|
PR THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN
|
Professional
|
Both
|
$56.00
|
|
|
Service Code
|
HCPCS 97530
|
| Min. Negotiated Rate |
$22.40 |
| Max. Negotiated Rate |
$3,205.12 |
| Rate for Payer: Aetna Commercial |
$28.00
|
| Rate for Payer: Aetna Medicare |
$28.00
|
| Rate for Payer: BCBS Complete |
$22.40
|
| Rate for Payer: BCBS Trust/PPO |
$3,205.12
|
| Rate for Payer: BCN Commercial |
$36.21
|
| Rate for Payer: Cash Price |
$44.80
|
| Rate for Payer: Cash Price |
$44.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$36.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$77.25
|
| Rate for Payer: Priority Health Narrow Network |
$77.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$30.81
|
| Rate for Payer: UHC Exchange |
$30.81
|
|
|
PR THERAPEUTIC APHERESIS PLASMA PHERESIS
|
Professional
|
Both
|
$869.00
|
|
|
Service Code
|
HCPCS 36514
|
| Min. Negotiated Rate |
$59.00 |
| Max. Negotiated Rate |
$1,024.37 |
| Rate for Payer: Aetna Commercial |
$126.08
|
| Rate for Payer: Aetna Medicare |
$434.50
|
| Rate for Payer: BCBS Complete |
$61.95
|
| Rate for Payer: BCBS Trust/PPO |
$1,024.37
|
| Rate for Payer: BCN Commercial |
$823.91
|
| Rate for Payer: Cash Price |
$695.20
|
| Rate for Payer: Cash Price |
$695.20
|
| Rate for Payer: Meridian Medicaid |
$61.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$59.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$564.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$146.25
|
| Rate for Payer: Priority Health Narrow Network |
$146.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$117.68
|
| Rate for Payer: UHC Exchange |
$117.68
|
| Rate for Payer: UHCCP Medicaid |
$59.00
|
|
|
PR THERAPEUTIC PROCEDURES GROUP 2/> INDIVIDUALS
|
Professional
|
Both
|
$34.00
|
|
|
Service Code
|
HCPCS 97150
|
| Min. Negotiated Rate |
$13.09 |
| Max. Negotiated Rate |
$831.02 |
| Rate for Payer: Aetna Commercial |
$13.09
|
| Rate for Payer: Aetna Medicare |
$17.00
|
| Rate for Payer: BCBS Complete |
$13.60
|
| Rate for Payer: BCBS Trust/PPO |
$831.02
|
| Rate for Payer: BCN Commercial |
$17.29
|
| Rate for Payer: Cash Price |
$27.20
|
| Rate for Payer: Cash Price |
$27.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$22.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$77.25
|
| Rate for Payer: Priority Health Narrow Network |
$77.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$18.51
|
| Rate for Payer: UHC Exchange |
$18.51
|
|
|
PR THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM
|
Professional
|
Both
|
$44.00
|
|
|
Service Code
|
HCPCS 96372
|
| Min. Negotiated Rate |
$13.70 |
| Max. Negotiated Rate |
$1,275.84 |
| Rate for Payer: Aetna Commercial |
$15.21
|
| Rate for Payer: Aetna Medicare |
$22.00
|
| Rate for Payer: BCBS Complete |
$17.60
|
| Rate for Payer: BCBS Trust/PPO |
$1,275.84
|
| Rate for Payer: BCN Commercial |
$13.70
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19.44
|
| Rate for Payer: Priority Health Narrow Network |
$19.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$22.27
|
| Rate for Payer: UHC Exchange |
$22.27
|
|
|
PR THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES
|
Professional
|
Both
|
$53.00
|
|
|
Service Code
|
HCPCS 97110
|
| Min. Negotiated Rate |
$21.20 |
| Max. Negotiated Rate |
$1,141.13 |
| Rate for Payer: Aetna Commercial |
$21.83
|
| Rate for Payer: Aetna Medicare |
$26.50
|
| Rate for Payer: BCBS Complete |
$21.20
|
| Rate for Payer: BCBS Trust/PPO |
$1,141.13
|
| Rate for Payer: BCN Commercial |
$28.71
|
| Rate for Payer: Cash Price |
$42.40
|
| Rate for Payer: Cash Price |
$42.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$34.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$77.25
|
| Rate for Payer: Priority Health Narrow Network |
$77.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$28.70
|
| Rate for Payer: UHC Exchange |
$28.70
|
|
|
PR THERAPEUTIC SPINAL PNXR DRAINAGE CSF W/FLUOR/CT
|
Professional
|
Both
|
$228.00
|
|
|
Service Code
|
HCPCS 62329
|
| Min. Negotiated Rate |
$66.24 |
| Max. Negotiated Rate |
$1,621.88 |
| Rate for Payer: Aetna Commercial |
$145.51
|
| Rate for Payer: Aetna Medicare |
$114.00
|
| Rate for Payer: BCBS Complete |
$69.55
|
| Rate for Payer: BCBS Trust/PPO |
$1,621.88
|
| Rate for Payer: BCN Commercial |
$419.77
|
| Rate for Payer: Cash Price |
$182.40
|
| Rate for Payer: Cash Price |
$182.40
|
| Rate for Payer: Meridian Medicaid |
$69.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$66.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$148.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$175.74
|
| Rate for Payer: Priority Health Narrow Network |
$175.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$144.48
|
| Rate for Payer: UHC Exchange |
$144.48
|
| Rate for Payer: UHCCP Medicaid |
$66.24
|
|
|
PR THERAPEUTIC SPINAL PUNCTURE DRAINAGE CSF
|
Professional
|
Both
|
$471.00
|
|
|
Service Code
|
HCPCS 62272
|
| Min. Negotiated Rate |
$59.85 |
| Max. Negotiated Rate |
$996.90 |
| Rate for Payer: Aetna Commercial |
$113.63
|
| Rate for Payer: Aetna Medicare |
$235.50
|
| Rate for Payer: BCBS Complete |
$62.84
|
| Rate for Payer: BCBS Trust/PPO |
$996.90
|
| Rate for Payer: BCN Commercial |
$261.44
|
| Rate for Payer: Cash Price |
$376.80
|
| Rate for Payer: Cash Price |
$376.80
|
| Rate for Payer: Meridian Medicaid |
$62.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$59.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$306.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$156.40
|
| Rate for Payer: Priority Health Narrow Network |
$156.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$100.18
|
| Rate for Payer: UHC Exchange |
$100.18
|
| Rate for Payer: UHCCP Medicaid |
$59.85
|
|
|
PR THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG
|
Professional
|
Both
|
$107.00
|
|
|
Service Code
|
HCPCS 96374
|
| Min. Negotiated Rate |
$42.80 |
| Max. Negotiated Rate |
$1,546.86 |
| Rate for Payer: Aetna Commercial |
$43.40
|
| Rate for Payer: Aetna Medicare |
$53.50
|
| Rate for Payer: BCBS Complete |
$42.80
|
| Rate for Payer: BCBS Trust/PPO |
$1,546.86
|
| Rate for Payer: BCN Commercial |
$54.24
|
| Rate for Payer: Cash Price |
$85.60
|
| Rate for Payer: Cash Price |
$85.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$69.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49.76
|
| Rate for Payer: Priority Health Narrow Network |
$49.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$54.74
|
| Rate for Payer: UHC Exchange |
$54.74
|
|
|
PR THER PX 1/> AREAS EACH 15 MIN NEUROMUSC REEDUCA
|
Professional
|
Both
|
$55.00
|
|
|
Service Code
|
HCPCS 97112
|
| Min. Negotiated Rate |
$22.00 |
| Max. Negotiated Rate |
$1,233.58 |
| Rate for Payer: Aetna Commercial |
$25.28
|
| Rate for Payer: Aetna Medicare |
$27.50
|
| Rate for Payer: BCBS Complete |
$22.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,233.58
|
| Rate for Payer: BCN Commercial |
$32.95
|
| Rate for Payer: Cash Price |
$44.00
|
| Rate for Payer: Cash Price |
$44.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$35.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$77.25
|
| Rate for Payer: Priority Health Narrow Network |
$77.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$29.76
|
| Rate for Payer: UHC Exchange |
$29.76
|
|
|
PR THER PX 1/> AREAS EACH 15 MINUTES MASSAGE
|
Professional
|
Both
|
$43.00
|
|
|
Service Code
|
HCPCS 97124
|
| Min. Negotiated Rate |
$14.23 |
| Max. Negotiated Rate |
$1,345.58 |
| Rate for Payer: Aetna Commercial |
$21.10
|
| Rate for Payer: Aetna Medicare |
$21.50
|
| Rate for Payer: BCBS Complete |
$17.20
|
| Rate for Payer: BCBS Trust/PPO |
$1,345.58
|
| Rate for Payer: BCN Commercial |
$14.23
|
| Rate for Payer: Cash Price |
$34.40
|
| Rate for Payer: Cash Price |
$34.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$77.25
|
| Rate for Payer: Priority Health Narrow Network |
$77.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$23.24
|
| Rate for Payer: UHC Exchange |
$23.24
|
|
|
PR THIGHPLASTY
|
Professional
|
Both
|
$4,590.00
|
|
|
Service Code
|
HCPCS 00538
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$1,836.00 |
| Max. Negotiated Rate |
$2,983.50 |
| Rate for Payer: Aetna Medicare |
$2,295.00
|
| Rate for Payer: BCBS Complete |
$1,836.00
|
| Rate for Payer: Cash Price |
$3,672.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,983.50
|
|
|
PR THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING
|
Professional
|
Both
|
$529.00
|
|
|
Service Code
|
HCPCS 32555
|
| Min. Negotiated Rate |
$68.37 |
| Max. Negotiated Rate |
$826.79 |
| Rate for Payer: Aetna Commercial |
$142.84
|
| Rate for Payer: Aetna Medicare |
$264.50
|
| Rate for Payer: BCBS Complete |
$71.79
|
| Rate for Payer: BCBS Trust/PPO |
$826.79
|
| Rate for Payer: BCN Commercial |
$463.76
|
| Rate for Payer: Cash Price |
$423.20
|
| Rate for Payer: Cash Price |
$423.20
|
| Rate for Payer: Meridian Medicaid |
$71.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$68.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$343.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$148.31
|
| Rate for Payer: Priority Health Narrow Network |
$148.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$139.45
|
| Rate for Payer: UHC Exchange |
$139.45
|
| Rate for Payer: UHCCP Medicaid |
$68.37
|
|
|
PR THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING
|
Facility
|
IP
|
$760.00
|
|
|
Service Code
|
CPT 32554
|
| Hospital Charge Code |
32554
|
| Min. Negotiated Rate |
$494.00 |
| Max. Negotiated Rate |
$760.00 |
| Rate for Payer: Aetna Commercial |
$684.00
|
| Rate for Payer: ASR ASR |
$737.20
|
| Rate for Payer: ASR Commercial |
$737.20
|
| Rate for Payer: BCBS Trust/PPO |
$619.32
|
| Rate for Payer: BCN Commercial |
$589.23
|
| Rate for Payer: Cash Price |
$608.00
|
| Rate for Payer: Cofinity Commercial |
$714.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$608.00
|
| Rate for Payer: Healthscope Commercial |
$760.00
|
| Rate for Payer: Healthscope Whirlpool |
$737.20
|
| Rate for Payer: Mclaren Commercial |
$684.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$646.00
|
| Rate for Payer: Nomi Health Commercial |
$623.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$494.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$668.80
|
|
|
PR THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING
|
Professional
|
Both
|
$760.00
|
|
|
Service Code
|
HCPCS 32554
|
| Min. Negotiated Rate |
$55.59 |
| Max. Negotiated Rate |
$813.58 |
| Rate for Payer: Aetna Commercial |
$115.79
|
| Rate for Payer: Aetna Medicare |
$380.00
|
| Rate for Payer: BCBS Complete |
$58.37
|
| Rate for Payer: BCBS Trust/PPO |
$813.58
|
| Rate for Payer: BCN Commercial |
$343.54
|
| Rate for Payer: Cash Price |
$608.00
|
| Rate for Payer: Cash Price |
$608.00
|
| Rate for Payer: Meridian Medicaid |
$58.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$55.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$494.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$120.96
|
| Rate for Payer: Priority Health Narrow Network |
$120.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$111.49
|
| Rate for Payer: UHC Exchange |
$111.49
|
| Rate for Payer: UHCCP Medicaid |
$55.59
|
|
|
PR THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING
|
Professional
|
Both
|
$760.00
|
|
|
Service Code
|
HCPCS 32554
|
| Hospital Charge Code |
32554
|
| Min. Negotiated Rate |
$55.59 |
| Max. Negotiated Rate |
$813.58 |
| Rate for Payer: Aetna Commercial |
$115.79
|
| Rate for Payer: Aetna Medicare |
$380.00
|
| Rate for Payer: BCBS Complete |
$58.37
|
| Rate for Payer: BCBS Trust/PPO |
$813.58
|
| Rate for Payer: BCN Commercial |
$343.54
|
| Rate for Payer: Cash Price |
$608.00
|
| Rate for Payer: Cash Price |
$608.00
|
| Rate for Payer: Meridian Medicaid |
$58.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$55.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$494.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$120.96
|
| Rate for Payer: Priority Health Narrow Network |
$120.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$111.49
|
| Rate for Payer: UHC Exchange |
$111.49
|
| Rate for Payer: UHCCP Medicaid |
$55.59
|
|
|
PR THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING
|
Facility
|
OP
|
$760.00
|
|
|
Service Code
|
CPT 32554
|
| Hospital Charge Code |
32554
|
| Min. Negotiated Rate |
$324.69 |
| Max. Negotiated Rate |
$938.93 |
| Rate for Payer: Aetna Commercial |
$684.00
|
| Rate for Payer: Aetna Medicare |
$605.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$757.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$757.20
|
| Rate for Payer: ASR ASR |
$737.20
|
| Rate for Payer: ASR Commercial |
$737.20
|
| Rate for Payer: BCBS Complete |
$340.92
|
| Rate for Payer: BCBS MAPPO |
$605.76
|
| Rate for Payer: BCBS Trust/PPO |
$622.36
|
| Rate for Payer: BCN Commercial |
$589.23
|
| Rate for Payer: BCN Medicare Advantage |
$605.76
|
| Rate for Payer: Cash Price |
$608.00
|
| Rate for Payer: Cash Price |
$608.00
|
| Rate for Payer: Cofinity Commercial |
$714.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$608.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$605.76
|
| Rate for Payer: Healthscope Commercial |
$760.00
|
| Rate for Payer: Healthscope Whirlpool |
$737.20
|
| Rate for Payer: Humana Choice PPO Medicare |
$605.76
|
| Rate for Payer: Mclaren Commercial |
$684.00
|
| Rate for Payer: Mclaren Medicaid |
$324.69
|
| Rate for Payer: Mclaren Medicare |
$605.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$636.05
|
| Rate for Payer: Meridian Medicaid |
$340.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$696.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$646.00
|
| Rate for Payer: Nomi Health Commercial |
$623.20
|
| Rate for Payer: PACE Medicare |
$575.47
|
| Rate for Payer: PACE SWMI |
$605.76
|
| Rate for Payer: PHP Commercial |
$666.34
|
| Rate for Payer: PHP Medicaid |
$324.69
|
| Rate for Payer: PHP Medicare Advantage |
$605.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$324.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$494.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$472.15
|
| Rate for Payer: Priority Health Medicare |
$605.76
|
| Rate for Payer: Priority Health Narrow Network |
$377.72
|
| Rate for Payer: Railroad Medicare Medicare |
$605.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$668.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$605.76
|
| Rate for Payer: UHC Exchange |
$938.93
|
| Rate for Payer: UHC Medicare Advantage |
$605.76
|
| Rate for Payer: UHCCP DNSP |
$605.76
|
| Rate for Payer: UHCCP Medicaid |
$324.69
|
| Rate for Payer: VA VA |
$605.76
|
|
|
PR THORACOPLASTY SCHEDE TYPE/EXTRAPLEURAL
|
Professional
|
Both
|
$2,610.00
|
|
|
Service Code
|
HCPCS 32905
|
| Min. Negotiated Rate |
$843.91 |
| Max. Negotiated Rate |
$1,919.03 |
| Rate for Payer: Aetna Commercial |
$1,722.95
|
| Rate for Payer: Aetna Medicare |
$1,305.00
|
| Rate for Payer: BCBS Complete |
$886.11
|
| Rate for Payer: BCBS Trust/PPO |
$1,120.52
|
| Rate for Payer: BCN Commercial |
$1,919.03
|
| Rate for Payer: Cash Price |
$2,088.00
|
| Rate for Payer: Cash Price |
$2,088.00
|
| Rate for Payer: Meridian Medicaid |
$886.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$843.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,696.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,829.76
|
| Rate for Payer: Priority Health Narrow Network |
$1,829.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,584.10
|
| Rate for Payer: UHC Exchange |
$1,584.10
|
| Rate for Payer: UHCCP Medicaid |
$843.91
|
|
|
PR THORACOP SCHEDE TYP/XTRPLEURAL CLSR BRNCPLR FSTL
|
Professional
|
Both
|
$3,231.00
|
|
|
Service Code
|
HCPCS 32906
|
| Min. Negotiated Rate |
$1,039.23 |
| Max. Negotiated Rate |
$2,366.18 |
| Rate for Payer: Aetna Commercial |
$2,129.21
|
| Rate for Payer: Aetna Medicare |
$1,615.50
|
| Rate for Payer: BCBS Complete |
$1,091.19
|
| Rate for Payer: BCBS Trust/PPO |
$1,074.56
|
| Rate for Payer: BCN Commercial |
$2,366.18
|
| Rate for Payer: Cash Price |
$2,584.80
|
| Rate for Payer: Cash Price |
$2,584.80
|
| Rate for Payer: Meridian Medicaid |
$1,091.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,039.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,100.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,254.77
|
| Rate for Payer: Priority Health Narrow Network |
$2,254.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,966.71
|
| Rate for Payer: UHC Exchange |
$1,966.71
|
| Rate for Payer: UHCCP Medicaid |
$1,039.23
|
|
|
PR THORACOSCOPY CONTROL TRAUMATIC HEMORRHAGE
|
Professional
|
Both
|
$2,370.00
|
|
|
Service Code
|
HCPCS 32654
|
| Min. Negotiated Rate |
$571.09 |
| Max. Negotiated Rate |
$1,694.73 |
| Rate for Payer: Aetna Commercial |
$1,491.87
|
| Rate for Payer: Aetna Medicare |
$1,185.00
|
| Rate for Payer: BCBS Complete |
$796.87
|
| Rate for Payer: BCBS Trust/PPO |
$571.09
|
| Rate for Payer: BCN Commercial |
$1,694.73
|
| Rate for Payer: Cash Price |
$1,896.00
|
| Rate for Payer: Cash Price |
$1,896.00
|
| Rate for Payer: Meridian Medicaid |
$796.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$758.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,540.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,622.60
|
| Rate for Payer: Priority Health Narrow Network |
$1,622.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,378.82
|
| Rate for Payer: UHC Exchange |
$1,378.82
|
| Rate for Payer: UHCCP Medicaid |
$758.92
|
|
|
PR THORACOSCOPY DX MEDIASTINAL SPACE W/BIOPSY SPX
|
Professional
|
Both
|
$1,413.00
|
|
|
Service Code
|
HCPCS 32606
|
| Min. Negotiated Rate |
$291.17 |
| Max. Negotiated Rate |
$918.45 |
| Rate for Payer: Aetna Commercial |
$596.46
|
| Rate for Payer: Aetna Medicare |
$706.50
|
| Rate for Payer: BCBS Complete |
$305.73
|
| Rate for Payer: BCBS Trust/PPO |
$909.20
|
| Rate for Payer: BCN Commercial |
$661.18
|
| Rate for Payer: Cash Price |
$1,130.40
|
| Rate for Payer: Cash Price |
$1,130.40
|
| Rate for Payer: Meridian Medicaid |
$305.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$291.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$918.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$629.85
|
| Rate for Payer: Priority Health Narrow Network |
$629.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$554.37
|
| Rate for Payer: UHC Exchange |
$554.37
|
| Rate for Payer: UHCCP Medicaid |
$291.17
|
|
|
PR THORACOSCOPY DX PERICARDIAL SAC W/BIOPSY SPX
|
Professional
|
Both
|
$919.00
|
|
|
Service Code
|
HCPCS 32604
|
| Min. Negotiated Rate |
$301.40 |
| Max. Negotiated Rate |
$719.54 |
| Rate for Payer: Aetna Commercial |
$618.84
|
| Rate for Payer: Aetna Medicare |
$459.50
|
| Rate for Payer: BCBS Complete |
$316.47
|
| Rate for Payer: BCBS Trust/PPO |
$719.54
|
| Rate for Payer: BCN Commercial |
$686.10
|
| Rate for Payer: Cash Price |
$735.20
|
| Rate for Payer: Cash Price |
$735.20
|
| Rate for Payer: Meridian Medicaid |
$316.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$301.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$597.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$653.96
|
| Rate for Payer: Priority Health Narrow Network |
$653.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$579.46
|
| Rate for Payer: UHC Exchange |
$579.46
|
| Rate for Payer: UHCCP Medicaid |
$301.40
|
|
|
PR THORACOSCOPY RESEXN THYMUS UNI/BILATERAL
|
Professional
|
Both
|
$4,831.00
|
|
|
Service Code
|
HCPCS 32673
|
| Min. Negotiated Rate |
$768.08 |
| Max. Negotiated Rate |
$3,140.15 |
| Rate for Payer: Aetna Commercial |
$1,568.06
|
| Rate for Payer: Aetna Medicare |
$2,415.50
|
| Rate for Payer: BCBS Complete |
$806.48
|
| Rate for Payer: BCBS Trust/PPO |
$1,478.18
|
| Rate for Payer: BCN Commercial |
$1,747.02
|
| Rate for Payer: Cash Price |
$3,864.80
|
| Rate for Payer: Cash Price |
$3,864.80
|
| Rate for Payer: Meridian Medicaid |
$806.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$768.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,140.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,665.69
|
| Rate for Payer: Priority Health Narrow Network |
$1,665.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,525.31
|
| Rate for Payer: UHC Exchange |
$1,525.31
|
| Rate for Payer: UHCCP Medicaid |
$768.08
|
|
|
PR THORACOSCOPY RMVL INTRAPLEURAL FB/FIBRIN DEPOSIT
|
Professional
|
Both
|
$3,001.00
|
|
|
Service Code
|
HCPCS 32653
|
| Min. Negotiated Rate |
$561.58 |
| Max. Negotiated Rate |
$1,950.65 |
| Rate for Payer: Aetna Commercial |
$1,367.46
|
| Rate for Payer: Aetna Medicare |
$1,500.50
|
| Rate for Payer: BCBS Complete |
$705.62
|
| Rate for Payer: BCBS Trust/PPO |
$561.58
|
| Rate for Payer: BCN Commercial |
$1,524.19
|
| Rate for Payer: Cash Price |
$2,400.80
|
| Rate for Payer: Cash Price |
$2,400.80
|
| Rate for Payer: Meridian Medicaid |
$705.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$672.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,950.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,452.50
|
| Rate for Payer: Priority Health Narrow Network |
$1,452.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,232.29
|
| Rate for Payer: UHC Exchange |
$1,232.29
|
| Rate for Payer: UHCCP Medicaid |
$672.02
|
|
|
PR THORACOSCOPY W/BILOBECTOMY
|
Professional
|
Both
|
$6,456.00
|
|
|
Service Code
|
HCPCS 32670
|
| Min. Negotiated Rate |
$969.96 |
| Max. Negotiated Rate |
$4,196.40 |
| Rate for Payer: Aetna Commercial |
$2,072.10
|
| Rate for Payer: Aetna Medicare |
$3,228.00
|
| Rate for Payer: BCBS Complete |
$1,059.65
|
| Rate for Payer: BCBS Trust/PPO |
$969.96
|
| Rate for Payer: BCN Commercial |
$2,304.60
|
| Rate for Payer: Cash Price |
$5,164.80
|
| Rate for Payer: Cash Price |
$5,164.80
|
| Rate for Payer: Meridian Medicaid |
$1,059.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,009.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,196.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,188.02
|
| Rate for Payer: Priority Health Narrow Network |
$2,188.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,041.42
|
| Rate for Payer: UHC Exchange |
$2,041.42
|
| Rate for Payer: UHCCP Medicaid |
$1,009.19
|
|
|
PR THORACOSCOPY W/DX BX OF LUNG INFILTRATE UNILATRL
|
Professional
|
Both
|
$1,247.00
|
|
|
Service Code
|
HCPCS 32607
|
| Min. Negotiated Rate |
$194.26 |
| Max. Negotiated Rate |
$810.55 |
| Rate for Payer: Aetna Commercial |
$397.15
|
| Rate for Payer: Aetna Medicare |
$623.50
|
| Rate for Payer: BCBS Complete |
$203.97
|
| Rate for Payer: BCBS Trust/PPO |
$801.43
|
| Rate for Payer: BCN Commercial |
$441.76
|
| Rate for Payer: Cash Price |
$997.60
|
| Rate for Payer: Cash Price |
$997.60
|
| Rate for Payer: Meridian Medicaid |
$203.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$194.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$810.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$420.37
|
| Rate for Payer: Priority Health Narrow Network |
$420.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$394.39
|
| Rate for Payer: UHC Exchange |
$394.39
|
| Rate for Payer: UHCCP Medicaid |
$194.26
|
|
