|
PR THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING
|
Professional
|
Both
|
$529.00
|
|
|
Service Code
|
HCPCS 32555
|
| Min. Negotiated Rate |
$68.37 |
| Max. Negotiated Rate |
$826.79 |
| Rate for Payer: Aetna Commercial |
$137.90
|
| Rate for Payer: Aetna Medicare |
$107.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$137.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$148.19
|
| Rate for Payer: BCBS Complete |
$71.79
|
| Rate for Payer: BCBS MAPPO |
$102.91
|
| Rate for Payer: BCBS Trust/PPO |
$826.79
|
| Rate for Payer: BCN Commercial |
$463.76
|
| Rate for Payer: BCN Medicare Advantage |
$102.91
|
| Rate for Payer: Cash Price |
$423.20
|
| Rate for Payer: Cash Price |
$423.20
|
| Rate for Payer: Cofinity Commercial |
$137.90
|
| Rate for Payer: Cofinity Commercial |
$148.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$102.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$108.06
|
| Rate for Payer: Meridian Medicaid |
$71.79
|
| Rate for Payer: Nomi Health Commercial |
$123.49
|
| Rate for Payer: PACE SWMI |
$102.91
|
| Rate for Payer: PHP Commercial |
$144.07
|
| Rate for Payer: PHP Medicare Advantage |
$102.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$68.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$343.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$148.31
|
| Rate for Payer: Priority Health Medicare |
$102.91
|
| Rate for Payer: Priority Health Narrow Network |
$148.31
|
| Rate for Payer: Priority Health SBD |
$148.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$102.91
|
| Rate for Payer: UHC Medicare Advantage |
$102.91
|
| Rate for Payer: UHCCP Medicaid |
$68.37
|
| Rate for Payer: UMR Bronson Commercial |
$243.34
|
|
|
PR THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING
|
Professional
|
Both
|
$760.00
|
|
|
Service Code
|
HCPCS 32554
|
| Min. Negotiated Rate |
$55.59 |
| Max. Negotiated Rate |
$813.58 |
| Rate for Payer: Aetna Commercial |
$112.47
|
| Rate for Payer: Aetna Medicare |
$87.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$112.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$120.86
|
| Rate for Payer: BCBS Complete |
$58.37
|
| Rate for Payer: BCBS MAPPO |
$83.93
|
| Rate for Payer: BCBS Trust/PPO |
$813.58
|
| Rate for Payer: BCN Commercial |
$343.54
|
| Rate for Payer: BCN Medicare Advantage |
$83.93
|
| Rate for Payer: Cash Price |
$608.00
|
| Rate for Payer: Cash Price |
$608.00
|
| Rate for Payer: Cofinity Commercial |
$112.47
|
| Rate for Payer: Cofinity Commercial |
$120.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$83.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$88.13
|
| Rate for Payer: Meridian Medicaid |
$58.37
|
| Rate for Payer: Nomi Health Commercial |
$100.72
|
| Rate for Payer: PACE SWMI |
$83.93
|
| Rate for Payer: PHP Commercial |
$117.50
|
| Rate for Payer: PHP Medicare Advantage |
$83.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$55.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$494.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$120.96
|
| Rate for Payer: Priority Health Medicare |
$83.93
|
| Rate for Payer: Priority Health Narrow Network |
$120.96
|
| Rate for Payer: Priority Health SBD |
$120.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$83.93
|
| Rate for Payer: UHC Medicare Advantage |
$83.93
|
| Rate for Payer: UHCCP Medicaid |
$55.59
|
| Rate for Payer: UMR Bronson Commercial |
$349.60
|
|
|
PR THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING
|
Facility
|
IP
|
$760.00
|
|
|
Service Code
|
CPT 32554
|
| Hospital Charge Code |
32554
|
| Min. Negotiated Rate |
$334.40 |
| Max. Negotiated Rate |
$684.00 |
| Rate for Payer: Aetna American Axle |
$494.00
|
| Rate for Payer: Aetna Commercial |
$646.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$494.00
|
| Rate for Payer: Cash Price |
$608.00
|
| Rate for Payer: Cofinity Commercial |
$532.00
|
| Rate for Payer: Cofinity Commercial |
$653.60
|
| Rate for Payer: Cofinity Medicare Advantage |
$532.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$608.00
|
| Rate for Payer: Healthscope Commercial |
$684.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$532.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$570.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$646.00
|
| Rate for Payer: PHP Commercial |
$646.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$494.00
|
| Rate for Payer: Priority Health SBD |
$478.80
|
| Rate for Payer: UMR Bronson Commercial |
$334.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$570.00
|
|
|
PR THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING
|
Facility
|
OP
|
$760.00
|
|
|
Service Code
|
CPT 32554
|
| Hospital Charge Code |
32554
|
| Min. Negotiated Rate |
$84.96 |
| Max. Negotiated Rate |
$1,903.90 |
| Rate for Payer: Aetna American Axle |
$494.00
|
| Rate for Payer: Aetna Commercial |
$646.00
|
| Rate for Payer: Aetna Medicare |
$629.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$494.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$757.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$757.20
|
| Rate for Payer: BCBS Complete |
$340.92
|
| Rate for Payer: BCBS MAPPO |
$605.76
|
| Rate for Payer: BCBS Trust/PPO |
$455.29
|
| Rate for Payer: BCN Commercial |
$455.29
|
| Rate for Payer: BCN Medicare Advantage |
$605.76
|
| Rate for Payer: Cash Price |
$608.00
|
| Rate for Payer: Cash Price |
$608.00
|
| Rate for Payer: Cash Price |
$608.00
|
| Rate for Payer: Cofinity Commercial |
$653.60
|
| Rate for Payer: Cofinity Commercial |
$532.00
|
| Rate for Payer: Cofinity Medicare Advantage |
$532.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$608.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$605.76
|
| Rate for Payer: Healthscope Commercial |
$684.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$532.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$570.00
|
| Rate for Payer: Mclaren Medicaid |
$324.69
|
| Rate for Payer: Mclaren Medicare |
$605.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$636.05
|
| Rate for Payer: Meridian Medicaid |
$340.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$696.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$646.00
|
| Rate for Payer: Nomi Health Commercial |
$1,272.10
|
| Rate for Payer: PACE Medicare |
$575.47
|
| Rate for Payer: PACE SWMI |
$605.76
|
| Rate for Payer: PHP Commercial |
$646.00
|
| Rate for Payer: PHP Medicare Advantage |
$605.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$324.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$494.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,903.90
|
| Rate for Payer: Priority Health Medicare |
$605.76
|
| Rate for Payer: Priority Health Narrow Network |
$1,523.12
|
| Rate for Payer: Priority Health SBD |
$478.80
|
| Rate for Payer: Railroad Medicare Medicare |
$605.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$93.46
|
| Rate for Payer: UHC Core |
$981.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$605.76
|
| Rate for Payer: UHC Exchange |
$84.96
|
| Rate for Payer: UHC Medicare Advantage |
$605.76
|
| Rate for Payer: UHCCP Medicaid |
$324.69
|
| Rate for Payer: UMR Bronson Commercial |
$281.20
|
| Rate for Payer: VA VA |
$605.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$570.00
|
|
|
PR THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING
|
Professional
|
Both
|
$760.00
|
|
|
Service Code
|
HCPCS 32554
|
| Hospital Charge Code |
32554
|
| Min. Negotiated Rate |
$55.59 |
| Max. Negotiated Rate |
$813.58 |
| Rate for Payer: Aetna Commercial |
$112.47
|
| Rate for Payer: Aetna Medicare |
$87.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$112.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$120.86
|
| Rate for Payer: BCBS Complete |
$58.37
|
| Rate for Payer: BCBS MAPPO |
$83.93
|
| Rate for Payer: BCBS Trust/PPO |
$813.58
|
| Rate for Payer: BCN Commercial |
$343.54
|
| Rate for Payer: BCN Medicare Advantage |
$83.93
|
| Rate for Payer: Cash Price |
$608.00
|
| Rate for Payer: Cash Price |
$608.00
|
| Rate for Payer: Cofinity Commercial |
$120.86
|
| Rate for Payer: Cofinity Commercial |
$112.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$83.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$88.13
|
| Rate for Payer: Meridian Medicaid |
$58.37
|
| Rate for Payer: Nomi Health Commercial |
$100.72
|
| Rate for Payer: PACE SWMI |
$83.93
|
| Rate for Payer: PHP Commercial |
$117.50
|
| Rate for Payer: PHP Medicare Advantage |
$83.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$55.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$494.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$120.96
|
| Rate for Payer: Priority Health Medicare |
$83.93
|
| Rate for Payer: Priority Health Narrow Network |
$120.96
|
| Rate for Payer: Priority Health SBD |
$120.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$83.93
|
| Rate for Payer: UHC Medicare Advantage |
$83.93
|
| Rate for Payer: UHCCP Medicaid |
$55.59
|
| Rate for Payer: UMR Bronson Commercial |
$349.60
|
|
|
PR THORACOPLASTY SCHEDE TYPE/EXTRAPLEURAL
|
Professional
|
Both
|
$2,610.00
|
|
|
Service Code
|
HCPCS 32905
|
| Min. Negotiated Rate |
$843.91 |
| Max. Negotiated Rate |
$1,919.03 |
| Rate for Payer: Aetna Commercial |
$1,718.93
|
| Rate for Payer: Aetna Medicare |
$1,334.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,718.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,847.20
|
| Rate for Payer: BCBS Complete |
$886.11
|
| Rate for Payer: BCBS MAPPO |
$1,282.78
|
| Rate for Payer: BCBS Trust/PPO |
$1,120.52
|
| Rate for Payer: BCN Commercial |
$1,919.03
|
| Rate for Payer: BCN Medicare Advantage |
$1,282.78
|
| Rate for Payer: Cash Price |
$2,088.00
|
| Rate for Payer: Cash Price |
$2,088.00
|
| Rate for Payer: Cofinity Commercial |
$1,718.93
|
| Rate for Payer: Cofinity Commercial |
$1,847.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,282.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,346.92
|
| Rate for Payer: Meridian Medicaid |
$886.11
|
| Rate for Payer: Nomi Health Commercial |
$1,539.34
|
| Rate for Payer: PACE SWMI |
$1,282.78
|
| Rate for Payer: PHP Commercial |
$1,795.89
|
| Rate for Payer: PHP Medicare Advantage |
$1,282.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$843.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,696.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,829.76
|
| Rate for Payer: Priority Health Medicare |
$1,282.78
|
| Rate for Payer: Priority Health Narrow Network |
$1,829.76
|
| Rate for Payer: Priority Health SBD |
$1,829.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,282.78
|
| Rate for Payer: UHC Medicare Advantage |
$1,282.78
|
| Rate for Payer: UHCCP Medicaid |
$843.91
|
| Rate for Payer: UMR Bronson Commercial |
$1,200.60
|
|
|
PR THORACOP SCHEDE TYP/XTRPLEURAL CLSR BRNCPLR FSTL
|
Professional
|
Both
|
$3,231.00
|
|
|
Service Code
|
HCPCS 32906
|
| Min. Negotiated Rate |
$1,039.23 |
| Max. Negotiated Rate |
$2,366.18 |
| Rate for Payer: Aetna Commercial |
$2,120.90
|
| Rate for Payer: Aetna Medicare |
$1,646.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,120.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,279.17
|
| Rate for Payer: BCBS Complete |
$1,091.19
|
| Rate for Payer: BCBS MAPPO |
$1,582.76
|
| Rate for Payer: BCBS Trust/PPO |
$1,074.56
|
| Rate for Payer: BCN Commercial |
$2,366.18
|
| Rate for Payer: BCN Medicare Advantage |
$1,582.76
|
| Rate for Payer: Cash Price |
$2,584.80
|
| Rate for Payer: Cash Price |
$2,584.80
|
| Rate for Payer: Cofinity Commercial |
$2,120.90
|
| Rate for Payer: Cofinity Commercial |
$2,279.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,582.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,661.90
|
| Rate for Payer: Meridian Medicaid |
$1,091.19
|
| Rate for Payer: Nomi Health Commercial |
$1,899.31
|
| Rate for Payer: PACE SWMI |
$1,582.76
|
| Rate for Payer: PHP Commercial |
$2,215.86
|
| Rate for Payer: PHP Medicare Advantage |
$1,582.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,039.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,100.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,254.77
|
| Rate for Payer: Priority Health Medicare |
$1,582.76
|
| Rate for Payer: Priority Health Narrow Network |
$2,254.77
|
| Rate for Payer: Priority Health SBD |
$2,254.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,582.76
|
| Rate for Payer: UHC Medicare Advantage |
$1,582.76
|
| Rate for Payer: UHCCP Medicaid |
$1,039.23
|
| Rate for Payer: UMR Bronson Commercial |
$1,486.26
|
|
|
PR THORACOSCOPY CONTROL TRAUMATIC HEMORRHAGE
|
Professional
|
Both
|
$2,370.00
|
|
|
Service Code
|
HCPCS 32654
|
| Min. Negotiated Rate |
$571.09 |
| Max. Negotiated Rate |
$1,694.73 |
| Rate for Payer: Aetna Commercial |
$1,541.83
|
| Rate for Payer: Aetna Medicare |
$1,196.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,541.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,656.89
|
| Rate for Payer: BCBS Complete |
$796.87
|
| Rate for Payer: BCBS MAPPO |
$1,150.62
|
| Rate for Payer: BCBS Trust/PPO |
$571.09
|
| Rate for Payer: BCN Commercial |
$1,694.73
|
| Rate for Payer: BCN Medicare Advantage |
$1,150.62
|
| Rate for Payer: Cash Price |
$1,896.00
|
| Rate for Payer: Cash Price |
$1,896.00
|
| Rate for Payer: Cofinity Commercial |
$1,541.83
|
| Rate for Payer: Cofinity Commercial |
$1,656.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,150.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,208.15
|
| Rate for Payer: Meridian Medicaid |
$796.87
|
| Rate for Payer: Nomi Health Commercial |
$1,380.74
|
| Rate for Payer: PACE SWMI |
$1,150.62
|
| Rate for Payer: PHP Commercial |
$1,610.87
|
| Rate for Payer: PHP Medicare Advantage |
$1,150.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$758.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,540.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,622.60
|
| Rate for Payer: Priority Health Medicare |
$1,150.62
|
| Rate for Payer: Priority Health Narrow Network |
$1,622.60
|
| Rate for Payer: Priority Health SBD |
$1,622.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,150.62
|
| Rate for Payer: UHC Medicare Advantage |
$1,150.62
|
| Rate for Payer: UHCCP Medicaid |
$758.92
|
| Rate for Payer: UMR Bronson Commercial |
$1,090.20
|
|
|
PR THORACOSCOPY DX MEDIASTINAL SPACE W/BIOPSY SPX
|
Professional
|
Both
|
$1,413.00
|
|
|
Service Code
|
HCPCS 32606
|
| Min. Negotiated Rate |
$291.17 |
| Max. Negotiated Rate |
$918.45 |
| Rate for Payer: Aetna Commercial |
$595.31
|
| Rate for Payer: Aetna Medicare |
$462.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$595.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$639.73
|
| Rate for Payer: BCBS Complete |
$305.73
|
| Rate for Payer: BCBS MAPPO |
$444.26
|
| Rate for Payer: BCBS Trust/PPO |
$909.20
|
| Rate for Payer: BCN Commercial |
$661.18
|
| Rate for Payer: BCN Medicare Advantage |
$444.26
|
| Rate for Payer: Cash Price |
$1,130.40
|
| Rate for Payer: Cash Price |
$1,130.40
|
| Rate for Payer: Cofinity Commercial |
$595.31
|
| Rate for Payer: Cofinity Commercial |
$639.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$444.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$466.47
|
| Rate for Payer: Meridian Medicaid |
$305.73
|
| Rate for Payer: Nomi Health Commercial |
$533.11
|
| Rate for Payer: PACE SWMI |
$444.26
|
| Rate for Payer: PHP Commercial |
$621.96
|
| Rate for Payer: PHP Medicare Advantage |
$444.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$291.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$918.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$629.85
|
| Rate for Payer: Priority Health Medicare |
$444.26
|
| Rate for Payer: Priority Health Narrow Network |
$629.85
|
| Rate for Payer: Priority Health SBD |
$629.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$444.26
|
| Rate for Payer: UHC Medicare Advantage |
$444.26
|
| Rate for Payer: UHCCP Medicaid |
$291.17
|
| Rate for Payer: UMR Bronson Commercial |
$649.98
|
|
|
PR THORACOSCOPY DX PERICARDIAL SAC W/BIOPSY SPX
|
Professional
|
Both
|
$919.00
|
|
|
Service Code
|
HCPCS 32604
|
| Min. Negotiated Rate |
$301.40 |
| Max. Negotiated Rate |
$719.54 |
| Rate for Payer: Aetna Commercial |
$616.87
|
| Rate for Payer: Aetna Medicare |
$478.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$616.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$662.90
|
| Rate for Payer: BCBS Complete |
$316.47
|
| Rate for Payer: BCBS MAPPO |
$460.35
|
| Rate for Payer: BCBS Trust/PPO |
$719.54
|
| Rate for Payer: BCN Commercial |
$686.10
|
| Rate for Payer: BCN Medicare Advantage |
$460.35
|
| Rate for Payer: Cash Price |
$735.20
|
| Rate for Payer: Cash Price |
$735.20
|
| Rate for Payer: Cofinity Commercial |
$616.87
|
| Rate for Payer: Cofinity Commercial |
$662.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$460.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$483.37
|
| Rate for Payer: Meridian Medicaid |
$316.47
|
| Rate for Payer: Nomi Health Commercial |
$552.42
|
| Rate for Payer: PACE SWMI |
$460.35
|
| Rate for Payer: PHP Commercial |
$644.49
|
| Rate for Payer: PHP Medicare Advantage |
$460.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$301.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$597.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$653.96
|
| Rate for Payer: Priority Health Medicare |
$460.35
|
| Rate for Payer: Priority Health Narrow Network |
$653.96
|
| Rate for Payer: Priority Health SBD |
$653.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$460.35
|
| Rate for Payer: UHC Medicare Advantage |
$460.35
|
| Rate for Payer: UHCCP Medicaid |
$301.40
|
| Rate for Payer: UMR Bronson Commercial |
$422.74
|
|
|
PR THORACOSCOPY RESEXN THYMUS UNI/BILATERAL
|
Professional
|
Both
|
$4,831.00
|
|
|
Service Code
|
HCPCS 32673
|
| Min. Negotiated Rate |
$768.08 |
| Max. Negotiated Rate |
$3,140.15 |
| Rate for Payer: Aetna Commercial |
$1,563.77
|
| Rate for Payer: Aetna Medicare |
$1,213.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,563.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,680.47
|
| Rate for Payer: BCBS Complete |
$806.48
|
| Rate for Payer: BCBS MAPPO |
$1,166.99
|
| Rate for Payer: BCBS Trust/PPO |
$1,478.18
|
| Rate for Payer: BCN Commercial |
$1,747.02
|
| Rate for Payer: BCN Medicare Advantage |
$1,166.99
|
| Rate for Payer: Cash Price |
$3,864.80
|
| Rate for Payer: Cash Price |
$3,864.80
|
| Rate for Payer: Cofinity Commercial |
$1,563.77
|
| Rate for Payer: Cofinity Commercial |
$1,680.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,166.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,225.34
|
| Rate for Payer: Meridian Medicaid |
$806.48
|
| Rate for Payer: Nomi Health Commercial |
$1,400.39
|
| Rate for Payer: PACE SWMI |
$1,166.99
|
| Rate for Payer: PHP Commercial |
$1,633.79
|
| Rate for Payer: PHP Medicare Advantage |
$1,166.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$768.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,140.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,665.69
|
| Rate for Payer: Priority Health Medicare |
$1,166.99
|
| Rate for Payer: Priority Health Narrow Network |
$1,665.69
|
| Rate for Payer: Priority Health SBD |
$1,665.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,166.99
|
| Rate for Payer: UHC Medicare Advantage |
$1,166.99
|
| Rate for Payer: UHCCP Medicaid |
$768.08
|
| Rate for Payer: UMR Bronson Commercial |
$2,222.26
|
|
|
PR THORACOSCOPY RMVL INTRAPLEURAL FB/FIBRIN DEPOSIT
|
Professional
|
Both
|
$3,001.00
|
|
|
Service Code
|
HCPCS 32653
|
| Min. Negotiated Rate |
$561.58 |
| Max. Negotiated Rate |
$1,950.65 |
| Rate for Payer: Aetna Commercial |
$1,363.60
|
| Rate for Payer: Aetna Medicare |
$1,058.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,363.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,465.36
|
| Rate for Payer: BCBS Complete |
$705.62
|
| Rate for Payer: BCBS MAPPO |
$1,017.61
|
| Rate for Payer: BCBS Trust/PPO |
$561.58
|
| Rate for Payer: BCN Commercial |
$1,524.19
|
| Rate for Payer: BCN Medicare Advantage |
$1,017.61
|
| Rate for Payer: Cash Price |
$2,400.80
|
| Rate for Payer: Cash Price |
$2,400.80
|
| Rate for Payer: Cofinity Commercial |
$1,363.60
|
| Rate for Payer: Cofinity Commercial |
$1,465.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,017.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,068.49
|
| Rate for Payer: Meridian Medicaid |
$705.62
|
| Rate for Payer: Nomi Health Commercial |
$1,221.13
|
| Rate for Payer: PACE SWMI |
$1,017.61
|
| Rate for Payer: PHP Commercial |
$1,424.65
|
| Rate for Payer: PHP Medicare Advantage |
$1,017.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$672.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,950.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,452.50
|
| Rate for Payer: Priority Health Medicare |
$1,017.61
|
| Rate for Payer: Priority Health Narrow Network |
$1,452.50
|
| Rate for Payer: Priority Health SBD |
$1,452.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,017.61
|
| Rate for Payer: UHC Medicare Advantage |
$1,017.61
|
| Rate for Payer: UHCCP Medicaid |
$672.02
|
| Rate for Payer: UMR Bronson Commercial |
$1,380.46
|
|
|
PR THORACOSCOPY W/BILOBECTOMY
|
Professional
|
Both
|
$6,456.00
|
|
|
Service Code
|
HCPCS 32670
|
| Min. Negotiated Rate |
$969.96 |
| Max. Negotiated Rate |
$4,196.40 |
| Rate for Payer: Aetna Commercial |
$2,058.91
|
| Rate for Payer: Aetna Medicare |
$1,597.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,058.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,212.56
|
| Rate for Payer: BCBS Complete |
$1,059.65
|
| Rate for Payer: BCBS MAPPO |
$1,536.50
|
| Rate for Payer: BCBS Trust/PPO |
$969.96
|
| Rate for Payer: BCN Commercial |
$2,304.60
|
| Rate for Payer: BCN Medicare Advantage |
$1,536.50
|
| Rate for Payer: Cash Price |
$5,164.80
|
| Rate for Payer: Cash Price |
$5,164.80
|
| Rate for Payer: Cofinity Commercial |
$2,058.91
|
| Rate for Payer: Cofinity Commercial |
$2,212.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,536.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,613.32
|
| Rate for Payer: Meridian Medicaid |
$1,059.65
|
| Rate for Payer: Nomi Health Commercial |
$1,843.80
|
| Rate for Payer: PACE SWMI |
$1,536.50
|
| Rate for Payer: PHP Commercial |
$2,151.10
|
| Rate for Payer: PHP Medicare Advantage |
$1,536.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,009.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,196.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,188.02
|
| Rate for Payer: Priority Health Medicare |
$1,536.50
|
| Rate for Payer: Priority Health Narrow Network |
$2,188.02
|
| Rate for Payer: Priority Health SBD |
$2,188.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,536.50
|
| Rate for Payer: UHC Medicare Advantage |
$1,536.50
|
| Rate for Payer: UHCCP Medicaid |
$1,009.19
|
| Rate for Payer: UMR Bronson Commercial |
$2,969.76
|
|
|
PR THORACOSCOPY W/DX BX OF LUNG INFILTRATE UNILATRL
|
Professional
|
Both
|
$1,247.00
|
|
|
Service Code
|
HCPCS 32607
|
| Min. Negotiated Rate |
$194.26 |
| Max. Negotiated Rate |
$810.55 |
| Rate for Payer: Aetna Commercial |
$396.21
|
| Rate for Payer: Aetna Medicare |
$307.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$396.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$425.78
|
| Rate for Payer: BCBS Complete |
$203.97
|
| Rate for Payer: BCBS MAPPO |
$295.68
|
| Rate for Payer: BCBS Trust/PPO |
$801.43
|
| Rate for Payer: BCN Commercial |
$441.76
|
| Rate for Payer: BCN Medicare Advantage |
$295.68
|
| Rate for Payer: Cash Price |
$997.60
|
| Rate for Payer: Cash Price |
$997.60
|
| Rate for Payer: Cofinity Commercial |
$396.21
|
| Rate for Payer: Cofinity Commercial |
$425.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$295.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$310.46
|
| Rate for Payer: Meridian Medicaid |
$203.97
|
| Rate for Payer: Nomi Health Commercial |
$354.82
|
| Rate for Payer: PACE SWMI |
$295.68
|
| Rate for Payer: PHP Commercial |
$413.95
|
| Rate for Payer: PHP Medicare Advantage |
$295.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$194.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$810.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$420.37
|
| Rate for Payer: Priority Health Medicare |
$295.68
|
| Rate for Payer: Priority Health Narrow Network |
$420.37
|
| Rate for Payer: Priority Health SBD |
$420.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$295.68
|
| Rate for Payer: UHC Medicare Advantage |
$295.68
|
| Rate for Payer: UHCCP Medicaid |
$194.26
|
| Rate for Payer: UMR Bronson Commercial |
$573.62
|
|
|
PR THORACOSCOPY W/DX BX OF LUNG NODULES UNILATRL
|
Professional
|
Both
|
$1,532.00
|
|
|
Service Code
|
HCPCS 32608
|
| Min. Negotiated Rate |
$238.77 |
| Max. Negotiated Rate |
$995.80 |
| Rate for Payer: Aetna Commercial |
$488.00
|
| Rate for Payer: Aetna Medicare |
$378.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$488.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$524.42
|
| Rate for Payer: BCBS Complete |
$250.71
|
| Rate for Payer: BCBS MAPPO |
$364.18
|
| Rate for Payer: BCBS Trust/PPO |
$788.75
|
| Rate for Payer: BCN Commercial |
$542.43
|
| Rate for Payer: BCN Medicare Advantage |
$364.18
|
| Rate for Payer: Cash Price |
$1,225.60
|
| Rate for Payer: Cash Price |
$1,225.60
|
| Rate for Payer: Cofinity Commercial |
$488.00
|
| Rate for Payer: Cofinity Commercial |
$524.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$364.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$382.39
|
| Rate for Payer: Meridian Medicaid |
$250.71
|
| Rate for Payer: Nomi Health Commercial |
$437.02
|
| Rate for Payer: PACE SWMI |
$364.18
|
| Rate for Payer: PHP Commercial |
$509.85
|
| Rate for Payer: PHP Medicare Advantage |
$364.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$238.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$995.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$516.77
|
| Rate for Payer: Priority Health Medicare |
$364.18
|
| Rate for Payer: Priority Health Narrow Network |
$516.77
|
| Rate for Payer: Priority Health SBD |
$516.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$364.18
|
| Rate for Payer: UHC Medicare Advantage |
$364.18
|
| Rate for Payer: UHCCP Medicaid |
$238.77
|
| Rate for Payer: UMR Bronson Commercial |
$704.72
|
|
|
PR THORACOSCOPY W/DX WEDGE RESEXN ANATO LUNG RESEXN
|
Professional
|
Both
|
$633.00
|
|
|
Service Code
|
HCPCS 32668
|
| Min. Negotiated Rate |
$97.77 |
| Max. Negotiated Rate |
$1,408.98 |
| Rate for Payer: Aetna Commercial |
$200.99
|
| Rate for Payer: Aetna Medicare |
$155.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$200.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$215.99
|
| Rate for Payer: BCBS Complete |
$102.66
|
| Rate for Payer: BCBS MAPPO |
$149.99
|
| Rate for Payer: BCBS Trust/PPO |
$1,408.98
|
| Rate for Payer: BCN Commercial |
$223.81
|
| Rate for Payer: BCN Medicare Advantage |
$149.99
|
| Rate for Payer: Cash Price |
$506.40
|
| Rate for Payer: Cash Price |
$506.40
|
| Rate for Payer: Cofinity Commercial |
$200.99
|
| Rate for Payer: Cofinity Commercial |
$215.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$149.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$157.49
|
| Rate for Payer: Meridian Medicaid |
$102.66
|
| Rate for Payer: Nomi Health Commercial |
$179.99
|
| Rate for Payer: PACE SWMI |
$149.99
|
| Rate for Payer: PHP Commercial |
$209.99
|
| Rate for Payer: PHP Medicare Advantage |
$149.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$97.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$411.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$212.73
|
| Rate for Payer: Priority Health Medicare |
$149.99
|
| Rate for Payer: Priority Health Narrow Network |
$212.73
|
| Rate for Payer: Priority Health SBD |
$212.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$149.99
|
| Rate for Payer: UHC Medicare Advantage |
$149.99
|
| Rate for Payer: UHCCP Medicaid |
$97.77
|
| Rate for Payer: UMR Bronson Commercial |
$291.18
|
|
|
PR THORACOSCOPY W/EXC MEDIASTINAL CYST TUMOR/MASS
|
Professional
|
Both
|
$4,061.00
|
|
|
Service Code
|
HCPCS 32662
|
| Min. Negotiated Rate |
$567.65 |
| Max. Negotiated Rate |
$2,639.65 |
| Rate for Payer: Aetna Commercial |
$1,151.60
|
| Rate for Payer: Aetna Medicare |
$893.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,151.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,237.54
|
| Rate for Payer: BCBS Complete |
$596.03
|
| Rate for Payer: BCBS MAPPO |
$859.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,566.94
|
| Rate for Payer: BCN Commercial |
$1,288.16
|
| Rate for Payer: BCN Medicare Advantage |
$859.40
|
| Rate for Payer: Cash Price |
$3,248.80
|
| Rate for Payer: Cash Price |
$3,248.80
|
| Rate for Payer: Cofinity Commercial |
$1,151.60
|
| Rate for Payer: Cofinity Commercial |
$1,237.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$859.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$902.37
|
| Rate for Payer: Meridian Medicaid |
$596.03
|
| Rate for Payer: Nomi Health Commercial |
$1,031.28
|
| Rate for Payer: PACE SWMI |
$859.40
|
| Rate for Payer: PHP Commercial |
$1,203.16
|
| Rate for Payer: PHP Medicare Advantage |
$859.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$567.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,639.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,229.58
|
| Rate for Payer: Priority Health Medicare |
$859.40
|
| Rate for Payer: Priority Health Narrow Network |
$1,229.58
|
| Rate for Payer: Priority Health SBD |
$1,229.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$859.40
|
| Rate for Payer: UHC Medicare Advantage |
$859.40
|
| Rate for Payer: UHCCP Medicaid |
$567.65
|
| Rate for Payer: UMR Bronson Commercial |
$1,868.06
|
|
|
PR THORACOSCOPY W/EXC PERICARDIAL CYST TUMOR/MASS
|
Professional
|
Both
|
$3,852.00
|
|
|
Service Code
|
HCPCS 32661
|
| Min. Negotiated Rate |
$507.15 |
| Max. Negotiated Rate |
$2,503.80 |
| Rate for Payer: Aetna Commercial |
$1,028.50
|
| Rate for Payer: Aetna Medicare |
$798.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,028.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,105.26
|
| Rate for Payer: BCBS Complete |
$532.51
|
| Rate for Payer: BCBS MAPPO |
$767.54
|
| Rate for Payer: BCBS Trust/PPO |
$1,423.24
|
| Rate for Payer: BCN Commercial |
$1,151.81
|
| Rate for Payer: BCN Medicare Advantage |
$767.54
|
| Rate for Payer: Cash Price |
$3,081.60
|
| Rate for Payer: Cash Price |
$3,081.60
|
| Rate for Payer: Cofinity Commercial |
$1,028.50
|
| Rate for Payer: Cofinity Commercial |
$1,105.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$767.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$805.92
|
| Rate for Payer: Meridian Medicaid |
$532.51
|
| Rate for Payer: Nomi Health Commercial |
$921.05
|
| Rate for Payer: PACE SWMI |
$767.54
|
| Rate for Payer: PHP Commercial |
$1,074.56
|
| Rate for Payer: PHP Medicare Advantage |
$767.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$507.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,503.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,099.34
|
| Rate for Payer: Priority Health Medicare |
$767.54
|
| Rate for Payer: Priority Health Narrow Network |
$1,099.34
|
| Rate for Payer: Priority Health SBD |
$1,099.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$767.54
|
| Rate for Payer: UHC Medicare Advantage |
$767.54
|
| Rate for Payer: UHCCP Medicaid |
$507.15
|
| Rate for Payer: UMR Bronson Commercial |
$1,771.92
|
|
|
PR THORACOSCOPY WITH BIOPSYIES OF PLEURA
|
Professional
|
Both
|
$1,059.00
|
|
|
Service Code
|
HCPCS 32609
|
| Min. Negotiated Rate |
$160.82 |
| Max. Negotiated Rate |
$706.87 |
| Rate for Payer: Aetna Commercial |
$326.58
|
| Rate for Payer: Aetna Medicare |
$253.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$326.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$350.96
|
| Rate for Payer: BCBS Complete |
$168.86
|
| Rate for Payer: BCBS MAPPO |
$243.72
|
| Rate for Payer: BCBS Trust/PPO |
$706.87
|
| Rate for Payer: BCN Commercial |
$366.99
|
| Rate for Payer: BCN Medicare Advantage |
$243.72
|
| Rate for Payer: Cash Price |
$847.20
|
| Rate for Payer: Cash Price |
$847.20
|
| Rate for Payer: Cofinity Commercial |
$326.58
|
| Rate for Payer: Cofinity Commercial |
$350.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$243.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$255.91
|
| Rate for Payer: Meridian Medicaid |
$168.86
|
| Rate for Payer: Nomi Health Commercial |
$292.46
|
| Rate for Payer: PACE SWMI |
$243.72
|
| Rate for Payer: PHP Commercial |
$341.21
|
| Rate for Payer: PHP Medicare Advantage |
$243.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$160.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$688.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$349.92
|
| Rate for Payer: Priority Health Medicare |
$243.72
|
| Rate for Payer: Priority Health Narrow Network |
$349.92
|
| Rate for Payer: Priority Health SBD |
$349.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$243.72
|
| Rate for Payer: UHC Medicare Advantage |
$243.72
|
| Rate for Payer: UHCCP Medicaid |
$160.82
|
| Rate for Payer: UMR Bronson Commercial |
$487.14
|
|
|
PR THORACOSCOPY W/LOBECTOMY SINGLE LOBE
|
Professional
|
Both
|
$4,590.00
|
|
|
Service Code
|
HCPCS 32663
|
| Min. Negotiated Rate |
$882.67 |
| Max. Negotiated Rate |
$2,983.50 |
| Rate for Payer: Aetna Commercial |
$1,799.41
|
| Rate for Payer: Aetna Medicare |
$1,396.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,799.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,933.69
|
| Rate for Payer: BCBS Complete |
$926.80
|
| Rate for Payer: BCBS MAPPO |
$1,342.84
|
| Rate for Payer: BCBS Trust/PPO |
$1,261.58
|
| Rate for Payer: BCN Commercial |
$2,009.44
|
| Rate for Payer: BCN Medicare Advantage |
$1,342.84
|
| Rate for Payer: Cash Price |
$3,672.00
|
| Rate for Payer: Cash Price |
$3,672.00
|
| Rate for Payer: Cofinity Commercial |
$1,799.41
|
| Rate for Payer: Cofinity Commercial |
$1,933.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,342.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,409.98
|
| Rate for Payer: Meridian Medicaid |
$926.80
|
| Rate for Payer: Nomi Health Commercial |
$1,611.41
|
| Rate for Payer: PACE SWMI |
$1,342.84
|
| Rate for Payer: PHP Commercial |
$1,879.98
|
| Rate for Payer: PHP Medicare Advantage |
$1,342.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$882.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,983.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,913.65
|
| Rate for Payer: Priority Health Medicare |
$1,342.84
|
| Rate for Payer: Priority Health Narrow Network |
$1,913.65
|
| Rate for Payer: Priority Health SBD |
$1,913.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,342.84
|
| Rate for Payer: UHC Medicare Advantage |
$1,342.84
|
| Rate for Payer: UHCCP Medicaid |
$882.67
|
| Rate for Payer: UMR Bronson Commercial |
$2,111.40
|
|
|
PR THORACOSCOPY W/PARIETAL PLEURECTOMY
|
Professional
|
Both
|
$2,890.00
|
|
|
Service Code
|
HCPCS 32656
|
| Min. Negotiated Rate |
$511.41 |
| Max. Negotiated Rate |
$1,878.50 |
| Rate for Payer: Aetna Commercial |
$1,035.69
|
| Rate for Payer: Aetna Medicare |
$803.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,035.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,112.98
|
| Rate for Payer: BCBS Complete |
$536.98
|
| Rate for Payer: BCBS MAPPO |
$772.90
|
| Rate for Payer: BCBS Trust/PPO |
$1,201.35
|
| Rate for Payer: BCN Commercial |
$1,159.64
|
| Rate for Payer: BCN Medicare Advantage |
$772.90
|
| Rate for Payer: Cash Price |
$2,312.00
|
| Rate for Payer: Cash Price |
$2,312.00
|
| Rate for Payer: Cofinity Commercial |
$1,035.69
|
| Rate for Payer: Cofinity Commercial |
$1,112.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$772.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$811.54
|
| Rate for Payer: Meridian Medicaid |
$536.98
|
| Rate for Payer: Nomi Health Commercial |
$927.48
|
| Rate for Payer: PACE SWMI |
$772.90
|
| Rate for Payer: PHP Commercial |
$1,082.06
|
| Rate for Payer: PHP Medicare Advantage |
$772.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$511.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,878.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,105.83
|
| Rate for Payer: Priority Health Medicare |
$772.90
|
| Rate for Payer: Priority Health Narrow Network |
$1,105.83
|
| Rate for Payer: Priority Health SBD |
$1,105.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$772.90
|
| Rate for Payer: UHC Medicare Advantage |
$772.90
|
| Rate for Payer: UHCCP Medicaid |
$511.41
|
| Rate for Payer: UMR Bronson Commercial |
$1,329.40
|
|
|
PR THORACOSCOPY W/PARTIAL PULMONARY DECORTICATION
|
Professional
|
Both
|
$3,220.00
|
|
|
Service Code
|
HCPCS 32651
|
| Min. Negotiated Rate |
$693.95 |
| Max. Negotiated Rate |
$2,093.00 |
| Rate for Payer: Aetna Commercial |
$1,410.26
|
| Rate for Payer: Aetna Medicare |
$1,094.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,410.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,515.50
|
| Rate for Payer: BCBS Complete |
$728.65
|
| Rate for Payer: BCBS MAPPO |
$1,052.43
|
| Rate for Payer: BCBS Trust/PPO |
$1,266.86
|
| Rate for Payer: BCN Commercial |
$1,575.99
|
| Rate for Payer: BCN Medicare Advantage |
$1,052.43
|
| Rate for Payer: Cash Price |
$2,576.00
|
| Rate for Payer: Cash Price |
$2,576.00
|
| Rate for Payer: Cofinity Commercial |
$1,410.26
|
| Rate for Payer: Cofinity Commercial |
$1,515.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,052.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,105.05
|
| Rate for Payer: Meridian Medicaid |
$728.65
|
| Rate for Payer: Nomi Health Commercial |
$1,262.92
|
| Rate for Payer: PACE SWMI |
$1,052.43
|
| Rate for Payer: PHP Commercial |
$1,473.40
|
| Rate for Payer: PHP Medicare Advantage |
$1,052.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$693.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,093.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,503.02
|
| Rate for Payer: Priority Health Medicare |
$1,052.43
|
| Rate for Payer: Priority Health Narrow Network |
$1,503.02
|
| Rate for Payer: Priority Health SBD |
$1,503.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,052.43
|
| Rate for Payer: UHC Medicare Advantage |
$1,052.43
|
| Rate for Payer: UHCCP Medicaid |
$693.95
|
| Rate for Payer: UMR Bronson Commercial |
$1,481.20
|
|
|
PR THORACOSCOPY W/PLEURODESIS
|
Professional
|
Both
|
$3,164.00
|
|
|
Service Code
|
HCPCS 32650
|
| Min. Negotiated Rate |
$425.57 |
| Max. Negotiated Rate |
$2,056.60 |
| Rate for Payer: Aetna Commercial |
$859.45
|
| Rate for Payer: Aetna Medicare |
$667.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$859.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$923.59
|
| Rate for Payer: BCBS Complete |
$446.85
|
| Rate for Payer: BCBS MAPPO |
$641.38
|
| Rate for Payer: BCBS Trust/PPO |
$1,687.92
|
| Rate for Payer: BCN Commercial |
$963.67
|
| Rate for Payer: BCN Medicare Advantage |
$641.38
|
| Rate for Payer: Cash Price |
$2,531.20
|
| Rate for Payer: Cash Price |
$2,531.20
|
| Rate for Payer: Cofinity Commercial |
$859.45
|
| Rate for Payer: Cofinity Commercial |
$923.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$641.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$673.45
|
| Rate for Payer: Meridian Medicaid |
$446.85
|
| Rate for Payer: Nomi Health Commercial |
$769.66
|
| Rate for Payer: PACE SWMI |
$641.38
|
| Rate for Payer: PHP Commercial |
$897.93
|
| Rate for Payer: PHP Medicare Advantage |
$641.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$425.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,056.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$921.84
|
| Rate for Payer: Priority Health Medicare |
$641.38
|
| Rate for Payer: Priority Health Narrow Network |
$921.84
|
| Rate for Payer: Priority Health SBD |
$921.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$641.38
|
| Rate for Payer: UHC Medicare Advantage |
$641.38
|
| Rate for Payer: UHCCP Medicaid |
$425.57
|
| Rate for Payer: UMR Bronson Commercial |
$1,455.44
|
|
|
PR THORACOSCOPY W/PNEUMONECTOMY
|
Professional
|
Both
|
$7,168.00
|
|
|
Service Code
|
HCPCS 32671
|
| Min. Negotiated Rate |
$1,116.33 |
| Max. Negotiated Rate |
$4,659.20 |
| Rate for Payer: Aetna Commercial |
$2,281.22
|
| Rate for Payer: Aetna Medicare |
$1,770.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,281.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,451.46
|
| Rate for Payer: BCBS Complete |
$1,172.15
|
| Rate for Payer: BCBS MAPPO |
$1,702.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,154.34
|
| Rate for Payer: BCN Commercial |
$2,544.55
|
| Rate for Payer: BCN Medicare Advantage |
$1,702.40
|
| Rate for Payer: Cash Price |
$5,734.40
|
| Rate for Payer: Cash Price |
$5,734.40
|
| Rate for Payer: Cofinity Commercial |
$2,281.22
|
| Rate for Payer: Cofinity Commercial |
$2,451.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,702.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,787.52
|
| Rate for Payer: Meridian Medicaid |
$1,172.15
|
| Rate for Payer: Nomi Health Commercial |
$2,042.88
|
| Rate for Payer: PACE SWMI |
$1,702.40
|
| Rate for Payer: PHP Commercial |
$2,383.36
|
| Rate for Payer: PHP Medicare Advantage |
$1,702.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,116.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,659.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,421.61
|
| Rate for Payer: Priority Health Medicare |
$1,702.40
|
| Rate for Payer: Priority Health Narrow Network |
$2,421.61
|
| Rate for Payer: Priority Health SBD |
$2,421.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,702.40
|
| Rate for Payer: UHC Medicare Advantage |
$1,702.40
|
| Rate for Payer: UHCCP Medicaid |
$1,116.33
|
| Rate for Payer: UMR Bronson Commercial |
$3,297.28
|
|
|
PR THORACOSCOPY W/RESECTION BULLAE W/WO PLEURAL PX
|
Professional
|
Both
|
$3,416.00
|
|
|
Service Code
|
HCPCS 32655
|
| Min. Negotiated Rate |
$124.68 |
| Max. Negotiated Rate |
$2,220.40 |
| Rate for Payer: Aetna Commercial |
$1,231.75
|
| Rate for Payer: Aetna Medicare |
$955.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,231.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,323.68
|
| Rate for Payer: BCBS Complete |
$637.18
|
| Rate for Payer: BCBS MAPPO |
$919.22
|
| Rate for Payer: BCBS Trust/PPO |
$124.68
|
| Rate for Payer: BCN Commercial |
$1,379.54
|
| Rate for Payer: BCN Medicare Advantage |
$919.22
|
| Rate for Payer: Cash Price |
$2,732.80
|
| Rate for Payer: Cash Price |
$2,732.80
|
| Rate for Payer: Cofinity Commercial |
$1,231.75
|
| Rate for Payer: Cofinity Commercial |
$1,323.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$919.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$965.18
|
| Rate for Payer: Meridian Medicaid |
$637.18
|
| Rate for Payer: Nomi Health Commercial |
$1,103.06
|
| Rate for Payer: PACE SWMI |
$919.22
|
| Rate for Payer: PHP Commercial |
$1,286.91
|
| Rate for Payer: PHP Medicare Advantage |
$919.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$606.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,220.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,314.86
|
| Rate for Payer: Priority Health Medicare |
$919.22
|
| Rate for Payer: Priority Health Narrow Network |
$1,314.86
|
| Rate for Payer: Priority Health SBD |
$1,314.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$919.22
|
| Rate for Payer: UHC Medicare Advantage |
$919.22
|
| Rate for Payer: UHCCP Medicaid |
$606.84
|
| Rate for Payer: UMR Bronson Commercial |
$1,571.36
|
|
