|
benzodiazepine quant REF791886
|
Facility
|
OP
|
$131.00
|
|
|
Service Code
|
CPT 80347
|
| Hospital Charge Code |
2299537
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$32.75 |
| Max. Negotiated Rate |
$124.45 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$78.60
|
| Rate for Payer: Cash Price |
$78.60
|
| Rate for Payer: Cigna Commercial |
$111.35
|
| Rate for Payer: First Health Commercial |
$117.90
|
| Rate for Payer: First Health Workers Compensation |
$50.58
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$117.90
|
| Rate for Payer: GEHA Commercial |
$104.80
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$117.90
|
| Rate for Payer: Humana ChoiceCare |
$34.06
|
| Rate for Payer: Multiplan All |
$119.21
|
| Rate for Payer: New Mexico Health Connections Medicare |
$78.60
|
| Rate for Payer: OMNI Networks Commercial |
$91.70
|
| Rate for Payer: One Health Plan PPO/POS |
$117.90
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$124.45
|
| Rate for Payer: Three Rivers Provider Network All |
$98.25
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$115.28
|
| Rate for Payer: United Healthcare Commercial |
$111.35
|
| Rate for Payer: United Healthcare Managed Medicaid |
$32.75
|
| Rate for Payer: United Payors & United Providers UP&UP |
$121.83
|
| Rate for Payer: Zelis Auto |
$52.40
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$65.50
|
| Rate for Payer: Zelis Worker's Compensation |
$35.76
|
|
|
benzodiazepine quant REF791886
|
Facility
|
IP
|
$131.00
|
|
|
Service Code
|
CPT 80347
|
| Hospital Charge Code |
2299537
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$35.76 |
| Max. Negotiated Rate |
$124.45 |
| Rate for Payer: Cash Price |
$78.60
|
| Rate for Payer: Cigna Commercial |
$111.35
|
| Rate for Payer: First Health Commercial |
$117.90
|
| Rate for Payer: First Health Workers Compensation |
$50.58
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$117.90
|
| Rate for Payer: GEHA Commercial |
$91.70
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$117.90
|
| Rate for Payer: Multiplan All |
$119.21
|
| Rate for Payer: OMNI Networks Commercial |
$91.70
|
| Rate for Payer: One Health Plan PPO/POS |
$117.90
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$124.45
|
| Rate for Payer: Three Rivers Provider Network All |
$98.25
|
| Rate for Payer: United Payors & United Providers UP&UP |
$121.83
|
| Rate for Payer: Zelis Auto |
$52.40
|
| Rate for Payer: Zelis Worker's Compensation |
$35.76
|
|
|
BENZONATATE 100MG CAP
|
Facility
|
OP
|
$13.00
|
|
|
Service Code
|
NDC 68084021411
|
| Hospital Charge Code |
3300097
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$3.25 |
| Max. Negotiated Rate |
$12.35 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$7.80
|
| Rate for Payer: Cash Price |
$7.80
|
| Rate for Payer: Cigna Commercial |
$11.05
|
| Rate for Payer: First Health Commercial |
$11.70
|
| Rate for Payer: First Health Workers Compensation |
$5.02
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$11.70
|
| Rate for Payer: GEHA Commercial |
$10.40
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$11.70
|
| Rate for Payer: Humana ChoiceCare |
$3.38
|
| Rate for Payer: Multiplan All |
$11.83
|
| Rate for Payer: New Mexico Health Connections Medicare |
$7.80
|
| Rate for Payer: OMNI Networks Commercial |
$9.10
|
| Rate for Payer: One Health Plan PPO/POS |
$11.70
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$12.35
|
| Rate for Payer: Three Rivers Provider Network All |
$9.75
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$11.44
|
| Rate for Payer: United Healthcare Managed Medicaid |
$3.25
|
| Rate for Payer: United Payors & United Providers UP&UP |
$12.09
|
| Rate for Payer: Zelis Auto |
$5.20
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$6.50
|
| Rate for Payer: Zelis Worker's Compensation |
$3.55
|
|
|
BENZONATATE 100MG CAP
|
Facility
|
IP
|
$13.00
|
|
|
Service Code
|
NDC 68084021411
|
| Hospital Charge Code |
3300097
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$3.55 |
| Max. Negotiated Rate |
$12.35 |
| Rate for Payer: Cash Price |
$7.80
|
| Rate for Payer: Cigna Commercial |
$11.05
|
| Rate for Payer: First Health Commercial |
$11.70
|
| Rate for Payer: First Health Workers Compensation |
$5.02
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$11.70
|
| Rate for Payer: GEHA Commercial |
$9.10
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$11.70
|
| Rate for Payer: Multiplan All |
$11.83
|
| Rate for Payer: OMNI Networks Commercial |
$9.10
|
| Rate for Payer: One Health Plan PPO/POS |
$11.70
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$12.35
|
| Rate for Payer: Three Rivers Provider Network All |
$9.75
|
| Rate for Payer: United Payors & United Providers UP&UP |
$12.09
|
| Rate for Payer: Zelis Auto |
$5.20
|
| Rate for Payer: Zelis Worker's Compensation |
$3.55
|
|
|
BENZTROPINE MESYLATE 0.5MG TAB
|
Facility
|
IP
|
$6.00
|
|
|
Service Code
|
NDC 68084038111
|
| Hospital Charge Code |
3300099
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$1.64 |
| Max. Negotiated Rate |
$5.70 |
| Rate for Payer: Cash Price |
$3.60
|
| Rate for Payer: Cigna Commercial |
$5.10
|
| Rate for Payer: First Health Commercial |
$5.40
|
| Rate for Payer: First Health Workers Compensation |
$2.32
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$5.40
|
| Rate for Payer: GEHA Commercial |
$4.20
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$5.40
|
| Rate for Payer: Multiplan All |
$5.46
|
| Rate for Payer: OMNI Networks Commercial |
$4.20
|
| Rate for Payer: One Health Plan PPO/POS |
$5.40
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$5.70
|
| Rate for Payer: Three Rivers Provider Network All |
$4.50
|
| Rate for Payer: United Payors & United Providers UP&UP |
$5.58
|
| Rate for Payer: Zelis Auto |
$2.40
|
| Rate for Payer: Zelis Worker's Compensation |
$1.64
|
|
|
BENZTROPINE MESYLATE 0.5MG TAB
|
Facility
|
OP
|
$6.00
|
|
|
Service Code
|
NDC 68084038111
|
| Hospital Charge Code |
3300099
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$1.50 |
| Max. Negotiated Rate |
$5.70 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$3.60
|
| Rate for Payer: Cash Price |
$3.60
|
| Rate for Payer: Cigna Commercial |
$5.10
|
| Rate for Payer: First Health Commercial |
$5.40
|
| Rate for Payer: First Health Workers Compensation |
$2.32
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$5.40
|
| Rate for Payer: GEHA Commercial |
$4.80
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$5.40
|
| Rate for Payer: Humana ChoiceCare |
$1.56
|
| Rate for Payer: Multiplan All |
$5.46
|
| Rate for Payer: New Mexico Health Connections Medicare |
$3.60
|
| Rate for Payer: OMNI Networks Commercial |
$4.20
|
| Rate for Payer: One Health Plan PPO/POS |
$5.40
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$5.70
|
| Rate for Payer: Three Rivers Provider Network All |
$4.50
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$5.28
|
| Rate for Payer: United Healthcare Managed Medicaid |
$1.50
|
| Rate for Payer: United Payors & United Providers UP&UP |
$5.58
|
| Rate for Payer: Zelis Auto |
$2.40
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$3.00
|
| Rate for Payer: Zelis Worker's Compensation |
$1.64
|
|
|
BENZTROPINE MESYLATE 1MG TAB
|
Facility
|
IP
|
$7.00
|
|
| Hospital Charge Code |
3300100
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$1.91 |
| Max. Negotiated Rate |
$6.65 |
| Rate for Payer: Cash Price |
$4.20
|
| Rate for Payer: Cigna Commercial |
$5.95
|
| Rate for Payer: First Health Commercial |
$6.30
|
| Rate for Payer: First Health Workers Compensation |
$2.70
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$6.30
|
| Rate for Payer: GEHA Commercial |
$4.90
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$6.30
|
| Rate for Payer: Multiplan All |
$6.37
|
| Rate for Payer: OMNI Networks Commercial |
$4.90
|
| Rate for Payer: One Health Plan PPO/POS |
$6.30
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$6.65
|
| Rate for Payer: Three Rivers Provider Network All |
$5.25
|
| Rate for Payer: United Payors & United Providers UP&UP |
$6.51
|
| Rate for Payer: Zelis Auto |
$2.80
|
| Rate for Payer: Zelis Worker's Compensation |
$1.91
|
|
|
BENZTROPINE MESYLATE 1MG TAB
|
Facility
|
OP
|
$7.00
|
|
| Hospital Charge Code |
3300100
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$1.75 |
| Max. Negotiated Rate |
$6.65 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$4.20
|
| Rate for Payer: Cash Price |
$4.20
|
| Rate for Payer: Cigna Commercial |
$5.95
|
| Rate for Payer: First Health Commercial |
$6.30
|
| Rate for Payer: First Health Workers Compensation |
$2.70
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$6.30
|
| Rate for Payer: GEHA Commercial |
$5.60
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$6.30
|
| Rate for Payer: Humana ChoiceCare |
$1.82
|
| Rate for Payer: Multiplan All |
$6.37
|
| Rate for Payer: New Mexico Health Connections Medicare |
$4.20
|
| Rate for Payer: OMNI Networks Commercial |
$4.90
|
| Rate for Payer: One Health Plan PPO/POS |
$6.30
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$6.65
|
| Rate for Payer: Three Rivers Provider Network All |
$5.25
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$6.16
|
| Rate for Payer: United Healthcare Managed Medicaid |
$1.75
|
| Rate for Payer: United Payors & United Providers UP&UP |
$6.51
|
| Rate for Payer: Zelis Auto |
$2.80
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$3.50
|
| Rate for Payer: Zelis Worker's Compensation |
$1.91
|
|
|
BENZTROPINE MESYLATE 2 MG/2 ML INJ AMP
|
Facility
|
OP
|
$139.00
|
|
|
Service Code
|
CPT J0515
|
| Hospital Charge Code |
3300098
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$16.86 |
| Max. Negotiated Rate |
$132.05 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$83.40
|
| Rate for Payer: Cash Price |
$83.40
|
| Rate for Payer: Cash Price |
$83.40
|
| Rate for Payer: Cigna Commercial |
$118.15
|
| Rate for Payer: First Health Commercial |
$125.10
|
| Rate for Payer: First Health Workers Compensation |
$53.67
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$125.10
|
| Rate for Payer: GEHA Commercial |
$16.86
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$125.10
|
| Rate for Payer: Humana ChoiceCare |
$36.14
|
| Rate for Payer: Multiplan All |
$126.49
|
| Rate for Payer: New Mexico Health Connections Medicare |
$83.40
|
| Rate for Payer: OMNI Networks Commercial |
$97.30
|
| Rate for Payer: One Health Plan PPO/POS |
$125.10
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$132.05
|
| Rate for Payer: Three Rivers Provider Network All |
$104.25
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$122.32
|
| Rate for Payer: United Healthcare Managed Medicaid |
$34.75
|
| Rate for Payer: United Payors & United Providers UP&UP |
$129.27
|
| Rate for Payer: Zelis Auto |
$55.60
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$69.50
|
| Rate for Payer: Zelis Worker's Compensation |
$37.95
|
|
|
BENZTROPINE MESYLATE 2 MG/2 ML INJ AMP
|
Facility
|
IP
|
$139.00
|
|
|
Service Code
|
CPT J0515
|
| Hospital Charge Code |
3300098
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$37.95 |
| Max. Negotiated Rate |
$132.05 |
| Rate for Payer: Cash Price |
$83.40
|
| Rate for Payer: Cigna Commercial |
$118.15
|
| Rate for Payer: First Health Commercial |
$125.10
|
| Rate for Payer: First Health Workers Compensation |
$53.67
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$125.10
|
| Rate for Payer: GEHA Commercial |
$97.30
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$125.10
|
| Rate for Payer: Multiplan All |
$126.49
|
| Rate for Payer: OMNI Networks Commercial |
$97.30
|
| Rate for Payer: One Health Plan PPO/POS |
$125.10
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$132.05
|
| Rate for Payer: Three Rivers Provider Network All |
$104.25
|
| Rate for Payer: United Payors & United Providers UP&UP |
$129.27
|
| Rate for Payer: Zelis Auto |
$55.60
|
| Rate for Payer: Zelis Worker's Compensation |
$37.95
|
|
|
BERACTANT 25 MG/ML 8 ML
|
Facility
|
OP
|
$2,084.00
|
|
|
Service Code
|
NDC 00074104008
|
| Hospital Charge Code |
3302929
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$521.00 |
| Max. Negotiated Rate |
$1,979.80 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$1,250.40
|
| Rate for Payer: Cash Price |
$1,250.40
|
| Rate for Payer: Cigna Commercial |
$1,771.40
|
| Rate for Payer: First Health Commercial |
$1,875.60
|
| Rate for Payer: First Health Workers Compensation |
$804.63
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$1,875.60
|
| Rate for Payer: GEHA Commercial |
$1,667.20
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$1,875.60
|
| Rate for Payer: Humana ChoiceCare |
$541.84
|
| Rate for Payer: Multiplan All |
$1,896.44
|
| Rate for Payer: New Mexico Health Connections Medicare |
$1,250.40
|
| Rate for Payer: OMNI Networks Commercial |
$1,458.80
|
| Rate for Payer: One Health Plan PPO/POS |
$1,875.60
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$1,979.80
|
| Rate for Payer: Three Rivers Provider Network All |
$1,563.00
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$1,833.92
|
| Rate for Payer: United Healthcare Managed Medicaid |
$521.00
|
| Rate for Payer: United Payors & United Providers UP&UP |
$1,938.12
|
| Rate for Payer: Zelis Auto |
$833.60
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$1,042.00
|
| Rate for Payer: Zelis Worker's Compensation |
$568.93
|
|
|
BERACTANT 25 MG/ML 8 ML
|
Facility
|
IP
|
$2,084.00
|
|
|
Service Code
|
NDC 00074104008
|
| Hospital Charge Code |
3302929
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$568.93 |
| Max. Negotiated Rate |
$1,979.80 |
| Rate for Payer: Cash Price |
$1,250.40
|
| Rate for Payer: Cigna Commercial |
$1,771.40
|
| Rate for Payer: First Health Commercial |
$1,875.60
|
| Rate for Payer: First Health Workers Compensation |
$804.63
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$1,875.60
|
| Rate for Payer: GEHA Commercial |
$1,458.80
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$1,875.60
|
| Rate for Payer: Multiplan All |
$1,896.44
|
| Rate for Payer: OMNI Networks Commercial |
$1,458.80
|
| Rate for Payer: One Health Plan PPO/POS |
$1,875.60
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$1,979.80
|
| Rate for Payer: Three Rivers Provider Network All |
$1,563.00
|
| Rate for Payer: United Payors & United Providers UP&UP |
$1,938.12
|
| Rate for Payer: Zelis Auto |
$833.60
|
| Rate for Payer: Zelis Worker's Compensation |
$568.93
|
|
|
BERACTANT NACL 4ML INTRATRACHEAL
|
Facility
|
OP
|
$3,196.00
|
|
|
Service Code
|
NDC 00074104004
|
| Hospital Charge Code |
3300101
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$799.00 |
| Max. Negotiated Rate |
$3,036.20 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$1,917.60
|
| Rate for Payer: Cash Price |
$1,917.60
|
| Rate for Payer: Cigna Commercial |
$2,716.60
|
| Rate for Payer: First Health Commercial |
$2,876.40
|
| Rate for Payer: First Health Workers Compensation |
$1,233.98
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$2,876.40
|
| Rate for Payer: GEHA Commercial |
$2,556.80
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$2,876.40
|
| Rate for Payer: Humana ChoiceCare |
$830.96
|
| Rate for Payer: Multiplan All |
$2,908.36
|
| Rate for Payer: New Mexico Health Connections Medicare |
$1,917.60
|
| Rate for Payer: OMNI Networks Commercial |
$2,237.20
|
| Rate for Payer: One Health Plan PPO/POS |
$2,876.40
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$3,036.20
|
| Rate for Payer: Three Rivers Provider Network All |
$2,397.00
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$2,812.48
|
| Rate for Payer: United Healthcare Managed Medicaid |
$799.00
|
| Rate for Payer: United Payors & United Providers UP&UP |
$2,972.28
|
| Rate for Payer: Zelis Auto |
$1,278.40
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$1,598.00
|
| Rate for Payer: Zelis Worker's Compensation |
$872.51
|
|
|
BERACTANT NACL 4ML INTRATRACHEAL
|
Facility
|
IP
|
$3,196.00
|
|
|
Service Code
|
NDC 00074104004
|
| Hospital Charge Code |
3300101
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$872.51 |
| Max. Negotiated Rate |
$3,036.20 |
| Rate for Payer: Cash Price |
$1,917.60
|
| Rate for Payer: Cigna Commercial |
$2,716.60
|
| Rate for Payer: First Health Commercial |
$2,876.40
|
| Rate for Payer: First Health Workers Compensation |
$1,233.98
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$2,876.40
|
| Rate for Payer: GEHA Commercial |
$2,237.20
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$2,876.40
|
| Rate for Payer: Multiplan All |
$2,908.36
|
| Rate for Payer: OMNI Networks Commercial |
$2,237.20
|
| Rate for Payer: One Health Plan PPO/POS |
$2,876.40
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$3,036.20
|
| Rate for Payer: Three Rivers Provider Network All |
$2,397.00
|
| Rate for Payer: United Payors & United Providers UP&UP |
$2,972.28
|
| Rate for Payer: Zelis Auto |
$1,278.40
|
| Rate for Payer: Zelis Worker's Compensation |
$872.51
|
|
|
bermuda grass IgE REF602464
|
Facility
|
IP
|
$56.00
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
2299155
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$7.93 |
| Max. Negotiated Rate |
$53.20 |
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cigna Commercial |
$47.60
|
| Rate for Payer: First Health Commercial |
$50.40
|
| Rate for Payer: First Health Workers Compensation |
$11.22
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$50.40
|
| Rate for Payer: GEHA Commercial |
$39.20
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$50.40
|
| Rate for Payer: Multiplan All |
$50.96
|
| Rate for Payer: OMNI Networks Commercial |
$39.20
|
| Rate for Payer: One Health Plan PPO/POS |
$50.40
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$53.20
|
| Rate for Payer: Three Rivers Provider Network All |
$42.00
|
| Rate for Payer: United Payors & United Providers UP&UP |
$52.08
|
| Rate for Payer: Zelis Auto |
$22.40
|
| Rate for Payer: Zelis Worker's Compensation |
$7.93
|
|
|
bermuda grass IgE REF602464
|
Facility
|
OP
|
$56.00
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
2299155
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$4.44 |
| Max. Negotiated Rate |
$53.20 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$9.39
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$33.60
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$9.39
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$7.44
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$5.22
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cigna Commercial |
$47.60
|
| Rate for Payer: First Health Commercial |
$50.40
|
| Rate for Payer: First Health Workers Compensation |
$11.22
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$50.40
|
| Rate for Payer: GEHA Commercial |
$44.80
|
| Rate for Payer: GEHA Medicare |
$5.22
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$50.40
|
| Rate for Payer: Humana ChoiceCare |
$5.74
|
| Rate for Payer: Humana Medicare Advantage |
$5.22
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$8.77
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$7.59
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$5.22
|
| Rate for Payer: Multiplan All |
$50.96
|
| Rate for Payer: New Mexico Health Connections Medicare |
$8.87
|
| Rate for Payer: OMNI Networks Commercial |
$39.20
|
| Rate for Payer: One Health Plan PPO/POS |
$50.40
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$8.76
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$7.59
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$5.22
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$53.20
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$10.44
|
| Rate for Payer: Three Rivers Provider Network All |
$42.00
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$5.12
|
| Rate for Payer: United Healthcare Commercial |
$47.60
|
| Rate for Payer: United Healthcare Managed Medicaid |
$7.59
|
| Rate for Payer: United Healthcare Medicare Advantage |
$5.22
|
| Rate for Payer: United Payors & United Providers UP&UP |
$52.08
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$5.22
|
| Rate for Payer: Zelis Auto |
$22.40
|
| Rate for Payer: Zelis Medicare |
$4.44
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$6.26
|
| Rate for Payer: Zelis Worker's Compensation |
$7.93
|
|
|
beta2 glycoprotein 1 abs, IgA REF163900
|
Facility
|
IP
|
$155.00
|
|
|
Service Code
|
CPT 86146
|
| Hospital Charge Code |
2299792
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$33.34 |
| Max. Negotiated Rate |
$147.25 |
| Rate for Payer: Cash Price |
$93.00
|
| Rate for Payer: Cash Price |
$93.00
|
| Rate for Payer: Cigna Commercial |
$131.75
|
| Rate for Payer: First Health Commercial |
$139.50
|
| Rate for Payer: First Health Workers Compensation |
$47.15
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$139.50
|
| Rate for Payer: GEHA Commercial |
$108.50
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$139.50
|
| Rate for Payer: Multiplan All |
$141.05
|
| Rate for Payer: OMNI Networks Commercial |
$108.50
|
| Rate for Payer: One Health Plan PPO/POS |
$139.50
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$147.25
|
| Rate for Payer: Three Rivers Provider Network All |
$116.25
|
| Rate for Payer: United Payors & United Providers UP&UP |
$144.15
|
| Rate for Payer: Zelis Auto |
$62.00
|
| Rate for Payer: Zelis Worker's Compensation |
$33.34
|
|
|
beta2 glycoprotein 1 abs, IgA REF163900
|
Facility
|
OP
|
$155.00
|
|
|
Service Code
|
CPT 86146
|
| Hospital Charge Code |
2299792
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$21.63 |
| Max. Negotiated Rate |
$147.25 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$45.81
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$93.00
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$45.81
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$36.29
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$25.45
|
| Rate for Payer: Cash Price |
$93.00
|
| Rate for Payer: Cash Price |
$93.00
|
| Rate for Payer: Cigna Commercial |
$131.75
|
| Rate for Payer: First Health Commercial |
$139.50
|
| Rate for Payer: First Health Workers Compensation |
$47.15
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$139.50
|
| Rate for Payer: GEHA Commercial |
$124.00
|
| Rate for Payer: GEHA Medicare |
$25.45
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$139.50
|
| Rate for Payer: Humana ChoiceCare |
$28.00
|
| Rate for Payer: Humana Medicare Advantage |
$25.45
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$42.76
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$37.03
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$25.45
|
| Rate for Payer: Multiplan All |
$141.05
|
| Rate for Payer: New Mexico Health Connections Medicare |
$43.27
|
| Rate for Payer: OMNI Networks Commercial |
$108.50
|
| Rate for Payer: One Health Plan PPO/POS |
$139.50
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$42.76
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$37.03
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$25.45
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$147.25
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$50.90
|
| Rate for Payer: Three Rivers Provider Network All |
$116.25
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$24.94
|
| Rate for Payer: United Healthcare Commercial |
$131.75
|
| Rate for Payer: United Healthcare Managed Medicaid |
$37.03
|
| Rate for Payer: United Healthcare Medicare Advantage |
$25.45
|
| Rate for Payer: United Payors & United Providers UP&UP |
$144.15
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$25.45
|
| Rate for Payer: Zelis Auto |
$62.00
|
| Rate for Payer: Zelis Medicare |
$21.63
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$30.54
|
| Rate for Payer: Zelis Worker's Compensation |
$33.34
|
|
|
beta2 glycoprotein 1 abs, IgG REF163882
|
Facility
|
IP
|
$155.00
|
|
|
Service Code
|
CPT 86146
|
| Hospital Charge Code |
2299791
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$33.34 |
| Max. Negotiated Rate |
$147.25 |
| Rate for Payer: Cash Price |
$93.00
|
| Rate for Payer: Cash Price |
$93.00
|
| Rate for Payer: Cigna Commercial |
$131.75
|
| Rate for Payer: First Health Commercial |
$139.50
|
| Rate for Payer: First Health Workers Compensation |
$47.15
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$139.50
|
| Rate for Payer: GEHA Commercial |
$108.50
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$139.50
|
| Rate for Payer: Multiplan All |
$141.05
|
| Rate for Payer: OMNI Networks Commercial |
$108.50
|
| Rate for Payer: One Health Plan PPO/POS |
$139.50
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$147.25
|
| Rate for Payer: Three Rivers Provider Network All |
$116.25
|
| Rate for Payer: United Payors & United Providers UP&UP |
$144.15
|
| Rate for Payer: Zelis Auto |
$62.00
|
| Rate for Payer: Zelis Worker's Compensation |
$33.34
|
|
|
beta2 glycoprotein 1 abs, IgG REF163882
|
Facility
|
OP
|
$155.00
|
|
|
Service Code
|
CPT 86146
|
| Hospital Charge Code |
2299791
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$21.63 |
| Max. Negotiated Rate |
$147.25 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$45.81
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$93.00
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$45.81
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$36.29
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$25.45
|
| Rate for Payer: Cash Price |
$93.00
|
| Rate for Payer: Cash Price |
$93.00
|
| Rate for Payer: Cigna Commercial |
$131.75
|
| Rate for Payer: First Health Commercial |
$139.50
|
| Rate for Payer: First Health Workers Compensation |
$47.15
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$139.50
|
| Rate for Payer: GEHA Commercial |
$124.00
|
| Rate for Payer: GEHA Medicare |
$25.45
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$139.50
|
| Rate for Payer: Humana ChoiceCare |
$28.00
|
| Rate for Payer: Humana Medicare Advantage |
$25.45
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$42.76
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$37.03
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$25.45
|
| Rate for Payer: Multiplan All |
$141.05
|
| Rate for Payer: New Mexico Health Connections Medicare |
$43.27
|
| Rate for Payer: OMNI Networks Commercial |
$108.50
|
| Rate for Payer: One Health Plan PPO/POS |
$139.50
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$42.76
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$37.03
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$25.45
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$147.25
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$50.90
|
| Rate for Payer: Three Rivers Provider Network All |
$116.25
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$24.94
|
| Rate for Payer: United Healthcare Commercial |
$131.75
|
| Rate for Payer: United Healthcare Managed Medicaid |
$37.03
|
| Rate for Payer: United Healthcare Medicare Advantage |
$25.45
|
| Rate for Payer: United Payors & United Providers UP&UP |
$144.15
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$25.45
|
| Rate for Payer: Zelis Auto |
$62.00
|
| Rate for Payer: Zelis Medicare |
$21.63
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$30.54
|
| Rate for Payer: Zelis Worker's Compensation |
$33.34
|
|
|
beta2 glycoprotein 1 abs, IgM REF163908
|
Facility
|
IP
|
$155.00
|
|
|
Service Code
|
CPT 86146
|
| Hospital Charge Code |
2299793
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$33.34 |
| Max. Negotiated Rate |
$147.25 |
| Rate for Payer: Cash Price |
$93.00
|
| Rate for Payer: Cash Price |
$93.00
|
| Rate for Payer: Cigna Commercial |
$131.75
|
| Rate for Payer: First Health Commercial |
$139.50
|
| Rate for Payer: First Health Workers Compensation |
$47.15
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$139.50
|
| Rate for Payer: GEHA Commercial |
$108.50
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$139.50
|
| Rate for Payer: Multiplan All |
$141.05
|
| Rate for Payer: OMNI Networks Commercial |
$108.50
|
| Rate for Payer: One Health Plan PPO/POS |
$139.50
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$147.25
|
| Rate for Payer: Three Rivers Provider Network All |
$116.25
|
| Rate for Payer: United Payors & United Providers UP&UP |
$144.15
|
| Rate for Payer: Zelis Auto |
$62.00
|
| Rate for Payer: Zelis Worker's Compensation |
$33.34
|
|
|
beta2 glycoprotein 1 abs, IgM REF163908
|
Facility
|
OP
|
$155.00
|
|
|
Service Code
|
CPT 86146
|
| Hospital Charge Code |
2299793
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$21.63 |
| Max. Negotiated Rate |
$147.25 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$45.81
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$93.00
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$45.81
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$36.29
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$25.45
|
| Rate for Payer: Cash Price |
$93.00
|
| Rate for Payer: Cash Price |
$93.00
|
| Rate for Payer: Cigna Commercial |
$131.75
|
| Rate for Payer: First Health Commercial |
$139.50
|
| Rate for Payer: First Health Workers Compensation |
$47.15
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$139.50
|
| Rate for Payer: GEHA Commercial |
$124.00
|
| Rate for Payer: GEHA Medicare |
$25.45
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$139.50
|
| Rate for Payer: Humana ChoiceCare |
$28.00
|
| Rate for Payer: Humana Medicare Advantage |
$25.45
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$42.76
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$37.03
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$25.45
|
| Rate for Payer: Multiplan All |
$141.05
|
| Rate for Payer: New Mexico Health Connections Medicare |
$43.27
|
| Rate for Payer: OMNI Networks Commercial |
$108.50
|
| Rate for Payer: One Health Plan PPO/POS |
$139.50
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$42.76
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$37.03
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$25.45
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$147.25
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$50.90
|
| Rate for Payer: Three Rivers Provider Network All |
$116.25
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$24.94
|
| Rate for Payer: United Healthcare Commercial |
$131.75
|
| Rate for Payer: United Healthcare Managed Medicaid |
$37.03
|
| Rate for Payer: United Healthcare Medicare Advantage |
$25.45
|
| Rate for Payer: United Payors & United Providers UP&UP |
$144.15
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$25.45
|
| Rate for Payer: Zelis Auto |
$62.00
|
| Rate for Payer: Zelis Medicare |
$21.63
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$30.54
|
| Rate for Payer: Zelis Worker's Compensation |
$33.34
|
|
|
beta 2 microglobulin REF010181
|
Facility
|
OP
|
$163.00
|
|
|
Service Code
|
CPT 82232
|
| Hospital Charge Code |
2209373
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$13.75 |
| Max. Negotiated Rate |
$154.85 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$29.13
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$97.80
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$29.13
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$23.08
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$16.18
|
| Rate for Payer: Cash Price |
$97.80
|
| Rate for Payer: Cash Price |
$97.80
|
| Rate for Payer: Cigna Commercial |
$138.55
|
| Rate for Payer: First Health Commercial |
$146.70
|
| Rate for Payer: First Health Workers Compensation |
$30.37
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$146.70
|
| Rate for Payer: GEHA Commercial |
$130.40
|
| Rate for Payer: GEHA Medicare |
$16.18
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$146.70
|
| Rate for Payer: Humana ChoiceCare |
$17.80
|
| Rate for Payer: Humana Medicare Advantage |
$16.18
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$27.18
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$23.55
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$16.18
|
| Rate for Payer: Multiplan All |
$148.33
|
| Rate for Payer: New Mexico Health Connections Medicare |
$27.51
|
| Rate for Payer: OMNI Networks Commercial |
$114.10
|
| Rate for Payer: One Health Plan PPO/POS |
$146.70
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$27.19
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$23.55
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$16.18
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$154.85
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$32.36
|
| Rate for Payer: Three Rivers Provider Network All |
$122.25
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$15.86
|
| Rate for Payer: United Healthcare Commercial |
$138.55
|
| Rate for Payer: United Healthcare Managed Medicaid |
$23.55
|
| Rate for Payer: United Healthcare Medicare Advantage |
$16.18
|
| Rate for Payer: United Payors & United Providers UP&UP |
$151.59
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$16.18
|
| Rate for Payer: Zelis Auto |
$65.20
|
| Rate for Payer: Zelis Medicare |
$13.75
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$19.42
|
| Rate for Payer: Zelis Worker's Compensation |
$21.48
|
|
|
beta 2 microglobulin REF010181
|
Facility
|
IP
|
$163.00
|
|
|
Service Code
|
CPT 82232
|
| Hospital Charge Code |
2209373
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$21.48 |
| Max. Negotiated Rate |
$154.85 |
| Rate for Payer: Cash Price |
$97.80
|
| Rate for Payer: Cash Price |
$97.80
|
| Rate for Payer: Cigna Commercial |
$138.55
|
| Rate for Payer: First Health Commercial |
$146.70
|
| Rate for Payer: First Health Workers Compensation |
$30.37
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$146.70
|
| Rate for Payer: GEHA Commercial |
$114.10
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$146.70
|
| Rate for Payer: Multiplan All |
$148.33
|
| Rate for Payer: OMNI Networks Commercial |
$114.10
|
| Rate for Payer: One Health Plan PPO/POS |
$146.70
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$154.85
|
| Rate for Payer: Three Rivers Provider Network All |
$122.25
|
| Rate for Payer: United Payors & United Providers UP&UP |
$151.59
|
| Rate for Payer: Zelis Auto |
$65.20
|
| Rate for Payer: Zelis Worker's Compensation |
$21.48
|
|
|
beta hcg subunit quant REF004416
|
Facility
|
OP
|
$249.00
|
|
|
Service Code
|
CPT 84702
|
| Hospital Charge Code |
2200417
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$12.79 |
| Max. Negotiated Rate |
$236.55 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$27.09
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$149.40
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$27.09
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$21.46
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$15.05
|
| Rate for Payer: Cash Price |
$149.40
|
| Rate for Payer: Cash Price |
$149.40
|
| Rate for Payer: Cigna Commercial |
$211.65
|
| Rate for Payer: First Health Commercial |
$224.10
|
| Rate for Payer: First Health Workers Compensation |
$27.72
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$224.10
|
| Rate for Payer: GEHA Commercial |
$199.20
|
| Rate for Payer: GEHA Medicare |
$15.05
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$224.10
|
| Rate for Payer: Humana ChoiceCare |
$16.55
|
| Rate for Payer: Humana Medicare Advantage |
$15.05
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$25.28
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$21.90
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$15.05
|
| Rate for Payer: Multiplan All |
$226.59
|
| Rate for Payer: New Mexico Health Connections Medicare |
$25.59
|
| Rate for Payer: OMNI Networks Commercial |
$174.30
|
| Rate for Payer: One Health Plan PPO/POS |
$224.10
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$25.28
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$21.90
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$15.05
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$236.55
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$30.10
|
| Rate for Payer: Three Rivers Provider Network All |
$186.75
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$14.75
|
| Rate for Payer: United Healthcare Commercial |
$211.65
|
| Rate for Payer: United Healthcare Managed Medicaid |
$21.90
|
| Rate for Payer: United Healthcare Medicare Advantage |
$15.05
|
| Rate for Payer: United Payors & United Providers UP&UP |
$231.57
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$15.05
|
| Rate for Payer: Zelis Auto |
$99.60
|
| Rate for Payer: Zelis Medicare |
$12.79
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$18.06
|
| Rate for Payer: Zelis Worker's Compensation |
$19.60
|
|
