|
PR THORACOTOMY W/CARDIAC MASSAGE
|
Professional
|
Both
|
$3,531.00
|
|
|
Service Code
|
HCPCS 32160
|
| Min. Negotiated Rate |
$769.77 |
| Max. Negotiated Rate |
$2,295.15 |
| Rate for Payer: Aetna Commercial |
$1,031.49
|
| Rate for Payer: Aetna Medicare |
$800.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,108.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,031.49
|
| Rate for Payer: BCBS Complete |
$1,412.40
|
| Rate for Payer: BCBS MAPPO |
$769.77
|
| Rate for Payer: BCN Medicare Advantage |
$769.77
|
| Rate for Payer: Cash Price |
$2,824.80
|
| Rate for Payer: Cash Price |
$2,824.80
|
| Rate for Payer: Cofinity Commercial |
$1,108.47
|
| Rate for Payer: Cofinity Commercial |
$1,031.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$769.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$808.26
|
| Rate for Payer: Nomi Health Commercial |
$923.72
|
| Rate for Payer: PACE SWMI |
$769.77
|
| Rate for Payer: PHP Commercial |
$1,077.68
|
| Rate for Payer: PHP Medicare Advantage |
$769.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,295.15
|
| Rate for Payer: Priority Health Medicare |
$769.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$769.77
|
| Rate for Payer: UHC Medicare Advantage |
$769.77
|
| Rate for Payer: UMR Bronson Commercial |
$1,624.26
|
|
|
PR THORACOTOMY W/DX WEDGE RESEXN & ANTOM LUNG RESE
|
Professional
|
Both
|
$700.00
|
|
|
Service Code
|
HCPCS 32507
|
| Min. Negotiated Rate |
$149.32 |
| Max. Negotiated Rate |
$455.00 |
| Rate for Payer: Aetna Commercial |
$200.09
|
| Rate for Payer: Aetna Medicare |
$155.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$215.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$200.09
|
| Rate for Payer: BCBS Complete |
$280.00
|
| Rate for Payer: BCBS MAPPO |
$149.32
|
| Rate for Payer: BCN Medicare Advantage |
$149.32
|
| Rate for Payer: Cash Price |
$560.00
|
| Rate for Payer: Cash Price |
$560.00
|
| Rate for Payer: Cofinity Commercial |
$215.02
|
| Rate for Payer: Cofinity Commercial |
$200.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$149.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$156.79
|
| Rate for Payer: Nomi Health Commercial |
$179.18
|
| Rate for Payer: PACE SWMI |
$149.32
|
| Rate for Payer: PHP Commercial |
$209.05
|
| Rate for Payer: PHP Medicare Advantage |
$149.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$455.00
|
| Rate for Payer: Priority Health Medicare |
$149.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$149.32
|
| Rate for Payer: UHC Medicare Advantage |
$149.32
|
| Rate for Payer: UMR Bronson Commercial |
$322.00
|
|
|
PR THORACOTOMY WITH EXPLORATION
|
Professional
|
Both
|
$2,824.00
|
|
|
Service Code
|
HCPCS 32100
|
| Min. Negotiated Rate |
$781.93 |
| Max. Negotiated Rate |
$1,835.60 |
| Rate for Payer: Aetna Commercial |
$1,047.79
|
| Rate for Payer: Aetna Medicare |
$813.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,125.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,047.79
|
| Rate for Payer: BCBS Complete |
$1,129.60
|
| Rate for Payer: BCBS MAPPO |
$781.93
|
| Rate for Payer: BCN Medicare Advantage |
$781.93
|
| Rate for Payer: Cash Price |
$2,259.20
|
| Rate for Payer: Cash Price |
$2,259.20
|
| Rate for Payer: Cofinity Commercial |
$1,125.98
|
| Rate for Payer: Cofinity Commercial |
$1,047.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$781.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$821.03
|
| Rate for Payer: Nomi Health Commercial |
$938.32
|
| Rate for Payer: PACE SWMI |
$781.93
|
| Rate for Payer: PHP Commercial |
$1,094.70
|
| Rate for Payer: PHP Medicare Advantage |
$781.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,835.60
|
| Rate for Payer: Priority Health Medicare |
$781.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$781.93
|
| Rate for Payer: UHC Medicare Advantage |
$781.93
|
| Rate for Payer: UMR Bronson Commercial |
$1,299.04
|
|
|
PR THORACOTOMY W/RESECTION BULLAE
|
Professional
|
Both
|
$2,855.00
|
|
|
Service Code
|
HCPCS 32141
|
| Min. Negotiated Rate |
$1,142.00 |
| Max. Negotiated Rate |
$2,107.81 |
| Rate for Payer: Aetna Commercial |
$1,961.44
|
| Rate for Payer: Aetna Medicare |
$1,522.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,107.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,961.44
|
| Rate for Payer: BCBS Complete |
$1,142.00
|
| Rate for Payer: BCBS MAPPO |
$1,463.76
|
| Rate for Payer: BCN Medicare Advantage |
$1,463.76
|
| Rate for Payer: Cash Price |
$2,284.00
|
| Rate for Payer: Cash Price |
$2,284.00
|
| Rate for Payer: Cofinity Commercial |
$2,107.81
|
| Rate for Payer: Cofinity Commercial |
$1,961.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,463.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,536.95
|
| Rate for Payer: Nomi Health Commercial |
$1,756.51
|
| Rate for Payer: PACE SWMI |
$1,463.76
|
| Rate for Payer: PHP Commercial |
$2,049.26
|
| Rate for Payer: PHP Medicare Advantage |
$1,463.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,855.75
|
| Rate for Payer: Priority Health Medicare |
$1,463.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,463.76
|
| Rate for Payer: UHC Medicare Advantage |
$1,463.76
|
| Rate for Payer: UMR Bronson Commercial |
$1,313.30
|
|
|
PR THORACOTOMY W/THERAPEUTIC WEDGE RESEXN INITIAL
|
Professional
|
Both
|
$2,415.00
|
|
|
Service Code
|
HCPCS 32505
|
| Min. Negotiated Rate |
$895.10 |
| Max. Negotiated Rate |
$1,569.75 |
| Rate for Payer: Aetna Commercial |
$1,199.43
|
| Rate for Payer: Aetna Medicare |
$930.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,288.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,199.43
|
| Rate for Payer: BCBS Complete |
$966.00
|
| Rate for Payer: BCBS MAPPO |
$895.10
|
| Rate for Payer: BCN Medicare Advantage |
$895.10
|
| Rate for Payer: Cash Price |
$1,932.00
|
| Rate for Payer: Cash Price |
$1,932.00
|
| Rate for Payer: Cofinity Commercial |
$1,288.94
|
| Rate for Payer: Cofinity Commercial |
$1,199.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$895.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$939.86
|
| Rate for Payer: Nomi Health Commercial |
$1,074.12
|
| Rate for Payer: PACE SWMI |
$895.10
|
| Rate for Payer: PHP Commercial |
$1,253.14
|
| Rate for Payer: PHP Medicare Advantage |
$895.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,569.75
|
| Rate for Payer: Priority Health Medicare |
$895.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$895.10
|
| Rate for Payer: UHC Medicare Advantage |
$895.10
|
| Rate for Payer: UMR Bronson Commercial |
$1,110.90
|
|
|
PR THORACOTOMY W/THERAP WEDGE RESEXN ADDL IPSILATRL
|
Professional
|
Both
|
$352.00
|
|
|
Service Code
|
HCPCS 32506
|
| Min. Negotiated Rate |
$140.80 |
| Max. Negotiated Rate |
$228.80 |
| Rate for Payer: Aetna Commercial |
$200.09
|
| Rate for Payer: Aetna Medicare |
$155.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$215.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$200.09
|
| Rate for Payer: BCBS Complete |
$140.80
|
| Rate for Payer: BCBS MAPPO |
$149.32
|
| Rate for Payer: BCN Medicare Advantage |
$149.32
|
| Rate for Payer: Cash Price |
$281.60
|
| Rate for Payer: Cash Price |
$281.60
|
| Rate for Payer: Cofinity Commercial |
$215.02
|
| Rate for Payer: Cofinity Commercial |
$200.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$149.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$156.79
|
| Rate for Payer: Nomi Health Commercial |
$179.18
|
| Rate for Payer: PACE SWMI |
$149.32
|
| Rate for Payer: PHP Commercial |
$209.05
|
| Rate for Payer: PHP Medicare Advantage |
$149.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$228.80
|
| Rate for Payer: Priority Health Medicare |
$149.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$149.32
|
| Rate for Payer: UHC Medicare Advantage |
$149.32
|
| Rate for Payer: UMR Bronson Commercial |
$161.92
|
|
|
PR THORACTOMY W/DX BX LUNG INFILTRATE UNILATERAL
|
Professional
|
Both
|
$3,255.00
|
|
|
Service Code
|
HCPCS 32096
|
| Min. Negotiated Rate |
$772.29 |
| Max. Negotiated Rate |
$2,115.75 |
| Rate for Payer: Aetna Commercial |
$1,034.87
|
| Rate for Payer: Aetna Medicare |
$803.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,112.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,034.87
|
| Rate for Payer: BCBS Complete |
$1,302.00
|
| Rate for Payer: BCBS MAPPO |
$772.29
|
| Rate for Payer: BCN Medicare Advantage |
$772.29
|
| Rate for Payer: Cash Price |
$2,604.00
|
| Rate for Payer: Cash Price |
$2,604.00
|
| Rate for Payer: Cofinity Commercial |
$1,112.10
|
| Rate for Payer: Cofinity Commercial |
$1,034.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$772.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$810.90
|
| Rate for Payer: Nomi Health Commercial |
$926.75
|
| Rate for Payer: PACE SWMI |
$772.29
|
| Rate for Payer: PHP Commercial |
$1,081.21
|
| Rate for Payer: PHP Medicare Advantage |
$772.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,115.75
|
| Rate for Payer: Priority Health Medicare |
$772.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$772.29
|
| Rate for Payer: UHC Medicare Advantage |
$772.29
|
| Rate for Payer: UMR Bronson Commercial |
$1,497.30
|
|
|
PR THORACTOMY W/DX BX LUNG NODULE/MASS UNILATERAL
|
Professional
|
Both
|
$3,255.00
|
|
|
Service Code
|
HCPCS 32097
|
| Min. Negotiated Rate |
$773.01 |
| Max. Negotiated Rate |
$2,115.75 |
| Rate for Payer: Aetna Commercial |
$1,035.83
|
| Rate for Payer: Aetna Medicare |
$803.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,113.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,035.83
|
| Rate for Payer: BCBS Complete |
$1,302.00
|
| Rate for Payer: BCBS MAPPO |
$773.01
|
| Rate for Payer: BCN Medicare Advantage |
$773.01
|
| Rate for Payer: Cash Price |
$2,604.00
|
| Rate for Payer: Cash Price |
$2,604.00
|
| Rate for Payer: Cofinity Commercial |
$1,113.13
|
| Rate for Payer: Cofinity Commercial |
$1,035.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$773.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$811.66
|
| Rate for Payer: Nomi Health Commercial |
$927.61
|
| Rate for Payer: PACE SWMI |
$773.01
|
| Rate for Payer: PHP Commercial |
$1,082.21
|
| Rate for Payer: PHP Medicare Advantage |
$773.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,115.75
|
| Rate for Payer: Priority Health Medicare |
$773.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$773.01
|
| Rate for Payer: UHC Medicare Advantage |
$773.01
|
| Rate for Payer: UMR Bronson Commercial |
$1,497.30
|
|
|
PR THORCOM CTRL TRAUMTC HEMRRG&/RPR LNG TEAR
|
Professional
|
Both
|
$3,317.00
|
|
|
Service Code
|
HCPCS 32110
|
| Min. Negotiated Rate |
$1,326.80 |
| Max. Negotiated Rate |
$2,156.05 |
| Rate for Payer: Aetna Commercial |
$1,909.22
|
| Rate for Payer: Aetna Medicare |
$1,481.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,051.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,909.22
|
| Rate for Payer: BCBS Complete |
$1,326.80
|
| Rate for Payer: BCBS MAPPO |
$1,424.79
|
| Rate for Payer: BCN Medicare Advantage |
$1,424.79
|
| Rate for Payer: Cash Price |
$2,653.60
|
| Rate for Payer: Cash Price |
$2,653.60
|
| Rate for Payer: Cofinity Commercial |
$2,051.70
|
| Rate for Payer: Cofinity Commercial |
$1,909.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,424.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,496.03
|
| Rate for Payer: Nomi Health Commercial |
$1,709.75
|
| Rate for Payer: PACE SWMI |
$1,424.79
|
| Rate for Payer: PHP Commercial |
$1,994.71
|
| Rate for Payer: PHP Medicare Advantage |
$1,424.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,156.05
|
| Rate for Payer: Priority Health Medicare |
$1,424.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,424.79
|
| Rate for Payer: UHC Medicare Advantage |
$1,424.79
|
| Rate for Payer: UMR Bronson Commercial |
$1,525.82
|
|
|
PR THORCOM THRC W/MEDSTNL & REGIONAL LMPHADEC
|
Professional
|
Both
|
$1,519.00
|
|
|
Service Code
|
HCPCS 38746
|
| Min. Negotiated Rate |
$205.98 |
| Max. Negotiated Rate |
$987.35 |
| Rate for Payer: Aetna Commercial |
$276.01
|
| Rate for Payer: Aetna Medicare |
$214.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$296.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$276.01
|
| Rate for Payer: BCBS Complete |
$607.60
|
| Rate for Payer: BCBS MAPPO |
$205.98
|
| Rate for Payer: BCN Medicare Advantage |
$205.98
|
| Rate for Payer: Cash Price |
$1,215.20
|
| Rate for Payer: Cash Price |
$1,215.20
|
| Rate for Payer: Cofinity Commercial |
$296.61
|
| Rate for Payer: Cofinity Commercial |
$276.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$205.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$216.28
|
| Rate for Payer: Nomi Health Commercial |
$247.18
|
| Rate for Payer: PACE SWMI |
$205.98
|
| Rate for Payer: PHP Commercial |
$288.37
|
| Rate for Payer: PHP Medicare Advantage |
$205.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$987.35
|
| Rate for Payer: Priority Health Medicare |
$205.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$205.98
|
| Rate for Payer: UHC Medicare Advantage |
$205.98
|
| Rate for Payer: UMR Bronson Commercial |
$698.74
|
|
|
PR THORCOM W/REMOVAL OF CYST
|
Professional
|
Both
|
$2,356.00
|
|
|
Service Code
|
HCPCS 32140
|
| Min. Negotiated Rate |
$942.40 |
| Max. Negotiated Rate |
$1,531.40 |
| Rate for Payer: Aetna Commercial |
$1,277.94
|
| Rate for Payer: Aetna Medicare |
$991.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,373.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,277.94
|
| Rate for Payer: BCBS Complete |
$942.40
|
| Rate for Payer: BCBS MAPPO |
$953.69
|
| Rate for Payer: BCN Medicare Advantage |
$953.69
|
| Rate for Payer: Cash Price |
$1,884.80
|
| Rate for Payer: Cash Price |
$1,884.80
|
| Rate for Payer: Cofinity Commercial |
$1,373.31
|
| Rate for Payer: Cofinity Commercial |
$1,277.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$953.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,001.37
|
| Rate for Payer: Nomi Health Commercial |
$1,144.43
|
| Rate for Payer: PACE SWMI |
$953.69
|
| Rate for Payer: PHP Commercial |
$1,335.17
|
| Rate for Payer: PHP Medicare Advantage |
$953.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,531.40
|
| Rate for Payer: Priority Health Medicare |
$953.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$953.69
|
| Rate for Payer: UHC Medicare Advantage |
$953.69
|
| Rate for Payer: UMR Bronson Commercial |
$1,083.76
|
|
|
PR THORCOM W/RMVL INTRAPLEURAL FB/FIBRIN DEP
|
Professional
|
Both
|
$2,632.00
|
|
|
Service Code
|
HCPCS 32150
|
| Min. Negotiated Rate |
$977.42 |
| Max. Negotiated Rate |
$1,710.80 |
| Rate for Payer: Aetna Commercial |
$1,309.74
|
| Rate for Payer: Aetna Medicare |
$1,016.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,407.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,309.74
|
| Rate for Payer: BCBS Complete |
$1,052.80
|
| Rate for Payer: BCBS MAPPO |
$977.42
|
| Rate for Payer: BCN Medicare Advantage |
$977.42
|
| Rate for Payer: Cash Price |
$2,105.60
|
| Rate for Payer: Cash Price |
$2,105.60
|
| Rate for Payer: Cofinity Commercial |
$1,407.48
|
| Rate for Payer: Cofinity Commercial |
$1,309.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$977.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,026.29
|
| Rate for Payer: Nomi Health Commercial |
$1,172.90
|
| Rate for Payer: PACE SWMI |
$977.42
|
| Rate for Payer: PHP Commercial |
$1,368.39
|
| Rate for Payer: PHP Medicare Advantage |
$977.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,710.80
|
| Rate for Payer: Priority Health Medicare |
$977.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$977.42
|
| Rate for Payer: UHC Medicare Advantage |
$977.42
|
| Rate for Payer: UMR Bronson Commercial |
$1,210.72
|
|
|
PR THORCOM W/RMVL IPUL FB
|
Professional
|
Both
|
$2,474.00
|
|
|
Service Code
|
HCPCS 32151
|
| Min. Negotiated Rate |
$967.00 |
| Max. Negotiated Rate |
$1,608.10 |
| Rate for Payer: Aetna Commercial |
$1,295.78
|
| Rate for Payer: Aetna Medicare |
$1,005.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,392.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,295.78
|
| Rate for Payer: BCBS Complete |
$989.60
|
| Rate for Payer: BCBS MAPPO |
$967.00
|
| Rate for Payer: BCN Medicare Advantage |
$967.00
|
| Rate for Payer: Cash Price |
$1,979.20
|
| Rate for Payer: Cash Price |
$1,979.20
|
| Rate for Payer: Cofinity Commercial |
$1,392.48
|
| Rate for Payer: Cofinity Commercial |
$1,295.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$967.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,015.35
|
| Rate for Payer: Nomi Health Commercial |
$1,160.40
|
| Rate for Payer: PACE SWMI |
$967.00
|
| Rate for Payer: PHP Commercial |
$1,353.80
|
| Rate for Payer: PHP Medicare Advantage |
$967.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,608.10
|
| Rate for Payer: Priority Health Medicare |
$967.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$967.00
|
| Rate for Payer: UHC Medicare Advantage |
$967.00
|
| Rate for Payer: UMR Bronson Commercial |
$1,138.04
|
|
|
PR THORCOSCPY W/MEDIASTINL & REGIONL LYMPHDENECTOMY
|
Professional
|
Both
|
$868.00
|
|
|
Service Code
|
HCPCS 32674
|
| Min. Negotiated Rate |
$206.36 |
| Max. Negotiated Rate |
$564.20 |
| Rate for Payer: Aetna Commercial |
$276.52
|
| Rate for Payer: Aetna Medicare |
$214.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$297.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$276.52
|
| Rate for Payer: BCBS Complete |
$347.20
|
| Rate for Payer: BCBS MAPPO |
$206.36
|
| Rate for Payer: BCN Medicare Advantage |
$206.36
|
| Rate for Payer: Cash Price |
$694.40
|
| Rate for Payer: Cash Price |
$694.40
|
| Rate for Payer: Cofinity Commercial |
$297.16
|
| Rate for Payer: Cofinity Commercial |
$276.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$206.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$216.68
|
| Rate for Payer: Nomi Health Commercial |
$247.63
|
| Rate for Payer: PACE SWMI |
$206.36
|
| Rate for Payer: PHP Commercial |
$288.90
|
| Rate for Payer: PHP Medicare Advantage |
$206.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$564.20
|
| Rate for Payer: Priority Health Medicare |
$206.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$206.36
|
| Rate for Payer: UHC Medicare Advantage |
$206.36
|
| Rate for Payer: UMR Bronson Commercial |
$399.28
|
|
|
PR THORSC DX LUNGS/PERICAR/MED/PLEURAL SPACE W/O BX
|
Professional
|
Both
|
$1,060.00
|
|
|
Service Code
|
HCPCS 32601
|
| Min. Negotiated Rate |
$295.89 |
| Max. Negotiated Rate |
$689.00 |
| Rate for Payer: Aetna Commercial |
$396.49
|
| Rate for Payer: Aetna Medicare |
$307.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$426.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$396.49
|
| Rate for Payer: BCBS Complete |
$424.00
|
| Rate for Payer: BCBS MAPPO |
$295.89
|
| Rate for Payer: BCN Medicare Advantage |
$295.89
|
| Rate for Payer: Cash Price |
$848.00
|
| Rate for Payer: Cash Price |
$848.00
|
| Rate for Payer: Cofinity Commercial |
$426.08
|
| Rate for Payer: Cofinity Commercial |
$396.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$295.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$310.68
|
| Rate for Payer: Nomi Health Commercial |
$355.07
|
| Rate for Payer: PACE SWMI |
$295.89
|
| Rate for Payer: PHP Commercial |
$414.25
|
| Rate for Payer: PHP Medicare Advantage |
$295.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$689.00
|
| Rate for Payer: Priority Health Medicare |
$295.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$295.89
|
| Rate for Payer: UHC Medicare Advantage |
$295.89
|
| Rate for Payer: UMR Bronson Commercial |
$487.60
|
|
|
PR THREE AREA LIPOSUCTION - 3 AREA 3.0 HR
|
Professional
|
Both
|
$3,162.00
|
|
|
Service Code
|
HCPCS 00529
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$1,264.80 |
| Max. Negotiated Rate |
$2,055.30 |
| Rate for Payer: Aetna Medicare |
$1,581.00
|
| Rate for Payer: BCBS Complete |
$1,264.80
|
| Rate for Payer: Cash Price |
$2,529.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,055.30
|
| Rate for Payer: UMR Bronson Commercial |
$1,454.52
|
|
|
PR THRMBC ARTL/VEN GRF OTH/THN HEMO GRF/FSTL
|
Professional
|
Both
|
$2,019.00
|
|
|
Service Code
|
HCPCS 35875
|
| Min. Negotiated Rate |
$564.62 |
| Max. Negotiated Rate |
$1,312.35 |
| Rate for Payer: Aetna Commercial |
$756.59
|
| Rate for Payer: Aetna Medicare |
$587.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$756.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$813.05
|
| Rate for Payer: BCBS Complete |
$807.60
|
| Rate for Payer: BCBS MAPPO |
$564.62
|
| Rate for Payer: BCN Medicare Advantage |
$564.62
|
| Rate for Payer: Cash Price |
$1,615.20
|
| Rate for Payer: Cash Price |
$1,615.20
|
| Rate for Payer: Cofinity Commercial |
$756.59
|
| Rate for Payer: Cofinity Commercial |
$813.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$564.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$592.85
|
| Rate for Payer: Nomi Health Commercial |
$677.54
|
| Rate for Payer: PACE SWMI |
$564.62
|
| Rate for Payer: PHP Commercial |
$790.47
|
| Rate for Payer: PHP Medicare Advantage |
$564.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,312.35
|
| Rate for Payer: Priority Health Medicare |
$564.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$564.62
|
| Rate for Payer: UHC Medicare Advantage |
$564.62
|
| Rate for Payer: UMR Bronson Commercial |
$928.74
|
|
|
PR THRMBC ARTL/VEN GRF XCP HEMO GRF/FSTL W/REVJ GRF
|
Professional
|
Both
|
$2,817.00
|
|
|
Service Code
|
HCPCS 35876
|
| Min. Negotiated Rate |
$902.69 |
| Max. Negotiated Rate |
$1,831.05 |
| Rate for Payer: Aetna Commercial |
$1,209.60
|
| Rate for Payer: Aetna Medicare |
$938.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,299.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,209.60
|
| Rate for Payer: BCBS Complete |
$1,126.80
|
| Rate for Payer: BCBS MAPPO |
$902.69
|
| Rate for Payer: BCN Medicare Advantage |
$902.69
|
| Rate for Payer: Cash Price |
$2,253.60
|
| Rate for Payer: Cash Price |
$2,253.60
|
| Rate for Payer: Cofinity Commercial |
$1,299.87
|
| Rate for Payer: Cofinity Commercial |
$1,209.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$902.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$947.82
|
| Rate for Payer: Nomi Health Commercial |
$1,083.23
|
| Rate for Payer: PACE SWMI |
$902.69
|
| Rate for Payer: PHP Commercial |
$1,263.77
|
| Rate for Payer: PHP Medicare Advantage |
$902.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,831.05
|
| Rate for Payer: Priority Health Medicare |
$902.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$902.69
|
| Rate for Payer: UHC Medicare Advantage |
$902.69
|
| Rate for Payer: UMR Bronson Commercial |
$1,295.82
|
|
|
PR THRMBC DIR/W/CATH AXILL&SUBCLAVIAN VEIN ARM IN
|
Professional
|
Both
|
$1,285.00
|
|
|
Service Code
|
HCPCS 34490
|
| Min. Negotiated Rate |
$514.00 |
| Max. Negotiated Rate |
$835.25 |
| Rate for Payer: Aetna Commercial |
$742.11
|
| Rate for Payer: Aetna Medicare |
$575.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$797.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$742.11
|
| Rate for Payer: BCBS Complete |
$514.00
|
| Rate for Payer: BCBS MAPPO |
$553.81
|
| Rate for Payer: BCN Medicare Advantage |
$553.81
|
| Rate for Payer: Cash Price |
$1,028.00
|
| Rate for Payer: Cash Price |
$1,028.00
|
| Rate for Payer: Cofinity Commercial |
$797.49
|
| Rate for Payer: Cofinity Commercial |
$742.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$553.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$581.50
|
| Rate for Payer: Nomi Health Commercial |
$664.57
|
| Rate for Payer: PACE SWMI |
$553.81
|
| Rate for Payer: PHP Commercial |
$775.33
|
| Rate for Payer: PHP Medicare Advantage |
$553.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$835.25
|
| Rate for Payer: Priority Health Medicare |
$553.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$553.81
|
| Rate for Payer: UHC Medicare Advantage |
$553.81
|
| Rate for Payer: UMR Bronson Commercial |
$591.10
|
|
|
PR THRMBC OPN ARVEN FSTL W/O REVJ DIAL GRF
|
Professional
|
Both
|
$2,115.00
|
|
|
Service Code
|
HCPCS 36831
|
| Min. Negotiated Rate |
$591.41 |
| Max. Negotiated Rate |
$1,374.75 |
| Rate for Payer: Aetna Commercial |
$792.49
|
| Rate for Payer: Aetna Medicare |
$615.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$851.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$792.49
|
| Rate for Payer: BCBS Complete |
$846.00
|
| Rate for Payer: BCBS MAPPO |
$591.41
|
| Rate for Payer: BCN Medicare Advantage |
$591.41
|
| Rate for Payer: Cash Price |
$1,692.00
|
| Rate for Payer: Cash Price |
$1,692.00
|
| Rate for Payer: Cofinity Commercial |
$851.63
|
| Rate for Payer: Cofinity Commercial |
$792.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$591.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$620.98
|
| Rate for Payer: Nomi Health Commercial |
$709.69
|
| Rate for Payer: PACE SWMI |
$591.41
|
| Rate for Payer: PHP Commercial |
$827.97
|
| Rate for Payer: PHP Medicare Advantage |
$591.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,374.75
|
| Rate for Payer: Priority Health Medicare |
$591.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$591.41
|
| Rate for Payer: UHC Medicare Advantage |
$591.41
|
| Rate for Payer: UMR Bronson Commercial |
$972.90
|
|
|
PR THROMBECTOMY,ARTERIOVENOUS FISTULA
|
Professional
|
Both
|
$1,910.00
|
|
|
Service Code
|
HCPCS 36870
|
| Min. Negotiated Rate |
$764.00 |
| Max. Negotiated Rate |
$1,241.50 |
| Rate for Payer: Aetna Medicare |
$955.00
|
| Rate for Payer: BCBS Complete |
$764.00
|
| Rate for Payer: Cash Price |
$1,528.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,241.50
|
| Rate for Payer: UMR Bronson Commercial |
$878.60
|
|
|
PR THROMBOLYSIS ARTERIAL INFUSION ICRA RS&I INIT TX
|
Professional
|
Both
|
$622.00
|
|
|
Service Code
|
HCPCS 37211
|
| Min. Negotiated Rate |
$248.80 |
| Max. Negotiated Rate |
$530.41 |
| Rate for Payer: Aetna Commercial |
$493.58
|
| Rate for Payer: Aetna Medicare |
$383.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$493.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$530.41
|
| Rate for Payer: BCBS Complete |
$248.80
|
| Rate for Payer: BCBS MAPPO |
$368.34
|
| Rate for Payer: BCN Medicare Advantage |
$368.34
|
| Rate for Payer: Cash Price |
$497.60
|
| Rate for Payer: Cash Price |
$497.60
|
| Rate for Payer: Cofinity Commercial |
$493.58
|
| Rate for Payer: Cofinity Commercial |
$530.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$368.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$386.76
|
| Rate for Payer: Nomi Health Commercial |
$442.01
|
| Rate for Payer: PACE SWMI |
$368.34
|
| Rate for Payer: PHP Commercial |
$515.68
|
| Rate for Payer: PHP Medicare Advantage |
$368.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$404.30
|
| Rate for Payer: Priority Health Medicare |
$368.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$368.34
|
| Rate for Payer: UHC Medicare Advantage |
$368.34
|
| Rate for Payer: UMR Bronson Commercial |
$286.12
|
|
|
PR THROMBOLYSIS ART/VENOUS INFSN W/IMAGE SUBSQ TX
|
Professional
|
Both
|
$1,091.00
|
|
|
Service Code
|
HCPCS 37213
|
| Min. Negotiated Rate |
$219.91 |
| Max. Negotiated Rate |
$709.15 |
| Rate for Payer: Aetna Commercial |
$294.68
|
| Rate for Payer: Aetna Medicare |
$228.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$316.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$294.68
|
| Rate for Payer: BCBS Complete |
$436.40
|
| Rate for Payer: BCBS MAPPO |
$219.91
|
| Rate for Payer: BCN Medicare Advantage |
$219.91
|
| Rate for Payer: Cash Price |
$872.80
|
| Rate for Payer: Cash Price |
$872.80
|
| Rate for Payer: Cofinity Commercial |
$316.67
|
| Rate for Payer: Cofinity Commercial |
$294.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$219.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$230.91
|
| Rate for Payer: Nomi Health Commercial |
$263.89
|
| Rate for Payer: PACE SWMI |
$219.91
|
| Rate for Payer: PHP Commercial |
$307.87
|
| Rate for Payer: PHP Medicare Advantage |
$219.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$709.15
|
| Rate for Payer: Priority Health Medicare |
$219.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$219.91
|
| Rate for Payer: UHC Medicare Advantage |
$219.91
|
| Rate for Payer: UMR Bronson Commercial |
$501.86
|
|
|
PR THROMBOLYSIS CEREBRAL IV INFUSION
|
Professional
|
Both
|
$1,409.00
|
|
|
Service Code
|
HCPCS 37195
|
| Min. Negotiated Rate |
$563.60 |
| Max. Negotiated Rate |
$915.85 |
| Rate for Payer: Aetna Medicare |
$704.50
|
| Rate for Payer: BCBS Complete |
$563.60
|
| Rate for Payer: Cash Price |
$1,127.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$915.85
|
| Rate for Payer: UMR Bronson Commercial |
$648.14
|
|
|
PR THROMBOLYSIS CORONARY INTRAVENOUS INFUSION
|
Professional
|
Both
|
$638.00
|
|
|
Service Code
|
HCPCS 92977
|
| Min. Negotiated Rate |
$50.78 |
| Max. Negotiated Rate |
$414.70 |
| Rate for Payer: Aetna Commercial |
$68.05
|
| Rate for Payer: Aetna Medicare |
$52.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$68.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$73.12
|
| Rate for Payer: BCBS Complete |
$255.20
|
| Rate for Payer: BCBS MAPPO |
$50.78
|
| Rate for Payer: BCN Medicare Advantage |
$50.78
|
| Rate for Payer: Cash Price |
$510.40
|
| Rate for Payer: Cash Price |
$510.40
|
| Rate for Payer: Cofinity Commercial |
$68.05
|
| Rate for Payer: Cofinity Commercial |
$73.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$50.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$53.32
|
| Rate for Payer: Nomi Health Commercial |
$60.94
|
| Rate for Payer: PACE SWMI |
$50.78
|
| Rate for Payer: PHP Commercial |
$71.09
|
| Rate for Payer: PHP Medicare Advantage |
$50.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$414.70
|
| Rate for Payer: Priority Health Medicare |
$50.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$50.78
|
| Rate for Payer: UHC Medicare Advantage |
$50.78
|
| Rate for Payer: UMR Bronson Commercial |
$293.48
|
|
