PR THORACOSCOPY W/DX BX OF LUNG NODULES UNILATRL
|
Professional
|
Both
|
$1,502.00
|
|
Service Code
|
HCPCS 32608
|
Min. Negotiated Rate |
$237.50 |
Max. Negotiated Rate |
$1,051.40 |
Rate for Payer: Aetna Commercial |
$498.96
|
Rate for Payer: Aetna Medicare |
$372.36
|
Rate for Payer: BCBS Complete |
$249.38
|
Rate for Payer: BCBS MAPPO |
$372.36
|
Rate for Payer: BCBS Trust/PPO |
$788.75
|
Rate for Payer: BCN Commercial |
$542.43
|
Rate for Payer: BCN Medicare Advantage |
$372.36
|
Rate for Payer: Cash Price |
$1,201.60
|
Rate for Payer: Cash Price |
$1,201.60
|
Rate for Payer: Cofinity Commercial |
$536.20
|
Rate for Payer: Cofinity Commercial |
$498.96
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$372.36
|
Rate for Payer: Healthscope Commercial |
$446.83
|
Rate for Payer: Healthscope Whirlpool |
$446.83
|
Rate for Payer: Meridian Medicaid |
$249.38
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$390.98
|
Rate for Payer: PACE SWMI |
$372.36
|
Rate for Payer: PHP Medicare Advantage |
$372.36
|
Rate for Payer: Priority Health Choice Medicaid |
$237.50
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,051.40
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$513.98
|
Rate for Payer: Priority Health Medicare |
$372.36
|
Rate for Payer: Priority Health Narrow Network |
$513.98
|
Rate for Payer: UHC Medicare Advantage |
$383.53
|
|
PR THORACOSCOPY W/DX WEDGE RESEXN ANATO LUNG RESEXN
|
Professional
|
Both
|
$621.00
|
|
Service Code
|
HCPCS 32668
|
Min. Negotiated Rate |
$97.77 |
Max. Negotiated Rate |
$1,408.98 |
Rate for Payer: Aetna Commercial |
$206.98
|
Rate for Payer: Aetna Medicare |
$154.46
|
Rate for Payer: BCBS Complete |
$102.66
|
Rate for Payer: BCBS MAPPO |
$154.46
|
Rate for Payer: BCBS Trust/PPO |
$1,408.98
|
Rate for Payer: BCN Commercial |
$223.81
|
Rate for Payer: BCN Medicare Advantage |
$154.46
|
Rate for Payer: Cash Price |
$496.80
|
Rate for Payer: Cash Price |
$496.80
|
Rate for Payer: Cofinity Commercial |
$222.42
|
Rate for Payer: Cofinity Commercial |
$206.98
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$154.46
|
Rate for Payer: Healthscope Commercial |
$185.35
|
Rate for Payer: Healthscope Whirlpool |
$185.35
|
Rate for Payer: Meridian Medicaid |
$102.66
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$162.18
|
Rate for Payer: PACE SWMI |
$154.46
|
Rate for Payer: PHP Medicare Advantage |
$154.46
|
Rate for Payer: Priority Health Choice Medicaid |
$97.77
|
Rate for Payer: Priority Health Cigna Priority Health |
$434.70
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$212.07
|
Rate for Payer: Priority Health Medicare |
$154.46
|
Rate for Payer: Priority Health Narrow Network |
$212.07
|
Rate for Payer: UHC Medicare Advantage |
$159.09
|
|
PR THORACOSCOPY W/EXC MEDIASTINAL CYST TUMOR/MASS
|
Professional
|
Both
|
$3,981.00
|
|
Service Code
|
HCPCS 32662
|
Min. Negotiated Rate |
$565.09 |
Max. Negotiated Rate |
$2,786.70 |
Rate for Payer: Aetna Commercial |
$1,177.85
|
Rate for Payer: Aetna Medicare |
$878.99
|
Rate for Payer: BCBS Complete |
$593.34
|
Rate for Payer: BCBS MAPPO |
$878.99
|
Rate for Payer: BCBS Trust/PPO |
$1,566.94
|
Rate for Payer: BCN Commercial |
$1,288.16
|
Rate for Payer: BCN Medicare Advantage |
$878.99
|
Rate for Payer: Cash Price |
$3,184.80
|
Rate for Payer: Cash Price |
$3,184.80
|
Rate for Payer: Cofinity Commercial |
$1,265.75
|
Rate for Payer: Cofinity Commercial |
$1,177.85
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$878.99
|
Rate for Payer: Healthscope Commercial |
$1,054.79
|
Rate for Payer: Healthscope Whirlpool |
$1,054.79
|
Rate for Payer: Meridian Medicaid |
$593.34
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$922.94
|
Rate for Payer: PACE SWMI |
$878.99
|
Rate for Payer: PHP Medicare Advantage |
$878.99
|
Rate for Payer: Priority Health Choice Medicaid |
$565.09
|
Rate for Payer: Priority Health Cigna Priority Health |
$2,786.70
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,220.59
|
Rate for Payer: Priority Health Medicare |
$878.99
|
Rate for Payer: Priority Health Narrow Network |
$1,220.59
|
Rate for Payer: UHC Medicare Advantage |
$905.36
|
|
PR THORACOSCOPY W/EXC PERICARDIAL CYST TUMOR/MASS
|
Professional
|
Both
|
$3,776.00
|
|
Service Code
|
HCPCS 32661
|
Min. Negotiated Rate |
$505.24 |
Max. Negotiated Rate |
$2,643.20 |
Rate for Payer: Aetna Commercial |
$1,053.03
|
Rate for Payer: Aetna Medicare |
$785.84
|
Rate for Payer: BCBS Complete |
$530.50
|
Rate for Payer: BCBS MAPPO |
$785.84
|
Rate for Payer: BCBS Trust/PPO |
$1,423.24
|
Rate for Payer: BCN Commercial |
$1,151.81
|
Rate for Payer: BCN Medicare Advantage |
$785.84
|
Rate for Payer: Cash Price |
$3,020.80
|
Rate for Payer: Cash Price |
$3,020.80
|
Rate for Payer: Cofinity Commercial |
$1,131.61
|
Rate for Payer: Cofinity Commercial |
$1,053.03
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$785.84
|
Rate for Payer: Healthscope Commercial |
$943.01
|
Rate for Payer: Healthscope Whirlpool |
$943.01
|
Rate for Payer: Meridian Medicaid |
$530.50
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$825.13
|
Rate for Payer: PACE SWMI |
$785.84
|
Rate for Payer: PHP Medicare Advantage |
$785.84
|
Rate for Payer: Priority Health Choice Medicaid |
$505.24
|
Rate for Payer: Priority Health Cigna Priority Health |
$2,643.20
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,091.40
|
Rate for Payer: Priority Health Medicare |
$785.84
|
Rate for Payer: Priority Health Narrow Network |
$1,091.40
|
Rate for Payer: UHC Medicare Advantage |
$809.42
|
|
PR THORACOSCOPY WITH BIOPSYIES OF PLEURA
|
Professional
|
Both
|
$1,038.00
|
|
Service Code
|
HCPCS 32609
|
Min. Negotiated Rate |
$160.82 |
Max. Negotiated Rate |
$726.60 |
Rate for Payer: Aetna Commercial |
$336.45
|
Rate for Payer: Aetna Medicare |
$251.08
|
Rate for Payer: BCBS Complete |
$168.86
|
Rate for Payer: BCBS MAPPO |
$251.08
|
Rate for Payer: BCBS Trust/PPO |
$706.87
|
Rate for Payer: BCN Commercial |
$366.99
|
Rate for Payer: BCN Medicare Advantage |
$251.08
|
Rate for Payer: Cash Price |
$830.40
|
Rate for Payer: Cash Price |
$830.40
|
Rate for Payer: Cofinity Commercial |
$361.56
|
Rate for Payer: Cofinity Commercial |
$336.45
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$251.08
|
Rate for Payer: Healthscope Commercial |
$301.30
|
Rate for Payer: Healthscope Whirlpool |
$301.30
|
Rate for Payer: Meridian Medicaid |
$168.86
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$263.63
|
Rate for Payer: PACE SWMI |
$251.08
|
Rate for Payer: PHP Medicare Advantage |
$251.08
|
Rate for Payer: Priority Health Choice Medicaid |
$160.82
|
Rate for Payer: Priority Health Cigna Priority Health |
$726.60
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$347.74
|
Rate for Payer: Priority Health Medicare |
$251.08
|
Rate for Payer: Priority Health Narrow Network |
$347.74
|
Rate for Payer: UHC Medicare Advantage |
$258.61
|
|
PR THORACOSCOPY W/LOBECTOMY SINGLE LOBE
|
Professional
|
Both
|
$4,500.00
|
|
Service Code
|
HCPCS 32663
|
Min. Negotiated Rate |
$879.48 |
Max. Negotiated Rate |
$3,150.00 |
Rate for Payer: Aetna Commercial |
$1,844.82
|
Rate for Payer: Aetna Medicare |
$1,376.73
|
Rate for Payer: BCBS Complete |
$923.45
|
Rate for Payer: BCBS MAPPO |
$1,376.73
|
Rate for Payer: BCBS Trust/PPO |
$1,261.58
|
Rate for Payer: BCN Commercial |
$2,009.44
|
Rate for Payer: BCN Medicare Advantage |
$1,376.73
|
Rate for Payer: Cash Price |
$3,600.00
|
Rate for Payer: Cash Price |
$3,600.00
|
Rate for Payer: Cofinity Commercial |
$1,844.82
|
Rate for Payer: Cofinity Commercial |
$1,982.49
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,376.73
|
Rate for Payer: Healthscope Commercial |
$1,652.08
|
Rate for Payer: Healthscope Whirlpool |
$1,652.08
|
Rate for Payer: Meridian Medicaid |
$923.45
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,445.57
|
Rate for Payer: PACE SWMI |
$1,376.73
|
Rate for Payer: PHP Medicare Advantage |
$1,376.73
|
Rate for Payer: Priority Health Choice Medicaid |
$879.48
|
Rate for Payer: Priority Health Cigna Priority Health |
$3,150.00
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,904.04
|
Rate for Payer: Priority Health Medicare |
$1,376.73
|
Rate for Payer: Priority Health Narrow Network |
$1,904.04
|
Rate for Payer: UHC Medicare Advantage |
$1,418.03
|
|
PR THORACOSCOPY W/PARIETAL PLEURECTOMY
|
Professional
|
Both
|
$2,833.00
|
|
Service Code
|
HCPCS 32656
|
Min. Negotiated Rate |
$508.22 |
Max. Negotiated Rate |
$1,983.10 |
Rate for Payer: Aetna Commercial |
$1,058.99
|
Rate for Payer: Aetna Medicare |
$790.29
|
Rate for Payer: BCBS Complete |
$533.63
|
Rate for Payer: BCBS MAPPO |
$790.29
|
Rate for Payer: BCBS Trust/PPO |
$1,201.35
|
Rate for Payer: BCN Commercial |
$1,159.64
|
Rate for Payer: BCN Medicare Advantage |
$790.29
|
Rate for Payer: Cash Price |
$2,266.40
|
Rate for Payer: Cash Price |
$2,266.40
|
Rate for Payer: Cofinity Commercial |
$1,138.02
|
Rate for Payer: Cofinity Commercial |
$1,058.99
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$790.29
|
Rate for Payer: Healthscope Commercial |
$948.35
|
Rate for Payer: Healthscope Whirlpool |
$948.35
|
Rate for Payer: Meridian Medicaid |
$533.63
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$829.80
|
Rate for Payer: PACE SWMI |
$790.29
|
Rate for Payer: PHP Medicare Advantage |
$790.29
|
Rate for Payer: Priority Health Choice Medicaid |
$508.22
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,983.10
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,098.80
|
Rate for Payer: Priority Health Medicare |
$790.29
|
Rate for Payer: Priority Health Narrow Network |
$1,098.80
|
Rate for Payer: UHC Medicare Advantage |
$814.00
|
|
PR THORACOSCOPY W/PARTIAL PULMONARY DECORTICATION
|
Professional
|
Both
|
$3,157.00
|
|
Service Code
|
HCPCS 32651
|
Min. Negotiated Rate |
$690.76 |
Max. Negotiated Rate |
$2,209.90 |
Rate for Payer: Aetna Commercial |
$1,443.49
|
Rate for Payer: Aetna Medicare |
$1,077.23
|
Rate for Payer: BCBS Complete |
$725.30
|
Rate for Payer: BCBS MAPPO |
$1,077.23
|
Rate for Payer: BCBS Trust/PPO |
$1,266.86
|
Rate for Payer: BCN Commercial |
$1,575.99
|
Rate for Payer: BCN Medicare Advantage |
$1,077.23
|
Rate for Payer: Cash Price |
$2,525.60
|
Rate for Payer: Cash Price |
$2,525.60
|
Rate for Payer: Cofinity Commercial |
$1,443.49
|
Rate for Payer: Cofinity Commercial |
$1,551.21
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,077.23
|
Rate for Payer: Healthscope Commercial |
$1,292.68
|
Rate for Payer: Healthscope Whirlpool |
$1,292.68
|
Rate for Payer: Meridian Medicaid |
$725.30
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,131.09
|
Rate for Payer: PACE SWMI |
$1,077.23
|
Rate for Payer: PHP Medicare Advantage |
$1,077.23
|
Rate for Payer: Priority Health Choice Medicaid |
$690.76
|
Rate for Payer: Priority Health Cigna Priority Health |
$2,209.90
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,493.32
|
Rate for Payer: Priority Health Medicare |
$1,077.23
|
Rate for Payer: Priority Health Narrow Network |
$1,493.32
|
Rate for Payer: UHC Medicare Advantage |
$1,109.55
|
|
PR THORACOSCOPY W/PLEURODESIS
|
Professional
|
Both
|
$3,102.00
|
|
Service Code
|
HCPCS 32650
|
Min. Negotiated Rate |
$423.66 |
Max. Negotiated Rate |
$2,171.40 |
Rate for Payer: Aetna Commercial |
$878.26
|
Rate for Payer: Aetna Medicare |
$655.42
|
Rate for Payer: BCBS Complete |
$444.84
|
Rate for Payer: BCBS MAPPO |
$655.42
|
Rate for Payer: BCBS Trust/PPO |
$1,687.92
|
Rate for Payer: BCN Commercial |
$963.67
|
Rate for Payer: BCN Medicare Advantage |
$655.42
|
Rate for Payer: Cash Price |
$2,481.60
|
Rate for Payer: Cash Price |
$2,481.60
|
Rate for Payer: Cofinity Commercial |
$943.80
|
Rate for Payer: Cofinity Commercial |
$878.26
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$655.42
|
Rate for Payer: Healthscope Commercial |
$786.50
|
Rate for Payer: Healthscope Whirlpool |
$786.50
|
Rate for Payer: Meridian Medicaid |
$444.84
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$688.19
|
Rate for Payer: PACE SWMI |
$655.42
|
Rate for Payer: PHP Medicare Advantage |
$655.42
|
Rate for Payer: Priority Health Choice Medicaid |
$423.66
|
Rate for Payer: Priority Health Cigna Priority Health |
$2,171.40
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$913.13
|
Rate for Payer: Priority Health Medicare |
$655.42
|
Rate for Payer: Priority Health Narrow Network |
$913.13
|
Rate for Payer: UHC Medicare Advantage |
$675.08
|
|
PR THORACOSCOPY W/PNEUMONECTOMY
|
Professional
|
Both
|
$7,027.00
|
|
Service Code
|
HCPCS 32671
|
Min. Negotiated Rate |
$1,112.93 |
Max. Negotiated Rate |
$4,918.90 |
Rate for Payer: Aetna Commercial |
$2,340.70
|
Rate for Payer: Aetna Medicare |
$1,746.79
|
Rate for Payer: BCBS Complete |
$1,168.58
|
Rate for Payer: BCBS MAPPO |
$1,746.79
|
Rate for Payer: BCBS Trust/PPO |
$1,154.34
|
Rate for Payer: BCN Commercial |
$2,544.55
|
Rate for Payer: BCN Medicare Advantage |
$1,746.79
|
Rate for Payer: Cash Price |
$5,621.60
|
Rate for Payer: Cash Price |
$5,621.60
|
Rate for Payer: Cofinity Commercial |
$2,340.70
|
Rate for Payer: Cofinity Commercial |
$2,515.38
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,746.79
|
Rate for Payer: Healthscope Commercial |
$2,096.15
|
Rate for Payer: Healthscope Whirlpool |
$2,096.15
|
Rate for Payer: Meridian Medicaid |
$1,168.58
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,834.13
|
Rate for Payer: PACE SWMI |
$1,746.79
|
Rate for Payer: PHP Medicare Advantage |
$1,746.79
|
Rate for Payer: Priority Health Choice Medicaid |
$1,112.93
|
Rate for Payer: Priority Health Cigna Priority Health |
$4,918.90
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,411.08
|
Rate for Payer: Priority Health Medicare |
$1,746.79
|
Rate for Payer: Priority Health Narrow Network |
$2,411.08
|
Rate for Payer: UHC Medicare Advantage |
$1,799.19
|
|
PR THORACOSCOPY W/RESECTION BULLAE W/WO PLEURAL PX
|
Professional
|
Both
|
$3,349.00
|
|
Service Code
|
HCPCS 32655
|
Min. Negotiated Rate |
$124.68 |
Max. Negotiated Rate |
$2,344.30 |
Rate for Payer: Aetna Commercial |
$1,262.15
|
Rate for Payer: Aetna Medicare |
$941.90
|
Rate for Payer: BCBS Complete |
$634.49
|
Rate for Payer: BCBS MAPPO |
$941.90
|
Rate for Payer: BCBS Trust/PPO |
$124.68
|
Rate for Payer: BCN Commercial |
$1,379.54
|
Rate for Payer: BCN Medicare Advantage |
$941.90
|
Rate for Payer: Cash Price |
$2,679.20
|
Rate for Payer: Cash Price |
$2,679.20
|
Rate for Payer: Cofinity Commercial |
$1,356.34
|
Rate for Payer: Cofinity Commercial |
$1,262.15
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$941.90
|
Rate for Payer: Healthscope Commercial |
$1,130.28
|
Rate for Payer: Healthscope Whirlpool |
$1,130.28
|
Rate for Payer: Meridian Medicaid |
$634.49
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$989.00
|
Rate for Payer: PACE SWMI |
$941.90
|
Rate for Payer: PHP Medicare Advantage |
$941.90
|
Rate for Payer: Priority Health Choice Medicaid |
$604.28
|
Rate for Payer: Priority Health Cigna Priority Health |
$2,344.30
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,307.18
|
Rate for Payer: Priority Health Medicare |
$941.90
|
Rate for Payer: Priority Health Narrow Network |
$1,307.18
|
Rate for Payer: UHC Medicare Advantage |
$970.16
|
|
PR THORACOSCOPY W/RESEXN-PLICAJ EMPHYSEMA LUNG UNIL
|
Professional
|
Both
|
$6,010.00
|
|
Service Code
|
HCPCS 32672
|
Min. Negotiated Rate |
$954.24 |
Max. Negotiated Rate |
$4,207.00 |
Rate for Payer: Aetna Commercial |
$1,998.03
|
Rate for Payer: Aetna Medicare |
$1,491.07
|
Rate for Payer: BCBS Complete |
$1,001.95
|
Rate for Payer: BCBS MAPPO |
$1,491.07
|
Rate for Payer: BCBS Trust/PPO |
$1,367.77
|
Rate for Payer: BCN Commercial |
$2,174.13
|
Rate for Payer: BCN Medicare Advantage |
$1,491.07
|
Rate for Payer: Cash Price |
$4,808.00
|
Rate for Payer: Cash Price |
$4,808.00
|
Rate for Payer: Cofinity Commercial |
$1,998.03
|
Rate for Payer: Cofinity Commercial |
$2,147.14
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,491.07
|
Rate for Payer: Healthscope Commercial |
$1,789.28
|
Rate for Payer: Healthscope Whirlpool |
$1,789.28
|
Rate for Payer: Meridian Medicaid |
$1,001.95
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,565.62
|
Rate for Payer: PACE SWMI |
$1,491.07
|
Rate for Payer: PHP Medicare Advantage |
$1,491.07
|
Rate for Payer: Priority Health Choice Medicaid |
$954.24
|
Rate for Payer: Priority Health Cigna Priority Health |
$4,207.00
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,060.08
|
Rate for Payer: Priority Health Medicare |
$1,491.07
|
Rate for Payer: Priority Health Narrow Network |
$2,060.08
|
Rate for Payer: UHC Medicare Advantage |
$1,535.80
|
|
PR THORACOSCOPY W/RMVL CLOT/FB FROM PERICARDIAL SAC
|
Professional
|
Both
|
$2,764.00
|
|
Service Code
|
HCPCS 32658
|
Min. Negotiated Rate |
$452.63 |
Max. Negotiated Rate |
$1,934.80 |
Rate for Payer: Aetna Commercial |
$942.21
|
Rate for Payer: Aetna Medicare |
$703.14
|
Rate for Payer: BCBS Complete |
$475.26
|
Rate for Payer: BCBS MAPPO |
$703.14
|
Rate for Payer: BCBS Trust/PPO |
$1,340.30
|
Rate for Payer: BCN Commercial |
$1,032.09
|
Rate for Payer: BCN Medicare Advantage |
$703.14
|
Rate for Payer: Cash Price |
$2,211.20
|
Rate for Payer: Cash Price |
$2,211.20
|
Rate for Payer: Cofinity Commercial |
$942.21
|
Rate for Payer: Cofinity Commercial |
$1,012.52
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$703.14
|
Rate for Payer: Healthscope Commercial |
$843.77
|
Rate for Payer: Healthscope Whirlpool |
$843.77
|
Rate for Payer: Meridian Medicaid |
$475.26
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$738.30
|
Rate for Payer: PACE SWMI |
$703.14
|
Rate for Payer: PHP Medicare Advantage |
$703.14
|
Rate for Payer: Priority Health Choice Medicaid |
$452.63
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,934.80
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$977.95
|
Rate for Payer: Priority Health Medicare |
$703.14
|
Rate for Payer: Priority Health Narrow Network |
$977.95
|
Rate for Payer: UHC Medicare Advantage |
$724.23
|
|
PR THORACOSCOPY W/SEGMENTECTOMY
|
Professional
|
Both
|
$2,243.00
|
|
Service Code
|
HCPCS 32669
|
Min. Negotiated Rate |
$844.55 |
Max. Negotiated Rate |
$1,928.81 |
Rate for Payer: Aetna Commercial |
$1,770.13
|
Rate for Payer: Aetna Medicare |
$1,320.99
|
Rate for Payer: BCBS Complete |
$886.78
|
Rate for Payer: BCBS MAPPO |
$1,320.99
|
Rate for Payer: BCBS Trust/PPO |
$1,605.50
|
Rate for Payer: BCN Commercial |
$1,928.81
|
Rate for Payer: BCN Medicare Advantage |
$1,320.99
|
Rate for Payer: Cash Price |
$1,794.40
|
Rate for Payer: Cash Price |
$1,794.40
|
Rate for Payer: Cofinity Commercial |
$1,770.13
|
Rate for Payer: Cofinity Commercial |
$1,902.23
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,320.99
|
Rate for Payer: Healthscope Commercial |
$1,585.19
|
Rate for Payer: Healthscope Whirlpool |
$1,585.19
|
Rate for Payer: Meridian Medicaid |
$886.78
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,387.04
|
Rate for Payer: PACE SWMI |
$1,320.99
|
Rate for Payer: PHP Medicare Advantage |
$1,320.99
|
Rate for Payer: Priority Health Choice Medicaid |
$844.55
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,570.10
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,827.64
|
Rate for Payer: Priority Health Medicare |
$1,320.99
|
Rate for Payer: Priority Health Narrow Network |
$1,827.64
|
Rate for Payer: UHC Medicare Advantage |
$1,360.62
|
|
PR THORACOSCOPY W/THERA WEDGE RESEXN ADDL IPSILATRL
|
Professional
|
Both
|
$3,444.00
|
|
Service Code
|
HCPCS 32667
|
Min. Negotiated Rate |
$97.77 |
Max. Negotiated Rate |
$2,410.80 |
Rate for Payer: Aetna Commercial |
$206.98
|
Rate for Payer: Aetna Medicare |
$154.46
|
Rate for Payer: BCBS Complete |
$102.66
|
Rate for Payer: BCBS MAPPO |
$154.46
|
Rate for Payer: BCBS Trust/PPO |
$1,415.84
|
Rate for Payer: BCN Commercial |
$223.81
|
Rate for Payer: BCN Medicare Advantage |
$154.46
|
Rate for Payer: Cash Price |
$2,755.20
|
Rate for Payer: Cash Price |
$2,755.20
|
Rate for Payer: Cofinity Commercial |
$222.42
|
Rate for Payer: Cofinity Commercial |
$206.98
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$154.46
|
Rate for Payer: Healthscope Commercial |
$185.35
|
Rate for Payer: Healthscope Whirlpool |
$185.35
|
Rate for Payer: Meridian Medicaid |
$102.66
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$162.18
|
Rate for Payer: PACE SWMI |
$154.46
|
Rate for Payer: PHP Medicare Advantage |
$154.46
|
Rate for Payer: Priority Health Choice Medicaid |
$97.77
|
Rate for Payer: Priority Health Cigna Priority Health |
$2,410.80
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$212.07
|
Rate for Payer: Priority Health Medicare |
$154.46
|
Rate for Payer: Priority Health Narrow Network |
$212.07
|
Rate for Payer: UHC Medicare Advantage |
$159.09
|
|
PR THORACOSCOPY W/THERA WEDGE RESEXN INITIAL UNILAT
|
Professional
|
Both
|
$1,771.92
|
|
Service Code
|
HCPCS 32666
|
Min. Negotiated Rate |
$549.97 |
Max. Negotiated Rate |
$1,469.73 |
Rate for Payer: Aetna Commercial |
$1,146.09
|
Rate for Payer: Aetna Medicare |
$855.29
|
Rate for Payer: BCBS Complete |
$577.47
|
Rate for Payer: BCBS MAPPO |
$855.29
|
Rate for Payer: BCBS Trust/PPO |
$1,469.73
|
Rate for Payer: BCN Commercial |
$1,253.95
|
Rate for Payer: BCN Medicare Advantage |
$855.29
|
Rate for Payer: Cash Price |
$1,417.54
|
Rate for Payer: Cash Price |
$1,417.54
|
Rate for Payer: Cofinity Commercial |
$1,231.62
|
Rate for Payer: Cofinity Commercial |
$1,146.09
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$855.29
|
Rate for Payer: Healthscope Commercial |
$1,026.35
|
Rate for Payer: Healthscope Whirlpool |
$1,026.35
|
Rate for Payer: Meridian Medicaid |
$577.47
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$898.05
|
Rate for Payer: PACE SWMI |
$855.29
|
Rate for Payer: PHP Medicare Advantage |
$855.29
|
Rate for Payer: Priority Health Choice Medicaid |
$549.97
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,240.34
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,188.18
|
Rate for Payer: Priority Health Medicare |
$855.29
|
Rate for Payer: Priority Health Narrow Network |
$1,188.18
|
Rate for Payer: UHC Medicare Advantage |
$880.95
|
|
PR THORACOSTOMY OPEN FLAP DRAINAGE EMPYEMA
|
Professional
|
Both
|
$1,826.00
|
|
Service Code
|
HCPCS 32036
|
Min. Negotiated Rate |
$502.89 |
Max. Negotiated Rate |
$1,278.20 |
Rate for Payer: Aetna Commercial |
$1,042.06
|
Rate for Payer: Aetna Medicare |
$777.66
|
Rate for Payer: BCBS Complete |
$528.03
|
Rate for Payer: BCBS MAPPO |
$777.66
|
Rate for Payer: BCBS Trust/PPO |
$1,167.01
|
Rate for Payer: BCN Commercial |
$1,146.44
|
Rate for Payer: BCN Medicare Advantage |
$777.66
|
Rate for Payer: Cash Price |
$1,460.80
|
Rate for Payer: Cash Price |
$1,460.80
|
Rate for Payer: Cofinity Commercial |
$1,042.06
|
Rate for Payer: Cofinity Commercial |
$1,119.83
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$777.66
|
Rate for Payer: Healthscope Commercial |
$933.19
|
Rate for Payer: Healthscope Whirlpool |
$933.19
|
Rate for Payer: Meridian Medicaid |
$528.03
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$816.54
|
Rate for Payer: PACE SWMI |
$777.66
|
Rate for Payer: PHP Medicare Advantage |
$777.66
|
Rate for Payer: Priority Health Choice Medicaid |
$502.89
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,278.20
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,086.30
|
Rate for Payer: Priority Health Medicare |
$777.66
|
Rate for Payer: Priority Health Narrow Network |
$1,086.30
|
Rate for Payer: UHC Medicare Advantage |
$800.99
|
|
PR THORACOSTOMY W/RIB RESECTION EMPYEMA
|
Professional
|
Both
|
$2,325.00
|
|
Service Code
|
HCPCS 32035
|
Min. Negotiated Rate |
$466.90 |
Max. Negotiated Rate |
$1,846.41 |
Rate for Payer: Aetna Commercial |
$966.09
|
Rate for Payer: Aetna Medicare |
$720.96
|
Rate for Payer: BCBS Complete |
$490.24
|
Rate for Payer: BCBS MAPPO |
$720.96
|
Rate for Payer: BCBS Trust/PPO |
$1,846.41
|
Rate for Payer: BCN Commercial |
$1,063.36
|
Rate for Payer: BCN Medicare Advantage |
$720.96
|
Rate for Payer: Cash Price |
$1,860.00
|
Rate for Payer: Cash Price |
$1,860.00
|
Rate for Payer: Cofinity Commercial |
$966.09
|
Rate for Payer: Cofinity Commercial |
$1,038.18
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$720.96
|
Rate for Payer: Healthscope Commercial |
$865.15
|
Rate for Payer: Healthscope Whirlpool |
$865.15
|
Rate for Payer: Meridian Medicaid |
$490.24
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$757.01
|
Rate for Payer: PACE SWMI |
$720.96
|
Rate for Payer: PHP Medicare Advantage |
$720.96
|
Rate for Payer: Priority Health Choice Medicaid |
$466.90
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,627.50
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,007.59
|
Rate for Payer: Priority Health Medicare |
$720.96
|
Rate for Payer: Priority Health Narrow Network |
$1,007.59
|
Rate for Payer: UHC Medicare Advantage |
$742.59
|
|
PR THORACOTOMY OPN INTRAPLEURAL PNEUMONOLYSIS
|
Professional
|
Both
|
$2,769.00
|
|
Service Code
|
HCPCS 32124
|
Min. Negotiated Rate |
$295.85 |
Max. Negotiated Rate |
$1,938.30 |
Rate for Payer: Aetna Commercial |
$1,215.29
|
Rate for Payer: Aetna Medicare |
$906.93
|
Rate for Payer: BCBS Complete |
$612.58
|
Rate for Payer: BCBS MAPPO |
$906.93
|
Rate for Payer: BCBS Trust/PPO |
$295.85
|
Rate for Payer: BCN Commercial |
$1,330.18
|
Rate for Payer: BCN Medicare Advantage |
$906.93
|
Rate for Payer: Cash Price |
$2,215.20
|
Rate for Payer: Cash Price |
$2,215.20
|
Rate for Payer: Cofinity Commercial |
$1,305.98
|
Rate for Payer: Cofinity Commercial |
$1,215.29
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$906.93
|
Rate for Payer: Healthscope Commercial |
$1,088.32
|
Rate for Payer: Healthscope Whirlpool |
$1,088.32
|
Rate for Payer: Meridian Medicaid |
$612.58
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$952.28
|
Rate for Payer: PACE SWMI |
$906.93
|
Rate for Payer: PHP Medicare Advantage |
$906.93
|
Rate for Payer: Priority Health Choice Medicaid |
$583.41
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,938.30
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,260.41
|
Rate for Payer: Priority Health Medicare |
$906.93
|
Rate for Payer: Priority Health Narrow Network |
$1,260.41
|
Rate for Payer: UHC Medicare Advantage |
$934.14
|
|
PR THORACOTOMY POSTOPERATIVE COMPLICATIONS
|
Professional
|
Both
|
$1,920.00
|
|
Service Code
|
HCPCS 32120
|
Min. Negotiated Rate |
$224.53 |
Max. Negotiated Rate |
$1,344.00 |
Rate for Payer: Aetna Commercial |
$1,149.25
|
Rate for Payer: Aetna Medicare |
$857.65
|
Rate for Payer: BCBS Complete |
$580.15
|
Rate for Payer: BCBS MAPPO |
$857.65
|
Rate for Payer: BCBS Trust/PPO |
$224.53
|
Rate for Payer: BCN Commercial |
$1,258.83
|
Rate for Payer: BCN Medicare Advantage |
$857.65
|
Rate for Payer: Cash Price |
$1,536.00
|
Rate for Payer: Cash Price |
$1,536.00
|
Rate for Payer: Cofinity Commercial |
$1,235.02
|
Rate for Payer: Cofinity Commercial |
$1,149.25
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$857.65
|
Rate for Payer: Healthscope Commercial |
$1,029.18
|
Rate for Payer: Healthscope Whirlpool |
$1,029.18
|
Rate for Payer: Meridian Medicaid |
$580.15
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$900.53
|
Rate for Payer: PACE SWMI |
$857.65
|
Rate for Payer: PHP Medicare Advantage |
$857.65
|
Rate for Payer: Priority Health Choice Medicaid |
$552.52
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,344.00
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,192.80
|
Rate for Payer: Priority Health Medicare |
$857.65
|
Rate for Payer: Priority Health Narrow Network |
$1,192.80
|
Rate for Payer: UHC Medicare Advantage |
$883.38
|
|
PR THORACOTOMY W/BIOPSY OF PLEURA
|
Professional
|
Both
|
$2,999.00
|
|
Service Code
|
HCPCS 32098
|
Min. Negotiated Rate |
$478.61 |
Max. Negotiated Rate |
$2,099.30 |
Rate for Payer: Aetna Commercial |
$1,002.56
|
Rate for Payer: Aetna Medicare |
$748.18
|
Rate for Payer: BCBS Complete |
$502.54
|
Rate for Payer: BCBS MAPPO |
$748.18
|
Rate for Payer: BCBS Trust/PPO |
$1,384.67
|
Rate for Payer: BCN Commercial |
$1,095.62
|
Rate for Payer: BCN Medicare Advantage |
$748.18
|
Rate for Payer: Cash Price |
$2,399.20
|
Rate for Payer: Cash Price |
$2,399.20
|
Rate for Payer: Cofinity Commercial |
$1,002.56
|
Rate for Payer: Cofinity Commercial |
$1,077.38
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$748.18
|
Rate for Payer: Healthscope Commercial |
$897.82
|
Rate for Payer: Healthscope Whirlpool |
$897.82
|
Rate for Payer: Meridian Medicaid |
$502.54
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$785.59
|
Rate for Payer: PACE SWMI |
$748.18
|
Rate for Payer: PHP Medicare Advantage |
$748.18
|
Rate for Payer: Priority Health Choice Medicaid |
$478.61
|
Rate for Payer: Priority Health Cigna Priority Health |
$2,099.30
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,038.15
|
Rate for Payer: Priority Health Medicare |
$748.18
|
Rate for Payer: Priority Health Narrow Network |
$1,038.15
|
Rate for Payer: UHC Medicare Advantage |
$770.63
|
|
PR THORACOTOMY W/CARDIAC MASSAGE
|
Professional
|
Both
|
$3,462.00
|
|
Service Code
|
HCPCS 32160
|
Min. Negotiated Rate |
$505.45 |
Max. Negotiated Rate |
$2,423.40 |
Rate for Payer: Aetna Commercial |
$1,051.50
|
Rate for Payer: Aetna Medicare |
$784.70
|
Rate for Payer: BCBS Complete |
$530.72
|
Rate for Payer: BCBS MAPPO |
$784.70
|
Rate for Payer: BCBS Trust/PPO |
$1,370.94
|
Rate for Payer: BCN Commercial |
$1,152.79
|
Rate for Payer: BCN Medicare Advantage |
$784.70
|
Rate for Payer: Cash Price |
$2,769.60
|
Rate for Payer: Cash Price |
$2,769.60
|
Rate for Payer: Cofinity Commercial |
$1,129.97
|
Rate for Payer: Cofinity Commercial |
$1,051.50
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$784.70
|
Rate for Payer: Healthscope Commercial |
$941.64
|
Rate for Payer: Healthscope Whirlpool |
$941.64
|
Rate for Payer: Meridian Medicaid |
$530.72
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$823.94
|
Rate for Payer: PACE SWMI |
$784.70
|
Rate for Payer: PHP Medicare Advantage |
$784.70
|
Rate for Payer: Priority Health Choice Medicaid |
$505.45
|
Rate for Payer: Priority Health Cigna Priority Health |
$2,423.40
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,092.32
|
Rate for Payer: Priority Health Medicare |
$784.70
|
Rate for Payer: Priority Health Narrow Network |
$1,092.32
|
Rate for Payer: UHC Medicare Advantage |
$808.24
|
|
PR THORACOTOMY W/DX WEDGE RESEXN & ANTOM LUNG RESE
|
Professional
|
Both
|
$686.00
|
|
Service Code
|
HCPCS 32507
|
Min. Negotiated Rate |
$97.34 |
Max. Negotiated Rate |
$959.39 |
Rate for Payer: Aetna Commercial |
$206.98
|
Rate for Payer: Aetna Medicare |
$154.46
|
Rate for Payer: BCBS Complete |
$102.21
|
Rate for Payer: BCBS MAPPO |
$154.46
|
Rate for Payer: BCBS Trust/PPO |
$959.39
|
Rate for Payer: BCN Commercial |
$223.81
|
Rate for Payer: BCN Medicare Advantage |
$154.46
|
Rate for Payer: Cash Price |
$548.80
|
Rate for Payer: Cash Price |
$548.80
|
Rate for Payer: Cofinity Commercial |
$222.42
|
Rate for Payer: Cofinity Commercial |
$206.98
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$154.46
|
Rate for Payer: Healthscope Commercial |
$185.35
|
Rate for Payer: Healthscope Whirlpool |
$185.35
|
Rate for Payer: Meridian Medicaid |
$102.21
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$162.18
|
Rate for Payer: PACE SWMI |
$154.46
|
Rate for Payer: PHP Medicare Advantage |
$154.46
|
Rate for Payer: Priority Health Choice Medicaid |
$97.34
|
Rate for Payer: Priority Health Cigna Priority Health |
$480.20
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$212.07
|
Rate for Payer: Priority Health Medicare |
$154.46
|
Rate for Payer: Priority Health Narrow Network |
$212.07
|
Rate for Payer: UHC Medicare Advantage |
$159.09
|
|
PR THORACOTOMY WITH EXPLORATION
|
Professional
|
Both
|
$2,769.00
|
|
Service Code
|
HCPCS 32100
|
Min. Negotiated Rate |
$512.69 |
Max. Negotiated Rate |
$1,938.30 |
Rate for Payer: Aetna Commercial |
$1,066.72
|
Rate for Payer: Aetna Medicare |
$796.06
|
Rate for Payer: BCBS Complete |
$538.32
|
Rate for Payer: BCBS MAPPO |
$796.06
|
Rate for Payer: BCBS Trust/PPO |
$957.28
|
Rate for Payer: BCN Commercial |
$1,165.98
|
Rate for Payer: BCN Medicare Advantage |
$796.06
|
Rate for Payer: Cash Price |
$2,215.20
|
Rate for Payer: Cash Price |
$2,215.20
|
Rate for Payer: Cofinity Commercial |
$1,146.33
|
Rate for Payer: Cofinity Commercial |
$1,066.72
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$796.06
|
Rate for Payer: Healthscope Commercial |
$955.27
|
Rate for Payer: Healthscope Whirlpool |
$955.27
|
Rate for Payer: Meridian Medicaid |
$538.32
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$835.86
|
Rate for Payer: PACE SWMI |
$796.06
|
Rate for Payer: PHP Medicare Advantage |
$796.06
|
Rate for Payer: Priority Health Choice Medicaid |
$512.69
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,938.30
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,104.83
|
Rate for Payer: Priority Health Medicare |
$796.06
|
Rate for Payer: Priority Health Narrow Network |
$1,104.83
|
Rate for Payer: UHC Medicare Advantage |
$819.94
|
|
PR THORACOTOMY W/RESECTION BULLAE
|
Professional
|
Both
|
$2,799.00
|
|
Service Code
|
HCPCS 32141
|
Min. Negotiated Rate |
$672.00 |
Max. Negotiated Rate |
$2,189.27 |
Rate for Payer: Aetna Commercial |
$2,011.21
|
Rate for Payer: Aetna Medicare |
$1,500.90
|
Rate for Payer: BCBS Complete |
$1,004.64
|
Rate for Payer: BCBS MAPPO |
$1,500.90
|
Rate for Payer: BCBS Trust/PPO |
$672.00
|
Rate for Payer: BCN Commercial |
$2,189.27
|
Rate for Payer: BCN Medicare Advantage |
$1,500.90
|
Rate for Payer: Cash Price |
$2,239.20
|
Rate for Payer: Cash Price |
$2,239.20
|
Rate for Payer: Cofinity Commercial |
$2,011.21
|
Rate for Payer: Cofinity Commercial |
$2,161.30
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,500.90
|
Rate for Payer: Healthscope Commercial |
$1,801.08
|
Rate for Payer: Healthscope Whirlpool |
$1,801.08
|
Rate for Payer: Meridian Medicaid |
$1,004.64
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,575.94
|
Rate for Payer: PACE SWMI |
$1,500.90
|
Rate for Payer: PHP Medicare Advantage |
$1,500.90
|
Rate for Payer: Priority Health Choice Medicaid |
$956.80
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,959.30
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,074.45
|
Rate for Payer: Priority Health Medicare |
$1,500.90
|
Rate for Payer: Priority Health Narrow Network |
$2,074.45
|
Rate for Payer: UHC Medicare Advantage |
$1,545.93
|
|