|
NEBULIZER TREATMENT
|
Facility
|
IP
|
$218.00
|
|
|
Service Code
|
CPT 94640
|
| Hospital Charge Code |
21600043
|
|
Hospital Revenue Code
|
517
|
| Min. Negotiated Rate |
$59.51 |
| Max. Negotiated Rate |
$207.10 |
| Rate for Payer: Cash Price |
$130.80
|
| Rate for Payer: Cigna Commercial |
$185.30
|
| Rate for Payer: First Health Commercial |
$196.20
|
| Rate for Payer: First Health Workers Compensation |
$84.17
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$196.20
|
| Rate for Payer: GEHA Commercial |
$152.60
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$196.20
|
| Rate for Payer: Multiplan All |
$198.38
|
| Rate for Payer: OMNI Networks Commercial |
$152.60
|
| Rate for Payer: One Health Plan PPO/POS |
$196.20
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$207.10
|
| Rate for Payer: Three Rivers Provider Network All |
$163.50
|
| Rate for Payer: United Payors & United Providers UP&UP |
$202.74
|
| Rate for Payer: Zelis Auto |
$87.20
|
| Rate for Payer: Zelis Worker's Compensation |
$59.51
|
|
|
NEBULIZER TREATMENT
|
Facility
|
OP
|
$324.00
|
|
|
Service Code
|
CPT 94640
|
| Hospital Charge Code |
9394640
|
|
Hospital Revenue Code
|
517
|
| Min. Negotiated Rate |
$88.45 |
| Max. Negotiated Rate |
$386.26 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$246.84
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$194.40
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$246.84
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$195.55
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$193.13
|
| Rate for Payer: Cash Price |
$194.40
|
| Rate for Payer: Cash Price |
$194.40
|
| Rate for Payer: Cigna Commercial |
$275.40
|
| Rate for Payer: First Health Commercial |
$291.60
|
| Rate for Payer: First Health Workers Compensation |
$125.10
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$291.60
|
| Rate for Payer: GEHA Commercial |
$259.20
|
| Rate for Payer: GEHA Medicare |
$193.13
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$291.60
|
| Rate for Payer: Humana ChoiceCare |
$212.44
|
| Rate for Payer: Humana Medicare Advantage |
$193.13
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$324.46
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$199.53
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$193.13
|
| Rate for Payer: Multiplan All |
$294.84
|
| Rate for Payer: New Mexico Health Connections Medicare |
$328.32
|
| Rate for Payer: OMNI Networks Commercial |
$226.80
|
| Rate for Payer: One Health Plan PPO/POS |
$291.60
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$230.38
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$199.53
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$193.13
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$307.80
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$386.26
|
| Rate for Payer: Three Rivers Provider Network All |
$243.00
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$189.27
|
| Rate for Payer: United Healthcare Managed Medicaid |
$199.53
|
| Rate for Payer: United Healthcare Medicare Advantage |
$193.13
|
| Rate for Payer: United Payors & United Providers UP&UP |
$301.32
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$193.13
|
| Rate for Payer: Zelis Auto |
$129.60
|
| Rate for Payer: Zelis Medicare |
$164.16
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$231.76
|
| Rate for Payer: Zelis Worker's Compensation |
$88.45
|
|
|
NEBULIZER TREATMENT
|
Facility
|
IP
|
$218.00
|
|
|
Service Code
|
CPT 94640
|
| Hospital Charge Code |
21594640
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$59.51 |
| Max. Negotiated Rate |
$207.10 |
| Rate for Payer: Cash Price |
$130.80
|
| Rate for Payer: Cigna Commercial |
$185.30
|
| Rate for Payer: First Health Commercial |
$196.20
|
| Rate for Payer: First Health Workers Compensation |
$84.17
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$196.20
|
| Rate for Payer: GEHA Commercial |
$152.60
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$196.20
|
| Rate for Payer: Multiplan All |
$198.38
|
| Rate for Payer: OMNI Networks Commercial |
$152.60
|
| Rate for Payer: One Health Plan PPO/POS |
$196.20
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$207.10
|
| Rate for Payer: Three Rivers Provider Network All |
$163.50
|
| Rate for Payer: United Payors & United Providers UP&UP |
$202.74
|
| Rate for Payer: Zelis Auto |
$87.20
|
| Rate for Payer: Zelis Worker's Compensation |
$59.51
|
|
|
NEBULIZER TREATMENT
|
Facility
|
OP
|
$218.00
|
|
|
Service Code
|
CPT 94640
|
| Hospital Charge Code |
21594640
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$59.51 |
| Max. Negotiated Rate |
$386.26 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$246.84
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$130.80
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$246.84
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$195.55
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$193.13
|
| Rate for Payer: Cash Price |
$130.80
|
| Rate for Payer: Cash Price |
$130.80
|
| Rate for Payer: Cigna Commercial |
$185.30
|
| Rate for Payer: First Health Commercial |
$196.20
|
| Rate for Payer: First Health Workers Compensation |
$84.17
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$196.20
|
| Rate for Payer: GEHA Commercial |
$174.40
|
| Rate for Payer: GEHA Medicare |
$193.13
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$196.20
|
| Rate for Payer: Humana ChoiceCare |
$212.44
|
| Rate for Payer: Humana Medicare Advantage |
$193.13
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$324.46
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$199.53
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$193.13
|
| Rate for Payer: Multiplan All |
$198.38
|
| Rate for Payer: New Mexico Health Connections Medicare |
$328.32
|
| Rate for Payer: OMNI Networks Commercial |
$152.60
|
| Rate for Payer: One Health Plan PPO/POS |
$196.20
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$230.38
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$199.53
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$193.13
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$207.10
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$386.26
|
| Rate for Payer: Three Rivers Provider Network All |
$163.50
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$189.27
|
| Rate for Payer: United Healthcare Managed Medicaid |
$199.53
|
| Rate for Payer: United Healthcare Medicare Advantage |
$193.13
|
| Rate for Payer: United Payors & United Providers UP&UP |
$202.74
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$193.13
|
| Rate for Payer: Zelis Auto |
$87.20
|
| Rate for Payer: Zelis Medicare |
$164.16
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$231.76
|
| Rate for Payer: Zelis Worker's Compensation |
$59.51
|
|
|
NEBULIZER TREATMENT
|
Facility
|
IP
|
$324.00
|
|
|
Service Code
|
CPT 94640
|
| Hospital Charge Code |
9394640
|
|
Hospital Revenue Code
|
517
|
| Min. Negotiated Rate |
$88.45 |
| Max. Negotiated Rate |
$307.80 |
| Rate for Payer: Cash Price |
$194.40
|
| Rate for Payer: Cigna Commercial |
$275.40
|
| Rate for Payer: First Health Commercial |
$291.60
|
| Rate for Payer: First Health Workers Compensation |
$125.10
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$291.60
|
| Rate for Payer: GEHA Commercial |
$226.80
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$291.60
|
| Rate for Payer: Multiplan All |
$294.84
|
| Rate for Payer: OMNI Networks Commercial |
$226.80
|
| Rate for Payer: One Health Plan PPO/POS |
$291.60
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$307.80
|
| Rate for Payer: Three Rivers Provider Network All |
$243.00
|
| Rate for Payer: United Payors & United Providers UP&UP |
$301.32
|
| Rate for Payer: Zelis Auto |
$129.60
|
| Rate for Payer: Zelis Worker's Compensation |
$88.45
|
|
|
NECK SPINAL FUSION
|
Facility
|
IP
|
$3,191.00
|
|
|
Service Code
|
CPT 22595
|
| Hospital Charge Code |
6122595
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$871.14 |
| Max. Negotiated Rate |
$3,031.45 |
| Rate for Payer: Cash Price |
$1,914.60
|
| Rate for Payer: Cigna Commercial |
$2,712.35
|
| Rate for Payer: First Health Commercial |
$2,871.90
|
| Rate for Payer: First Health Workers Compensation |
$1,232.05
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$2,871.90
|
| Rate for Payer: GEHA Commercial |
$2,233.70
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$2,871.90
|
| Rate for Payer: Multiplan All |
$2,903.81
|
| Rate for Payer: OMNI Networks Commercial |
$2,233.70
|
| Rate for Payer: One Health Plan PPO/POS |
$2,871.90
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$3,031.45
|
| Rate for Payer: Three Rivers Provider Network All |
$2,393.25
|
| Rate for Payer: United Payors & United Providers UP&UP |
$2,967.63
|
| Rate for Payer: Zelis Auto |
$1,276.40
|
| Rate for Payer: Zelis Worker's Compensation |
$871.14
|
|
|
NECK SPINAL FUSION
|
Facility
|
OP
|
$3,191.00
|
|
|
Service Code
|
CPT 22595
|
| Hospital Charge Code |
6122595
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$797.75 |
| Max. Negotiated Rate |
$3,031.45 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$1,914.60
|
| Rate for Payer: Cash Price |
$1,914.60
|
| Rate for Payer: Cigna Commercial |
$2,712.35
|
| Rate for Payer: First Health Commercial |
$2,871.90
|
| Rate for Payer: First Health Workers Compensation |
$1,232.05
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$2,871.90
|
| Rate for Payer: GEHA Commercial |
$2,552.80
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$2,871.90
|
| Rate for Payer: Humana ChoiceCare |
$829.66
|
| Rate for Payer: Multiplan All |
$2,903.81
|
| Rate for Payer: New Mexico Health Connections Medicare |
$1,914.60
|
| Rate for Payer: OMNI Networks Commercial |
$2,233.70
|
| Rate for Payer: One Health Plan PPO/POS |
$2,871.90
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$3,031.45
|
| Rate for Payer: Three Rivers Provider Network All |
$2,393.25
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$2,808.08
|
| Rate for Payer: United Healthcare Managed Medicaid |
$797.75
|
| Rate for Payer: United Payors & United Providers UP&UP |
$2,967.63
|
| Rate for Payer: Zelis Auto |
$1,276.40
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$1,595.50
|
| Rate for Payer: Zelis Worker's Compensation |
$871.14
|
|
|
NECK SPINE FUSION
|
Facility
|
IP
|
$2,712.00
|
|
|
Service Code
|
CPT 22600
|
| Hospital Charge Code |
6122600
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$740.38 |
| Max. Negotiated Rate |
$2,576.40 |
| Rate for Payer: Cash Price |
$1,627.20
|
| Rate for Payer: Cigna Commercial |
$2,305.20
|
| Rate for Payer: First Health Commercial |
$2,440.80
|
| Rate for Payer: First Health Workers Compensation |
$1,047.10
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$2,440.80
|
| Rate for Payer: GEHA Commercial |
$1,898.40
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$2,440.80
|
| Rate for Payer: Multiplan All |
$2,467.92
|
| Rate for Payer: OMNI Networks Commercial |
$1,898.40
|
| Rate for Payer: One Health Plan PPO/POS |
$2,440.80
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$2,576.40
|
| Rate for Payer: Three Rivers Provider Network All |
$2,034.00
|
| Rate for Payer: United Payors & United Providers UP&UP |
$2,522.16
|
| Rate for Payer: Zelis Auto |
$1,084.80
|
| Rate for Payer: Zelis Worker's Compensation |
$740.38
|
|
|
NECK SPINE FUSION
|
Facility
|
OP
|
$2,712.00
|
|
|
Service Code
|
CPT 22600
|
| Hospital Charge Code |
6122600
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$678.00 |
| Max. Negotiated Rate |
$2,576.40 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$1,627.20
|
| Rate for Payer: Cash Price |
$1,627.20
|
| Rate for Payer: Cigna Commercial |
$2,305.20
|
| Rate for Payer: First Health Commercial |
$2,440.80
|
| Rate for Payer: First Health Workers Compensation |
$1,047.10
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$2,440.80
|
| Rate for Payer: GEHA Commercial |
$2,169.60
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$2,440.80
|
| Rate for Payer: Humana ChoiceCare |
$705.12
|
| Rate for Payer: Multiplan All |
$2,467.92
|
| Rate for Payer: New Mexico Health Connections Medicare |
$1,627.20
|
| Rate for Payer: OMNI Networks Commercial |
$1,898.40
|
| Rate for Payer: One Health Plan PPO/POS |
$2,440.80
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$2,576.40
|
| Rate for Payer: Three Rivers Provider Network All |
$2,034.00
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$2,386.56
|
| Rate for Payer: United Healthcare Managed Medicaid |
$678.00
|
| Rate for Payer: United Payors & United Providers UP&UP |
$2,522.16
|
| Rate for Payer: Zelis Auto |
$1,084.80
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$1,356.00
|
| Rate for Payer: Zelis Worker's Compensation |
$740.38
|
|
|
NEEDLE 18GX1.5"
|
Facility
|
OP
|
$26.00
|
|
| Hospital Charge Code |
90003845
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$6.50 |
| Max. Negotiated Rate |
$24.70 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$15.60
|
| Rate for Payer: Cash Price |
$15.60
|
| Rate for Payer: Cigna Commercial |
$22.10
|
| Rate for Payer: First Health Commercial |
$23.40
|
| Rate for Payer: First Health Workers Compensation |
$10.04
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$23.40
|
| Rate for Payer: GEHA Commercial |
$20.80
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$23.40
|
| Rate for Payer: Humana ChoiceCare |
$6.76
|
| Rate for Payer: Multiplan All |
$23.66
|
| Rate for Payer: New Mexico Health Connections Medicare |
$15.60
|
| Rate for Payer: OMNI Networks Commercial |
$18.20
|
| Rate for Payer: One Health Plan PPO/POS |
$23.40
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$24.70
|
| Rate for Payer: Three Rivers Provider Network All |
$19.50
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$22.88
|
| Rate for Payer: United Healthcare Managed Medicaid |
$6.50
|
| Rate for Payer: United Payors & United Providers UP&UP |
$24.18
|
| Rate for Payer: Zelis Auto |
$10.40
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$13.00
|
| Rate for Payer: Zelis Worker's Compensation |
$7.10
|
|
|
NEEDLE 18GX1.5"
|
Facility
|
IP
|
$26.00
|
|
| Hospital Charge Code |
90003845
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$7.10 |
| Max. Negotiated Rate |
$24.70 |
| Rate for Payer: Cash Price |
$15.60
|
| Rate for Payer: Cigna Commercial |
$22.10
|
| Rate for Payer: First Health Commercial |
$23.40
|
| Rate for Payer: First Health Workers Compensation |
$10.04
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$23.40
|
| Rate for Payer: GEHA Commercial |
$18.20
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$23.40
|
| Rate for Payer: Multiplan All |
$23.66
|
| Rate for Payer: OMNI Networks Commercial |
$18.20
|
| Rate for Payer: One Health Plan PPO/POS |
$23.40
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$24.70
|
| Rate for Payer: Three Rivers Provider Network All |
$19.50
|
| Rate for Payer: United Payors & United Providers UP&UP |
$24.18
|
| Rate for Payer: Zelis Auto |
$10.40
|
| Rate for Payer: Zelis Worker's Compensation |
$7.10
|
|
|
NEEDLE BIOPSY LIVER ADD-ON
|
Facility
|
OP
|
$332.00
|
|
|
Service Code
|
CPT 47001
|
| Hospital Charge Code |
6147001
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$83.00 |
| Max. Negotiated Rate |
$315.40 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$199.20
|
| Rate for Payer: Cash Price |
$199.20
|
| Rate for Payer: Cigna Commercial |
$282.20
|
| Rate for Payer: First Health Commercial |
$298.80
|
| Rate for Payer: First Health Workers Compensation |
$128.19
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$298.80
|
| Rate for Payer: GEHA Commercial |
$265.60
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$298.80
|
| Rate for Payer: Humana ChoiceCare |
$86.32
|
| Rate for Payer: Multiplan All |
$302.12
|
| Rate for Payer: New Mexico Health Connections Medicare |
$199.20
|
| Rate for Payer: OMNI Networks Commercial |
$232.40
|
| Rate for Payer: One Health Plan PPO/POS |
$298.80
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$315.40
|
| Rate for Payer: Three Rivers Provider Network All |
$249.00
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$292.16
|
| Rate for Payer: United Healthcare Managed Medicaid |
$83.00
|
| Rate for Payer: United Payors & United Providers UP&UP |
$308.76
|
| Rate for Payer: Zelis Auto |
$132.80
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$166.00
|
| Rate for Payer: Zelis Worker's Compensation |
$90.64
|
|
|
NEEDLE BIOPSY LIVER ADD-ON
|
Facility
|
IP
|
$332.00
|
|
|
Service Code
|
CPT 47001
|
| Hospital Charge Code |
6147001
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$90.64 |
| Max. Negotiated Rate |
$315.40 |
| Rate for Payer: Cash Price |
$199.20
|
| Rate for Payer: Cigna Commercial |
$282.20
|
| Rate for Payer: First Health Commercial |
$298.80
|
| Rate for Payer: First Health Workers Compensation |
$128.19
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$298.80
|
| Rate for Payer: GEHA Commercial |
$232.40
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$298.80
|
| Rate for Payer: Multiplan All |
$302.12
|
| Rate for Payer: OMNI Networks Commercial |
$232.40
|
| Rate for Payer: One Health Plan PPO/POS |
$298.80
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$315.40
|
| Rate for Payer: Three Rivers Provider Network All |
$249.00
|
| Rate for Payer: United Payors & United Providers UP&UP |
$308.76
|
| Rate for Payer: Zelis Auto |
$132.80
|
| Rate for Payer: Zelis Worker's Compensation |
$90.64
|
|
|
NEEDLE BIOPSY, MUSCLE
|
Facility
|
IP
|
$690.00
|
|
|
Service Code
|
CPT 20206
|
| Hospital Charge Code |
7920206
|
|
Hospital Revenue Code
|
519
|
| Min. Negotiated Rate |
$188.37 |
| Max. Negotiated Rate |
$655.50 |
| Rate for Payer: Cash Price |
$414.00
|
| Rate for Payer: Cigna Commercial |
$586.50
|
| Rate for Payer: First Health Commercial |
$621.00
|
| Rate for Payer: First Health Workers Compensation |
$266.41
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$621.00
|
| Rate for Payer: GEHA Commercial |
$483.00
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$621.00
|
| Rate for Payer: Multiplan All |
$627.90
|
| Rate for Payer: OMNI Networks Commercial |
$483.00
|
| Rate for Payer: One Health Plan PPO/POS |
$621.00
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$655.50
|
| Rate for Payer: Three Rivers Provider Network All |
$517.50
|
| Rate for Payer: United Payors & United Providers UP&UP |
$641.70
|
| Rate for Payer: Zelis Auto |
$276.00
|
| Rate for Payer: Zelis Worker's Compensation |
$188.37
|
|
|
NEEDLE BIOPSY, MUSCLE
|
Facility
|
OP
|
$690.00
|
|
|
Service Code
|
CPT 20206
|
| Hospital Charge Code |
7920206
|
|
Hospital Revenue Code
|
519
|
| Min. Negotiated Rate |
$188.37 |
| Max. Negotiated Rate |
$3,076.96 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$790.11
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$414.00
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$790.11
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$625.93
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$1,538.48
|
| Rate for Payer: Cash Price |
$414.00
|
| Rate for Payer: Cash Price |
$414.00
|
| Rate for Payer: Cigna Commercial |
$586.50
|
| Rate for Payer: First Health Commercial |
$621.00
|
| Rate for Payer: First Health Workers Compensation |
$266.41
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$621.00
|
| Rate for Payer: GEHA Commercial |
$552.00
|
| Rate for Payer: GEHA Medicare |
$1,538.48
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$621.00
|
| Rate for Payer: Humana ChoiceCare |
$1,692.33
|
| Rate for Payer: Humana Medicare Advantage |
$1,538.48
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$2,584.65
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$638.67
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$1,538.48
|
| Rate for Payer: Multiplan All |
$627.90
|
| Rate for Payer: New Mexico Health Connections Medicare |
$2,615.42
|
| Rate for Payer: OMNI Networks Commercial |
$483.00
|
| Rate for Payer: One Health Plan PPO/POS |
$621.00
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$737.44
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$638.67
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$1,538.48
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$655.50
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$3,076.96
|
| Rate for Payer: Three Rivers Provider Network All |
$517.50
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$1,507.71
|
| Rate for Payer: United Healthcare Managed Medicaid |
$638.67
|
| Rate for Payer: United Healthcare Medicare Advantage |
$1,538.48
|
| Rate for Payer: United Payors & United Providers UP&UP |
$641.70
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$1,538.48
|
| Rate for Payer: Zelis Auto |
$276.00
|
| Rate for Payer: Zelis Medicare |
$1,307.71
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$1,846.18
|
| Rate for Payer: Zelis Worker's Compensation |
$188.37
|
|
|
NEEDLE BIOPSY PANCREAS
|
Facility
|
IP
|
$631.00
|
|
|
Service Code
|
CPT 48102
|
| Hospital Charge Code |
6148102
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$172.26 |
| Max. Negotiated Rate |
$599.45 |
| Rate for Payer: Cash Price |
$378.60
|
| Rate for Payer: Cigna Commercial |
$536.35
|
| Rate for Payer: First Health Commercial |
$567.90
|
| Rate for Payer: First Health Workers Compensation |
$243.63
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$567.90
|
| Rate for Payer: GEHA Commercial |
$441.70
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$567.90
|
| Rate for Payer: Multiplan All |
$574.21
|
| Rate for Payer: OMNI Networks Commercial |
$441.70
|
| Rate for Payer: One Health Plan PPO/POS |
$567.90
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$599.45
|
| Rate for Payer: Three Rivers Provider Network All |
$473.25
|
| Rate for Payer: United Payors & United Providers UP&UP |
$586.83
|
| Rate for Payer: Zelis Auto |
$252.40
|
| Rate for Payer: Zelis Worker's Compensation |
$172.26
|
|
|
NEEDLE BIOPSY PANCREAS
|
Facility
|
OP
|
$631.00
|
|
|
Service Code
|
CPT 48102
|
| Hospital Charge Code |
6148102
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$172.26 |
| Max. Negotiated Rate |
$3,076.96 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$977.38
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$378.60
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$977.38
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$774.28
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$1,538.48
|
| Rate for Payer: Cash Price |
$378.60
|
| Rate for Payer: Cash Price |
$378.60
|
| Rate for Payer: Cigna Commercial |
$536.35
|
| Rate for Payer: First Health Commercial |
$567.90
|
| Rate for Payer: First Health Workers Compensation |
$243.63
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$567.90
|
| Rate for Payer: GEHA Commercial |
$504.80
|
| Rate for Payer: GEHA Medicare |
$1,538.48
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$567.90
|
| Rate for Payer: Humana ChoiceCare |
$1,692.33
|
| Rate for Payer: Humana Medicare Advantage |
$1,538.48
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$2,584.65
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$790.05
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$1,538.48
|
| Rate for Payer: Multiplan All |
$574.21
|
| Rate for Payer: New Mexico Health Connections Medicare |
$2,615.42
|
| Rate for Payer: OMNI Networks Commercial |
$441.70
|
| Rate for Payer: One Health Plan PPO/POS |
$567.90
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$912.23
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$790.05
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$1,538.48
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$599.45
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$3,076.96
|
| Rate for Payer: Three Rivers Provider Network All |
$473.25
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$1,507.71
|
| Rate for Payer: United Healthcare Managed Medicaid |
$790.05
|
| Rate for Payer: United Healthcare Medicare Advantage |
$1,538.48
|
| Rate for Payer: United Payors & United Providers UP&UP |
$586.83
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$1,538.48
|
| Rate for Payer: Zelis Auto |
$252.40
|
| Rate for Payer: Zelis Medicare |
$1,307.71
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$1,846.18
|
| Rate for Payer: Zelis Worker's Compensation |
$172.26
|
|
|
NEEDLE BIOPSY SPINAL CORD
|
Facility
|
OP
|
$703.00
|
|
|
Service Code
|
CPT 62269
|
| Hospital Charge Code |
6162269
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$191.92 |
| Max. Negotiated Rate |
$3,076.96 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$977.38
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$421.80
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$977.38
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$774.28
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$1,538.48
|
| Rate for Payer: Cash Price |
$421.80
|
| Rate for Payer: Cash Price |
$421.80
|
| Rate for Payer: Cigna Commercial |
$597.55
|
| Rate for Payer: First Health Commercial |
$632.70
|
| Rate for Payer: First Health Workers Compensation |
$271.43
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$632.70
|
| Rate for Payer: GEHA Commercial |
$562.40
|
| Rate for Payer: GEHA Medicare |
$1,538.48
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$632.70
|
| Rate for Payer: Humana ChoiceCare |
$1,692.33
|
| Rate for Payer: Humana Medicare Advantage |
$1,538.48
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$2,584.65
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$790.05
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$1,538.48
|
| Rate for Payer: Multiplan All |
$639.73
|
| Rate for Payer: New Mexico Health Connections Medicare |
$2,615.42
|
| Rate for Payer: OMNI Networks Commercial |
$492.10
|
| Rate for Payer: One Health Plan PPO/POS |
$632.70
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$912.23
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$790.05
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$1,538.48
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$667.85
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$3,076.96
|
| Rate for Payer: Three Rivers Provider Network All |
$527.25
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$1,507.71
|
| Rate for Payer: United Healthcare Managed Medicaid |
$790.05
|
| Rate for Payer: United Healthcare Medicare Advantage |
$1,538.48
|
| Rate for Payer: United Payors & United Providers UP&UP |
$653.79
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$1,538.48
|
| Rate for Payer: Zelis Auto |
$281.20
|
| Rate for Payer: Zelis Medicare |
$1,307.71
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$1,846.18
|
| Rate for Payer: Zelis Worker's Compensation |
$191.92
|
|
|
NEEDLE BIOPSY SPINAL CORD
|
Facility
|
IP
|
$703.00
|
|
|
Service Code
|
CPT 62269
|
| Hospital Charge Code |
6162269
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$191.92 |
| Max. Negotiated Rate |
$667.85 |
| Rate for Payer: Cash Price |
$421.80
|
| Rate for Payer: Cigna Commercial |
$597.55
|
| Rate for Payer: First Health Commercial |
$632.70
|
| Rate for Payer: First Health Workers Compensation |
$271.43
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$632.70
|
| Rate for Payer: GEHA Commercial |
$492.10
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$632.70
|
| Rate for Payer: Multiplan All |
$639.73
|
| Rate for Payer: OMNI Networks Commercial |
$492.10
|
| Rate for Payer: One Health Plan PPO/POS |
$632.70
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$667.85
|
| Rate for Payer: Three Rivers Provider Network All |
$527.25
|
| Rate for Payer: United Payors & United Providers UP&UP |
$653.79
|
| Rate for Payer: Zelis Auto |
$281.20
|
| Rate for Payer: Zelis Worker's Compensation |
$191.92
|
|
|
NEEDLE HUBER SAFETY 22GX1.5
|
Facility
|
OP
|
$134.00
|
|
| Hospital Charge Code |
7000075
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$33.50 |
| Max. Negotiated Rate |
$127.30 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$80.40
|
| Rate for Payer: Cash Price |
$80.40
|
| Rate for Payer: Cigna Commercial |
$113.90
|
| Rate for Payer: First Health Commercial |
$120.60
|
| Rate for Payer: First Health Workers Compensation |
$51.74
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$120.60
|
| Rate for Payer: GEHA Commercial |
$107.20
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$120.60
|
| Rate for Payer: Humana ChoiceCare |
$34.84
|
| Rate for Payer: Multiplan All |
$121.94
|
| Rate for Payer: New Mexico Health Connections Medicare |
$80.40
|
| Rate for Payer: OMNI Networks Commercial |
$93.80
|
| Rate for Payer: One Health Plan PPO/POS |
$120.60
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$127.30
|
| Rate for Payer: Three Rivers Provider Network All |
$100.50
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$117.92
|
| Rate for Payer: United Healthcare Managed Medicaid |
$33.50
|
| Rate for Payer: United Payors & United Providers UP&UP |
$124.62
|
| Rate for Payer: Zelis Auto |
$53.60
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$67.00
|
| Rate for Payer: Zelis Worker's Compensation |
$36.58
|
|
|
NEEDLE HUBER SAFETY 22GX1.5
|
Facility
|
IP
|
$134.00
|
|
| Hospital Charge Code |
7000075
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$36.58 |
| Max. Negotiated Rate |
$127.30 |
| Rate for Payer: Cash Price |
$80.40
|
| Rate for Payer: Cigna Commercial |
$113.90
|
| Rate for Payer: First Health Commercial |
$120.60
|
| Rate for Payer: First Health Workers Compensation |
$51.74
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$120.60
|
| Rate for Payer: GEHA Commercial |
$93.80
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$120.60
|
| Rate for Payer: Multiplan All |
$121.94
|
| Rate for Payer: OMNI Networks Commercial |
$93.80
|
| Rate for Payer: One Health Plan PPO/POS |
$120.60
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$127.30
|
| Rate for Payer: Three Rivers Provider Network All |
$100.50
|
| Rate for Payer: United Payors & United Providers UP&UP |
$124.62
|
| Rate for Payer: Zelis Auto |
$53.60
|
| Rate for Payer: Zelis Worker's Compensation |
$36.58
|
|
|
NEEDLE SURE SNAP 22GX1.5
|
Facility
|
OP
|
$26.00
|
|
| Hospital Charge Code |
90030156
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$6.50 |
| Max. Negotiated Rate |
$24.70 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$15.60
|
| Rate for Payer: Cash Price |
$15.60
|
| Rate for Payer: Cigna Commercial |
$22.10
|
| Rate for Payer: First Health Commercial |
$23.40
|
| Rate for Payer: First Health Workers Compensation |
$10.04
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$23.40
|
| Rate for Payer: GEHA Commercial |
$20.80
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$23.40
|
| Rate for Payer: Humana ChoiceCare |
$6.76
|
| Rate for Payer: Multiplan All |
$23.66
|
| Rate for Payer: New Mexico Health Connections Medicare |
$15.60
|
| Rate for Payer: OMNI Networks Commercial |
$18.20
|
| Rate for Payer: One Health Plan PPO/POS |
$23.40
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$24.70
|
| Rate for Payer: Three Rivers Provider Network All |
$19.50
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$22.88
|
| Rate for Payer: United Healthcare Managed Medicaid |
$6.50
|
| Rate for Payer: United Payors & United Providers UP&UP |
$24.18
|
| Rate for Payer: Zelis Auto |
$10.40
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$13.00
|
| Rate for Payer: Zelis Worker's Compensation |
$7.10
|
|
|
NEEDLE SURE SNAP 22GX1.5
|
Facility
|
IP
|
$26.00
|
|
| Hospital Charge Code |
90030156
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$7.10 |
| Max. Negotiated Rate |
$24.70 |
| Rate for Payer: Cash Price |
$15.60
|
| Rate for Payer: Cigna Commercial |
$22.10
|
| Rate for Payer: First Health Commercial |
$23.40
|
| Rate for Payer: First Health Workers Compensation |
$10.04
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$23.40
|
| Rate for Payer: GEHA Commercial |
$18.20
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$23.40
|
| Rate for Payer: Multiplan All |
$23.66
|
| Rate for Payer: OMNI Networks Commercial |
$18.20
|
| Rate for Payer: One Health Plan PPO/POS |
$23.40
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$24.70
|
| Rate for Payer: Three Rivers Provider Network All |
$19.50
|
| Rate for Payer: United Payors & United Providers UP&UP |
$24.18
|
| Rate for Payer: Zelis Auto |
$10.40
|
| Rate for Payer: Zelis Worker's Compensation |
$7.10
|
|
|
NEGATIVE PRESS WOUND THER DME </= 50SQCM
|
Facility
|
OP
|
$395.00
|
|
|
Service Code
|
CPT 97605
|
| Hospital Charge Code |
6197605
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$117.00 |
| Max. Negotiated Rate |
$377.34 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$147.69
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$237.00
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$147.69
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$117.00
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$188.67
|
| Rate for Payer: Cash Price |
$237.00
|
| Rate for Payer: Cash Price |
$237.00
|
| Rate for Payer: Cigna Commercial |
$335.75
|
| Rate for Payer: First Health Commercial |
$355.50
|
| Rate for Payer: First Health Workers Compensation |
$242.82
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$355.50
|
| Rate for Payer: GEHA Commercial |
$316.00
|
| Rate for Payer: GEHA Medicare |
$188.67
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$355.50
|
| Rate for Payer: Humana ChoiceCare |
$207.54
|
| Rate for Payer: Humana Medicare Advantage |
$188.67
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$316.97
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$119.38
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$188.67
|
| Rate for Payer: Multiplan All |
$359.45
|
| Rate for Payer: New Mexico Health Connections Medicare |
$320.74
|
| Rate for Payer: OMNI Networks Commercial |
$276.50
|
| Rate for Payer: One Health Plan PPO/POS |
$355.50
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$137.84
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$119.38
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$188.67
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$375.25
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$377.34
|
| Rate for Payer: Three Rivers Provider Network All |
$296.25
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$184.90
|
| Rate for Payer: United Healthcare Managed Medicaid |
$119.38
|
| Rate for Payer: United Healthcare Medicare Advantage |
$188.67
|
| Rate for Payer: United Payors & United Providers UP&UP |
$367.35
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$188.67
|
| Rate for Payer: Zelis Auto |
$158.00
|
| Rate for Payer: Zelis Medicare |
$160.37
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$226.40
|
| Rate for Payer: Zelis Worker's Compensation |
$171.69
|
|
|
NEGATIVE PRESS WOUND THER DME </= 50SQCM
|
Facility
|
IP
|
$395.00
|
|
|
Service Code
|
CPT 97605
|
| Hospital Charge Code |
6197605
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$107.83 |
| Max. Negotiated Rate |
$375.25 |
| Rate for Payer: Cash Price |
$237.00
|
| Rate for Payer: Cigna Commercial |
$335.75
|
| Rate for Payer: First Health Commercial |
$355.50
|
| Rate for Payer: First Health Workers Compensation |
$152.51
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$355.50
|
| Rate for Payer: GEHA Commercial |
$276.50
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$355.50
|
| Rate for Payer: Multiplan All |
$359.45
|
| Rate for Payer: OMNI Networks Commercial |
$276.50
|
| Rate for Payer: One Health Plan PPO/POS |
$355.50
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$375.25
|
| Rate for Payer: Three Rivers Provider Network All |
$296.25
|
| Rate for Payer: United Payors & United Providers UP&UP |
$367.35
|
| Rate for Payer: Zelis Auto |
$158.00
|
| Rate for Payer: Zelis Worker's Compensation |
$107.83
|
|
