|
PR THORACOSCOPY W/DX BX OF LUNG NODULES UNILATRL
|
Professional
|
Both
|
$1,532.00
|
|
|
Service Code
|
HCPCS 32608
|
| Min. Negotiated Rate |
$238.77 |
| Max. Negotiated Rate |
$995.80 |
| Rate for Payer: Aetna Commercial |
$489.53
|
| Rate for Payer: Aetna Medicare |
$766.00
|
| Rate for Payer: BCBS Complete |
$250.71
|
| Rate for Payer: BCBS Trust/PPO |
$788.75
|
| Rate for Payer: BCN Commercial |
$542.43
|
| Rate for Payer: Cash Price |
$1,225.60
|
| Rate for Payer: Cash Price |
$1,225.60
|
| Rate for Payer: Meridian Medicaid |
$250.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$238.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$995.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$516.77
|
| Rate for Payer: Priority Health Narrow Network |
$516.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$484.68
|
| Rate for Payer: UHC Exchange |
$484.68
|
| Rate for Payer: UHCCP Medicaid |
$238.77
|
|
|
PR THORACOSCOPY W/DX WEDGE RESEXN ANATO LUNG RESEXN
|
Professional
|
Both
|
$633.00
|
|
|
Service Code
|
HCPCS 32668
|
| Min. Negotiated Rate |
$97.77 |
| Max. Negotiated Rate |
$1,408.98 |
| Rate for Payer: Aetna Commercial |
$203.50
|
| Rate for Payer: Aetna Medicare |
$316.50
|
| Rate for Payer: BCBS Complete |
$102.66
|
| Rate for Payer: BCBS Trust/PPO |
$1,408.98
|
| Rate for Payer: BCN Commercial |
$223.81
|
| Rate for Payer: Cash Price |
$506.40
|
| Rate for Payer: Cash Price |
$506.40
|
| Rate for Payer: Meridian Medicaid |
$102.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$97.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$411.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$212.73
|
| Rate for Payer: Priority Health Narrow Network |
$212.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$202.34
|
| Rate for Payer: UHC Exchange |
$202.34
|
| Rate for Payer: UHCCP Medicaid |
$97.77
|
|
|
PR THORACOSCOPY W/EXC MEDIASTINAL CYST TUMOR/MASS
|
Professional
|
Both
|
$4,061.00
|
|
|
Service Code
|
HCPCS 32662
|
| Min. Negotiated Rate |
$567.65 |
| Max. Negotiated Rate |
$2,639.65 |
| Rate for Payer: Aetna Commercial |
$1,150.48
|
| Rate for Payer: Aetna Medicare |
$2,030.50
|
| Rate for Payer: BCBS Complete |
$596.03
|
| Rate for Payer: BCBS Trust/PPO |
$1,566.94
|
| Rate for Payer: BCN Commercial |
$1,288.16
|
| Rate for Payer: Cash Price |
$3,248.80
|
| Rate for Payer: Cash Price |
$3,248.80
|
| Rate for Payer: Meridian Medicaid |
$596.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$567.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,639.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,229.58
|
| Rate for Payer: Priority Health Narrow Network |
$1,229.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,061.65
|
| Rate for Payer: UHC Exchange |
$1,061.65
|
| Rate for Payer: UHCCP Medicaid |
$567.65
|
|
|
PR THORACOSCOPY W/EXC PERICARDIAL CYST TUMOR/MASS
|
Professional
|
Both
|
$3,852.00
|
|
|
Service Code
|
HCPCS 32661
|
| Min. Negotiated Rate |
$507.15 |
| Max. Negotiated Rate |
$2,503.80 |
| Rate for Payer: Aetna Commercial |
$1,028.58
|
| Rate for Payer: Aetna Medicare |
$1,926.00
|
| Rate for Payer: BCBS Complete |
$532.51
|
| Rate for Payer: BCBS Trust/PPO |
$1,423.24
|
| Rate for Payer: BCN Commercial |
$1,151.81
|
| Rate for Payer: Cash Price |
$3,081.60
|
| Rate for Payer: Cash Price |
$3,081.60
|
| Rate for Payer: Meridian Medicaid |
$532.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$507.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,503.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,099.34
|
| Rate for Payer: Priority Health Narrow Network |
$1,099.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$946.22
|
| Rate for Payer: UHC Exchange |
$946.22
|
| Rate for Payer: UHCCP Medicaid |
$507.15
|
|
|
PR THORACOSCOPY WITH BIOPSYIES OF PLEURA
|
Professional
|
Both
|
$1,059.00
|
|
|
Service Code
|
HCPCS 32609
|
| Min. Negotiated Rate |
$160.82 |
| Max. Negotiated Rate |
$706.87 |
| Rate for Payer: Aetna Commercial |
$330.94
|
| Rate for Payer: Aetna Medicare |
$529.50
|
| Rate for Payer: BCBS Complete |
$168.86
|
| Rate for Payer: BCBS Trust/PPO |
$706.87
|
| Rate for Payer: BCN Commercial |
$366.99
|
| Rate for Payer: Cash Price |
$847.20
|
| Rate for Payer: Cash Price |
$847.20
|
| Rate for Payer: Meridian Medicaid |
$168.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$160.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$688.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$349.92
|
| Rate for Payer: Priority Health Narrow Network |
$349.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$334.93
|
| Rate for Payer: UHC Exchange |
$334.93
|
| Rate for Payer: UHCCP Medicaid |
$160.82
|
|
|
PR THORACOSCOPY W/LOBECTOMY SINGLE LOBE
|
Professional
|
Both
|
$4,590.00
|
|
|
Service Code
|
HCPCS 32663
|
| Min. Negotiated Rate |
$882.67 |
| Max. Negotiated Rate |
$2,983.50 |
| Rate for Payer: Aetna Commercial |
$1,807.94
|
| Rate for Payer: Aetna Medicare |
$2,295.00
|
| Rate for Payer: BCBS Complete |
$926.80
|
| Rate for Payer: BCBS Trust/PPO |
$1,261.58
|
| Rate for Payer: BCN Commercial |
$2,009.44
|
| Rate for Payer: Cash Price |
$3,672.00
|
| Rate for Payer: Cash Price |
$3,672.00
|
| Rate for Payer: Meridian Medicaid |
$926.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$882.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,983.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,913.65
|
| Rate for Payer: Priority Health Narrow Network |
$1,913.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,664.50
|
| Rate for Payer: UHC Exchange |
$1,664.50
|
| Rate for Payer: UHCCP Medicaid |
$882.67
|
|
|
PR THORACOSCOPY W/PARIETAL PLEURECTOMY
|
Professional
|
Both
|
$2,890.00
|
|
|
Service Code
|
HCPCS 32656
|
| Min. Negotiated Rate |
$511.41 |
| Max. Negotiated Rate |
$1,878.50 |
| Rate for Payer: Aetna Commercial |
$1,034.05
|
| Rate for Payer: Aetna Medicare |
$1,445.00
|
| Rate for Payer: BCBS Complete |
$536.98
|
| Rate for Payer: BCBS Trust/PPO |
$1,201.35
|
| Rate for Payer: BCN Commercial |
$1,159.64
|
| Rate for Payer: Cash Price |
$2,312.00
|
| Rate for Payer: Cash Price |
$2,312.00
|
| Rate for Payer: Meridian Medicaid |
$536.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$511.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,878.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,105.83
|
| Rate for Payer: Priority Health Narrow Network |
$1,105.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$941.16
|
| Rate for Payer: UHC Exchange |
$941.16
|
| Rate for Payer: UHCCP Medicaid |
$511.41
|
|
|
PR THORACOSCOPY W/PARTIAL PULMONARY DECORTICATION
|
Professional
|
Both
|
$3,220.00
|
|
|
Service Code
|
HCPCS 32651
|
| Min. Negotiated Rate |
$693.95 |
| Max. Negotiated Rate |
$2,093.00 |
| Rate for Payer: Aetna Commercial |
$1,412.72
|
| Rate for Payer: Aetna Medicare |
$1,610.00
|
| Rate for Payer: BCBS Complete |
$728.65
|
| Rate for Payer: BCBS Trust/PPO |
$1,266.86
|
| Rate for Payer: BCN Commercial |
$1,575.99
|
| Rate for Payer: Cash Price |
$2,576.00
|
| Rate for Payer: Cash Price |
$2,576.00
|
| Rate for Payer: Meridian Medicaid |
$728.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$693.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,093.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,503.02
|
| Rate for Payer: Priority Health Narrow Network |
$1,503.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,277.24
|
| Rate for Payer: UHC Exchange |
$1,277.24
|
| Rate for Payer: UHCCP Medicaid |
$693.95
|
|
|
PR THORACOSCOPY W/PLEURODESIS
|
Professional
|
Both
|
$3,164.00
|
|
|
Service Code
|
HCPCS 32650
|
| Min. Negotiated Rate |
$425.57 |
| Max. Negotiated Rate |
$2,056.60 |
| Rate for Payer: Aetna Commercial |
$857.42
|
| Rate for Payer: Aetna Medicare |
$1,582.00
|
| Rate for Payer: BCBS Complete |
$446.85
|
| Rate for Payer: BCBS Trust/PPO |
$1,687.92
|
| Rate for Payer: BCN Commercial |
$963.67
|
| Rate for Payer: Cash Price |
$2,531.20
|
| Rate for Payer: Cash Price |
$2,531.20
|
| Rate for Payer: Meridian Medicaid |
$446.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$425.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,056.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$921.84
|
| Rate for Payer: Priority Health Narrow Network |
$921.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$784.71
|
| Rate for Payer: UHC Exchange |
$784.71
|
| Rate for Payer: UHCCP Medicaid |
$425.57
|
|
|
PR THORACOSCOPY W/PNEUMONECTOMY
|
Professional
|
Both
|
$7,168.00
|
|
|
Service Code
|
HCPCS 32671
|
| Min. Negotiated Rate |
$1,116.33 |
| Max. Negotiated Rate |
$4,659.20 |
| Rate for Payer: Aetna Commercial |
$2,293.26
|
| Rate for Payer: Aetna Medicare |
$3,584.00
|
| Rate for Payer: BCBS Complete |
$1,172.15
|
| Rate for Payer: BCBS Trust/PPO |
$1,154.34
|
| Rate for Payer: BCN Commercial |
$2,544.55
|
| Rate for Payer: Cash Price |
$5,734.40
|
| Rate for Payer: Cash Price |
$5,734.40
|
| Rate for Payer: Meridian Medicaid |
$1,172.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,116.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,659.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,421.61
|
| Rate for Payer: Priority Health Narrow Network |
$2,421.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,268.03
|
| Rate for Payer: UHC Exchange |
$2,268.03
|
| Rate for Payer: UHCCP Medicaid |
$1,116.33
|
|
|
PR THORACOSCOPY W/RESECTION BULLAE W/WO PLEURAL PX
|
Professional
|
Both
|
$3,416.00
|
|
|
Service Code
|
HCPCS 32655
|
| Min. Negotiated Rate |
$124.68 |
| Max. Negotiated Rate |
$2,220.40 |
| Rate for Payer: Aetna Commercial |
$1,233.44
|
| Rate for Payer: Aetna Medicare |
$1,708.00
|
| Rate for Payer: BCBS Complete |
$637.18
|
| Rate for Payer: BCBS Trust/PPO |
$124.68
|
| Rate for Payer: BCN Commercial |
$1,379.54
|
| Rate for Payer: Cash Price |
$2,732.80
|
| Rate for Payer: Cash Price |
$2,732.80
|
| Rate for Payer: Meridian Medicaid |
$637.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$606.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,220.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,314.86
|
| Rate for Payer: Priority Health Narrow Network |
$1,314.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,120.46
|
| Rate for Payer: UHC Exchange |
$1,120.46
|
| Rate for Payer: UHCCP Medicaid |
$606.84
|
|
|
PR THORACOSCOPY W/RESEXN-PLICAJ EMPHYSEMA LUNG UNIL
|
Professional
|
Both
|
$6,130.00
|
|
|
Service Code
|
HCPCS 32672
|
| Min. Negotiated Rate |
$957.01 |
| Max. Negotiated Rate |
$3,984.50 |
| Rate for Payer: Aetna Commercial |
$1,968.31
|
| Rate for Payer: Aetna Medicare |
$3,065.00
|
| Rate for Payer: BCBS Complete |
$1,004.86
|
| Rate for Payer: BCBS Trust/PPO |
$1,367.77
|
| Rate for Payer: BCN Commercial |
$2,174.13
|
| Rate for Payer: Cash Price |
$4,904.00
|
| Rate for Payer: Cash Price |
$4,904.00
|
| Rate for Payer: Meridian Medicaid |
$1,004.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$957.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,984.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,076.33
|
| Rate for Payer: Priority Health Narrow Network |
$2,076.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,939.13
|
| Rate for Payer: UHC Exchange |
$1,939.13
|
| Rate for Payer: UHCCP Medicaid |
$957.01
|
|
|
PR THORACOSCOPY W/RMVL CLOT/FB FROM PERICARDIAL SAC
|
Professional
|
Both
|
$2,819.00
|
|
|
Service Code
|
HCPCS 32658
|
| Min. Negotiated Rate |
$454.97 |
| Max. Negotiated Rate |
$1,832.35 |
| Rate for Payer: Aetna Commercial |
$919.24
|
| Rate for Payer: Aetna Medicare |
$1,409.50
|
| Rate for Payer: BCBS Complete |
$477.72
|
| Rate for Payer: BCBS Trust/PPO |
$1,340.30
|
| Rate for Payer: BCN Commercial |
$1,032.09
|
| Rate for Payer: Cash Price |
$2,255.20
|
| Rate for Payer: Cash Price |
$2,255.20
|
| Rate for Payer: Meridian Medicaid |
$477.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$454.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,832.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$984.87
|
| Rate for Payer: Priority Health Narrow Network |
$984.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$845.89
|
| Rate for Payer: UHC Exchange |
$845.89
|
| Rate for Payer: UHCCP Medicaid |
$454.97
|
|
|
PR THORACOSCOPY W/SEGMENTECTOMY
|
Professional
|
Both
|
$2,288.00
|
|
|
Service Code
|
HCPCS 32669
|
| Min. Negotiated Rate |
$847.74 |
| Max. Negotiated Rate |
$1,928.81 |
| Rate for Payer: Aetna Commercial |
$1,733.64
|
| Rate for Payer: Aetna Medicare |
$1,144.00
|
| Rate for Payer: BCBS Complete |
$890.13
|
| Rate for Payer: BCBS Trust/PPO |
$1,605.50
|
| Rate for Payer: BCN Commercial |
$1,928.81
|
| Rate for Payer: Cash Price |
$1,830.40
|
| Rate for Payer: Cash Price |
$1,830.40
|
| Rate for Payer: Meridian Medicaid |
$890.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$847.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,487.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,837.64
|
| Rate for Payer: Priority Health Narrow Network |
$1,837.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,709.97
|
| Rate for Payer: UHC Exchange |
$1,709.97
|
| Rate for Payer: UHCCP Medicaid |
$847.74
|
|
|
PR THORACOSCOPY W/THERA WEDGE RESEXN ADDL IPSILATRL
|
Professional
|
Both
|
$3,513.00
|
|
|
Service Code
|
HCPCS 32667
|
| Min. Negotiated Rate |
$97.55 |
| Max. Negotiated Rate |
$2,283.45 |
| Rate for Payer: Aetna Commercial |
$203.09
|
| Rate for Payer: Aetna Medicare |
$1,756.50
|
| Rate for Payer: BCBS Complete |
$102.43
|
| Rate for Payer: BCBS Trust/PPO |
$1,415.84
|
| Rate for Payer: BCN Commercial |
$223.81
|
| Rate for Payer: Cash Price |
$2,810.40
|
| Rate for Payer: Cash Price |
$2,810.40
|
| Rate for Payer: Meridian Medicaid |
$102.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$97.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,283.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$212.73
|
| Rate for Payer: Priority Health Narrow Network |
$212.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$201.02
|
| Rate for Payer: UHC Exchange |
$201.02
|
| Rate for Payer: UHCCP Medicaid |
$97.55
|
|
|
PR THORACOSCOPY W/THERA WEDGE RESEXN INITIAL UNILAT
|
Professional
|
Both
|
$1,807.00
|
|
|
Service Code
|
HCPCS 32666
|
| Min. Negotiated Rate |
$552.52 |
| Max. Negotiated Rate |
$1,469.73 |
| Rate for Payer: Aetna Commercial |
$1,120.53
|
| Rate for Payer: Aetna Medicare |
$903.50
|
| Rate for Payer: BCBS Complete |
$580.15
|
| Rate for Payer: BCBS Trust/PPO |
$1,469.73
|
| Rate for Payer: BCN Commercial |
$1,253.95
|
| Rate for Payer: Cash Price |
$1,445.60
|
| Rate for Payer: Cash Price |
$1,445.60
|
| Rate for Payer: Meridian Medicaid |
$580.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$552.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,174.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,196.66
|
| Rate for Payer: Priority Health Narrow Network |
$1,196.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,107.89
|
| Rate for Payer: UHC Exchange |
$1,107.89
|
| Rate for Payer: UHCCP Medicaid |
$552.52
|
|
|
PR THORACOSTOMY OPEN FLAP DRAINAGE EMPYEMA
|
Professional
|
Both
|
$1,863.00
|
|
|
Service Code
|
HCPCS 32036
|
| Min. Negotiated Rate |
$500.98 |
| Max. Negotiated Rate |
$1,210.95 |
| Rate for Payer: Aetna Commercial |
$1,015.89
|
| Rate for Payer: Aetna Medicare |
$931.50
|
| Rate for Payer: BCBS Complete |
$526.03
|
| Rate for Payer: BCBS Trust/PPO |
$1,167.01
|
| Rate for Payer: BCN Commercial |
$1,146.44
|
| Rate for Payer: Cash Price |
$1,490.40
|
| Rate for Payer: Cash Price |
$1,490.40
|
| Rate for Payer: Meridian Medicaid |
$526.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$500.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,210.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,094.25
|
| Rate for Payer: Priority Health Narrow Network |
$1,094.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$898.82
|
| Rate for Payer: UHC Exchange |
$898.82
|
| Rate for Payer: UHCCP Medicaid |
$500.98
|
|
|
PR THORACOSTOMY W/RIB RESECTION EMPYEMA
|
Professional
|
Both
|
$2,372.00
|
|
|
Service Code
|
HCPCS 32035
|
| Min. Negotiated Rate |
$469.03 |
| Max. Negotiated Rate |
$1,846.41 |
| Rate for Payer: Aetna Commercial |
$942.03
|
| Rate for Payer: Aetna Medicare |
$1,186.00
|
| Rate for Payer: BCBS Complete |
$492.48
|
| Rate for Payer: BCBS Trust/PPO |
$1,846.41
|
| Rate for Payer: BCN Commercial |
$1,063.36
|
| Rate for Payer: Cash Price |
$1,897.60
|
| Rate for Payer: Cash Price |
$1,897.60
|
| Rate for Payer: Meridian Medicaid |
$492.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$469.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,541.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,015.91
|
| Rate for Payer: Priority Health Narrow Network |
$1,015.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$827.83
|
| Rate for Payer: UHC Exchange |
$827.83
|
| Rate for Payer: UHCCP Medicaid |
$469.03
|
|
|
PR THORACOTOMY OPN INTRAPLEURAL PNEUMONOLYSIS
|
Professional
|
Both
|
$2,824.00
|
|
|
Service Code
|
HCPCS 32124
|
| Min. Negotiated Rate |
$295.85 |
| Max. Negotiated Rate |
$1,835.60 |
| Rate for Payer: Aetna Commercial |
$1,192.73
|
| Rate for Payer: Aetna Medicare |
$1,412.00
|
| Rate for Payer: BCBS Complete |
$616.60
|
| Rate for Payer: BCBS Trust/PPO |
$295.85
|
| Rate for Payer: BCN Commercial |
$1,330.18
|
| Rate for Payer: Cash Price |
$2,259.20
|
| Rate for Payer: Cash Price |
$2,259.20
|
| Rate for Payer: Meridian Medicaid |
$616.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$587.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,835.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,269.43
|
| Rate for Payer: Priority Health Narrow Network |
$1,269.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,087.93
|
| Rate for Payer: UHC Exchange |
$1,087.93
|
| Rate for Payer: UHCCP Medicaid |
$587.24
|
|
|
PR THORACOTOMY POSTOPERATIVE COMPLICATIONS
|
Professional
|
Both
|
$1,958.00
|
|
|
Service Code
|
HCPCS 32120
|
| Min. Negotiated Rate |
$224.53 |
| Max. Negotiated Rate |
$1,272.70 |
| Rate for Payer: Aetna Commercial |
$1,124.93
|
| Rate for Payer: Aetna Medicare |
$979.00
|
| Rate for Payer: BCBS Complete |
$584.62
|
| Rate for Payer: BCBS Trust/PPO |
$224.53
|
| Rate for Payer: BCN Commercial |
$1,258.83
|
| Rate for Payer: Cash Price |
$1,566.40
|
| Rate for Payer: Cash Price |
$1,566.40
|
| Rate for Payer: Meridian Medicaid |
$584.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$556.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,272.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,202.23
|
| Rate for Payer: Priority Health Narrow Network |
$1,202.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,024.01
|
| Rate for Payer: UHC Exchange |
$1,024.01
|
| Rate for Payer: UHCCP Medicaid |
$556.78
|
|
|
PR THORACOTOMY W/BIOPSY OF PLEURA
|
Professional
|
Both
|
$3,059.00
|
|
|
Service Code
|
HCPCS 32098
|
| Min. Negotiated Rate |
$480.10 |
| Max. Negotiated Rate |
$1,988.35 |
| Rate for Payer: Aetna Commercial |
$978.49
|
| Rate for Payer: Aetna Medicare |
$1,529.50
|
| Rate for Payer: BCBS Complete |
$504.10
|
| Rate for Payer: BCBS Trust/PPO |
$1,384.67
|
| Rate for Payer: BCN Commercial |
$1,095.62
|
| Rate for Payer: Cash Price |
$2,447.20
|
| Rate for Payer: Cash Price |
$2,447.20
|
| Rate for Payer: Meridian Medicaid |
$504.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$480.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,988.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,041.41
|
| Rate for Payer: Priority Health Narrow Network |
$1,041.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$965.91
|
| Rate for Payer: UHC Exchange |
$965.91
|
| Rate for Payer: UHCCP Medicaid |
$480.10
|
|
|
PR THORACOTOMY W/CARDIAC MASSAGE
|
Professional
|
Both
|
$3,531.00
|
|
|
Service Code
|
HCPCS 32160
|
| Min. Negotiated Rate |
$510.77 |
| Max. Negotiated Rate |
$2,295.15 |
| Rate for Payer: Aetna Commercial |
$1,024.42
|
| Rate for Payer: Aetna Medicare |
$1,765.50
|
| Rate for Payer: BCBS Complete |
$536.31
|
| Rate for Payer: BCBS Trust/PPO |
$1,370.94
|
| Rate for Payer: BCN Commercial |
$1,152.79
|
| Rate for Payer: Cash Price |
$2,824.80
|
| Rate for Payer: Cash Price |
$2,824.80
|
| Rate for Payer: Meridian Medicaid |
$536.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$510.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,295.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,099.80
|
| Rate for Payer: Priority Health Narrow Network |
$1,099.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$907.40
|
| Rate for Payer: UHC Exchange |
$907.40
|
| Rate for Payer: UHCCP Medicaid |
$510.77
|
|
|
PR THORACOTOMY W/DX WEDGE RESEXN & ANTOM LUNG RESE
|
Professional
|
Both
|
$700.00
|
|
|
Service Code
|
HCPCS 32507
|
| Min. Negotiated Rate |
$97.34 |
| Max. Negotiated Rate |
$959.39 |
| Rate for Payer: Aetna Commercial |
$203.09
|
| Rate for Payer: Aetna Medicare |
$350.00
|
| Rate for Payer: BCBS Complete |
$102.21
|
| Rate for Payer: BCBS Trust/PPO |
$959.39
|
| Rate for Payer: BCN Commercial |
$223.81
|
| Rate for Payer: Cash Price |
$560.00
|
| Rate for Payer: Cash Price |
$560.00
|
| Rate for Payer: Meridian Medicaid |
$102.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$97.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$455.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$211.80
|
| Rate for Payer: Priority Health Narrow Network |
$211.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$201.02
|
| Rate for Payer: UHC Exchange |
$201.02
|
| Rate for Payer: UHCCP Medicaid |
$97.34
|
|
|
PR THORACOTOMY WITH EXPLORATION
|
Professional
|
Both
|
$2,824.00
|
|
|
Service Code
|
HCPCS 32100
|
| Min. Negotiated Rate |
$516.74 |
| Max. Negotiated Rate |
$1,835.60 |
| Rate for Payer: Aetna Commercial |
$1,039.93
|
| Rate for Payer: Aetna Medicare |
$1,412.00
|
| Rate for Payer: BCBS Complete |
$542.58
|
| Rate for Payer: BCBS Trust/PPO |
$957.28
|
| Rate for Payer: BCN Commercial |
$1,165.98
|
| Rate for Payer: Cash Price |
$2,259.20
|
| Rate for Payer: Cash Price |
$2,259.20
|
| Rate for Payer: Meridian Medicaid |
$542.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$516.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,835.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,115.56
|
| Rate for Payer: Priority Health Narrow Network |
$1,115.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,127.47
|
| Rate for Payer: UHC Exchange |
$1,127.47
|
| Rate for Payer: UHCCP Medicaid |
$516.74
|
|
|
PR THORACOTOMY W/RESECTION BULLAE
|
Professional
|
Both
|
$2,855.00
|
|
|
Service Code
|
HCPCS 32141
|
| Min. Negotiated Rate |
$672.00 |
| Max. Negotiated Rate |
$2,189.27 |
| Rate for Payer: Aetna Commercial |
$1,968.78
|
| Rate for Payer: Aetna Medicare |
$1,427.50
|
| Rate for Payer: BCBS Complete |
$1,009.55
|
| Rate for Payer: BCBS Trust/PPO |
$672.00
|
| Rate for Payer: BCN Commercial |
$2,189.27
|
| Rate for Payer: Cash Price |
$2,284.00
|
| Rate for Payer: Cash Price |
$2,284.00
|
| Rate for Payer: Meridian Medicaid |
$1,009.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$961.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,855.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,081.88
|
| Rate for Payer: Priority Health Narrow Network |
$2,081.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,802.00
|
| Rate for Payer: UHC Exchange |
$1,802.00
|
| Rate for Payer: UHCCP Medicaid |
$961.48
|
|
