|
PARACHUTE DEVICE LESLIE 3.1 X 120 0 DEG 320-302
|
Facility
|
IP
|
$4,312.00
|
|
| Hospital Charge Code |
3295462
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,197.40 |
| Max. Negotiated Rate |
$4,125.72 |
| Rate for Payer: Aetna Commercial |
$4,036.03
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$3,856.65
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$2,376.77
|
| Rate for Payer: Cash Price |
$1,293.60
|
| Rate for Payer: Cigna Commercial |
$4,125.72
|
| Rate for Payer: Health EOS Commercial |
$3,991.19
|
| Rate for Payer: HFN Commercial |
$4,125.72
|
| Rate for Payer: Multiplan Commercial |
$3,587.58
|
| Rate for Payer: Preferred Network Access Commercial |
$4,125.72
|
| Rate for Payer: Quartz Beloit One Network |
$2,197.40
|
| Rate for Payer: Quartz Commercial |
$2,690.69
|
| Rate for Payer: WEA Trust Commercial |
$2,466.46
|
| Rate for Payer: WPS Commercial |
$3,321.53
|
|
|
PARACHUTE DEVICE LESLIE 3.1 X 120 0 DEG 320-302
|
Facility
|
OP
|
$4,312.00
|
|
| Hospital Charge Code |
3295462
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,255.65 |
| Max. Negotiated Rate |
$4,125.72 |
| Rate for Payer: Aetna Commercial |
$4,036.03
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$3,856.65
|
| Rate for Payer: Aetna Managed Medicare |
$1,255.65
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$2,914.91
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$2,242.24
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$2,152.55
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$2,376.77
|
| Rate for Payer: Cash Price |
$1,293.60
|
| Rate for Payer: Cigna Commercial |
$4,125.72
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$2,509.58
|
| Rate for Payer: Health EOS Commercial |
$3,991.19
|
| Rate for Payer: HFN Commercial |
$4,125.72
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$3,363.36
|
| Rate for Payer: Multiplan Commercial |
$3,587.58
|
| Rate for Payer: NAPHCARE Commercial |
$2,690.69
|
| Rate for Payer: Preferred Network Access Commercial |
$4,125.72
|
| Rate for Payer: Quartz Beloit One Network |
$2,197.40
|
| Rate for Payer: Quartz Commercial |
$2,914.91
|
| Rate for Payer: Quartz Medicare Advantage |
$2,690.69
|
| Rate for Payer: The Alliance Commercial |
$2,242.24
|
| Rate for Payer: WEA Trust Commercial |
$2,466.46
|
| Rate for Payer: WPS Commercial |
$3,321.53
|
|
|
PARAFFIN ECONOMY 6# BK #514203
|
Facility
|
IP
|
$312.00
|
|
| Hospital Charge Code |
2970914
|
|
Hospital Revenue Code
|
271
|
| Min. Negotiated Rate |
$159.00 |
| Max. Negotiated Rate |
$298.52 |
| Rate for Payer: Aetna Commercial |
$292.03
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$279.05
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$171.97
|
| Rate for Payer: Cash Price |
$93.60
|
| Rate for Payer: Cigna Commercial |
$298.52
|
| Rate for Payer: Health EOS Commercial |
$288.79
|
| Rate for Payer: HFN Commercial |
$298.52
|
| Rate for Payer: Multiplan Commercial |
$259.58
|
| Rate for Payer: Preferred Network Access Commercial |
$298.52
|
| Rate for Payer: Quartz Beloit One Network |
$159.00
|
| Rate for Payer: Quartz Commercial |
$194.69
|
| Rate for Payer: WEA Trust Commercial |
$178.46
|
| Rate for Payer: WPS Commercial |
$240.33
|
|
|
PARAFFIN ECONOMY 6# BK #514203
|
Facility
|
OP
|
$312.00
|
|
| Hospital Charge Code |
2970914
|
|
Hospital Revenue Code
|
271
|
| Min. Negotiated Rate |
$90.85 |
| Max. Negotiated Rate |
$298.52 |
| Rate for Payer: Aetna Commercial |
$292.03
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$279.05
|
| Rate for Payer: Aetna Managed Medicare |
$90.85
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$210.91
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$162.24
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$155.75
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$171.97
|
| Rate for Payer: Cash Price |
$93.60
|
| Rate for Payer: Cigna Commercial |
$298.52
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$181.58
|
| Rate for Payer: Health EOS Commercial |
$288.79
|
| Rate for Payer: HFN Commercial |
$298.52
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$243.36
|
| Rate for Payer: Multiplan Commercial |
$259.58
|
| Rate for Payer: NAPHCARE Commercial |
$194.69
|
| Rate for Payer: Preferred Network Access Commercial |
$298.52
|
| Rate for Payer: Quartz Beloit One Network |
$159.00
|
| Rate for Payer: Quartz Commercial |
$210.91
|
| Rate for Payer: Quartz Medicare Advantage |
$194.69
|
| Rate for Payer: The Alliance Commercial |
$162.24
|
| Rate for Payer: WEA Trust Commercial |
$178.46
|
| Rate for Payer: WPS Commercial |
$240.33
|
|
|
Paragard 1 Unit Charge
|
Professional
|
Both
|
$2,654.00
|
|
|
Service Code
|
HCPCS J7300
|
| Hospital Charge Code |
2958958
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$974.48 |
| Max. Negotiated Rate |
$2,622.15 |
| Rate for Payer: Aetna Commercial |
$2,622.15
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$2,373.74
|
| Rate for Payer: Anthem Commercial |
$974.48
|
| Rate for Payer: Cash Price |
$796.20
|
| Rate for Payer: Cash Price |
$796.20
|
| Rate for Payer: Cigna Commercial |
$2,622.15
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$1,184.56
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$1,656.10
|
| Rate for Payer: Health EOS Commercial |
$2,511.75
|
| Rate for Payer: HFN Commercial |
$2,622.15
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$1,376.60
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$1,376.60
|
| Rate for Payer: Multiplan Commercial |
$2,208.13
|
| Rate for Payer: Preferred Network Access Commercial |
$2,622.15
|
| Rate for Payer: Quartz Beloit One Network |
$1,214.47
|
| Rate for Payer: Quartz Commercial |
$1,573.29
|
| Rate for Payer: The Alliance Commercial |
$1,380.08
|
| Rate for Payer: United Healthcare Medicaid |
$1,184.56
|
| Rate for Payer: WEA Trust Commercial |
$1,518.09
|
| Rate for Payer: WPS Commercial |
$2,044.38
|
|
|
Paragard 1 Unit Charge
|
Facility
|
IP
|
$2,654.00
|
|
|
Service Code
|
HCPCS J7300
|
| Hospital Charge Code |
2958958
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1,352.48 |
| Max. Negotiated Rate |
$2,539.35 |
| Rate for Payer: Aetna Commercial |
$2,484.14
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$2,373.74
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$1,462.88
|
| Rate for Payer: Cash Price |
$796.20
|
| Rate for Payer: Cigna Commercial |
$2,539.35
|
| Rate for Payer: Health EOS Commercial |
$2,456.54
|
| Rate for Payer: HFN Commercial |
$2,539.35
|
| Rate for Payer: Multiplan Commercial |
$2,208.13
|
| Rate for Payer: Preferred Network Access Commercial |
$2,539.35
|
| Rate for Payer: Quartz Beloit One Network |
$1,352.48
|
| Rate for Payer: Quartz Commercial |
$1,656.10
|
| Rate for Payer: WEA Trust Commercial |
$1,518.09
|
| Rate for Payer: WPS Commercial |
$2,044.38
|
|
|
Paragard 1 Unit Charge
|
Facility
|
OP
|
$2,654.00
|
|
|
Service Code
|
HCPCS J7300
|
| Hospital Charge Code |
2958958
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$772.84 |
| Max. Negotiated Rate |
$2,539.35 |
| Rate for Payer: Aetna Commercial |
$2,484.14
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$2,373.74
|
| Rate for Payer: Aetna Managed Medicare |
$772.84
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$1,794.10
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$1,380.08
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$1,324.88
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$1,462.88
|
| Rate for Payer: Cash Price |
$796.20
|
| Rate for Payer: Cigna Commercial |
$2,539.35
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$1,544.63
|
| Rate for Payer: Health EOS Commercial |
$2,456.54
|
| Rate for Payer: HFN Commercial |
$2,539.35
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$2,070.12
|
| Rate for Payer: Multiplan Commercial |
$2,208.13
|
| Rate for Payer: NAPHCARE Commercial |
$1,656.10
|
| Rate for Payer: Preferred Network Access Commercial |
$2,539.35
|
| Rate for Payer: Quartz Beloit One Network |
$1,352.48
|
| Rate for Payer: Quartz Commercial |
$1,794.10
|
| Rate for Payer: Quartz Medicare Advantage |
$1,656.10
|
| Rate for Payer: The Alliance Commercial |
$1,380.08
|
| Rate for Payer: WEA Trust Commercial |
$1,518.09
|
| Rate for Payer: WPS Commercial |
$2,044.38
|
|
|
.Paraneoplastic Ab, Line Blot
|
Professional
|
Both
|
$100.46
|
|
|
Service Code
|
CPT 86043
|
| Hospital Charge Code |
6187207
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$12.53 |
| Max. Negotiated Rate |
$99.25 |
| Rate for Payer: Aetna Commercial |
$99.25
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$89.85
|
| Rate for Payer: Aetna Managed Medicare |
$12.53
|
| Rate for Payer: Anthem Medicare Advantage |
$12.53
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$12.53
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$12.53
|
| Rate for Payer: Cash Price |
$30.14
|
| Rate for Payer: Cash Price |
$30.14
|
| Rate for Payer: Cigna Commercial |
$99.25
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$52.24
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$12.53
|
| Rate for Payer: Health EOS Commercial |
$95.08
|
| Rate for Payer: HFN Commercial |
$99.25
|
| Rate for Payer: Independent Care Health Plan Medicare |
$12.53
|
| Rate for Payer: Multiplan Commercial |
$83.58
|
| Rate for Payer: NAPHCARE Commercial |
$18.80
|
| Rate for Payer: Preferred Network Access Commercial |
$99.25
|
| Rate for Payer: Quartz Beloit One Network |
$45.97
|
| Rate for Payer: Quartz Commercial |
$59.55
|
| Rate for Payer: Quartz Medicare Advantage |
$12.53
|
| Rate for Payer: The Alliance Commercial |
$49.50
|
| Rate for Payer: United Healthcare Medicare Advantage |
$12.53
|
| Rate for Payer: WEA Trust Commercial |
$57.46
|
| Rate for Payer: WPS Commercial |
$55.14
|
|
|
.Paraneoplastic Ab, Line Blot
|
Facility
|
IP
|
$100.46
|
|
|
Service Code
|
CPT 86043
|
| Hospital Charge Code |
6187207
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$51.19 |
| Max. Negotiated Rate |
$96.12 |
| Rate for Payer: Aetna Commercial |
$94.03
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$89.85
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$55.37
|
| Rate for Payer: Cash Price |
$30.14
|
| Rate for Payer: Cigna Commercial |
$96.12
|
| Rate for Payer: Health EOS Commercial |
$92.99
|
| Rate for Payer: HFN Commercial |
$96.12
|
| Rate for Payer: Multiplan Commercial |
$83.58
|
| Rate for Payer: Preferred Network Access Commercial |
$96.12
|
| Rate for Payer: Quartz Beloit One Network |
$51.19
|
| Rate for Payer: Quartz Commercial |
$62.69
|
| Rate for Payer: WEA Trust Commercial |
$57.46
|
| Rate for Payer: WPS Commercial |
$77.38
|
|
|
.Paraneoplastic Ab, Line Blot
|
Facility
|
OP
|
$100.46
|
|
|
Service Code
|
CPT 86043
|
| Hospital Charge Code |
6187207
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$12.53 |
| Max. Negotiated Rate |
$96.12 |
| Rate for Payer: Aetna Commercial |
$94.03
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$89.85
|
| Rate for Payer: Aetna Managed Medicare |
$12.53
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$67.91
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$52.24
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$50.15
|
| Rate for Payer: Anthem Medicare Advantage |
$12.53
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$55.37
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$12.53
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$12.53
|
| Rate for Payer: Cash Price |
$30.14
|
| Rate for Payer: Cash Price |
$30.14
|
| Rate for Payer: Cigna Commercial |
$96.12
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$12.53
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$58.47
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$12.53
|
| Rate for Payer: Health EOS Commercial |
$92.99
|
| Rate for Payer: HFN Commercial |
$96.12
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$46.62
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$12.53
|
| Rate for Payer: Independent Care Health Plan Medicare |
$12.53
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$12.53
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$12.53
|
| Rate for Payer: Multiplan Commercial |
$83.58
|
| Rate for Payer: NAPHCARE Commercial |
$18.80
|
| Rate for Payer: Preferred Network Access Commercial |
$96.12
|
| Rate for Payer: Quartz Beloit One Network |
$51.19
|
| Rate for Payer: Quartz Commercial |
$67.91
|
| Rate for Payer: Quartz Medicare Advantage |
$12.53
|
| Rate for Payer: The Alliance Commercial |
$50.13
|
| Rate for Payer: United Healthcare Medicare Advantage |
$12.53
|
| Rate for Payer: United Healthcare PPO |
$78.36
|
| Rate for Payer: WEA Trust Commercial |
$57.46
|
| Rate for Payer: Wellcare Medicare |
$12.53
|
| Rate for Payer: WPS Commercial |
$77.38
|
|
|
Paraneoplastic Autoantibody Evaluation
|
Facility
|
OP
|
$115.00
|
|
|
Service Code
|
CPT 86255
|
| Hospital Charge Code |
983356
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$12.53 |
| Max. Negotiated Rate |
$110.03 |
| Rate for Payer: Aetna Commercial |
$107.64
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$102.86
|
| Rate for Payer: Aetna Managed Medicare |
$12.53
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$46.99
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$21.93
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$20.80
|
| Rate for Payer: Anthem Medicare Advantage |
$12.53
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$63.39
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$12.53
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$12.53
|
| Rate for Payer: Cash Price |
$34.50
|
| Rate for Payer: Cash Price |
$34.50
|
| Rate for Payer: Cigna Commercial |
$110.03
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$12.53
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$66.93
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$12.53
|
| Rate for Payer: Health EOS Commercial |
$106.44
|
| Rate for Payer: HFN Commercial |
$110.03
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$46.62
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$12.53
|
| Rate for Payer: Independent Care Health Plan Medicare |
$12.53
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$12.53
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$12.53
|
| Rate for Payer: Multiplan Commercial |
$95.68
|
| Rate for Payer: NAPHCARE Commercial |
$18.80
|
| Rate for Payer: Preferred Network Access Commercial |
$110.03
|
| Rate for Payer: Quartz Beloit One Network |
$58.60
|
| Rate for Payer: Quartz Commercial |
$77.74
|
| Rate for Payer: Quartz Medicare Advantage |
$12.53
|
| Rate for Payer: The Alliance Commercial |
$50.13
|
| Rate for Payer: United Healthcare Medicare Advantage |
$12.53
|
| Rate for Payer: United Healthcare PPO |
$89.70
|
| Rate for Payer: WEA Trust Commercial |
$65.78
|
| Rate for Payer: Wellcare Medicare |
$12.53
|
| Rate for Payer: WPS Commercial |
$88.58
|
|
|
Paraneoplastic Autoantibody Evaluation
|
Facility
|
IP
|
$115.00
|
|
|
Service Code
|
CPT 86255
|
| Hospital Charge Code |
983356
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$58.60 |
| Max. Negotiated Rate |
$110.03 |
| Rate for Payer: Aetna Commercial |
$107.64
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$102.86
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$63.39
|
| Rate for Payer: Cash Price |
$34.50
|
| Rate for Payer: Cigna Commercial |
$110.03
|
| Rate for Payer: Health EOS Commercial |
$106.44
|
| Rate for Payer: HFN Commercial |
$110.03
|
| Rate for Payer: Multiplan Commercial |
$95.68
|
| Rate for Payer: Preferred Network Access Commercial |
$110.03
|
| Rate for Payer: Quartz Beloit One Network |
$58.60
|
| Rate for Payer: Quartz Commercial |
$71.76
|
| Rate for Payer: WEA Trust Commercial |
$65.78
|
| Rate for Payer: WPS Commercial |
$88.58
|
|
|
Paraneoplastic Autoantibody Evaluation
|
Professional
|
Both
|
$115.00
|
|
|
Service Code
|
CPT 86255
|
| Hospital Charge Code |
983356
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$12.53 |
| Max. Negotiated Rate |
$113.62 |
| Rate for Payer: Aetna Commercial |
$113.62
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$102.86
|
| Rate for Payer: Aetna Managed Medicare |
$12.53
|
| Rate for Payer: Anthem Commercial |
$17.27
|
| Rate for Payer: Anthem Medicare Advantage |
$12.53
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$12.53
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$12.53
|
| Rate for Payer: Cash Price |
$34.50
|
| Rate for Payer: Cash Price |
$34.50
|
| Rate for Payer: Cigna Commercial |
$113.62
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$59.80
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$12.53
|
| Rate for Payer: Health EOS Commercial |
$108.84
|
| Rate for Payer: HFN Commercial |
$113.62
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$44.24
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$44.24
|
| Rate for Payer: Independent Care Health Plan Medicare |
$12.53
|
| Rate for Payer: Multiplan Commercial |
$95.68
|
| Rate for Payer: NAPHCARE Commercial |
$18.80
|
| Rate for Payer: Preferred Network Access Commercial |
$113.62
|
| Rate for Payer: Quartz Beloit One Network |
$52.62
|
| Rate for Payer: Quartz Commercial |
$68.17
|
| Rate for Payer: Quartz Medicare Advantage |
$12.53
|
| Rate for Payer: The Alliance Commercial |
$49.50
|
| Rate for Payer: United Healthcare Medicare Advantage |
$12.53
|
| Rate for Payer: WEA Trust Commercial |
$65.78
|
| Rate for Payer: WPS Commercial |
$55.14
|
|
|
Parapertussis Organism Charge
|
Professional
|
Both
|
$235.00
|
|
|
Service Code
|
CPT 87798
|
| Hospital Charge Code |
1656799
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$36.49 |
| Max. Negotiated Rate |
$232.18 |
| Rate for Payer: Aetna Commercial |
$232.18
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$210.18
|
| Rate for Payer: Aetna Managed Medicare |
$36.49
|
| Rate for Payer: Anthem Medicare Advantage |
$36.49
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$36.49
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$36.49
|
| Rate for Payer: Cash Price |
$70.50
|
| Rate for Payer: Cash Price |
$70.50
|
| Rate for Payer: Cigna Commercial |
$232.18
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$122.20
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$36.49
|
| Rate for Payer: Health EOS Commercial |
$222.40
|
| Rate for Payer: HFN Commercial |
$232.18
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$128.82
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$128.82
|
| Rate for Payer: Independent Care Health Plan Medicare |
$36.49
|
| Rate for Payer: Multiplan Commercial |
$195.52
|
| Rate for Payer: NAPHCARE Commercial |
$54.74
|
| Rate for Payer: Preferred Network Access Commercial |
$232.18
|
| Rate for Payer: Quartz Beloit One Network |
$107.54
|
| Rate for Payer: Quartz Commercial |
$139.31
|
| Rate for Payer: Quartz Medicare Advantage |
$36.49
|
| Rate for Payer: The Alliance Commercial |
$144.15
|
| Rate for Payer: United Healthcare Medicare Advantage |
$36.49
|
| Rate for Payer: WEA Trust Commercial |
$134.42
|
| Rate for Payer: WPS Commercial |
$160.57
|
|
|
Parapertussis Organism Charge
|
Facility
|
IP
|
$235.00
|
|
|
Service Code
|
CPT 87798
|
| Hospital Charge Code |
1656799
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$119.76 |
| Max. Negotiated Rate |
$224.85 |
| Rate for Payer: Aetna Commercial |
$219.96
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$210.18
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$129.53
|
| Rate for Payer: Cash Price |
$70.50
|
| Rate for Payer: Cigna Commercial |
$224.85
|
| Rate for Payer: Health EOS Commercial |
$217.52
|
| Rate for Payer: HFN Commercial |
$224.85
|
| Rate for Payer: Multiplan Commercial |
$195.52
|
| Rate for Payer: Preferred Network Access Commercial |
$224.85
|
| Rate for Payer: Quartz Beloit One Network |
$119.76
|
| Rate for Payer: Quartz Commercial |
$146.64
|
| Rate for Payer: WEA Trust Commercial |
$134.42
|
| Rate for Payer: WPS Commercial |
$181.02
|
|
|
Parapertussis Organism Charge
|
Facility
|
OP
|
$235.00
|
|
|
Service Code
|
CPT 87798
|
| Hospital Charge Code |
1656799
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$36.49 |
| Max. Negotiated Rate |
$224.85 |
| Rate for Payer: Aetna Commercial |
$219.96
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$210.18
|
| Rate for Payer: Aetna Managed Medicare |
$36.49
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$136.85
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$63.86
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$60.58
|
| Rate for Payer: Anthem Medicare Advantage |
$36.49
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$129.53
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$36.49
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$36.49
|
| Rate for Payer: Cash Price |
$70.50
|
| Rate for Payer: Cash Price |
$70.50
|
| Rate for Payer: Cigna Commercial |
$224.85
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$36.49
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$136.77
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$36.49
|
| Rate for Payer: Health EOS Commercial |
$217.52
|
| Rate for Payer: HFN Commercial |
$224.85
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$135.76
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$36.49
|
| Rate for Payer: Independent Care Health Plan Medicare |
$36.49
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$36.49
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$36.49
|
| Rate for Payer: Multiplan Commercial |
$195.52
|
| Rate for Payer: NAPHCARE Commercial |
$54.74
|
| Rate for Payer: Preferred Network Access Commercial |
$224.85
|
| Rate for Payer: Quartz Beloit One Network |
$119.76
|
| Rate for Payer: Quartz Commercial |
$158.86
|
| Rate for Payer: Quartz Medicare Advantage |
$36.49
|
| Rate for Payer: The Alliance Commercial |
$145.97
|
| Rate for Payer: United Healthcare Medicare Advantage |
$36.49
|
| Rate for Payer: United Healthcare PPO |
$183.30
|
| Rate for Payer: WEA Trust Commercial |
$134.42
|
| Rate for Payer: Wellcare Medicare |
$36.49
|
| Rate for Payer: WPS Commercial |
$181.02
|
|
|
Paraplatin 50 mg Charge
|
Facility
|
IP
|
$112.00
|
|
|
Service Code
|
HCPCS J9045
|
| Hospital Charge Code |
2958979
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$57.08 |
| Max. Negotiated Rate |
$107.16 |
| Rate for Payer: Aetna Commercial |
$104.83
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$100.17
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$61.73
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cigna Commercial |
$107.16
|
| Rate for Payer: Health EOS Commercial |
$103.67
|
| Rate for Payer: HFN Commercial |
$107.16
|
| Rate for Payer: Multiplan Commercial |
$93.18
|
| Rate for Payer: Preferred Network Access Commercial |
$107.16
|
| Rate for Payer: Quartz Beloit One Network |
$57.08
|
| Rate for Payer: Quartz Commercial |
$69.89
|
| Rate for Payer: WEA Trust Commercial |
$64.06
|
| Rate for Payer: WPS Commercial |
$86.27
|
|
|
Paraplatin 50 mg Charge
|
Facility
|
OP
|
$112.00
|
|
|
Service Code
|
HCPCS J9045
|
| Hospital Charge Code |
2958979
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$5.12 |
| Max. Negotiated Rate |
$107.16 |
| Rate for Payer: Aetna Commercial |
$104.83
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$100.17
|
| Rate for Payer: Aetna Managed Medicare |
$32.61
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$75.71
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$58.24
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$55.91
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$61.73
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cigna Commercial |
$107.16
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$5.12
|
| Rate for Payer: Health EOS Commercial |
$103.67
|
| Rate for Payer: HFN Commercial |
$107.16
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$87.36
|
| Rate for Payer: Multiplan Commercial |
$93.18
|
| Rate for Payer: NAPHCARE Commercial |
$69.89
|
| Rate for Payer: Preferred Network Access Commercial |
$107.16
|
| Rate for Payer: Quartz Beloit One Network |
$57.08
|
| Rate for Payer: Quartz Commercial |
$75.71
|
| Rate for Payer: Quartz Medicare Advantage |
$69.89
|
| Rate for Payer: The Alliance Commercial |
$12.19
|
| Rate for Payer: WEA Trust Commercial |
$64.06
|
| Rate for Payer: WPS Commercial |
$9.68
|
|
|
Paraplatin 50 mg Charge
|
Professional
|
Both
|
$112.00
|
|
|
Service Code
|
HCPCS J9045
|
| Hospital Charge Code |
2958979
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$3.05 |
| Max. Negotiated Rate |
$110.66 |
| Rate for Payer: Aetna Commercial |
$110.66
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$100.17
|
| Rate for Payer: Aetna Managed Medicare |
$3.05
|
| Rate for Payer: Anthem Medicare Advantage |
$3.05
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$3.05
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$3.05
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cigna Commercial |
$110.66
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$3.05
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$3.87
|
| Rate for Payer: Health EOS Commercial |
$106.00
|
| Rate for Payer: HFN Commercial |
$110.66
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$3.89
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$3.89
|
| Rate for Payer: Independent Care Health Plan Medicare |
$3.05
|
| Rate for Payer: Multiplan Commercial |
$93.18
|
| Rate for Payer: NAPHCARE Commercial |
$4.57
|
| Rate for Payer: Preferred Network Access Commercial |
$110.66
|
| Rate for Payer: Quartz Beloit One Network |
$51.25
|
| Rate for Payer: Quartz Commercial |
$66.39
|
| Rate for Payer: Quartz Medicare Advantage |
$3.05
|
| Rate for Payer: The Alliance Commercial |
$8.38
|
| Rate for Payer: United Healthcare Medicaid |
$3.05
|
| Rate for Payer: United Healthcare Medicare Advantage |
$3.05
|
| Rate for Payer: WEA Trust Commercial |
$64.06
|
| Rate for Payer: WPS Commercial |
$9.68
|
|
|
Parasite Identification, Worm
|
Facility
|
IP
|
$85.00
|
|
|
Service Code
|
CPT 87169
|
| Hospital Charge Code |
4592843
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$43.32 |
| Max. Negotiated Rate |
$81.33 |
| Rate for Payer: Aetna Commercial |
$79.56
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$76.02
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$46.85
|
| Rate for Payer: Cash Price |
$25.50
|
| Rate for Payer: Cigna Commercial |
$81.33
|
| Rate for Payer: Health EOS Commercial |
$78.68
|
| Rate for Payer: HFN Commercial |
$81.33
|
| Rate for Payer: Multiplan Commercial |
$70.72
|
| Rate for Payer: Preferred Network Access Commercial |
$81.33
|
| Rate for Payer: Quartz Beloit One Network |
$43.32
|
| Rate for Payer: Quartz Commercial |
$53.04
|
| Rate for Payer: WEA Trust Commercial |
$48.62
|
| Rate for Payer: WPS Commercial |
$65.48
|
|
|
Parasite Identification, Worm
|
Facility
|
OP
|
$85.00
|
|
|
Service Code
|
CPT 87169
|
| Hospital Charge Code |
4592843
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$4.48 |
| Max. Negotiated Rate |
$81.33 |
| Rate for Payer: Aetna Commercial |
$79.56
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$76.02
|
| Rate for Payer: Aetna Managed Medicare |
$4.48
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$16.81
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$7.84
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$7.44
|
| Rate for Payer: Anthem Medicare Advantage |
$4.48
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$46.85
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$4.48
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$4.48
|
| Rate for Payer: Cash Price |
$25.50
|
| Rate for Payer: Cash Price |
$25.50
|
| Rate for Payer: Cigna Commercial |
$81.33
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$4.48
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$49.47
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$4.48
|
| Rate for Payer: Health EOS Commercial |
$78.68
|
| Rate for Payer: HFN Commercial |
$81.33
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$16.67
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$4.48
|
| Rate for Payer: Independent Care Health Plan Medicare |
$4.48
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$4.48
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$4.48
|
| Rate for Payer: Multiplan Commercial |
$70.72
|
| Rate for Payer: NAPHCARE Commercial |
$6.72
|
| Rate for Payer: Preferred Network Access Commercial |
$81.33
|
| Rate for Payer: Quartz Beloit One Network |
$43.32
|
| Rate for Payer: Quartz Commercial |
$57.46
|
| Rate for Payer: Quartz Medicare Advantage |
$4.48
|
| Rate for Payer: The Alliance Commercial |
$17.93
|
| Rate for Payer: United Healthcare Medicare Advantage |
$4.48
|
| Rate for Payer: United Healthcare PPO |
$66.30
|
| Rate for Payer: WEA Trust Commercial |
$48.62
|
| Rate for Payer: Wellcare Medicare |
$4.48
|
| Rate for Payer: WPS Commercial |
$65.48
|
|
|
Parasite Identification, Worm
|
Professional
|
Both
|
$85.00
|
|
|
Service Code
|
CPT 87169
|
| Hospital Charge Code |
4592843
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$4.48 |
| Max. Negotiated Rate |
$83.98 |
| Rate for Payer: Aetna Commercial |
$83.98
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$76.02
|
| Rate for Payer: Aetna Managed Medicare |
$4.48
|
| Rate for Payer: Anthem Medicare Advantage |
$4.48
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$4.48
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$4.48
|
| Rate for Payer: Cash Price |
$25.50
|
| Rate for Payer: Cash Price |
$25.50
|
| Rate for Payer: Cigna Commercial |
$83.98
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$44.20
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$4.48
|
| Rate for Payer: Health EOS Commercial |
$80.44
|
| Rate for Payer: HFN Commercial |
$83.98
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$15.82
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$15.82
|
| Rate for Payer: Independent Care Health Plan Medicare |
$4.48
|
| Rate for Payer: Multiplan Commercial |
$70.72
|
| Rate for Payer: NAPHCARE Commercial |
$6.72
|
| Rate for Payer: Preferred Network Access Commercial |
$83.98
|
| Rate for Payer: Quartz Beloit One Network |
$38.90
|
| Rate for Payer: Quartz Commercial |
$50.39
|
| Rate for Payer: Quartz Medicare Advantage |
$4.48
|
| Rate for Payer: The Alliance Commercial |
$17.71
|
| Rate for Payer: United Healthcare Medicare Advantage |
$4.48
|
| Rate for Payer: WEA Trust Commercial |
$48.62
|
| Rate for Payer: WPS Commercial |
$19.72
|
|
|
Parathyroid Hormone Intact
|
Professional
|
Both
|
$534.00
|
|
|
Service Code
|
CPT 83970
|
| Hospital Charge Code |
978051
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$42.93 |
| Max. Negotiated Rate |
$527.59 |
| Rate for Payer: Aetna Commercial |
$527.59
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$477.61
|
| Rate for Payer: Aetna Managed Medicare |
$42.93
|
| Rate for Payer: Anthem Medicare Advantage |
$42.93
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$42.93
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$42.93
|
| Rate for Payer: Cash Price |
$160.20
|
| Rate for Payer: Cash Price |
$160.20
|
| Rate for Payer: Cigna Commercial |
$527.59
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$277.68
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$42.93
|
| Rate for Payer: Health EOS Commercial |
$505.38
|
| Rate for Payer: HFN Commercial |
$527.59
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$151.55
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$151.55
|
| Rate for Payer: Independent Care Health Plan Medicare |
$42.93
|
| Rate for Payer: Multiplan Commercial |
$444.29
|
| Rate for Payer: NAPHCARE Commercial |
$64.40
|
| Rate for Payer: Preferred Network Access Commercial |
$527.59
|
| Rate for Payer: Quartz Beloit One Network |
$244.36
|
| Rate for Payer: Quartz Commercial |
$316.56
|
| Rate for Payer: Quartz Medicare Advantage |
$42.93
|
| Rate for Payer: The Alliance Commercial |
$169.58
|
| Rate for Payer: United Healthcare Medicare Advantage |
$42.93
|
| Rate for Payer: WEA Trust Commercial |
$305.45
|
| Rate for Payer: WPS Commercial |
$188.90
|
|
|
Parathyroid Hormone Intact
|
Facility
|
IP
|
$534.00
|
|
|
Service Code
|
CPT 83970
|
| Hospital Charge Code |
978051
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$272.13 |
| Max. Negotiated Rate |
$510.93 |
| Rate for Payer: Aetna Commercial |
$499.82
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$477.61
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$294.34
|
| Rate for Payer: Cash Price |
$160.20
|
| Rate for Payer: Cigna Commercial |
$510.93
|
| Rate for Payer: Health EOS Commercial |
$494.27
|
| Rate for Payer: HFN Commercial |
$510.93
|
| Rate for Payer: Multiplan Commercial |
$444.29
|
| Rate for Payer: Preferred Network Access Commercial |
$510.93
|
| Rate for Payer: Quartz Beloit One Network |
$272.13
|
| Rate for Payer: Quartz Commercial |
$333.22
|
| Rate for Payer: WEA Trust Commercial |
$305.45
|
| Rate for Payer: WPS Commercial |
$411.34
|
|
|
Parathyroid Hormone Intact
|
Facility
|
OP
|
$534.00
|
|
|
Service Code
|
CPT 83970
|
| Hospital Charge Code |
978051
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$42.93 |
| Max. Negotiated Rate |
$510.93 |
| Rate for Payer: Aetna Commercial |
$499.82
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$477.61
|
| Rate for Payer: Aetna Managed Medicare |
$42.93
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$160.99
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$75.13
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$71.27
|
| Rate for Payer: Anthem Medicare Advantage |
$42.93
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$294.34
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$42.93
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$42.93
|
| Rate for Payer: Cash Price |
$160.20
|
| Rate for Payer: Cash Price |
$160.20
|
| Rate for Payer: Cigna Commercial |
$510.93
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$42.93
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$310.79
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$42.93
|
| Rate for Payer: Health EOS Commercial |
$494.27
|
| Rate for Payer: HFN Commercial |
$510.93
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$159.70
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$42.93
|
| Rate for Payer: Independent Care Health Plan Medicare |
$42.93
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$42.93
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$42.93
|
| Rate for Payer: Multiplan Commercial |
$444.29
|
| Rate for Payer: NAPHCARE Commercial |
$64.40
|
| Rate for Payer: Preferred Network Access Commercial |
$510.93
|
| Rate for Payer: Quartz Beloit One Network |
$272.13
|
| Rate for Payer: Quartz Commercial |
$360.98
|
| Rate for Payer: Quartz Medicare Advantage |
$42.93
|
| Rate for Payer: The Alliance Commercial |
$171.72
|
| Rate for Payer: United Healthcare Medicare Advantage |
$42.93
|
| Rate for Payer: United Healthcare PPO |
$416.52
|
| Rate for Payer: WEA Trust Commercial |
$305.45
|
| Rate for Payer: Wellcare Medicare |
$42.93
|
| Rate for Payer: WPS Commercial |
$411.34
|
|
