|
Arterial Puncture 36600
|
Professional
|
Both
|
$118.00
|
|
|
Service Code
|
CPT 36600
|
| Hospital Charge Code |
1188800
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$24.26 |
| Max. Negotiated Rate |
$112.10 |
| Rate for Payer: Aetna Commercial |
$112.10
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$101.48
|
| Rate for Payer: Cash Price |
$35.40
|
| Rate for Payer: Cash Price |
$35.40
|
| Rate for Payer: Cigna Commercial |
$112.10
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$24.26
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$70.80
|
| Rate for Payer: Health EOS Commercial |
$107.38
|
| Rate for Payer: HFN Commercial |
$112.10
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$52.49
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$52.49
|
| Rate for Payer: Multiplan Commercial |
$94.40
|
| Rate for Payer: Preferred Network Access Commercial |
$112.10
|
| Rate for Payer: Quartz Beloit One Network |
$51.92
|
| Rate for Payer: Quartz Commercial |
$67.26
|
| Rate for Payer: The Alliance Commercial |
$59.00
|
| Rate for Payer: United Healthcare Medicaid |
$24.26
|
| Rate for Payer: WEA Trust Commercial |
$64.90
|
| Rate for Payer: WPS Commercial |
$87.40
|
|
|
Arterial Puncture Withdrawal Blood DX
|
Professional
|
Both
|
$158.00
|
|
|
Service Code
|
CPT 36600
|
| Hospital Charge Code |
4524643
|
|
Hospital Revenue Code
|
920
|
| Min. Negotiated Rate |
$24.26 |
| Max. Negotiated Rate |
$150.10 |
| Rate for Payer: Aetna Commercial |
$150.10
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$135.88
|
| Rate for Payer: Cash Price |
$47.40
|
| Rate for Payer: Cash Price |
$47.40
|
| Rate for Payer: Cigna Commercial |
$150.10
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$24.26
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$94.80
|
| Rate for Payer: Health EOS Commercial |
$143.78
|
| Rate for Payer: HFN Commercial |
$150.10
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$52.49
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$52.49
|
| Rate for Payer: Multiplan Commercial |
$126.40
|
| Rate for Payer: Preferred Network Access Commercial |
$150.10
|
| Rate for Payer: Quartz Beloit One Network |
$69.52
|
| Rate for Payer: Quartz Commercial |
$90.06
|
| Rate for Payer: The Alliance Commercial |
$79.00
|
| Rate for Payer: United Healthcare Medicaid |
$24.26
|
| Rate for Payer: WEA Trust Commercial |
$86.90
|
| Rate for Payer: WPS Commercial |
$117.03
|
|
|
Arterial Puncture Withdrawal Blood DX
|
Facility
|
IP
|
$158.00
|
|
|
Service Code
|
CPT 36600
|
| Hospital Charge Code |
4524643
|
|
Hospital Revenue Code
|
920
|
| Min. Negotiated Rate |
$77.42 |
| Max. Negotiated Rate |
$145.36 |
| Rate for Payer: Aetna Commercial |
$142.20
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$135.88
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$83.74
|
| Rate for Payer: Cash Price |
$47.40
|
| Rate for Payer: Cigna Commercial |
$145.36
|
| Rate for Payer: Health EOS Commercial |
$140.62
|
| Rate for Payer: HFN Commercial |
$145.36
|
| Rate for Payer: Multiplan Commercial |
$126.40
|
| Rate for Payer: NAPHCARE Commercial |
$94.80
|
| Rate for Payer: Preferred Network Access Commercial |
$145.36
|
| Rate for Payer: Quartz Beloit One Network |
$77.42
|
| Rate for Payer: Quartz Commercial |
$94.80
|
| Rate for Payer: WEA Trust Commercial |
$86.90
|
| Rate for Payer: WPS Commercial |
$117.03
|
|
|
Arterial Puncture Withdrawal Blood DX
|
Facility
|
OP
|
$158.00
|
|
|
Service Code
|
CPT 36600
|
| Hospital Charge Code |
4524643
|
|
Hospital Revenue Code
|
920
|
| Min. Negotiated Rate |
$75.84 |
| Max. Negotiated Rate |
$4,218.22 |
| Rate for Payer: Aetna Commercial |
$142.20
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$135.88
|
| Rate for Payer: Aetna Managed Medicare |
$126.26
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$102.70
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$79.00
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$75.84
|
| Rate for Payer: Anthem Medicare Advantage |
$126.26
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$83.74
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$126.26
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$126.26
|
| Rate for Payer: Cash Price |
$47.40
|
| Rate for Payer: Cash Price |
$47.40
|
| Rate for Payer: Cigna Commercial |
$145.36
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$126.26
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$4,218.22
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$126.26
|
| Rate for Payer: Health EOS Commercial |
$140.62
|
| Rate for Payer: HFN Commercial |
$145.36
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$469.69
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$126.26
|
| Rate for Payer: Independent Care Health Plan Medicare |
$126.26
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$126.26
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$126.26
|
| Rate for Payer: Multiplan Commercial |
$126.40
|
| Rate for Payer: NAPHCARE Commercial |
$189.39
|
| Rate for Payer: Preferred Network Access Commercial |
$145.36
|
| Rate for Payer: Quartz Beloit One Network |
$77.42
|
| Rate for Payer: Quartz Commercial |
$102.70
|
| Rate for Payer: Quartz Medicare Advantage |
$126.26
|
| Rate for Payer: The Alliance Commercial |
$505.04
|
| Rate for Payer: United Healthcare Medicare Advantage |
$126.26
|
| Rate for Payer: United Healthcare PPO |
$118.50
|
| Rate for Payer: WEA Trust Commercial |
$86.90
|
| Rate for Payer: Wellcare Medicare |
$126.26
|
| Rate for Payer: WPS Commercial |
$117.03
|
|
|
Arterial/Venous Coiling for Hemorrhage
|
Facility
|
IP
|
$13,260.00
|
|
|
Service Code
|
CPT 37244
|
| Hospital Charge Code |
4597128
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$6,497.40 |
| Max. Negotiated Rate |
$12,199.20 |
| Rate for Payer: Aetna Commercial |
$11,934.00
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$11,403.60
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$7,027.80
|
| Rate for Payer: Cash Price |
$3,978.00
|
| Rate for Payer: Cigna Commercial |
$12,199.20
|
| Rate for Payer: Health EOS Commercial |
$11,801.40
|
| Rate for Payer: HFN Commercial |
$12,199.20
|
| Rate for Payer: Multiplan Commercial |
$10,608.00
|
| Rate for Payer: NAPHCARE Commercial |
$7,956.00
|
| Rate for Payer: Preferred Network Access Commercial |
$12,199.20
|
| Rate for Payer: Quartz Beloit One Network |
$6,497.40
|
| Rate for Payer: Quartz Commercial |
$7,956.00
|
| Rate for Payer: WEA Trust Commercial |
$7,293.00
|
| Rate for Payer: WPS Commercial |
$9,821.68
|
|
|
Arterial/Venous Coiling for Hemorrhage
|
Facility
|
OP
|
$13,260.00
|
|
|
Service Code
|
CPT 37244
|
| Hospital Charge Code |
4597128
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$6,497.40 |
| Max. Negotiated Rate |
$43,494.48 |
| Rate for Payer: Aetna Commercial |
$11,934.00
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$11,403.60
|
| Rate for Payer: Aetna Managed Medicare |
$10,873.62
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$18,649.00
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$18,649.00
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$17,230.00
|
| Rate for Payer: Anthem Medicare Advantage |
$10,873.62
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$7,027.80
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$10,873.62
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$10,873.62
|
| Rate for Payer: Cash Price |
$3,978.00
|
| Rate for Payer: Cash Price |
$3,978.00
|
| Rate for Payer: Cash Price |
$3,978.00
|
| Rate for Payer: Cigna Commercial |
$12,199.20
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$10,873.62
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$11,874.87
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$10,873.62
|
| Rate for Payer: Health EOS Commercial |
$11,801.40
|
| Rate for Payer: HFN Commercial |
$12,199.20
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$40,449.87
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$10,873.62
|
| Rate for Payer: Independent Care Health Plan Medicare |
$10,873.62
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$10,873.62
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$10,873.62
|
| Rate for Payer: Multiplan Commercial |
$10,608.00
|
| Rate for Payer: NAPHCARE Commercial |
$16,310.43
|
| Rate for Payer: Preferred Network Access Commercial |
$12,199.20
|
| Rate for Payer: Quartz Beloit One Network |
$6,497.40
|
| Rate for Payer: Quartz Commercial |
$8,619.00
|
| Rate for Payer: Quartz Medicare Advantage |
$10,873.62
|
| Rate for Payer: The Alliance Commercial |
$43,494.48
|
| Rate for Payer: United Healthcare Medicare Advantage |
$10,873.62
|
| Rate for Payer: United Healthcare PPO |
$9,596.00
|
| Rate for Payer: WEA Trust Commercial |
$7,293.00
|
| Rate for Payer: Wellcare Medicare |
$10,873.62
|
| Rate for Payer: WPS Commercial |
$9,821.68
|
|
|
ARTERIOVENOUS ANASTOMOSIS, OPEN; BY FOREARM VEIN TRANSPOSITION
|
Facility
|
OP
|
$21,726.56
|
|
|
Service Code
|
CPT 36820
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$4,240.00 |
| Max. Negotiated Rate |
$21,726.56 |
| Rate for Payer: Aetna Managed Medicare |
$5,431.64
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$12,238.00
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$10,914.00
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$10,367.00
|
| Rate for Payer: Anthem Medicare Advantage |
$5,431.64
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$5,431.64
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$5,431.64
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$5,431.64
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$6,546.14
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$5,431.64
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$20,205.70
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$5,431.64
|
| Rate for Payer: Independent Care Health Plan Medicare |
$5,431.64
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$5,431.64
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$5,431.64
|
| Rate for Payer: NAPHCARE Commercial |
$8,147.46
|
| Rate for Payer: Quartz Medicare Advantage |
$5,431.64
|
| Rate for Payer: The Alliance Commercial |
$21,726.56
|
| Rate for Payer: United Healthcare Medicare Advantage |
$5,431.64
|
| Rate for Payer: United Healthcare PPO |
$4,240.00
|
| Rate for Payer: Wellcare Medicare |
$5,431.64
|
|
|
ARTERIOVENOUS ANASTOMOSIS, OPEN; DIRECT, ANY SITE (EG, CIMINO TYPE) (SEPARATE PROCEDURE)
|
Facility
|
OP
|
$12,602.12
|
|
|
Service Code
|
CPT 36821
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$3,150.53 |
| Max. Negotiated Rate |
$12,602.12 |
| Rate for Payer: Aetna Managed Medicare |
$3,150.53
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$9,907.00
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$8,043.00
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$7,639.00
|
| Rate for Payer: Anthem Medicare Advantage |
$3,150.53
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$3,150.53
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$3,150.53
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$3,150.53
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$6,546.14
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$3,150.53
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$11,719.97
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$3,150.53
|
| Rate for Payer: Independent Care Health Plan Medicare |
$3,150.53
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$3,150.53
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$3,150.53
|
| Rate for Payer: NAPHCARE Commercial |
$4,725.80
|
| Rate for Payer: Quartz Medicare Advantage |
$3,150.53
|
| Rate for Payer: The Alliance Commercial |
$12,602.12
|
| Rate for Payer: United Healthcare Medicare Advantage |
$3,150.53
|
| Rate for Payer: United Healthcare PPO |
$4,103.00
|
| Rate for Payer: Wellcare Medicare |
$3,150.53
|
|
|
ARTERIOVENOUS FISTULA/GRAFT/DECLOTTING
|
Facility
|
IP
|
$13,026.00
|
|
| Hospital Charge Code |
2959835
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$6,382.74 |
| Max. Negotiated Rate |
$11,983.92 |
| Rate for Payer: Aetna Commercial |
$11,723.40
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$11,202.36
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$6,903.78
|
| Rate for Payer: Cash Price |
$3,907.80
|
| Rate for Payer: Cigna Commercial |
$11,983.92
|
| Rate for Payer: Health EOS Commercial |
$11,593.14
|
| Rate for Payer: HFN Commercial |
$11,983.92
|
| Rate for Payer: Multiplan Commercial |
$10,420.80
|
| Rate for Payer: NAPHCARE Commercial |
$7,815.60
|
| Rate for Payer: Preferred Network Access Commercial |
$11,983.92
|
| Rate for Payer: Quartz Beloit One Network |
$6,382.74
|
| Rate for Payer: Quartz Commercial |
$7,815.60
|
| Rate for Payer: WEA Trust Commercial |
$7,164.30
|
| Rate for Payer: WPS Commercial |
$9,648.36
|
|
|
ARTERIOVENOUS FISTULA/GRAFT/DECLOTTING
|
Facility
|
OP
|
$13,026.00
|
|
| Hospital Charge Code |
2959835
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$3,647.28 |
| Max. Negotiated Rate |
$52,104.00 |
| Rate for Payer: Aetna Commercial |
$11,723.40
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$11,202.36
|
| Rate for Payer: Aetna Managed Medicare |
$3,647.28
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$8,466.90
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$6,513.00
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$6,252.48
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$6,903.78
|
| Rate for Payer: Cash Price |
$3,907.80
|
| Rate for Payer: Cigna Commercial |
$11,983.92
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$7,289.35
|
| Rate for Payer: Health EOS Commercial |
$11,593.14
|
| Rate for Payer: HFN Commercial |
$11,983.92
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$9,769.50
|
| Rate for Payer: Multiplan Commercial |
$10,420.80
|
| Rate for Payer: NAPHCARE Commercial |
$7,815.60
|
| Rate for Payer: Preferred Network Access Commercial |
$11,983.92
|
| Rate for Payer: Quartz Beloit One Network |
$6,382.74
|
| Rate for Payer: Quartz Commercial |
$8,466.90
|
| Rate for Payer: Quartz Medicare Advantage |
$7,815.60
|
| Rate for Payer: The Alliance Commercial |
$52,104.00
|
| Rate for Payer: WEA Trust Commercial |
$7,164.30
|
| Rate for Payer: WPS Commercial |
$9,648.36
|
|
|
Artery-vein nonautograft
|
Facility
|
IP
|
$12,095.00
|
|
|
Service Code
|
CPT 36830
|
| Hospital Charge Code |
5608014
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$5,926.55 |
| Max. Negotiated Rate |
$11,127.40 |
| Rate for Payer: Aetna Commercial |
$10,885.50
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$10,401.70
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$6,410.35
|
| Rate for Payer: Cash Price |
$3,628.50
|
| Rate for Payer: Cigna Commercial |
$11,127.40
|
| Rate for Payer: Health EOS Commercial |
$10,764.55
|
| Rate for Payer: HFN Commercial |
$11,127.40
|
| Rate for Payer: Multiplan Commercial |
$9,676.00
|
| Rate for Payer: NAPHCARE Commercial |
$7,257.00
|
| Rate for Payer: Preferred Network Access Commercial |
$11,127.40
|
| Rate for Payer: Quartz Beloit One Network |
$5,926.55
|
| Rate for Payer: Quartz Commercial |
$7,257.00
|
| Rate for Payer: WEA Trust Commercial |
$6,652.25
|
| Rate for Payer: WPS Commercial |
$8,958.77
|
|
|
Artery-vein nonautograft
|
Facility
|
OP
|
$12,095.00
|
|
|
Service Code
|
CPT 36830
|
| Hospital Charge Code |
5608014
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$4,240.00 |
| Max. Negotiated Rate |
$21,726.56 |
| Rate for Payer: Aetna Commercial |
$10,885.50
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$10,401.70
|
| Rate for Payer: Aetna Managed Medicare |
$5,431.64
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$12,238.00
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$10,914.00
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$10,367.00
|
| Rate for Payer: Anthem Medicare Advantage |
$5,431.64
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$6,410.35
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$5,431.64
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$5,431.64
|
| Rate for Payer: Cash Price |
$3,628.50
|
| Rate for Payer: Cash Price |
$3,628.50
|
| Rate for Payer: Cash Price |
$3,628.50
|
| Rate for Payer: Cigna Commercial |
$11,127.40
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$5,431.64
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$7,795.33
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$5,431.64
|
| Rate for Payer: Health EOS Commercial |
$10,764.55
|
| Rate for Payer: HFN Commercial |
$11,127.40
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$20,205.70
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$5,431.64
|
| Rate for Payer: Independent Care Health Plan Medicare |
$5,431.64
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$5,431.64
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$5,431.64
|
| Rate for Payer: Multiplan Commercial |
$9,676.00
|
| Rate for Payer: NAPHCARE Commercial |
$8,147.46
|
| Rate for Payer: Preferred Network Access Commercial |
$11,127.40
|
| Rate for Payer: Quartz Beloit One Network |
$5,926.55
|
| Rate for Payer: Quartz Commercial |
$7,861.75
|
| Rate for Payer: Quartz Medicare Advantage |
$5,431.64
|
| Rate for Payer: The Alliance Commercial |
$21,726.56
|
| Rate for Payer: United Healthcare Medicare Advantage |
$5,431.64
|
| Rate for Payer: United Healthcare PPO |
$4,240.00
|
| Rate for Payer: WEA Trust Commercial |
$6,652.25
|
| Rate for Payer: Wellcare Medicare |
$5,431.64
|
| Rate for Payer: WPS Commercial |
$8,958.77
|
|
|
Artery X-Rays,Arms/Legs 7571626
|
Professional
|
Both
|
$1,081.00
|
|
|
Service Code
|
CPT 75716 26
|
| Hospital Charge Code |
3568169
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$314.13 |
| Max. Negotiated Rate |
$1,026.95 |
| Rate for Payer: Aetna Commercial |
$1,026.95
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$929.66
|
| Rate for Payer: Cash Price |
$324.30
|
| Rate for Payer: Cash Price |
$324.30
|
| Rate for Payer: Cigna Commercial |
$1,026.95
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$540.50
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$648.60
|
| Rate for Payer: Health EOS Commercial |
$983.71
|
| Rate for Payer: HFN Commercial |
$1,026.95
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$314.13
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$314.13
|
| Rate for Payer: Multiplan Commercial |
$864.80
|
| Rate for Payer: Preferred Network Access Commercial |
$1,026.95
|
| Rate for Payer: Quartz Beloit One Network |
$475.64
|
| Rate for Payer: Quartz Commercial |
$616.17
|
| Rate for Payer: The Alliance Commercial |
$540.50
|
| Rate for Payer: WEA Trust Commercial |
$594.55
|
| Rate for Payer: WPS Commercial |
$800.70
|
|
|
ARTHRITIS MITT SPLINT #A309-6
|
Facility
|
OP
|
$922.00
|
|
|
Service Code
|
HCPCS A4570
|
| Hospital Charge Code |
2971861
|
|
Hospital Revenue Code
|
271
|
| Min. Negotiated Rate |
$258.16 |
| Max. Negotiated Rate |
$3,688.00 |
| Rate for Payer: Aetna Commercial |
$829.80
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$792.92
|
| Rate for Payer: Aetna Managed Medicare |
$258.16
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$599.30
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$461.00
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$442.56
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$488.66
|
| Rate for Payer: Cash Price |
$276.60
|
| Rate for Payer: Cigna Commercial |
$848.24
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$515.95
|
| Rate for Payer: Health EOS Commercial |
$820.58
|
| Rate for Payer: HFN Commercial |
$848.24
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$691.50
|
| Rate for Payer: Multiplan Commercial |
$737.60
|
| Rate for Payer: NAPHCARE Commercial |
$553.20
|
| Rate for Payer: Preferred Network Access Commercial |
$848.24
|
| Rate for Payer: Quartz Beloit One Network |
$451.78
|
| Rate for Payer: Quartz Commercial |
$599.30
|
| Rate for Payer: Quartz Medicare Advantage |
$553.20
|
| Rate for Payer: The Alliance Commercial |
$3,688.00
|
| Rate for Payer: WEA Trust Commercial |
$507.10
|
| Rate for Payer: WPS Commercial |
$682.93
|
|
|
ARTHRITIS MITT SPLINT #A309-6
|
Facility
|
IP
|
$922.00
|
|
|
Service Code
|
HCPCS A4570
|
| Hospital Charge Code |
2971861
|
|
Hospital Revenue Code
|
271
|
| Min. Negotiated Rate |
$451.78 |
| Max. Negotiated Rate |
$848.24 |
| Rate for Payer: Aetna Commercial |
$829.80
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$792.92
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$488.66
|
| Rate for Payer: Cash Price |
$276.60
|
| Rate for Payer: Cigna Commercial |
$848.24
|
| Rate for Payer: Health EOS Commercial |
$820.58
|
| Rate for Payer: HFN Commercial |
$848.24
|
| Rate for Payer: Multiplan Commercial |
$737.60
|
| Rate for Payer: NAPHCARE Commercial |
$553.20
|
| Rate for Payer: Preferred Network Access Commercial |
$848.24
|
| Rate for Payer: Quartz Beloit One Network |
$451.78
|
| Rate for Payer: Quartz Commercial |
$553.20
|
| Rate for Payer: WEA Trust Commercial |
$507.10
|
| Rate for Payer: WPS Commercial |
$682.93
|
|
|
Arthro, Aspir or Inj; Major Joint 20610
|
Facility
|
IP
|
$612.00
|
|
|
Service Code
|
CPT 20610
|
| Hospital Charge Code |
5995639
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$299.88 |
| Max. Negotiated Rate |
$563.04 |
| Rate for Payer: Aetna Commercial |
$550.80
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$526.32
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$324.36
|
| Rate for Payer: Cash Price |
$183.60
|
| Rate for Payer: Cigna Commercial |
$563.04
|
| Rate for Payer: Health EOS Commercial |
$544.68
|
| Rate for Payer: HFN Commercial |
$563.04
|
| Rate for Payer: Multiplan Commercial |
$489.60
|
| Rate for Payer: NAPHCARE Commercial |
$367.20
|
| Rate for Payer: Preferred Network Access Commercial |
$563.04
|
| Rate for Payer: Quartz Beloit One Network |
$299.88
|
| Rate for Payer: Quartz Commercial |
$367.20
|
| Rate for Payer: WEA Trust Commercial |
$336.60
|
| Rate for Payer: WPS Commercial |
$453.31
|
|
|
Arthro, Aspir or Inj; Major Joint 20610
|
Facility
|
OP
|
$612.00
|
|
|
Service Code
|
CPT 20610
|
| Hospital Charge Code |
5995639
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$292.75 |
| Max. Negotiated Rate |
$4,218.22 |
| Rate for Payer: Aetna Commercial |
$550.80
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$526.32
|
| Rate for Payer: Aetna Managed Medicare |
$292.75
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$397.80
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$306.00
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$293.76
|
| Rate for Payer: Anthem Medicare Advantage |
$292.75
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$324.36
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$292.75
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$292.75
|
| Rate for Payer: Cash Price |
$183.60
|
| Rate for Payer: Cash Price |
$183.60
|
| Rate for Payer: Cigna Commercial |
$563.04
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$292.75
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$4,218.22
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$292.75
|
| Rate for Payer: Health EOS Commercial |
$544.68
|
| Rate for Payer: HFN Commercial |
$563.04
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$1,089.03
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$292.75
|
| Rate for Payer: Independent Care Health Plan Medicare |
$292.75
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$292.75
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$292.75
|
| Rate for Payer: Multiplan Commercial |
$489.60
|
| Rate for Payer: NAPHCARE Commercial |
$439.12
|
| Rate for Payer: Preferred Network Access Commercial |
$563.04
|
| Rate for Payer: Quartz Beloit One Network |
$299.88
|
| Rate for Payer: Quartz Commercial |
$397.80
|
| Rate for Payer: Quartz Medicare Advantage |
$292.75
|
| Rate for Payer: The Alliance Commercial |
$1,171.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$292.75
|
| Rate for Payer: WEA Trust Commercial |
$336.60
|
| Rate for Payer: Wellcare Medicare |
$292.75
|
| Rate for Payer: WPS Commercial |
$453.31
|
|
|
ARTHROCENTESIS, ASPIRATION AND/OR INJECTION, INTERMEDIATE JOINT OR BURSA (EG, TEMPOROMANDIBULAR, ACROMIOCLAVICULAR, WRIST, ELBOW OR ANKLE, OLECRANON BURSA); WITHOUT ULTRASOUND GUIDANCE
|
Facility
|
OP
|
$4,218.22
|
|
|
Service Code
|
CPT 20605
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$292.75 |
| Max. Negotiated Rate |
$4,218.22 |
| Rate for Payer: Aetna Managed Medicare |
$292.75
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$2,914.00
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$2,297.00
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$2,183.00
|
| Rate for Payer: Anthem Medicare Advantage |
$292.75
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$292.75
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$292.75
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$292.75
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$4,218.22
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$292.75
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$1,089.03
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$292.75
|
| Rate for Payer: Independent Care Health Plan Medicare |
$292.75
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$292.75
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$292.75
|
| Rate for Payer: NAPHCARE Commercial |
$439.12
|
| Rate for Payer: Quartz Medicare Advantage |
$292.75
|
| Rate for Payer: The Alliance Commercial |
$1,171.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$292.75
|
| Rate for Payer: United Healthcare PPO |
$2,257.00
|
| Rate for Payer: Wellcare Medicare |
$292.75
|
|
|
Arthrocentesis, Aspiration and/or Injection; Major Joint or Bursa
|
Professional
|
Both
|
$220.00
|
|
|
Service Code
|
CPT 20610
|
| Hospital Charge Code |
1188962
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$64.65 |
| Max. Negotiated Rate |
$209.00 |
| Rate for Payer: Aetna Commercial |
$209.00
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$189.20
|
| Rate for Payer: Cash Price |
$66.00
|
| Rate for Payer: Cash Price |
$66.00
|
| Rate for Payer: Cigna Commercial |
$209.00
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$64.65
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$132.00
|
| Rate for Payer: Health EOS Commercial |
$200.20
|
| Rate for Payer: HFN Commercial |
$209.00
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$150.77
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$150.77
|
| Rate for Payer: Multiplan Commercial |
$176.00
|
| Rate for Payer: Preferred Network Access Commercial |
$209.00
|
| Rate for Payer: Quartz Beloit One Network |
$96.80
|
| Rate for Payer: Quartz Commercial |
$125.40
|
| Rate for Payer: The Alliance Commercial |
$110.00
|
| Rate for Payer: United Healthcare Medicaid |
$64.65
|
| Rate for Payer: WEA Trust Commercial |
$121.00
|
| Rate for Payer: WPS Commercial |
$162.95
|
|
|
ARTHROCENTESIS, ASPIRATION AND/OR INJECTION, MAJOR JOINT OR BURSA (EG, SHOULDER, HIP, KNEE, SUBACROMIAL BURSA); WITHOUT ULTRASOUND GUIDANCE
|
Facility
|
OP
|
$4,218.22
|
|
|
Service Code
|
CPT 20610
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$292.75 |
| Max. Negotiated Rate |
$4,218.22 |
| Rate for Payer: Aetna Managed Medicare |
$292.75
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$2,914.00
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$2,297.00
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$2,183.00
|
| Rate for Payer: Anthem Medicare Advantage |
$292.75
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$292.75
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$292.75
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$292.75
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$4,218.22
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$292.75
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$1,089.03
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$292.75
|
| Rate for Payer: Independent Care Health Plan Medicare |
$292.75
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$292.75
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$292.75
|
| Rate for Payer: NAPHCARE Commercial |
$439.12
|
| Rate for Payer: Quartz Medicare Advantage |
$292.75
|
| Rate for Payer: The Alliance Commercial |
$1,171.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$292.75
|
| Rate for Payer: United Healthcare PPO |
$2,257.00
|
| Rate for Payer: Wellcare Medicare |
$292.75
|
|
|
Arthrocentesis, Aspiration and/or Injection; Medium Joint or Bursa
|
Professional
|
Both
|
$231.00
|
|
|
Service Code
|
CPT 20605
|
| Hospital Charge Code |
1188961
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$49.56 |
| Max. Negotiated Rate |
$219.45 |
| Rate for Payer: Aetna Commercial |
$219.45
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$198.66
|
| Rate for Payer: Cash Price |
$69.30
|
| Rate for Payer: Cash Price |
$69.30
|
| Rate for Payer: Cigna Commercial |
$219.45
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$49.56
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$138.60
|
| Rate for Payer: Health EOS Commercial |
$210.21
|
| Rate for Payer: HFN Commercial |
$219.45
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$124.19
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$124.19
|
| Rate for Payer: Multiplan Commercial |
$184.80
|
| Rate for Payer: Preferred Network Access Commercial |
$219.45
|
| Rate for Payer: Quartz Beloit One Network |
$101.64
|
| Rate for Payer: Quartz Commercial |
$131.67
|
| Rate for Payer: The Alliance Commercial |
$115.50
|
| Rate for Payer: United Healthcare Medicaid |
$49.56
|
| Rate for Payer: WEA Trust Commercial |
$127.05
|
| Rate for Payer: WPS Commercial |
$171.10
|
|
|
Arthrocentesis, Aspiration and/or Injection Small Joint or Bursa
|
Professional
|
Both
|
$82.00
|
|
|
Service Code
|
CPT 20600
|
| Hospital Charge Code |
1188960
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$36.08 |
| Max. Negotiated Rate |
$119.38 |
| Rate for Payer: Aetna Commercial |
$77.90
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$70.52
|
| Rate for Payer: Cash Price |
$24.60
|
| Rate for Payer: Cash Price |
$24.60
|
| Rate for Payer: Cigna Commercial |
$77.90
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$38.73
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$49.20
|
| Rate for Payer: Health EOS Commercial |
$74.62
|
| Rate for Payer: HFN Commercial |
$77.90
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$119.38
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$119.38
|
| Rate for Payer: Multiplan Commercial |
$65.60
|
| Rate for Payer: Preferred Network Access Commercial |
$77.90
|
| Rate for Payer: Quartz Beloit One Network |
$36.08
|
| Rate for Payer: Quartz Commercial |
$46.74
|
| Rate for Payer: The Alliance Commercial |
$41.00
|
| Rate for Payer: United Healthcare Medicaid |
$38.73
|
| Rate for Payer: WEA Trust Commercial |
$45.10
|
| Rate for Payer: WPS Commercial |
$60.74
|
|
|
Arthrocentesis, Aspiration and/or Inj; Medium Joint or Bursa 2060550
|
Professional
|
Both
|
$354.00
|
|
|
Service Code
|
CPT 20605 50
|
| Hospital Charge Code |
5454744
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$49.56 |
| Max. Negotiated Rate |
$336.30 |
| Rate for Payer: Aetna Commercial |
$336.30
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$304.44
|
| Rate for Payer: Cash Price |
$106.20
|
| Rate for Payer: Cash Price |
$106.20
|
| Rate for Payer: Cigna Commercial |
$336.30
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$49.56
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$212.40
|
| Rate for Payer: Health EOS Commercial |
$322.14
|
| Rate for Payer: HFN Commercial |
$336.30
|
| Rate for Payer: Multiplan Commercial |
$283.20
|
| Rate for Payer: Preferred Network Access Commercial |
$336.30
|
| Rate for Payer: Quartz Beloit One Network |
$155.76
|
| Rate for Payer: Quartz Commercial |
$201.78
|
| Rate for Payer: The Alliance Commercial |
$177.00
|
| Rate for Payer: United Healthcare Medicaid |
$49.56
|
| Rate for Payer: WEA Trust Commercial |
$194.70
|
| Rate for Payer: WPS Commercial |
$262.21
|
|
|
Arthrocentesis Aspir&/Inj Major 2061150
|
Professional
|
Both
|
$2,125.00
|
|
|
Service Code
|
CPT 20611 50
|
| Hospital Charge Code |
5374812
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$69.94 |
| Max. Negotiated Rate |
$2,018.75 |
| Rate for Payer: Aetna Commercial |
$2,018.75
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$1,827.50
|
| Rate for Payer: Cash Price |
$637.50
|
| Rate for Payer: Cash Price |
$637.50
|
| Rate for Payer: Cigna Commercial |
$2,018.75
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$69.94
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$1,275.00
|
| Rate for Payer: Health EOS Commercial |
$1,933.75
|
| Rate for Payer: HFN Commercial |
$2,018.75
|
| Rate for Payer: Multiplan Commercial |
$1,700.00
|
| Rate for Payer: Preferred Network Access Commercial |
$2,018.75
|
| Rate for Payer: Quartz Beloit One Network |
$935.00
|
| Rate for Payer: Quartz Commercial |
$1,211.25
|
| Rate for Payer: The Alliance Commercial |
$1,062.50
|
| Rate for Payer: United Healthcare Medicaid |
$69.94
|
| Rate for Payer: WEA Trust Commercial |
$1,168.75
|
| Rate for Payer: WPS Commercial |
$1,573.99
|
|
|
ARTHRODESIS, ANKLE, OPEN
|
Facility
|
OP
|
$52,034.24
|
|
|
Service Code
|
CPT 27870
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$7,795.33 |
| Max. Negotiated Rate |
$52,034.24 |
| Rate for Payer: Aetna Managed Medicare |
$13,008.56
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$18,649.00
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$18,649.00
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$17,230.00
|
| Rate for Payer: Anthem Medicare Advantage |
$13,008.56
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$13,008.56
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$13,008.56
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$13,008.56
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$7,795.33
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$13,008.56
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$48,391.84
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$13,008.56
|
| Rate for Payer: Independent Care Health Plan Medicare |
$13,008.56
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$13,008.56
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$13,008.56
|
| Rate for Payer: NAPHCARE Commercial |
$19,512.84
|
| Rate for Payer: Quartz Medicare Advantage |
$13,008.56
|
| Rate for Payer: The Alliance Commercial |
$52,034.24
|
| Rate for Payer: United Healthcare Medicare Advantage |
$13,008.56
|
| Rate for Payer: United Healthcare PPO |
$9,596.00
|
| Rate for Payer: Wellcare Medicare |
$13,008.56
|
|
