1,265.58
|
| Rate for Payer: BCN Commercial |
$1,981.97
|
| Rate for Payer: BCN Medicare Advantage |
$1,265.58
|
| Rate for Payer: Cash Price |
$1,885.60
|
| Rate for Payer: Cash Price |
$1,885.60
|
| Rate for Payer: Cofinity Commercial |
$1,695.88
|
| Rate for Payer: Cofinity Commercial |
$1,822.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,265.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,328.86
|
| Rate for Payer: Meridian Medicaid |
$848.76
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,392.14
|
| Rate for Payer: Nomi Health Commercial |
$1,518.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,767.75
|
| Rate for Payer: PACE SWMI |
$1,265.58
|
| Rate for Payer: PHP Commercial |
$1,771.81
|
| Rate for Payer: PHP Medicare Advantage |
$1,265.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$808.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,866.42
|
| Rate for Payer: Priority Health Medicare |
$1,265.58
|
| Rate for Payer: Priority Health SBD |
$1,866.42
|
| Rate for Payer: Priority Health Tiered Network |
$1,866.42
|
| Rate for Payer: Railroad Medicare Medicare |
$1,265.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,385.12
|
| Rate for Payer: UHC Core |
$2,385.12
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,265.58
|
| Rate for Payer: UHC Exchange |
$2,385.12
|
| Rate for Payer: UHC Medicaid |
$808.34
|
| Rate for Payer: UHCCP Medicaid |
$808.34
|
| Rate for Payer: UMR Bronson Commercial |
$1,084.22
|
|
|
PR THORACOSCOPY W/THERA WEDGE RESEXN ADDL IPSILATRL
|
Professional
|
Both
|
$3,618.00
|
|
|
Service Code
|
HCPCS 32667
|
| Min. Negotiated Rate |
$90.31 |
| Max. Negotiated Rate |
$2,713.50 |
| Rate for Payer: Aetna Commercial |
$191.73
|
| Rate for Payer: Aetna Medicare |
$148.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$191.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$206.04
|
| Rate for Payer: BCBS Complete |
$94.83
|
| Rate for Payer: BCBS MAPPO |
$143.08
|
| Rate for Payer: BCN Commercial |
$228.07
|
| Rate for Payer: BCN Medicare Advantage |
$143.08
|
| Rate for Payer: Cash Price |
$2,894.40
|
| Rate for Payer: Cash Price |
$2,894.40
|
| Rate for Payer: Cofinity Commercial |
$191.73
|
| Rate for Payer: Cofinity Commercial |
$206.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$143.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$150.23
|
| Rate for Payer: Meridian Medicaid |
$94.83
|
| Rate for Payer: Molina Medicare/Medicaid |
$157.39
|
| Rate for Payer: Nomi Health Commercial |
$171.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,713.50
|
| Rate for Payer: PACE SWMI |
$143.08
|
| Rate for Payer: PHP Commercial |
$200.31
|
| Rate for Payer: PHP Medicare Advantage |
$143.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$90.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$214.78
|
| Rate for Payer: Priority Health Medicare |
$143.08
|
| Rate for Payer: Priority Health SBD |
$214.78
|
| Rate for Payer: Priority Health Tiered Network |
$214.78
|
| Rate for Payer: Railroad Medicare Medicare |
$143.08
|
| 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 |
$143.08
|
| Rate for Payer: UHC Exchange |
$279.77
|
| Rate for Payer: UHC Medicaid |
$90.31
|
| Rate for Payer: UHCCP Medicaid |
$90.31
|
| Rate for Payer: UMR Bronson Commercial |
$1,664.28
|
|
|
PR THORACOSCOPY W/THERA WEDGE RESEXN INITIAL UNILAT
|
Professional
|
Both
|
$1,861.00
|
|
|
Service Code
|
HCPCS 32666
|
| Min. Negotiated Rate |
$535.06 |
| Max. Negotiated Rate |
$1,535.81 |
| Rate for Payer: Aetna Commercial |
$1,115.97
|
| Rate for Payer: Aetna Medicare |
$866.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,115.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,199.25
|
| Rate for Payer: BCBS Complete |
$561.81
|
| Rate for Payer: BCBS MAPPO |
$832.81
|
| Rate for Payer: BCN Commercial |
$1,291.76
|
| Rate for Payer: BCN Medicare Advantage |
$832.81
|
| Rate for Payer: Cash Price |
$1,488.80
|
| Rate for Payer: Cash Price |
$1,488.80
|
| Rate for Payer: Cofinity Commercial |
$1,115.97
|
| Rate for Payer: Cofinity Commercial |
$1,199.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$832.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$874.45
|
| Rate for Payer: Meridian Medicaid |
$561.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$916.09
|
| Rate for Payer: Nomi Health Commercial |
$999.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,395.75
|
| Rate for Payer: PACE SWMI |
$832.81
|
| Rate for Payer: PHP Commercial |
$1,165.93
|
| Rate for Payer: PHP Medicare Advantage |
$832.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$535.06
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,216.46
|
| Rate for Payer: Priority Health Medicare |
$832.81
|
| Rate for Payer: Priority Health SBD |
$1,216.46
|
| Rate for Payer: Priority Health Tiered Network |
$1,216.46
|
| Rate for Payer: Railroad Medicare Medicare |
$832.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,535.81
|
| Rate for Payer: UHC Core |
$1,535.81
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$832.81
|
| Rate for Payer: UHC Exchange |
$1,535.81
|
| Rate for Payer: UHC Medicaid |
$535.06
|
| Rate for Payer: UHCCP Medicaid |
$535.06
|
| Rate for Payer: UMR Bronson Commercial |
$856.06
|
|
|
PR THORACOSTOMY OPEN FLAP DRAINAGE EMPYEMA
|
Professional
|
Both
|
$1,919.00
|
|
|
Service Code
|
HCPCS 32036
|
| Min. Negotiated Rate |
$493.95 |
| Max. Negotiated Rate |
$1,439.25 |
| Rate for Payer: Aetna Commercial |
$1,023.51
|
| Rate for Payer: Aetna Medicare |
$794.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,023.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,099.89
|
| Rate for Payer: BCBS Complete |
$518.65
|
| Rate for Payer: BCBS MAPPO |
$763.81
|
| Rate for Payer: BCN Commercial |
$1,171.26
|
| Rate for Payer: BCN Medicare Advantage |
$763.81
|
| Rate for Payer: Cash Price |
$1,535.20
|
| Rate for Payer: Cash Price |
$1,535.20
|
| Rate for Payer: Cofinity Commercial |
$1,023.51
|
| Rate for Payer: Cofinity Commercial |
$1,099.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$763.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$802.00
|
| Rate for Payer: Meridian Medicaid |
$518.65
|
| Rate for Payer: Molina Medicare/Medicaid |
$840.19
|
| Rate for Payer: Nomi Health Commercial |
$916.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,439.25
|
| Rate for Payer: PACE SWMI |
$763.81
|
| Rate for Payer: PHP Commercial |
$1,069.33
|
| Rate for Payer: PHP Medicare Advantage |
$763.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$493.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,102.97
|
| Rate for Payer: Priority Health Medicare |
$763.81
|
| Rate for Payer: Priority Health SBD |
$1,102.97
|
| Rate for Payer: Priority Health Tiered Network |
$1,102.97
|
| Rate for Payer: Railroad Medicare Medicare |
$763.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,373.23
|
| Rate for Payer: UHC Core |
$1,373.23
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$763.81
|
| Rate for Payer: UHC Exchange |
$1,373.23
|
| Rate for Payer: UHC Medicaid |
$493.95
|
| Rate for Payer: UHCCP Medicaid |
$493.95
|
| Rate for Payer: UMR Bronson Commercial |
$882.74
|
|
|
PR THORACOSTOMY W/RIB RESECTION EMPYEMA
|
Professional
|
Both
|
$2,443.00
|
|
|
Service Code
|
HCPCS 32035
|
| Min. Negotiated Rate |
$463.91 |
| Max. Negotiated Rate |
$1,832.25 |
| Rate for Payer: Aetna Commercial |
$959.56
|
| Rate for Payer: Aetna Medicare |
$744.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,031.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$959.56
|
| Rate for Payer: BCBS Complete |
$487.11
|
| Rate for Payer: BCBS MAPPO |
$716.09
|
| Rate for Payer: BCN Commercial |
$1,096.56
|
| Rate for Payer: BCN Medicare Advantage |
$716.09
|
| Rate for Payer: Cash Price |
$1,954.40
|
| Rate for Payer: Cash Price |
$1,954.40
|
| Rate for Payer: Cofinity Commercial |
$1,031.17
|
| Rate for Payer: Cofinity Commercial |
$959.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$716.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$751.89
|
| Rate for Payer: Meridian Medicaid |
$487.11
|
| Rate for Payer: Molina Medicare/Medicaid |
$787.70
|
| Rate for Payer: Nomi Health Commercial |
$859.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,832.25
|
| Rate for Payer: PACE SWMI |
$716.09
|
| Rate for Payer: PHP Commercial |
$1,002.53
|
| Rate for Payer: PHP Medicare Advantage |
$716.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$463.91
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,032.63
|
| Rate for Payer: Priority Health Medicare |
$716.09
|
| Rate for Payer: Priority Health SBD |
$1,032.63
|
| Rate for Payer: Priority Health Tiered Network |
$1,032.63
|
| Rate for Payer: Railroad Medicare Medicare |
$716.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,280.50
|
| Rate for Payer: UHC Core |
$1,280.50
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$716.09
|
| Rate for Payer: UHC Exchange |
$1,280.50
|
| Rate for Payer: UHC Medicaid |
$463.91
|
| Rate for Payer: UHCCP Medicaid |
$463.91
|
| Rate for Payer: UMR Bronson Commercial |
$1,123.78
|
|
|
PR THORACOTOMY OPN INTRAPLEURAL PNEUMONOLYSIS
|
Professional
|
Both
|
$2,909.00
|
|
|
Service Code
|
HCPCS 32124
|
| Min. Negotiated Rate |
$573.40 |
| Max. Negotiated Rate |
$2,181.75 |
| Rate for Payer: Aetna Commercial |
$1,194.84
|
| Rate for Payer: Aetna Medicare |
$927.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,194.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,284.00
|
| Rate for Payer: BCBS Complete |
$602.07
|
| Rate for Payer: BCBS MAPPO |
$891.67
|
| Rate for Payer: BCN Commercial |
$1,372.94
|
| Rate for Payer: BCN Medicare Advantage |
$891.67
|
| Rate for Payer: Cash Price |
$2,327.20
|
| Rate for Payer: Cash Price |
$2,327.20
|
| Rate for Payer: Cofinity Commercial |
$1,194.84
|
| Rate for Payer: Cofinity Commercial |
$1,284.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$891.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$936.25
|
| Rate for Payer: Meridian Medicaid |
$602.07
|
| Rate for Payer: Molina Medicare/Medicaid |
$980.84
|
| Rate for Payer: Nomi Health Commercial |
$1,070.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,181.75
|
| Rate for Payer: PACE SWMI |
$891.67
|
| Rate for Payer: PHP Commercial |
$1,248.34
|
| Rate for Payer: PHP Medicare Advantage |
$891.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$573.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,292.89
|
| Rate for Payer: Priority Health Medicare |
$891.67
|
| Rate for Payer: Priority Health SBD |
$1,292.89
|
| Rate for Payer: Priority Health Tiered Network |
$1,292.89
|
| Rate for Payer: Railroad Medicare Medicare |
$891.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,637.98
|
| Rate for Payer: UHC Core |
$1,637.98
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$891.67
|
| Rate for Payer: UHC Exchange |
$1,637.98
|
| Rate for Payer: UHC Medicaid |
$573.40
|
| Rate for Payer: UHCCP Medicaid |
$573.40
|
| Rate for Payer: UMR Bronson Commercial |
$1,338.14
|
|
|
PR THORACOTOMY POSTOPERATIVE COMPLICATIONS
|
Professional
|
Both
|
$2,017.00
|
|
|
Service Code
|
HCPCS 32120
|
| Min. Negotiated Rate |
$541.45 |
| Max. Negotiated Rate |
$1,541.95 |
| Rate for Payer: Aetna Commercial |
$1,127.11
|
| Rate for Payer: Aetna Medicare |
$874.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,127.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,211.23
|
| Rate for Payer: BCBS Complete |
$568.52
|
| Rate for Payer: BCBS MAPPO |
$841.13
|
| Rate for Payer: BCN Commercial |
$1,301.73
|
| Rate for Payer: BCN Medicare Advantage |
$841.13
|
| Rate for Payer: Cash Price |
$1,613.60
|
| Rate for Payer: Cash Price |
$1,613.60
|
| Rate for Payer: Cofinity Commercial |
$1,127.11
|
| Rate for Payer: Cofinity Commercial |
$1,211.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$841.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$883.19
|
| Rate for Payer: Meridian Medicaid |
$568.52
|
| Rate for Payer: Molina Medicare/Medicaid |
$925.24
|
| Rate for Payer: Nomi Health Commercial |
$1,009.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,512.75
|
| Rate for Payer: PACE SWMI |
$841.13
|
| Rate for Payer: PHP Commercial |
$1,177.58
|
| Rate for Payer: PHP Medicare Advantage |
$841.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$541.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,225.84
|
| Rate for Payer: Priority Health Medicare |
$841.13
|
| Rate for Payer: Priority Health SBD |
$1,225.84
|
| Rate for Payer: Priority Health Tiered Network |
$1,225.84
|
| Rate for Payer: Railroad Medicare Medicare |
$841.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,541.95
|
| Rate for Payer: UHC Core |
$1,541.95
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$841.13
|
| Rate for Payer: UHC Exchange |
$1,541.95
|
| Rate for Payer: UHC Medicaid |
$541.45
|
| Rate for Payer: UHCCP Medicaid |
$541.45
|
| Rate for Payer: UMR Bronson Commercial |
$927.82
|
|
|
PR THORACOTOMY W/BIOPSY OF PLEURA
|
Professional
|
Both
|
$3,151.00
|
|
|
Service Code
|
HCPCS 32098
|
| Min. Negotiated Rate |
$460.08 |
| Max. Negotiated Rate |
$2,363.25 |
| Rate for Payer: Aetna Commercial |
$961.25
|
| Rate for Payer: Aetna Medicare |
$746.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,032.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$961.25
|
| Rate for Payer: BCBS Complete |
$483.08
|
| Rate for Payer: BCBS MAPPO |
$717.35
|
| Rate for Payer: BCN Commercial |
$1,122.45
|
| Rate for Payer: BCN Medicare Advantage |
$717.35
|
| Rate for Payer: Cash Price |
$2,520.80
|
| Rate for Payer: Cash Price |
$2,520.80
|
| Rate for Payer: Cofinity Commercial |
$1,032.98
|
| Rate for Payer: Cofinity Commercial |
$961.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$717.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$753.22
|
| Rate for Payer: Meridian Medicaid |
$483.08
|
| Rate for Payer: Molina Medicare/Medicaid |
$789.09
|
| Rate for Payer: Nomi Health Commercial |
$860.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,363.25
|
| Rate for Payer: PACE SWMI |
$717.35
|
| Rate for Payer: PHP Commercial |
$1,004.29
|
| Rate for Payer: PHP Medicare Advantage |
$717.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$460.08
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,057.01
|
| Rate for Payer: Priority Health Medicare |
$717.35
|
| Rate for Payer: Priority Health SBD |
$1,057.01
|
| Rate for Payer: Priority Health Tiered Network |
$1,057.01
|
| Rate for Payer: Railroad Medicare Medicare |
$717.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,346.20
|
| Rate for Payer: UHC Core |
$1,346.20
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$717.35
|
| Rate for Payer: UHC Exchange |
$1,346.20
|
| Rate for Payer: UHC Medicaid |
$460.08
|
| Rate for Payer: UHCCP Medicaid |
$460.08
|
| Rate for Payer: UMR Bronson Commercial |
$1,449.46
|
|
|
PR THORACOTOMY W/CARDIAC MASSAGE
|
Professional
|
Both
|
$3,637.00
|
|
|
Service Code
|
HCPCS 32160
|
| Min. Negotiated Rate |
$492.46 |
| Max. Negotiated Rate |
$2,727.75 |
| Rate for Payer: Aetna Commercial |
$1,024.46
|
| Rate for Payer: Aetna Medicare |
$795.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,024.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,100.91
|
| Rate for Payer: BCBS Complete |
$517.08
|
| Rate for Payer: BCBS MAPPO |
$764.52
|
| Rate for Payer: BCN Commercial |
$1,194.15
|
| Rate for Payer: BCN Medicare Advantage |
$764.52
|
| Rate for Payer: Cash Price |
$2,909.60
|
| Rate for Payer: Cash Price |
$2,909.60
|
| Rate for Payer: Cofinity Commercial |
$1,024.46
|
| Rate for Payer: Cofinity Commercial |
$1,100.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$764.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$802.75
|
| Rate for Payer: Meridian Medicaid |
$517.08
|
| Rate for Payer: Molina Medicare/Medicaid |
$840.97
|
| Rate for Payer: Nomi Health Commercial |
$917.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,727.75
|
| Rate for Payer: PACE SWMI |
$764.52
|
| Rate for Payer: PHP Commercial |
$1,070.33
|
| Rate for Payer: PHP Medicare Advantage |
$764.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$492.46
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,124.54
|
| Rate for Payer: Priority Health Medicare |
$764.52
|
| Rate for Payer: Priority Health SBD |
$1,124.54
|
| Rate for Payer: Priority Health Tiered Network |
$1,124.54
|
| Rate for Payer: Railroad Medicare Medicare |
$764.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,405.19
|
| Rate for Payer: UHC Core |
$1,405.19
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$764.52
|
| Rate for Payer: UHC Exchange |
$1,405.19
|
| Rate for Payer: UHC Medicaid |
$492.46
|
| Rate for Payer: UHCCP Medicaid |
$492.46
|
| Rate for Payer: UMR Bronson Commercial |
$1,673.02
|
|
|
PR THORACOTOMY W/DX WEDGE RESEXN & ANTOM LUNG RESE
|
Professional
|
Both
|
$721.00
|
|
|
Service Code
|
HCPCS 32507
|
| Min. Negotiated Rate |
$90.10 |
| Max. Negotiated Rate |
$540.75 |
| Rate for Payer: Aetna Commercial |
$191.22
|
| Rate for Payer: Aetna Medicare |
$148.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$191.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$205.49
|
| Rate for Payer: BCBS Complete |
$94.61
|
| Rate for Payer: BCBS MAPPO |
$142.70
|
| Rate for Payer: BCN Commercial |
$227.58
|
| Rate for Payer: BCN Medicare Advantage |
$142.70
|
| Rate for Payer: Cash Price |
$576.80
|
| Rate for Payer: Cash Price |
$576.80
|
| Rate for Payer: Cofinity Commercial |
$191.22
|
| Rate for Payer: Cofinity Commercial |
$205.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$142.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$149.84
|
| Rate for Payer: Meridian Medicaid |
$94.61
|
| Rate for Payer: Molina Medicare/Medicaid |
$156.97
|
| Rate for Payer: Nomi Health Commercial |
$171.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$540.75
|
| Rate for Payer: PACE SWMI |
$142.70
|
| Rate for Payer: PHP Commercial |
$199.78
|
| Rate for Payer: PHP Medicare Advantage |
$142.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$90.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$214.31
|
| Rate for Payer: Priority Health Medicare |
$142.70
|
| Rate for Payer: Priority Health SBD |
$214.31
|
| Rate for Payer: Priority Health Tiered Network |
$214.31
|
| Rate for Payer: Railroad Medicare Medicare |
$142.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$279.20
|
| Rate for Payer: UHC Core |
$279.20
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$142.70
|
| Rate for Payer: UHC Exchange |
$279.20
|
| Rate for Payer: UHC Medicaid |
$90.10
|
| Rate for Payer: UHCCP Medicaid |
$90.10
|
| Rate for Payer: UMR Bronson Commercial |
$331.66
|
|
|
PR THORACOTOMY WITH EXPLORATION
|
Professional
|
Both
|
$2,909.00
|
|
|
Service Code
|
HCPCS 32100
|
| Min. Negotiated Rate |
$495.65 |
| Max. Negotiated Rate |
$2,181.75 |
| Rate for Payer: Aetna Commercial |
$1,035.11
|
| Rate for Payer: Aetna Medicare |
$803.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,035.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,112.36
|
| Rate for Payer: BCBS Complete |
$520.43
|
| Rate for Payer: BCBS MAPPO |
$772.47
|
| Rate for Payer: BCN Commercial |
$1,208.10
|
| Rate for Payer: BCN Medicare Advantage |
$772.47
|
| Rate for Payer: Cash Price |
$2,327.20
|
| Rate for Payer: Cash Price |
$2,327.20
|
| Rate for Payer: Cofinity Commercial |
$1,035.11
|
| Rate for Payer: Cofinity Commercial |
$1,112.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$772.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$811.09
|
| Rate for Payer: Meridian Medicaid |
$520.43
|
| Rate for Payer: Molina Medicare/Medicaid |
$849.72
|
| Rate for Payer: Nomi Health Commercial |
$926.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,181.75
|
| Rate for Payer: PACE SWMI |
$772.47
|
| Rate for Payer: PHP Commercial |
$1,081.46
|
| Rate for Payer: PHP Medicare Advantage |
$772.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$495.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,137.68
|
| Rate for Payer: Priority Health Medicare |
$772.47
|
| Rate for Payer: Priority Health SBD |
$1,137.68
|
| Rate for Payer: Priority Health Tiered Network |
$1,137.68
|
| Rate for Payer: Railroad Medicare Medicare |
$772.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,433.69
|
| Rate for Payer: UHC Core |
$1,433.69
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$772.47
|
| Rate for Payer: UHC Exchange |
$1,433.69
|
| Rate for Payer: UHC Medicaid |
$495.65
|
| Rate for Payer: UHCCP Medicaid |
$495.65
|
| Rate for Payer: UMR Bronson Commercial |
$1,338.14
|
|
|
PR THORACOTOMY W/RESECTION BULLAE
|
Professional
|
Both
|
$2,941.00
|
|
|
Service Code
|
HCPCS 32141
|
| Min. Negotiated Rate |
$914.20 |
| Max. Negotiated Rate |
$2,708.08 |
| Rate for Payer: Aetna Commercial |
$1,920.65
|
| Rate for Payer: Aetna Medicare |
$1,490.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,920.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,063.98
|
| Rate for Payer: BCBS Complete |
$959.91
|
| Rate for Payer: BCBS MAPPO |
$1,433.32
|
| Rate for Payer: BCN Commercial |
$2,247.89
|
| Rate for Payer: BCN Medicare Advantage |
$1,433.32
|
| Rate for Payer: Cash Price |
$2,352.80
|
| Rate for Payer: Cash Price |
$2,352.80
|
| Rate for Payer: Cofinity Commercial |
$1,920.65
|
| Rate for Payer: Cofinity Commercial |
$2,063.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,433.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,504.99
|
| Rate for Payer: Meridian Medicaid |
$959.91
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,576.65
|
| Rate for Payer: Nomi Health Commercial |
$1,719.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,205.75
|
| Rate for Payer: PACE SWMI |
$1,433.32
|
| Rate for Payer: PHP Commercial |
$2,006.65
|
| Rate for Payer: PHP Medicare Advantage |
$1,433.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$914.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,116.84
|
| Rate for Payer: Priority Health Medicare |
$1,433.32
|
| Rate for Payer: Priority Health SBD |
$2,116.84
|
| Rate for Payer: Priority Health Tiered Network |
$2,116.84
|
| Rate for Payer: Railroad Medicare Medicare |
$1,433.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,708.08
|
| Rate for Payer: UHC Core |
$2,708.08
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,433.32
|
| Rate for Payer: UHC Exchange |
$2,708.08
|
| Rate for Payer: UHC Medicaid |
$914.20
|
| Rate for Payer: UHCCP Medicaid |
$914.20
|
| Rate for Payer: UMR Bronson Commercial |
$1,352.86
|
|
|
PR THORACOTOMY W/THERAPEUTIC WEDGE RESEXN INITIAL
|
Professional
|
Both
|
$2,487.00
|
|
|
Service Code
|
HCPCS 32505
|
| Min. Negotiated Rate |
$570.63 |
| Max. Negotiated Rate |
$1,865.25 |
| Rate for Payer: Aetna Commercial |
$1,191.37
|
| Rate for Payer: Aetna Medicare |
$924.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,191.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,280.28
|
| Rate for Payer: BCBS Complete |
$599.16
|
| Rate for Payer: BCBS MAPPO |
$889.08
|
| Rate for Payer: BCN Commercial |
$1,381.90
|
| Rate for Payer: BCN Medicare Advantage |
$889.08
|
| Rate for Payer: Cash Price |
$1,989.60
|
| Rate for Payer: Cash Price |
$1,989.60
|
| Rate for Payer: Cofinity Commercial |
$1,191.37
|
| Rate for Payer: Cofinity Commercial |
$1,280.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$889.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$933.53
|
| Rate for Payer: Meridian Medicaid |
$599.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$977.99
|
| Rate for Payer: Nomi Health Commercial |
$1,066.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,865.25
|
| Rate for Payer: PACE SWMI |
$889.08
|
| Rate for Payer: PHP Commercial |
$1,244.71
|
| Rate for Payer: PHP Medicare Advantage |
$889.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$570.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,301.34
|
| Rate for Payer: Priority Health Medicare |
$889.08
|
| Rate for Payer: Priority Health SBD |
$1,301.34
|
| Rate for Payer: Priority Health Tiered Network |
$1,301.34
|
| Rate for Payer: Railroad Medicare Medicare |
$889.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,648.58
|
| Rate for Payer: UHC Core |
$1,648.58
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$889.08
|
| Rate for Payer: UHC Exchange |
$1,648.58
|
| Rate for Payer: UHC Medicaid |
$570.63
|
| Rate for Payer: UHCCP Medicaid |
$570.63
|
| Rate for Payer: UMR Bronson Commercial |
$1,144.02
|
|
|
PR THORACOTOMY W/THERAP WEDGE RESEXN ADDL IPSILATRL
|
Professional
|
Both
|
$363.00
|
|
|
Service Code
|
HCPCS 32506
|
| Min. Negotiated Rate |
$90.10 |
| Max. Negotiated Rate |
$279.20 |
| Rate for Payer: Aetna Commercial |
$191.22
|
| Rate for Payer: Aetna Medicare |
$148.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$191.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$205.49
|
| Rate for Payer: BCBS Complete |
$94.61
|
| Rate for Payer: BCBS MAPPO |
$142.70
|
| Rate for Payer: BCN Commercial |
$227.58
|
| Rate for Payer: BCN Medicare Advantage |
$142.70
|
| Rate for Payer: Cash Price |
$290.40
|
| Rate for Payer: Cash Price |
$290.40
|
| Rate for Payer: Cofinity Commercial |
$191.22
|
| Rate for Payer: Cofinity Commercial |
$205.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$142.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$149.84
|
| Rate for Payer: Meridian Medicaid |
$94.61
|
| Rate for Payer: Molina Medicare/Medicaid |
$156.97
|
| Rate for Payer: Nomi Health Commercial |
$171.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$272.25
|
| Rate for Payer: PACE SWMI |
$142.70
|
| Rate for Payer: PHP Commercial |
$199.78
|
| Rate for Payer: PHP Medicare Advantage |
$142.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$90.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$214.31
|
| Rate for Payer: Priority Health Medicare |
$142.70
|
| Rate for Payer: Priority Health SBD |
$214.31
|
| Rate for Payer: Priority Health Tiered Network |
$214.31
|
| Rate for Payer: Railroad Medicare Medicare |
$142.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$279.20
|
| Rate for Payer: UHC Core |
$279.20
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$142.70
|
| Rate for Payer: UHC Exchange |
$279.20
|
| Rate for Payer: UHC Medicaid |
$90.10
|
| Rate for Payer: UHCCP Medicaid |
$90.10
|
| Rate for Payer: UMR Bronson Commercial |
$166.98
|
|
|
PR THORACTOMY W/DX BX LUNG INFILTRATE UNILATERAL
|
Professional
|
Both
|
$3,353.00
|
|
|
Service Code
|
HCPCS 32096
|
| Min. Negotiated Rate |
$487.34 |
| Max. Negotiated Rate |
$2,514.75 |
| Rate for Payer: Aetna Commercial |
$1,019.36
|
| Rate for Payer: Aetna Medicare |
$791.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,019.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,095.44
|
| Rate for Payer: BCBS Complete |
$511.71
|
| Rate for Payer: BCBS MAPPO |
$760.72
|
| Rate for Payer: BCN Commercial |
$1,191.67
|
| Rate for Payer: BCN Medicare Advantage |
$760.72
|
| Rate for Payer: Cash Price |
$2,682.40
|
| Rate for Payer: Cash Price |
$2,682.40
|
| Rate for Payer: Cofinity Commercial |
$1,019.36
|
| Rate for Payer: Cofinity Commercial |
$1,095.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$760.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$798.76
|
| Rate for Payer: Meridian Medicaid |
$511.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$836.79
|
| Rate for Payer: Nomi Health Commercial |
$912.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,514.75
|
| Rate for Payer: PACE SWMI |
$760.72
|
| Rate for Payer: PHP Commercial |
$1,065.01
|
| Rate for Payer: PHP Medicare Advantage |
$760.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$487.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,122.20
|
| Rate for Payer: Priority Health Medicare |
$760.72
|
| Rate for Payer: Priority Health SBD |
$1,122.20
|
| Rate for Payer: Priority Health Tiered Network |
$1,122.20
|
| Rate for Payer: Railroad Medicare Medicare |
$760.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,419.91
|
| Rate for Payer: UHC Core |
$1,419.91
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$760.72
|
| Rate for Payer: UHC Exchange |
$1,419.91
|
| Rate for Payer: UHC Medicaid |
$487.34
|
| Rate for Payer: UHCCP Medicaid |
$487.34
|
| Rate for Payer: UMR Bronson Commercial |
$1,542.38
|
|
|
PR THORACTOMY W/DX BX LUNG NODULE/MASS UNILATERAL
|
Professional
|
Both
|
$3,353.00
|
|
|
Service Code
|
HCPCS 32097
|
| Min. Negotiated Rate |
$490.97 |
| Max. Negotiated Rate |
$2,514.75 |
| Rate for Payer: Aetna Commercial |
$1,026.21
|
| Rate for Payer: Aetna Medicare |
$796.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,026.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,102.80
|
| Rate for Payer: BCBS Complete |
$515.52
|
| Rate for Payer: BCBS MAPPO |
$765.83
|
| Rate for Payer: BCN Commercial |
$1,192.16
|
| Rate for Payer: BCN Medicare Advantage |
$765.83
|
| Rate for Payer: Cash Price |
$2,682.40
|
| Rate for Payer: Cash Price |
$2,682.40
|
| Rate for Payer: Cofinity Commercial |
$1,026.21
|
| Rate for Payer: Cofinity Commercial |
$1,102.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$765.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$804.12
|
| Rate for Payer: Meridian Medicaid |
$515.52
|
| Rate for Payer: Molina Medicare/Medicaid |
$842.41
|
| Rate for Payer: Nomi Health Commercial |
$919.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,514.75
|
| Rate for Payer: PACE SWMI |
$765.83
|
| Rate for Payer: PHP Commercial |
$1,072.16
|
| Rate for Payer: PHP Medicare Advantage |
$765.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$490.97
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,122.67
|
| Rate for Payer: Priority Health Medicare |
$765.83
|
| Rate for Payer: Priority Health SBD |
$1,122.67
|
| Rate for Payer: Priority Health Tiered Network |
$1,122.67
|
| Rate for Payer: Railroad Medicare Medicare |
$765.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,421.06
|
| Rate for Payer: UHC Core |
$1,421.06
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$765.83
|
| Rate for Payer: UHC Exchange |
$1,421.06
|
| Rate for Payer: UHC Medicaid |
$490.97
|
| Rate for Payer: UHCCP Medicaid |
$490.97
|
| Rate for Payer: UMR Bronson Commercial |
$1,542.38
|
|
|
PR THORCOM CTRL TRAUMTC HEMRRG&/RPR LNG TEAR
|
Professional
|
Both
|
$3,417.00
|
|
|
Service Code
|
HCPCS 32110
|
| Min. Negotiated Rate |
$890.13 |
| Max. Negotiated Rate |
$2,600.97 |
| Rate for Payer: Aetna Commercial |
$1,862.64
|
| Rate for Payer: Aetna Medicare |
$1,445.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,862.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,001.64
|
| Rate for Payer: BCBS Complete |
$934.64
|
| Rate for Payer: BCBS MAPPO |
$1,390.03
|
| Rate for Payer: BCN Commercial |
$2,198.59
|
| Rate for Payer: BCN Medicare Advantage |
$1,390.03
|
| Rate for Payer: Cash Price |
$2,733.60
|
| Rate for Payer: Cash Price |
$2,733.60
|
| Rate for Payer: Cofinity Commercial |
$1,862.64
|
| Rate for Payer: Cofinity Commercial |
$2,001.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,390.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,459.53
|
| Rate for Payer: Meridian Medicaid |
$934.64
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,529.03
|
| Rate for Payer: Nomi Health Commercial |
$1,668.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,562.75
|
| Rate for Payer: PACE SWMI |
$1,390.03
|
| Rate for Payer: PHP Commercial |
$1,946.04
|
| Rate for Payer: PHP Medicare Advantage |
$1,390.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$890.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,070.42
|
| Rate for Payer: Priority Health Medicare |
$1,390.03
|
| Rate for Payer: Priority Health SBD |
$2,070.42
|
| Rate for Payer: Priority Health Tiered Network |
$2,070.42
|
| Rate for Payer: Railroad Medicare Medicare |
$1,390.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,600.97
|
| Rate for Payer: UHC Core |
$2,600.97
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,390.03
|
| Rate for Payer: UHC Exchange |
$2,600.97
|
| Rate for Payer: UHC Medicaid |
$890.13
|
| Rate for Payer: UHCCP Medicaid |
$890.13
|
| Rate for Payer: UMR Bronson Commercial |
$1,571.82
|
|
|
PR THORCOM THRC W/MEDSTNL & REGIONAL LMPHADEC
|
Professional
|
Both
|
$1,565.00
|
|
|
Service Code
|
HCPCS 38746
|
| Min. Negotiated Rate |
$124.61 |
| Max. Negotiated Rate |
$1,173.75 |
| Rate for Payer: Aetna Commercial |
$264.57
|
| Rate for Payer: Aetna Medicare |
$205.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$264.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$284.31
|
| Rate for Payer: BCBS Complete |
$130.84
|
| Rate for Payer: BCBS MAPPO |
$197.44
|
| Rate for Payer: BCN Commercial |
$313.73
|
| Rate for Payer: BCN Medicare Advantage |
$197.44
|
| Rate for Payer: Cash Price |
$1,252.00
|
| Rate for Payer: Cash Price |
$1,252.00
|
| Rate for Payer: Cofinity Commercial |
$264.57
|
| Rate for Payer: Cofinity Commercial |
$284.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$197.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$207.31
|
| Rate for Payer: Meridian Medicaid |
$130.84
|
| Rate for Payer: Molina Medicare/Medicaid |
$217.18
|
| Rate for Payer: Nomi Health Commercial |
$236.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,173.75
|
| Rate for Payer: PACE SWMI |
$197.44
|
| Rate for Payer: PHP Commercial |
$276.42
|
| Rate for Payer: PHP Medicare Advantage |
$197.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$124.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$417.43
|
| Rate for Payer: Priority Health Medicare |
$197.44
|
| Rate for Payer: Priority Health SBD |
$417.43
|
| Rate for Payer: Priority Health Tiered Network |
$417.43
|
| Rate for Payer: Railroad Medicare Medicare |
$197.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$384.28
|
| Rate for Payer: UHC Core |
$384.28
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$197.44
|
| Rate for Payer: UHC Exchange |
$384.28
|
| Rate for Payer: UHC Medicaid |
$124.61
|
| Rate for Payer: UHCCP Medicaid |
$124.61
|
| Rate for Payer: UMR Bronson Commercial |
$719.90
|
|
|
PR THORCOM W/REMOVAL OF CYST
|
Professional
|
Both
|
$2,427.00
|
|
|
Service Code
|
HCPCS 32140
|
| Min. Negotiated Rate |
$609.18 |
| Max. Negotiated Rate |
$1,820.25 |
| Rate for Payer: Aetna Commercial |
$1,271.37
|
| Rate for Payer: Aetna Medicare |
$986.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,271.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,366.24
|
| Rate for Payer: BCBS Complete |
$639.64
|
| Rate for Payer: BCBS MAPPO |
$948.78
|
| Rate for Payer: BCN Commercial |
$1,472.04
|
| Rate for Payer: BCN Medicare Advantage |
$948.78
|
| Rate for Payer: Cash Price |
$1,941.60
|
| Rate for Payer: Cash Price |
$1,941.60
|
| Rate for Payer: Cofinity Commercial |
$1,271.37
|
| Rate for Payer: Cofinity Commercial |
$1,366.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$948.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$996.22
|
| Rate for Payer: Meridian Medicaid |
$639.64
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,043.66
|
| Rate for Payer: Nomi Health Commercial |
$1,138.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,820.25
|
| Rate for Payer: PACE SWMI |
$948.78
|
| Rate for Payer: PHP Commercial |
$1,328.29
|
| Rate for Payer: PHP Medicare Advantage |
$948.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$609.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,386.21
|
| Rate for Payer: Priority Health Medicare |
$948.78
|
| Rate for Payer: Priority Health SBD |
$1,386.21
|
| Rate for Payer: Priority Health Tiered Network |
$1,386.21
|
| Rate for Payer: Railroad Medicare Medicare |
$948.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,751.69
|
| Rate for Payer: UHC Core |
$1,751.69
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$948.78
|
| Rate for Payer: UHC Exchange |
$1,751.69
|
| Rate for Payer: UHC Medicaid |
$609.18
|
| Rate for Payer: UHCCP Medicaid |
$609.18
|
| Rate for Payer: UMR Bronson Commercial |
$1,116.42
|
|
|
PR THORCOM W/RMVL INTRAPLEURAL FB/FIBRIN DEP
|
Professional
|
Both
|
$2,711.00
|
|
|
Service Code
|
HCPCS 32150
|
| Min. Negotiated Rate |
$622.17 |
| Max. Negotiated Rate |
$2,033.25 |
| Rate for Payer: Aetna Commercial |
$1,296.92
|
| Rate for Payer: Aetna Medicare |
$1,006.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,296.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,393.70
|
| Rate for Payer: BCBS Complete |
$653.28
|
| Rate for Payer: BCBS MAPPO |
$967.85
|
| Rate for Payer: BCN Commercial |
$1,512.37
|
| Rate for Payer: BCN Medicare Advantage |
$967.85
|
| Rate for Payer: Cash Price |
$2,168.80
|
| Rate for Payer: Cash Price |
$2,168.80
|
| Rate for Payer: Cofinity Commercial |
$1,296.92
|
| Rate for Payer: Cofinity Commercial |
$1,393.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$967.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,016.24
|
| Rate for Payer: Meridian Medicaid |
$653.28
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,064.63
|
| Rate for Payer: Nomi Health Commercial |
$1,161.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,033.25
|
| Rate for Payer: PACE SWMI |
$967.85
|
| Rate for Payer: PHP Commercial |
$1,354.99
|
| Rate for Payer: PHP Medicare Advantage |
$967.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$622.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,424.20
|
| Rate for Payer: Priority Health Medicare |
$967.85
|
| Rate for Payer: Priority Health SBD |
$1,424.20
|
| Rate for Payer: Priority Health Tiered Network |
$1,424.20
|
| Rate for Payer: Railroad Medicare Medicare |
$967.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,774.59
|
| Rate for Payer: UHC Core |
$1,774.59
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$967.85
|
| Rate for Payer: UHC Exchange |
$1,774.59
|
| Rate for Payer: UHC Medicaid |
$622.17
|
| Rate for Payer: UHCCP Medicaid |
$622.17
|
| Rate for Payer: UMR Bronson Commercial |
$1,247.06
|
|
|
PR THORCOM W/RMVL IPUL FB
|
Professional
|
Both
|
$2,548.00
|
|
|
Service Code
|
HCPCS 32151
|
| Min. Negotiated Rate |
$617.70 |
| Max. Negotiated Rate |
$1,911.00 |
| Rate for Payer: Aetna Commercial |
$1,289.48
|
| Rate for Payer: Aetna Medicare |
$1,000.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,289.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,385.71
|
| Rate for Payer: BCBS Complete |
$648.59
|
| Rate for Payer: BCBS MAPPO |
$962.30
|
| Rate for Payer: BCN Commercial |
$1,492.45
|
| Rate for Payer: BCN Medicare Advantage |
$962.30
|
| Rate for Payer: Cash Price |
$2,038.40
|
| Rate for Payer: Cash Price |
$2,038.40
|
| Rate for Payer: Cofinity Commercial |
$1,289.48
|
| Rate for Payer: Cofinity Commercial |
$1,385.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$962.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,010.41
|
| Rate for Payer: Meridian Medicaid |
$648.59
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,058.53
|
| Rate for Payer: Nomi Health Commercial |
$1,154.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,911.00
|
| Rate for Payer: PACE SWMI |
$962.30
|
| Rate for Payer: PHP Commercial |
$1,347.22
|
| Rate for Payer: PHP Medicare Advantage |
$962.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$617.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,405.44
|
| Rate for Payer: Priority Health Medicare |
$962.30
|
| Rate for Payer: Priority Health SBD |
$1,405.44
|
| Rate for Payer: Priority Health Tiered Network |
$1,405.44
|
| Rate for Payer: Railroad Medicare Medicare |
$962.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,777.64
|
| Rate for Payer: UHC Core |
$1,777.64
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$962.30
|
| Rate for Payer: UHC Exchange |
$1,777.64
|
| Rate for Payer: UHC Medicaid |
$617.70
|
| Rate for Payer: UHCCP Medicaid |
$617.70
|
| Rate for Payer: UMR Bronson Commercial |
$1,172.08
|
|
|
PR THORCOSCPY W/MEDIASTINL & REGIONL LYMPHDENECTOMY
|
Professional
|
Both
|
$894.00
|
|
|
Service Code
|
HCPCS 32674
|
| Min. Negotiated Rate |
$124.61 |
| Max. Negotiated Rate |
$670.50 |
| Rate for Payer: Aetna Commercial |
$264.57
|
| Rate for Payer: Aetna Medicare |
$205.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$264.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$284.31
|
| Rate for Payer: BCBS Complete |
$130.84
|
| Rate for Payer: BCBS MAPPO |
$197.44
|
| Rate for Payer: BCN Commercial |
$314.23
|
| Rate for Payer: BCN Medicare Advantage |
$197.44
|
| Rate for Payer: Cash Price |
$715.20
|
| Rate for Payer: Cash Price |
$715.20
|
| Rate for Payer: Cofinity Commercial |
$264.57
|
| Rate for Payer: Cofinity Commercial |
$284.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$197.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$207.31
|
| Rate for Payer: Meridian Medicaid |
$130.84
|
| Rate for Payer: Molina Medicare/Medicaid |
$217.18
|
| Rate for Payer: Nomi Health Commercial |
$236.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$670.50
|
| Rate for Payer: PACE SWMI |
$197.44
|
| Rate for Payer: PHP Commercial |
$276.42
|
| Rate for Payer: PHP Medicare Advantage |
$197.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$124.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$295.91
|
| Rate for Payer: Priority Health Medicare |
$197.44
|
| Rate for Payer: Priority Health SBD |
$295.91
|
| Rate for Payer: Priority Health Tiered Network |
$295.91
|
| Rate for Payer: Railroad Medicare Medicare |
$197.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$384.85
|
| Rate for Payer: UHC Core |
$384.85
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$197.44
|
| Rate for Payer: UHC Exchange |
$384.85
|
| Rate for Payer: UHC Medicaid |
$124.61
|
| Rate for Payer: UHCCP Medicaid |
$124.61
|
| Rate for Payer: UMR Bronson Commercial |
$411.24
|
|
|
PR THORSC DX LUNGS/PERICAR/MED/PLEURAL SPACE W/O BX
|
Professional
|
Both
|
$1,092.00
|
|
|
Service Code
|
HCPCS 32601
|
| Min. Negotiated Rate |
$183.82 |
| Max. Negotiated Rate |
$819.00 |
| Rate for Payer: Aetna Commercial |
$386.19
|
| Rate for Payer: Aetna Medicare |
$299.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$386.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$415.01
|
| Rate for Payer: BCBS Complete |
$193.01
|
| Rate for Payer: BCBS MAPPO |
$288.20
|
| Rate for Payer: BCN Commercial |
$454.65
|
| Rate for Payer: BCN Medicare Advantage |
$288.20
|
| Rate for Payer: Cash Price |
$873.60
|
| Rate for Payer: Cash Price |
$873.60
|
| Rate for Payer: Cofinity Commercial |
$386.19
|
| Rate for Payer: Cofinity Commercial |
$415.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$288.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$302.61
|
| Rate for Payer: Meridian Medicaid |
$193.01
|
| Rate for Payer: Molina Medicare/Medicaid |
$317.02
|
| Rate for Payer: Nomi Health Commercial |
$345.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$819.00
|
| Rate for Payer: PACE SWMI |
$288.20
|
| Rate for Payer: PHP Commercial |
$403.48
|
| Rate for Payer: PHP Medicare Advantage |
$288.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$183.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$428.15
|
| Rate for Payer: Priority Health Medicare |
$288.20
|
| Rate for Payer: Priority Health SBD |
$428.15
|
| Rate for Payer: Priority Health Tiered Network |
$428.15
|
| Rate for Payer: Railroad Medicare Medicare |
$288.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$549.06
|
| Rate for Payer: UHC Core |
$549.06
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$288.20
|
| Rate for Payer: UHC Exchange |
$549.06
|
| Rate for Payer: UHC Medicaid |
$183.82
|
| Rate for Payer: UHCCP Medicaid |
$183.82
|
| Rate for Payer: UMR Bronson Commercial |
$502.32
|
|
|
PR THREE AREA LIPOSUCTION - 3 AREA 3.0 HR
|
Professional
|
Both
|
$5,408.00
|
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$2,163.20 |
| Max. Negotiated Rate |
$4,056.00 |
| Rate for Payer: Aetna Medicare |
$2,704.00
|
| Rate for Payer: BCBS Complete |
$2,163.20
|
| Rate for Payer: Cash Price |
$4,326.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,056.00
|
| Rate for Payer: UMR Bronson Commercial |
$2,487.68
|
|
