|
PR THORACOP SCHEDE TYP/XTRPLEURAL CLSR BRNCPLR FSTL
|
Professional
|
Both
|
$3,231.00
|
|
|
Service Code
|
HCPCS 32906
|
| Min. Negotiated Rate |
$1,292.40 |
| Max. Negotiated Rate |
$2,279.17 |
| Rate for Payer: Aetna Commercial |
$2,120.90
|
| Rate for Payer: Aetna Medicare |
$1,582.76
|
| Rate for Payer: BCBS Complete |
$1,292.40
|
| Rate for Payer: BCBS MAPPO |
$1,582.76
|
| Rate for Payer: BCN Medicare Advantage |
$1,582.76
|
| Rate for Payer: Cash Price |
$2,584.80
|
| Rate for Payer: Cash Price |
$2,584.80
|
| Rate for Payer: Cofinity Commercial |
$2,279.17
|
| Rate for Payer: Cofinity Commercial |
$2,120.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,582.76
|
| Rate for Payer: Healthscope Commercial |
$1,899.31
|
| Rate for Payer: Healthscope Whirlpool |
$1,899.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,661.90
|
| Rate for Payer: Nomi Health Commercial |
$1,899.31
|
| Rate for Payer: PACE SWMI |
$1,582.76
|
| Rate for Payer: PHP Medicare Advantage |
$1,582.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,100.15
|
| Rate for Payer: Priority Health Medicare |
$1,582.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,582.76
|
| Rate for Payer: UHC Medicare Advantage |
$1,582.76
|
| Rate for Payer: UHCCP DNSP |
$1,582.76
|
|
|
PR THORACOSCOPY CONTROL TRAUMATIC HEMORRHAGE
|
Professional
|
Both
|
$2,370.00
|
|
|
Service Code
|
HCPCS 32654
|
| Min. Negotiated Rate |
$948.00 |
| Max. Negotiated Rate |
$1,656.89 |
| Rate for Payer: Aetna Commercial |
$1,541.83
|
| Rate for Payer: Aetna Medicare |
$1,150.62
|
| Rate for Payer: BCBS Complete |
$948.00
|
| Rate for Payer: BCBS MAPPO |
$1,150.62
|
| Rate for Payer: BCN Medicare Advantage |
$1,150.62
|
| Rate for Payer: Cash Price |
$1,896.00
|
| Rate for Payer: Cash Price |
$1,896.00
|
| Rate for Payer: Cofinity Commercial |
$1,656.89
|
| Rate for Payer: Cofinity Commercial |
$1,541.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,150.62
|
| Rate for Payer: Healthscope Commercial |
$1,380.74
|
| Rate for Payer: Healthscope Whirlpool |
$1,380.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,208.15
|
| Rate for Payer: Nomi Health Commercial |
$1,380.74
|
| Rate for Payer: PACE SWMI |
$1,150.62
|
| Rate for Payer: PHP Medicare Advantage |
$1,150.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,540.50
|
| Rate for Payer: Priority Health Medicare |
$1,150.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,150.62
|
| Rate for Payer: UHC Medicare Advantage |
$1,150.62
|
| Rate for Payer: UHCCP DNSP |
$1,150.62
|
|
|
PR THORACOSCOPY DX MEDIASTINAL SPACE W/BIOPSY SPX
|
Professional
|
Both
|
$1,413.00
|
|
|
Service Code
|
HCPCS 32606
|
| Min. Negotiated Rate |
$444.26 |
| Max. Negotiated Rate |
$918.45 |
| Rate for Payer: Aetna Commercial |
$595.31
|
| Rate for Payer: Aetna Medicare |
$444.26
|
| Rate for Payer: BCBS Complete |
$565.20
|
| Rate for Payer: BCBS MAPPO |
$444.26
|
| Rate for Payer: BCN Medicare Advantage |
$444.26
|
| Rate for Payer: Cash Price |
$1,130.40
|
| Rate for Payer: Cash Price |
$1,130.40
|
| Rate for Payer: Cofinity Commercial |
$639.73
|
| Rate for Payer: Cofinity Commercial |
$595.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$444.26
|
| Rate for Payer: Healthscope Commercial |
$533.11
|
| Rate for Payer: Healthscope Whirlpool |
$533.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$466.47
|
| Rate for Payer: Nomi Health Commercial |
$533.11
|
| Rate for Payer: PACE SWMI |
$444.26
|
| Rate for Payer: PHP Medicare Advantage |
$444.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$918.45
|
| Rate for Payer: Priority Health Medicare |
$444.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$444.26
|
| Rate for Payer: UHC Medicare Advantage |
$444.26
|
| Rate for Payer: UHCCP DNSP |
$444.26
|
|
|
PR THORACOSCOPY DX PERICARDIAL SAC W/BIOPSY SPX
|
Professional
|
Both
|
$919.00
|
|
|
Service Code
|
HCPCS 32604
|
| Min. Negotiated Rate |
$367.60 |
| Max. Negotiated Rate |
$662.90 |
| Rate for Payer: Aetna Commercial |
$616.87
|
| Rate for Payer: Aetna Medicare |
$460.35
|
| Rate for Payer: BCBS Complete |
$367.60
|
| Rate for Payer: BCBS MAPPO |
$460.35
|
| Rate for Payer: BCN Medicare Advantage |
$460.35
|
| Rate for Payer: Cash Price |
$735.20
|
| Rate for Payer: Cash Price |
$735.20
|
| Rate for Payer: Cofinity Commercial |
$662.90
|
| Rate for Payer: Cofinity Commercial |
$616.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$460.35
|
| Rate for Payer: Healthscope Commercial |
$552.42
|
| Rate for Payer: Healthscope Whirlpool |
$552.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$483.37
|
| Rate for Payer: Nomi Health Commercial |
$552.42
|
| Rate for Payer: PACE SWMI |
$460.35
|
| Rate for Payer: PHP Medicare Advantage |
$460.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$597.35
|
| Rate for Payer: Priority Health Medicare |
$460.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$460.35
|
| Rate for Payer: UHC Medicare Advantage |
$460.35
|
| Rate for Payer: UHCCP DNSP |
$460.35
|
|
|
PR THORACOSCOPY RESEXN THYMUS UNI/BILATERAL
|
Professional
|
Both
|
$4,831.00
|
|
|
Service Code
|
HCPCS 32673
|
| Min. Negotiated Rate |
$1,166.99 |
| Max. Negotiated Rate |
$3,140.15 |
| Rate for Payer: Aetna Commercial |
$1,563.77
|
| Rate for Payer: Aetna Medicare |
$1,166.99
|
| Rate for Payer: BCBS Complete |
$1,932.40
|
| Rate for Payer: BCBS MAPPO |
$1,166.99
|
| Rate for Payer: BCN Medicare Advantage |
$1,166.99
|
| Rate for Payer: Cash Price |
$3,864.80
|
| Rate for Payer: Cash Price |
$3,864.80
|
| Rate for Payer: Cofinity Commercial |
$1,680.47
|
| Rate for Payer: Cofinity Commercial |
$1,563.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,166.99
|
| Rate for Payer: Healthscope Commercial |
$1,400.39
|
| Rate for Payer: Healthscope Whirlpool |
$1,400.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,225.34
|
| Rate for Payer: Nomi Health Commercial |
$1,400.39
|
| Rate for Payer: PACE SWMI |
$1,166.99
|
| Rate for Payer: PHP Medicare Advantage |
$1,166.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,140.15
|
| Rate for Payer: Priority Health Medicare |
$1,166.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,166.99
|
| Rate for Payer: UHC Medicare Advantage |
$1,166.99
|
| Rate for Payer: UHCCP DNSP |
$1,166.99
|
|
|
PR THORACOSCOPY RMVL INTRAPLEURAL FB/FIBRIN DEPOSIT
|
Professional
|
Both
|
$3,001.00
|
|
|
Service Code
|
HCPCS 32653
|
| Min. Negotiated Rate |
$1,017.61 |
| Max. Negotiated Rate |
$1,950.65 |
| Rate for Payer: Aetna Commercial |
$1,363.60
|
| Rate for Payer: Aetna Medicare |
$1,017.61
|
| Rate for Payer: BCBS Complete |
$1,200.40
|
| Rate for Payer: BCBS MAPPO |
$1,017.61
|
| Rate for Payer: BCN Medicare Advantage |
$1,017.61
|
| Rate for Payer: Cash Price |
$2,400.80
|
| Rate for Payer: Cash Price |
$2,400.80
|
| Rate for Payer: Cofinity Commercial |
$1,465.36
|
| Rate for Payer: Cofinity Commercial |
$1,363.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,017.61
|
| Rate for Payer: Healthscope Commercial |
$1,221.13
|
| Rate for Payer: Healthscope Whirlpool |
$1,221.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,068.49
|
| Rate for Payer: Nomi Health Commercial |
$1,221.13
|
| Rate for Payer: PACE SWMI |
$1,017.61
|
| Rate for Payer: PHP Medicare Advantage |
$1,017.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,950.65
|
| Rate for Payer: Priority Health Medicare |
$1,017.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,017.61
|
| Rate for Payer: UHC Medicare Advantage |
$1,017.61
|
| Rate for Payer: UHCCP DNSP |
$1,017.61
|
|
|
PR THORACOSCOPY W/BILOBECTOMY
|
Professional
|
Both
|
$6,456.00
|
|
|
Service Code
|
HCPCS 32670
|
| Min. Negotiated Rate |
$1,536.50 |
| Max. Negotiated Rate |
$4,196.40 |
| Rate for Payer: Aetna Commercial |
$2,058.91
|
| Rate for Payer: Aetna Medicare |
$1,536.50
|
| Rate for Payer: BCBS Complete |
$2,582.40
|
| Rate for Payer: BCBS MAPPO |
$1,536.50
|
| Rate for Payer: BCN Medicare Advantage |
$1,536.50
|
| Rate for Payer: Cash Price |
$5,164.80
|
| Rate for Payer: Cash Price |
$5,164.80
|
| Rate for Payer: Cofinity Commercial |
$2,212.56
|
| Rate for Payer: Cofinity Commercial |
$2,058.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,536.50
|
| Rate for Payer: Healthscope Commercial |
$1,843.80
|
| Rate for Payer: Healthscope Whirlpool |
$1,843.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,613.33
|
| Rate for Payer: Nomi Health Commercial |
$1,843.80
|
| Rate for Payer: PACE SWMI |
$1,536.50
|
| Rate for Payer: PHP Medicare Advantage |
$1,536.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,196.40
|
| Rate for Payer: Priority Health Medicare |
$1,536.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,536.50
|
| Rate for Payer: UHC Medicare Advantage |
$1,536.50
|
| Rate for Payer: UHCCP DNSP |
$1,536.50
|
|
|
PR THORACOSCOPY W/DX BX OF LUNG INFILTRATE UNILATRL
|
Professional
|
Both
|
$1,247.00
|
|
|
Service Code
|
HCPCS 32607
|
| Min. Negotiated Rate |
$295.68 |
| Max. Negotiated Rate |
$810.55 |
| Rate for Payer: Aetna Commercial |
$396.21
|
| Rate for Payer: Aetna Medicare |
$295.68
|
| Rate for Payer: BCBS Complete |
$498.80
|
| Rate for Payer: BCBS MAPPO |
$295.68
|
| Rate for Payer: BCN Medicare Advantage |
$295.68
|
| Rate for Payer: Cash Price |
$997.60
|
| Rate for Payer: Cash Price |
$997.60
|
| Rate for Payer: Cofinity Commercial |
$425.78
|
| Rate for Payer: Cofinity Commercial |
$396.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$295.68
|
| Rate for Payer: Healthscope Commercial |
$354.82
|
| Rate for Payer: Healthscope Whirlpool |
$354.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$310.46
|
| Rate for Payer: Nomi Health Commercial |
$354.82
|
| Rate for Payer: PACE SWMI |
$295.68
|
| Rate for Payer: PHP Medicare Advantage |
$295.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$810.55
|
| Rate for Payer: Priority Health Medicare |
$295.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$295.68
|
| Rate for Payer: UHC Medicare Advantage |
$295.68
|
| Rate for Payer: UHCCP DNSP |
$295.68
|
|
|
PR THORACOSCOPY W/DX BX OF LUNG NODULES UNILATRL
|
Professional
|
Both
|
$1,532.00
|
|
|
Service Code
|
HCPCS 32608
|
| Min. Negotiated Rate |
$364.18 |
| Max. Negotiated Rate |
$995.80 |
| Rate for Payer: Aetna Commercial |
$488.00
|
| Rate for Payer: Aetna Medicare |
$364.18
|
| Rate for Payer: BCBS Complete |
$612.80
|
| Rate for Payer: BCBS MAPPO |
$364.18
|
| Rate for Payer: BCN Medicare Advantage |
$364.18
|
| Rate for Payer: Cash Price |
$1,225.60
|
| Rate for Payer: Cash Price |
$1,225.60
|
| Rate for Payer: Cofinity Commercial |
$524.42
|
| Rate for Payer: Cofinity Commercial |
$488.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$364.18
|
| Rate for Payer: Healthscope Commercial |
$437.02
|
| Rate for Payer: Healthscope Whirlpool |
$437.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$382.39
|
| Rate for Payer: Nomi Health Commercial |
$437.02
|
| Rate for Payer: PACE SWMI |
$364.18
|
| Rate for Payer: PHP Medicare Advantage |
$364.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$995.80
|
| Rate for Payer: Priority Health Medicare |
$364.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$364.18
|
| Rate for Payer: UHC Medicare Advantage |
$364.18
|
| Rate for Payer: UHCCP DNSP |
$364.18
|
|
|
PR THORACOSCOPY W/DX WEDGE RESEXN ANATO LUNG RESEXN
|
Professional
|
Both
|
$633.00
|
|
|
Service Code
|
HCPCS 32668
|
| Min. Negotiated Rate |
$149.99 |
| Max. Negotiated Rate |
$411.45 |
| Rate for Payer: Aetna Commercial |
$200.99
|
| Rate for Payer: Aetna Medicare |
$149.99
|
| Rate for Payer: BCBS Complete |
$253.20
|
| Rate for Payer: BCBS MAPPO |
$149.99
|
| Rate for Payer: BCN Medicare Advantage |
$149.99
|
| Rate for Payer: Cash Price |
$506.40
|
| Rate for Payer: Cash Price |
$506.40
|
| Rate for Payer: Cofinity Commercial |
$215.99
|
| Rate for Payer: Cofinity Commercial |
$200.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$149.99
|
| Rate for Payer: Healthscope Commercial |
$179.99
|
| Rate for Payer: Healthscope Whirlpool |
$179.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$157.49
|
| Rate for Payer: Nomi Health Commercial |
$179.99
|
| Rate for Payer: PACE SWMI |
$149.99
|
| Rate for Payer: PHP Medicare Advantage |
$149.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$411.45
|
| Rate for Payer: Priority Health Medicare |
$149.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$149.99
|
| Rate for Payer: UHC Medicare Advantage |
$149.99
|
| Rate for Payer: UHCCP DNSP |
$149.99
|
|
|
PR THORACOSCOPY W/EXC MEDIASTINAL CYST TUMOR/MASS
|
Professional
|
Both
|
$4,061.00
|
|
|
Service Code
|
HCPCS 32662
|
| Min. Negotiated Rate |
$859.40 |
| Max. Negotiated Rate |
$2,639.65 |
| Rate for Payer: Aetna Commercial |
$1,151.60
|
| Rate for Payer: Aetna Medicare |
$859.40
|
| Rate for Payer: BCBS Complete |
$1,624.40
|
| Rate for Payer: BCBS MAPPO |
$859.40
|
| Rate for Payer: BCN Medicare Advantage |
$859.40
|
| Rate for Payer: Cash Price |
$3,248.80
|
| Rate for Payer: Cash Price |
$3,248.80
|
| Rate for Payer: Cofinity Commercial |
$1,237.54
|
| Rate for Payer: Cofinity Commercial |
$1,151.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$859.40
|
| Rate for Payer: Healthscope Commercial |
$1,031.28
|
| Rate for Payer: Healthscope Whirlpool |
$1,031.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$902.37
|
| Rate for Payer: Nomi Health Commercial |
$1,031.28
|
| Rate for Payer: PACE SWMI |
$859.40
|
| Rate for Payer: PHP Medicare Advantage |
$859.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,639.65
|
| Rate for Payer: Priority Health Medicare |
$859.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$859.40
|
| Rate for Payer: UHC Medicare Advantage |
$859.40
|
| Rate for Payer: UHCCP DNSP |
$859.40
|
|
|
PR THORACOSCOPY W/EXC PERICARDIAL CYST TUMOR/MASS
|
Professional
|
Both
|
$3,852.00
|
|
|
Service Code
|
HCPCS 32661
|
| Min. Negotiated Rate |
$767.54 |
| Max. Negotiated Rate |
$2,503.80 |
| Rate for Payer: Aetna Commercial |
$1,028.50
|
| Rate for Payer: Aetna Medicare |
$767.54
|
| Rate for Payer: BCBS Complete |
$1,540.80
|
| Rate for Payer: BCBS MAPPO |
$767.54
|
| Rate for Payer: BCN Medicare Advantage |
$767.54
|
| Rate for Payer: Cash Price |
$3,081.60
|
| Rate for Payer: Cash Price |
$3,081.60
|
| Rate for Payer: Cofinity Commercial |
$1,105.26
|
| Rate for Payer: Cofinity Commercial |
$1,028.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$767.54
|
| Rate for Payer: Healthscope Commercial |
$921.05
|
| Rate for Payer: Healthscope Whirlpool |
$921.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$805.92
|
| Rate for Payer: Nomi Health Commercial |
$921.05
|
| Rate for Payer: PACE SWMI |
$767.54
|
| Rate for Payer: PHP Medicare Advantage |
$767.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,503.80
|
| Rate for Payer: Priority Health Medicare |
$767.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$767.54
|
| Rate for Payer: UHC Medicare Advantage |
$767.54
|
| Rate for Payer: UHCCP DNSP |
$767.54
|
|
|
PR THORACOSCOPY WITH BIOPSYIES OF PLEURA
|
Professional
|
Both
|
$1,059.00
|
|
|
Service Code
|
HCPCS 32609
|
| Min. Negotiated Rate |
$243.72 |
| Max. Negotiated Rate |
$688.35 |
| Rate for Payer: Aetna Commercial |
$326.58
|
| Rate for Payer: Aetna Medicare |
$243.72
|
| Rate for Payer: BCBS Complete |
$423.60
|
| Rate for Payer: BCBS MAPPO |
$243.72
|
| Rate for Payer: BCN Medicare Advantage |
$243.72
|
| Rate for Payer: Cash Price |
$847.20
|
| Rate for Payer: Cash Price |
$847.20
|
| Rate for Payer: Cofinity Commercial |
$350.96
|
| Rate for Payer: Cofinity Commercial |
$326.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$243.72
|
| Rate for Payer: Healthscope Commercial |
$292.46
|
| Rate for Payer: Healthscope Whirlpool |
$292.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$255.91
|
| Rate for Payer: Nomi Health Commercial |
$292.46
|
| Rate for Payer: PACE SWMI |
$243.72
|
| Rate for Payer: PHP Medicare Advantage |
$243.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$688.35
|
| Rate for Payer: Priority Health Medicare |
$243.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$243.72
|
| Rate for Payer: UHC Medicare Advantage |
$243.72
|
| Rate for Payer: UHCCP DNSP |
$243.72
|
|
|
PR THORACOSCOPY W/LOBECTOMY SINGLE LOBE
|
Professional
|
Both
|
$4,590.00
|
|
|
Service Code
|
HCPCS 32663
|
| Min. Negotiated Rate |
$1,342.84 |
| Max. Negotiated Rate |
$2,983.50 |
| Rate for Payer: Aetna Commercial |
$1,799.41
|
| Rate for Payer: Aetna Medicare |
$1,342.84
|
| Rate for Payer: BCBS Complete |
$1,836.00
|
| Rate for Payer: BCBS MAPPO |
$1,342.84
|
| Rate for Payer: BCN Medicare Advantage |
$1,342.84
|
| Rate for Payer: Cash Price |
$3,672.00
|
| Rate for Payer: Cash Price |
$3,672.00
|
| Rate for Payer: Cofinity Commercial |
$1,933.69
|
| Rate for Payer: Cofinity Commercial |
$1,799.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,342.84
|
| Rate for Payer: Healthscope Commercial |
$1,611.41
|
| Rate for Payer: Healthscope Whirlpool |
$1,611.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,409.98
|
| Rate for Payer: Nomi Health Commercial |
$1,611.41
|
| Rate for Payer: PACE SWMI |
$1,342.84
|
| Rate for Payer: PHP Medicare Advantage |
$1,342.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,983.50
|
| Rate for Payer: Priority Health Medicare |
$1,342.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,342.84
|
| Rate for Payer: UHC Medicare Advantage |
$1,342.84
|
| Rate for Payer: UHCCP DNSP |
$1,342.84
|
|
|
PR THORACOSCOPY W/PARIETAL PLEURECTOMY
|
Professional
|
Both
|
$2,890.00
|
|
|
Service Code
|
HCPCS 32656
|
| Min. Negotiated Rate |
$772.90 |
| Max. Negotiated Rate |
$1,878.50 |
| Rate for Payer: Aetna Commercial |
$1,035.69
|
| Rate for Payer: Aetna Medicare |
$772.90
|
| Rate for Payer: BCBS Complete |
$1,156.00
|
| Rate for Payer: BCBS MAPPO |
$772.90
|
| Rate for Payer: BCN Medicare Advantage |
$772.90
|
| Rate for Payer: Cash Price |
$2,312.00
|
| Rate for Payer: Cash Price |
$2,312.00
|
| Rate for Payer: Cofinity Commercial |
$1,112.98
|
| Rate for Payer: Cofinity Commercial |
$1,035.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$772.90
|
| Rate for Payer: Healthscope Commercial |
$927.48
|
| Rate for Payer: Healthscope Whirlpool |
$927.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$811.54
|
| Rate for Payer: Nomi Health Commercial |
$927.48
|
| Rate for Payer: PACE SWMI |
$772.90
|
| Rate for Payer: PHP Medicare Advantage |
$772.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,878.50
|
| Rate for Payer: Priority Health Medicare |
$772.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$772.90
|
| Rate for Payer: UHC Medicare Advantage |
$772.90
|
| Rate for Payer: UHCCP DNSP |
$772.90
|
|
|
PR THORACOSCOPY W/PARTIAL PULMONARY DECORTICATION
|
Professional
|
Both
|
$3,220.00
|
|
|
Service Code
|
HCPCS 32651
|
| Min. Negotiated Rate |
$1,052.43 |
| Max. Negotiated Rate |
$2,093.00 |
| Rate for Payer: Aetna Commercial |
$1,410.26
|
| Rate for Payer: Aetna Medicare |
$1,052.43
|
| Rate for Payer: BCBS Complete |
$1,288.00
|
| Rate for Payer: BCBS MAPPO |
$1,052.43
|
| Rate for Payer: BCN Medicare Advantage |
$1,052.43
|
| Rate for Payer: Cash Price |
$2,576.00
|
| Rate for Payer: Cash Price |
$2,576.00
|
| Rate for Payer: Cofinity Commercial |
$1,515.50
|
| Rate for Payer: Cofinity Commercial |
$1,410.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,052.43
|
| Rate for Payer: Healthscope Commercial |
$1,262.92
|
| Rate for Payer: Healthscope Whirlpool |
$1,262.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,105.05
|
| Rate for Payer: Nomi Health Commercial |
$1,262.92
|
| Rate for Payer: PACE SWMI |
$1,052.43
|
| Rate for Payer: PHP Medicare Advantage |
$1,052.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,093.00
|
| Rate for Payer: Priority Health Medicare |
$1,052.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,052.43
|
| Rate for Payer: UHC Medicare Advantage |
$1,052.43
|
| Rate for Payer: UHCCP DNSP |
$1,052.43
|
|
|
PR THORACOSCOPY W/PLEURODESIS
|
Professional
|
Both
|
$3,164.00
|
|
|
Service Code
|
HCPCS 32650
|
| Min. Negotiated Rate |
$641.38 |
| Max. Negotiated Rate |
$2,056.60 |
| Rate for Payer: Aetna Commercial |
$859.45
|
| Rate for Payer: Aetna Medicare |
$641.38
|
| Rate for Payer: BCBS Complete |
$1,265.60
|
| Rate for Payer: BCBS MAPPO |
$641.38
|
| Rate for Payer: BCN Medicare Advantage |
$641.38
|
| Rate for Payer: Cash Price |
$2,531.20
|
| Rate for Payer: Cash Price |
$2,531.20
|
| Rate for Payer: Cofinity Commercial |
$923.59
|
| Rate for Payer: Cofinity Commercial |
$859.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$641.38
|
| Rate for Payer: Healthscope Commercial |
$769.66
|
| Rate for Payer: Healthscope Whirlpool |
$769.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$673.45
|
| Rate for Payer: Nomi Health Commercial |
$769.66
|
| Rate for Payer: PACE SWMI |
$641.38
|
| Rate for Payer: PHP Medicare Advantage |
$641.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,056.60
|
| Rate for Payer: Priority Health Medicare |
$641.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$641.38
|
| Rate for Payer: UHC Medicare Advantage |
$641.38
|
| Rate for Payer: UHCCP DNSP |
$641.38
|
|
|
PR THORACOSCOPY W/PNEUMONECTOMY
|
Professional
|
Both
|
$7,168.00
|
|
|
Service Code
|
HCPCS 32671
|
| Min. Negotiated Rate |
$1,702.40 |
| Max. Negotiated Rate |
$4,659.20 |
| Rate for Payer: Aetna Commercial |
$2,281.22
|
| Rate for Payer: Aetna Medicare |
$1,702.40
|
| Rate for Payer: BCBS Complete |
$2,867.20
|
| Rate for Payer: BCBS MAPPO |
$1,702.40
|
| Rate for Payer: BCN Medicare Advantage |
$1,702.40
|
| Rate for Payer: Cash Price |
$5,734.40
|
| Rate for Payer: Cash Price |
$5,734.40
|
| Rate for Payer: Cofinity Commercial |
$2,451.46
|
| Rate for Payer: Cofinity Commercial |
$2,281.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,702.40
|
| Rate for Payer: Healthscope Commercial |
$2,042.88
|
| Rate for Payer: Healthscope Whirlpool |
$2,042.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,787.52
|
| Rate for Payer: Nomi Health Commercial |
$2,042.88
|
| Rate for Payer: PACE SWMI |
$1,702.40
|
| Rate for Payer: PHP Medicare Advantage |
$1,702.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,659.20
|
| Rate for Payer: Priority Health Medicare |
$1,702.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,702.40
|
| Rate for Payer: UHC Medicare Advantage |
$1,702.40
|
| Rate for Payer: UHCCP DNSP |
$1,702.40
|
|
|
PR THORACOSCOPY W/RESECTION BULLAE W/WO PLEURAL PX
|
Professional
|
Both
|
$3,416.00
|
|
|
Service Code
|
HCPCS 32655
|
| Min. Negotiated Rate |
$919.22 |
| Max. Negotiated Rate |
$2,220.40 |
| Rate for Payer: Aetna Commercial |
$1,231.75
|
| Rate for Payer: Aetna Medicare |
$919.22
|
| Rate for Payer: BCBS Complete |
$1,366.40
|
| Rate for Payer: BCBS MAPPO |
$919.22
|
| Rate for Payer: BCN Medicare Advantage |
$919.22
|
| Rate for Payer: Cash Price |
$2,732.80
|
| Rate for Payer: Cash Price |
$2,732.80
|
| Rate for Payer: Cofinity Commercial |
$1,323.68
|
| Rate for Payer: Cofinity Commercial |
$1,231.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$919.22
|
| Rate for Payer: Healthscope Commercial |
$1,103.06
|
| Rate for Payer: Healthscope Whirlpool |
$1,103.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$965.18
|
| Rate for Payer: Nomi Health Commercial |
$1,103.06
|
| Rate for Payer: PACE SWMI |
$919.22
|
| Rate for Payer: PHP Medicare Advantage |
$919.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,220.40
|
| Rate for Payer: Priority Health Medicare |
$919.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$919.22
|
| Rate for Payer: UHC Medicare Advantage |
$919.22
|
| Rate for Payer: UHCCP DNSP |
$919.22
|
|
|
PR THORACOSCOPY W/RESEXN-PLICAJ EMPHYSEMA LUNG UNIL
|
Professional
|
Both
|
$6,130.00
|
|
|
Service Code
|
HCPCS 32672
|
| Min. Negotiated Rate |
$1,457.81 |
| Max. Negotiated Rate |
$3,984.50 |
| Rate for Payer: Aetna Commercial |
$1,953.47
|
| Rate for Payer: Aetna Medicare |
$1,457.81
|
| Rate for Payer: BCBS Complete |
$2,452.00
|
| Rate for Payer: BCBS MAPPO |
$1,457.81
|
| Rate for Payer: BCN Medicare Advantage |
$1,457.81
|
| Rate for Payer: Cash Price |
$4,904.00
|
| Rate for Payer: Cash Price |
$4,904.00
|
| Rate for Payer: Cofinity Commercial |
$2,099.25
|
| Rate for Payer: Cofinity Commercial |
$1,953.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,457.81
|
| Rate for Payer: Healthscope Commercial |
$1,749.37
|
| Rate for Payer: Healthscope Whirlpool |
$1,749.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,530.70
|
| Rate for Payer: Nomi Health Commercial |
$1,749.37
|
| Rate for Payer: PACE SWMI |
$1,457.81
|
| Rate for Payer: PHP Medicare Advantage |
$1,457.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,984.50
|
| Rate for Payer: Priority Health Medicare |
$1,457.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,457.81
|
| Rate for Payer: UHC Medicare Advantage |
$1,457.81
|
| Rate for Payer: UHCCP DNSP |
$1,457.81
|
|
|
PR THORACOSCOPY W/RMVL CLOT/FB FROM PERICARDIAL SAC
|
Professional
|
Both
|
$2,819.00
|
|
|
Service Code
|
HCPCS 32658
|
| Min. Negotiated Rate |
$687.38 |
| Max. Negotiated Rate |
$1,832.35 |
| Rate for Payer: Aetna Commercial |
$921.09
|
| Rate for Payer: Aetna Medicare |
$687.38
|
| Rate for Payer: BCBS Complete |
$1,127.60
|
| Rate for Payer: BCBS MAPPO |
$687.38
|
| Rate for Payer: BCN Medicare Advantage |
$687.38
|
| Rate for Payer: Cash Price |
$2,255.20
|
| Rate for Payer: Cash Price |
$2,255.20
|
| Rate for Payer: Cofinity Commercial |
$989.83
|
| Rate for Payer: Cofinity Commercial |
$921.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$687.38
|
| Rate for Payer: Healthscope Commercial |
$824.86
|
| Rate for Payer: Healthscope Whirlpool |
$824.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$721.75
|
| Rate for Payer: Nomi Health Commercial |
$824.86
|
| Rate for Payer: PACE SWMI |
$687.38
|
| Rate for Payer: PHP Medicare Advantage |
$687.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,832.35
|
| Rate for Payer: Priority Health Medicare |
$687.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$687.38
|
| Rate for Payer: UHC Medicare Advantage |
$687.38
|
| Rate for Payer: UHCCP DNSP |
$687.38
|
|
|
PR THORACOSCOPY W/SEGMENTECTOMY
|
Professional
|
Both
|
$2,288.00
|
|
|
Service Code
|
HCPCS 32669
|
| Min. Negotiated Rate |
$915.20 |
| Max. Negotiated Rate |
$1,856.32 |
| Rate for Payer: Aetna Commercial |
$1,727.41
|
| Rate for Payer: Aetna Medicare |
$1,289.11
|
| Rate for Payer: BCBS Complete |
$915.20
|
| Rate for Payer: BCBS MAPPO |
$1,289.11
|
| Rate for Payer: BCN Medicare Advantage |
$1,289.11
|
| Rate for Payer: Cash Price |
$1,830.40
|
| Rate for Payer: Cash Price |
$1,830.40
|
| Rate for Payer: Cofinity Commercial |
$1,856.32
|
| Rate for Payer: Cofinity Commercial |
$1,727.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,289.11
|
| Rate for Payer: Healthscope Commercial |
$1,546.93
|
| Rate for Payer: Healthscope Whirlpool |
$1,546.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,353.57
|
| Rate for Payer: Nomi Health Commercial |
$1,546.93
|
| Rate for Payer: PACE SWMI |
$1,289.11
|
| Rate for Payer: PHP Medicare Advantage |
$1,289.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,487.20
|
| Rate for Payer: Priority Health Medicare |
$1,289.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,289.11
|
| Rate for Payer: UHC Medicare Advantage |
$1,289.11
|
| Rate for Payer: UHCCP DNSP |
$1,289.11
|
|
|
PR THORACOSCOPY W/THERA WEDGE RESEXN ADDL IPSILATRL
|
Professional
|
Both
|
$3,513.00
|
|
|
Service Code
|
HCPCS 32667
|
| Min. Negotiated Rate |
$149.70 |
| Max. Negotiated Rate |
$2,283.45 |
| Rate for Payer: Aetna Commercial |
$200.60
|
| Rate for Payer: Aetna Medicare |
$149.70
|
| Rate for Payer: BCBS Complete |
$1,405.20
|
| Rate for Payer: BCBS MAPPO |
$149.70
|
| Rate for Payer: BCN Medicare Advantage |
$149.70
|
| Rate for Payer: Cash Price |
$2,810.40
|
| Rate for Payer: Cash Price |
$2,810.40
|
| Rate for Payer: Cofinity Commercial |
$215.57
|
| Rate for Payer: Cofinity Commercial |
$200.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$149.70
|
| Rate for Payer: Healthscope Commercial |
$179.64
|
| Rate for Payer: Healthscope Whirlpool |
$179.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$157.19
|
| Rate for Payer: Nomi Health Commercial |
$179.64
|
| Rate for Payer: PACE SWMI |
$149.70
|
| Rate for Payer: PHP Medicare Advantage |
$149.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,283.45
|
| Rate for Payer: Priority Health Medicare |
$149.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$149.70
|
| Rate for Payer: UHC Medicare Advantage |
$149.70
|
| Rate for Payer: UHCCP DNSP |
$149.70
|
|
|
PR THORACOSCOPY W/THERA WEDGE RESEXN INITIAL UNILAT
|
Professional
|
Both
|
$1,807.00
|
|
|
Service Code
|
HCPCS 32666
|
| Min. Negotiated Rate |
$722.80 |
| Max. Negotiated Rate |
$1,203.67 |
| Rate for Payer: Aetna Commercial |
$1,120.08
|
| Rate for Payer: Aetna Medicare |
$835.88
|
| Rate for Payer: BCBS Complete |
$722.80
|
| Rate for Payer: BCBS MAPPO |
$835.88
|
| Rate for Payer: BCN Medicare Advantage |
$835.88
|
| Rate for Payer: Cash Price |
$1,445.60
|
| Rate for Payer: Cash Price |
$1,445.60
|
| Rate for Payer: Cofinity Commercial |
$1,203.67
|
| Rate for Payer: Cofinity Commercial |
$1,120.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$835.88
|
| Rate for Payer: Healthscope Commercial |
$1,003.06
|
| Rate for Payer: Healthscope Whirlpool |
$1,003.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$877.67
|
| Rate for Payer: Nomi Health Commercial |
$1,003.06
|
| Rate for Payer: PACE SWMI |
$835.88
|
| Rate for Payer: PHP Medicare Advantage |
$835.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,174.55
|
| Rate for Payer: Priority Health Medicare |
$835.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$835.88
|
| Rate for Payer: UHC Medicare Advantage |
$835.88
|
| Rate for Payer: UHCCP DNSP |
$835.88
|
|
|
PR THORACOSTOMY OPEN FLAP DRAINAGE EMPYEMA
|
Professional
|
Both
|
$1,863.00
|
|
|
Service Code
|
HCPCS 32036
|
| Min. Negotiated Rate |
$745.20 |
| Max. Negotiated Rate |
$1,210.95 |
| Rate for Payer: Aetna Commercial |
$1,010.24
|
| Rate for Payer: Aetna Medicare |
$753.91
|
| Rate for Payer: BCBS Complete |
$745.20
|
| Rate for Payer: BCBS MAPPO |
$753.91
|
| Rate for Payer: BCN Medicare Advantage |
$753.91
|
| Rate for Payer: Cash Price |
$1,490.40
|
| Rate for Payer: Cash Price |
$1,490.40
|
| Rate for Payer: Cofinity Commercial |
$1,085.63
|
| Rate for Payer: Cofinity Commercial |
$1,010.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$753.91
|
| Rate for Payer: Healthscope Commercial |
$904.69
|
| Rate for Payer: Healthscope Whirlpool |
$904.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$791.61
|
| Rate for Payer: Nomi Health Commercial |
$904.69
|
| Rate for Payer: PACE SWMI |
$753.91
|
| Rate for Payer: PHP Medicare Advantage |
$753.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,210.95
|
| Rate for Payer: Priority Health Medicare |
$753.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$753.91
|
| Rate for Payer: UHC Medicare Advantage |
$753.91
|
| Rate for Payer: UHCCP DNSP |
$753.91
|
|
