|
MRA Neck/Carotids w/o Contrast
|
Facility
|
IP
|
$4,679.00
|
|
|
Service Code
|
CPT 70547
|
| Hospital Charge Code |
630743
|
| Min. Negotiated Rate |
$2,292.71 |
| Max. Negotiated Rate |
$4,304.68 |
| Rate for Payer: Aetna Commercial |
$4,211.10
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$4,023.94
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$2,479.87
|
| Rate for Payer: Cash Price |
$1,403.70
|
| Rate for Payer: Cigna Commercial |
$4,304.68
|
| Rate for Payer: Health EOS Commercial |
$4,164.31
|
| Rate for Payer: HFN Commercial |
$4,304.68
|
| Rate for Payer: Multiplan Commercial |
$3,743.20
|
| Rate for Payer: NAPHCARE Commercial |
$2,807.40
|
| Rate for Payer: Preferred Network Access Commercial |
$4,304.68
|
| Rate for Payer: Quartz Beloit One Network |
$2,292.71
|
| Rate for Payer: Quartz Commercial |
$2,807.40
|
| Rate for Payer: WEA Trust Commercial |
$2,573.45
|
| Rate for Payer: WPS Commercial |
$3,465.74
|
|
|
MRA Neck/Carotids w/o Contrast
|
Professional
|
Both
|
$4,679.00
|
|
|
Service Code
|
CPT 70547
|
| Hospital Charge Code |
630743
|
| Min. Negotiated Rate |
$816.35 |
| Max. Negotiated Rate |
$4,445.05 |
| Rate for Payer: Aetna Commercial |
$4,445.05
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$4,023.94
|
| Rate for Payer: Cash Price |
$1,403.70
|
| Rate for Payer: Cash Price |
$1,403.70
|
| Rate for Payer: Cash Price |
$1,403.70
|
| Rate for Payer: Cigna Commercial |
$4,445.05
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$2,339.50
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$2,807.40
|
| Rate for Payer: Health EOS Commercial |
$4,257.89
|
| Rate for Payer: HFN Commercial |
$4,445.05
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$816.35
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$816.35
|
| Rate for Payer: Multiplan Commercial |
$3,743.20
|
| Rate for Payer: Preferred Network Access Commercial |
$4,445.05
|
| Rate for Payer: Quartz Beloit One Network |
$2,058.76
|
| Rate for Payer: Quartz Commercial |
$2,667.03
|
| Rate for Payer: The Alliance Commercial |
$2,339.50
|
| Rate for Payer: WEA Trust Commercial |
$2,573.45
|
| Rate for Payer: WPS Commercial |
$3,465.74
|
|
|
MRA Neck/Carotids w/o Contrast
|
Facility
|
OP
|
$4,679.00
|
|
|
Service Code
|
CPT 70547
|
| Hospital Charge Code |
630743
|
| Min. Negotiated Rate |
$242.20 |
| Max. Negotiated Rate |
$4,304.68 |
| Rate for Payer: Aetna Commercial |
$4,211.10
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$4,023.94
|
| Rate for Payer: Aetna Managed Medicare |
$242.20
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$3,041.35
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$2,339.50
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$2,245.92
|
| Rate for Payer: Anthem Medicare Advantage |
$242.20
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$2,479.87
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$242.20
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$242.20
|
| Rate for Payer: Cash Price |
$1,403.70
|
| Rate for Payer: Cash Price |
$1,403.70
|
| Rate for Payer: Cigna Commercial |
$4,304.68
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$242.20
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$2,618.37
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$242.20
|
| Rate for Payer: Health EOS Commercial |
$4,164.31
|
| Rate for Payer: HFN Commercial |
$4,304.68
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$900.98
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$242.20
|
| Rate for Payer: Independent Care Health Plan Medicare |
$242.20
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$242.20
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$242.20
|
| Rate for Payer: Multiplan Commercial |
$3,743.20
|
| Rate for Payer: NAPHCARE Commercial |
$363.30
|
| Rate for Payer: Preferred Network Access Commercial |
$4,304.68
|
| Rate for Payer: Quartz Beloit One Network |
$2,292.71
|
| Rate for Payer: Quartz Commercial |
$3,041.35
|
| Rate for Payer: Quartz Medicare Advantage |
$242.20
|
| Rate for Payer: The Alliance Commercial |
$968.80
|
| Rate for Payer: United Healthcare Medicare Advantage |
$242.20
|
| Rate for Payer: WEA Trust Commercial |
$2,573.45
|
| Rate for Payer: Wellcare Medicare |
$242.20
|
| Rate for Payer: WPS Commercial |
$3,465.74
|
|
|
MRA Neck/Carotids w/ + w/o Contrast
|
Facility
|
IP
|
$7,316.00
|
|
|
Service Code
|
CPT 70549 TC
|
| Hospital Charge Code |
1610848
|
|
Hospital Revenue Code
|
615
|
| Min. Negotiated Rate |
$3,584.84 |
| Max. Negotiated Rate |
$6,730.72 |
| Rate for Payer: Aetna Commercial |
$6,584.40
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$6,291.76
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$3,877.48
|
| Rate for Payer: Cash Price |
$2,194.80
|
| Rate for Payer: Cigna Commercial |
$6,730.72
|
| Rate for Payer: Health EOS Commercial |
$6,511.24
|
| Rate for Payer: HFN Commercial |
$6,730.72
|
| Rate for Payer: Multiplan Commercial |
$5,852.80
|
| Rate for Payer: NAPHCARE Commercial |
$4,389.60
|
| Rate for Payer: Preferred Network Access Commercial |
$6,730.72
|
| Rate for Payer: Quartz Beloit One Network |
$3,584.84
|
| Rate for Payer: Quartz Commercial |
$4,389.60
|
| Rate for Payer: WEA Trust Commercial |
$4,023.80
|
| Rate for Payer: WPS Commercial |
$5,418.96
|
|
|
MRA Neck/Carotids w/ + w/o Contrast
|
Professional
|
Both
|
$5,491.00
|
|
|
Service Code
|
CPT 70549
|
| Hospital Charge Code |
630737
|
| Min. Negotiated Rate |
$1,302.04 |
| Max. Negotiated Rate |
$5,216.45 |
| Rate for Payer: Aetna Commercial |
$5,216.45
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$4,722.26
|
| Rate for Payer: Cash Price |
$1,647.30
|
| Rate for Payer: Cash Price |
$1,647.30
|
| Rate for Payer: Cash Price |
$1,647.30
|
| Rate for Payer: Cigna Commercial |
$5,216.45
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$2,745.50
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$3,294.60
|
| Rate for Payer: Health EOS Commercial |
$4,996.81
|
| Rate for Payer: HFN Commercial |
$5,216.45
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$1,302.04
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$1,302.04
|
| Rate for Payer: Multiplan Commercial |
$4,392.80
|
| Rate for Payer: Preferred Network Access Commercial |
$5,216.45
|
| Rate for Payer: Quartz Beloit One Network |
$2,416.04
|
| Rate for Payer: Quartz Commercial |
$3,129.87
|
| Rate for Payer: The Alliance Commercial |
$2,745.50
|
| Rate for Payer: WEA Trust Commercial |
$3,020.05
|
| Rate for Payer: WPS Commercial |
$4,067.18
|
|
|
MRA Neck/Carotids w/ + w/o Contrast
|
Facility
|
OP
|
$5,491.00
|
|
|
Service Code
|
CPT 70549
|
| Hospital Charge Code |
630737
|
| Min. Negotiated Rate |
$380.12 |
| Max. Negotiated Rate |
$5,051.72 |
| Rate for Payer: Aetna Commercial |
$4,941.90
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$4,722.26
|
| Rate for Payer: Aetna Managed Medicare |
$380.12
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$3,569.15
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$2,745.50
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$2,635.68
|
| Rate for Payer: Anthem Medicare Advantage |
$380.12
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$2,910.23
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$380.12
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$380.12
|
| Rate for Payer: Cash Price |
$1,647.30
|
| Rate for Payer: Cash Price |
$1,647.30
|
| Rate for Payer: Cigna Commercial |
$5,051.72
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$380.12
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$3,072.76
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$380.12
|
| Rate for Payer: Health EOS Commercial |
$4,886.99
|
| Rate for Payer: HFN Commercial |
$5,051.72
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$1,414.05
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$380.12
|
| Rate for Payer: Independent Care Health Plan Medicare |
$380.12
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$380.12
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$380.12
|
| Rate for Payer: Multiplan Commercial |
$4,392.80
|
| Rate for Payer: NAPHCARE Commercial |
$570.18
|
| Rate for Payer: Preferred Network Access Commercial |
$5,051.72
|
| Rate for Payer: Quartz Beloit One Network |
$2,690.59
|
| Rate for Payer: Quartz Commercial |
$3,569.15
|
| Rate for Payer: Quartz Medicare Advantage |
$380.12
|
| Rate for Payer: The Alliance Commercial |
$1,520.48
|
| Rate for Payer: United Healthcare Medicare Advantage |
$380.12
|
| Rate for Payer: WEA Trust Commercial |
$3,020.05
|
| Rate for Payer: Wellcare Medicare |
$380.12
|
| Rate for Payer: WPS Commercial |
$4,067.18
|
|
|
MRA Neck/Carotids w/ + w/o Contrast
|
Facility
|
OP
|
$7,316.00
|
|
|
Service Code
|
CPT 70549 TC
|
| Hospital Charge Code |
1610848
|
|
Hospital Revenue Code
|
615
|
| Min. Negotiated Rate |
$380.12 |
| Max. Negotiated Rate |
$6,730.72 |
| Rate for Payer: Aetna Commercial |
$6,584.40
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$6,291.76
|
| Rate for Payer: Aetna Managed Medicare |
$380.12
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$3,496.00
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$2,871.00
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$2,726.00
|
| Rate for Payer: Anthem Medicare Advantage |
$380.12
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$3,877.48
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$380.12
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$380.12
|
| Rate for Payer: Cash Price |
$2,194.80
|
| Rate for Payer: Cash Price |
$2,194.80
|
| Rate for Payer: Cash Price |
$2,194.80
|
| Rate for Payer: Cash Price |
$2,194.80
|
| Rate for Payer: Cigna Commercial |
$6,730.72
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$380.12
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$4,094.03
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$380.12
|
| Rate for Payer: Health EOS Commercial |
$6,511.24
|
| Rate for Payer: HFN Commercial |
$6,730.72
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$1,414.05
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$380.12
|
| Rate for Payer: Independent Care Health Plan Medicare |
$380.12
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$380.12
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$380.12
|
| Rate for Payer: Multiplan Commercial |
$5,852.80
|
| Rate for Payer: NAPHCARE Commercial |
$570.18
|
| Rate for Payer: Preferred Network Access Commercial |
$6,730.72
|
| Rate for Payer: Quartz Beloit One Network |
$3,584.84
|
| Rate for Payer: Quartz Commercial |
$4,755.40
|
| Rate for Payer: Quartz Medicare Advantage |
$380.12
|
| Rate for Payer: The Alliance Commercial |
$1,520.48
|
| Rate for Payer: United Healthcare Medicare Advantage |
$380.12
|
| Rate for Payer: United Healthcare PPO |
$3,022.00
|
| Rate for Payer: WEA Trust Commercial |
$4,023.80
|
| Rate for Payer: Wellcare Medicare |
$380.12
|
| Rate for Payer: WPS Commercial |
$5,418.96
|
|
|
MRA Neck/Carotids w/ + w/o Contrast
|
Facility
|
IP
|
$5,491.00
|
|
|
Service Code
|
CPT 70549
|
| Hospital Charge Code |
630737
|
| Min. Negotiated Rate |
$2,690.59 |
| Max. Negotiated Rate |
$5,051.72 |
| Rate for Payer: Aetna Commercial |
$4,941.90
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$4,722.26
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$2,910.23
|
| Rate for Payer: Cash Price |
$1,647.30
|
| Rate for Payer: Cigna Commercial |
$5,051.72
|
| Rate for Payer: Health EOS Commercial |
$4,886.99
|
| Rate for Payer: HFN Commercial |
$5,051.72
|
| Rate for Payer: Multiplan Commercial |
$4,392.80
|
| Rate for Payer: NAPHCARE Commercial |
$3,294.60
|
| Rate for Payer: Preferred Network Access Commercial |
$5,051.72
|
| Rate for Payer: Quartz Beloit One Network |
$2,690.59
|
| Rate for Payer: Quartz Commercial |
$3,294.60
|
| Rate for Payer: WEA Trust Commercial |
$3,020.05
|
| Rate for Payer: WPS Commercial |
$4,067.18
|
|
|
MRA Neck/Carotids w/ + w/o Contrast
|
Professional
|
Both
|
$7,316.00
|
|
|
Service Code
|
CPT 70549 TC
|
| Hospital Charge Code |
1610848
|
|
Hospital Revenue Code
|
615
|
| Min. Negotiated Rate |
$1,001.64 |
| Max. Negotiated Rate |
$6,950.20 |
| Rate for Payer: Aetna Commercial |
$6,950.20
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$6,291.76
|
| Rate for Payer: Cash Price |
$2,194.80
|
| Rate for Payer: Cash Price |
$2,194.80
|
| Rate for Payer: Cash Price |
$2,194.80
|
| Rate for Payer: Cigna Commercial |
$6,950.20
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$3,658.00
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$4,389.60
|
| Rate for Payer: Health EOS Commercial |
$6,657.56
|
| Rate for Payer: HFN Commercial |
$6,950.20
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$1,001.64
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$1,001.64
|
| Rate for Payer: Multiplan Commercial |
$5,852.80
|
| Rate for Payer: Preferred Network Access Commercial |
$6,950.20
|
| Rate for Payer: Quartz Beloit One Network |
$3,219.04
|
| Rate for Payer: Quartz Commercial |
$4,170.12
|
| Rate for Payer: The Alliance Commercial |
$3,658.00
|
| Rate for Payer: WEA Trust Commercial |
$4,023.80
|
| Rate for Payer: WPS Commercial |
$5,418.96
|
|
|
MRA Neck w/ w/o Contrast
|
Facility
|
IP
|
$5,875.00
|
|
|
Service Code
|
CPT 70549 TC
|
| Hospital Charge Code |
3072664
|
|
Hospital Revenue Code
|
615
|
| Min. Negotiated Rate |
$2,878.75 |
| Max. Negotiated Rate |
$5,405.00 |
| Rate for Payer: Aetna Commercial |
$5,287.50
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$5,052.50
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$3,113.75
|
| Rate for Payer: Cash Price |
$1,762.50
|
| Rate for Payer: Cigna Commercial |
$5,405.00
|
| Rate for Payer: Health EOS Commercial |
$5,228.75
|
| Rate for Payer: HFN Commercial |
$5,405.00
|
| Rate for Payer: Multiplan Commercial |
$4,700.00
|
| Rate for Payer: NAPHCARE Commercial |
$3,525.00
|
| Rate for Payer: Preferred Network Access Commercial |
$5,405.00
|
| Rate for Payer: Quartz Beloit One Network |
$2,878.75
|
| Rate for Payer: Quartz Commercial |
$3,525.00
|
| Rate for Payer: WEA Trust Commercial |
$3,231.25
|
| Rate for Payer: WPS Commercial |
$4,351.61
|
|
|
MRA Neck w/ w/o Contrast
|
Professional
|
Both
|
$5,875.00
|
|
|
Service Code
|
CPT 70549 TC
|
| Hospital Charge Code |
3072664
|
|
Hospital Revenue Code
|
615
|
| Min. Negotiated Rate |
$1,001.64 |
| Max. Negotiated Rate |
$5,581.25 |
| Rate for Payer: Aetna Commercial |
$5,581.25
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$5,052.50
|
| Rate for Payer: Cash Price |
$1,762.50
|
| Rate for Payer: Cash Price |
$1,762.50
|
| Rate for Payer: Cash Price |
$1,762.50
|
| Rate for Payer: Cigna Commercial |
$5,581.25
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$2,937.50
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$3,525.00
|
| Rate for Payer: Health EOS Commercial |
$5,346.25
|
| Rate for Payer: HFN Commercial |
$5,581.25
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$1,001.64
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$1,001.64
|
| Rate for Payer: Multiplan Commercial |
$4,700.00
|
| Rate for Payer: Preferred Network Access Commercial |
$5,581.25
|
| Rate for Payer: Quartz Beloit One Network |
$2,585.00
|
| Rate for Payer: Quartz Commercial |
$3,348.75
|
| Rate for Payer: The Alliance Commercial |
$2,937.50
|
| Rate for Payer: WEA Trust Commercial |
$3,231.25
|
| Rate for Payer: WPS Commercial |
$4,351.61
|
|
|
MRA Neck w/ w/o Contrast
|
Facility
|
OP
|
$5,875.00
|
|
|
Service Code
|
CPT 70549 TC
|
| Hospital Charge Code |
3072664
|
|
Hospital Revenue Code
|
615
|
| Min. Negotiated Rate |
$380.12 |
| Max. Negotiated Rate |
$5,405.00 |
| Rate for Payer: Aetna Commercial |
$5,287.50
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$5,052.50
|
| Rate for Payer: Aetna Managed Medicare |
$380.12
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$3,496.00
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$2,871.00
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$2,726.00
|
| Rate for Payer: Anthem Medicare Advantage |
$380.12
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$3,113.75
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$380.12
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$380.12
|
| Rate for Payer: Cash Price |
$1,762.50
|
| Rate for Payer: Cash Price |
$1,762.50
|
| Rate for Payer: Cash Price |
$1,762.50
|
| Rate for Payer: Cash Price |
$1,762.50
|
| Rate for Payer: Cigna Commercial |
$5,405.00
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$380.12
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$3,287.65
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$380.12
|
| Rate for Payer: Health EOS Commercial |
$5,228.75
|
| Rate for Payer: HFN Commercial |
$5,405.00
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$1,414.05
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$380.12
|
| Rate for Payer: Independent Care Health Plan Medicare |
$380.12
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$380.12
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$380.12
|
| Rate for Payer: Multiplan Commercial |
$4,700.00
|
| Rate for Payer: NAPHCARE Commercial |
$570.18
|
| Rate for Payer: Preferred Network Access Commercial |
$5,405.00
|
| Rate for Payer: Quartz Beloit One Network |
$2,878.75
|
| Rate for Payer: Quartz Commercial |
$3,818.75
|
| Rate for Payer: Quartz Medicare Advantage |
$380.12
|
| Rate for Payer: The Alliance Commercial |
$1,520.48
|
| Rate for Payer: United Healthcare Medicare Advantage |
$380.12
|
| Rate for Payer: United Healthcare PPO |
$3,022.00
|
| Rate for Payer: WEA Trust Commercial |
$3,231.25
|
| Rate for Payer: Wellcare Medicare |
$380.12
|
| Rate for Payer: WPS Commercial |
$4,351.61
|
|
|
MRA Pelvis w/ Contrast
|
Facility
|
OP
|
$6,080.00
|
|
| Hospital Charge Code |
675685
|
| Min. Negotiated Rate |
$1,702.40 |
| Max. Negotiated Rate |
$24,320.00 |
| Rate for Payer: Aetna Commercial |
$5,472.00
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$5,228.80
|
| Rate for Payer: Aetna Managed Medicare |
$1,702.40
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$3,952.00
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$3,040.00
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$2,918.40
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$3,222.40
|
| Rate for Payer: Cash Price |
$1,824.00
|
| Rate for Payer: Cigna Commercial |
$5,593.60
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$3,402.37
|
| Rate for Payer: Health EOS Commercial |
$5,411.20
|
| Rate for Payer: HFN Commercial |
$5,593.60
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$4,560.00
|
| Rate for Payer: Multiplan Commercial |
$4,864.00
|
| Rate for Payer: NAPHCARE Commercial |
$3,648.00
|
| Rate for Payer: Preferred Network Access Commercial |
$5,593.60
|
| Rate for Payer: Quartz Beloit One Network |
$2,979.20
|
| Rate for Payer: Quartz Commercial |
$3,952.00
|
| Rate for Payer: Quartz Medicare Advantage |
$3,648.00
|
| Rate for Payer: The Alliance Commercial |
$24,320.00
|
| Rate for Payer: WEA Trust Commercial |
$3,344.00
|
| Rate for Payer: WPS Commercial |
$4,503.46
|
|
|
MRA Pelvis w/ Contrast
|
Professional
|
Both
|
$6,080.00
|
|
| Hospital Charge Code |
675685
|
| Min. Negotiated Rate |
$2,675.20 |
| Max. Negotiated Rate |
$5,776.00 |
| Rate for Payer: Aetna Commercial |
$5,776.00
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$5,228.80
|
| Rate for Payer: Cash Price |
$1,824.00
|
| Rate for Payer: Cigna Commercial |
$5,776.00
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$3,040.00
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$3,648.00
|
| Rate for Payer: Health EOS Commercial |
$5,532.80
|
| Rate for Payer: HFN Commercial |
$5,776.00
|
| Rate for Payer: Multiplan Commercial |
$4,864.00
|
| Rate for Payer: Preferred Network Access Commercial |
$5,776.00
|
| Rate for Payer: Quartz Beloit One Network |
$2,675.20
|
| Rate for Payer: Quartz Commercial |
$3,465.60
|
| Rate for Payer: The Alliance Commercial |
$3,040.00
|
| Rate for Payer: WEA Trust Commercial |
$3,344.00
|
| Rate for Payer: WPS Commercial |
$4,503.46
|
|
|
MRA Pelvis w/ Contrast
|
Facility
|
IP
|
$6,080.00
|
|
| Hospital Charge Code |
675685
|
| Min. Negotiated Rate |
$2,979.20 |
| Max. Negotiated Rate |
$5,593.60 |
| Rate for Payer: Aetna Commercial |
$5,472.00
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$5,228.80
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$3,222.40
|
| Rate for Payer: Cash Price |
$1,824.00
|
| Rate for Payer: Cigna Commercial |
$5,593.60
|
| Rate for Payer: Health EOS Commercial |
$5,411.20
|
| Rate for Payer: HFN Commercial |
$5,593.60
|
| Rate for Payer: Multiplan Commercial |
$4,864.00
|
| Rate for Payer: NAPHCARE Commercial |
$3,648.00
|
| Rate for Payer: Preferred Network Access Commercial |
$5,593.60
|
| Rate for Payer: Quartz Beloit One Network |
$2,979.20
|
| Rate for Payer: Quartz Commercial |
$3,648.00
|
| Rate for Payer: WEA Trust Commercial |
$3,344.00
|
| Rate for Payer: WPS Commercial |
$4,503.46
|
|
|
MRA Pelvis w/ Contrast
|
Facility
|
IP
|
$5,965.00
|
|
|
Service Code
|
CPT 72198 TC
|
| Hospital Charge Code |
1610858
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$2,922.85 |
| Max. Negotiated Rate |
$5,487.80 |
| Rate for Payer: Aetna Commercial |
$5,368.50
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$5,129.90
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$3,161.45
|
| Rate for Payer: Cash Price |
$1,789.50
|
| Rate for Payer: Cigna Commercial |
$5,487.80
|
| Rate for Payer: Health EOS Commercial |
$5,308.85
|
| Rate for Payer: HFN Commercial |
$5,487.80
|
| Rate for Payer: Multiplan Commercial |
$4,772.00
|
| Rate for Payer: NAPHCARE Commercial |
$3,579.00
|
| Rate for Payer: Preferred Network Access Commercial |
$5,487.80
|
| Rate for Payer: Quartz Beloit One Network |
$2,922.85
|
| Rate for Payer: Quartz Commercial |
$3,579.00
|
| Rate for Payer: WEA Trust Commercial |
$3,280.75
|
| Rate for Payer: WPS Commercial |
$4,418.28
|
|
|
MRA Pelvis w/ Contrast
|
Professional
|
Both
|
$5,965.00
|
|
|
Service Code
|
CPT 72198 TC
|
| Hospital Charge Code |
1610858
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$990.02 |
| Max. Negotiated Rate |
$5,666.75 |
| Rate for Payer: Aetna Commercial |
$5,666.75
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$5,129.90
|
| Rate for Payer: Cash Price |
$1,789.50
|
| Rate for Payer: Cash Price |
$1,789.50
|
| Rate for Payer: Cash Price |
$1,789.50
|
| Rate for Payer: Cigna Commercial |
$5,666.75
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$2,982.50
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$3,579.00
|
| Rate for Payer: Health EOS Commercial |
$5,428.15
|
| Rate for Payer: HFN Commercial |
$5,666.75
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$990.02
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$990.02
|
| Rate for Payer: Multiplan Commercial |
$4,772.00
|
| Rate for Payer: Preferred Network Access Commercial |
$5,666.75
|
| Rate for Payer: Quartz Beloit One Network |
$2,624.60
|
| Rate for Payer: Quartz Commercial |
$3,400.05
|
| Rate for Payer: The Alliance Commercial |
$2,982.50
|
| Rate for Payer: WEA Trust Commercial |
$3,280.75
|
| Rate for Payer: WPS Commercial |
$4,418.28
|
|
|
MRA Pelvis w/ Contrast
|
Facility
|
OP
|
$5,965.00
|
|
|
Service Code
|
CPT 72198 TC
|
| Hospital Charge Code |
1610858
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$380.12 |
| Max. Negotiated Rate |
$5,487.80 |
| Rate for Payer: Aetna Commercial |
$5,368.50
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$5,129.90
|
| Rate for Payer: Aetna Managed Medicare |
$380.12
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$3,496.00
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$2,871.00
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$2,726.00
|
| Rate for Payer: Anthem Medicare Advantage |
$380.12
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$3,161.45
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$380.12
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$380.12
|
| Rate for Payer: Cash Price |
$1,789.50
|
| Rate for Payer: Cash Price |
$1,789.50
|
| Rate for Payer: Cash Price |
$1,789.50
|
| Rate for Payer: Cash Price |
$1,789.50
|
| Rate for Payer: Cigna Commercial |
$5,487.80
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$380.12
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$3,338.01
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$380.12
|
| Rate for Payer: Health EOS Commercial |
$5,308.85
|
| Rate for Payer: HFN Commercial |
$5,487.80
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$1,414.05
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$380.12
|
| Rate for Payer: Independent Care Health Plan Medicare |
$380.12
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$380.12
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$380.12
|
| Rate for Payer: Multiplan Commercial |
$4,772.00
|
| Rate for Payer: NAPHCARE Commercial |
$570.18
|
| Rate for Payer: Preferred Network Access Commercial |
$5,487.80
|
| Rate for Payer: Quartz Beloit One Network |
$2,922.85
|
| Rate for Payer: Quartz Commercial |
$3,877.25
|
| Rate for Payer: Quartz Medicare Advantage |
$380.12
|
| Rate for Payer: The Alliance Commercial |
$1,520.48
|
| Rate for Payer: United Healthcare Medicare Advantage |
$380.12
|
| Rate for Payer: United Healthcare PPO |
$3,022.00
|
| Rate for Payer: WEA Trust Commercial |
$3,280.75
|
| Rate for Payer: Wellcare Medicare |
$380.12
|
| Rate for Payer: WPS Commercial |
$4,418.28
|
|
|
MRA Pelvis w/o Contrast
|
Professional
|
Both
|
$5,640.00
|
|
| Hospital Charge Code |
675683
|
| Min. Negotiated Rate |
$2,481.60 |
| Max. Negotiated Rate |
$5,358.00 |
| Rate for Payer: Aetna Commercial |
$5,358.00
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$4,850.40
|
| Rate for Payer: Cash Price |
$1,692.00
|
| Rate for Payer: Cigna Commercial |
$5,358.00
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$2,820.00
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$3,384.00
|
| Rate for Payer: Health EOS Commercial |
$5,132.40
|
| Rate for Payer: HFN Commercial |
$5,358.00
|
| Rate for Payer: Multiplan Commercial |
$4,512.00
|
| Rate for Payer: Preferred Network Access Commercial |
$5,358.00
|
| Rate for Payer: Quartz Beloit One Network |
$2,481.60
|
| Rate for Payer: Quartz Commercial |
$3,214.80
|
| Rate for Payer: The Alliance Commercial |
$2,820.00
|
| Rate for Payer: WEA Trust Commercial |
$3,102.00
|
| Rate for Payer: WPS Commercial |
$4,177.55
|
|
|
MRA Pelvis w/o Contrast
|
Facility
|
IP
|
$5,640.00
|
|
| Hospital Charge Code |
675683
|
| Min. Negotiated Rate |
$2,763.60 |
| Max. Negotiated Rate |
$5,188.80 |
| Rate for Payer: Aetna Commercial |
$5,076.00
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$4,850.40
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$2,989.20
|
| Rate for Payer: Cash Price |
$1,692.00
|
| Rate for Payer: Cigna Commercial |
$5,188.80
|
| Rate for Payer: Health EOS Commercial |
$5,019.60
|
| Rate for Payer: HFN Commercial |
$5,188.80
|
| Rate for Payer: Multiplan Commercial |
$4,512.00
|
| Rate for Payer: NAPHCARE Commercial |
$3,384.00
|
| Rate for Payer: Preferred Network Access Commercial |
$5,188.80
|
| Rate for Payer: Quartz Beloit One Network |
$2,763.60
|
| Rate for Payer: Quartz Commercial |
$3,384.00
|
| Rate for Payer: WEA Trust Commercial |
$3,102.00
|
| Rate for Payer: WPS Commercial |
$4,177.55
|
|
|
MRA Pelvis w/o Contrast
|
Facility
|
OP
|
$5,640.00
|
|
| Hospital Charge Code |
675683
|
| Min. Negotiated Rate |
$1,579.20 |
| Max. Negotiated Rate |
$22,560.00 |
| Rate for Payer: Aetna Commercial |
$5,076.00
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$4,850.40
|
| Rate for Payer: Aetna Managed Medicare |
$1,579.20
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$3,666.00
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$2,820.00
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$2,707.20
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$2,989.20
|
| Rate for Payer: Cash Price |
$1,692.00
|
| Rate for Payer: Cigna Commercial |
$5,188.80
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$3,156.14
|
| Rate for Payer: Health EOS Commercial |
$5,019.60
|
| Rate for Payer: HFN Commercial |
$5,188.80
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$4,230.00
|
| Rate for Payer: Multiplan Commercial |
$4,512.00
|
| Rate for Payer: NAPHCARE Commercial |
$3,384.00
|
| Rate for Payer: Preferred Network Access Commercial |
$5,188.80
|
| Rate for Payer: Quartz Beloit One Network |
$2,763.60
|
| Rate for Payer: Quartz Commercial |
$3,666.00
|
| Rate for Payer: Quartz Medicare Advantage |
$3,384.00
|
| Rate for Payer: The Alliance Commercial |
$22,560.00
|
| Rate for Payer: WEA Trust Commercial |
$3,102.00
|
| Rate for Payer: WPS Commercial |
$4,177.55
|
|
|
MRA Pelvis w/o Contrast
|
Facility
|
IP
|
$5,533.00
|
|
|
Service Code
|
CPT 72198 TC
|
| Hospital Charge Code |
1610860
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$2,711.17 |
| Max. Negotiated Rate |
$5,090.36 |
| Rate for Payer: Aetna Commercial |
$4,979.70
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$4,758.38
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$2,932.49
|
| Rate for Payer: Cash Price |
$1,659.90
|
| Rate for Payer: Cigna Commercial |
$5,090.36
|
| Rate for Payer: Health EOS Commercial |
$4,924.37
|
| Rate for Payer: HFN Commercial |
$5,090.36
|
| Rate for Payer: Multiplan Commercial |
$4,426.40
|
| Rate for Payer: NAPHCARE Commercial |
$3,319.80
|
| Rate for Payer: Preferred Network Access Commercial |
$5,090.36
|
| Rate for Payer: Quartz Beloit One Network |
$2,711.17
|
| Rate for Payer: Quartz Commercial |
$3,319.80
|
| Rate for Payer: WEA Trust Commercial |
$3,043.15
|
| Rate for Payer: WPS Commercial |
$4,098.29
|
|
|
MRA Pelvis w/o Contrast
|
Facility
|
OP
|
$5,533.00
|
|
|
Service Code
|
CPT 72198 TC
|
| Hospital Charge Code |
1610860
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$242.20 |
| Max. Negotiated Rate |
$5,090.36 |
| Rate for Payer: Aetna Commercial |
$4,979.70
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$4,758.38
|
| Rate for Payer: Aetna Managed Medicare |
$242.20
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$3,496.00
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$2,871.00
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$2,726.00
|
| Rate for Payer: Anthem Medicare Advantage |
$242.20
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$2,932.49
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$242.20
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$242.20
|
| Rate for Payer: Cash Price |
$1,659.90
|
| Rate for Payer: Cash Price |
$1,659.90
|
| Rate for Payer: Cash Price |
$1,659.90
|
| Rate for Payer: Cash Price |
$1,659.90
|
| Rate for Payer: Cigna Commercial |
$5,090.36
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$242.20
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$3,096.27
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$242.20
|
| Rate for Payer: Health EOS Commercial |
$4,924.37
|
| Rate for Payer: HFN Commercial |
$5,090.36
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$900.98
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$242.20
|
| Rate for Payer: Independent Care Health Plan Medicare |
$242.20
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$242.20
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$242.20
|
| Rate for Payer: Multiplan Commercial |
$4,426.40
|
| Rate for Payer: NAPHCARE Commercial |
$363.30
|
| Rate for Payer: Preferred Network Access Commercial |
$5,090.36
|
| Rate for Payer: Quartz Beloit One Network |
$2,711.17
|
| Rate for Payer: Quartz Commercial |
$3,596.45
|
| Rate for Payer: Quartz Medicare Advantage |
$242.20
|
| Rate for Payer: The Alliance Commercial |
$968.80
|
| Rate for Payer: United Healthcare Medicare Advantage |
$242.20
|
| Rate for Payer: United Healthcare PPO |
$3,022.00
|
| Rate for Payer: WEA Trust Commercial |
$3,043.15
|
| Rate for Payer: Wellcare Medicare |
$242.20
|
| Rate for Payer: WPS Commercial |
$4,098.29
|
|
|
MRA Pelvis w/o Contrast
|
Professional
|
Both
|
$5,533.00
|
|
|
Service Code
|
CPT 72198 TC
|
| Hospital Charge Code |
1610860
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$990.02 |
| Max. Negotiated Rate |
$5,256.35 |
| Rate for Payer: Aetna Commercial |
$5,256.35
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$4,758.38
|
| Rate for Payer: Cash Price |
$1,659.90
|
| Rate for Payer: Cash Price |
$1,659.90
|
| Rate for Payer: Cash Price |
$1,659.90
|
| Rate for Payer: Cigna Commercial |
$5,256.35
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$2,766.50
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$3,319.80
|
| Rate for Payer: Health EOS Commercial |
$5,035.03
|
| Rate for Payer: HFN Commercial |
$5,256.35
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$990.02
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$990.02
|
| Rate for Payer: Multiplan Commercial |
$4,426.40
|
| Rate for Payer: Preferred Network Access Commercial |
$5,256.35
|
| Rate for Payer: Quartz Beloit One Network |
$2,434.52
|
| Rate for Payer: Quartz Commercial |
$3,153.81
|
| Rate for Payer: The Alliance Commercial |
$2,766.50
|
| Rate for Payer: WEA Trust Commercial |
$3,043.15
|
| Rate for Payer: WPS Commercial |
$4,098.29
|
|
|
MRA Upper Extremity w/ Contrast Bilat
|
Facility
|
OP
|
$5,965.00
|
|
|
Service Code
|
CPT 73225 LT,TC
|
| Hospital Charge Code |
1610879
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,670.20 |
| Max. Negotiated Rate |
$23,860.00 |
| Rate for Payer: Aetna Commercial |
$5,368.50
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$5,129.90
|
| Rate for Payer: Aetna Managed Medicare |
$1,670.20
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$3,496.00
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$2,871.00
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$2,726.00
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$3,161.45
|
| Rate for Payer: Cash Price |
$1,789.50
|
| Rate for Payer: Cash Price |
$1,789.50
|
| Rate for Payer: Cash Price |
$1,789.50
|
| Rate for Payer: Cigna Commercial |
$5,487.80
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$3,338.01
|
| Rate for Payer: Health EOS Commercial |
$5,308.85
|
| Rate for Payer: HFN Commercial |
$5,487.80
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$4,473.75
|
| Rate for Payer: Multiplan Commercial |
$4,772.00
|
| Rate for Payer: NAPHCARE Commercial |
$3,579.00
|
| Rate for Payer: Preferred Network Access Commercial |
$5,487.80
|
| Rate for Payer: Quartz Beloit One Network |
$2,922.85
|
| Rate for Payer: Quartz Commercial |
$3,877.25
|
| Rate for Payer: Quartz Medicare Advantage |
$3,579.00
|
| Rate for Payer: The Alliance Commercial |
$23,860.00
|
| Rate for Payer: United Healthcare PPO |
$3,022.00
|
| Rate for Payer: WEA Trust Commercial |
$3,280.75
|
| Rate for Payer: WPS Commercial |
$4,418.28
|
|
