|
STEADY STRIDER ANTERIOR AFO
|
Facility
|
OP
|
$470.00
|
|
| Hospital Charge Code |
2971276
|
|
Hospital Revenue Code
|
271
|
| Min. Negotiated Rate |
$136.86 |
| Max. Negotiated Rate |
$449.70 |
| Rate for Payer: Aetna Commercial |
$439.92
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$420.37
|
| Rate for Payer: Aetna Managed Medicare |
$136.86
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$317.72
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$244.40
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$234.62
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$259.06
|
| Rate for Payer: Cash Price |
$141.00
|
| Rate for Payer: Cigna Commercial |
$449.70
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$273.54
|
| Rate for Payer: Health EOS Commercial |
$435.03
|
| Rate for Payer: HFN Commercial |
$449.70
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$366.60
|
| Rate for Payer: Multiplan Commercial |
$391.04
|
| Rate for Payer: NAPHCARE Commercial |
$293.28
|
| Rate for Payer: Preferred Network Access Commercial |
$449.70
|
| Rate for Payer: Quartz Beloit One Network |
$239.51
|
| Rate for Payer: Quartz Commercial |
$317.72
|
| Rate for Payer: Quartz Medicare Advantage |
$293.28
|
| Rate for Payer: The Alliance Commercial |
$244.40
|
| Rate for Payer: WEA Trust Commercial |
$268.84
|
| Rate for Payer: WPS Commercial |
$362.04
|
|
|
STEADY STRIDER ANTERIOR AFO
|
Facility
|
IP
|
$470.00
|
|
| Hospital Charge Code |
2971276
|
|
Hospital Revenue Code
|
271
|
| Min. Negotiated Rate |
$239.51 |
| Max. Negotiated Rate |
$449.70 |
| Rate for Payer: Aetna Commercial |
$439.92
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$420.37
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$259.06
|
| Rate for Payer: Cash Price |
$141.00
|
| Rate for Payer: Cigna Commercial |
$449.70
|
| Rate for Payer: Health EOS Commercial |
$435.03
|
| Rate for Payer: HFN Commercial |
$449.70
|
| Rate for Payer: Multiplan Commercial |
$391.04
|
| Rate for Payer: Preferred Network Access Commercial |
$449.70
|
| Rate for Payer: Quartz Beloit One Network |
$239.51
|
| Rate for Payer: Quartz Commercial |
$293.28
|
| Rate for Payer: WEA Trust Commercial |
$268.84
|
| Rate for Payer: WPS Commercial |
$362.04
|
|
|
STEINMANN PIN 3.2MM X 9 IN 110003484
|
Facility
|
IP
|
$1,552.00
|
|
|
Service Code
|
HCPCS C1769
|
| Hospital Charge Code |
6165984
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$790.90 |
| Max. Negotiated Rate |
$1,484.95 |
| Rate for Payer: Aetna Commercial |
$1,452.67
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$1,388.11
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$855.46
|
| Rate for Payer: Cash Price |
$465.60
|
| Rate for Payer: Cigna Commercial |
$1,484.95
|
| Rate for Payer: Health EOS Commercial |
$1,436.53
|
| Rate for Payer: HFN Commercial |
$1,484.95
|
| Rate for Payer: Multiplan Commercial |
$1,291.26
|
| Rate for Payer: Preferred Network Access Commercial |
$1,484.95
|
| Rate for Payer: Quartz Beloit One Network |
$790.90
|
| Rate for Payer: Quartz Commercial |
$968.45
|
| Rate for Payer: WEA Trust Commercial |
$887.74
|
| Rate for Payer: WPS Commercial |
$1,195.51
|
|
|
STEINMANN PIN 3.2MM X 9 IN 110003484
|
Facility
|
OP
|
$1,552.00
|
|
|
Service Code
|
HCPCS C1769
|
| Hospital Charge Code |
6165984
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$451.94 |
| Max. Negotiated Rate |
$1,484.95 |
| Rate for Payer: Aetna Commercial |
$1,452.67
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$1,388.11
|
| Rate for Payer: Aetna Managed Medicare |
$451.94
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$1,049.15
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$807.04
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$774.76
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$855.46
|
| Rate for Payer: Cash Price |
$465.60
|
| Rate for Payer: Cigna Commercial |
$1,484.95
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$903.26
|
| Rate for Payer: Health EOS Commercial |
$1,436.53
|
| Rate for Payer: HFN Commercial |
$1,484.95
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$1,210.56
|
| Rate for Payer: Multiplan Commercial |
$1,291.26
|
| Rate for Payer: NAPHCARE Commercial |
$968.45
|
| Rate for Payer: Preferred Network Access Commercial |
$1,484.95
|
| Rate for Payer: Quartz Beloit One Network |
$790.90
|
| Rate for Payer: Quartz Commercial |
$1,049.15
|
| Rate for Payer: Quartz Medicare Advantage |
$968.45
|
| Rate for Payer: The Alliance Commercial |
$807.04
|
| Rate for Payer: WEA Trust Commercial |
$887.74
|
| Rate for Payer: WPS Commercial |
$1,195.51
|
|
|
STEINMANN PIN COMPREHENSIVE REVERSE SHOULDER THREADED TIP 405800
|
Facility
|
IP
|
$1,618.00
|
|
|
Service Code
|
HCPCS C1769
|
| Hospital Charge Code |
6165988
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$824.53 |
| Max. Negotiated Rate |
$1,548.10 |
| Rate for Payer: Aetna Commercial |
$1,514.45
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$1,447.14
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$891.84
|
| Rate for Payer: Cash Price |
$485.40
|
| Rate for Payer: Cigna Commercial |
$1,548.10
|
| Rate for Payer: Health EOS Commercial |
$1,497.62
|
| Rate for Payer: HFN Commercial |
$1,548.10
|
| Rate for Payer: Multiplan Commercial |
$1,346.18
|
| Rate for Payer: Preferred Network Access Commercial |
$1,548.10
|
| Rate for Payer: Quartz Beloit One Network |
$824.53
|
| Rate for Payer: Quartz Commercial |
$1,009.63
|
| Rate for Payer: WEA Trust Commercial |
$925.50
|
| Rate for Payer: WPS Commercial |
$1,246.35
|
|
|
STEINMANN PIN COMPREHENSIVE REVERSE SHOULDER THREADED TIP 405800
|
Facility
|
OP
|
$1,618.00
|
|
|
Service Code
|
HCPCS C1769
|
| Hospital Charge Code |
6165988
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$471.16 |
| Max. Negotiated Rate |
$1,548.10 |
| Rate for Payer: Aetna Commercial |
$1,514.45
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$1,447.14
|
| Rate for Payer: Aetna Managed Medicare |
$471.16
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$1,093.77
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$841.36
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$807.71
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$891.84
|
| Rate for Payer: Cash Price |
$485.40
|
| Rate for Payer: Cigna Commercial |
$1,548.10
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$941.68
|
| Rate for Payer: Health EOS Commercial |
$1,497.62
|
| Rate for Payer: HFN Commercial |
$1,548.10
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$1,262.04
|
| Rate for Payer: Multiplan Commercial |
$1,346.18
|
| Rate for Payer: NAPHCARE Commercial |
$1,009.63
|
| Rate for Payer: Preferred Network Access Commercial |
$1,548.10
|
| Rate for Payer: Quartz Beloit One Network |
$824.53
|
| Rate for Payer: Quartz Commercial |
$1,093.77
|
| Rate for Payer: Quartz Medicare Advantage |
$1,009.63
|
| Rate for Payer: The Alliance Commercial |
$841.36
|
| Rate for Payer: WEA Trust Commercial |
$925.50
|
| Rate for Payer: WPS Commercial |
$1,246.35
|
|
|
STEINMAN PIN-PLAIN 9 X 1/8
|
Facility
|
OP
|
$269.00
|
|
| Hospital Charge Code |
2967424
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$78.33 |
| Max. Negotiated Rate |
$257.38 |
| Rate for Payer: Aetna Commercial |
$251.78
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$240.59
|
| Rate for Payer: Aetna Managed Medicare |
$78.33
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$181.84
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$139.88
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$134.28
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$148.27
|
| Rate for Payer: Cash Price |
$80.70
|
| Rate for Payer: Cigna Commercial |
$257.38
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$156.56
|
| Rate for Payer: Health EOS Commercial |
$248.99
|
| Rate for Payer: HFN Commercial |
$257.38
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$209.82
|
| Rate for Payer: Multiplan Commercial |
$223.81
|
| Rate for Payer: NAPHCARE Commercial |
$167.86
|
| Rate for Payer: Preferred Network Access Commercial |
$257.38
|
| Rate for Payer: Quartz Beloit One Network |
$137.08
|
| Rate for Payer: Quartz Commercial |
$181.84
|
| Rate for Payer: Quartz Medicare Advantage |
$167.86
|
| Rate for Payer: The Alliance Commercial |
$139.88
|
| Rate for Payer: WEA Trust Commercial |
$153.87
|
| Rate for Payer: WPS Commercial |
$207.21
|
|
|
STEINMAN PIN-PLAIN 9 X 1/8
|
Facility
|
IP
|
$269.00
|
|
| Hospital Charge Code |
2967424
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$137.08 |
| Max. Negotiated Rate |
$257.38 |
| Rate for Payer: Aetna Commercial |
$251.78
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$240.59
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$148.27
|
| Rate for Payer: Cash Price |
$80.70
|
| Rate for Payer: Cigna Commercial |
$257.38
|
| Rate for Payer: Health EOS Commercial |
$248.99
|
| Rate for Payer: HFN Commercial |
$257.38
|
| Rate for Payer: Multiplan Commercial |
$223.81
|
| Rate for Payer: Preferred Network Access Commercial |
$257.38
|
| Rate for Payer: Quartz Beloit One Network |
$137.08
|
| Rate for Payer: Quartz Commercial |
$167.86
|
| Rate for Payer: WEA Trust Commercial |
$153.87
|
| Rate for Payer: WPS Commercial |
$207.21
|
|
|
STEINMAN PIN-PLAIN 9 X 3/16
|
Facility
|
IP
|
$269.00
|
|
| Hospital Charge Code |
2967425
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$137.08 |
| Max. Negotiated Rate |
$257.38 |
| Rate for Payer: Aetna Commercial |
$251.78
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$240.59
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$148.27
|
| Rate for Payer: Cash Price |
$80.70
|
| Rate for Payer: Cigna Commercial |
$257.38
|
| Rate for Payer: Health EOS Commercial |
$248.99
|
| Rate for Payer: HFN Commercial |
$257.38
|
| Rate for Payer: Multiplan Commercial |
$223.81
|
| Rate for Payer: Preferred Network Access Commercial |
$257.38
|
| Rate for Payer: Quartz Beloit One Network |
$137.08
|
| Rate for Payer: Quartz Commercial |
$167.86
|
| Rate for Payer: WEA Trust Commercial |
$153.87
|
| Rate for Payer: WPS Commercial |
$207.21
|
|
|
STEINMAN PIN-PLAIN 9 X 3/16
|
Facility
|
OP
|
$269.00
|
|
| Hospital Charge Code |
2967425
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$78.33 |
| Max. Negotiated Rate |
$257.38 |
| Rate for Payer: Aetna Commercial |
$251.78
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$240.59
|
| Rate for Payer: Aetna Managed Medicare |
$78.33
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$181.84
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$139.88
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$134.28
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$148.27
|
| Rate for Payer: Cash Price |
$80.70
|
| Rate for Payer: Cigna Commercial |
$257.38
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$156.56
|
| Rate for Payer: Health EOS Commercial |
$248.99
|
| Rate for Payer: HFN Commercial |
$257.38
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$209.82
|
| Rate for Payer: Multiplan Commercial |
$223.81
|
| Rate for Payer: NAPHCARE Commercial |
$167.86
|
| Rate for Payer: Preferred Network Access Commercial |
$257.38
|
| Rate for Payer: Quartz Beloit One Network |
$137.08
|
| Rate for Payer: Quartz Commercial |
$181.84
|
| Rate for Payer: Quartz Medicare Advantage |
$167.86
|
| Rate for Payer: The Alliance Commercial |
$139.88
|
| Rate for Payer: WEA Trust Commercial |
$153.87
|
| Rate for Payer: WPS Commercial |
$207.21
|
|
|
STEINMAN PIN-PLAIN 9 X 3/32
|
Facility
|
IP
|
$269.00
|
|
| Hospital Charge Code |
2967426
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$137.08 |
| Max. Negotiated Rate |
$257.38 |
| Rate for Payer: Aetna Commercial |
$251.78
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$240.59
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$148.27
|
| Rate for Payer: Cash Price |
$80.70
|
| Rate for Payer: Cigna Commercial |
$257.38
|
| Rate for Payer: Health EOS Commercial |
$248.99
|
| Rate for Payer: HFN Commercial |
$257.38
|
| Rate for Payer: Multiplan Commercial |
$223.81
|
| Rate for Payer: Preferred Network Access Commercial |
$257.38
|
| Rate for Payer: Quartz Beloit One Network |
$137.08
|
| Rate for Payer: Quartz Commercial |
$167.86
|
| Rate for Payer: WEA Trust Commercial |
$153.87
|
| Rate for Payer: WPS Commercial |
$207.21
|
|
|
STEINMAN PIN-PLAIN 9 X 3/32
|
Facility
|
OP
|
$269.00
|
|
| Hospital Charge Code |
2967426
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$78.33 |
| Max. Negotiated Rate |
$257.38 |
| Rate for Payer: Aetna Commercial |
$251.78
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$240.59
|
| Rate for Payer: Aetna Managed Medicare |
$78.33
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$181.84
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$139.88
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$134.28
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$148.27
|
| Rate for Payer: Cash Price |
$80.70
|
| Rate for Payer: Cigna Commercial |
$257.38
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$156.56
|
| Rate for Payer: Health EOS Commercial |
$248.99
|
| Rate for Payer: HFN Commercial |
$257.38
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$209.82
|
| Rate for Payer: Multiplan Commercial |
$223.81
|
| Rate for Payer: NAPHCARE Commercial |
$167.86
|
| Rate for Payer: Preferred Network Access Commercial |
$257.38
|
| Rate for Payer: Quartz Beloit One Network |
$137.08
|
| Rate for Payer: Quartz Commercial |
$181.84
|
| Rate for Payer: Quartz Medicare Advantage |
$167.86
|
| Rate for Payer: The Alliance Commercial |
$139.88
|
| Rate for Payer: WEA Trust Commercial |
$153.87
|
| Rate for Payer: WPS Commercial |
$207.21
|
|
|
STEINMAN PIN-PLAIN 9 X 5/32
|
Facility
|
IP
|
$279.00
|
|
| Hospital Charge Code |
2967427
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$142.18 |
| Max. Negotiated Rate |
$266.95 |
| Rate for Payer: Aetna Commercial |
$261.14
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$249.54
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$153.78
|
| Rate for Payer: Cash Price |
$83.70
|
| Rate for Payer: Cigna Commercial |
$266.95
|
| Rate for Payer: Health EOS Commercial |
$258.24
|
| Rate for Payer: HFN Commercial |
$266.95
|
| Rate for Payer: Multiplan Commercial |
$232.13
|
| Rate for Payer: Preferred Network Access Commercial |
$266.95
|
| Rate for Payer: Quartz Beloit One Network |
$142.18
|
| Rate for Payer: Quartz Commercial |
$174.10
|
| Rate for Payer: WEA Trust Commercial |
$159.59
|
| Rate for Payer: WPS Commercial |
$214.91
|
|
|
STEINMAN PIN-PLAIN 9 X 5/32
|
Facility
|
OP
|
$279.00
|
|
| Hospital Charge Code |
2967427
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$81.24 |
| Max. Negotiated Rate |
$266.95 |
| Rate for Payer: Aetna Commercial |
$261.14
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$249.54
|
| Rate for Payer: Aetna Managed Medicare |
$81.24
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$188.60
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$145.08
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$139.28
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$153.78
|
| Rate for Payer: Cash Price |
$83.70
|
| Rate for Payer: Cigna Commercial |
$266.95
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$162.38
|
| Rate for Payer: Health EOS Commercial |
$258.24
|
| Rate for Payer: HFN Commercial |
$266.95
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$217.62
|
| Rate for Payer: Multiplan Commercial |
$232.13
|
| Rate for Payer: NAPHCARE Commercial |
$174.10
|
| Rate for Payer: Preferred Network Access Commercial |
$266.95
|
| Rate for Payer: Quartz Beloit One Network |
$142.18
|
| Rate for Payer: Quartz Commercial |
$188.60
|
| Rate for Payer: Quartz Medicare Advantage |
$174.10
|
| Rate for Payer: The Alliance Commercial |
$145.08
|
| Rate for Payer: WEA Trust Commercial |
$159.59
|
| Rate for Payer: WPS Commercial |
$214.91
|
|
|
STEINMAN PIN-PLAIN 9 X 5/64
|
Facility
|
IP
|
$269.00
|
|
| Hospital Charge Code |
2967428
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$137.08 |
| Max. Negotiated Rate |
$257.38 |
| Rate for Payer: Aetna Commercial |
$251.78
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$240.59
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$148.27
|
| Rate for Payer: Cash Price |
$80.70
|
| Rate for Payer: Cigna Commercial |
$257.38
|
| Rate for Payer: Health EOS Commercial |
$248.99
|
| Rate for Payer: HFN Commercial |
$257.38
|
| Rate for Payer: Multiplan Commercial |
$223.81
|
| Rate for Payer: Preferred Network Access Commercial |
$257.38
|
| Rate for Payer: Quartz Beloit One Network |
$137.08
|
| Rate for Payer: Quartz Commercial |
$167.86
|
| Rate for Payer: WEA Trust Commercial |
$153.87
|
| Rate for Payer: WPS Commercial |
$207.21
|
|
|
STEINMAN PIN-PLAIN 9 X 5/64
|
Facility
|
OP
|
$269.00
|
|
| Hospital Charge Code |
2967428
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$78.33 |
| Max. Negotiated Rate |
$257.38 |
| Rate for Payer: Aetna Commercial |
$251.78
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$240.59
|
| Rate for Payer: Aetna Managed Medicare |
$78.33
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$181.84
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$139.88
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$134.28
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$148.27
|
| Rate for Payer: Cash Price |
$80.70
|
| Rate for Payer: Cigna Commercial |
$257.38
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$156.56
|
| Rate for Payer: Health EOS Commercial |
$248.99
|
| Rate for Payer: HFN Commercial |
$257.38
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$209.82
|
| Rate for Payer: Multiplan Commercial |
$223.81
|
| Rate for Payer: NAPHCARE Commercial |
$167.86
|
| Rate for Payer: Preferred Network Access Commercial |
$257.38
|
| Rate for Payer: Quartz Beloit One Network |
$137.08
|
| Rate for Payer: Quartz Commercial |
$181.84
|
| Rate for Payer: Quartz Medicare Advantage |
$167.86
|
| Rate for Payer: The Alliance Commercial |
$139.88
|
| Rate for Payer: WEA Trust Commercial |
$153.87
|
| Rate for Payer: WPS Commercial |
$207.21
|
|
|
STEINMAN PIN-PLAIN 9 X 7/64
|
Facility
|
OP
|
$269.00
|
|
| Hospital Charge Code |
2967429
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$78.33 |
| Max. Negotiated Rate |
$257.38 |
| Rate for Payer: Aetna Commercial |
$251.78
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$240.59
|
| Rate for Payer: Aetna Managed Medicare |
$78.33
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$181.84
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$139.88
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$134.28
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$148.27
|
| Rate for Payer: Cash Price |
$80.70
|
| Rate for Payer: Cigna Commercial |
$257.38
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$156.56
|
| Rate for Payer: Health EOS Commercial |
$248.99
|
| Rate for Payer: HFN Commercial |
$257.38
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$209.82
|
| Rate for Payer: Multiplan Commercial |
$223.81
|
| Rate for Payer: NAPHCARE Commercial |
$167.86
|
| Rate for Payer: Preferred Network Access Commercial |
$257.38
|
| Rate for Payer: Quartz Beloit One Network |
$137.08
|
| Rate for Payer: Quartz Commercial |
$181.84
|
| Rate for Payer: Quartz Medicare Advantage |
$167.86
|
| Rate for Payer: The Alliance Commercial |
$139.88
|
| Rate for Payer: WEA Trust Commercial |
$153.87
|
| Rate for Payer: WPS Commercial |
$207.21
|
|
|
STEINMAN PIN-PLAIN 9 X 7/64
|
Facility
|
IP
|
$269.00
|
|
| Hospital Charge Code |
2967429
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$137.08 |
| Max. Negotiated Rate |
$257.38 |
| Rate for Payer: Aetna Commercial |
$251.78
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$240.59
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$148.27
|
| Rate for Payer: Cash Price |
$80.70
|
| Rate for Payer: Cigna Commercial |
$257.38
|
| Rate for Payer: Health EOS Commercial |
$248.99
|
| Rate for Payer: HFN Commercial |
$257.38
|
| Rate for Payer: Multiplan Commercial |
$223.81
|
| Rate for Payer: Preferred Network Access Commercial |
$257.38
|
| Rate for Payer: Quartz Beloit One Network |
$137.08
|
| Rate for Payer: Quartz Commercial |
$167.86
|
| Rate for Payer: WEA Trust Commercial |
$153.87
|
| Rate for Payer: WPS Commercial |
$207.21
|
|
|
STEINMAN PIN-PLAIN 9 X 9/64
|
Facility
|
OP
|
$269.00
|
|
| Hospital Charge Code |
2967430
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$78.33 |
| Max. Negotiated Rate |
$257.38 |
| Rate for Payer: Aetna Commercial |
$251.78
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$240.59
|
| Rate for Payer: Aetna Managed Medicare |
$78.33
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$181.84
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$139.88
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$134.28
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$148.27
|
| Rate for Payer: Cash Price |
$80.70
|
| Rate for Payer: Cigna Commercial |
$257.38
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$156.56
|
| Rate for Payer: Health EOS Commercial |
$248.99
|
| Rate for Payer: HFN Commercial |
$257.38
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$209.82
|
| Rate for Payer: Multiplan Commercial |
$223.81
|
| Rate for Payer: NAPHCARE Commercial |
$167.86
|
| Rate for Payer: Preferred Network Access Commercial |
$257.38
|
| Rate for Payer: Quartz Beloit One Network |
$137.08
|
| Rate for Payer: Quartz Commercial |
$181.84
|
| Rate for Payer: Quartz Medicare Advantage |
$167.86
|
| Rate for Payer: The Alliance Commercial |
$139.88
|
| Rate for Payer: WEA Trust Commercial |
$153.87
|
| Rate for Payer: WPS Commercial |
$207.21
|
|
|
STEINMAN PIN-PLAIN 9 X 9/64
|
Facility
|
IP
|
$269.00
|
|
| Hospital Charge Code |
2967430
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$137.08 |
| Max. Negotiated Rate |
$257.38 |
| Rate for Payer: Aetna Commercial |
$251.78
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$240.59
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$148.27
|
| Rate for Payer: Cash Price |
$80.70
|
| Rate for Payer: Cigna Commercial |
$257.38
|
| Rate for Payer: Health EOS Commercial |
$248.99
|
| Rate for Payer: HFN Commercial |
$257.38
|
| Rate for Payer: Multiplan Commercial |
$223.81
|
| Rate for Payer: Preferred Network Access Commercial |
$257.38
|
| Rate for Payer: Quartz Beloit One Network |
$137.08
|
| Rate for Payer: Quartz Commercial |
$167.86
|
| Rate for Payer: WEA Trust Commercial |
$153.87
|
| Rate for Payer: WPS Commercial |
$207.21
|
|
|
STEINMAN PIN-THREADED 9 X 1/8
|
Facility
|
OP
|
$269.00
|
|
| Hospital Charge Code |
2967431
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$78.33 |
| Max. Negotiated Rate |
$257.38 |
| Rate for Payer: Aetna Commercial |
$251.78
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$240.59
|
| Rate for Payer: Aetna Managed Medicare |
$78.33
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$181.84
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$139.88
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$134.28
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$148.27
|
| Rate for Payer: Cash Price |
$80.70
|
| Rate for Payer: Cigna Commercial |
$257.38
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$156.56
|
| Rate for Payer: Health EOS Commercial |
$248.99
|
| Rate for Payer: HFN Commercial |
$257.38
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$209.82
|
| Rate for Payer: Multiplan Commercial |
$223.81
|
| Rate for Payer: NAPHCARE Commercial |
$167.86
|
| Rate for Payer: Preferred Network Access Commercial |
$257.38
|
| Rate for Payer: Quartz Beloit One Network |
$137.08
|
| Rate for Payer: Quartz Commercial |
$181.84
|
| Rate for Payer: Quartz Medicare Advantage |
$167.86
|
| Rate for Payer: The Alliance Commercial |
$139.88
|
| Rate for Payer: WEA Trust Commercial |
$153.87
|
| Rate for Payer: WPS Commercial |
$207.21
|
|
|
STEINMAN PIN-THREADED 9 X 1/8
|
Facility
|
IP
|
$269.00
|
|
| Hospital Charge Code |
2967431
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$137.08 |
| Max. Negotiated Rate |
$257.38 |
| Rate for Payer: Aetna Commercial |
$251.78
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$240.59
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$148.27
|
| Rate for Payer: Cash Price |
$80.70
|
| Rate for Payer: Cigna Commercial |
$257.38
|
| Rate for Payer: Health EOS Commercial |
$248.99
|
| Rate for Payer: HFN Commercial |
$257.38
|
| Rate for Payer: Multiplan Commercial |
$223.81
|
| Rate for Payer: Preferred Network Access Commercial |
$257.38
|
| Rate for Payer: Quartz Beloit One Network |
$137.08
|
| Rate for Payer: Quartz Commercial |
$167.86
|
| Rate for Payer: WEA Trust Commercial |
$153.87
|
| Rate for Payer: WPS Commercial |
$207.21
|
|
|
STEINMAN PIN-THREADED 9 X 3/16 00026200104
|
Facility
|
OP
|
$269.00
|
|
| Hospital Charge Code |
2967432
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$78.33 |
| Max. Negotiated Rate |
$257.38 |
| Rate for Payer: Aetna Commercial |
$251.78
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$240.59
|
| Rate for Payer: Aetna Managed Medicare |
$78.33
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$181.84
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$139.88
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$134.28
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$148.27
|
| Rate for Payer: Cash Price |
$80.70
|
| Rate for Payer: Cigna Commercial |
$257.38
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$156.56
|
| Rate for Payer: Health EOS Commercial |
$248.99
|
| Rate for Payer: HFN Commercial |
$257.38
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$209.82
|
| Rate for Payer: Multiplan Commercial |
$223.81
|
| Rate for Payer: NAPHCARE Commercial |
$167.86
|
| Rate for Payer: Preferred Network Access Commercial |
$257.38
|
| Rate for Payer: Quartz Beloit One Network |
$137.08
|
| Rate for Payer: Quartz Commercial |
$181.84
|
| Rate for Payer: Quartz Medicare Advantage |
$167.86
|
| Rate for Payer: The Alliance Commercial |
$139.88
|
| Rate for Payer: WEA Trust Commercial |
$153.87
|
| Rate for Payer: WPS Commercial |
$207.21
|
|
|
STEINMAN PIN-THREADED 9 X 3/16 00026200104
|
Facility
|
IP
|
$269.00
|
|
| Hospital Charge Code |
2967432
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$137.08 |
| Max. Negotiated Rate |
$257.38 |
| Rate for Payer: Aetna Commercial |
$251.78
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$240.59
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$148.27
|
| Rate for Payer: Cash Price |
$80.70
|
| Rate for Payer: Cigna Commercial |
$257.38
|
| Rate for Payer: Health EOS Commercial |
$248.99
|
| Rate for Payer: HFN Commercial |
$257.38
|
| Rate for Payer: Multiplan Commercial |
$223.81
|
| Rate for Payer: Preferred Network Access Commercial |
$257.38
|
| Rate for Payer: Quartz Beloit One Network |
$137.08
|
| Rate for Payer: Quartz Commercial |
$167.86
|
| Rate for Payer: WEA Trust Commercial |
$153.87
|
| Rate for Payer: WPS Commercial |
$207.21
|
|
|
STEINMAN PIN-THREADED 9 X 3/32
|
Facility
|
IP
|
$269.00
|
|
| Hospital Charge Code |
2967433
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$137.08 |
| Max. Negotiated Rate |
$257.38 |
| Rate for Payer: Aetna Commercial |
$251.78
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$240.59
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$148.27
|
| Rate for Payer: Cash Price |
$80.70
|
| Rate for Payer: Cigna Commercial |
$257.38
|
| Rate for Payer: Health EOS Commercial |
$248.99
|
| Rate for Payer: HFN Commercial |
$257.38
|
| Rate for Payer: Multiplan Commercial |
$223.81
|
| Rate for Payer: Preferred Network Access Commercial |
$257.38
|
| Rate for Payer: Quartz Beloit One Network |
$137.08
|
| Rate for Payer: Quartz Commercial |
$167.86
|
| Rate for Payer: WEA Trust Commercial |
$153.87
|
| Rate for Payer: WPS Commercial |
$207.21
|
|
