|
PR THORACOTOMY W/THERAPEUTIC WEDGE RESEXN INITIAL
|
Professional
|
Both
|
$2,368.00
|
|
|
Service Code
|
HCPCS 32505
|
| Min. Negotiated Rate |
$588.09 |
| Max. Negotiated Rate |
$1,657.60 |
| Rate for Payer: Aetna Commercial |
$1,227.96
|
| Rate for Payer: Aetna Medicare |
$916.39
|
| Rate for Payer: BCBS Complete |
$617.49
|
| Rate for Payer: BCBS MAPPO |
$916.39
|
| Rate for Payer: BCBS Trust/PPO |
$1,180.22
|
| Rate for Payer: BCN Commercial |
$1,342.40
|
| Rate for Payer: BCN Medicare Advantage |
$916.39
|
| Rate for Payer: Cash Price |
$1,894.40
|
| Rate for Payer: Cash Price |
$1,894.40
|
| Rate for Payer: Cofinity Commercial |
$1,227.96
|
| Rate for Payer: Cofinity Commercial |
$1,319.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$916.39
|
| Rate for Payer: Healthscope Commercial |
$1,099.67
|
| Rate for Payer: Healthscope Whirlpool |
$1,099.67
|
| Rate for Payer: Meridian Medicaid |
$617.49
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$962.21
|
| Rate for Payer: PACE SWMI |
$916.39
|
| Rate for Payer: PHP Medicare Advantage |
$916.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$588.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,657.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,271.98
|
| Rate for Payer: Priority Health Medicare |
$916.39
|
| Rate for Payer: Priority Health Narrow Network |
$1,271.98
|
| Rate for Payer: UHC Medicare Advantage |
$943.88
|
|
|
PR THORACOTOMY W/THERAP WEDGE RESEXN ADDL IPSILATRL
|
Professional
|
Both
|
$345.00
|
|
|
Service Code
|
HCPCS 32506
|
| Min. Negotiated Rate |
$97.55 |
| Max. Negotiated Rate |
$1,673.13 |
| Rate for Payer: Aetna Commercial |
$206.98
|
| Rate for Payer: Aetna Medicare |
$154.46
|
| Rate for Payer: BCBS Complete |
$102.43
|
| Rate for Payer: BCBS MAPPO |
$154.46
|
| Rate for Payer: BCBS Trust/PPO |
$1,673.13
|
| Rate for Payer: BCN Commercial |
$223.81
|
| Rate for Payer: BCN Medicare Advantage |
$154.46
|
| Rate for Payer: Cash Price |
$276.00
|
| Rate for Payer: Cash Price |
$276.00
|
| 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 |
$102.43
|
| 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 |
$97.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$241.50
|
| 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 THORACTOMY W/DX BX LUNG INFILTRATE UNILATERAL
|
Professional
|
Both
|
$3,191.00
|
|
|
Service Code
|
HCPCS 32096
|
| Min. Negotiated Rate |
$505.24 |
| Max. Negotiated Rate |
$2,233.70 |
| Rate for Payer: Aetna Commercial |
$1,054.46
|
| Rate for Payer: Aetna Medicare |
$786.91
|
| Rate for Payer: BCBS Complete |
$530.50
|
| Rate for Payer: BCBS MAPPO |
$786.91
|
| Rate for Payer: BCBS Trust/PPO |
$1,034.94
|
| Rate for Payer: BCN Commercial |
$1,151.32
|
| Rate for Payer: BCN Medicare Advantage |
$786.91
|
| Rate for Payer: Cash Price |
$2,552.80
|
| Rate for Payer: Cash Price |
$2,552.80
|
| Rate for Payer: Cofinity Commercial |
$1,054.46
|
| Rate for Payer: Cofinity Commercial |
$1,133.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$786.91
|
| Rate for Payer: Healthscope Commercial |
$944.29
|
| Rate for Payer: Healthscope Whirlpool |
$944.29
|
| Rate for Payer: Meridian Medicaid |
$530.50
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$826.26
|
| Rate for Payer: PACE SWMI |
$786.91
|
| Rate for Payer: PHP Medicare Advantage |
$786.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$505.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,233.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,090.93
|
| Rate for Payer: Priority Health Medicare |
$786.91
|
| Rate for Payer: Priority Health Narrow Network |
$1,090.93
|
| Rate for Payer: UHC Medicare Advantage |
$810.52
|
|
|
PR THORACTOMY W/DX BX LUNG NODULE/MASS UNILATERAL
|
Professional
|
Both
|
$3,191.00
|
|
|
Service Code
|
HCPCS 32097
|
| Min. Negotiated Rate |
$506.09 |
| Max. Negotiated Rate |
$2,233.70 |
| Rate for Payer: Aetna Commercial |
$1,056.87
|
| Rate for Payer: Aetna Medicare |
$788.71
|
| Rate for Payer: BCBS Complete |
$531.39
|
| Rate for Payer: BCBS MAPPO |
$788.71
|
| Rate for Payer: BCBS Trust/PPO |
$1,140.07
|
| Rate for Payer: BCN Commercial |
$1,154.25
|
| Rate for Payer: BCN Medicare Advantage |
$788.71
|
| Rate for Payer: Cash Price |
$2,552.80
|
| Rate for Payer: Cash Price |
$2,552.80
|
| Rate for Payer: Cofinity Commercial |
$1,135.74
|
| Rate for Payer: Cofinity Commercial |
$1,056.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$788.71
|
| Rate for Payer: Healthscope Commercial |
$946.45
|
| Rate for Payer: Healthscope Whirlpool |
$946.45
|
| Rate for Payer: Meridian Medicaid |
$531.39
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$828.15
|
| Rate for Payer: PACE SWMI |
$788.71
|
| Rate for Payer: PHP Medicare Advantage |
$788.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$506.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,233.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,093.72
|
| Rate for Payer: Priority Health Medicare |
$788.71
|
| Rate for Payer: Priority Health Narrow Network |
$1,093.72
|
| Rate for Payer: UHC Medicare Advantage |
$812.37
|
|
|
PR THORCOM CTRL TRAUMTC HEMRRG&/RPR LNG TEAR
|
Professional
|
Both
|
$3,252.00
|
|
|
Service Code
|
HCPCS 32110
|
| Min. Negotiated Rate |
$933.15 |
| Max. Negotiated Rate |
$2,276.40 |
| Rate for Payer: Aetna Commercial |
$1,943.60
|
| Rate for Payer: Aetna Medicare |
$1,450.45
|
| Rate for Payer: BCBS Complete |
$979.81
|
| Rate for Payer: BCBS MAPPO |
$1,450.45
|
| Rate for Payer: BCBS Trust/PPO |
$1,281.66
|
| Rate for Payer: BCN Commercial |
$2,122.82
|
| Rate for Payer: BCN Medicare Advantage |
$1,450.45
|
| Rate for Payer: Cash Price |
$2,601.60
|
| Rate for Payer: Cash Price |
$2,601.60
|
| Rate for Payer: Cofinity Commercial |
$1,943.60
|
| Rate for Payer: Cofinity Commercial |
$2,088.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,450.45
|
| Rate for Payer: Healthscope Commercial |
$1,740.54
|
| Rate for Payer: Healthscope Whirlpool |
$1,740.54
|
| Rate for Payer: Meridian Medicaid |
$979.81
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,522.97
|
| Rate for Payer: PACE SWMI |
$1,450.45
|
| Rate for Payer: PHP Medicare Advantage |
$1,450.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$933.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,276.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,011.47
|
| Rate for Payer: Priority Health Medicare |
$1,450.45
|
| Rate for Payer: Priority Health Narrow Network |
$2,011.47
|
| Rate for Payer: UHC Medicare Advantage |
$1,493.96
|
|
|
PR THORCOM THRC W/MEDSTNL & REGIONAL LMPHADEC
|
Professional
|
Both
|
$1,489.00
|
|
|
Service Code
|
HCPCS 38746
|
| Min. Negotiated Rate |
$133.98 |
| Max. Negotiated Rate |
$1,042.30 |
| Rate for Payer: Aetna Commercial |
$282.87
|
| Rate for Payer: Aetna Medicare |
$211.10
|
| Rate for Payer: BCBS Complete |
$140.68
|
| Rate for Payer: BCBS MAPPO |
$211.10
|
| Rate for Payer: BCBS Trust/PPO |
$572.68
|
| Rate for Payer: BCN Commercial |
$305.92
|
| Rate for Payer: BCN Medicare Advantage |
$211.10
|
| Rate for Payer: Cash Price |
$1,191.20
|
| Rate for Payer: Cash Price |
$1,191.20
|
| Rate for Payer: Cofinity Commercial |
$303.98
|
| Rate for Payer: Cofinity Commercial |
$282.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$211.10
|
| Rate for Payer: Healthscope Commercial |
$253.32
|
| Rate for Payer: Healthscope Whirlpool |
$253.32
|
| Rate for Payer: Meridian Medicaid |
$140.68
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$221.66
|
| Rate for Payer: PACE SWMI |
$211.10
|
| Rate for Payer: PHP Medicare Advantage |
$211.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$133.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,042.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$453.43
|
| Rate for Payer: Priority Health Medicare |
$211.10
|
| Rate for Payer: Priority Health Narrow Network |
$453.43
|
| Rate for Payer: UHC Medicare Advantage |
$217.43
|
|
|
PR THORCOM W/REMOVAL OF CYST
|
Professional
|
Both
|
$2,310.00
|
|
|
Service Code
|
HCPCS 32140
|
| Min. Negotiated Rate |
$626.43 |
| Max. Negotiated Rate |
$1,617.00 |
| Rate for Payer: Aetna Commercial |
$1,305.64
|
| Rate for Payer: Aetna Medicare |
$974.36
|
| Rate for Payer: BCBS Complete |
$657.75
|
| Rate for Payer: BCBS MAPPO |
$974.36
|
| Rate for Payer: BCBS Trust/PPO |
$890.19
|
| Rate for Payer: BCN Commercial |
$1,427.42
|
| Rate for Payer: BCN Medicare Advantage |
$974.36
|
| Rate for Payer: Cash Price |
$1,848.00
|
| Rate for Payer: Cash Price |
$1,848.00
|
| Rate for Payer: Cofinity Commercial |
$1,403.08
|
| Rate for Payer: Cofinity Commercial |
$1,305.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$974.36
|
| Rate for Payer: Healthscope Commercial |
$1,169.23
|
| Rate for Payer: Healthscope Whirlpool |
$1,169.23
|
| Rate for Payer: Meridian Medicaid |
$657.75
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,023.08
|
| Rate for Payer: PACE SWMI |
$974.36
|
| Rate for Payer: PHP Medicare Advantage |
$974.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$626.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,617.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,352.56
|
| Rate for Payer: Priority Health Medicare |
$974.36
|
| Rate for Payer: Priority Health Narrow Network |
$1,352.56
|
| Rate for Payer: UHC Medicare Advantage |
$1,003.59
|
|
|
PR THORCOM W/RMVL INTRAPLEURAL FB/FIBRIN DEP
|
Professional
|
Both
|
$2,580.00
|
|
|
Service Code
|
HCPCS 32150
|
| Min. Negotiated Rate |
$643.69 |
| Max. Negotiated Rate |
$1,806.00 |
| Rate for Payer: Aetna Commercial |
$1,332.88
|
| Rate for Payer: Aetna Medicare |
$994.69
|
| Rate for Payer: BCBS Complete |
$675.87
|
| Rate for Payer: BCBS MAPPO |
$994.69
|
| Rate for Payer: BCBS Trust/PPO |
$786.11
|
| Rate for Payer: BCN Commercial |
$1,459.19
|
| Rate for Payer: BCN Medicare Advantage |
$994.69
|
| Rate for Payer: Cash Price |
$2,064.00
|
| Rate for Payer: Cash Price |
$2,064.00
|
| Rate for Payer: Cofinity Commercial |
$1,332.88
|
| Rate for Payer: Cofinity Commercial |
$1,432.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$994.69
|
| Rate for Payer: Healthscope Commercial |
$1,193.63
|
| Rate for Payer: Healthscope Whirlpool |
$1,193.63
|
| Rate for Payer: Meridian Medicaid |
$675.87
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,044.42
|
| Rate for Payer: PACE SWMI |
$994.69
|
| Rate for Payer: PHP Medicare Advantage |
$994.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$643.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,806.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,382.65
|
| Rate for Payer: Priority Health Medicare |
$994.69
|
| Rate for Payer: Priority Health Narrow Network |
$1,382.65
|
| Rate for Payer: UHC Medicare Advantage |
$1,024.53
|
|
|
PR THORCOM W/RMVL IPUL FB
|
Professional
|
Both
|
$2,425.00
|
|
|
Service Code
|
HCPCS 32151
|
| Min. Negotiated Rate |
$635.59 |
| Max. Negotiated Rate |
$1,697.50 |
| Rate for Payer: Aetna Commercial |
$1,325.09
|
| Rate for Payer: Aetna Medicare |
$988.87
|
| Rate for Payer: BCBS Complete |
$667.37
|
| Rate for Payer: BCBS MAPPO |
$988.87
|
| Rate for Payer: BCBS Trust/PPO |
$882.26
|
| Rate for Payer: BCN Commercial |
$1,448.44
|
| Rate for Payer: BCN Medicare Advantage |
$988.87
|
| Rate for Payer: Cash Price |
$1,940.00
|
| Rate for Payer: Cash Price |
$1,940.00
|
| Rate for Payer: Cofinity Commercial |
$1,423.97
|
| Rate for Payer: Cofinity Commercial |
$1,325.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$988.87
|
| Rate for Payer: Healthscope Commercial |
$1,186.64
|
| Rate for Payer: Healthscope Whirlpool |
$1,186.64
|
| Rate for Payer: Meridian Medicaid |
$667.37
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,038.31
|
| Rate for Payer: PACE SWMI |
$988.87
|
| Rate for Payer: PHP Medicare Advantage |
$988.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$635.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,697.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,372.47
|
| Rate for Payer: Priority Health Medicare |
$988.87
|
| Rate for Payer: Priority Health Narrow Network |
$1,372.47
|
| Rate for Payer: UHC Medicare Advantage |
$1,018.54
|
|
|
PR THORCOSCPY W/MEDIASTINL & REGIONL LYMPHDENECTOMY
|
Professional
|
Both
|
$851.00
|
|
|
Service Code
|
HCPCS 32674
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$1,006.41 |
| Rate for Payer: Aetna Commercial |
$283.37
|
| Rate for Payer: Aetna Medicare |
$211.47
|
| Rate for Payer: BCBS Complete |
$141.12
|
| Rate for Payer: BCBS MAPPO |
$211.47
|
| Rate for Payer: BCBS Trust/PPO |
$1,006.41
|
| Rate for Payer: BCN Commercial |
$306.40
|
| Rate for Payer: BCN Medicare Advantage |
$211.47
|
| Rate for Payer: Cash Price |
$680.80
|
| Rate for Payer: Cash Price |
$680.80
|
| Rate for Payer: Cofinity Commercial |
$304.52
|
| Rate for Payer: Cofinity Commercial |
$283.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$211.47
|
| Rate for Payer: Healthscope Commercial |
$253.76
|
| Rate for Payer: Healthscope Whirlpool |
$253.76
|
| Rate for Payer: Meridian Medicaid |
$141.12
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$222.04
|
| Rate for Payer: PACE SWMI |
$211.47
|
| Rate for Payer: PHP Medicare Advantage |
$211.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$134.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$595.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$290.33
|
| Rate for Payer: Priority Health Medicare |
$211.47
|
| Rate for Payer: Priority Health Narrow Network |
$290.33
|
| Rate for Payer: UHC Medicare Advantage |
$217.81
|
|
|
PR THORSC DX LUNGS/PERICAR/MED/PLEURAL SPACE W/O BX
|
Professional
|
Both
|
$1,039.00
|
|
|
Service Code
|
HCPCS 32601
|
| Min. Negotiated Rate |
$193.62 |
| Max. Negotiated Rate |
$967.85 |
| Rate for Payer: Aetna Commercial |
$405.86
|
| Rate for Payer: Aetna Medicare |
$302.88
|
| Rate for Payer: BCBS Complete |
$203.30
|
| Rate for Payer: BCBS MAPPO |
$302.88
|
| Rate for Payer: BCBS Trust/PPO |
$967.85
|
| Rate for Payer: BCN Commercial |
$441.76
|
| Rate for Payer: BCN Medicare Advantage |
$302.88
|
| Rate for Payer: Cash Price |
$831.20
|
| Rate for Payer: Cash Price |
$831.20
|
| Rate for Payer: Cofinity Commercial |
$436.15
|
| Rate for Payer: Cofinity Commercial |
$405.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$302.88
|
| Rate for Payer: Healthscope Commercial |
$363.46
|
| Rate for Payer: Healthscope Whirlpool |
$363.46
|
| Rate for Payer: Meridian Medicaid |
$203.30
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$318.02
|
| Rate for Payer: PACE SWMI |
$302.88
|
| Rate for Payer: PHP Medicare Advantage |
$302.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$193.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$727.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$418.59
|
| Rate for Payer: Priority Health Medicare |
$302.88
|
| Rate for Payer: Priority Health Narrow Network |
$418.59
|
| Rate for Payer: UHC Medicare Advantage |
$311.97
|
|
|
PR THREE AREA LIPOSUCTION - 3 AREA 3.0 HR
|
Professional
|
Both
|
$3,100.00
|
|
|
Service Code
|
HCPCS 00529
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$1,240.00 |
| Max. Negotiated Rate |
$2,170.00 |
| Rate for Payer: BCBS Complete |
$1,240.00
|
| Rate for Payer: Cash Price |
$2,480.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,170.00
|
|
|
PR THRMBC ARTL/VEN GRF OTH/THN HEMO GRF/FSTL
|
Professional
|
Both
|
$1,979.00
|
|
|
Service Code
|
HCPCS 35875
|
| Min. Negotiated Rate |
$369.98 |
| Max. Negotiated Rate |
$2,216.75 |
| Rate for Payer: Aetna Commercial |
$779.48
|
| Rate for Payer: Aetna Medicare |
$581.70
|
| Rate for Payer: BCBS Complete |
$388.48
|
| Rate for Payer: BCBS MAPPO |
$581.70
|
| Rate for Payer: BCBS Trust/PPO |
$2,216.75
|
| Rate for Payer: BCN Commercial |
$846.87
|
| Rate for Payer: BCN Medicare Advantage |
$581.70
|
| Rate for Payer: Cash Price |
$1,583.20
|
| Rate for Payer: Cash Price |
$1,583.20
|
| Rate for Payer: Cofinity Commercial |
$837.65
|
| Rate for Payer: Cofinity Commercial |
$779.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$581.70
|
| Rate for Payer: Healthscope Commercial |
$698.04
|
| Rate for Payer: Healthscope Whirlpool |
$698.04
|
| Rate for Payer: Meridian Medicaid |
$388.48
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$610.78
|
| Rate for Payer: PACE SWMI |
$581.70
|
| Rate for Payer: PHP Medicare Advantage |
$581.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$369.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,385.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$921.89
|
| Rate for Payer: Priority Health Medicare |
$581.70
|
| Rate for Payer: Priority Health Narrow Network |
$921.89
|
| Rate for Payer: UHC Medicare Advantage |
$599.15
|
|
|
PR THRMBC ARTL/VEN GRF XCP HEMO GRF/FSTL W/REVJ GRF
|
Professional
|
Both
|
$2,762.00
|
|
|
Service Code
|
HCPCS 35876
|
| Min. Negotiated Rate |
$588.09 |
| Max. Negotiated Rate |
$3,041.71 |
| Rate for Payer: Aetna Commercial |
$1,242.29
|
| Rate for Payer: Aetna Medicare |
$927.08
|
| Rate for Payer: BCBS Complete |
$617.49
|
| Rate for Payer: BCBS MAPPO |
$927.08
|
| Rate for Payer: BCBS Trust/PPO |
$3,041.71
|
| Rate for Payer: BCN Commercial |
$1,344.84
|
| Rate for Payer: BCN Medicare Advantage |
$927.08
|
| Rate for Payer: Cash Price |
$2,209.60
|
| Rate for Payer: Cash Price |
$2,209.60
|
| Rate for Payer: Cofinity Commercial |
$1,242.29
|
| Rate for Payer: Cofinity Commercial |
$1,335.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$927.08
|
| Rate for Payer: Healthscope Commercial |
$1,112.50
|
| Rate for Payer: Healthscope Whirlpool |
$1,112.50
|
| Rate for Payer: Meridian Medicaid |
$617.49
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$973.43
|
| Rate for Payer: PACE SWMI |
$927.08
|
| Rate for Payer: PHP Medicare Advantage |
$927.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$588.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,933.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,463.95
|
| Rate for Payer: Priority Health Medicare |
$927.08
|
| Rate for Payer: Priority Health Narrow Network |
$1,463.95
|
| Rate for Payer: UHC Medicare Advantage |
$954.89
|
|
|
PR THRMBC DIR/W/CATH AXILL&SUBCLAVIAN VEIN ARM IN
|
Professional
|
Both
|
$1,260.00
|
|
|
Service Code
|
HCPCS 34490
|
| Min. Negotiated Rate |
$360.40 |
| Max. Negotiated Rate |
$2,309.73 |
| Rate for Payer: Aetna Commercial |
$854.63
|
| Rate for Payer: Aetna Medicare |
$637.78
|
| Rate for Payer: BCBS Complete |
$378.42
|
| Rate for Payer: BCBS MAPPO |
$637.78
|
| Rate for Payer: BCBS Trust/PPO |
$2,309.73
|
| Rate for Payer: BCN Commercial |
$933.86
|
| Rate for Payer: BCN Medicare Advantage |
$637.78
|
| Rate for Payer: Cash Price |
$1,008.00
|
| Rate for Payer: Cash Price |
$1,008.00
|
| Rate for Payer: Cofinity Commercial |
$854.63
|
| Rate for Payer: Cofinity Commercial |
$918.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$637.78
|
| Rate for Payer: Healthscope Commercial |
$765.34
|
| Rate for Payer: Healthscope Whirlpool |
$765.34
|
| Rate for Payer: Meridian Medicaid |
$378.42
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$669.67
|
| Rate for Payer: PACE SWMI |
$637.78
|
| Rate for Payer: PHP Medicare Advantage |
$637.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$360.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$882.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,016.56
|
| Rate for Payer: Priority Health Medicare |
$637.78
|
| Rate for Payer: Priority Health Narrow Network |
$1,016.56
|
| Rate for Payer: UHC Medicare Advantage |
$656.91
|
|
|
PR THRMBC OPN ARVEN FSTL W/O REVJ DIAL GRF
|
Professional
|
Both
|
$2,074.00
|
|
|
Service Code
|
HCPCS 36831
|
| Min. Negotiated Rate |
$386.38 |
| Max. Negotiated Rate |
$1,521.50 |
| Rate for Payer: Aetna Commercial |
$811.14
|
| Rate for Payer: Aetna Medicare |
$605.33
|
| Rate for Payer: BCBS Complete |
$405.70
|
| Rate for Payer: BCBS MAPPO |
$605.33
|
| Rate for Payer: BCBS Trust/PPO |
$1,521.50
|
| Rate for Payer: BCN Commercial |
$882.06
|
| Rate for Payer: BCN Medicare Advantage |
$605.33
|
| Rate for Payer: Cash Price |
$1,659.20
|
| Rate for Payer: Cash Price |
$1,659.20
|
| Rate for Payer: Cofinity Commercial |
$871.68
|
| Rate for Payer: Cofinity Commercial |
$811.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$605.33
|
| Rate for Payer: Healthscope Commercial |
$726.40
|
| Rate for Payer: Healthscope Whirlpool |
$726.40
|
| Rate for Payer: Meridian Medicaid |
$405.70
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$635.60
|
| Rate for Payer: PACE SWMI |
$605.33
|
| Rate for Payer: PHP Medicare Advantage |
$605.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$386.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,451.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$960.18
|
| Rate for Payer: Priority Health Medicare |
$605.33
|
| Rate for Payer: Priority Health Narrow Network |
$960.18
|
| Rate for Payer: UHC Medicare Advantage |
$623.49
|
|
|
PR THROMBECTOMY,ARTERIOVENOUS FISTULA
|
Professional
|
Both
|
$1,873.00
|
|
|
Service Code
|
HCPCS 36870
|
| Min. Negotiated Rate |
$749.20 |
| Max. Negotiated Rate |
$1,311.10 |
| Rate for Payer: BCBS Complete |
$749.20
|
| Rate for Payer: Cash Price |
$1,498.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,311.10
|
|
|
PR THROMBOLYSIS ARTERIAL INFUSION ICRA RS&I INIT TX
|
Professional
|
Both
|
$610.00
|
|
|
Service Code
|
HCPCS 37211
|
| Min. Negotiated Rate |
$240.26 |
| Max. Negotiated Rate |
$1,423.24 |
| Rate for Payer: Aetna Commercial |
$506.71
|
| Rate for Payer: Aetna Medicare |
$378.14
|
| Rate for Payer: BCBS Complete |
$252.27
|
| Rate for Payer: BCBS MAPPO |
$378.14
|
| Rate for Payer: BCBS Trust/PPO |
$1,423.24
|
| Rate for Payer: BCN Commercial |
$549.27
|
| Rate for Payer: BCN Medicare Advantage |
$378.14
|
| Rate for Payer: Cash Price |
$488.00
|
| Rate for Payer: Cash Price |
$488.00
|
| Rate for Payer: Cofinity Commercial |
$544.52
|
| Rate for Payer: Cofinity Commercial |
$506.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$378.14
|
| Rate for Payer: Healthscope Commercial |
$453.77
|
| Rate for Payer: Healthscope Whirlpool |
$453.77
|
| Rate for Payer: Meridian Medicaid |
$252.27
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$397.05
|
| Rate for Payer: PACE SWMI |
$378.14
|
| Rate for Payer: PHP Medicare Advantage |
$378.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$240.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$427.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$597.92
|
| Rate for Payer: Priority Health Medicare |
$378.14
|
| Rate for Payer: Priority Health Narrow Network |
$597.92
|
| Rate for Payer: UHC Medicare Advantage |
$389.48
|
|
|
PR THROMBOLYSIS ART/VENOUS INFSN W/IMAGE SUBSQ TX
|
Professional
|
Both
|
$1,070.00
|
|
|
Service Code
|
HCPCS 37213
|
| Min. Negotiated Rate |
$143.14 |
| Max. Negotiated Rate |
$749.00 |
| Rate for Payer: Aetna Commercial |
$303.11
|
| Rate for Payer: Aetna Medicare |
$226.20
|
| Rate for Payer: BCBS Complete |
$150.30
|
| Rate for Payer: BCBS MAPPO |
$226.20
|
| Rate for Payer: BCBS Trust/PPO |
$399.45
|
| Rate for Payer: BCN Commercial |
$328.39
|
| Rate for Payer: BCN Medicare Advantage |
$226.20
|
| Rate for Payer: Cash Price |
$856.00
|
| Rate for Payer: Cash Price |
$856.00
|
| Rate for Payer: Cofinity Commercial |
$325.73
|
| Rate for Payer: Cofinity Commercial |
$303.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$226.20
|
| Rate for Payer: Healthscope Commercial |
$271.44
|
| Rate for Payer: Healthscope Whirlpool |
$271.44
|
| Rate for Payer: Meridian Medicaid |
$150.30
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$237.51
|
| Rate for Payer: PACE SWMI |
$226.20
|
| Rate for Payer: PHP Medicare Advantage |
$226.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$143.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$749.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$357.47
|
| Rate for Payer: Priority Health Medicare |
$226.20
|
| Rate for Payer: Priority Health Narrow Network |
$357.47
|
| Rate for Payer: UHC Medicare Advantage |
$232.99
|
|
|
PR THROMBOLYSIS CEREBRAL IV INFUSION
|
Professional
|
Both
|
$1,381.00
|
|
|
Service Code
|
HCPCS 37195
|
| Min. Negotiated Rate |
$241.57 |
| Max. Negotiated Rate |
$1,330.43 |
| Rate for Payer: Aetna Commercial |
$1,244.65
|
| Rate for Payer: BCBS Complete |
$253.65
|
| Rate for Payer: BCBS Trust/PPO |
$789.81
|
| Rate for Payer: BCN Commercial |
$307.67
|
| Rate for Payer: Cash Price |
$1,104.80
|
| Rate for Payer: Cash Price |
$1,104.80
|
| Rate for Payer: Meridian Medicaid |
$253.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$241.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$966.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,330.43
|
| Rate for Payer: Priority Health Narrow Network |
$1,330.43
|
|
|
PR THROMBOLYSIS CORONARY INTRAVENOUS INFUSION
|
Professional
|
Both
|
$625.00
|
|
|
Service Code
|
HCPCS 92977
|
| Min. Negotiated Rate |
$49.45 |
| Max. Negotiated Rate |
$437.50 |
| Rate for Payer: Aetna Commercial |
$66.26
|
| Rate for Payer: Aetna Medicare |
$49.45
|
| Rate for Payer: BCBS Complete |
$250.00
|
| Rate for Payer: BCBS MAPPO |
$49.45
|
| Rate for Payer: BCBS Trust/PPO |
$294.26
|
| Rate for Payer: BCN Commercial |
$77.21
|
| Rate for Payer: BCN Medicare Advantage |
$49.45
|
| Rate for Payer: Cash Price |
$500.00
|
| Rate for Payer: Cash Price |
$500.00
|
| Rate for Payer: Cofinity Commercial |
$71.21
|
| Rate for Payer: Cofinity Commercial |
$66.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$49.45
|
| Rate for Payer: Healthscope Commercial |
$59.34
|
| Rate for Payer: Healthscope Whirlpool |
$59.34
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$51.92
|
| Rate for Payer: PACE SWMI |
$49.45
|
| Rate for Payer: PHP Medicare Advantage |
$49.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$437.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$74.71
|
| Rate for Payer: Priority Health Medicare |
$49.45
|
| Rate for Payer: Priority Health Narrow Network |
$74.71
|
| Rate for Payer: UHC Medicare Advantage |
$50.93
|
|
|
PR THROMBOLYSIS INTRACORONARY NFS SLCTV ANGRPH
|
Professional
|
Both
|
$777.00
|
|
|
Service Code
|
HCPCS 92975
|
| Min. Negotiated Rate |
$233.87 |
| Max. Negotiated Rate |
$543.90 |
| Rate for Payer: Aetna Commercial |
$492.99
|
| Rate for Payer: Aetna Medicare |
$367.90
|
| Rate for Payer: BCBS Complete |
$245.56
|
| Rate for Payer: BCBS MAPPO |
$367.90
|
| Rate for Payer: BCBS Trust/PPO |
$392.00
|
| Rate for Payer: BCN Commercial |
$535.10
|
| Rate for Payer: BCN Medicare Advantage |
$367.90
|
| Rate for Payer: Cash Price |
$621.60
|
| Rate for Payer: Cash Price |
$621.60
|
| Rate for Payer: Cofinity Commercial |
$492.99
|
| Rate for Payer: Cofinity Commercial |
$529.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$367.90
|
| Rate for Payer: Healthscope Commercial |
$441.48
|
| Rate for Payer: Healthscope Whirlpool |
$441.48
|
| Rate for Payer: Meridian Medicaid |
$245.56
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$386.30
|
| Rate for Payer: PACE SWMI |
$367.90
|
| Rate for Payer: PHP Medicare Advantage |
$367.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$233.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$543.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$517.78
|
| Rate for Payer: Priority Health Medicare |
$367.90
|
| Rate for Payer: Priority Health Narrow Network |
$517.78
|
| Rate for Payer: UHC Medicare Advantage |
$378.94
|
|
|
PR THROMBOLYSIS VENOUS INFUSION W/IMAGING INIT TX
|
Professional
|
Both
|
$1,579.00
|
|
|
Service Code
|
HCPCS 37212
|
| Min. Negotiated Rate |
$209.38 |
| Max. Negotiated Rate |
$1,739.86 |
| Rate for Payer: Aetna Commercial |
$442.63
|
| Rate for Payer: Aetna Medicare |
$330.32
|
| Rate for Payer: BCBS Complete |
$219.85
|
| Rate for Payer: BCBS MAPPO |
$330.32
|
| Rate for Payer: BCBS Trust/PPO |
$1,739.86
|
| Rate for Payer: BCN Commercial |
$480.37
|
| Rate for Payer: BCN Medicare Advantage |
$330.32
|
| Rate for Payer: Cash Price |
$1,263.20
|
| Rate for Payer: Cash Price |
$1,263.20
|
| Rate for Payer: Cofinity Commercial |
$475.66
|
| Rate for Payer: Cofinity Commercial |
$442.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$330.32
|
| Rate for Payer: Healthscope Commercial |
$396.38
|
| Rate for Payer: Healthscope Whirlpool |
$396.38
|
| Rate for Payer: Meridian Medicaid |
$219.85
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$346.84
|
| Rate for Payer: PACE SWMI |
$330.32
|
| Rate for Payer: PHP Medicare Advantage |
$330.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$209.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,105.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$522.91
|
| Rate for Payer: Priority Health Medicare |
$330.32
|
| Rate for Payer: Priority Health Narrow Network |
$522.91
|
| Rate for Payer: UHC Medicare Advantage |
$340.23
|
|
|
PR THRSC CRTJ PRCRD WINDOW/PRTL RESCJ PRCRD SAC
|
Professional
|
Both
|
$3,635.00
|
|
|
Service Code
|
HCPCS 32659
|
| Min. Negotiated Rate |
$465.19 |
| Max. Negotiated Rate |
$2,544.50 |
| Rate for Payer: Aetna Commercial |
$965.97
|
| Rate for Payer: Aetna Medicare |
$720.87
|
| Rate for Payer: BCBS Complete |
$488.45
|
| Rate for Payer: BCBS MAPPO |
$720.87
|
| Rate for Payer: BCBS Trust/PPO |
$1,271.62
|
| Rate for Payer: BCN Commercial |
$1,058.97
|
| Rate for Payer: BCN Medicare Advantage |
$720.87
|
| Rate for Payer: Cash Price |
$2,908.00
|
| Rate for Payer: Cash Price |
$2,908.00
|
| Rate for Payer: Cofinity Commercial |
$965.97
|
| Rate for Payer: Cofinity Commercial |
$1,038.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$720.87
|
| Rate for Payer: Healthscope Commercial |
$865.04
|
| Rate for Payer: Healthscope Whirlpool |
$865.04
|
| Rate for Payer: Meridian Medicaid |
$488.45
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$756.91
|
| Rate for Payer: PACE SWMI |
$720.87
|
| Rate for Payer: PHP Medicare Advantage |
$720.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$465.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,544.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,003.42
|
| Rate for Payer: Priority Health Medicare |
$720.87
|
| Rate for Payer: Priority Health Narrow Network |
$1,003.42
|
| Rate for Payer: UHC Medicare Advantage |
$742.50
|
|
|
PR THRSC TOT PULM DCRTCTJ INTRAPLEURAL PNEUMONOLSS
|
Professional
|
Both
|
$4,372.00
|
|
|
Service Code
|
HCPCS 32652
|
| Min. Negotiated Rate |
$1,005.88 |
| Max. Negotiated Rate |
$3,060.40 |
| Rate for Payer: Aetna Commercial |
$2,193.00
|
| Rate for Payer: Aetna Medicare |
$1,636.57
|
| Rate for Payer: BCBS Complete |
$1,098.79
|
| Rate for Payer: BCBS MAPPO |
$1,636.57
|
| Rate for Payer: BCBS Trust/PPO |
$1,005.88
|
| Rate for Payer: BCN Commercial |
$2,390.13
|
| Rate for Payer: BCN Medicare Advantage |
$1,636.57
|
| Rate for Payer: Cash Price |
$3,497.60
|
| Rate for Payer: Cash Price |
$3,497.60
|
| Rate for Payer: Cofinity Commercial |
$2,356.66
|
| Rate for Payer: Cofinity Commercial |
$2,193.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,636.57
|
| Rate for Payer: Healthscope Commercial |
$1,963.88
|
| Rate for Payer: Healthscope Whirlpool |
$1,963.88
|
| Rate for Payer: Meridian Medicaid |
$1,098.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,718.40
|
| Rate for Payer: PACE SWMI |
$1,636.57
|
| Rate for Payer: PHP Medicare Advantage |
$1,636.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,046.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,060.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,264.75
|
| Rate for Payer: Priority Health Medicare |
$1,636.57
|
| Rate for Payer: Priority Health Narrow Network |
$2,264.75
|
| Rate for Payer: UHC Medicare Advantage |
$1,685.67
|
|
