|
SCREW 2.7x22 THREADED STEPPED
|
Facility
|
OP
|
$2,347.00
|
|
| Hospital Charge Code |
2966485
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$683.45 |
| Max. Negotiated Rate |
$2,245.61 |
| Rate for Payer: Aetna Commercial |
$2,196.79
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$2,099.16
|
| Rate for Payer: Aetna Managed Medicare |
$683.45
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$1,586.57
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$1,220.44
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$1,171.62
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$1,293.67
|
| Rate for Payer: Cash Price |
$704.10
|
| Rate for Payer: Cigna Commercial |
$2,245.61
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$1,365.95
|
| Rate for Payer: Health EOS Commercial |
$2,172.38
|
| Rate for Payer: HFN Commercial |
$2,245.61
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$1,830.66
|
| Rate for Payer: Multiplan Commercial |
$1,952.70
|
| Rate for Payer: NAPHCARE Commercial |
$1,464.53
|
| Rate for Payer: Preferred Network Access Commercial |
$2,245.61
|
| Rate for Payer: Quartz Beloit One Network |
$1,196.03
|
| Rate for Payer: Quartz Commercial |
$1,586.57
|
| Rate for Payer: Quartz Medicare Advantage |
$1,464.53
|
| Rate for Payer: The Alliance Commercial |
$1,220.44
|
| Rate for Payer: WEA Trust Commercial |
$1,342.48
|
| Rate for Payer: WPS Commercial |
$1,807.89
|
|
|
SCREW 2.7x22 THREADED STEPPED
|
Facility
|
IP
|
$2,347.00
|
|
| Hospital Charge Code |
2966485
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,196.03 |
| Max. Negotiated Rate |
$2,245.61 |
| Rate for Payer: Aetna Commercial |
$2,196.79
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$2,099.16
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$1,293.67
|
| Rate for Payer: Cash Price |
$704.10
|
| Rate for Payer: Cigna Commercial |
$2,245.61
|
| Rate for Payer: Health EOS Commercial |
$2,172.38
|
| Rate for Payer: HFN Commercial |
$2,245.61
|
| Rate for Payer: Multiplan Commercial |
$1,952.70
|
| Rate for Payer: Preferred Network Access Commercial |
$2,245.61
|
| Rate for Payer: Quartz Beloit One Network |
$1,196.03
|
| Rate for Payer: Quartz Commercial |
$1,464.53
|
| Rate for Payer: WEA Trust Commercial |
$1,342.48
|
| Rate for Payer: WPS Commercial |
$1,807.89
|
|
|
SCREW 2.7 X 24MM LOW PRO ORTHOLOC SYSTEM 58812724
|
Facility
|
IP
|
$1,751.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
6200968
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$892.31 |
| Max. Negotiated Rate |
$1,675.36 |
| Rate for Payer: Aetna Commercial |
$1,638.94
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$1,566.09
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$965.15
|
| Rate for Payer: Cash Price |
$525.30
|
| Rate for Payer: Cigna Commercial |
$1,675.36
|
| Rate for Payer: Health EOS Commercial |
$1,620.73
|
| Rate for Payer: HFN Commercial |
$1,675.36
|
| Rate for Payer: Multiplan Commercial |
$1,456.83
|
| Rate for Payer: Preferred Network Access Commercial |
$1,675.36
|
| Rate for Payer: Quartz Beloit One Network |
$892.31
|
| Rate for Payer: Quartz Commercial |
$1,092.62
|
| Rate for Payer: WEA Trust Commercial |
$1,001.57
|
| Rate for Payer: WPS Commercial |
$1,348.80
|
|
|
SCREW 2.7 X 24MM LOW PRO ORTHOLOC SYSTEM 58812724
|
Facility
|
OP
|
$1,751.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
6200968
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$509.89 |
| Max. Negotiated Rate |
$1,675.36 |
| Rate for Payer: Aetna Commercial |
$1,638.94
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$1,566.09
|
| Rate for Payer: Aetna Managed Medicare |
$509.89
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$1,183.68
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$910.52
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$874.10
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$965.15
|
| Rate for Payer: Cash Price |
$525.30
|
| Rate for Payer: Cigna Commercial |
$1,675.36
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$1,019.08
|
| Rate for Payer: Health EOS Commercial |
$1,620.73
|
| Rate for Payer: HFN Commercial |
$1,675.36
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$1,365.78
|
| Rate for Payer: Multiplan Commercial |
$1,456.83
|
| Rate for Payer: NAPHCARE Commercial |
$1,092.62
|
| Rate for Payer: Preferred Network Access Commercial |
$1,675.36
|
| Rate for Payer: Quartz Beloit One Network |
$892.31
|
| Rate for Payer: Quartz Commercial |
$1,183.68
|
| Rate for Payer: Quartz Medicare Advantage |
$1,092.62
|
| Rate for Payer: The Alliance Commercial |
$910.52
|
| Rate for Payer: WEA Trust Commercial |
$1,001.57
|
| Rate for Payer: WPS Commercial |
$1,348.80
|
|
|
SCREW 2.7 X 24MM STD.
|
Facility
|
OP
|
$1,754.00
|
|
| Hospital Charge Code |
2964742
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$510.76 |
| Max. Negotiated Rate |
$1,678.23 |
| Rate for Payer: Aetna Commercial |
$1,641.74
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$1,568.78
|
| Rate for Payer: Aetna Managed Medicare |
$510.76
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$1,185.70
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$912.08
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$875.60
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$966.80
|
| Rate for Payer: Cash Price |
$526.20
|
| Rate for Payer: Cigna Commercial |
$1,678.23
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$1,020.83
|
| Rate for Payer: Health EOS Commercial |
$1,623.50
|
| Rate for Payer: HFN Commercial |
$1,678.23
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$1,368.12
|
| Rate for Payer: Multiplan Commercial |
$1,459.33
|
| Rate for Payer: NAPHCARE Commercial |
$1,094.50
|
| Rate for Payer: Preferred Network Access Commercial |
$1,678.23
|
| Rate for Payer: Quartz Beloit One Network |
$893.84
|
| Rate for Payer: Quartz Commercial |
$1,185.70
|
| Rate for Payer: Quartz Medicare Advantage |
$1,094.50
|
| Rate for Payer: The Alliance Commercial |
$912.08
|
| Rate for Payer: WEA Trust Commercial |
$1,003.29
|
| Rate for Payer: WPS Commercial |
$1,351.11
|
|
|
SCREW 2.7 X 24MM STD.
|
Facility
|
IP
|
$1,754.00
|
|
| Hospital Charge Code |
2964742
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$893.84 |
| Max. Negotiated Rate |
$1,678.23 |
| Rate for Payer: Aetna Commercial |
$1,641.74
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$1,568.78
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$966.80
|
| Rate for Payer: Cash Price |
$526.20
|
| Rate for Payer: Cigna Commercial |
$1,678.23
|
| Rate for Payer: Health EOS Commercial |
$1,623.50
|
| Rate for Payer: HFN Commercial |
$1,678.23
|
| Rate for Payer: Multiplan Commercial |
$1,459.33
|
| Rate for Payer: Preferred Network Access Commercial |
$1,678.23
|
| Rate for Payer: Quartz Beloit One Network |
$893.84
|
| Rate for Payer: Quartz Commercial |
$1,094.50
|
| Rate for Payer: WEA Trust Commercial |
$1,003.29
|
| Rate for Payer: WPS Commercial |
$1,351.11
|
|
|
SCREW 2.7 X 28MM LOW PRO ORTHOLOC SYSTEM 58812728
|
Facility
|
OP
|
$1,751.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
6200969
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$509.89 |
| Max. Negotiated Rate |
$1,675.36 |
| Rate for Payer: Aetna Commercial |
$1,638.94
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$1,566.09
|
| Rate for Payer: Aetna Managed Medicare |
$509.89
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$1,183.68
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$910.52
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$874.10
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$965.15
|
| Rate for Payer: Cash Price |
$525.30
|
| Rate for Payer: Cigna Commercial |
$1,675.36
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$1,019.08
|
| Rate for Payer: Health EOS Commercial |
$1,620.73
|
| Rate for Payer: HFN Commercial |
$1,675.36
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$1,365.78
|
| Rate for Payer: Multiplan Commercial |
$1,456.83
|
| Rate for Payer: NAPHCARE Commercial |
$1,092.62
|
| Rate for Payer: Preferred Network Access Commercial |
$1,675.36
|
| Rate for Payer: Quartz Beloit One Network |
$892.31
|
| Rate for Payer: Quartz Commercial |
$1,183.68
|
| Rate for Payer: Quartz Medicare Advantage |
$1,092.62
|
| Rate for Payer: The Alliance Commercial |
$910.52
|
| Rate for Payer: WEA Trust Commercial |
$1,001.57
|
| Rate for Payer: WPS Commercial |
$1,348.80
|
|
|
SCREW 2.7 X 28MM LOW PRO ORTHOLOC SYSTEM 58812728
|
Facility
|
IP
|
$1,751.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
6200969
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$892.31 |
| Max. Negotiated Rate |
$1,675.36 |
| Rate for Payer: Aetna Commercial |
$1,638.94
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$1,566.09
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$965.15
|
| Rate for Payer: Cash Price |
$525.30
|
| Rate for Payer: Cigna Commercial |
$1,675.36
|
| Rate for Payer: Health EOS Commercial |
$1,620.73
|
| Rate for Payer: HFN Commercial |
$1,675.36
|
| Rate for Payer: Multiplan Commercial |
$1,456.83
|
| Rate for Payer: Preferred Network Access Commercial |
$1,675.36
|
| Rate for Payer: Quartz Beloit One Network |
$892.31
|
| Rate for Payer: Quartz Commercial |
$1,092.62
|
| Rate for Payer: WEA Trust Commercial |
$1,001.57
|
| Rate for Payer: WPS Commercial |
$1,348.80
|
|
|
SCREW 2.7x30 THREADED STEPPED
|
Facility
|
OP
|
$2,347.00
|
|
| Hospital Charge Code |
2966486
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$683.45 |
| Max. Negotiated Rate |
$2,245.61 |
| Rate for Payer: Aetna Commercial |
$2,196.79
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$2,099.16
|
| Rate for Payer: Aetna Managed Medicare |
$683.45
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$1,586.57
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$1,220.44
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$1,171.62
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$1,293.67
|
| Rate for Payer: Cash Price |
$704.10
|
| Rate for Payer: Cigna Commercial |
$2,245.61
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$1,365.95
|
| Rate for Payer: Health EOS Commercial |
$2,172.38
|
| Rate for Payer: HFN Commercial |
$2,245.61
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$1,830.66
|
| Rate for Payer: Multiplan Commercial |
$1,952.70
|
| Rate for Payer: NAPHCARE Commercial |
$1,464.53
|
| Rate for Payer: Preferred Network Access Commercial |
$2,245.61
|
| Rate for Payer: Quartz Beloit One Network |
$1,196.03
|
| Rate for Payer: Quartz Commercial |
$1,586.57
|
| Rate for Payer: Quartz Medicare Advantage |
$1,464.53
|
| Rate for Payer: The Alliance Commercial |
$1,220.44
|
| Rate for Payer: WEA Trust Commercial |
$1,342.48
|
| Rate for Payer: WPS Commercial |
$1,807.89
|
|
|
SCREW 2.7x30 THREADED STEPPED
|
Facility
|
IP
|
$2,347.00
|
|
| Hospital Charge Code |
2966486
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,196.03 |
| Max. Negotiated Rate |
$2,245.61 |
| Rate for Payer: Aetna Commercial |
$2,196.79
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$2,099.16
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$1,293.67
|
| Rate for Payer: Cash Price |
$704.10
|
| Rate for Payer: Cigna Commercial |
$2,245.61
|
| Rate for Payer: Health EOS Commercial |
$2,172.38
|
| Rate for Payer: HFN Commercial |
$2,245.61
|
| Rate for Payer: Multiplan Commercial |
$1,952.70
|
| Rate for Payer: Preferred Network Access Commercial |
$2,245.61
|
| Rate for Payer: Quartz Beloit One Network |
$1,196.03
|
| Rate for Payer: Quartz Commercial |
$1,464.53
|
| Rate for Payer: WEA Trust Commercial |
$1,342.48
|
| Rate for Payer: WPS Commercial |
$1,807.89
|
|
|
SCREW 3.0 DART-FIRE D1N35022S
|
Facility
|
IP
|
$3,403.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
5547329
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,734.17 |
| Max. Negotiated Rate |
$3,255.99 |
| Rate for Payer: Aetna Commercial |
$3,185.21
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$3,043.64
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$1,875.73
|
| Rate for Payer: Cash Price |
$1,020.90
|
| Rate for Payer: Cigna Commercial |
$3,255.99
|
| Rate for Payer: Health EOS Commercial |
$3,149.82
|
| Rate for Payer: HFN Commercial |
$3,255.99
|
| Rate for Payer: Multiplan Commercial |
$2,831.30
|
| Rate for Payer: Preferred Network Access Commercial |
$3,255.99
|
| Rate for Payer: Quartz Beloit One Network |
$1,734.17
|
| Rate for Payer: Quartz Commercial |
$2,123.47
|
| Rate for Payer: WEA Trust Commercial |
$1,946.52
|
| Rate for Payer: WPS Commercial |
$2,621.33
|
|
|
SCREW 3.0 DART-FIRE D1N35022S
|
Facility
|
OP
|
$3,403.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
5547329
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$990.95 |
| Max. Negotiated Rate |
$3,255.99 |
| Rate for Payer: Aetna Commercial |
$3,185.21
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$3,043.64
|
| Rate for Payer: Aetna Managed Medicare |
$990.95
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$2,300.43
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$1,769.56
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$1,698.78
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$1,875.73
|
| Rate for Payer: Cash Price |
$1,020.90
|
| Rate for Payer: Cigna Commercial |
$3,255.99
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$1,980.55
|
| Rate for Payer: Health EOS Commercial |
$3,149.82
|
| Rate for Payer: HFN Commercial |
$3,255.99
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$2,654.34
|
| Rate for Payer: Multiplan Commercial |
$2,831.30
|
| Rate for Payer: NAPHCARE Commercial |
$2,123.47
|
| Rate for Payer: Preferred Network Access Commercial |
$3,255.99
|
| Rate for Payer: Quartz Beloit One Network |
$1,734.17
|
| Rate for Payer: Quartz Commercial |
$2,300.43
|
| Rate for Payer: Quartz Medicare Advantage |
$2,123.47
|
| Rate for Payer: The Alliance Commercial |
$1,769.56
|
| Rate for Payer: WEA Trust Commercial |
$1,946.52
|
| Rate for Payer: WPS Commercial |
$2,621.33
|
|
|
SCREW 3.0x23 HEADLESS COMPRESS
|
Facility
|
OP
|
$4,269.00
|
|
| Hospital Charge Code |
2966491
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,243.13 |
| Max. Negotiated Rate |
$4,084.58 |
| Rate for Payer: Aetna Commercial |
$3,995.78
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$3,818.19
|
| Rate for Payer: Aetna Managed Medicare |
$1,243.13
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$2,885.84
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$2,219.88
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$2,131.08
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$2,353.07
|
| Rate for Payer: Cash Price |
$1,280.70
|
| Rate for Payer: Cigna Commercial |
$4,084.58
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$2,484.56
|
| Rate for Payer: Health EOS Commercial |
$3,951.39
|
| Rate for Payer: HFN Commercial |
$4,084.58
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$3,329.82
|
| Rate for Payer: Multiplan Commercial |
$3,551.81
|
| Rate for Payer: NAPHCARE Commercial |
$2,663.86
|
| Rate for Payer: Preferred Network Access Commercial |
$4,084.58
|
| Rate for Payer: Quartz Beloit One Network |
$2,175.48
|
| Rate for Payer: Quartz Commercial |
$2,885.84
|
| Rate for Payer: Quartz Medicare Advantage |
$2,663.86
|
| Rate for Payer: The Alliance Commercial |
$2,219.88
|
| Rate for Payer: WEA Trust Commercial |
$2,441.87
|
| Rate for Payer: WPS Commercial |
$3,288.41
|
|
|
SCREW 3.0x23 HEADLESS COMPRESS
|
Facility
|
IP
|
$4,269.00
|
|
| Hospital Charge Code |
2966491
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,175.48 |
| Max. Negotiated Rate |
$4,084.58 |
| Rate for Payer: Aetna Commercial |
$3,995.78
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$3,818.19
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$2,353.07
|
| Rate for Payer: Cash Price |
$1,280.70
|
| Rate for Payer: Cigna Commercial |
$4,084.58
|
| Rate for Payer: Health EOS Commercial |
$3,951.39
|
| Rate for Payer: HFN Commercial |
$4,084.58
|
| Rate for Payer: Multiplan Commercial |
$3,551.81
|
| Rate for Payer: Preferred Network Access Commercial |
$4,084.58
|
| Rate for Payer: Quartz Beloit One Network |
$2,175.48
|
| Rate for Payer: Quartz Commercial |
$2,663.86
|
| Rate for Payer: WEA Trust Commercial |
$2,441.87
|
| Rate for Payer: WPS Commercial |
$3,288.41
|
|
|
SCREW 3.0x25 HEADLESS COMPRESS
|
Facility
|
IP
|
$4,269.00
|
|
| Hospital Charge Code |
2966492
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,175.48 |
| Max. Negotiated Rate |
$4,084.58 |
| Rate for Payer: Aetna Commercial |
$3,995.78
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$3,818.19
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$2,353.07
|
| Rate for Payer: Cash Price |
$1,280.70
|
| Rate for Payer: Cigna Commercial |
$4,084.58
|
| Rate for Payer: Health EOS Commercial |
$3,951.39
|
| Rate for Payer: HFN Commercial |
$4,084.58
|
| Rate for Payer: Multiplan Commercial |
$3,551.81
|
| Rate for Payer: Preferred Network Access Commercial |
$4,084.58
|
| Rate for Payer: Quartz Beloit One Network |
$2,175.48
|
| Rate for Payer: Quartz Commercial |
$2,663.86
|
| Rate for Payer: WEA Trust Commercial |
$2,441.87
|
| Rate for Payer: WPS Commercial |
$3,288.41
|
|
|
SCREW 3.0x25 HEADLESS COMPRESS
|
Facility
|
OP
|
$4,269.00
|
|
| Hospital Charge Code |
2966492
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,243.13 |
| Max. Negotiated Rate |
$4,084.58 |
| Rate for Payer: Aetna Commercial |
$3,995.78
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$3,818.19
|
| Rate for Payer: Aetna Managed Medicare |
$1,243.13
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$2,885.84
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$2,219.88
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$2,131.08
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$2,353.07
|
| Rate for Payer: Cash Price |
$1,280.70
|
| Rate for Payer: Cigna Commercial |
$4,084.58
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$2,484.56
|
| Rate for Payer: Health EOS Commercial |
$3,951.39
|
| Rate for Payer: HFN Commercial |
$4,084.58
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$3,329.82
|
| Rate for Payer: Multiplan Commercial |
$3,551.81
|
| Rate for Payer: NAPHCARE Commercial |
$2,663.86
|
| Rate for Payer: Preferred Network Access Commercial |
$4,084.58
|
| Rate for Payer: Quartz Beloit One Network |
$2,175.48
|
| Rate for Payer: Quartz Commercial |
$2,885.84
|
| Rate for Payer: Quartz Medicare Advantage |
$2,663.86
|
| Rate for Payer: The Alliance Commercial |
$2,219.88
|
| Rate for Payer: WEA Trust Commercial |
$2,441.87
|
| Rate for Payer: WPS Commercial |
$3,288.41
|
|
|
SCREW 3.0x28 HEADLESS COMPRESS
|
Facility
|
OP
|
$4,269.00
|
|
| Hospital Charge Code |
2966493
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,243.13 |
| Max. Negotiated Rate |
$4,084.58 |
| Rate for Payer: Aetna Commercial |
$3,995.78
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$3,818.19
|
| Rate for Payer: Aetna Managed Medicare |
$1,243.13
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$2,885.84
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$2,219.88
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$2,131.08
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$2,353.07
|
| Rate for Payer: Cash Price |
$1,280.70
|
| Rate for Payer: Cigna Commercial |
$4,084.58
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$2,484.56
|
| Rate for Payer: Health EOS Commercial |
$3,951.39
|
| Rate for Payer: HFN Commercial |
$4,084.58
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$3,329.82
|
| Rate for Payer: Multiplan Commercial |
$3,551.81
|
| Rate for Payer: NAPHCARE Commercial |
$2,663.86
|
| Rate for Payer: Preferred Network Access Commercial |
$4,084.58
|
| Rate for Payer: Quartz Beloit One Network |
$2,175.48
|
| Rate for Payer: Quartz Commercial |
$2,885.84
|
| Rate for Payer: Quartz Medicare Advantage |
$2,663.86
|
| Rate for Payer: The Alliance Commercial |
$2,219.88
|
| Rate for Payer: WEA Trust Commercial |
$2,441.87
|
| Rate for Payer: WPS Commercial |
$3,288.41
|
|
|
SCREW 3.0x28 HEADLESS COMPRESS
|
Facility
|
IP
|
$4,269.00
|
|
| Hospital Charge Code |
2966493
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,175.48 |
| Max. Negotiated Rate |
$4,084.58 |
| Rate for Payer: Aetna Commercial |
$3,995.78
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$3,818.19
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$2,353.07
|
| Rate for Payer: Cash Price |
$1,280.70
|
| Rate for Payer: Cigna Commercial |
$4,084.58
|
| Rate for Payer: Health EOS Commercial |
$3,951.39
|
| Rate for Payer: HFN Commercial |
$4,084.58
|
| Rate for Payer: Multiplan Commercial |
$3,551.81
|
| Rate for Payer: Preferred Network Access Commercial |
$4,084.58
|
| Rate for Payer: Quartz Beloit One Network |
$2,175.48
|
| Rate for Payer: Quartz Commercial |
$2,663.86
|
| Rate for Payer: WEA Trust Commercial |
$2,441.87
|
| Rate for Payer: WPS Commercial |
$3,288.41
|
|
|
SCREW 3.0X30 HEADLESS COMPRESS
|
Facility
|
OP
|
$4,066.00
|
|
| Hospital Charge Code |
2966494
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,184.02 |
| Max. Negotiated Rate |
$3,890.35 |
| Rate for Payer: Aetna Commercial |
$3,805.78
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$3,636.63
|
| Rate for Payer: Aetna Managed Medicare |
$1,184.02
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$2,748.62
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$2,114.32
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$2,029.75
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$2,241.18
|
| Rate for Payer: Cash Price |
$1,219.80
|
| Rate for Payer: Cigna Commercial |
$3,890.35
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$2,366.41
|
| Rate for Payer: Health EOS Commercial |
$3,763.49
|
| Rate for Payer: HFN Commercial |
$3,890.35
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$3,171.48
|
| Rate for Payer: Multiplan Commercial |
$3,382.91
|
| Rate for Payer: NAPHCARE Commercial |
$2,537.18
|
| Rate for Payer: Preferred Network Access Commercial |
$3,890.35
|
| Rate for Payer: Quartz Beloit One Network |
$2,072.03
|
| Rate for Payer: Quartz Commercial |
$2,748.62
|
| Rate for Payer: Quartz Medicare Advantage |
$2,537.18
|
| Rate for Payer: The Alliance Commercial |
$2,114.32
|
| Rate for Payer: WEA Trust Commercial |
$2,325.75
|
| Rate for Payer: WPS Commercial |
$3,132.04
|
|
|
SCREW 3.0X30 HEADLESS COMPRESS
|
Facility
|
IP
|
$4,066.00
|
|
| Hospital Charge Code |
2966494
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,072.03 |
| Max. Negotiated Rate |
$3,890.35 |
| Rate for Payer: Aetna Commercial |
$3,805.78
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$3,636.63
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$2,241.18
|
| Rate for Payer: Cash Price |
$1,219.80
|
| Rate for Payer: Cigna Commercial |
$3,890.35
|
| Rate for Payer: Health EOS Commercial |
$3,763.49
|
| Rate for Payer: HFN Commercial |
$3,890.35
|
| Rate for Payer: Multiplan Commercial |
$3,382.91
|
| Rate for Payer: Preferred Network Access Commercial |
$3,890.35
|
| Rate for Payer: Quartz Beloit One Network |
$2,072.03
|
| Rate for Payer: Quartz Commercial |
$2,537.18
|
| Rate for Payer: WEA Trust Commercial |
$2,325.75
|
| Rate for Payer: WPS Commercial |
$3,132.04
|
|
|
SCREW 3.5 X 10 CORT 30-0256
|
Facility
|
IP
|
$1,708.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
4595317
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$870.40 |
| Max. Negotiated Rate |
$1,634.21 |
| Rate for Payer: Aetna Commercial |
$1,598.69
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$1,527.64
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$941.45
|
| Rate for Payer: Cash Price |
$512.40
|
| Rate for Payer: Cigna Commercial |
$1,634.21
|
| Rate for Payer: Health EOS Commercial |
$1,580.92
|
| Rate for Payer: HFN Commercial |
$1,634.21
|
| Rate for Payer: Multiplan Commercial |
$1,421.06
|
| Rate for Payer: Preferred Network Access Commercial |
$1,634.21
|
| Rate for Payer: Quartz Beloit One Network |
$870.40
|
| Rate for Payer: Quartz Commercial |
$1,065.79
|
| Rate for Payer: WEA Trust Commercial |
$976.98
|
| Rate for Payer: WPS Commercial |
$1,315.67
|
|
|
SCREW 3.5 X 10 CORT 30-0256
|
Facility
|
OP
|
$1,708.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
4595317
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$497.37 |
| Max. Negotiated Rate |
$1,634.21 |
| Rate for Payer: Aetna Commercial |
$1,598.69
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$1,527.64
|
| Rate for Payer: Aetna Managed Medicare |
$497.37
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$1,154.61
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$888.16
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$852.63
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$941.45
|
| Rate for Payer: Cash Price |
$512.40
|
| Rate for Payer: Cigna Commercial |
$1,634.21
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$994.06
|
| Rate for Payer: Health EOS Commercial |
$1,580.92
|
| Rate for Payer: HFN Commercial |
$1,634.21
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$1,332.24
|
| Rate for Payer: Multiplan Commercial |
$1,421.06
|
| Rate for Payer: NAPHCARE Commercial |
$1,065.79
|
| Rate for Payer: Preferred Network Access Commercial |
$1,634.21
|
| Rate for Payer: Quartz Beloit One Network |
$870.40
|
| Rate for Payer: Quartz Commercial |
$1,154.61
|
| Rate for Payer: Quartz Medicare Advantage |
$1,065.79
|
| Rate for Payer: The Alliance Commercial |
$888.16
|
| Rate for Payer: WEA Trust Commercial |
$976.98
|
| Rate for Payer: WPS Commercial |
$1,315.67
|
|
|
SCREW 3.5 X 10 LOCK 30-0233
|
Facility
|
IP
|
$2,386.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
3297466
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,215.91 |
| Max. Negotiated Rate |
$2,282.92 |
| Rate for Payer: Aetna Commercial |
$2,233.30
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$2,134.04
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$1,315.16
|
| Rate for Payer: Cash Price |
$715.80
|
| Rate for Payer: Cigna Commercial |
$2,282.92
|
| Rate for Payer: Health EOS Commercial |
$2,208.48
|
| Rate for Payer: HFN Commercial |
$2,282.92
|
| Rate for Payer: Multiplan Commercial |
$1,985.15
|
| Rate for Payer: Preferred Network Access Commercial |
$2,282.92
|
| Rate for Payer: Quartz Beloit One Network |
$1,215.91
|
| Rate for Payer: Quartz Commercial |
$1,488.86
|
| Rate for Payer: WEA Trust Commercial |
$1,364.79
|
| Rate for Payer: WPS Commercial |
$1,837.94
|
|
|
SCREW 3.5 X 10 LOCK 30-0233
|
Facility
|
OP
|
$2,386.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
3297466
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$694.80 |
| Max. Negotiated Rate |
$2,282.92 |
| Rate for Payer: Aetna Commercial |
$2,233.30
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$2,134.04
|
| Rate for Payer: Aetna Managed Medicare |
$694.80
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$1,612.94
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$1,240.72
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$1,191.09
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$1,315.16
|
| Rate for Payer: Cash Price |
$715.80
|
| Rate for Payer: Cigna Commercial |
$2,282.92
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$1,388.65
|
| Rate for Payer: Health EOS Commercial |
$2,208.48
|
| Rate for Payer: HFN Commercial |
$2,282.92
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$1,861.08
|
| Rate for Payer: Multiplan Commercial |
$1,985.15
|
| Rate for Payer: NAPHCARE Commercial |
$1,488.86
|
| Rate for Payer: Preferred Network Access Commercial |
$2,282.92
|
| Rate for Payer: Quartz Beloit One Network |
$1,215.91
|
| Rate for Payer: Quartz Commercial |
$1,612.94
|
| Rate for Payer: Quartz Medicare Advantage |
$1,488.86
|
| Rate for Payer: The Alliance Commercial |
$1,240.72
|
| Rate for Payer: WEA Trust Commercial |
$1,364.79
|
| Rate for Payer: WPS Commercial |
$1,837.94
|
|
|
SCREW 3.5 X 10 LOCKING
|
Facility
|
OP
|
$1,777.00
|
|
| Hospital Charge Code |
2967392
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$517.46 |
| Max. Negotiated Rate |
$1,700.23 |
| Rate for Payer: Aetna Commercial |
$1,663.27
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$1,589.35
|
| Rate for Payer: Aetna Managed Medicare |
$517.46
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$1,201.25
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$924.04
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$887.08
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$979.48
|
| Rate for Payer: Cash Price |
$533.10
|
| Rate for Payer: Cigna Commercial |
$1,700.23
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$1,034.21
|
| Rate for Payer: Health EOS Commercial |
$1,644.79
|
| Rate for Payer: HFN Commercial |
$1,700.23
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$1,386.06
|
| Rate for Payer: Multiplan Commercial |
$1,478.46
|
| Rate for Payer: NAPHCARE Commercial |
$1,108.85
|
| Rate for Payer: Preferred Network Access Commercial |
$1,700.23
|
| Rate for Payer: Quartz Beloit One Network |
$905.56
|
| Rate for Payer: Quartz Commercial |
$1,201.25
|
| Rate for Payer: Quartz Medicare Advantage |
$1,108.85
|
| Rate for Payer: The Alliance Commercial |
$924.04
|
| Rate for Payer: WEA Trust Commercial |
$1,016.44
|
| Rate for Payer: WPS Commercial |
$1,368.82
|
|
