|
PR THORACOSCOPY DX PERICARDIAL SAC W/BIOPSY SPX
|
Professional
|
Both
|
$947.00
|
|
|
Service Code
|
HCPCS 32604
|
| Min. Negotiated Rate |
$284.36 |
| Max. Negotiated Rate |
$854.20 |
| Rate for Payer: Aetna Commercial |
$599.61
|
| Rate for Payer: Aetna Medicare |
$447.47
|
| Rate for Payer: BCBS Complete |
$298.58
|
| Rate for Payer: BCBS MAPPO |
$447.47
|
| Rate for Payer: BCN Commercial |
$704.64
|
| Rate for Payer: BCN Medicare Advantage |
$447.47
|
| Rate for Payer: Cash Price |
$757.60
|
| Rate for Payer: Cash Price |
$757.60
|
| Rate for Payer: Cofinity Commercial |
$644.36
|
| Rate for Payer: Cofinity Commercial |
$599.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$447.47
|
| Rate for Payer: Healthscope Commercial |
$536.96
|
| Rate for Payer: Healthscope Whirlpool |
$536.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$469.84
|
| Rate for Payer: Meridian Medicaid |
$298.58
|
| Rate for Payer: Molina Medicare/Medicaid |
$492.22
|
| Rate for Payer: Nomi Health Commercial |
$536.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$710.25
|
| Rate for Payer: PACE SWMI |
$447.47
|
| Rate for Payer: PHP Medicare Advantage |
$447.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$284.36
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$663.56
|
| Rate for Payer: Priority Health Medicare |
$447.47
|
| Rate for Payer: Priority Health Narrow Network |
$663.56
|
| Rate for Payer: Railroad Medicare Medicare |
$447.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$854.20
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$447.47
|
| Rate for Payer: UHC Exchange |
$854.20
|
| Rate for Payer: UHC Medicaid |
$284.36
|
| Rate for Payer: UHCCP DNSP |
$447.47
|
| Rate for Payer: UHCCP Medicaid |
$284.36
|
|
|
PR THORACOSCOPY RESEXN THYMUS UNI/BILATERAL
|
Professional
|
Both
|
$4,976.00
|
|
|
Service Code
|
HCPCS 32673
|
| Min. Negotiated Rate |
$734.00 |
| Max. Negotiated Rate |
$3,732.00 |
| Rate for Payer: Aetna Commercial |
$1,538.25
|
| Rate for Payer: Aetna Medicare |
$1,147.95
|
| Rate for Payer: BCBS Complete |
$770.70
|
| Rate for Payer: BCBS MAPPO |
$1,147.95
|
| Rate for Payer: BCN Commercial |
$1,795.72
|
| Rate for Payer: BCN Medicare Advantage |
$1,147.95
|
| Rate for Payer: Cash Price |
$3,980.80
|
| Rate for Payer: Cash Price |
$3,980.80
|
| Rate for Payer: Cofinity Commercial |
$1,653.05
|
| Rate for Payer: Cofinity Commercial |
$1,538.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,147.95
|
| Rate for Payer: Healthscope Commercial |
$1,377.54
|
| Rate for Payer: Healthscope Whirlpool |
$1,377.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,205.35
|
| Rate for Payer: Meridian Medicaid |
$770.70
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,262.74
|
| Rate for Payer: Nomi Health Commercial |
$1,377.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,732.00
|
| Rate for Payer: PACE SWMI |
$1,147.95
|
| Rate for Payer: PHP Medicare Advantage |
$1,147.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$734.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,691.03
|
| Rate for Payer: Priority Health Medicare |
$1,147.95
|
| Rate for Payer: Priority Health Narrow Network |
$1,691.03
|
| Rate for Payer: Railroad Medicare Medicare |
$1,147.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,158.96
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,147.95
|
| Rate for Payer: UHC Exchange |
$2,158.96
|
| Rate for Payer: UHC Medicaid |
$734.00
|
| Rate for Payer: UHCCP DNSP |
$1,147.95
|
| Rate for Payer: UHCCP Medicaid |
$734.00
|
|
|
PR THORACOSCOPY RMVL INTRAPLEURAL FB/FIBRIN DEPOSIT
|
Professional
|
Both
|
$3,091.00
|
|
|
Service Code
|
HCPCS 32653
|
| Min. Negotiated Rate |
$641.77 |
| Max. Negotiated Rate |
$2,318.25 |
| Rate for Payer: Aetna Commercial |
$1,341.10
|
| Rate for Payer: Aetna Medicare |
$1,000.82
|
| Rate for Payer: BCBS Complete |
$673.86
|
| Rate for Payer: BCBS MAPPO |
$1,000.82
|
| Rate for Payer: BCN Commercial |
$1,571.13
|
| Rate for Payer: BCN Medicare Advantage |
$1,000.82
|
| Rate for Payer: Cash Price |
$2,472.80
|
| Rate for Payer: Cash Price |
$2,472.80
|
| Rate for Payer: Cofinity Commercial |
$1,441.18
|
| Rate for Payer: Cofinity Commercial |
$1,341.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,000.82
|
| Rate for Payer: Healthscope Commercial |
$1,200.98
|
| Rate for Payer: Healthscope Whirlpool |
$1,200.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,050.86
|
| Rate for Payer: Meridian Medicaid |
$673.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,100.90
|
| Rate for Payer: Nomi Health Commercial |
$1,200.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,318.25
|
| Rate for Payer: PACE SWMI |
$1,000.82
|
| Rate for Payer: PHP Medicare Advantage |
$1,000.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$641.77
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,479.54
|
| Rate for Payer: Priority Health Medicare |
$1,000.82
|
| Rate for Payer: Priority Health Narrow Network |
$1,479.54
|
| Rate for Payer: Railroad Medicare Medicare |
$1,000.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,880.91
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,000.82
|
| Rate for Payer: UHC Exchange |
$1,880.91
|
| Rate for Payer: UHC Medicaid |
$641.77
|
| Rate for Payer: UHCCP DNSP |
$1,000.82
|
| Rate for Payer: UHCCP Medicaid |
$641.77
|
|
|
PR THORACOSCOPY W/BILOBECTOMY
|
Professional
|
Both
|
$6,650.00
|
|
|
Service Code
|
HCPCS 32670
|
| Min. Negotiated Rate |
$956.58 |
| Max. Negotiated Rate |
$4,987.50 |
| Rate for Payer: Aetna Commercial |
$2,010.55
|
| Rate for Payer: Aetna Medicare |
$1,500.41
|
| Rate for Payer: BCBS Complete |
$1,004.41
|
| Rate for Payer: BCBS MAPPO |
$1,500.41
|
| Rate for Payer: BCN Commercial |
$2,359.44
|
| Rate for Payer: BCN Medicare Advantage |
$1,500.41
|
| Rate for Payer: Cash Price |
$5,320.00
|
| Rate for Payer: Cash Price |
$5,320.00
|
| Rate for Payer: Cofinity Commercial |
$2,160.59
|
| Rate for Payer: Cofinity Commercial |
$2,010.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,500.41
|
| Rate for Payer: Healthscope Commercial |
$1,800.49
|
| Rate for Payer: Healthscope Whirlpool |
$1,800.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,575.43
|
| Rate for Payer: Meridian Medicaid |
$1,004.41
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,650.45
|
| Rate for Payer: Nomi Health Commercial |
$1,800.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,987.50
|
| Rate for Payer: PACE SWMI |
$1,500.41
|
| Rate for Payer: PHP Medicare Advantage |
$1,500.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$956.58
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,221.89
|
| Rate for Payer: Priority Health Medicare |
$1,500.41
|
| Rate for Payer: Priority Health Narrow Network |
$2,221.89
|
| Rate for Payer: Railroad Medicare Medicare |
$1,500.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,850.54
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,500.41
|
| Rate for Payer: UHC Exchange |
$2,850.54
|
| Rate for Payer: UHC Medicaid |
$956.58
|
| Rate for Payer: UHCCP DNSP |
$1,500.41
|
| Rate for Payer: UHCCP Medicaid |
$956.58
|
|
|
PR THORACOSCOPY W/DX BX OF LUNG INFILTRATE UNILATRL
|
Professional
|
Both
|
$1,284.00
|
|
|
Service Code
|
HCPCS 32607
|
| Min. Negotiated Rate |
$184.46 |
| Max. Negotiated Rate |
$963.00 |
| Rate for Payer: Aetna Commercial |
$387.61
|
| Rate for Payer: Aetna Medicare |
$289.26
|
| Rate for Payer: BCBS Complete |
$193.68
|
| Rate for Payer: BCBS MAPPO |
$289.26
|
| Rate for Payer: BCN Commercial |
$454.16
|
| Rate for Payer: BCN Medicare Advantage |
$289.26
|
| Rate for Payer: Cash Price |
$1,027.20
|
| Rate for Payer: Cash Price |
$1,027.20
|
| Rate for Payer: Cofinity Commercial |
$416.53
|
| Rate for Payer: Cofinity Commercial |
$387.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$289.26
|
| Rate for Payer: Healthscope Commercial |
$347.11
|
| Rate for Payer: Healthscope Whirlpool |
$347.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$303.72
|
| Rate for Payer: Meridian Medicaid |
$193.68
|
| Rate for Payer: Molina Medicare/Medicaid |
$318.19
|
| Rate for Payer: Nomi Health Commercial |
$347.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$963.00
|
| Rate for Payer: PACE SWMI |
$289.26
|
| Rate for Payer: PHP Medicare Advantage |
$289.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$184.46
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$427.68
|
| Rate for Payer: Priority Health Medicare |
$289.26
|
| Rate for Payer: Priority Health Narrow Network |
$427.68
|
| Rate for Payer: Railroad Medicare Medicare |
$289.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$548.48
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$289.26
|
| Rate for Payer: UHC Exchange |
$548.48
|
| Rate for Payer: UHC Medicaid |
$184.46
|
| Rate for Payer: UHCCP DNSP |
$289.26
|
| Rate for Payer: UHCCP Medicaid |
$184.46
|
|
|
PR THORACOSCOPY W/DX BX OF LUNG NODULES UNILATRL
|
Professional
|
Both
|
$1,578.00
|
|
|
Service Code
|
HCPCS 32608
|
| Min. Negotiated Rate |
$225.14 |
| Max. Negotiated Rate |
$1,183.50 |
| Rate for Payer: Aetna Commercial |
$474.04
|
| Rate for Payer: Aetna Medicare |
$353.76
|
| Rate for Payer: BCBS Complete |
$236.40
|
| Rate for Payer: BCBS MAPPO |
$353.76
|
| Rate for Payer: BCN Commercial |
$558.23
|
| Rate for Payer: BCN Medicare Advantage |
$353.76
|
| Rate for Payer: Cash Price |
$1,262.40
|
| Rate for Payer: Cash Price |
$1,262.40
|
| Rate for Payer: Cofinity Commercial |
$509.41
|
| Rate for Payer: Cofinity Commercial |
$474.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$353.76
|
| Rate for Payer: Healthscope Commercial |
$424.51
|
| Rate for Payer: Healthscope Whirlpool |
$424.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$371.45
|
| Rate for Payer: Meridian Medicaid |
$236.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$389.14
|
| Rate for Payer: Nomi Health Commercial |
$424.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,183.50
|
| Rate for Payer: PACE SWMI |
$353.76
|
| Rate for Payer: PHP Medicare Advantage |
$353.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$225.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$525.69
|
| Rate for Payer: Priority Health Medicare |
$353.76
|
| Rate for Payer: Priority Health Narrow Network |
$525.69
|
| Rate for Payer: Railroad Medicare Medicare |
$353.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$674.48
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$353.76
|
| Rate for Payer: UHC Exchange |
$674.48
|
| Rate for Payer: UHC Medicaid |
$225.14
|
| Rate for Payer: UHCCP DNSP |
$353.76
|
| Rate for Payer: UHCCP Medicaid |
$225.14
|
|
|
PR THORACOSCOPY W/DX WEDGE RESEXN ANATO LUNG RESEXN
|
Professional
|
Both
|
$652.00
|
|
|
Service Code
|
HCPCS 32668
|
| Min. Negotiated Rate |
$90.53 |
| Max. Negotiated Rate |
$489.00 |
| Rate for Payer: Aetna Commercial |
$192.13
|
| Rate for Payer: Aetna Medicare |
$143.38
|
| Rate for Payer: BCBS Complete |
$95.06
|
| Rate for Payer: BCBS MAPPO |
$143.38
|
| Rate for Payer: BCN Commercial |
$228.57
|
| Rate for Payer: BCN Medicare Advantage |
$143.38
|
| Rate for Payer: Cash Price |
$521.60
|
| Rate for Payer: Cash Price |
$521.60
|
| Rate for Payer: Cofinity Commercial |
$206.47
|
| Rate for Payer: Cofinity Commercial |
$192.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$143.38
|
| Rate for Payer: Healthscope Commercial |
$172.06
|
| Rate for Payer: Healthscope Whirlpool |
$172.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$150.55
|
| Rate for Payer: Meridian Medicaid |
$95.06
|
| Rate for Payer: Molina Medicare/Medicaid |
$157.72
|
| Rate for Payer: Nomi Health Commercial |
$172.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$489.00
|
| Rate for Payer: PACE SWMI |
$143.38
|
| Rate for Payer: PHP Medicare Advantage |
$143.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$90.53
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$215.25
|
| Rate for Payer: Priority Health Medicare |
$143.38
|
| Rate for Payer: Priority Health Narrow Network |
$215.25
|
| Rate for Payer: Railroad Medicare Medicare |
$143.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$279.77
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$143.38
|
| Rate for Payer: UHC Exchange |
$279.77
|
| Rate for Payer: UHC Medicaid |
$90.53
|
| Rate for Payer: UHCCP DNSP |
$143.38
|
| Rate for Payer: UHCCP Medicaid |
$90.53
|
|
|
PR THORACOSCOPY W/EXC MEDIASTINAL CYST TUMOR/MASS
|
Professional
|
Both
|
$4,183.00
|
|
|
Service Code
|
HCPCS 32662
|
| Min. Negotiated Rate |
$548.90 |
| Max. Negotiated Rate |
$3,137.25 |
| Rate for Payer: Aetna Commercial |
$1,145.37
|
| Rate for Payer: Aetna Medicare |
$854.75
|
| Rate for Payer: BCBS Complete |
$576.35
|
| Rate for Payer: BCBS MAPPO |
$854.75
|
| Rate for Payer: BCN Commercial |
$1,327.12
|
| Rate for Payer: BCN Medicare Advantage |
$854.75
|
| Rate for Payer: Cash Price |
$3,346.40
|
| Rate for Payer: Cash Price |
$3,346.40
|
| Rate for Payer: Cofinity Commercial |
$1,230.84
|
| Rate for Payer: Cofinity Commercial |
$1,145.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$854.75
|
| Rate for Payer: Healthscope Commercial |
$1,025.70
|
| Rate for Payer: Healthscope Whirlpool |
$1,025.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$897.49
|
| Rate for Payer: Meridian Medicaid |
$576.35
|
| Rate for Payer: Molina Medicare/Medicaid |
$940.23
|
| Rate for Payer: Nomi Health Commercial |
$1,025.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,137.25
|
| Rate for Payer: PACE SWMI |
$854.75
|
| Rate for Payer: PHP Medicare Advantage |
$854.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$548.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,249.75
|
| Rate for Payer: Priority Health Medicare |
$854.75
|
| Rate for Payer: Priority Health Narrow Network |
$1,249.75
|
| Rate for Payer: Railroad Medicare Medicare |
$854.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,577.55
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$854.75
|
| Rate for Payer: UHC Exchange |
$1,577.55
|
| Rate for Payer: UHC Medicaid |
$548.90
|
| Rate for Payer: UHCCP DNSP |
$854.75
|
| Rate for Payer: UHCCP Medicaid |
$548.90
|
|
|
PR THORACOSCOPY W/EXC PERICARDIAL CYST TUMOR/MASS
|
Professional
|
Both
|
$3,968.00
|
|
|
Service Code
|
HCPCS 32661
|
| Min. Negotiated Rate |
$492.03 |
| Max. Negotiated Rate |
$2,976.00 |
| Rate for Payer: Aetna Commercial |
$1,026.08
|
| Rate for Payer: Aetna Medicare |
$765.73
|
| Rate for Payer: BCBS Complete |
$516.63
|
| Rate for Payer: BCBS MAPPO |
$765.73
|
| Rate for Payer: BCN Commercial |
$1,185.69
|
| Rate for Payer: BCN Medicare Advantage |
$765.73
|
| Rate for Payer: Cash Price |
$3,174.40
|
| Rate for Payer: Cash Price |
$3,174.40
|
| Rate for Payer: Cofinity Commercial |
$1,102.65
|
| Rate for Payer: Cofinity Commercial |
$1,026.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$765.73
|
| Rate for Payer: Healthscope Commercial |
$918.88
|
| Rate for Payer: Healthscope Whirlpool |
$918.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$804.02
|
| Rate for Payer: Meridian Medicaid |
$516.63
|
| Rate for Payer: Molina Medicare/Medicaid |
$842.30
|
| Rate for Payer: Nomi Health Commercial |
$918.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,976.00
|
| Rate for Payer: PACE SWMI |
$765.73
|
| Rate for Payer: PHP Medicare Advantage |
$765.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$492.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,116.57
|
| Rate for Payer: Priority Health Medicare |
$765.73
|
| Rate for Payer: Priority Health Narrow Network |
$1,116.57
|
| Rate for Payer: Railroad Medicare Medicare |
$765.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,410.44
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$765.73
|
| Rate for Payer: UHC Exchange |
$1,410.44
|
| Rate for Payer: UHC Medicaid |
$492.03
|
| Rate for Payer: UHCCP DNSP |
$765.73
|
| Rate for Payer: UHCCP Medicaid |
$492.03
|
|
|
PR THORACOSCOPY WITH BIOPSYIES OF PLEURA
|
Professional
|
Both
|
$1,091.00
|
|
|
Service Code
|
HCPCS 32609
|
| Min. Negotiated Rate |
$152.30 |
| Max. Negotiated Rate |
$818.25 |
| Rate for Payer: Aetna Commercial |
$318.76
|
| Rate for Payer: Aetna Medicare |
$237.88
|
| Rate for Payer: BCBS Complete |
$159.91
|
| Rate for Payer: BCBS MAPPO |
$237.88
|
| Rate for Payer: BCN Commercial |
$375.97
|
| Rate for Payer: BCN Medicare Advantage |
$237.88
|
| Rate for Payer: Cash Price |
$872.80
|
| Rate for Payer: Cash Price |
$872.80
|
| Rate for Payer: Cofinity Commercial |
$342.55
|
| Rate for Payer: Cofinity Commercial |
$318.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$237.88
|
| Rate for Payer: Healthscope Commercial |
$285.46
|
| Rate for Payer: Healthscope Whirlpool |
$285.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$249.77
|
| Rate for Payer: Meridian Medicaid |
$159.91
|
| Rate for Payer: Molina Medicare/Medicaid |
$261.67
|
| Rate for Payer: Nomi Health Commercial |
$285.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$818.25
|
| Rate for Payer: PACE SWMI |
$237.88
|
| Rate for Payer: PHP Medicare Advantage |
$237.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$152.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$354.06
|
| Rate for Payer: Priority Health Medicare |
$237.88
|
| Rate for Payer: Priority Health Narrow Network |
$354.06
|
| Rate for Payer: Railroad Medicare Medicare |
$237.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$456.37
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$237.88
|
| Rate for Payer: UHC Exchange |
$456.37
|
| Rate for Payer: UHC Medicaid |
$152.30
|
| Rate for Payer: UHCCP DNSP |
$237.88
|
| Rate for Payer: UHCCP Medicaid |
$152.30
|
|
|
PR THORACOSCOPY W/LOBECTOMY SINGLE LOBE
|
Professional
|
Both
|
$4,728.00
|
|
|
Service Code
|
HCPCS 32663
|
| Min. Negotiated Rate |
$840.92 |
| Max. Negotiated Rate |
$3,546.00 |
| Rate for Payer: Aetna Commercial |
$1,765.12
|
| Rate for Payer: Aetna Medicare |
$1,317.25
|
| Rate for Payer: BCBS Complete |
$882.97
|
| Rate for Payer: BCBS MAPPO |
$1,317.25
|
| Rate for Payer: BCN Commercial |
$2,063.63
|
| Rate for Payer: BCN Medicare Advantage |
$1,317.25
|
| Rate for Payer: Cash Price |
$3,782.40
|
| Rate for Payer: Cash Price |
$3,782.40
|
| Rate for Payer: Cofinity Commercial |
$1,896.84
|
| Rate for Payer: Cofinity Commercial |
$1,765.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,317.25
|
| Rate for Payer: Healthscope Commercial |
$1,580.70
|
| Rate for Payer: Healthscope Whirlpool |
$1,580.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,383.11
|
| Rate for Payer: Meridian Medicaid |
$882.97
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,448.97
|
| Rate for Payer: Nomi Health Commercial |
$1,580.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,546.00
|
| Rate for Payer: PACE SWMI |
$1,317.25
|
| Rate for Payer: PHP Medicare Advantage |
$1,317.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$840.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,943.33
|
| Rate for Payer: Priority Health Medicare |
$1,317.25
|
| Rate for Payer: Priority Health Narrow Network |
$1,943.33
|
| Rate for Payer: Railroad Medicare Medicare |
$1,317.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,483.99
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,317.25
|
| Rate for Payer: UHC Exchange |
$2,483.99
|
| Rate for Payer: UHC Medicaid |
$840.92
|
| Rate for Payer: UHCCP DNSP |
$1,317.25
|
| Rate for Payer: UHCCP Medicaid |
$840.92
|
|
|
PR THORACOSCOPY W/PARIETAL PLEURECTOMY
|
Professional
|
Both
|
$2,977.00
|
|
|
Service Code
|
HCPCS 32656
|
| Min. Negotiated Rate |
$496.93 |
| Max. Negotiated Rate |
$2,232.75 |
| Rate for Payer: Aetna Commercial |
$1,035.02
|
| Rate for Payer: Aetna Medicare |
$772.40
|
| Rate for Payer: BCBS Complete |
$521.78
|
| Rate for Payer: BCBS MAPPO |
$772.40
|
| Rate for Payer: BCN Commercial |
$1,195.65
|
| Rate for Payer: BCN Medicare Advantage |
$772.40
|
| Rate for Payer: Cash Price |
$2,381.60
|
| Rate for Payer: Cash Price |
$2,381.60
|
| Rate for Payer: Cofinity Commercial |
$1,112.26
|
| Rate for Payer: Cofinity Commercial |
$1,035.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$772.40
|
| Rate for Payer: Healthscope Commercial |
$926.88
|
| Rate for Payer: Healthscope Whirlpool |
$926.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$811.02
|
| Rate for Payer: Meridian Medicaid |
$521.78
|
| Rate for Payer: Molina Medicare/Medicaid |
$849.64
|
| Rate for Payer: Nomi Health Commercial |
$926.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,232.75
|
| Rate for Payer: PACE SWMI |
$772.40
|
| Rate for Payer: PHP Medicare Advantage |
$772.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$496.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,125.95
|
| Rate for Payer: Priority Health Medicare |
$772.40
|
| Rate for Payer: Priority Health Narrow Network |
$1,125.95
|
| Rate for Payer: Railroad Medicare Medicare |
$772.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,416.81
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$772.40
|
| Rate for Payer: UHC Exchange |
$1,416.81
|
| Rate for Payer: UHC Medicaid |
$496.93
|
| Rate for Payer: UHCCP DNSP |
$772.40
|
| Rate for Payer: UHCCP Medicaid |
$496.93
|
|
|
PR THORACOSCOPY W/PARTIAL PULMONARY DECORTICATION
|
Professional
|
Both
|
$3,317.00
|
|
|
Service Code
|
HCPCS 32651
|
| Min. Negotiated Rate |
$663.07 |
| Max. Negotiated Rate |
$2,487.75 |
| Rate for Payer: Aetna Commercial |
$1,387.36
|
| Rate for Payer: Aetna Medicare |
$1,035.34
|
| Rate for Payer: BCBS Complete |
$696.22
|
| Rate for Payer: BCBS MAPPO |
$1,035.34
|
| Rate for Payer: BCN Commercial |
$1,622.42
|
| Rate for Payer: BCN Medicare Advantage |
$1,035.34
|
| Rate for Payer: Cash Price |
$2,653.60
|
| Rate for Payer: Cash Price |
$2,653.60
|
| Rate for Payer: Cofinity Commercial |
$1,490.89
|
| Rate for Payer: Cofinity Commercial |
$1,387.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,035.34
|
| Rate for Payer: Healthscope Commercial |
$1,242.41
|
| Rate for Payer: Healthscope Whirlpool |
$1,242.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,087.11
|
| Rate for Payer: Meridian Medicaid |
$696.22
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,138.87
|
| Rate for Payer: Nomi Health Commercial |
$1,242.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,487.75
|
| Rate for Payer: PACE SWMI |
$1,035.34
|
| Rate for Payer: PHP Medicare Advantage |
$1,035.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$663.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,527.84
|
| Rate for Payer: Priority Health Medicare |
$1,035.34
|
| Rate for Payer: Priority Health Narrow Network |
$1,527.84
|
| Rate for Payer: Railroad Medicare Medicare |
$1,035.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,940.22
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,035.34
|
| Rate for Payer: UHC Exchange |
$1,940.22
|
| Rate for Payer: UHC Medicaid |
$663.07
|
| Rate for Payer: UHCCP DNSP |
$1,035.34
|
| Rate for Payer: UHCCP Medicaid |
$663.07
|
|
|
PR THORACOSCOPY W/PLEURODESIS
|
Professional
|
Both
|
$3,259.00
|
|
|
Service Code
|
HCPCS 32650
|
| Min. Negotiated Rate |
$414.71 |
| Max. Negotiated Rate |
$2,444.25 |
| Rate for Payer: Aetna Commercial |
$861.47
|
| Rate for Payer: Aetna Medicare |
$642.89
|
| Rate for Payer: BCBS Complete |
$435.45
|
| Rate for Payer: BCBS MAPPO |
$642.89
|
| Rate for Payer: BCN Commercial |
$994.96
|
| Rate for Payer: BCN Medicare Advantage |
$642.89
|
| Rate for Payer: Cash Price |
$2,607.20
|
| Rate for Payer: Cash Price |
$2,607.20
|
| Rate for Payer: Cofinity Commercial |
$925.76
|
| Rate for Payer: Cofinity Commercial |
$861.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$642.89
|
| Rate for Payer: Healthscope Commercial |
$771.47
|
| Rate for Payer: Healthscope Whirlpool |
$771.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$675.03
|
| Rate for Payer: Meridian Medicaid |
$435.45
|
| Rate for Payer: Molina Medicare/Medicaid |
$707.18
|
| Rate for Payer: Nomi Health Commercial |
$771.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,444.25
|
| Rate for Payer: PACE SWMI |
$642.89
|
| Rate for Payer: PHP Medicare Advantage |
$642.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$414.71
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$936.96
|
| Rate for Payer: Priority Health Medicare |
$642.89
|
| Rate for Payer: Priority Health Narrow Network |
$936.96
|
| Rate for Payer: Railroad Medicare Medicare |
$642.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,174.34
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$642.89
|
| Rate for Payer: UHC Exchange |
$1,174.34
|
| Rate for Payer: UHC Medicaid |
$414.71
|
| Rate for Payer: UHCCP DNSP |
$642.89
|
| Rate for Payer: UHCCP Medicaid |
$414.71
|
|
|
PR THORACOSCOPY W/PNEUMONECTOMY
|
Professional
|
Both
|
$7,383.00
|
|
|
Service Code
|
HCPCS 32671
|
| Min. Negotiated Rate |
$1,058.61 |
| Max. Negotiated Rate |
$5,537.25 |
| Rate for Payer: Aetna Commercial |
$2,227.98
|
| Rate for Payer: Aetna Medicare |
$1,662.67
|
| Rate for Payer: BCBS Complete |
$1,111.54
|
| Rate for Payer: BCBS MAPPO |
$1,662.67
|
| Rate for Payer: BCN Commercial |
$2,609.92
|
| Rate for Payer: BCN Medicare Advantage |
$1,662.67
|
| Rate for Payer: Cash Price |
$5,906.40
|
| Rate for Payer: Cash Price |
$5,906.40
|
| Rate for Payer: Cofinity Commercial |
$2,394.24
|
| Rate for Payer: Cofinity Commercial |
$2,227.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,662.67
|
| Rate for Payer: Healthscope Commercial |
$1,995.20
|
| Rate for Payer: Healthscope Whirlpool |
$1,995.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,745.80
|
| Rate for Payer: Meridian Medicaid |
$1,111.54
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,828.94
|
| Rate for Payer: Nomi Health Commercial |
$1,995.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,537.25
|
| Rate for Payer: PACE SWMI |
$1,662.67
|
| Rate for Payer: PHP Medicare Advantage |
$1,662.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,058.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,457.77
|
| Rate for Payer: Priority Health Medicare |
$1,662.67
|
| Rate for Payer: Priority Health Narrow Network |
$2,457.77
|
| Rate for Payer: Railroad Medicare Medicare |
$1,662.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,158.69
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,662.67
|
| Rate for Payer: UHC Exchange |
$3,158.69
|
| Rate for Payer: UHC Medicaid |
$1,058.61
|
| Rate for Payer: UHCCP DNSP |
$1,662.67
|
| Rate for Payer: UHCCP Medicaid |
$1,058.61
|
|
|
PR THORACOSCOPY W/RESECTION BULLAE W/WO PLEURAL PX
|
Professional
|
Both
|
$3,518.00
|
|
|
Service Code
|
HCPCS 32655
|
| Min. Negotiated Rate |
$584.05 |
| Max. Negotiated Rate |
$2,638.50 |
| Rate for Payer: Aetna Commercial |
$1,220.07
|
| Rate for Payer: Aetna Medicare |
$910.50
|
| Rate for Payer: BCBS Complete |
$613.25
|
| Rate for Payer: BCBS MAPPO |
$910.50
|
| Rate for Payer: BCN Commercial |
$1,418.75
|
| Rate for Payer: BCN Medicare Advantage |
$910.50
|
| Rate for Payer: Cash Price |
$2,814.40
|
| Rate for Payer: Cash Price |
$2,814.40
|
| Rate for Payer: Cofinity Commercial |
$1,311.12
|
| Rate for Payer: Cofinity Commercial |
$1,220.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$910.50
|
| Rate for Payer: Healthscope Commercial |
$1,092.60
|
| Rate for Payer: Healthscope Whirlpool |
$1,092.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$956.02
|
| Rate for Payer: Meridian Medicaid |
$613.25
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,001.55
|
| Rate for Payer: Nomi Health Commercial |
$1,092.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,638.50
|
| Rate for Payer: PACE SWMI |
$910.50
|
| Rate for Payer: PHP Medicare Advantage |
$910.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$584.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,336.04
|
| Rate for Payer: Priority Health Medicare |
$910.50
|
| Rate for Payer: Priority Health Narrow Network |
$1,336.04
|
| Rate for Payer: Railroad Medicare Medicare |
$910.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,691.11
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$910.50
|
| Rate for Payer: UHC Exchange |
$1,691.11
|
| Rate for Payer: UHC Medicaid |
$584.05
|
| Rate for Payer: UHCCP DNSP |
$910.50
|
| Rate for Payer: UHCCP Medicaid |
$584.05
|
|
|
PR THORACOSCOPY W/RESEXN-PLICAJ EMPHYSEMA LUNG UNIL
|
Professional
|
Both
|
$6,314.00
|
|
|
Service Code
|
HCPCS 32672
|
| Min. Negotiated Rate |
$910.15 |
| Max. Negotiated Rate |
$4,735.50 |
| Rate for Payer: Aetna Commercial |
$1,912.61
|
| Rate for Payer: Aetna Medicare |
$1,427.32
|
| Rate for Payer: BCBS Complete |
$955.66
|
| Rate for Payer: BCBS MAPPO |
$1,427.32
|
| Rate for Payer: BCN Commercial |
$2,237.43
|
| Rate for Payer: BCN Medicare Advantage |
$1,427.32
|
| Rate for Payer: Cash Price |
$5,051.20
|
| Rate for Payer: Cash Price |
$5,051.20
|
| Rate for Payer: Cofinity Commercial |
$2,055.34
|
| Rate for Payer: Cofinity Commercial |
$1,912.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,427.32
|
| Rate for Payer: Healthscope Commercial |
$1,712.78
|
| Rate for Payer: Healthscope Whirlpool |
$1,712.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,498.69
|
| Rate for Payer: Meridian Medicaid |
$955.66
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,570.05
|
| Rate for Payer: Nomi Health Commercial |
$1,712.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,735.50
|
| Rate for Payer: PACE SWMI |
$1,427.32
|
| Rate for Payer: PHP Medicare Advantage |
$1,427.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$910.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,107.00
|
| Rate for Payer: Priority Health Medicare |
$1,427.32
|
| Rate for Payer: Priority Health Narrow Network |
$2,107.00
|
| Rate for Payer: Railroad Medicare Medicare |
$1,427.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,705.72
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,427.32
|
| Rate for Payer: UHC Exchange |
$2,705.72
|
| Rate for Payer: UHC Medicaid |
$910.15
|
| Rate for Payer: UHCCP DNSP |
$1,427.32
|
| Rate for Payer: UHCCP Medicaid |
$910.15
|
|
|
PR THORACOSCOPY W/RMVL CLOT/FB FROM PERICARDIAL SAC
|
Professional
|
Both
|
$2,904.00
|
|
|
Service Code
|
HCPCS 32658
|
| Min. Negotiated Rate |
$443.47 |
| Max. Negotiated Rate |
$2,178.00 |
| Rate for Payer: Aetna Commercial |
$922.99
|
| Rate for Payer: Aetna Medicare |
$688.80
|
| Rate for Payer: BCBS Complete |
$465.64
|
| Rate for Payer: BCBS MAPPO |
$688.80
|
| Rate for Payer: BCN Commercial |
$1,063.68
|
| Rate for Payer: BCN Medicare Advantage |
$688.80
|
| Rate for Payer: Cash Price |
$2,323.20
|
| Rate for Payer: Cash Price |
$2,323.20
|
| Rate for Payer: Cofinity Commercial |
$991.87
|
| Rate for Payer: Cofinity Commercial |
$922.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$688.80
|
| Rate for Payer: Healthscope Commercial |
$826.56
|
| Rate for Payer: Healthscope Whirlpool |
$826.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$723.24
|
| Rate for Payer: Meridian Medicaid |
$465.64
|
| Rate for Payer: Molina Medicare/Medicaid |
$757.68
|
| Rate for Payer: Nomi Health Commercial |
$826.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,178.00
|
| Rate for Payer: PACE SWMI |
$688.80
|
| Rate for Payer: PHP Medicare Advantage |
$688.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$443.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,001.68
|
| Rate for Payer: Priority Health Medicare |
$688.80
|
| Rate for Payer: Priority Health Narrow Network |
$1,001.68
|
| Rate for Payer: Railroad Medicare Medicare |
$688.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,260.33
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$688.80
|
| Rate for Payer: UHC Exchange |
$1,260.33
|
| Rate for Payer: UHC Medicaid |
$443.47
|
| Rate for Payer: UHCCP DNSP |
$688.80
|
| Rate for Payer: UHCCP Medicaid |
$443.47
|
|
|
PR THORACOSCOPY W/SEGMENTECTOMY
|
Professional
|
Both
|
$2,357.00
|
|
|
Service Code
|
HCPCS 32669
|
| Min. Negotiated Rate |
$808.34 |
| Max. Negotiated Rate |
$2,385.12 |
| Rate for Payer: Aetna Commercial |
$1,695.88
|
| Rate for Payer: Aetna Medicare |
$1,265.58
|
| Rate for Payer: BCBS Complete |
$848.76
|
| Rate for Payer: BCBS MAPPO |
$1,265.58
|
| Rate for Payer: BCN Commercial |
$1,981.97
|
| Rate for Payer: BCN Medicare Advantage |
$1,265.58
|
| Rate for Payer: Cash Price |
$1,885.60
|
| Rate for Payer: Cash Price |
$1,885.60
|
| Rate for Payer: Cofinity Commercial |
$1,822.44
|
| Rate for Payer: Cofinity Commercial |
$1,695.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,265.58
|
| Rate for Payer: Healthscope Commercial |
$1,518.70
|
| Rate for Payer: Healthscope Whirlpool |
$1,518.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,328.86
|
| Rate for Payer: Meridian Medicaid |
$848.76
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,392.14
|
| Rate for Payer: Nomi Health Commercial |
$1,518.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,767.75
|
| Rate for Payer: PACE SWMI |
$1,265.58
|
| Rate for Payer: PHP Medicare Advantage |
$1,265.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$808.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,866.42
|
| Rate for Payer: Priority Health Medicare |
$1,265.58
|
| Rate for Payer: Priority Health Narrow Network |
$1,866.42
|
| Rate for Payer: Railroad Medicare Medicare |
$1,265.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,385.12
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,265.58
|
| Rate for Payer: UHC Exchange |
$2,385.12
|
| Rate for Payer: UHC Medicaid |
$808.34
|
| Rate for Payer: UHCCP DNSP |
$1,265.58
|
| Rate for Payer: UHCCP Medicaid |
$808.34
|
|
|
PR THORACOSCOPY W/THERA WEDGE RESEXN ADDL IPSILATRL
|
Professional
|
Both
|
$3,618.00
|
|
|
Service Code
|
HCPCS 32667
|
| Min. Negotiated Rate |
$90.31 |
| Max. Negotiated Rate |
$2,713.50 |
| Rate for Payer: Aetna Commercial |
$191.73
|
| Rate for Payer: Aetna Medicare |
$143.08
|
| Rate for Payer: BCBS Complete |
$94.83
|
| Rate for Payer: BCBS MAPPO |
$143.08
|
| Rate for Payer: BCN Commercial |
$228.07
|
| Rate for Payer: BCN Medicare Advantage |
$143.08
|
| Rate for Payer: Cash Price |
$2,894.40
|
| Rate for Payer: Cash Price |
$2,894.40
|
| Rate for Payer: Cofinity Commercial |
$206.04
|
| Rate for Payer: Cofinity Commercial |
$191.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$143.08
|
| Rate for Payer: Healthscope Commercial |
$171.70
|
| Rate for Payer: Healthscope Whirlpool |
$171.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$150.23
|
| Rate for Payer: Meridian Medicaid |
$94.83
|
| Rate for Payer: Molina Medicare/Medicaid |
$157.39
|
| Rate for Payer: Nomi Health Commercial |
$171.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,713.50
|
| Rate for Payer: PACE SWMI |
$143.08
|
| Rate for Payer: PHP Medicare Advantage |
$143.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$90.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$214.78
|
| Rate for Payer: Priority Health Medicare |
$143.08
|
| Rate for Payer: Priority Health Narrow Network |
$214.78
|
| Rate for Payer: Railroad Medicare Medicare |
$143.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$279.77
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$143.08
|
| Rate for Payer: UHC Exchange |
$279.77
|
| Rate for Payer: UHC Medicaid |
$90.31
|
| Rate for Payer: UHCCP DNSP |
$143.08
|
| Rate for Payer: UHCCP Medicaid |
$90.31
|
|
|
PR THORACOSCOPY W/THERA WEDGE RESEXN INITIAL UNILAT
|
Professional
|
Both
|
$1,861.00
|
|
|
Service Code
|
HCPCS 32666
|
| Min. Negotiated Rate |
$535.06 |
| Max. Negotiated Rate |
$1,535.81 |
| Rate for Payer: Aetna Commercial |
$1,115.97
|
| Rate for Payer: Aetna Medicare |
$832.81
|
| Rate for Payer: BCBS Complete |
$561.81
|
| Rate for Payer: BCBS MAPPO |
$832.81
|
| Rate for Payer: BCN Commercial |
$1,291.76
|
| Rate for Payer: BCN Medicare Advantage |
$832.81
|
| Rate for Payer: Cash Price |
$1,488.80
|
| Rate for Payer: Cash Price |
$1,488.80
|
| Rate for Payer: Cofinity Commercial |
$1,199.25
|
| Rate for Payer: Cofinity Commercial |
$1,115.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$832.81
|
| Rate for Payer: Healthscope Commercial |
$999.37
|
| Rate for Payer: Healthscope Whirlpool |
$999.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$874.45
|
| Rate for Payer: Meridian Medicaid |
$561.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$916.09
|
| Rate for Payer: Nomi Health Commercial |
$999.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,395.75
|
| Rate for Payer: PACE SWMI |
$832.81
|
| Rate for Payer: PHP Medicare Advantage |
$832.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$535.06
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,216.46
|
| Rate for Payer: Priority Health Medicare |
$832.81
|
| Rate for Payer: Priority Health Narrow Network |
$1,216.46
|
| Rate for Payer: Railroad Medicare Medicare |
$832.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,535.81
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$832.81
|
| Rate for Payer: UHC Exchange |
$1,535.81
|
| Rate for Payer: UHC Medicaid |
$535.06
|
| Rate for Payer: UHCCP DNSP |
$832.81
|
| Rate for Payer: UHCCP Medicaid |
$535.06
|
|
|
PR THORACOSTOMY OPEN FLAP DRAINAGE EMPYEMA
|
Professional
|
Both
|
$1,919.00
|
|
|
Service Code
|
HCPCS 32036
|
| Min. Negotiated Rate |
$493.95 |
| Max. Negotiated Rate |
$1,439.25 |
| Rate for Payer: Aetna Commercial |
$1,023.51
|
| Rate for Payer: Aetna Medicare |
$763.81
|
| Rate for Payer: BCBS Complete |
$518.65
|
| Rate for Payer: BCBS MAPPO |
$763.81
|
| Rate for Payer: BCN Commercial |
$1,171.26
|
| Rate for Payer: BCN Medicare Advantage |
$763.81
|
| Rate for Payer: Cash Price |
$1,535.20
|
| Rate for Payer: Cash Price |
$1,535.20
|
| Rate for Payer: Cofinity Commercial |
$1,099.89
|
| Rate for Payer: Cofinity Commercial |
$1,023.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$763.81
|
| Rate for Payer: Healthscope Commercial |
$916.57
|
| Rate for Payer: Healthscope Whirlpool |
$916.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$802.00
|
| Rate for Payer: Meridian Medicaid |
$518.65
|
| Rate for Payer: Molina Medicare/Medicaid |
$840.19
|
| Rate for Payer: Nomi Health Commercial |
$916.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,439.25
|
| Rate for Payer: PACE SWMI |
$763.81
|
| Rate for Payer: PHP Medicare Advantage |
$763.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$493.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,102.97
|
| Rate for Payer: Priority Health Medicare |
$763.81
|
| Rate for Payer: Priority Health Narrow Network |
$1,102.97
|
| Rate for Payer: Railroad Medicare Medicare |
$763.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,373.23
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$763.81
|
| Rate for Payer: UHC Exchange |
$1,373.23
|
| Rate for Payer: UHC Medicaid |
$493.95
|
| Rate for Payer: UHCCP DNSP |
$763.81
|
| Rate for Payer: UHCCP Medicaid |
$493.95
|
|
|
PR THORACOSTOMY W/RIB RESECTION EMPYEMA
|
Professional
|
Both
|
$2,443.00
|
|
|
Service Code
|
HCPCS 32035
|
| Min. Negotiated Rate |
$463.91 |
| Max. Negotiated Rate |
$1,832.25 |
| Rate for Payer: Aetna Commercial |
$959.56
|
| Rate for Payer: Aetna Medicare |
$716.09
|
| Rate for Payer: BCBS Complete |
$487.11
|
| Rate for Payer: BCBS MAPPO |
$716.09
|
| Rate for Payer: BCN Commercial |
$1,096.56
|
| Rate for Payer: BCN Medicare Advantage |
$716.09
|
| Rate for Payer: Cash Price |
$1,954.40
|
| Rate for Payer: Cash Price |
$1,954.40
|
| Rate for Payer: Cofinity Commercial |
$959.56
|
| Rate for Payer: Cofinity Commercial |
$1,031.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$716.09
|
| Rate for Payer: Healthscope Commercial |
$859.31
|
| Rate for Payer: Healthscope Whirlpool |
$859.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$751.89
|
| Rate for Payer: Meridian Medicaid |
$487.11
|
| Rate for Payer: Molina Medicare/Medicaid |
$787.70
|
| Rate for Payer: Nomi Health Commercial |
$859.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,832.25
|
| Rate for Payer: PACE SWMI |
$716.09
|
| Rate for Payer: PHP Medicare Advantage |
$716.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$463.91
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,032.63
|
| Rate for Payer: Priority Health Medicare |
$716.09
|
| Rate for Payer: Priority Health Narrow Network |
$1,032.63
|
| Rate for Payer: Railroad Medicare Medicare |
$716.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,280.50
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$716.09
|
| Rate for Payer: UHC Exchange |
$1,280.50
|
| Rate for Payer: UHC Medicaid |
$463.91
|
| Rate for Payer: UHCCP DNSP |
$716.09
|
| Rate for Payer: UHCCP Medicaid |
$463.91
|
|
|
PR THORACOTOMY OPN INTRAPLEURAL PNEUMONOLYSIS
|
Professional
|
Both
|
$2,909.00
|
|
|
Service Code
|
HCPCS 32124
|
| Min. Negotiated Rate |
$573.40 |
| Max. Negotiated Rate |
$2,181.75 |
| Rate for Payer: Aetna Commercial |
$1,194.84
|
| Rate for Payer: Aetna Medicare |
$891.67
|
| Rate for Payer: BCBS Complete |
$602.07
|
| Rate for Payer: BCBS MAPPO |
$891.67
|
| Rate for Payer: BCN Commercial |
$1,372.94
|
| Rate for Payer: BCN Medicare Advantage |
$891.67
|
| Rate for Payer: Cash Price |
$2,327.20
|
| Rate for Payer: Cash Price |
$2,327.20
|
| Rate for Payer: Cofinity Commercial |
$1,284.00
|
| Rate for Payer: Cofinity Commercial |
$1,194.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$891.67
|
| Rate for Payer: Healthscope Commercial |
$1,070.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,070.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$936.25
|
| Rate for Payer: Meridian Medicaid |
$602.07
|
| Rate for Payer: Molina Medicare/Medicaid |
$980.84
|
| Rate for Payer: Nomi Health Commercial |
$1,070.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,181.75
|
| Rate for Payer: PACE SWMI |
$891.67
|
| Rate for Payer: PHP Medicare Advantage |
$891.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$573.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,292.89
|
| Rate for Payer: Priority Health Medicare |
$891.67
|
| Rate for Payer: Priority Health Narrow Network |
$1,292.89
|
| Rate for Payer: Railroad Medicare Medicare |
$891.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,637.98
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$891.67
|
| Rate for Payer: UHC Exchange |
$1,637.98
|
| Rate for Payer: UHC Medicaid |
$573.40
|
| Rate for Payer: UHCCP DNSP |
$891.67
|
| Rate for Payer: UHCCP Medicaid |
$573.40
|
|
|
PR THORACOTOMY POSTOPERATIVE COMPLICATIONS
|
Professional
|
Both
|
$2,017.00
|
|
|
Service Code
|
HCPCS 32120
|
| Min. Negotiated Rate |
$541.45 |
| Max. Negotiated Rate |
$1,541.95 |
| Rate for Payer: Aetna Commercial |
$1,127.11
|
| Rate for Payer: Aetna Medicare |
$841.13
|
| Rate for Payer: BCBS Complete |
$568.52
|
| Rate for Payer: BCBS MAPPO |
$841.13
|
| Rate for Payer: BCN Commercial |
$1,301.73
|
| Rate for Payer: BCN Medicare Advantage |
$841.13
|
| Rate for Payer: Cash Price |
$1,613.60
|
| Rate for Payer: Cash Price |
$1,613.60
|
| Rate for Payer: Cofinity Commercial |
$1,211.23
|
| Rate for Payer: Cofinity Commercial |
$1,127.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$841.13
|
| Rate for Payer: Healthscope Commercial |
$1,009.36
|
| Rate for Payer: Healthscope Whirlpool |
$1,009.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$883.19
|
| Rate for Payer: Meridian Medicaid |
$568.52
|
| Rate for Payer: Molina Medicare/Medicaid |
$925.24
|
| Rate for Payer: Nomi Health Commercial |
$1,009.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,512.75
|
| Rate for Payer: PACE SWMI |
$841.13
|
| Rate for Payer: PHP Medicare Advantage |
$841.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$541.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,225.84
|
| Rate for Payer: Priority Health Medicare |
$841.13
|
| Rate for Payer: Priority Health Narrow Network |
$1,225.84
|
| Rate for Payer: Railroad Medicare Medicare |
$841.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,541.95
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$841.13
|
| Rate for Payer: UHC Exchange |
$1,541.95
|
| Rate for Payer: UHC Medicaid |
$541.45
|
| Rate for Payer: UHCCP DNSP |
$841.13
|
| Rate for Payer: UHCCP Medicaid |
$541.45
|
|
