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Service Code HCPCS C1894
Hospital Charge Code 2970777
Hospital Revenue Code 272
Min. Negotiated Rate $93.10
Max. Negotiated Rate $174.80
Rate for Payer: Aetna Commercial $171.00
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $163.40
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $100.70
Rate for Payer: Cash Price $57.00
Rate for Payer: Cigna Commercial $174.80
Rate for Payer: Health EOS Commercial $169.10
Rate for Payer: HFN Commercial $174.80
Rate for Payer: Multiplan Commercial $152.00
Rate for Payer: NAPHCARE Commercial $114.00
Rate for Payer: Preferred Network Access Commercial $174.80
Rate for Payer: Quartz Beloit One Network $93.10
Rate for Payer: Quartz Commercial $114.00
Rate for Payer: WEA Trust Commercial $104.50
Rate for Payer: WPS Commercial $140.73
Service Code HCPCS C1894
Hospital Charge Code 2970777
Hospital Revenue Code 272
Min. Negotiated Rate $53.20
Max. Negotiated Rate $760.00
Rate for Payer: Aetna Commercial $171.00
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $163.40
Rate for Payer: Aetna Managed Medicare $53.20
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $123.50
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $95.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $91.20
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $100.70
Rate for Payer: Cash Price $57.00
Rate for Payer: Cigna Commercial $174.80
Rate for Payer: Dean Health DHI/DHP/ASO $106.32
Rate for Payer: Health EOS Commercial $169.10
Rate for Payer: HFN Commercial $174.80
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $142.50
Rate for Payer: Multiplan Commercial $152.00
Rate for Payer: NAPHCARE Commercial $114.00
Rate for Payer: Preferred Network Access Commercial $174.80
Rate for Payer: Quartz Beloit One Network $93.10
Rate for Payer: Quartz Commercial $123.50
Rate for Payer: Quartz Medicare Advantage $114.00
Rate for Payer: The Alliance Commercial $760.00
Rate for Payer: WEA Trust Commercial $104.50
Rate for Payer: WPS Commercial $140.73
Service Code HCPCS C1894
Hospital Charge Code 6201007
Hospital Revenue Code 272
Min. Negotiated Rate $53.20
Max. Negotiated Rate $760.00
Rate for Payer: Aetna Commercial $171.00
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $163.40
Rate for Payer: Aetna Managed Medicare $53.20
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $123.50
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $95.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $91.20
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $100.70
Rate for Payer: Cash Price $57.00
Rate for Payer: Cigna Commercial $174.80
Rate for Payer: Dean Health DHI/DHP/ASO $106.32
Rate for Payer: Health EOS Commercial $169.10
Rate for Payer: HFN Commercial $174.80
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $142.50
Rate for Payer: Multiplan Commercial $152.00
Rate for Payer: NAPHCARE Commercial $114.00
Rate for Payer: Preferred Network Access Commercial $174.80
Rate for Payer: Quartz Beloit One Network $93.10
Rate for Payer: Quartz Commercial $123.50
Rate for Payer: Quartz Medicare Advantage $114.00
Rate for Payer: The Alliance Commercial $760.00
Rate for Payer: WEA Trust Commercial $104.50
Rate for Payer: WPS Commercial $140.73
Service Code HCPCS C1894
Hospital Charge Code 6201007
Hospital Revenue Code 272
Min. Negotiated Rate $93.10
Max. Negotiated Rate $174.80
Rate for Payer: Aetna Commercial $171.00
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $163.40
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $100.70
Rate for Payer: Cash Price $57.00
Rate for Payer: Cigna Commercial $174.80
Rate for Payer: Health EOS Commercial $169.10
Rate for Payer: HFN Commercial $174.80
Rate for Payer: Multiplan Commercial $152.00
Rate for Payer: NAPHCARE Commercial $114.00
Rate for Payer: Preferred Network Access Commercial $174.80
Rate for Payer: Quartz Beloit One Network $93.10
Rate for Payer: Quartz Commercial $114.00
Rate for Payer: WEA Trust Commercial $104.50
Rate for Payer: WPS Commercial $140.73
Service Code HCPCS C1894
Hospital Charge Code 6201010
Hospital Revenue Code 272
Min. Negotiated Rate $53.20
Max. Negotiated Rate $760.00
Rate for Payer: Aetna Commercial $171.00
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $163.40
Rate for Payer: Aetna Managed Medicare $53.20
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $123.50
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $95.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $91.20
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $100.70
Rate for Payer: Cash Price $57.00
Rate for Payer: Cigna Commercial $174.80
Rate for Payer: Dean Health DHI/DHP/ASO $106.32
Rate for Payer: Health EOS Commercial $169.10
Rate for Payer: HFN Commercial $174.80
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $142.50
Rate for Payer: Multiplan Commercial $152.00
Rate for Payer: NAPHCARE Commercial $114.00
Rate for Payer: Preferred Network Access Commercial $174.80
Rate for Payer: Quartz Beloit One Network $93.10
Rate for Payer: Quartz Commercial $123.50
Rate for Payer: Quartz Medicare Advantage $114.00
Rate for Payer: The Alliance Commercial $760.00
Rate for Payer: WEA Trust Commercial $104.50
Rate for Payer: WPS Commercial $140.73
Service Code HCPCS C1894
Hospital Charge Code 6201010
Hospital Revenue Code 272
Min. Negotiated Rate $93.10
Max. Negotiated Rate $174.80
Rate for Payer: Aetna Commercial $171.00
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $163.40
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $100.70
Rate for Payer: Cash Price $57.00
Rate for Payer: Cigna Commercial $174.80
Rate for Payer: Health EOS Commercial $169.10
Rate for Payer: HFN Commercial $174.80
Rate for Payer: Multiplan Commercial $152.00
Rate for Payer: NAPHCARE Commercial $114.00
Rate for Payer: Preferred Network Access Commercial $174.80
Rate for Payer: Quartz Beloit One Network $93.10
Rate for Payer: Quartz Commercial $114.00
Rate for Payer: WEA Trust Commercial $104.50
Rate for Payer: WPS Commercial $140.73
Service Code HCPCS C1894
Hospital Charge Code 6201012
Hospital Revenue Code 272
Min. Negotiated Rate $93.10
Max. Negotiated Rate $174.80
Rate for Payer: Aetna Commercial $171.00
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $163.40
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $100.70
Rate for Payer: Cash Price $57.00
Rate for Payer: Cigna Commercial $174.80
Rate for Payer: Health EOS Commercial $169.10
Rate for Payer: HFN Commercial $174.80
Rate for Payer: Multiplan Commercial $152.00
Rate for Payer: NAPHCARE Commercial $114.00
Rate for Payer: Preferred Network Access Commercial $174.80
Rate for Payer: Quartz Beloit One Network $93.10
Rate for Payer: Quartz Commercial $114.00
Rate for Payer: WEA Trust Commercial $104.50
Rate for Payer: WPS Commercial $140.73
Service Code HCPCS C1894
Hospital Charge Code 6201012
Hospital Revenue Code 272
Min. Negotiated Rate $53.20
Max. Negotiated Rate $760.00
Rate for Payer: Aetna Commercial $171.00
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $163.40
Rate for Payer: Aetna Managed Medicare $53.20
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $123.50
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $95.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $91.20
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $100.70
Rate for Payer: Cash Price $57.00
Rate for Payer: Cigna Commercial $174.80
Rate for Payer: Dean Health DHI/DHP/ASO $106.32
Rate for Payer: Health EOS Commercial $169.10
Rate for Payer: HFN Commercial $174.80
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $142.50
Rate for Payer: Multiplan Commercial $152.00
Rate for Payer: NAPHCARE Commercial $114.00
Rate for Payer: Preferred Network Access Commercial $174.80
Rate for Payer: Quartz Beloit One Network $93.10
Rate for Payer: Quartz Commercial $123.50
Rate for Payer: Quartz Medicare Advantage $114.00
Rate for Payer: The Alliance Commercial $760.00
Rate for Payer: WEA Trust Commercial $104.50
Rate for Payer: WPS Commercial $140.73
Service Code HCPCS C1894
Hospital Charge Code 6201013
Hospital Revenue Code 272
Min. Negotiated Rate $53.20
Max. Negotiated Rate $760.00
Rate for Payer: Aetna Commercial $171.00
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $163.40
Rate for Payer: Aetna Managed Medicare $53.20
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $123.50
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $95.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $91.20
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $100.70
Rate for Payer: Cash Price $57.00
Rate for Payer: Cigna Commercial $174.80
Rate for Payer: Dean Health DHI/DHP/ASO $106.32
Rate for Payer: Health EOS Commercial $169.10
Rate for Payer: HFN Commercial $174.80
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $142.50
Rate for Payer: Multiplan Commercial $152.00
Rate for Payer: NAPHCARE Commercial $114.00
Rate for Payer: Preferred Network Access Commercial $174.80
Rate for Payer: Quartz Beloit One Network $93.10
Rate for Payer: Quartz Commercial $123.50
Rate for Payer: Quartz Medicare Advantage $114.00
Rate for Payer: The Alliance Commercial $760.00
Rate for Payer: WEA Trust Commercial $104.50
Rate for Payer: WPS Commercial $140.73
Service Code HCPCS C1894
Hospital Charge Code 6201013
Hospital Revenue Code 272
Min. Negotiated Rate $93.10
Max. Negotiated Rate $174.80
Rate for Payer: Aetna Commercial $171.00
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $163.40
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $100.70
Rate for Payer: Cash Price $57.00
Rate for Payer: Cigna Commercial $174.80
Rate for Payer: Health EOS Commercial $169.10
Rate for Payer: HFN Commercial $174.80
Rate for Payer: Multiplan Commercial $152.00
Rate for Payer: NAPHCARE Commercial $114.00
Rate for Payer: Preferred Network Access Commercial $174.80
Rate for Payer: Quartz Beloit One Network $93.10
Rate for Payer: Quartz Commercial $114.00
Rate for Payer: WEA Trust Commercial $104.50
Rate for Payer: WPS Commercial $140.73
Service Code HCPCS C1894
Hospital Charge Code 6201008
Hospital Revenue Code 272
Min. Negotiated Rate $166.11
Max. Negotiated Rate $311.88
Rate for Payer: Aetna Commercial $305.10
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $291.54
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $179.67
Rate for Payer: Cash Price $101.70
Rate for Payer: Cigna Commercial $311.88
Rate for Payer: Health EOS Commercial $301.71
Rate for Payer: HFN Commercial $311.88
Rate for Payer: Multiplan Commercial $271.20
Rate for Payer: NAPHCARE Commercial $203.40
Rate for Payer: Preferred Network Access Commercial $311.88
Rate for Payer: Quartz Beloit One Network $166.11
Rate for Payer: Quartz Commercial $203.40
Rate for Payer: WEA Trust Commercial $186.45
Rate for Payer: WPS Commercial $251.10
Service Code HCPCS C1894
Hospital Charge Code 6201008
Hospital Revenue Code 272
Min. Negotiated Rate $94.92
Max. Negotiated Rate $1,356.00
Rate for Payer: Aetna Commercial $305.10
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $291.54
Rate for Payer: Aetna Managed Medicare $94.92
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $220.35
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $169.50
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $162.72
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $179.67
Rate for Payer: Cash Price $101.70
Rate for Payer: Cigna Commercial $311.88
Rate for Payer: Dean Health DHI/DHP/ASO $189.70
Rate for Payer: Health EOS Commercial $301.71
Rate for Payer: HFN Commercial $311.88
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $254.25
Rate for Payer: Multiplan Commercial $271.20
Rate for Payer: NAPHCARE Commercial $203.40
Rate for Payer: Preferred Network Access Commercial $311.88
Rate for Payer: Quartz Beloit One Network $166.11
Rate for Payer: Quartz Commercial $220.35
Rate for Payer: Quartz Medicare Advantage $203.40
Rate for Payer: The Alliance Commercial $1,356.00
Rate for Payer: WEA Trust Commercial $186.45
Rate for Payer: WPS Commercial $251.10
Service Code HCPCS C1894
Hospital Charge Code 2550844
Hospital Revenue Code 272
Min. Negotiated Rate $141.24
Max. Negotiated Rate $304.95
Rate for Payer: Aetna Commercial $304.95
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $276.06
Rate for Payer: Cash Price $96.30
Rate for Payer: Cigna Commercial $304.95
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $160.50
Rate for Payer: Dean Health DHI/DHP/ASO $192.60
Rate for Payer: Health EOS Commercial $292.11
Rate for Payer: HFN Commercial $304.95
Rate for Payer: Multiplan Commercial $256.80
Rate for Payer: Preferred Network Access Commercial $304.95
Rate for Payer: Quartz Beloit One Network $141.24
Rate for Payer: Quartz Commercial $182.97
Rate for Payer: The Alliance Commercial $160.50
Rate for Payer: WEA Trust Commercial $176.55
Rate for Payer: WPS Commercial $237.76
Service Code HCPCS C1894
Hospital Charge Code 2550844
Hospital Revenue Code 272
Min. Negotiated Rate $157.29
Max. Negotiated Rate $295.32
Rate for Payer: Aetna Commercial $288.90
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $276.06
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $170.13
Rate for Payer: Cash Price $96.30
Rate for Payer: Cigna Commercial $295.32
Rate for Payer: Health EOS Commercial $285.69
Rate for Payer: HFN Commercial $295.32
Rate for Payer: Multiplan Commercial $256.80
Rate for Payer: NAPHCARE Commercial $192.60
Rate for Payer: Preferred Network Access Commercial $295.32
Rate for Payer: Quartz Beloit One Network $157.29
Rate for Payer: Quartz Commercial $192.60
Rate for Payer: WEA Trust Commercial $176.55
Rate for Payer: WPS Commercial $237.76
Service Code HCPCS C1894
Hospital Charge Code 2550844
Hospital Revenue Code 272
Min. Negotiated Rate $89.88
Max. Negotiated Rate $1,284.00
Rate for Payer: Aetna Commercial $288.90
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $276.06
Rate for Payer: Aetna Managed Medicare $89.88
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $208.65
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $160.50
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $154.08
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $170.13
Rate for Payer: Cash Price $96.30
Rate for Payer: Cigna Commercial $295.32
Rate for Payer: Dean Health DHI/DHP/ASO $179.63
Rate for Payer: Health EOS Commercial $285.69
Rate for Payer: HFN Commercial $295.32
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $240.75
Rate for Payer: Multiplan Commercial $256.80
Rate for Payer: NAPHCARE Commercial $192.60
Rate for Payer: Preferred Network Access Commercial $295.32
Rate for Payer: Quartz Beloit One Network $157.29
Rate for Payer: Quartz Commercial $208.65
Rate for Payer: Quartz Medicare Advantage $192.60
Rate for Payer: The Alliance Commercial $1,284.00
Rate for Payer: WEA Trust Commercial $176.55
Rate for Payer: WPS Commercial $237.76
Service Code HCPCS C1894
Hospital Charge Code 2550852
Hospital Revenue Code 272
Min. Negotiated Rate $157.29
Max. Negotiated Rate $295.32
Rate for Payer: Aetna Commercial $288.90
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $276.06
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $170.13
Rate for Payer: Cash Price $96.30
Rate for Payer: Cigna Commercial $295.32
Rate for Payer: Health EOS Commercial $285.69
Rate for Payer: HFN Commercial $295.32
Rate for Payer: Multiplan Commercial $256.80
Rate for Payer: NAPHCARE Commercial $192.60
Rate for Payer: Preferred Network Access Commercial $295.32
Rate for Payer: Quartz Beloit One Network $157.29
Rate for Payer: Quartz Commercial $192.60
Rate for Payer: WEA Trust Commercial $176.55
Rate for Payer: WPS Commercial $237.76
Service Code HCPCS C1894
Hospital Charge Code 2550852
Hospital Revenue Code 272
Min. Negotiated Rate $141.24
Max. Negotiated Rate $304.95
Rate for Payer: Aetna Commercial $304.95
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $276.06
Rate for Payer: Cash Price $96.30
Rate for Payer: Cigna Commercial $304.95
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $160.50
Rate for Payer: Dean Health DHI/DHP/ASO $192.60
Rate for Payer: Health EOS Commercial $292.11
Rate for Payer: HFN Commercial $304.95
Rate for Payer: Multiplan Commercial $256.80
Rate for Payer: Preferred Network Access Commercial $304.95
Rate for Payer: Quartz Beloit One Network $141.24
Rate for Payer: Quartz Commercial $182.97
Rate for Payer: The Alliance Commercial $160.50
Rate for Payer: WEA Trust Commercial $176.55
Rate for Payer: WPS Commercial $237.76
Service Code HCPCS C1894
Hospital Charge Code 2550852
Hospital Revenue Code 272
Min. Negotiated Rate $89.88
Max. Negotiated Rate $1,284.00
Rate for Payer: Aetna Commercial $288.90
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $276.06
Rate for Payer: Aetna Managed Medicare $89.88
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $208.65
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $160.50
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $154.08
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $170.13
Rate for Payer: Cash Price $96.30
Rate for Payer: Cigna Commercial $295.32
Rate for Payer: Dean Health DHI/DHP/ASO $179.63
Rate for Payer: Health EOS Commercial $285.69
Rate for Payer: HFN Commercial $295.32
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $240.75
Rate for Payer: Multiplan Commercial $256.80
Rate for Payer: NAPHCARE Commercial $192.60
Rate for Payer: Preferred Network Access Commercial $295.32
Rate for Payer: Quartz Beloit One Network $157.29
Rate for Payer: Quartz Commercial $208.65
Rate for Payer: Quartz Medicare Advantage $192.60
Rate for Payer: The Alliance Commercial $1,284.00
Rate for Payer: WEA Trust Commercial $176.55
Rate for Payer: WPS Commercial $237.76
Service Code HCPCS C1894
Hospital Charge Code 2550846
Hospital Revenue Code 272
Min. Negotiated Rate $141.24
Max. Negotiated Rate $304.95
Rate for Payer: Aetna Commercial $304.95
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $276.06
Rate for Payer: Cash Price $96.30
Rate for Payer: Cigna Commercial $304.95
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $160.50
Rate for Payer: Dean Health DHI/DHP/ASO $192.60
Rate for Payer: Health EOS Commercial $292.11
Rate for Payer: HFN Commercial $304.95
Rate for Payer: Multiplan Commercial $256.80
Rate for Payer: Preferred Network Access Commercial $304.95
Rate for Payer: Quartz Beloit One Network $141.24
Rate for Payer: Quartz Commercial $182.97
Rate for Payer: The Alliance Commercial $160.50
Rate for Payer: WEA Trust Commercial $176.55
Rate for Payer: WPS Commercial $237.76
Service Code HCPCS C1894
Hospital Charge Code 2550846
Hospital Revenue Code 272
Min. Negotiated Rate $89.88
Max. Negotiated Rate $1,284.00
Rate for Payer: Aetna Commercial $288.90
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $276.06
Rate for Payer: Aetna Managed Medicare $89.88
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $208.65
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $160.50
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $154.08
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $170.13
Rate for Payer: Cash Price $96.30
Rate for Payer: Cigna Commercial $295.32
Rate for Payer: Dean Health DHI/DHP/ASO $179.63
Rate for Payer: Health EOS Commercial $285.69
Rate for Payer: HFN Commercial $295.32
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $240.75
Rate for Payer: Multiplan Commercial $256.80
Rate for Payer: NAPHCARE Commercial $192.60
Rate for Payer: Preferred Network Access Commercial $295.32
Rate for Payer: Quartz Beloit One Network $157.29
Rate for Payer: Quartz Commercial $208.65
Rate for Payer: Quartz Medicare Advantage $192.60
Rate for Payer: The Alliance Commercial $1,284.00
Rate for Payer: WEA Trust Commercial $176.55
Rate for Payer: WPS Commercial $237.76
Service Code HCPCS C1894
Hospital Charge Code 2550846
Hospital Revenue Code 272
Min. Negotiated Rate $157.29
Max. Negotiated Rate $295.32
Rate for Payer: Aetna Commercial $288.90
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $276.06
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $170.13
Rate for Payer: Cash Price $96.30
Rate for Payer: Cigna Commercial $295.32
Rate for Payer: Health EOS Commercial $285.69
Rate for Payer: HFN Commercial $295.32
Rate for Payer: Multiplan Commercial $256.80
Rate for Payer: NAPHCARE Commercial $192.60
Rate for Payer: Preferred Network Access Commercial $295.32
Rate for Payer: Quartz Beloit One Network $157.29
Rate for Payer: Quartz Commercial $192.60
Rate for Payer: WEA Trust Commercial $176.55
Rate for Payer: WPS Commercial $237.76
Service Code HCPCS C1894
Hospital Charge Code 2550854
Hospital Revenue Code 272
Min. Negotiated Rate $89.88
Max. Negotiated Rate $1,284.00
Rate for Payer: Aetna Commercial $288.90
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $276.06
Rate for Payer: Aetna Managed Medicare $89.88
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $208.65
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $160.50
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $154.08
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $170.13
Rate for Payer: Cash Price $96.30
Rate for Payer: Cigna Commercial $295.32
Rate for Payer: Dean Health DHI/DHP/ASO $179.63
Rate for Payer: Health EOS Commercial $285.69
Rate for Payer: HFN Commercial $295.32
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $240.75
Rate for Payer: Multiplan Commercial $256.80
Rate for Payer: NAPHCARE Commercial $192.60
Rate for Payer: Preferred Network Access Commercial $295.32
Rate for Payer: Quartz Beloit One Network $157.29
Rate for Payer: Quartz Commercial $208.65
Rate for Payer: Quartz Medicare Advantage $192.60
Rate for Payer: The Alliance Commercial $1,284.00
Rate for Payer: WEA Trust Commercial $176.55
Rate for Payer: WPS Commercial $237.76
Service Code HCPCS C1894
Hospital Charge Code 2550854
Hospital Revenue Code 272
Min. Negotiated Rate $141.24
Max. Negotiated Rate $304.95
Rate for Payer: Aetna Commercial $304.95
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $276.06
Rate for Payer: Cash Price $96.30
Rate for Payer: Cigna Commercial $304.95
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $160.50
Rate for Payer: Dean Health DHI/DHP/ASO $192.60
Rate for Payer: Health EOS Commercial $292.11
Rate for Payer: HFN Commercial $304.95
Rate for Payer: Multiplan Commercial $256.80
Rate for Payer: Preferred Network Access Commercial $304.95
Rate for Payer: Quartz Beloit One Network $141.24
Rate for Payer: Quartz Commercial $182.97
Rate for Payer: The Alliance Commercial $160.50
Rate for Payer: WEA Trust Commercial $176.55
Rate for Payer: WPS Commercial $237.76
Service Code HCPCS C1894
Hospital Charge Code 2550854
Hospital Revenue Code 272
Min. Negotiated Rate $157.29
Max. Negotiated Rate $295.32
Rate for Payer: Aetna Commercial $288.90
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $276.06
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $170.13
Rate for Payer: Cash Price $96.30
Rate for Payer: Cigna Commercial $295.32
Rate for Payer: Health EOS Commercial $285.69
Rate for Payer: HFN Commercial $295.32
Rate for Payer: Multiplan Commercial $256.80
Rate for Payer: NAPHCARE Commercial $192.60
Rate for Payer: Preferred Network Access Commercial $295.32
Rate for Payer: Quartz Beloit One Network $157.29
Rate for Payer: Quartz Commercial $192.60
Rate for Payer: WEA Trust Commercial $176.55
Rate for Payer: WPS Commercial $237.76
Service Code HCPCS C1894
Hospital Charge Code 2550848
Hospital Revenue Code 272
Min. Negotiated Rate $89.88
Max. Negotiated Rate $1,284.00
Rate for Payer: Aetna Commercial $288.90
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $276.06
Rate for Payer: Aetna Managed Medicare $89.88
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $208.65
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $160.50
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $154.08
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $170.13
Rate for Payer: Cash Price $96.30
Rate for Payer: Cigna Commercial $295.32
Rate for Payer: Dean Health DHI/DHP/ASO $179.63
Rate for Payer: Health EOS Commercial $285.69
Rate for Payer: HFN Commercial $295.32
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $240.75
Rate for Payer: Multiplan Commercial $256.80
Rate for Payer: NAPHCARE Commercial $192.60
Rate for Payer: Preferred Network Access Commercial $295.32
Rate for Payer: Quartz Beloit One Network $157.29
Rate for Payer: Quartz Commercial $208.65
Rate for Payer: Quartz Medicare Advantage $192.60
Rate for Payer: The Alliance Commercial $1,284.00
Rate for Payer: WEA Trust Commercial $176.55
Rate for Payer: WPS Commercial $237.76