|
PR THORACOSCOPY W/RESEXN-PLICAJ EMPHYSEMA LUNG UNIL
|
Professional
|
Both
|
$6,130.00
|
|
|
Service Code
|
HCPCS 32672
|
| Min. Negotiated Rate |
$957.01 |
| Max. Negotiated Rate |
$3,984.50 |
| Rate for Payer: Aetna Commercial |
$1,953.47
|
| Rate for Payer: Aetna Medicare |
$1,516.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,953.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,099.25
|
| Rate for Payer: BCBS Complete |
$1,004.86
|
| Rate for Payer: BCBS MAPPO |
$1,457.81
|
| Rate for Payer: BCBS Trust/PPO |
$1,367.77
|
| Rate for Payer: BCN Commercial |
$2,174.13
|
| Rate for Payer: BCN Medicare Advantage |
$1,457.81
|
| Rate for Payer: Cash Price |
$4,904.00
|
| Rate for Payer: Cash Price |
$4,904.00
|
| Rate for Payer: Cofinity Commercial |
$1,953.47
|
| Rate for Payer: Cofinity Commercial |
$2,099.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,457.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,530.70
|
| Rate for Payer: Meridian Medicaid |
$1,004.86
|
| Rate for Payer: Nomi Health Commercial |
$1,749.37
|
| Rate for Payer: PACE SWMI |
$1,457.81
|
| Rate for Payer: PHP Commercial |
$2,040.93
|
| Rate for Payer: PHP Medicare Advantage |
$1,457.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$957.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,984.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,076.33
|
| Rate for Payer: Priority Health Medicare |
$1,457.81
|
| Rate for Payer: Priority Health Narrow Network |
$2,076.33
|
| Rate for Payer: Priority Health SBD |
$2,076.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,457.81
|
| Rate for Payer: UHC Medicare Advantage |
$1,457.81
|
| Rate for Payer: UHCCP Medicaid |
$957.01
|
| Rate for Payer: UMR Bronson Commercial |
$2,819.80
|
|
|
PR THORACOSCOPY W/RMVL CLOT/FB FROM PERICARDIAL SAC
|
Professional
|
Both
|
$2,819.00
|
|
|
Service Code
|
HCPCS 32658
|
| Min. Negotiated Rate |
$454.97 |
| Max. Negotiated Rate |
$1,832.35 |
| Rate for Payer: Aetna Commercial |
$921.09
|
| Rate for Payer: Aetna Medicare |
$714.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$921.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$989.83
|
| Rate for Payer: BCBS Complete |
$477.72
|
| Rate for Payer: BCBS MAPPO |
$687.38
|
| Rate for Payer: BCBS Trust/PPO |
$1,340.30
|
| Rate for Payer: BCN Commercial |
$1,032.09
|
| Rate for Payer: BCN Medicare Advantage |
$687.38
|
| Rate for Payer: Cash Price |
$2,255.20
|
| Rate for Payer: Cash Price |
$2,255.20
|
| Rate for Payer: Cofinity Commercial |
$921.09
|
| Rate for Payer: Cofinity Commercial |
$989.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$687.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$721.75
|
| Rate for Payer: Meridian Medicaid |
$477.72
|
| Rate for Payer: Nomi Health Commercial |
$824.86
|
| Rate for Payer: PACE SWMI |
$687.38
|
| Rate for Payer: PHP Commercial |
$962.33
|
| Rate for Payer: PHP Medicare Advantage |
$687.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$454.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,832.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$984.87
|
| Rate for Payer: Priority Health Medicare |
$687.38
|
| Rate for Payer: Priority Health Narrow Network |
$984.87
|
| Rate for Payer: Priority Health SBD |
$984.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$687.38
|
| Rate for Payer: UHC Medicare Advantage |
$687.38
|
| Rate for Payer: UHCCP Medicaid |
$454.97
|
| Rate for Payer: UMR Bronson Commercial |
$1,296.74
|
|
|
PR THORACOSCOPY W/SEGMENTECTOMY
|
Professional
|
Both
|
$2,288.00
|
|
|
Service Code
|
HCPCS 32669
|
| Min. Negotiated Rate |
$847.74 |
| Max. Negotiated Rate |
$1,928.81 |
| Rate for Payer: Aetna Commercial |
$1,727.41
|
| Rate for Payer: Aetna Medicare |
$1,340.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,727.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,856.32
|
| Rate for Payer: BCBS Complete |
$890.13
|
| Rate for Payer: BCBS MAPPO |
$1,289.11
|
| Rate for Payer: BCBS Trust/PPO |
$1,605.50
|
| Rate for Payer: BCN Commercial |
$1,928.81
|
| Rate for Payer: BCN Medicare Advantage |
$1,289.11
|
| Rate for Payer: Cash Price |
$1,830.40
|
| Rate for Payer: Cash Price |
$1,830.40
|
| Rate for Payer: Cofinity Commercial |
$1,727.41
|
| Rate for Payer: Cofinity Commercial |
$1,856.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,289.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,353.57
|
| Rate for Payer: Meridian Medicaid |
$890.13
|
| Rate for Payer: Nomi Health Commercial |
$1,546.93
|
| Rate for Payer: PACE SWMI |
$1,289.11
|
| Rate for Payer: PHP Commercial |
$1,804.75
|
| Rate for Payer: PHP Medicare Advantage |
$1,289.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$847.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,487.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,837.64
|
| Rate for Payer: Priority Health Medicare |
$1,289.11
|
| Rate for Payer: Priority Health Narrow Network |
$1,837.64
|
| Rate for Payer: Priority Health SBD |
$1,837.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,289.11
|
| Rate for Payer: UHC Medicare Advantage |
$1,289.11
|
| Rate for Payer: UHCCP Medicaid |
$847.74
|
| Rate for Payer: UMR Bronson Commercial |
$1,052.48
|
|
|
PR THORACOSCOPY W/THERA WEDGE RESEXN ADDL IPSILATRL
|
Professional
|
Both
|
$3,513.00
|
|
|
Service Code
|
HCPCS 32667
|
| Min. Negotiated Rate |
$97.55 |
| Max. Negotiated Rate |
$2,283.45 |
| Rate for Payer: Aetna Commercial |
$200.60
|
| Rate for Payer: Aetna Medicare |
$155.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$200.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$215.57
|
| Rate for Payer: BCBS Complete |
$102.43
|
| Rate for Payer: BCBS MAPPO |
$149.70
|
| Rate for Payer: BCBS Trust/PPO |
$1,415.84
|
| Rate for Payer: BCN Commercial |
$223.81
|
| Rate for Payer: BCN Medicare Advantage |
$149.70
|
| Rate for Payer: Cash Price |
$2,810.40
|
| Rate for Payer: Cash Price |
$2,810.40
|
| Rate for Payer: Cofinity Commercial |
$200.60
|
| Rate for Payer: Cofinity Commercial |
$215.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$149.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$157.18
|
| Rate for Payer: Meridian Medicaid |
$102.43
|
| Rate for Payer: Nomi Health Commercial |
$179.64
|
| Rate for Payer: PACE SWMI |
$149.70
|
| Rate for Payer: PHP Commercial |
$209.58
|
| Rate for Payer: PHP Medicare Advantage |
$149.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$97.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,283.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$212.73
|
| Rate for Payer: Priority Health Medicare |
$149.70
|
| Rate for Payer: Priority Health Narrow Network |
$212.73
|
| Rate for Payer: Priority Health SBD |
$212.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$149.70
|
| Rate for Payer: UHC Medicare Advantage |
$149.70
|
| Rate for Payer: UHCCP Medicaid |
$97.55
|
| Rate for Payer: UMR Bronson Commercial |
$1,615.98
|
|
|
PR THORACOSCOPY W/THERA WEDGE RESEXN INITIAL UNILAT
|
Professional
|
Both
|
$1,807.00
|
|
|
Service Code
|
HCPCS 32666
|
| Min. Negotiated Rate |
$552.52 |
| Max. Negotiated Rate |
$1,469.73 |
| Rate for Payer: Aetna Commercial |
$1,120.08
|
| Rate for Payer: Aetna Medicare |
$869.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,120.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,203.67
|
| Rate for Payer: BCBS Complete |
$580.15
|
| Rate for Payer: BCBS MAPPO |
$835.88
|
| Rate for Payer: BCBS Trust/PPO |
$1,469.73
|
| Rate for Payer: BCN Commercial |
$1,253.95
|
| Rate for Payer: BCN Medicare Advantage |
$835.88
|
| Rate for Payer: Cash Price |
$1,445.60
|
| Rate for Payer: Cash Price |
$1,445.60
|
| Rate for Payer: Cofinity Commercial |
$1,120.08
|
| Rate for Payer: Cofinity Commercial |
$1,203.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$835.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$877.67
|
| Rate for Payer: Meridian Medicaid |
$580.15
|
| Rate for Payer: Nomi Health Commercial |
$1,003.06
|
| Rate for Payer: PACE SWMI |
$835.88
|
| Rate for Payer: PHP Commercial |
$1,170.23
|
| Rate for Payer: PHP Medicare Advantage |
$835.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$552.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,174.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,196.66
|
| Rate for Payer: Priority Health Medicare |
$835.88
|
| Rate for Payer: Priority Health Narrow Network |
$1,196.66
|
| Rate for Payer: Priority Health SBD |
$1,196.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$835.88
|
| Rate for Payer: UHC Medicare Advantage |
$835.88
|
| Rate for Payer: UHCCP Medicaid |
$552.52
|
| Rate for Payer: UMR Bronson Commercial |
$831.22
|
|
|
PR THORACOSTOMY OPEN FLAP DRAINAGE EMPYEMA
|
Professional
|
Both
|
$1,863.00
|
|
|
Service Code
|
HCPCS 32036
|
| Min. Negotiated Rate |
$500.98 |
| Max. Negotiated Rate |
$1,210.95 |
| Rate for Payer: Aetna Commercial |
$1,010.24
|
| Rate for Payer: Aetna Medicare |
$784.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,010.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,085.63
|
| Rate for Payer: BCBS Complete |
$526.03
|
| Rate for Payer: BCBS MAPPO |
$753.91
|
| Rate for Payer: BCBS Trust/PPO |
$1,167.01
|
| Rate for Payer: BCN Commercial |
$1,146.44
|
| Rate for Payer: BCN Medicare Advantage |
$753.91
|
| Rate for Payer: Cash Price |
$1,490.40
|
| Rate for Payer: Cash Price |
$1,490.40
|
| Rate for Payer: Cofinity Commercial |
$1,010.24
|
| Rate for Payer: Cofinity Commercial |
$1,085.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$753.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$791.61
|
| Rate for Payer: Meridian Medicaid |
$526.03
|
| Rate for Payer: Nomi Health Commercial |
$904.69
|
| Rate for Payer: PACE SWMI |
$753.91
|
| Rate for Payer: PHP Commercial |
$1,055.47
|
| Rate for Payer: PHP Medicare Advantage |
$753.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$500.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,210.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,094.25
|
| Rate for Payer: Priority Health Medicare |
$753.91
|
| Rate for Payer: Priority Health Narrow Network |
$1,094.25
|
| Rate for Payer: Priority Health SBD |
$1,094.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$753.91
|
| Rate for Payer: UHC Medicare Advantage |
$753.91
|
| Rate for Payer: UHCCP Medicaid |
$500.98
|
| Rate for Payer: UMR Bronson Commercial |
$856.98
|
|
|
PR THORACOSTOMY W/RIB RESECTION EMPYEMA
|
Professional
|
Both
|
$2,372.00
|
|
|
Service Code
|
HCPCS 32035
|
| Min. Negotiated Rate |
$469.03 |
| Max. Negotiated Rate |
$1,846.41 |
| Rate for Payer: Aetna Commercial |
$944.51
|
| Rate for Payer: Aetna Medicare |
$733.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,015.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$944.51
|
| Rate for Payer: BCBS Complete |
$492.48
|
| Rate for Payer: BCBS MAPPO |
$704.86
|
| Rate for Payer: BCBS Trust/PPO |
$1,846.41
|
| Rate for Payer: BCN Commercial |
$1,063.36
|
| Rate for Payer: BCN Medicare Advantage |
$704.86
|
| Rate for Payer: Cash Price |
$1,897.60
|
| Rate for Payer: Cash Price |
$1,897.60
|
| Rate for Payer: Cofinity Commercial |
$1,015.00
|
| Rate for Payer: Cofinity Commercial |
$944.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$704.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$740.10
|
| Rate for Payer: Meridian Medicaid |
$492.48
|
| Rate for Payer: Nomi Health Commercial |
$845.83
|
| Rate for Payer: PACE SWMI |
$704.86
|
| Rate for Payer: PHP Commercial |
$986.80
|
| Rate for Payer: PHP Medicare Advantage |
$704.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$469.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,541.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,015.91
|
| Rate for Payer: Priority Health Medicare |
$704.86
|
| Rate for Payer: Priority Health Narrow Network |
$1,015.91
|
| Rate for Payer: Priority Health SBD |
$1,015.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$704.86
|
| Rate for Payer: UHC Medicare Advantage |
$704.86
|
| Rate for Payer: UHCCP Medicaid |
$469.03
|
| Rate for Payer: UMR Bronson Commercial |
$1,091.12
|
|
|
PR THORACOTOMY OPN INTRAPLEURAL PNEUMONOLYSIS
|
Professional
|
Both
|
$2,824.00
|
|
|
Service Code
|
HCPCS 32124
|
| Min. Negotiated Rate |
$295.85 |
| Max. Negotiated Rate |
$1,835.60 |
| Rate for Payer: Aetna Commercial |
$1,189.69
|
| Rate for Payer: Aetna Medicare |
$923.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,189.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,278.48
|
| Rate for Payer: BCBS Complete |
$616.60
|
| Rate for Payer: BCBS MAPPO |
$887.83
|
| Rate for Payer: BCBS Trust/PPO |
$295.85
|
| Rate for Payer: BCN Commercial |
$1,330.18
|
| Rate for Payer: BCN Medicare Advantage |
$887.83
|
| Rate for Payer: Cash Price |
$2,259.20
|
| Rate for Payer: Cash Price |
$2,259.20
|
| Rate for Payer: Cofinity Commercial |
$1,189.69
|
| Rate for Payer: Cofinity Commercial |
$1,278.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$887.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$932.22
|
| Rate for Payer: Meridian Medicaid |
$616.60
|
| Rate for Payer: Nomi Health Commercial |
$1,065.40
|
| Rate for Payer: PACE SWMI |
$887.83
|
| Rate for Payer: PHP Commercial |
$1,242.96
|
| Rate for Payer: PHP Medicare Advantage |
$887.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$587.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,835.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,269.43
|
| Rate for Payer: Priority Health Medicare |
$887.83
|
| Rate for Payer: Priority Health Narrow Network |
$1,269.43
|
| Rate for Payer: Priority Health SBD |
$1,269.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$887.83
|
| Rate for Payer: UHC Medicare Advantage |
$887.83
|
| Rate for Payer: UHCCP Medicaid |
$587.24
|
| Rate for Payer: UMR Bronson Commercial |
$1,299.04
|
|
|
PR THORACOTOMY POSTOPERATIVE COMPLICATIONS
|
Professional
|
Both
|
$1,958.00
|
|
|
Service Code
|
HCPCS 32120
|
| Min. Negotiated Rate |
$224.53 |
| Max. Negotiated Rate |
$1,272.70 |
| Rate for Payer: Aetna Commercial |
$1,127.10
|
| Rate for Payer: Aetna Medicare |
$874.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,127.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,211.21
|
| Rate for Payer: BCBS Complete |
$584.62
|
| Rate for Payer: BCBS MAPPO |
$841.12
|
| Rate for Payer: BCBS Trust/PPO |
$224.53
|
| Rate for Payer: BCN Commercial |
$1,258.83
|
| Rate for Payer: BCN Medicare Advantage |
$841.12
|
| Rate for Payer: Cash Price |
$1,566.40
|
| Rate for Payer: Cash Price |
$1,566.40
|
| Rate for Payer: Cofinity Commercial |
$1,127.10
|
| Rate for Payer: Cofinity Commercial |
$1,211.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$841.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$883.18
|
| Rate for Payer: Meridian Medicaid |
$584.62
|
| Rate for Payer: Nomi Health Commercial |
$1,009.34
|
| Rate for Payer: PACE SWMI |
$841.12
|
| Rate for Payer: PHP Commercial |
$1,177.57
|
| Rate for Payer: PHP Medicare Advantage |
$841.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$556.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,272.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,202.23
|
| Rate for Payer: Priority Health Medicare |
$841.12
|
| Rate for Payer: Priority Health Narrow Network |
$1,202.23
|
| Rate for Payer: Priority Health SBD |
$1,202.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$841.12
|
| Rate for Payer: UHC Medicare Advantage |
$841.12
|
| Rate for Payer: UHCCP Medicaid |
$556.78
|
| Rate for Payer: UMR Bronson Commercial |
$900.68
|
|
|
PR THORACOTOMY W/BIOPSY OF PLEURA
|
Professional
|
Both
|
$3,059.00
|
|
|
Service Code
|
HCPCS 32098
|
| Min. Negotiated Rate |
$480.10 |
| Max. Negotiated Rate |
$1,988.35 |
| Rate for Payer: Aetna Commercial |
$974.46
|
| Rate for Payer: Aetna Medicare |
$756.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,047.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$974.46
|
| Rate for Payer: BCBS Complete |
$504.10
|
| Rate for Payer: BCBS MAPPO |
$727.21
|
| Rate for Payer: BCBS Trust/PPO |
$1,384.67
|
| Rate for Payer: BCN Commercial |
$1,095.62
|
| Rate for Payer: BCN Medicare Advantage |
$727.21
|
| Rate for Payer: Cash Price |
$2,447.20
|
| Rate for Payer: Cash Price |
$2,447.20
|
| Rate for Payer: Cofinity Commercial |
$1,047.18
|
| Rate for Payer: Cofinity Commercial |
$974.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$727.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$763.57
|
| Rate for Payer: Meridian Medicaid |
$504.10
|
| Rate for Payer: Nomi Health Commercial |
$872.65
|
| Rate for Payer: PACE SWMI |
$727.21
|
| Rate for Payer: PHP Commercial |
$1,018.09
|
| Rate for Payer: PHP Medicare Advantage |
$727.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$480.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,988.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,041.41
|
| Rate for Payer: Priority Health Medicare |
$727.21
|
| Rate for Payer: Priority Health Narrow Network |
$1,041.41
|
| Rate for Payer: Priority Health SBD |
$1,041.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$727.21
|
| Rate for Payer: UHC Medicare Advantage |
$727.21
|
| Rate for Payer: UHCCP Medicaid |
$480.10
|
| Rate for Payer: UMR Bronson Commercial |
$1,407.14
|
|
|
PR THORACOTOMY W/CARDIAC MASSAGE
|
Professional
|
Both
|
$3,531.00
|
|
|
Service Code
|
HCPCS 32160
|
| Min. Negotiated Rate |
$510.77 |
| 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) |
$1,031.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,108.47
|
| Rate for Payer: BCBS Complete |
$536.31
|
| Rate for Payer: BCBS MAPPO |
$769.77
|
| Rate for Payer: BCBS Trust/PPO |
$1,370.94
|
| Rate for Payer: BCN Commercial |
$1,152.79
|
| 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 |
$1,031.49
|
| Rate for Payer: Cofinity Commercial |
$1,108.47
|
| 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: Meridian Medicaid |
$536.31
|
| 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 Choice Medicaid |
$510.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,295.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,099.80
|
| Rate for Payer: Priority Health Medicare |
$769.77
|
| Rate for Payer: Priority Health Narrow Network |
$1,099.80
|
| Rate for Payer: Priority Health SBD |
$1,099.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$769.77
|
| Rate for Payer: UHC Medicare Advantage |
$769.77
|
| Rate for Payer: UHCCP Medicaid |
$510.77
|
| 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 |
$97.34 |
| Max. Negotiated Rate |
$959.39 |
| Rate for Payer: Aetna Commercial |
$200.09
|
| Rate for Payer: Aetna Medicare |
$155.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$200.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$215.02
|
| Rate for Payer: BCBS Complete |
$102.21
|
| Rate for Payer: BCBS MAPPO |
$149.32
|
| Rate for Payer: BCBS Trust/PPO |
$959.39
|
| Rate for Payer: BCN Commercial |
$223.81
|
| 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 |
$200.09
|
| Rate for Payer: Cofinity Commercial |
$215.02
|
| 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: Meridian Medicaid |
$102.21
|
| 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 Choice Medicaid |
$97.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$455.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$211.80
|
| Rate for Payer: Priority Health Medicare |
$149.32
|
| Rate for Payer: Priority Health Narrow Network |
$211.80
|
| Rate for Payer: Priority Health SBD |
$211.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$149.32
|
| Rate for Payer: UHC Medicare Advantage |
$149.32
|
| Rate for Payer: UHCCP Medicaid |
$97.34
|
| Rate for Payer: UMR Bronson Commercial |
$322.00
|
|
|
PR THORACOTOMY WITH EXPLORATION
|
Professional
|
Both
|
$2,824.00
|
|
|
Service Code
|
HCPCS 32100
|
| Min. Negotiated Rate |
$516.74 |
| 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) |
$1,047.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,125.98
|
| Rate for Payer: BCBS Complete |
$542.58
|
| Rate for Payer: BCBS MAPPO |
$781.93
|
| Rate for Payer: BCBS Trust/PPO |
$957.28
|
| Rate for Payer: BCN Commercial |
$1,165.98
|
| 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 |
$1,047.79
|
| Rate for Payer: Cofinity Commercial |
$1,125.98
|
| 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: Meridian Medicaid |
$542.58
|
| 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 Choice Medicaid |
$516.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,835.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,115.56
|
| Rate for Payer: Priority Health Medicare |
$781.93
|
| Rate for Payer: Priority Health Narrow Network |
$1,115.56
|
| Rate for Payer: Priority Health SBD |
$1,115.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$781.93
|
| Rate for Payer: UHC Medicare Advantage |
$781.93
|
| Rate for Payer: UHCCP Medicaid |
$516.74
|
| 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 |
$672.00 |
| Max. Negotiated Rate |
$2,189.27 |
| Rate for Payer: Cash Price |
$2,284.00
|
| Rate for Payer: Aetna Commercial |
$1,961.44
|
| Rate for Payer: Aetna Medicare |
$1,522.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,961.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,107.81
|
| Rate for Payer: BCBS Complete |
$1,009.55
|
| Rate for Payer: BCBS MAPPO |
$1,463.76
|
| Rate for Payer: BCBS Trust/PPO |
$672.00
|
| Rate for Payer: BCN Commercial |
$2,189.27
|
| Rate for Payer: BCN Medicare Advantage |
$1,463.76
|
| Rate for Payer: Cash Price |
$2,284.00
|
| Rate for Payer: Cofinity Commercial |
$1,961.44
|
| Rate for Payer: Cofinity Commercial |
$2,107.81
|
| 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: Meridian Medicaid |
$1,009.55
|
| 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 Choice Medicaid |
$961.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,855.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,081.88
|
| Rate for Payer: Priority Health Medicare |
$1,463.76
|
| Rate for Payer: Priority Health Narrow Network |
$2,081.88
|
| Rate for Payer: Priority Health SBD |
$2,081.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,463.76
|
| Rate for Payer: UHC Medicare Advantage |
$1,463.76
|
| Rate for Payer: UHCCP Medicaid |
$961.48
|
| 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 |
$591.08 |
| 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) |
$1,199.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,288.94
|
| Rate for Payer: BCBS Complete |
$620.63
|
| Rate for Payer: BCBS MAPPO |
$895.10
|
| Rate for Payer: BCBS Trust/PPO |
$1,180.22
|
| Rate for Payer: BCN Commercial |
$1,342.40
|
| 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 |
$1,199.43
|
| Rate for Payer: Cofinity Commercial |
$1,288.94
|
| 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: Meridian Medicaid |
$620.63
|
| 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 Choice Medicaid |
$591.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,569.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,279.63
|
| Rate for Payer: Priority Health Medicare |
$895.10
|
| Rate for Payer: Priority Health Narrow Network |
$1,279.63
|
| Rate for Payer: Priority Health SBD |
$1,279.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$895.10
|
| Rate for Payer: UHC Medicare Advantage |
$895.10
|
| Rate for Payer: UHCCP Medicaid |
$591.08
|
| 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 |
$97.34 |
| Max. Negotiated Rate |
$1,673.13 |
| Rate for Payer: Aetna Commercial |
$200.09
|
| Rate for Payer: Aetna Medicare |
$155.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$200.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$215.02
|
| Rate for Payer: BCBS Complete |
$102.21
|
| Rate for Payer: BCBS MAPPO |
$149.32
|
| Rate for Payer: BCBS Trust/PPO |
$1,673.13
|
| Rate for Payer: BCN Commercial |
$223.81
|
| 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 |
$200.09
|
| Rate for Payer: Cofinity Commercial |
$215.02
|
| 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: Meridian Medicaid |
$102.21
|
| 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 Choice Medicaid |
$97.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$228.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$212.27
|
| Rate for Payer: Priority Health Medicare |
$149.32
|
| Rate for Payer: Priority Health Narrow Network |
$212.27
|
| Rate for Payer: Priority Health SBD |
$212.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$149.32
|
| Rate for Payer: UHC Medicare Advantage |
$149.32
|
| Rate for Payer: UHCCP Medicaid |
$97.34
|
| 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 |
$509.71 |
| 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) |
$1,034.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,112.10
|
| Rate for Payer: BCBS Complete |
$535.20
|
| Rate for Payer: BCBS MAPPO |
$772.29
|
| Rate for Payer: BCBS Trust/PPO |
$1,034.94
|
| Rate for Payer: BCN Commercial |
$1,151.32
|
| 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 |
$1,034.87
|
| Rate for Payer: Cofinity Commercial |
$1,112.10
|
| 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: Meridian Medicaid |
$535.20
|
| 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 Choice Medicaid |
$509.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,115.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,099.34
|
| Rate for Payer: Priority Health Medicare |
$772.29
|
| 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 |
$772.29
|
| Rate for Payer: UHC Medicare Advantage |
$772.29
|
| Rate for Payer: UHCCP Medicaid |
$509.71
|
| 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 |
$509.92 |
| 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) |
$1,035.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,113.13
|
| Rate for Payer: BCBS Complete |
$535.42
|
| Rate for Payer: BCBS MAPPO |
$773.01
|
| Rate for Payer: BCBS Trust/PPO |
$1,140.07
|
| Rate for Payer: BCN Commercial |
$1,154.25
|
| 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 |
$1,035.83
|
| Rate for Payer: Cofinity Commercial |
$1,113.13
|
| 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: Meridian Medicaid |
$535.42
|
| 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 Choice Medicaid |
$509.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,115.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,101.19
|
| Rate for Payer: Priority Health Medicare |
$773.01
|
| Rate for Payer: Priority Health Narrow Network |
$1,101.19
|
| Rate for Payer: Priority Health SBD |
$1,101.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$773.01
|
| Rate for Payer: UHC Medicare Advantage |
$773.01
|
| Rate for Payer: UHCCP Medicaid |
$509.92
|
| 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 |
$940.40 |
| 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) |
$1,909.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,051.70
|
| Rate for Payer: BCBS Complete |
$987.42
|
| Rate for Payer: BCBS MAPPO |
$1,424.79
|
| Rate for Payer: BCBS Trust/PPO |
$1,281.66
|
| Rate for Payer: BCN Commercial |
$2,122.82
|
| 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 |
$1,909.22
|
| Rate for Payer: Cofinity Commercial |
$2,051.70
|
| 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: Meridian Medicaid |
$987.42
|
| 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 Choice Medicaid |
$940.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,156.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,030.45
|
| Rate for Payer: Priority Health Medicare |
$1,424.79
|
| Rate for Payer: Priority Health Narrow Network |
$2,030.45
|
| Rate for Payer: Priority Health SBD |
$2,030.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,424.79
|
| Rate for Payer: UHC Medicare Advantage |
$1,424.79
|
| Rate for Payer: UHCCP Medicaid |
$940.40
|
| 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 |
$134.19 |
| 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) |
$276.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$296.61
|
| Rate for Payer: BCBS Complete |
$140.90
|
| Rate for Payer: BCBS MAPPO |
$205.98
|
| Rate for Payer: BCBS Trust/PPO |
$572.68
|
| Rate for Payer: BCN Commercial |
$305.92
|
| 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 |
$276.01
|
| Rate for Payer: Cofinity Commercial |
$296.61
|
| 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: Meridian Medicaid |
$140.90
|
| 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 Choice Medicaid |
$134.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$987.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$418.76
|
| Rate for Payer: Priority Health Medicare |
$205.98
|
| Rate for Payer: Priority Health Narrow Network |
$418.76
|
| Rate for Payer: Priority Health SBD |
$418.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$205.98
|
| Rate for Payer: UHC Medicare Advantage |
$205.98
|
| Rate for Payer: UHCCP Medicaid |
$134.19
|
| 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 |
$629.63 |
| 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) |
$1,277.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,373.31
|
| Rate for Payer: BCBS Complete |
$661.11
|
| Rate for Payer: BCBS MAPPO |
$953.69
|
| Rate for Payer: BCBS Trust/PPO |
$890.19
|
| Rate for Payer: BCN Commercial |
$1,427.42
|
| 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 |
$1,277.94
|
| Rate for Payer: Cofinity Commercial |
$1,373.31
|
| 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: Meridian Medicaid |
$661.11
|
| 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 Choice Medicaid |
$629.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,531.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,363.06
|
| Rate for Payer: Priority Health Medicare |
$953.69
|
| Rate for Payer: Priority Health Narrow Network |
$1,363.06
|
| Rate for Payer: Priority Health SBD |
$1,363.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$953.69
|
| Rate for Payer: UHC Medicare Advantage |
$953.69
|
| Rate for Payer: UHCCP Medicaid |
$629.63
|
| 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 |
$646.88 |
| 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) |
$1,309.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,407.48
|
| Rate for Payer: BCBS Complete |
$679.22
|
| Rate for Payer: BCBS MAPPO |
$977.42
|
| Rate for Payer: BCBS Trust/PPO |
$786.11
|
| Rate for Payer: BCN Commercial |
$1,459.19
|
| 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 |
$1,309.74
|
| Rate for Payer: Cofinity Commercial |
$1,407.48
|
| 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: Meridian Medicaid |
$679.22
|
| 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 Choice Medicaid |
$646.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,710.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,400.60
|
| Rate for Payer: Priority Health Medicare |
$977.42
|
| Rate for Payer: Priority Health Narrow Network |
$1,400.60
|
| Rate for Payer: Priority Health SBD |
$1,400.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$977.42
|
| Rate for Payer: UHC Medicare Advantage |
$977.42
|
| Rate for Payer: UHCCP Medicaid |
$646.88
|
| 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 |
$638.36 |
| 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) |
$1,295.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,392.48
|
| Rate for Payer: BCBS Complete |
$670.28
|
| Rate for Payer: BCBS MAPPO |
$967.00
|
| Rate for Payer: BCBS Trust/PPO |
$882.26
|
| Rate for Payer: BCN Commercial |
$1,448.44
|
| 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 |
$1,295.78
|
| Rate for Payer: Cofinity Commercial |
$1,392.48
|
| 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: Meridian Medicaid |
$670.28
|
| 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 Choice Medicaid |
$638.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,608.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,382.98
|
| Rate for Payer: Priority Health Medicare |
$967.00
|
| Rate for Payer: Priority Health Narrow Network |
$1,382.98
|
| Rate for Payer: Priority Health SBD |
$1,382.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$967.00
|
| Rate for Payer: UHC Medicare Advantage |
$967.00
|
| Rate for Payer: UHCCP Medicaid |
$638.36
|
| 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 |
$134.40 |
| Max. Negotiated Rate |
$1,006.41 |
| Rate for Payer: Aetna Commercial |
$276.52
|
| Rate for Payer: Aetna Medicare |
$214.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$276.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$297.16
|
| Rate for Payer: BCBS Complete |
$141.12
|
| Rate for Payer: BCBS MAPPO |
$206.36
|
| Rate for Payer: BCBS Trust/PPO |
$1,006.41
|
| Rate for Payer: BCN Commercial |
$306.40
|
| 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 |
$276.52
|
| Rate for Payer: Cofinity Commercial |
$297.16
|
| 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: Meridian Medicaid |
$141.12
|
| 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 Choice Medicaid |
$134.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$564.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$292.44
|
| Rate for Payer: Priority Health Medicare |
$206.36
|
| Rate for Payer: Priority Health Narrow Network |
$292.44
|
| Rate for Payer: Priority Health SBD |
$292.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$206.36
|
| Rate for Payer: UHC Medicare Advantage |
$206.36
|
| Rate for Payer: UHCCP Medicaid |
$134.40
|
| 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 |
$194.47 |
| Max. Negotiated Rate |
$967.85 |
| Rate for Payer: Aetna Commercial |
$396.49
|
| Rate for Payer: Aetna Medicare |
$307.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$396.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$426.08
|
| Rate for Payer: BCBS Complete |
$204.19
|
| Rate for Payer: BCBS MAPPO |
$295.89
|
| Rate for Payer: BCBS Trust/PPO |
$967.85
|
| Rate for Payer: BCN Commercial |
$441.76
|
| 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 |
$396.49
|
| Rate for Payer: Cofinity Commercial |
$426.08
|
| 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: Meridian Medicaid |
$204.19
|
| 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 Choice Medicaid |
$194.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$689.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$421.29
|
| Rate for Payer: Priority Health Medicare |
$295.89
|
| Rate for Payer: Priority Health Narrow Network |
$421.29
|
| Rate for Payer: Priority Health SBD |
$421.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$295.89
|
| Rate for Payer: UHC Medicare Advantage |
$295.89
|
| Rate for Payer: UHCCP Medicaid |
$194.47
|
| Rate for Payer: UMR Bronson Commercial |
$487.60
|
|
