|
PR THORACOTOMY W/THERAPEUTIC WEDGE RESEXN INITIAL
|
Professional
|
Both
|
$2,415.00
|
|
|
Service Code
|
HCPCS 32505
|
| Min. Negotiated Rate |
$591.08 |
| Max. Negotiated Rate |
$1,569.75 |
| Rate for Payer: Aetna Commercial |
$1,200.80
|
| Rate for Payer: Aetna Medicare |
$1,207.50
|
| Rate for Payer: BCBS Complete |
$620.63
|
| Rate for Payer: BCBS Trust/PPO |
$1,180.22
|
| Rate for Payer: BCN Commercial |
$1,342.40
|
| Rate for Payer: Cash Price |
$1,932.00
|
| Rate for Payer: Cash Price |
$1,932.00
|
| Rate for Payer: Meridian Medicaid |
$620.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$591.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,569.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,279.63
|
| Rate for Payer: Priority Health Narrow Network |
$1,279.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,184.87
|
| Rate for Payer: UHC Exchange |
$1,184.87
|
| Rate for Payer: UHCCP Medicaid |
$591.08
|
|
|
PR THORACOTOMY W/THERAP WEDGE RESEXN ADDL IPSILATRL
|
Professional
|
Both
|
$352.00
|
|
|
Service Code
|
HCPCS 32506
|
| Min. Negotiated Rate |
$97.34 |
| Max. Negotiated Rate |
$1,673.13 |
| Rate for Payer: Aetna Commercial |
$203.09
|
| Rate for Payer: Aetna Medicare |
$176.00
|
| Rate for Payer: BCBS Complete |
$102.21
|
| Rate for Payer: BCBS Trust/PPO |
$1,673.13
|
| Rate for Payer: BCN Commercial |
$223.81
|
| Rate for Payer: Cash Price |
$281.60
|
| Rate for Payer: Cash Price |
$281.60
|
| Rate for Payer: Meridian Medicaid |
$102.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$97.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$228.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$212.27
|
| Rate for Payer: Priority Health Narrow Network |
$212.27
|
| 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 THORACTOMY W/DX BX LUNG INFILTRATE UNILATERAL
|
Professional
|
Both
|
$3,255.00
|
|
|
Service Code
|
HCPCS 32096
|
| Min. Negotiated Rate |
$509.71 |
| Max. Negotiated Rate |
$2,115.75 |
| Rate for Payer: Aetna Commercial |
$1,034.59
|
| Rate for Payer: Aetna Medicare |
$1,627.50
|
| Rate for Payer: BCBS Complete |
$535.20
|
| Rate for Payer: BCBS Trust/PPO |
$1,034.94
|
| Rate for Payer: BCN Commercial |
$1,151.32
|
| Rate for Payer: Cash Price |
$2,604.00
|
| Rate for Payer: Cash Price |
$2,604.00
|
| Rate for Payer: Meridian Medicaid |
$535.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$509.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,115.75
|
| 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 |
$1,027.89
|
| Rate for Payer: UHC Exchange |
$1,027.89
|
| Rate for Payer: UHCCP Medicaid |
$509.71
|
|
|
PR THORACTOMY W/DX BX LUNG NODULE/MASS UNILATERAL
|
Professional
|
Both
|
$3,255.00
|
|
|
Service Code
|
HCPCS 32097
|
| Min. Negotiated Rate |
$509.92 |
| Max. Negotiated Rate |
$2,115.75 |
| Rate for Payer: Aetna Commercial |
$1,032.50
|
| Rate for Payer: Aetna Medicare |
$1,627.50
|
| Rate for Payer: BCBS Complete |
$535.42
|
| Rate for Payer: BCBS Trust/PPO |
$1,140.07
|
| Rate for Payer: BCN Commercial |
$1,154.25
|
| Rate for Payer: Cash Price |
$2,604.00
|
| Rate for Payer: Cash Price |
$2,604.00
|
| Rate for Payer: Meridian Medicaid |
$535.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$509.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,115.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,101.19
|
| Rate for Payer: Priority Health Narrow Network |
$1,101.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,027.89
|
| Rate for Payer: UHC Exchange |
$1,027.89
|
| Rate for Payer: UHCCP Medicaid |
$509.92
|
|
|
PR THORCOM CTRL TRAUMTC HEMRRG&/RPR LNG TEAR
|
Professional
|
Both
|
$3,317.00
|
|
|
Service Code
|
HCPCS 32110
|
| Min. Negotiated Rate |
$940.40 |
| Max. Negotiated Rate |
$2,156.05 |
| Rate for Payer: Aetna Commercial |
$1,897.90
|
| Rate for Payer: Aetna Medicare |
$1,658.50
|
| Rate for Payer: BCBS Complete |
$987.42
|
| Rate for Payer: BCBS Trust/PPO |
$1,281.66
|
| Rate for Payer: BCN Commercial |
$2,122.82
|
| Rate for Payer: Cash Price |
$2,653.60
|
| Rate for Payer: Cash Price |
$2,653.60
|
| Rate for Payer: Meridian Medicaid |
$987.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$940.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,156.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,030.45
|
| Rate for Payer: Priority Health Narrow Network |
$2,030.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,709.18
|
| Rate for Payer: UHC Exchange |
$1,709.18
|
| Rate for Payer: UHCCP Medicaid |
$940.40
|
|
|
PR THORCOM THRC W/MEDSTNL & REGIONAL LMPHADEC
|
Professional
|
Both
|
$1,519.00
|
|
|
Service Code
|
HCPCS 38746
|
| Min. Negotiated Rate |
$134.19 |
| Max. Negotiated Rate |
$987.35 |
| Rate for Payer: Aetna Commercial |
$268.34
|
| Rate for Payer: Aetna Medicare |
$759.50
|
| Rate for Payer: BCBS Complete |
$140.90
|
| Rate for Payer: BCBS Trust/PPO |
$572.68
|
| Rate for Payer: BCN Commercial |
$305.92
|
| Rate for Payer: Cash Price |
$1,215.20
|
| Rate for Payer: Cash Price |
$1,215.20
|
| Rate for Payer: Meridian Medicaid |
$140.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$134.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$987.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$418.76
|
| Rate for Payer: Priority Health Narrow Network |
$418.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$310.36
|
| Rate for Payer: UHC Exchange |
$310.36
|
| Rate for Payer: UHCCP Medicaid |
$134.19
|
|
|
PR THORCOM W/REMOVAL OF CYST
|
Professional
|
Both
|
$2,356.00
|
|
|
Service Code
|
HCPCS 32140
|
| Min. Negotiated Rate |
$629.63 |
| Max. Negotiated Rate |
$1,531.40 |
| Rate for Payer: Aetna Commercial |
$1,276.61
|
| Rate for Payer: Aetna Medicare |
$1,178.00
|
| Rate for Payer: BCBS Complete |
$661.11
|
| Rate for Payer: BCBS Trust/PPO |
$890.19
|
| Rate for Payer: BCN Commercial |
$1,427.42
|
| Rate for Payer: Cash Price |
$1,884.80
|
| Rate for Payer: Cash Price |
$1,884.80
|
| Rate for Payer: Meridian Medicaid |
$661.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$629.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,531.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,363.06
|
| Rate for Payer: Priority Health Narrow Network |
$1,363.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,164.54
|
| Rate for Payer: UHC Exchange |
$1,164.54
|
| Rate for Payer: UHCCP Medicaid |
$629.63
|
|
|
PR THORCOM W/RMVL INTRAPLEURAL FB/FIBRIN DEP
|
Professional
|
Both
|
$2,632.00
|
|
|
Service Code
|
HCPCS 32150
|
| Min. Negotiated Rate |
$646.88 |
| Max. Negotiated Rate |
$1,710.80 |
| Rate for Payer: Aetna Commercial |
$1,295.47
|
| Rate for Payer: Aetna Medicare |
$1,316.00
|
| Rate for Payer: BCBS Complete |
$679.22
|
| Rate for Payer: BCBS Trust/PPO |
$786.11
|
| Rate for Payer: BCN Commercial |
$1,459.19
|
| Rate for Payer: Cash Price |
$2,105.60
|
| Rate for Payer: Cash Price |
$2,105.60
|
| Rate for Payer: Meridian Medicaid |
$679.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$646.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,710.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,400.60
|
| Rate for Payer: Priority Health Narrow Network |
$1,400.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,172.70
|
| Rate for Payer: UHC Exchange |
$1,172.70
|
| Rate for Payer: UHCCP Medicaid |
$646.88
|
|
|
PR THORCOM W/RMVL IPUL FB
|
Professional
|
Both
|
$2,474.00
|
|
|
Service Code
|
HCPCS 32151
|
| Min. Negotiated Rate |
$638.36 |
| Max. Negotiated Rate |
$1,608.10 |
| Rate for Payer: Aetna Commercial |
$1,296.14
|
| Rate for Payer: Aetna Medicare |
$1,237.00
|
| Rate for Payer: BCBS Complete |
$670.28
|
| Rate for Payer: BCBS Trust/PPO |
$882.26
|
| Rate for Payer: BCN Commercial |
$1,448.44
|
| Rate for Payer: Cash Price |
$1,979.20
|
| Rate for Payer: Cash Price |
$1,979.20
|
| Rate for Payer: Meridian Medicaid |
$670.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$638.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,608.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,382.98
|
| Rate for Payer: Priority Health Narrow Network |
$1,382.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,190.18
|
| Rate for Payer: UHC Exchange |
$1,190.18
|
| Rate for Payer: UHCCP Medicaid |
$638.36
|
|
|
PR THORCOSCPY W/MEDIASTINL & REGIONL LYMPHDENECTOMY
|
Professional
|
Both
|
$868.00
|
|
|
Service Code
|
HCPCS 32674
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$1,006.41 |
| Rate for Payer: Aetna Commercial |
$279.49
|
| Rate for Payer: Aetna Medicare |
$434.00
|
| Rate for Payer: BCBS Complete |
$141.12
|
| Rate for Payer: BCBS Trust/PPO |
$1,006.41
|
| Rate for Payer: BCN Commercial |
$306.40
|
| Rate for Payer: Cash Price |
$694.40
|
| Rate for Payer: Cash Price |
$694.40
|
| Rate for Payer: Meridian Medicaid |
$141.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$134.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$564.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$292.44
|
| Rate for Payer: Priority Health Narrow Network |
$292.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$275.49
|
| Rate for Payer: UHC Exchange |
$275.49
|
| Rate for Payer: UHCCP Medicaid |
$134.40
|
|
|
PR THORSC DX LUNGS/PERICAR/MED/PLEURAL SPACE W/O BX
|
Professional
|
Both
|
$1,060.00
|
|
|
Service Code
|
HCPCS 32601
|
| Min. Negotiated Rate |
$194.47 |
| Max. Negotiated Rate |
$967.85 |
| Rate for Payer: Aetna Commercial |
$397.56
|
| Rate for Payer: Aetna Medicare |
$530.00
|
| Rate for Payer: BCBS Complete |
$204.19
|
| Rate for Payer: BCBS Trust/PPO |
$967.85
|
| Rate for Payer: BCN Commercial |
$441.76
|
| Rate for Payer: Cash Price |
$848.00
|
| Rate for Payer: Cash Price |
$848.00
|
| Rate for Payer: Meridian Medicaid |
$204.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$194.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$689.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$421.29
|
| Rate for Payer: Priority Health Narrow Network |
$421.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$367.23
|
| Rate for Payer: UHC Exchange |
$367.23
|
| Rate for Payer: UHCCP Medicaid |
$194.47
|
|
|
PR THREE AREA LIPOSUCTION - 3 AREA 3.0 HR
|
Professional
|
Both
|
$3,162.00
|
|
|
Service Code
|
HCPCS 00529
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$1,264.80 |
| Max. Negotiated Rate |
$2,055.30 |
| Rate for Payer: Aetna Medicare |
$1,581.00
|
| Rate for Payer: BCBS Complete |
$1,264.80
|
| Rate for Payer: Cash Price |
$2,529.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,055.30
|
|
|
PR THRMBC ARTL/VEN GRF OTH/THN HEMO GRF/FSTL
|
Professional
|
Both
|
$2,019.00
|
|
|
Service Code
|
HCPCS 35875
|
| Min. Negotiated Rate |
$369.77 |
| Max. Negotiated Rate |
$2,216.75 |
| Rate for Payer: Aetna Commercial |
$797.32
|
| Rate for Payer: Aetna Medicare |
$1,009.50
|
| Rate for Payer: BCBS Complete |
$388.26
|
| Rate for Payer: BCBS Trust/PPO |
$2,216.75
|
| Rate for Payer: BCN Commercial |
$846.87
|
| Rate for Payer: Cash Price |
$1,615.20
|
| Rate for Payer: Cash Price |
$1,615.20
|
| Rate for Payer: Meridian Medicaid |
$388.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$369.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,312.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$923.77
|
| Rate for Payer: Priority Health Narrow Network |
$923.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$795.84
|
| Rate for Payer: UHC Exchange |
$795.84
|
| Rate for Payer: UHCCP Medicaid |
$369.77
|
|
|
PR THRMBC ARTL/VEN GRF XCP HEMO GRF/FSTL W/REVJ GRF
|
Professional
|
Both
|
$2,817.00
|
|
|
Service Code
|
HCPCS 35876
|
| Min. Negotiated Rate |
$588.95 |
| Max. Negotiated Rate |
$3,041.71 |
| Rate for Payer: Aetna Commercial |
$1,270.85
|
| Rate for Payer: Aetna Medicare |
$1,408.50
|
| Rate for Payer: BCBS Complete |
$618.40
|
| Rate for Payer: BCBS Trust/PPO |
$3,041.71
|
| Rate for Payer: BCN Commercial |
$1,344.84
|
| Rate for Payer: Cash Price |
$2,253.60
|
| Rate for Payer: Cash Price |
$2,253.60
|
| Rate for Payer: Meridian Medicaid |
$618.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$588.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,831.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,468.37
|
| Rate for Payer: Priority Health Narrow Network |
$1,468.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,275.26
|
| Rate for Payer: UHC Exchange |
$1,275.26
|
| Rate for Payer: UHCCP Medicaid |
$588.95
|
|
|
PR THRMBC DIR/W/CATH AXILL&SUBCLAVIAN VEIN ARM IN
|
Professional
|
Both
|
$1,285.00
|
|
|
Service Code
|
HCPCS 34490
|
| Min. Negotiated Rate |
$361.25 |
| Max. Negotiated Rate |
$2,309.73 |
| Rate for Payer: Aetna Commercial |
$865.10
|
| Rate for Payer: Aetna Medicare |
$642.50
|
| Rate for Payer: BCBS Complete |
$379.31
|
| Rate for Payer: BCBS Trust/PPO |
$2,309.73
|
| Rate for Payer: BCN Commercial |
$933.86
|
| Rate for Payer: Cash Price |
$1,028.00
|
| Rate for Payer: Cash Price |
$1,028.00
|
| Rate for Payer: Meridian Medicaid |
$379.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$361.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$835.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$899.84
|
| Rate for Payer: Priority Health Narrow Network |
$899.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$811.63
|
| Rate for Payer: UHC Exchange |
$811.63
|
| Rate for Payer: UHCCP Medicaid |
$361.25
|
|
|
PR THRMBC OPN ARVEN FSTL W/O REVJ DIAL GRF
|
Professional
|
Both
|
$2,115.00
|
|
|
Service Code
|
HCPCS 36831
|
| Min. Negotiated Rate |
$387.87 |
| Max. Negotiated Rate |
$1,521.50 |
| Rate for Payer: Aetna Commercial |
$824.83
|
| Rate for Payer: Aetna Medicare |
$1,057.50
|
| Rate for Payer: BCBS Complete |
$407.26
|
| Rate for Payer: BCBS Trust/PPO |
$1,521.50
|
| Rate for Payer: BCN Commercial |
$882.06
|
| Rate for Payer: Cash Price |
$1,692.00
|
| Rate for Payer: Cash Price |
$1,692.00
|
| Rate for Payer: Meridian Medicaid |
$407.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$387.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,374.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$964.74
|
| Rate for Payer: Priority Health Narrow Network |
$964.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$597.41
|
| Rate for Payer: UHC Exchange |
$597.41
|
| Rate for Payer: UHCCP Medicaid |
$387.87
|
|
|
PR THROMBECTOMY,ARTERIOVENOUS FISTULA
|
Professional
|
Both
|
$1,910.00
|
|
|
Service Code
|
HCPCS 36870
|
| Min. Negotiated Rate |
$764.00 |
| Max. Negotiated Rate |
$1,241.50 |
| Rate for Payer: Aetna Medicare |
$955.00
|
| Rate for Payer: BCBS Complete |
$764.00
|
| Rate for Payer: Cash Price |
$1,528.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,241.50
|
|
|
PR THROMBOLYSIS ARTERIAL INFUSION ICRA RS&I INIT TX
|
Professional
|
Both
|
$622.00
|
|
|
Service Code
|
HCPCS 37211
|
| Min. Negotiated Rate |
$241.12 |
| Max. Negotiated Rate |
$1,423.24 |
| Rate for Payer: Aetna Commercial |
$517.91
|
| Rate for Payer: Aetna Medicare |
$311.00
|
| Rate for Payer: BCBS Complete |
$253.18
|
| Rate for Payer: BCBS Trust/PPO |
$1,423.24
|
| Rate for Payer: BCN Commercial |
$549.27
|
| Rate for Payer: Cash Price |
$497.60
|
| Rate for Payer: Cash Price |
$497.60
|
| Rate for Payer: Meridian Medicaid |
$253.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$241.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$404.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$599.89
|
| Rate for Payer: Priority Health Narrow Network |
$599.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$551.63
|
| Rate for Payer: UHC Exchange |
$551.63
|
| Rate for Payer: UHCCP Medicaid |
$241.12
|
|
|
PR THROMBOLYSIS ART/VENOUS INFSN W/IMAGE SUBSQ TX
|
Professional
|
Both
|
$1,091.00
|
|
|
Service Code
|
HCPCS 37213
|
| Min. Negotiated Rate |
$143.99 |
| Max. Negotiated Rate |
$709.15 |
| Rate for Payer: Aetna Commercial |
$311.52
|
| Rate for Payer: Aetna Medicare |
$545.50
|
| Rate for Payer: BCBS Complete |
$151.19
|
| Rate for Payer: BCBS Trust/PPO |
$399.45
|
| Rate for Payer: BCN Commercial |
$328.39
|
| Rate for Payer: Cash Price |
$872.80
|
| Rate for Payer: Cash Price |
$872.80
|
| Rate for Payer: Meridian Medicaid |
$151.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$143.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$709.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$357.38
|
| Rate for Payer: Priority Health Narrow Network |
$357.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$340.39
|
| Rate for Payer: UHC Exchange |
$340.39
|
| Rate for Payer: UHCCP Medicaid |
$143.99
|
|
|
PR THROMBOLYSIS CEREBRAL IV INFUSION
|
Professional
|
Both
|
$1,409.00
|
|
|
Service Code
|
HCPCS 37195
|
| Min. Negotiated Rate |
$241.57 |
| Max. Negotiated Rate |
$1,305.11 |
| Rate for Payer: Aetna Commercial |
$1,244.65
|
| Rate for Payer: Aetna Medicare |
$704.50
|
| Rate for Payer: BCBS Complete |
$253.65
|
| Rate for Payer: BCBS Trust/PPO |
$789.81
|
| Rate for Payer: BCN Commercial |
$307.67
|
| Rate for Payer: Cash Price |
$1,127.20
|
| Rate for Payer: Cash Price |
$1,127.20
|
| Rate for Payer: Meridian Medicaid |
$253.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$241.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$915.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,305.11
|
| Rate for Payer: Priority Health Narrow Network |
$1,305.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$477.68
|
| Rate for Payer: UHC Exchange |
$477.68
|
| Rate for Payer: UHCCP Medicaid |
$241.57
|
|
|
PR THROMBOLYSIS CORONARY INTRAVENOUS INFUSION
|
Professional
|
Both
|
$638.00
|
|
|
Service Code
|
HCPCS 92977
|
| Min. Negotiated Rate |
$68.22 |
| Max. Negotiated Rate |
$414.70 |
| Rate for Payer: Aetna Commercial |
$68.22
|
| Rate for Payer: Aetna Medicare |
$319.00
|
| Rate for Payer: BCBS Complete |
$255.20
|
| Rate for Payer: BCBS Trust/PPO |
$294.26
|
| Rate for Payer: BCN Commercial |
$77.21
|
| Rate for Payer: Cash Price |
$510.40
|
| Rate for Payer: Cash Price |
$510.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$414.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$78.16
|
| Rate for Payer: Priority Health Narrow Network |
$78.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$124.70
|
| Rate for Payer: UHC Exchange |
$124.70
|
|
|
PR THROMBOLYSIS INTRACORONARY NFS SLCTV ANGRPH
|
Professional
|
Both
|
$793.00
|
|
|
Service Code
|
HCPCS 92975
|
| Min. Negotiated Rate |
$234.30 |
| Max. Negotiated Rate |
$540.14 |
| Rate for Payer: Aetna Commercial |
$505.09
|
| Rate for Payer: Aetna Medicare |
$396.50
|
| Rate for Payer: BCBS Complete |
$246.02
|
| Rate for Payer: BCBS Trust/PPO |
$392.00
|
| Rate for Payer: BCN Commercial |
$535.10
|
| Rate for Payer: Cash Price |
$634.40
|
| Rate for Payer: Cash Price |
$634.40
|
| Rate for Payer: Meridian Medicaid |
$246.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$234.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$515.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$516.98
|
| Rate for Payer: Priority Health Narrow Network |
$516.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$540.14
|
| Rate for Payer: UHC Exchange |
$540.14
|
| Rate for Payer: UHCCP Medicaid |
$234.30
|
|
|
PR THROMBOLYSIS VENOUS INFUSION W/IMAGING INIT TX
|
Professional
|
Both
|
$1,611.00
|
|
|
Service Code
|
HCPCS 37212
|
| Min. Negotiated Rate |
$210.66 |
| Max. Negotiated Rate |
$1,739.86 |
| Rate for Payer: Aetna Commercial |
$452.62
|
| Rate for Payer: Aetna Medicare |
$805.50
|
| Rate for Payer: BCBS Complete |
$221.19
|
| Rate for Payer: BCBS Trust/PPO |
$1,739.86
|
| Rate for Payer: BCN Commercial |
$480.37
|
| Rate for Payer: Cash Price |
$1,288.80
|
| Rate for Payer: Cash Price |
$1,288.80
|
| Rate for Payer: Meridian Medicaid |
$221.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$210.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,047.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$522.79
|
| Rate for Payer: Priority Health Narrow Network |
$522.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$487.01
|
| Rate for Payer: UHC Exchange |
$487.01
|
| Rate for Payer: UHCCP Medicaid |
$210.66
|
|
|
PR THRSC CRTJ PRCRD WINDOW/PRTL RESCJ PRCRD SAC
|
Professional
|
Both
|
$3,708.00
|
|
|
Service Code
|
HCPCS 32659
|
| Min. Negotiated Rate |
$467.32 |
| Max. Negotiated Rate |
$2,410.20 |
| Rate for Payer: Aetna Commercial |
$942.23
|
| Rate for Payer: Aetna Medicare |
$1,854.00
|
| Rate for Payer: BCBS Complete |
$490.69
|
| Rate for Payer: BCBS Trust/PPO |
$1,271.62
|
| Rate for Payer: BCN Commercial |
$1,058.97
|
| Rate for Payer: Cash Price |
$2,966.40
|
| Rate for Payer: Cash Price |
$2,966.40
|
| Rate for Payer: Meridian Medicaid |
$490.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$467.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,410.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,012.21
|
| Rate for Payer: Priority Health Narrow Network |
$1,012.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$865.24
|
| Rate for Payer: UHC Exchange |
$865.24
|
| Rate for Payer: UHCCP Medicaid |
$467.32
|
|
|
PR THRSC TOT PULM DCRTCTJ INTRAPLEURAL PNEUMONOLSS
|
Professional
|
Both
|
$4,459.00
|
|
|
Service Code
|
HCPCS 32652
|
| Min. Negotiated Rate |
$1,005.88 |
| Max. Negotiated Rate |
$2,898.35 |
| Rate for Payer: Aetna Commercial |
$2,144.89
|
| Rate for Payer: Aetna Medicare |
$2,229.50
|
| Rate for Payer: BCBS Complete |
$1,102.59
|
| Rate for Payer: BCBS Trust/PPO |
$1,005.88
|
| Rate for Payer: BCN Commercial |
$2,390.13
|
| Rate for Payer: Cash Price |
$3,567.20
|
| Rate for Payer: Cash Price |
$3,567.20
|
| Rate for Payer: Meridian Medicaid |
$1,102.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,050.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,898.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,277.00
|
| Rate for Payer: Priority Health Narrow Network |
$2,277.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,946.70
|
| Rate for Payer: UHC Exchange |
$1,946.70
|
| Rate for Payer: UHCCP Medicaid |
$1,050.09
|
|
