|
PR THORACOSCOPY W/BILOBECTOMY
|
Professional
|
Both
|
$7,133.39
|
|
|
Service Code
|
HCPCS 32670
|
| Min. Negotiated Rate |
$1,310.79 |
| Max. Negotiated Rate |
$4,213.24 |
| Rate for Payer: Cash Price |
$1,890.06
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$1,872.55
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$1,685.30
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$1,685.30
|
| Rate for Payer: Fidelis Essential Plan QHP |
$1,778.92
|
| Rate for Payer: Fidelis Medicare Advantage |
$1,872.55
|
| Rate for Payer: Fidelis Qualified Health Plan |
$1,778.92
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$1,872.55
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$1,872.55
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$1,404.41
|
| Rate for Payer: Healthfirst Commercial |
$1,872.55
|
| Rate for Payer: Healthfirst Essential Plan |
$4,213.24
|
| Rate for Payer: Healthfirst Medicare Advantage |
$1,778.92
|
| Rate for Payer: Healthfirst QHP |
$1,872.55
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$1,310.79
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$1,872.55
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$1,591.67
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$1,310.79
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$1,872.55
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$1,404.41
|
| Rate for Payer: SOMOS Essential |
$1,404.41
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$1,872.55
|
|
|
PR THORACOSCOPY W/DX BX OF LUNG INFILTRATE UNILATRL
|
Professional
|
Both
|
$1,366.58
|
|
|
Service Code
|
HCPCS 32607
|
| Min. Negotiated Rate |
$252.08 |
| Max. Negotiated Rate |
$810.25 |
| Rate for Payer: Cash Price |
$362.81
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$360.11
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$324.10
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$324.10
|
| Rate for Payer: Fidelis Essential Plan QHP |
$342.10
|
| Rate for Payer: Fidelis Medicare Advantage |
$360.11
|
| Rate for Payer: Fidelis Qualified Health Plan |
$342.10
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$360.11
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$360.11
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$270.08
|
| Rate for Payer: Healthfirst Commercial |
$360.11
|
| Rate for Payer: Healthfirst Essential Plan |
$810.25
|
| Rate for Payer: Healthfirst Medicare Advantage |
$342.10
|
| Rate for Payer: Healthfirst QHP |
$360.11
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$252.08
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$360.11
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$306.09
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$252.08
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$360.11
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$270.08
|
| Rate for Payer: SOMOS Essential |
$270.08
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$360.11
|
|
|
PR THORACOSCOPY W/DX BX OF LUNG NODULES UNILATRL
|
Professional
|
Both
|
$1,679.44
|
|
|
Service Code
|
HCPCS 32608
|
| Min. Negotiated Rate |
$310.56 |
| Max. Negotiated Rate |
$998.24 |
| Rate for Payer: Cash Price |
$446.99
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$443.66
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$399.29
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$399.29
|
| Rate for Payer: Fidelis Essential Plan QHP |
$421.48
|
| Rate for Payer: Fidelis Medicare Advantage |
$443.66
|
| Rate for Payer: Fidelis Qualified Health Plan |
$421.48
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$443.66
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$443.66
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$332.75
|
| Rate for Payer: Healthfirst Commercial |
$443.66
|
| Rate for Payer: Healthfirst Essential Plan |
$998.24
|
| Rate for Payer: Healthfirst Medicare Advantage |
$421.48
|
| Rate for Payer: Healthfirst QHP |
$443.66
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$310.56
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$443.66
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$377.11
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$310.56
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$443.66
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$332.75
|
| Rate for Payer: SOMOS Essential |
$332.75
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$443.66
|
|
|
PR THORACOSCOPY W/DX WEDGE RESEXN ANATO LUNG RESEXN
|
Professional
|
Both
|
$696.36
|
|
|
Service Code
|
HCPCS 32668
|
| Min. Negotiated Rate |
$127.13 |
| Max. Negotiated Rate |
$408.64 |
| Rate for Payer: Cash Price |
$184.32
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$181.62
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$163.46
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$163.46
|
| Rate for Payer: Fidelis Essential Plan QHP |
$172.54
|
| Rate for Payer: Fidelis Medicare Advantage |
$181.62
|
| Rate for Payer: Fidelis Qualified Health Plan |
$172.54
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$181.62
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$181.62
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$136.22
|
| Rate for Payer: Healthfirst Commercial |
$181.62
|
| Rate for Payer: Healthfirst Essential Plan |
$408.64
|
| Rate for Payer: Healthfirst Medicare Advantage |
$172.54
|
| Rate for Payer: Healthfirst QHP |
$181.62
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$127.13
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$181.62
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$154.38
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$127.13
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$181.62
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$136.22
|
| Rate for Payer: SOMOS Essential |
$136.22
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$181.62
|
|
|
PR THORACOSCOPY W/ESOPHAGOMYOTOMY HELLER TYPE
|
Professional
|
Both
|
$5,485.17
|
|
|
Service Code
|
HCPCS 32665
|
| Min. Negotiated Rate |
$1,012.13 |
| Max. Negotiated Rate |
$3,253.28 |
| Rate for Payer: Cash Price |
$1,458.72
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$1,445.90
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$1,301.31
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$1,301.31
|
| Rate for Payer: Fidelis Essential Plan QHP |
$1,373.61
|
| Rate for Payer: Fidelis Medicare Advantage |
$1,445.90
|
| Rate for Payer: Fidelis Qualified Health Plan |
$1,373.61
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$1,445.90
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$1,445.90
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$1,084.42
|
| Rate for Payer: Healthfirst Commercial |
$1,445.90
|
| Rate for Payer: Healthfirst Essential Plan |
$3,253.28
|
| Rate for Payer: Healthfirst Medicare Advantage |
$1,373.61
|
| Rate for Payer: Healthfirst QHP |
$1,445.90
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$1,012.13
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$1,445.90
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$1,229.02
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$1,012.13
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$1,445.90
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$1,084.42
|
| Rate for Payer: SOMOS Essential |
$1,084.42
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$1,445.90
|
|
|
PR THORACOSCOPY W/EXC MEDIASTINAL CYST TUMOR/MASS
|
Professional
|
Both
|
$3,976.84
|
|
|
Service Code
|
HCPCS 32662
|
| Min. Negotiated Rate |
$737.05 |
| Max. Negotiated Rate |
$2,369.09 |
| Rate for Payer: Cash Price |
$1,062.09
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$1,052.93
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$947.64
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$947.64
|
| Rate for Payer: Fidelis Essential Plan QHP |
$1,000.28
|
| Rate for Payer: Fidelis Medicare Advantage |
$1,052.93
|
| Rate for Payer: Fidelis Qualified Health Plan |
$1,000.28
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$1,052.93
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$1,052.93
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$789.70
|
| Rate for Payer: Healthfirst Commercial |
$1,052.93
|
| Rate for Payer: Healthfirst Essential Plan |
$2,369.09
|
| Rate for Payer: Healthfirst Medicare Advantage |
$1,000.28
|
| Rate for Payer: Healthfirst QHP |
$1,052.93
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$737.05
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$1,052.93
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$894.99
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$737.05
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$1,052.93
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$789.70
|
| Rate for Payer: SOMOS Essential |
$789.70
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$1,052.93
|
|
|
PR THORACOSCOPY W/EXC PERICARDIAL CYST TUMOR/MASS
|
Professional
|
Both
|
$3,559.75
|
|
|
Service Code
|
HCPCS 32661
|
| Min. Negotiated Rate |
$658.52 |
| Max. Negotiated Rate |
$2,116.66 |
| Rate for Payer: Cash Price |
$949.93
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$940.74
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$846.67
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$846.67
|
| Rate for Payer: Fidelis Essential Plan QHP |
$893.70
|
| Rate for Payer: Fidelis Medicare Advantage |
$940.74
|
| Rate for Payer: Fidelis Qualified Health Plan |
$893.70
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$940.74
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$940.74
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$705.55
|
| Rate for Payer: Healthfirst Commercial |
$940.74
|
| Rate for Payer: Healthfirst Essential Plan |
$2,116.66
|
| Rate for Payer: Healthfirst Medicare Advantage |
$893.70
|
| Rate for Payer: Healthfirst QHP |
$940.74
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$658.52
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$940.74
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$799.63
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$658.52
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$940.74
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$705.55
|
| Rate for Payer: SOMOS Essential |
$705.55
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$940.74
|
|
|
PR THORACOSCOPY WITH BIOPSYIES OF PLEURA
|
Professional
|
Both
|
$1,120.81
|
|
|
Service Code
|
HCPCS 32609
|
| Min. Negotiated Rate |
$206.44 |
| Max. Negotiated Rate |
$663.55 |
| Rate for Payer: Cash Price |
$299.47
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$294.91
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$265.42
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$265.42
|
| Rate for Payer: Fidelis Essential Plan QHP |
$280.16
|
| Rate for Payer: Fidelis Medicare Advantage |
$294.91
|
| Rate for Payer: Fidelis Qualified Health Plan |
$280.16
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$294.91
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$294.91
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$221.18
|
| Rate for Payer: Healthfirst Commercial |
$294.91
|
| Rate for Payer: Healthfirst Essential Plan |
$663.55
|
| Rate for Payer: Healthfirst Medicare Advantage |
$280.16
|
| Rate for Payer: Healthfirst QHP |
$294.91
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$206.44
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$294.91
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$250.67
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$206.44
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$294.91
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$221.18
|
| Rate for Payer: SOMOS Essential |
$221.18
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$294.91
|
|
|
PR THORACOSCOPY W/LOBECTOMY SINGLE LOBE
|
Professional
|
Both
|
$6,221.32
|
|
|
Service Code
|
HCPCS 32663
|
| Min. Negotiated Rate |
$1,147.08 |
| Max. Negotiated Rate |
$3,687.05 |
| Rate for Payer: Cash Price |
$1,654.34
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$1,638.69
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$1,474.82
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$1,474.82
|
| Rate for Payer: Fidelis Essential Plan QHP |
$1,556.76
|
| Rate for Payer: Fidelis Medicare Advantage |
$1,638.69
|
| Rate for Payer: Fidelis Qualified Health Plan |
$1,556.76
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$1,638.69
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$1,638.69
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$1,229.02
|
| Rate for Payer: Healthfirst Commercial |
$1,638.69
|
| Rate for Payer: Healthfirst Essential Plan |
$3,687.05
|
| Rate for Payer: Healthfirst Medicare Advantage |
$1,556.76
|
| Rate for Payer: Healthfirst QHP |
$1,638.69
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$1,147.08
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$1,638.69
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$1,392.89
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$1,147.08
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$1,638.69
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$1,229.02
|
| Rate for Payer: SOMOS Essential |
$1,229.02
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$1,638.69
|
|
|
PR THORACOSCOPY W/PARIETAL PLEURECTOMY
|
Professional
|
Both
|
$3,577.53
|
|
|
Service Code
|
HCPCS 32656
|
| Min. Negotiated Rate |
$663.52 |
| Max. Negotiated Rate |
$2,132.75 |
| Rate for Payer: Cash Price |
$954.11
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$947.89
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$853.10
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$853.10
|
| Rate for Payer: Fidelis Essential Plan QHP |
$900.50
|
| Rate for Payer: Fidelis Medicare Advantage |
$947.89
|
| Rate for Payer: Fidelis Qualified Health Plan |
$900.50
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$947.89
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$947.89
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$710.92
|
| Rate for Payer: Healthfirst Commercial |
$947.89
|
| Rate for Payer: Healthfirst Essential Plan |
$2,132.75
|
| Rate for Payer: Healthfirst Medicare Advantage |
$900.50
|
| Rate for Payer: Healthfirst QHP |
$947.89
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$663.52
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$947.89
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$805.71
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$663.52
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$947.89
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$710.92
|
| Rate for Payer: SOMOS Essential |
$710.92
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$947.89
|
|
|
PR THORACOSCOPY W/PARTIAL PULMONARY DECORTICATION
|
Professional
|
Both
|
$4,868.99
|
|
|
Service Code
|
HCPCS 32651
|
| Min. Negotiated Rate |
$900.59 |
| Max. Negotiated Rate |
$2,894.76 |
| Rate for Payer: Cash Price |
$1,297.65
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$1,286.56
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$1,157.90
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$1,157.90
|
| Rate for Payer: Fidelis Essential Plan QHP |
$1,222.23
|
| Rate for Payer: Fidelis Medicare Advantage |
$1,286.56
|
| Rate for Payer: Fidelis Qualified Health Plan |
$1,222.23
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$1,286.56
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$1,286.56
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$964.92
|
| Rate for Payer: Healthfirst Commercial |
$1,286.56
|
| Rate for Payer: Healthfirst Essential Plan |
$2,894.76
|
| Rate for Payer: Healthfirst Medicare Advantage |
$1,222.23
|
| Rate for Payer: Healthfirst QHP |
$1,286.56
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$900.59
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$1,286.56
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$1,093.58
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$900.59
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$1,286.56
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$964.92
|
| Rate for Payer: SOMOS Essential |
$964.92
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$1,286.56
|
|
|
PR THORACOSCOPY W/PLEURODESIS
|
Professional
|
Both
|
$2,959.04
|
|
|
Service Code
|
HCPCS 32650
|
| Min. Negotiated Rate |
$550.50 |
| Max. Negotiated Rate |
$1,769.47 |
| Rate for Payer: Cash Price |
$793.73
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$786.43
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$707.79
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$707.79
|
| Rate for Payer: Fidelis Essential Plan QHP |
$747.11
|
| Rate for Payer: Fidelis Medicare Advantage |
$786.43
|
| Rate for Payer: Fidelis Qualified Health Plan |
$747.11
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$786.43
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$786.43
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$589.82
|
| Rate for Payer: Healthfirst Commercial |
$786.43
|
| Rate for Payer: Healthfirst Essential Plan |
$1,769.47
|
| Rate for Payer: Healthfirst Medicare Advantage |
$747.11
|
| Rate for Payer: Healthfirst QHP |
$786.43
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$550.50
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$786.43
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$668.47
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$550.50
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$786.43
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$589.82
|
| Rate for Payer: SOMOS Essential |
$589.82
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$786.43
|
|
|
PR THORACOSCOPY W/PNEUMONECTOMY
|
Professional
|
Both
|
$7,894.46
|
|
|
Service Code
|
HCPCS 32671
|
| Min. Negotiated Rate |
$1,452.04 |
| Max. Negotiated Rate |
$4,667.27 |
| Rate for Payer: Cash Price |
$2,095.65
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$2,074.34
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$1,866.91
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$1,866.91
|
| Rate for Payer: Fidelis Essential Plan QHP |
$1,970.62
|
| Rate for Payer: Fidelis Medicare Advantage |
$2,074.34
|
| Rate for Payer: Fidelis Qualified Health Plan |
$1,970.62
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$2,074.34
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$2,074.34
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$1,555.76
|
| Rate for Payer: Healthfirst Commercial |
$2,074.34
|
| Rate for Payer: Healthfirst Essential Plan |
$4,667.27
|
| Rate for Payer: Healthfirst Medicare Advantage |
$1,970.62
|
| Rate for Payer: Healthfirst QHP |
$2,074.34
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$1,452.04
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$2,074.34
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$1,763.19
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$1,452.04
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$2,074.34
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$1,555.76
|
| Rate for Payer: SOMOS Essential |
$1,555.76
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$2,074.34
|
|
|
PR THORACOSCOPY W/RESECTION BULLAE W/WO PLEURAL PX
|
Professional
|
Both
|
$4,261.46
|
|
|
Service Code
|
HCPCS 32655
|
| Min. Negotiated Rate |
$787.62 |
| Max. Negotiated Rate |
$2,531.63 |
| Rate for Payer: Cash Price |
$1,135.23
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$1,125.17
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$1,012.65
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$1,012.65
|
| Rate for Payer: Fidelis Essential Plan QHP |
$1,068.91
|
| Rate for Payer: Fidelis Medicare Advantage |
$1,125.17
|
| Rate for Payer: Fidelis Qualified Health Plan |
$1,068.91
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$1,125.17
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$1,125.17
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$843.88
|
| Rate for Payer: Healthfirst Commercial |
$1,125.17
|
| Rate for Payer: Healthfirst Essential Plan |
$2,531.63
|
| Rate for Payer: Healthfirst Medicare Advantage |
$1,068.91
|
| Rate for Payer: Healthfirst QHP |
$1,125.17
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$787.62
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$1,125.17
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$956.39
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$787.62
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$1,125.17
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$843.88
|
| Rate for Payer: SOMOS Essential |
$843.88
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$1,125.17
|
|
|
PR THORACOSCOPY W/RESEXN-PLICAJ EMPHYSEMA LUNG UNIL
|
Professional
|
Both
|
$6,736.14
|
|
|
Service Code
|
HCPCS 32672
|
| Min. Negotiated Rate |
$1,244.84 |
| Max. Negotiated Rate |
$4,001.26 |
| Rate for Payer: Cash Price |
$1,795.80
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$1,778.34
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$1,600.51
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$1,600.51
|
| Rate for Payer: Fidelis Essential Plan QHP |
$1,689.42
|
| Rate for Payer: Fidelis Medicare Advantage |
$1,778.34
|
| Rate for Payer: Fidelis Qualified Health Plan |
$1,689.42
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$1,778.34
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$1,778.34
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$1,333.76
|
| Rate for Payer: Healthfirst Commercial |
$1,778.34
|
| Rate for Payer: Healthfirst Essential Plan |
$4,001.26
|
| Rate for Payer: Healthfirst Medicare Advantage |
$1,689.42
|
| Rate for Payer: Healthfirst QHP |
$1,778.34
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$1,244.84
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$1,778.34
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$1,511.59
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$1,244.84
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$1,778.34
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$1,333.76
|
| Rate for Payer: SOMOS Essential |
$1,333.76
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$1,778.34
|
|
|
PR THORACOSCOPY W/RMVL CLOT/FB FROM PERICARDIAL SAC
|
Professional
|
Both
|
$3,186.86
|
|
|
Service Code
|
HCPCS 32658
|
| Min. Negotiated Rate |
$590.62 |
| Max. Negotiated Rate |
$1,898.44 |
| Rate for Payer: Cash Price |
$850.26
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$843.75
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$759.38
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$759.38
|
| Rate for Payer: Fidelis Essential Plan QHP |
$801.56
|
| Rate for Payer: Fidelis Medicare Advantage |
$843.75
|
| Rate for Payer: Fidelis Qualified Health Plan |
$801.56
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$843.75
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$843.75
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$632.81
|
| Rate for Payer: Healthfirst Commercial |
$843.75
|
| Rate for Payer: Healthfirst Essential Plan |
$1,898.44
|
| Rate for Payer: Healthfirst Medicare Advantage |
$801.56
|
| Rate for Payer: Healthfirst QHP |
$843.75
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$590.62
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$843.75
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$717.19
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$590.62
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$843.75
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$632.81
|
| Rate for Payer: SOMOS Essential |
$632.81
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$843.75
|
|
|
PR THORACOSCOPY W/SEGMENTECTOMY
|
Professional
|
Both
|
$5,970.93
|
|
|
Service Code
|
HCPCS 32669
|
| Min. Negotiated Rate |
$1,101.73 |
| Max. Negotiated Rate |
$3,541.28 |
| Rate for Payer: Cash Price |
$1,588.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$1,573.90
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$1,416.51
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$1,416.51
|
| Rate for Payer: Fidelis Essential Plan QHP |
$1,495.20
|
| Rate for Payer: Fidelis Medicare Advantage |
$1,573.90
|
| Rate for Payer: Fidelis Qualified Health Plan |
$1,495.20
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$1,573.90
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$1,573.90
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$1,180.42
|
| Rate for Payer: Healthfirst Commercial |
$1,573.90
|
| Rate for Payer: Healthfirst Essential Plan |
$3,541.28
|
| Rate for Payer: Healthfirst Medicare Advantage |
$1,495.20
|
| Rate for Payer: Healthfirst QHP |
$1,573.90
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$1,101.73
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$1,573.90
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$1,337.82
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$1,101.73
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$1,573.90
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$1,180.42
|
| Rate for Payer: SOMOS Essential |
$1,180.42
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$1,573.90
|
|
|
PR THORACOSCOPY W/THERA WEDGE RESEXN ADDL IPSILATRL
|
Professional
|
Both
|
$696.36
|
|
|
Service Code
|
HCPCS 32667
|
| Min. Negotiated Rate |
$126.86 |
| Max. Negotiated Rate |
$407.77 |
| Rate for Payer: Cash Price |
$184.32
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$181.23
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$163.11
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$163.11
|
| Rate for Payer: Fidelis Essential Plan QHP |
$172.17
|
| Rate for Payer: Fidelis Medicare Advantage |
$181.23
|
| Rate for Payer: Fidelis Qualified Health Plan |
$172.17
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$181.23
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$181.23
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$135.92
|
| Rate for Payer: Healthfirst Commercial |
$181.23
|
| Rate for Payer: Healthfirst Essential Plan |
$407.77
|
| Rate for Payer: Healthfirst Medicare Advantage |
$172.17
|
| Rate for Payer: Healthfirst QHP |
$181.23
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$126.86
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$181.23
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$154.05
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$126.86
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$181.23
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$135.92
|
| Rate for Payer: SOMOS Essential |
$135.92
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$181.23
|
|
|
PR THORACOSCOPY W/THERA WEDGE RESEXN INITIAL UNILAT
|
Professional
|
Both
|
$3,871.00
|
|
|
Service Code
|
HCPCS 32666
|
| Min. Negotiated Rate |
$717.00 |
| Max. Negotiated Rate |
$2,304.65 |
| Rate for Payer: Cash Price |
$1,033.33
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$1,024.29
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$921.86
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$921.86
|
| Rate for Payer: Fidelis Essential Plan QHP |
$973.08
|
| Rate for Payer: Fidelis Medicare Advantage |
$1,024.29
|
| Rate for Payer: Fidelis Qualified Health Plan |
$973.08
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$1,024.29
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$1,024.29
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$768.22
|
| Rate for Payer: Healthfirst Commercial |
$1,024.29
|
| Rate for Payer: Healthfirst Essential Plan |
$2,304.65
|
| Rate for Payer: Healthfirst Medicare Advantage |
$973.08
|
| Rate for Payer: Healthfirst QHP |
$1,024.29
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$717.00
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$1,024.29
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$870.65
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$717.00
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$1,024.29
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$768.22
|
| Rate for Payer: SOMOS Essential |
$768.22
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$1,024.29
|
|
|
PR THORACOSCOPY W/THORACIC SYMPATHECTOMY
|
Professional
|
Both
|
$3,777.73
|
|
|
Service Code
|
HCPCS 32664
|
| Min. Negotiated Rate |
$699.15 |
| Max. Negotiated Rate |
$2,247.26 |
| Rate for Payer: Cash Price |
$1,008.06
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$998.78
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$898.90
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$898.90
|
| Rate for Payer: Fidelis Essential Plan QHP |
$948.84
|
| Rate for Payer: Fidelis Medicare Advantage |
$998.78
|
| Rate for Payer: Fidelis Qualified Health Plan |
$948.84
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$998.78
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$998.78
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$749.09
|
| Rate for Payer: Healthfirst Commercial |
$998.78
|
| Rate for Payer: Healthfirst Essential Plan |
$2,247.26
|
| Rate for Payer: Healthfirst Medicare Advantage |
$948.84
|
| Rate for Payer: Healthfirst QHP |
$998.78
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$699.15
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$998.78
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$848.96
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$699.15
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$998.78
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$749.09
|
| Rate for Payer: SOMOS Essential |
$749.09
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$998.78
|
|
|
PR THORACOSTOMY OPEN FLAP DRAINAGE EMPYEMA
|
Professional
|
Both
|
$3,524.01
|
|
|
Service Code
|
HCPCS 32036
|
| Min. Negotiated Rate |
$649.76 |
| Max. Negotiated Rate |
$2,088.52 |
| Rate for Payer: Cash Price |
$942.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$928.23
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$835.41
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$835.41
|
| Rate for Payer: Fidelis Essential Plan QHP |
$881.82
|
| Rate for Payer: Fidelis Medicare Advantage |
$928.23
|
| Rate for Payer: Fidelis Qualified Health Plan |
$881.82
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$928.23
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$928.23
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$696.17
|
| Rate for Payer: Healthfirst Commercial |
$928.23
|
| Rate for Payer: Healthfirst Essential Plan |
$2,088.52
|
| Rate for Payer: Healthfirst Medicare Advantage |
$881.82
|
| Rate for Payer: Healthfirst QHP |
$928.23
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$649.76
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$928.23
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$789.00
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$649.76
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$928.23
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$696.17
|
| Rate for Payer: SOMOS Essential |
$696.17
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$928.23
|
|
|
PR THORACOSTOMY W/RIB RESECTION EMPYEMA
|
Professional
|
Both
|
$3,271.07
|
|
|
Service Code
|
HCPCS 32035
|
| Min. Negotiated Rate |
$608.39 |
| Max. Negotiated Rate |
$1,955.54 |
| Rate for Payer: Cash Price |
$876.12
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$869.13
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$782.22
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$782.22
|
| Rate for Payer: Fidelis Essential Plan QHP |
$825.67
|
| Rate for Payer: Fidelis Medicare Advantage |
$869.13
|
| Rate for Payer: Fidelis Qualified Health Plan |
$825.67
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$869.13
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$869.13
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$651.85
|
| Rate for Payer: Healthfirst Commercial |
$869.13
|
| Rate for Payer: Healthfirst Essential Plan |
$1,955.54
|
| Rate for Payer: Healthfirst Medicare Advantage |
$825.67
|
| Rate for Payer: Healthfirst QHP |
$869.13
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$608.39
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$869.13
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$738.76
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$608.39
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$869.13
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$651.85
|
| Rate for Payer: SOMOS Essential |
$651.85
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$869.13
|
|
|
PR THORACOTOMY OPN INTRAPLEURAL PNEUMONOLYSIS
|
Professional
|
Both
|
$4,091.96
|
|
|
Service Code
|
HCPCS 32124
|
| Min. Negotiated Rate |
$760.64 |
| Max. Negotiated Rate |
$2,444.92 |
| Rate for Payer: Cash Price |
$1,092.45
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$1,086.63
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$977.97
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$977.97
|
| Rate for Payer: Fidelis Essential Plan QHP |
$1,032.30
|
| Rate for Payer: Fidelis Medicare Advantage |
$1,086.63
|
| Rate for Payer: Fidelis Qualified Health Plan |
$1,032.30
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$1,086.63
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$1,086.63
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$814.97
|
| Rate for Payer: Healthfirst Commercial |
$1,086.63
|
| Rate for Payer: Healthfirst Essential Plan |
$2,444.92
|
| Rate for Payer: Healthfirst Medicare Advantage |
$1,032.30
|
| Rate for Payer: Healthfirst QHP |
$1,086.63
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$760.64
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$1,086.63
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$923.64
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$760.64
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$1,086.63
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$814.97
|
| Rate for Payer: SOMOS Essential |
$814.97
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$1,086.63
|
|
|
PR THORACOTOMY POSTOPERATIVE COMPLICATIONS
|
Professional
|
Both
|
$3,878.32
|
|
|
Service Code
|
HCPCS 32120
|
| Min. Negotiated Rate |
$722.13 |
| Max. Negotiated Rate |
$2,321.12 |
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$1,031.61
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$928.45
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$928.45
|
| Rate for Payer: Fidelis Essential Plan QHP |
$980.03
|
| Rate for Payer: Fidelis Medicare Advantage |
$1,031.61
|
| Rate for Payer: Fidelis Qualified Health Plan |
$980.03
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$1,031.61
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$1,031.61
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$773.71
|
| Rate for Payer: Healthfirst Commercial |
$1,031.61
|
| Rate for Payer: Healthfirst Essential Plan |
$2,321.12
|
| Rate for Payer: Healthfirst Medicare Advantage |
$980.03
|
| Rate for Payer: Healthfirst QHP |
$1,031.61
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$722.13
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$1,031.61
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$876.87
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$722.13
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$1,031.61
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$773.71
|
| Rate for Payer: SOMOS Essential |
$773.71
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$1,031.61
|
|
|
PR THORACOTOMY W/BIOPSY OF PLEURA
|
Professional
|
Both
|
$3,381.42
|
|
|
Service Code
|
HCPCS 32098
|
| Min. Negotiated Rate |
$622.08 |
| Max. Negotiated Rate |
$1,999.53 |
| Rate for Payer: Cash Price |
$897.79
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$888.68
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$799.81
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$799.81
|
| Rate for Payer: Fidelis Essential Plan QHP |
$844.25
|
| Rate for Payer: Fidelis Medicare Advantage |
$888.68
|
| Rate for Payer: Fidelis Qualified Health Plan |
$844.25
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$888.68
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$888.68
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$666.51
|
| Rate for Payer: Healthfirst Commercial |
$888.68
|
| Rate for Payer: Healthfirst Essential Plan |
$1,999.53
|
| Rate for Payer: Healthfirst Medicare Advantage |
$844.25
|
| Rate for Payer: Healthfirst QHP |
$888.68
|
| Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid |
$622.08
|
| Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$888.68
|
| Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) |
$755.38
|
| Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) |
$622.08
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$888.68
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$666.51
|
| Rate for Payer: SOMOS Essential |
$666.51
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$888.68
|
|
