|
STABLESOFT 2S ATTACHMENT T401212S
|
Facility
|
OP
|
$3,056.00
|
|
| Hospital Charge Code |
2967353
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$889.91 |
| Max. Negotiated Rate |
$2,923.98 |
| Rate for Payer: Aetna Commercial |
$2,860.42
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$2,733.29
|
| Rate for Payer: Aetna Managed Medicare |
$889.91
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$2,065.86
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$1,589.12
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$1,525.56
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$1,684.47
|
| Rate for Payer: Cash Price |
$916.80
|
| Rate for Payer: Cigna Commercial |
$2,923.98
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$1,778.59
|
| Rate for Payer: Health EOS Commercial |
$2,828.63
|
| Rate for Payer: HFN Commercial |
$2,923.98
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$2,383.68
|
| Rate for Payer: Multiplan Commercial |
$2,542.59
|
| Rate for Payer: NAPHCARE Commercial |
$1,906.94
|
| Rate for Payer: Preferred Network Access Commercial |
$2,923.98
|
| Rate for Payer: Quartz Beloit One Network |
$1,557.34
|
| Rate for Payer: Quartz Commercial |
$2,065.86
|
| Rate for Payer: Quartz Medicare Advantage |
$1,906.94
|
| Rate for Payer: The Alliance Commercial |
$1,589.12
|
| Rate for Payer: WEA Trust Commercial |
$1,748.03
|
| Rate for Payer: WPS Commercial |
$2,354.04
|
|
|
STABLESOFT 2S ATTACHMENT T401212S
|
Facility
|
IP
|
$3,056.00
|
|
| Hospital Charge Code |
2967353
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,557.34 |
| Max. Negotiated Rate |
$2,923.98 |
| Rate for Payer: Aetna Commercial |
$2,860.42
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$2,733.29
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$1,684.47
|
| Rate for Payer: Cash Price |
$916.80
|
| Rate for Payer: Cigna Commercial |
$2,923.98
|
| Rate for Payer: Health EOS Commercial |
$2,828.63
|
| Rate for Payer: HFN Commercial |
$2,923.98
|
| Rate for Payer: Multiplan Commercial |
$2,542.59
|
| Rate for Payer: Preferred Network Access Commercial |
$2,923.98
|
| Rate for Payer: Quartz Beloit One Network |
$1,557.34
|
| Rate for Payer: Quartz Commercial |
$1,906.94
|
| Rate for Payer: WEA Trust Commercial |
$1,748.03
|
| Rate for Payer: WPS Commercial |
$2,354.04
|
|
|
STAB PHLEBECTOMY OF VARICOSE VEINS, 1 EXTREMITY; 10-20 STAB INCISIONS
|
Facility
|
OP
|
$13,291.62
|
|
|
Service Code
|
CPT 37765
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$3,322.90 |
| Max. Negotiated Rate |
$13,291.62 |
| Rate for Payer: Aetna Managed Medicare |
$3,322.90
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$10,303.28
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$8,364.72
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$7,944.56
|
| Rate for Payer: Anthem Medicare Advantage |
$3,322.90
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$3,322.90
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$3,322.90
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$3,322.90
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$6,807.99
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$3,322.90
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$12,361.20
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$3,322.90
|
| Rate for Payer: Independent Care Health Plan Medicare |
$3,322.90
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$3,322.90
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$3,322.90
|
| Rate for Payer: NAPHCARE Commercial |
$4,984.36
|
| Rate for Payer: Quartz Medicare Advantage |
$3,322.90
|
| Rate for Payer: The Alliance Commercial |
$13,291.62
|
| Rate for Payer: United Healthcare Medicare Advantage |
$3,322.90
|
| Rate for Payer: United Healthcare PPO |
$4,267.12
|
| Rate for Payer: Wellcare Medicare |
$3,322.90
|
|
|
STAB PHLEBECTOMY OF VARICOSE VEINS, 1 EXTREMITY; MORE THAN 20 INCISIONS
|
Facility
|
OP
|
$13,291.62
|
|
|
Service Code
|
CPT 37766
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$3,322.90 |
| Max. Negotiated Rate |
$13,291.62 |
| Rate for Payer: Aetna Managed Medicare |
$3,322.90
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$10,303.28
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$8,364.72
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$7,944.56
|
| Rate for Payer: Anthem Medicare Advantage |
$3,322.90
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$3,322.90
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$3,322.90
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$3,322.90
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$6,807.99
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$3,322.90
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$12,361.20
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$3,322.90
|
| Rate for Payer: Independent Care Health Plan Medicare |
$3,322.90
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$3,322.90
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$3,322.90
|
| Rate for Payer: NAPHCARE Commercial |
$4,984.36
|
| Rate for Payer: Quartz Medicare Advantage |
$3,322.90
|
| Rate for Payer: The Alliance Commercial |
$13,291.62
|
| Rate for Payer: United Healthcare Medicare Advantage |
$3,322.90
|
| Rate for Payer: United Healthcare PPO |
$4,267.12
|
| Rate for Payer: Wellcare Medicare |
$3,322.90
|
|
|
Stachybotrys chartarum/atra IgE
|
Facility
|
OP
|
$103.00
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
6149788
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$5.43 |
| Max. Negotiated Rate |
$98.55 |
| Rate for Payer: Aetna Commercial |
$96.41
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$92.12
|
| Rate for Payer: Aetna Managed Medicare |
$5.43
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$20.36
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$9.50
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$9.01
|
| Rate for Payer: Anthem Medicare Advantage |
$5.43
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$56.77
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$5.43
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$5.43
|
| Rate for Payer: Cash Price |
$30.90
|
| Rate for Payer: Cash Price |
$30.90
|
| Rate for Payer: Cigna Commercial |
$98.55
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$5.43
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$59.95
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$5.43
|
| Rate for Payer: Health EOS Commercial |
$95.34
|
| Rate for Payer: HFN Commercial |
$98.55
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$20.20
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$5.43
|
| Rate for Payer: Independent Care Health Plan Medicare |
$5.43
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$5.43
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$5.43
|
| Rate for Payer: Multiplan Commercial |
$85.70
|
| Rate for Payer: NAPHCARE Commercial |
$8.14
|
| Rate for Payer: Preferred Network Access Commercial |
$98.55
|
| Rate for Payer: Quartz Beloit One Network |
$52.49
|
| Rate for Payer: Quartz Commercial |
$69.63
|
| Rate for Payer: Quartz Medicare Advantage |
$5.43
|
| Rate for Payer: The Alliance Commercial |
$21.72
|
| Rate for Payer: United Healthcare Medicare Advantage |
$5.43
|
| Rate for Payer: United Healthcare PPO |
$80.34
|
| Rate for Payer: WEA Trust Commercial |
$58.92
|
| Rate for Payer: Wellcare Medicare |
$5.43
|
| Rate for Payer: WPS Commercial |
$79.34
|
|
|
Stachybotrys chartarum/atra IgE
|
Professional
|
Both
|
$103.00
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
6149788
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$5.43 |
| Max. Negotiated Rate |
$101.76 |
| Rate for Payer: Aetna Commercial |
$101.76
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$92.12
|
| Rate for Payer: Aetna Managed Medicare |
$5.43
|
| Rate for Payer: Anthem Medicare Advantage |
$5.43
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$5.43
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$5.43
|
| Rate for Payer: Cash Price |
$30.90
|
| Rate for Payer: Cash Price |
$30.90
|
| Rate for Payer: Cigna Commercial |
$101.76
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$53.56
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$5.43
|
| Rate for Payer: Health EOS Commercial |
$97.48
|
| Rate for Payer: HFN Commercial |
$101.76
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$19.17
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$19.17
|
| Rate for Payer: Independent Care Health Plan Medicare |
$5.43
|
| Rate for Payer: Multiplan Commercial |
$85.70
|
| Rate for Payer: NAPHCARE Commercial |
$8.14
|
| Rate for Payer: Preferred Network Access Commercial |
$101.76
|
| Rate for Payer: Quartz Beloit One Network |
$47.13
|
| Rate for Payer: Quartz Commercial |
$61.06
|
| Rate for Payer: Quartz Medicare Advantage |
$5.43
|
| Rate for Payer: The Alliance Commercial |
$21.44
|
| Rate for Payer: United Healthcare Medicare Advantage |
$5.43
|
| Rate for Payer: WEA Trust Commercial |
$58.92
|
| Rate for Payer: WPS Commercial |
$23.89
|
|
|
Stachybotrys chartarum/atra IgE
|
Facility
|
IP
|
$103.00
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
6149788
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$52.49 |
| Max. Negotiated Rate |
$98.55 |
| Rate for Payer: Aetna Commercial |
$96.41
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$92.12
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$56.77
|
| Rate for Payer: Cash Price |
$30.90
|
| Rate for Payer: Cigna Commercial |
$98.55
|
| Rate for Payer: Health EOS Commercial |
$95.34
|
| Rate for Payer: HFN Commercial |
$98.55
|
| Rate for Payer: Multiplan Commercial |
$85.70
|
| Rate for Payer: Preferred Network Access Commercial |
$98.55
|
| Rate for Payer: Quartz Beloit One Network |
$52.49
|
| Rate for Payer: Quartz Commercial |
$64.27
|
| Rate for Payer: WEA Trust Commercial |
$58.92
|
| Rate for Payer: WPS Commercial |
$79.34
|
|
|
Stachybotrys chartarum/atra IgG
|
Facility
|
IP
|
$103.00
|
|
|
Service Code
|
CPT 86001
|
| Hospital Charge Code |
6149789
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$52.49 |
| Max. Negotiated Rate |
$98.55 |
| Rate for Payer: Aetna Commercial |
$96.41
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$92.12
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$56.77
|
| Rate for Payer: Cash Price |
$30.90
|
| Rate for Payer: Cigna Commercial |
$98.55
|
| Rate for Payer: Health EOS Commercial |
$95.34
|
| Rate for Payer: HFN Commercial |
$98.55
|
| Rate for Payer: Multiplan Commercial |
$85.70
|
| Rate for Payer: Preferred Network Access Commercial |
$98.55
|
| Rate for Payer: Quartz Beloit One Network |
$52.49
|
| Rate for Payer: Quartz Commercial |
$64.27
|
| Rate for Payer: WEA Trust Commercial |
$58.92
|
| Rate for Payer: WPS Commercial |
$79.34
|
|
|
Stachybotrys chartarum/atra IgG
|
Facility
|
OP
|
$103.00
|
|
|
Service Code
|
CPT 86001
|
| Hospital Charge Code |
6149789
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$8.13 |
| Max. Negotiated Rate |
$98.55 |
| Rate for Payer: Aetna Commercial |
$96.41
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$92.12
|
| Rate for Payer: Aetna Managed Medicare |
$8.13
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$30.50
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$14.23
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$13.50
|
| Rate for Payer: Anthem Medicare Advantage |
$8.13
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$56.77
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$8.13
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$8.13
|
| Rate for Payer: Cash Price |
$30.90
|
| Rate for Payer: Cash Price |
$30.90
|
| Rate for Payer: Cigna Commercial |
$98.55
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$8.13
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$59.95
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$8.13
|
| Rate for Payer: Health EOS Commercial |
$95.34
|
| Rate for Payer: HFN Commercial |
$98.55
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$30.25
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$8.13
|
| Rate for Payer: Independent Care Health Plan Medicare |
$8.13
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$8.13
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$8.13
|
| Rate for Payer: Multiplan Commercial |
$85.70
|
| Rate for Payer: NAPHCARE Commercial |
$12.20
|
| Rate for Payer: Preferred Network Access Commercial |
$98.55
|
| Rate for Payer: Quartz Beloit One Network |
$52.49
|
| Rate for Payer: Quartz Commercial |
$69.63
|
| Rate for Payer: Quartz Medicare Advantage |
$8.13
|
| Rate for Payer: The Alliance Commercial |
$32.53
|
| Rate for Payer: United Healthcare Medicare Advantage |
$8.13
|
| Rate for Payer: United Healthcare PPO |
$80.34
|
| Rate for Payer: WEA Trust Commercial |
$58.92
|
| Rate for Payer: Wellcare Medicare |
$8.13
|
| Rate for Payer: WPS Commercial |
$79.34
|
|
|
Stachybotrys chartarum/atra IgG
|
Professional
|
Both
|
$103.00
|
|
|
Service Code
|
CPT 86001
|
| Hospital Charge Code |
6149789
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$8.13 |
| Max. Negotiated Rate |
$101.76 |
| Rate for Payer: Aetna Commercial |
$101.76
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$92.12
|
| Rate for Payer: Aetna Managed Medicare |
$8.13
|
| Rate for Payer: Anthem Medicare Advantage |
$8.13
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$8.13
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$8.13
|
| Rate for Payer: Cash Price |
$30.90
|
| Rate for Payer: Cash Price |
$30.90
|
| Rate for Payer: Cigna Commercial |
$101.76
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$53.56
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$8.13
|
| Rate for Payer: Health EOS Commercial |
$97.48
|
| Rate for Payer: HFN Commercial |
$101.76
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$28.70
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$28.70
|
| Rate for Payer: Independent Care Health Plan Medicare |
$8.13
|
| Rate for Payer: Multiplan Commercial |
$85.70
|
| Rate for Payer: NAPHCARE Commercial |
$12.20
|
| Rate for Payer: Preferred Network Access Commercial |
$101.76
|
| Rate for Payer: Quartz Beloit One Network |
$47.13
|
| Rate for Payer: Quartz Commercial |
$61.06
|
| Rate for Payer: Quartz Medicare Advantage |
$8.13
|
| Rate for Payer: The Alliance Commercial |
$32.12
|
| Rate for Payer: United Healthcare Medicare Advantage |
$8.13
|
| Rate for Payer: WEA Trust Commercial |
$58.92
|
| Rate for Payer: WPS Commercial |
$35.78
|
|
|
Stachybotrys IgA
|
Professional
|
Both
|
$67.00
|
|
|
Service Code
|
CPT 83520
|
| Hospital Charge Code |
5546930
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$17.96 |
| Max. Negotiated Rate |
$79.03 |
| Rate for Payer: Quartz Commercial |
$39.72
|
| Rate for Payer: Aetna Commercial |
$66.20
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$59.92
|
| Rate for Payer: Aetna Managed Medicare |
$17.96
|
| Rate for Payer: Anthem Medicare Advantage |
$17.96
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$17.96
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$17.96
|
| Rate for Payer: Cash Price |
$20.10
|
| Rate for Payer: Cash Price |
$20.10
|
| Rate for Payer: Cigna Commercial |
$66.20
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$34.84
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$17.96
|
| Rate for Payer: Health EOS Commercial |
$63.41
|
| Rate for Payer: HFN Commercial |
$66.20
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$63.40
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$63.40
|
| Rate for Payer: Independent Care Health Plan Medicare |
$17.96
|
| Rate for Payer: Multiplan Commercial |
$55.74
|
| Rate for Payer: NAPHCARE Commercial |
$26.94
|
| Rate for Payer: Preferred Network Access Commercial |
$66.20
|
| Rate for Payer: Quartz Beloit One Network |
$30.66
|
| Rate for Payer: Quartz Medicare Advantage |
$17.96
|
| Rate for Payer: The Alliance Commercial |
$70.95
|
| Rate for Payer: United Healthcare Medicare Advantage |
$17.96
|
| Rate for Payer: WEA Trust Commercial |
$38.32
|
| Rate for Payer: WPS Commercial |
$79.03
|
|
|
Stachybotrys IgA
|
Facility
|
IP
|
$67.00
|
|
|
Service Code
|
CPT 83520
|
| Hospital Charge Code |
5546930
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$34.14 |
| Max. Negotiated Rate |
$64.11 |
| Rate for Payer: Aetna Commercial |
$62.71
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$59.92
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$36.93
|
| Rate for Payer: Cash Price |
$20.10
|
| Rate for Payer: Cigna Commercial |
$64.11
|
| Rate for Payer: Health EOS Commercial |
$62.02
|
| Rate for Payer: HFN Commercial |
$64.11
|
| Rate for Payer: Multiplan Commercial |
$55.74
|
| Rate for Payer: Preferred Network Access Commercial |
$64.11
|
| Rate for Payer: Quartz Beloit One Network |
$34.14
|
| Rate for Payer: Quartz Commercial |
$41.81
|
| Rate for Payer: WEA Trust Commercial |
$38.32
|
| Rate for Payer: WPS Commercial |
$51.61
|
|
|
Stachybotrys IgA
|
Facility
|
OP
|
$67.00
|
|
|
Service Code
|
CPT 83520
|
| Hospital Charge Code |
5546930
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$17.96 |
| Max. Negotiated Rate |
$71.84 |
| Rate for Payer: Aetna Commercial |
$62.71
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$59.92
|
| Rate for Payer: Aetna Managed Medicare |
$17.96
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$67.35
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$31.43
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$29.81
|
| Rate for Payer: Anthem Medicare Advantage |
$17.96
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$36.93
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$17.96
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$17.96
|
| Rate for Payer: Cash Price |
$20.10
|
| Rate for Payer: Cash Price |
$20.10
|
| Rate for Payer: Cigna Commercial |
$64.11
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$17.96
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$38.99
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$17.96
|
| Rate for Payer: Health EOS Commercial |
$62.02
|
| Rate for Payer: HFN Commercial |
$64.11
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$66.81
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$17.96
|
| Rate for Payer: Independent Care Health Plan Medicare |
$17.96
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$17.96
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$17.96
|
| Rate for Payer: Multiplan Commercial |
$55.74
|
| Rate for Payer: NAPHCARE Commercial |
$26.94
|
| Rate for Payer: Preferred Network Access Commercial |
$64.11
|
| Rate for Payer: Quartz Beloit One Network |
$34.14
|
| Rate for Payer: Quartz Commercial |
$45.29
|
| Rate for Payer: Quartz Medicare Advantage |
$17.96
|
| Rate for Payer: The Alliance Commercial |
$71.84
|
| Rate for Payer: United Healthcare Medicare Advantage |
$17.96
|
| Rate for Payer: United Healthcare PPO |
$52.26
|
| Rate for Payer: WEA Trust Commercial |
$38.32
|
| Rate for Payer: Wellcare Medicare |
$17.96
|
| Rate for Payer: WPS Commercial |
$51.61
|
|
|
Stachybotrys IgE
|
Facility
|
IP
|
$67.00
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
5546929
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$34.14 |
| Max. Negotiated Rate |
$64.11 |
| Rate for Payer: Aetna Commercial |
$62.71
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$59.92
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$36.93
|
| Rate for Payer: Cash Price |
$20.10
|
| Rate for Payer: Cigna Commercial |
$64.11
|
| Rate for Payer: Health EOS Commercial |
$62.02
|
| Rate for Payer: HFN Commercial |
$64.11
|
| Rate for Payer: Multiplan Commercial |
$55.74
|
| Rate for Payer: Preferred Network Access Commercial |
$64.11
|
| Rate for Payer: Quartz Beloit One Network |
$34.14
|
| Rate for Payer: Quartz Commercial |
$41.81
|
| Rate for Payer: WEA Trust Commercial |
$38.32
|
| Rate for Payer: WPS Commercial |
$51.61
|
|
|
Stachybotrys IgE
|
Professional
|
Both
|
$67.00
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
5546929
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$5.43 |
| Max. Negotiated Rate |
$66.20 |
| Rate for Payer: Aetna Commercial |
$66.20
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$59.92
|
| Rate for Payer: Aetna Managed Medicare |
$5.43
|
| Rate for Payer: Anthem Medicare Advantage |
$5.43
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$5.43
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$5.43
|
| Rate for Payer: Cash Price |
$20.10
|
| Rate for Payer: Cash Price |
$20.10
|
| Rate for Payer: Cigna Commercial |
$66.20
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$34.84
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$5.43
|
| Rate for Payer: Health EOS Commercial |
$63.41
|
| Rate for Payer: HFN Commercial |
$66.20
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$19.17
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$19.17
|
| Rate for Payer: Independent Care Health Plan Medicare |
$5.43
|
| Rate for Payer: Multiplan Commercial |
$55.74
|
| Rate for Payer: NAPHCARE Commercial |
$8.14
|
| Rate for Payer: Preferred Network Access Commercial |
$66.20
|
| Rate for Payer: Quartz Beloit One Network |
$30.66
|
| Rate for Payer: Quartz Commercial |
$39.72
|
| Rate for Payer: Quartz Medicare Advantage |
$5.43
|
| Rate for Payer: The Alliance Commercial |
$21.44
|
| Rate for Payer: United Healthcare Medicare Advantage |
$5.43
|
| Rate for Payer: WEA Trust Commercial |
$38.32
|
| Rate for Payer: WPS Commercial |
$23.89
|
|
|
Stachybotrys IgE
|
Facility
|
OP
|
$67.00
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
5546929
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$5.43 |
| Max. Negotiated Rate |
$64.11 |
| Rate for Payer: Aetna Commercial |
$62.71
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$59.92
|
| Rate for Payer: Aetna Managed Medicare |
$5.43
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$20.36
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$9.50
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$9.01
|
| Rate for Payer: Anthem Medicare Advantage |
$5.43
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$36.93
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$5.43
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$5.43
|
| Rate for Payer: Cash Price |
$20.10
|
| Rate for Payer: Cash Price |
$20.10
|
| Rate for Payer: Cigna Commercial |
$64.11
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$5.43
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$38.99
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$5.43
|
| Rate for Payer: Health EOS Commercial |
$62.02
|
| Rate for Payer: HFN Commercial |
$64.11
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$20.20
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$5.43
|
| Rate for Payer: Independent Care Health Plan Medicare |
$5.43
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$5.43
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$5.43
|
| Rate for Payer: Multiplan Commercial |
$55.74
|
| Rate for Payer: NAPHCARE Commercial |
$8.14
|
| Rate for Payer: Preferred Network Access Commercial |
$64.11
|
| Rate for Payer: Quartz Beloit One Network |
$34.14
|
| Rate for Payer: Quartz Commercial |
$45.29
|
| Rate for Payer: Quartz Medicare Advantage |
$5.43
|
| Rate for Payer: The Alliance Commercial |
$21.72
|
| Rate for Payer: United Healthcare Medicare Advantage |
$5.43
|
| Rate for Payer: United Healthcare PPO |
$52.26
|
| Rate for Payer: WEA Trust Commercial |
$38.32
|
| Rate for Payer: Wellcare Medicare |
$5.43
|
| Rate for Payer: WPS Commercial |
$51.61
|
|
|
STAPEDECTOMY
|
Facility
|
OP
|
$7,602.00
|
|
| Hospital Charge Code |
2960387
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,213.70 |
| Max. Negotiated Rate |
$7,273.59 |
| Rate for Payer: Aetna Commercial |
$7,115.47
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$6,799.23
|
| Rate for Payer: Aetna Managed Medicare |
$2,213.70
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$5,138.95
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$3,953.04
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$3,794.92
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$4,190.22
|
| Rate for Payer: Cash Price |
$2,280.60
|
| Rate for Payer: Cigna Commercial |
$7,273.59
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$4,424.36
|
| Rate for Payer: Health EOS Commercial |
$7,036.41
|
| Rate for Payer: HFN Commercial |
$7,273.59
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$5,929.56
|
| Rate for Payer: Multiplan Commercial |
$6,324.86
|
| Rate for Payer: NAPHCARE Commercial |
$4,743.65
|
| Rate for Payer: Preferred Network Access Commercial |
$7,273.59
|
| Rate for Payer: Quartz Beloit One Network |
$3,873.98
|
| Rate for Payer: Quartz Commercial |
$5,138.95
|
| Rate for Payer: Quartz Medicare Advantage |
$4,743.65
|
| Rate for Payer: The Alliance Commercial |
$3,953.04
|
| Rate for Payer: WEA Trust Commercial |
$4,348.34
|
| Rate for Payer: WPS Commercial |
$5,855.82
|
|
|
STAPEDECTOMY
|
Facility
|
IP
|
$7,602.00
|
|
| Hospital Charge Code |
2960387
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$3,873.98 |
| Max. Negotiated Rate |
$7,273.59 |
| Rate for Payer: Aetna Commercial |
$7,115.47
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$6,799.23
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$4,190.22
|
| Rate for Payer: Cash Price |
$2,280.60
|
| Rate for Payer: Cigna Commercial |
$7,273.59
|
| Rate for Payer: Health EOS Commercial |
$7,036.41
|
| Rate for Payer: HFN Commercial |
$7,273.59
|
| Rate for Payer: Multiplan Commercial |
$6,324.86
|
| Rate for Payer: Preferred Network Access Commercial |
$7,273.59
|
| Rate for Payer: Quartz Beloit One Network |
$3,873.98
|
| Rate for Payer: Quartz Commercial |
$4,743.65
|
| Rate for Payer: WEA Trust Commercial |
$4,348.34
|
| Rate for Payer: WPS Commercial |
$5,855.82
|
|
|
STAPER RELOAD 80-3.8 GIA8038L
|
Facility
|
IP
|
$1,882.00
|
|
| Hospital Charge Code |
2962915
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$959.07 |
| Max. Negotiated Rate |
$1,800.70 |
| Rate for Payer: Aetna Commercial |
$1,761.55
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$1,683.26
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$1,037.36
|
| Rate for Payer: Cash Price |
$564.60
|
| Rate for Payer: Cigna Commercial |
$1,800.70
|
| Rate for Payer: Health EOS Commercial |
$1,741.98
|
| Rate for Payer: HFN Commercial |
$1,800.70
|
| Rate for Payer: Multiplan Commercial |
$1,565.82
|
| Rate for Payer: Preferred Network Access Commercial |
$1,800.70
|
| Rate for Payer: Quartz Beloit One Network |
$959.07
|
| Rate for Payer: Quartz Commercial |
$1,174.37
|
| Rate for Payer: WEA Trust Commercial |
$1,076.50
|
| Rate for Payer: WPS Commercial |
$1,449.70
|
|
|
STAPER RELOAD 80-3.8 GIA8038L
|
Facility
|
OP
|
$1,882.00
|
|
| Hospital Charge Code |
2962915
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$548.04 |
| Max. Negotiated Rate |
$1,800.70 |
| Rate for Payer: Aetna Commercial |
$1,761.55
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$1,683.26
|
| Rate for Payer: Aetna Managed Medicare |
$548.04
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$1,272.23
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$978.64
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$939.49
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$1,037.36
|
| Rate for Payer: Cash Price |
$564.60
|
| Rate for Payer: Cigna Commercial |
$1,800.70
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$1,095.32
|
| Rate for Payer: Health EOS Commercial |
$1,741.98
|
| Rate for Payer: HFN Commercial |
$1,800.70
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$1,467.96
|
| Rate for Payer: Multiplan Commercial |
$1,565.82
|
| Rate for Payer: NAPHCARE Commercial |
$1,174.37
|
| Rate for Payer: Preferred Network Access Commercial |
$1,800.70
|
| Rate for Payer: Quartz Beloit One Network |
$959.07
|
| Rate for Payer: Quartz Commercial |
$1,272.23
|
| Rate for Payer: Quartz Medicare Advantage |
$1,174.37
|
| Rate for Payer: The Alliance Commercial |
$978.64
|
| Rate for Payer: WEA Trust Commercial |
$1,076.50
|
| Rate for Payer: WPS Commercial |
$1,449.70
|
|
|
STAPLE DYNANITE NITI 15WX15L AR-8719DS-1515
|
Facility
|
IP
|
$13,271.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
5547383
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$6,762.90 |
| Max. Negotiated Rate |
$12,697.69 |
| Rate for Payer: Aetna Commercial |
$12,421.66
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$11,869.58
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$7,314.98
|
| Rate for Payer: Cash Price |
$3,981.30
|
| Rate for Payer: Cigna Commercial |
$12,697.69
|
| Rate for Payer: Health EOS Commercial |
$12,283.64
|
| Rate for Payer: HFN Commercial |
$12,697.69
|
| Rate for Payer: Multiplan Commercial |
$11,041.47
|
| Rate for Payer: Preferred Network Access Commercial |
$12,697.69
|
| Rate for Payer: Quartz Beloit One Network |
$6,762.90
|
| Rate for Payer: Quartz Commercial |
$8,281.10
|
| Rate for Payer: WEA Trust Commercial |
$7,591.01
|
| Rate for Payer: WPS Commercial |
$10,222.65
|
|
|
STAPLE DYNANITE NITI 15WX15L AR-8719DS-1515
|
Facility
|
OP
|
$13,271.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
5547383
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,864.52 |
| Max. Negotiated Rate |
$12,697.69 |
| Rate for Payer: Aetna Commercial |
$12,421.66
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$11,869.58
|
| Rate for Payer: Aetna Managed Medicare |
$3,864.52
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$8,971.20
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$6,900.92
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$6,624.88
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$7,314.98
|
| Rate for Payer: Cash Price |
$3,981.30
|
| Rate for Payer: Cigna Commercial |
$12,697.69
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$7,723.72
|
| Rate for Payer: Health EOS Commercial |
$12,283.64
|
| Rate for Payer: HFN Commercial |
$12,697.69
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$10,351.38
|
| Rate for Payer: Multiplan Commercial |
$11,041.47
|
| Rate for Payer: NAPHCARE Commercial |
$8,281.10
|
| Rate for Payer: Preferred Network Access Commercial |
$12,697.69
|
| Rate for Payer: Quartz Beloit One Network |
$6,762.90
|
| Rate for Payer: Quartz Commercial |
$8,971.20
|
| Rate for Payer: Quartz Medicare Advantage |
$8,281.10
|
| Rate for Payer: The Alliance Commercial |
$6,900.92
|
| Rate for Payer: WEA Trust Commercial |
$7,591.01
|
| Rate for Payer: WPS Commercial |
$10,222.65
|
|
|
STAPLE DYNANITE SUPERMX 18WX15L AR-8719MXDS-1815
|
Facility
|
OP
|
$13,271.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
5591396
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,864.52 |
| Max. Negotiated Rate |
$12,697.69 |
| Rate for Payer: Aetna Commercial |
$12,421.66
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$11,869.58
|
| Rate for Payer: Aetna Managed Medicare |
$3,864.52
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$8,971.20
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$6,900.92
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$6,624.88
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$7,314.98
|
| Rate for Payer: Cash Price |
$3,981.30
|
| Rate for Payer: Cigna Commercial |
$12,697.69
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$7,723.72
|
| Rate for Payer: Health EOS Commercial |
$12,283.64
|
| Rate for Payer: HFN Commercial |
$12,697.69
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$10,351.38
|
| Rate for Payer: Multiplan Commercial |
$11,041.47
|
| Rate for Payer: NAPHCARE Commercial |
$8,281.10
|
| Rate for Payer: Preferred Network Access Commercial |
$12,697.69
|
| Rate for Payer: Quartz Beloit One Network |
$6,762.90
|
| Rate for Payer: Quartz Commercial |
$8,971.20
|
| Rate for Payer: Quartz Medicare Advantage |
$8,281.10
|
| Rate for Payer: The Alliance Commercial |
$6,900.92
|
| Rate for Payer: WEA Trust Commercial |
$7,591.01
|
| Rate for Payer: WPS Commercial |
$10,222.65
|
|
|
STAPLE DYNANITE SUPERMX 18WX15L AR-8719MXDS-1815
|
Facility
|
IP
|
$13,271.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
5591396
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$6,762.90 |
| Max. Negotiated Rate |
$12,697.69 |
| Rate for Payer: Aetna Commercial |
$12,421.66
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$11,869.58
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$7,314.98
|
| Rate for Payer: Cash Price |
$3,981.30
|
| Rate for Payer: Cigna Commercial |
$12,697.69
|
| Rate for Payer: Health EOS Commercial |
$12,283.64
|
| Rate for Payer: HFN Commercial |
$12,697.69
|
| Rate for Payer: Multiplan Commercial |
$11,041.47
|
| Rate for Payer: Preferred Network Access Commercial |
$12,697.69
|
| Rate for Payer: Quartz Beloit One Network |
$6,762.90
|
| Rate for Payer: Quartz Commercial |
$8,281.10
|
| Rate for Payer: WEA Trust Commercial |
$7,591.01
|
| Rate for Payer: WPS Commercial |
$10,222.65
|
|
|
STAPLE DYNANITE SUPERMX 20WX20L AR-8719MXDS-2020
|
Facility
|
OP
|
$13,271.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
5603780
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,864.52 |
| Max. Negotiated Rate |
$12,697.69 |
| Rate for Payer: Aetna Commercial |
$12,421.66
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$11,869.58
|
| Rate for Payer: Aetna Managed Medicare |
$3,864.52
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$8,971.20
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$6,900.92
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$6,624.88
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$7,314.98
|
| Rate for Payer: Cash Price |
$3,981.30
|
| Rate for Payer: Cigna Commercial |
$12,697.69
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$7,723.72
|
| Rate for Payer: Health EOS Commercial |
$12,283.64
|
| Rate for Payer: HFN Commercial |
$12,697.69
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$10,351.38
|
| Rate for Payer: Multiplan Commercial |
$11,041.47
|
| Rate for Payer: NAPHCARE Commercial |
$8,281.10
|
| Rate for Payer: Preferred Network Access Commercial |
$12,697.69
|
| Rate for Payer: Quartz Beloit One Network |
$6,762.90
|
| Rate for Payer: Quartz Commercial |
$8,971.20
|
| Rate for Payer: Quartz Medicare Advantage |
$8,281.10
|
| Rate for Payer: The Alliance Commercial |
$6,900.92
|
| Rate for Payer: WEA Trust Commercial |
$7,591.01
|
| Rate for Payer: WPS Commercial |
$10,222.65
|
|
