|
US CMPRN RPR ARTL PSEUDOARYSM/ARVEN FSTL 7693626
|
Professional
|
Both
|
$953.00
|
|
|
Service Code
|
CPT 76936 26
|
| Hospital Charge Code |
5416647
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$90.60 |
| Max. Negotiated Rate |
$941.56 |
| Rate for Payer: Aetna Commercial |
$941.56
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$852.36
|
| Rate for Payer: Aetna Managed Medicare |
$90.60
|
| Rate for Payer: Anthem Medicare Advantage |
$90.60
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$90.60
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$90.60
|
| Rate for Payer: Cash Price |
$285.90
|
| Rate for Payer: Cash Price |
$285.90
|
| Rate for Payer: Cash Price |
$285.90
|
| Rate for Payer: Cigna Commercial |
$941.56
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$495.56
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$90.60
|
| Rate for Payer: Health EOS Commercial |
$901.92
|
| Rate for Payer: HFN Commercial |
$941.56
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$331.66
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$331.66
|
| Rate for Payer: Independent Care Health Plan Medicare |
$90.60
|
| Rate for Payer: Multiplan Commercial |
$792.90
|
| Rate for Payer: NAPHCARE Commercial |
$135.91
|
| Rate for Payer: Preferred Network Access Commercial |
$941.56
|
| Rate for Payer: Quartz Beloit One Network |
$436.09
|
| Rate for Payer: Quartz Commercial |
$564.94
|
| Rate for Payer: Quartz Medicare Advantage |
$90.60
|
| Rate for Payer: The Alliance Commercial |
$344.30
|
| Rate for Payer: United Healthcare Medicare Advantage |
$90.60
|
| Rate for Payer: WEA Trust Commercial |
$545.12
|
| Rate for Payer: WPS Commercial |
$453.02
|
|
|
US Doppler
|
Facility
|
OP
|
$881.00
|
|
|
Service Code
|
CPT 93975 TC
|
| Hospital Charge Code |
6187358
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$256.55 |
| Max. Negotiated Rate |
$848.64 |
| Rate for Payer: Aetna Commercial |
$824.62
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$787.97
|
| Rate for Payer: Aetna Managed Medicare |
$256.55
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$848.64
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$716.56
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$681.20
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$485.61
|
| Rate for Payer: Cash Price |
$264.30
|
| Rate for Payer: Cash Price |
$264.30
|
| Rate for Payer: Cash Price |
$264.30
|
| Rate for Payer: Cigna Commercial |
$842.94
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$512.74
|
| Rate for Payer: Health EOS Commercial |
$815.45
|
| Rate for Payer: HFN Commercial |
$842.94
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$687.18
|
| Rate for Payer: Multiplan Commercial |
$732.99
|
| Rate for Payer: NAPHCARE Commercial |
$549.74
|
| Rate for Payer: Preferred Network Access Commercial |
$842.94
|
| Rate for Payer: Quartz Beloit One Network |
$448.96
|
| Rate for Payer: Quartz Commercial |
$595.56
|
| Rate for Payer: Quartz Medicare Advantage |
$549.74
|
| Rate for Payer: The Alliance Commercial |
$817.69
|
| Rate for Payer: United Healthcare PPO |
$596.96
|
| Rate for Payer: WEA Trust Commercial |
$503.93
|
| Rate for Payer: WPS Commercial |
$678.63
|
|
|
US Doppler
|
Professional
|
Both
|
$881.00
|
|
|
Service Code
|
CPT 93975 TC
|
| Hospital Charge Code |
6187358
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$142.41 |
| Max. Negotiated Rate |
$870.43 |
| Rate for Payer: Aetna Commercial |
$870.43
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$787.97
|
| Rate for Payer: Aetna Managed Medicare |
$204.42
|
| Rate for Payer: Anthem Medicare Advantage |
$204.42
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$204.42
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$204.42
|
| Rate for Payer: Cash Price |
$264.30
|
| Rate for Payer: Cash Price |
$264.30
|
| Rate for Payer: Cash Price |
$264.30
|
| Rate for Payer: Cigna Commercial |
$870.43
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$142.41
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$204.42
|
| Rate for Payer: Health EOS Commercial |
$833.78
|
| Rate for Payer: HFN Commercial |
$870.43
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$782.23
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$782.23
|
| Rate for Payer: Independent Care Health Plan Medicare |
$204.42
|
| Rate for Payer: Multiplan Commercial |
$732.99
|
| Rate for Payer: NAPHCARE Commercial |
$306.63
|
| Rate for Payer: Preferred Network Access Commercial |
$870.43
|
| Rate for Payer: Quartz Beloit One Network |
$403.15
|
| Rate for Payer: Quartz Commercial |
$522.26
|
| Rate for Payer: Quartz Medicare Advantage |
$204.42
|
| Rate for Payer: The Alliance Commercial |
$511.06
|
| Rate for Payer: United Healthcare Medicaid |
$142.41
|
| Rate for Payer: United Healthcare Medicare Advantage |
$204.42
|
| Rate for Payer: WEA Trust Commercial |
$503.93
|
| Rate for Payer: WPS Commercial |
$817.69
|
|
|
US Doppler
|
Facility
|
IP
|
$881.00
|
|
|
Service Code
|
CPT 93975 TC
|
| Hospital Charge Code |
6187358
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$448.96 |
| Max. Negotiated Rate |
$842.94 |
| Rate for Payer: Aetna Commercial |
$824.62
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$787.97
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$485.61
|
| Rate for Payer: Cash Price |
$264.30
|
| Rate for Payer: Cigna Commercial |
$842.94
|
| Rate for Payer: Health EOS Commercial |
$815.45
|
| Rate for Payer: HFN Commercial |
$842.94
|
| Rate for Payer: Multiplan Commercial |
$732.99
|
| Rate for Payer: Preferred Network Access Commercial |
$842.94
|
| Rate for Payer: Quartz Beloit One Network |
$448.96
|
| Rate for Payer: Quartz Commercial |
$549.74
|
| Rate for Payer: WEA Trust Commercial |
$503.93
|
| Rate for Payer: WPS Commercial |
$678.63
|
|
|
US Doppler Limited
|
Facility
|
IP
|
$626.00
|
|
|
Service Code
|
CPT 93976 TC
|
| Hospital Charge Code |
6187360
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$319.01 |
| Max. Negotiated Rate |
$598.96 |
| Rate for Payer: Aetna Commercial |
$585.94
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$559.89
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$345.05
|
| Rate for Payer: Cash Price |
$187.80
|
| Rate for Payer: Cigna Commercial |
$598.96
|
| Rate for Payer: Health EOS Commercial |
$579.43
|
| Rate for Payer: HFN Commercial |
$598.96
|
| Rate for Payer: Multiplan Commercial |
$520.83
|
| Rate for Payer: Preferred Network Access Commercial |
$598.96
|
| Rate for Payer: Quartz Beloit One Network |
$319.01
|
| Rate for Payer: Quartz Commercial |
$390.62
|
| Rate for Payer: WEA Trust Commercial |
$358.07
|
| Rate for Payer: WPS Commercial |
$482.21
|
|
|
US Doppler Limited
|
Facility
|
OP
|
$626.00
|
|
|
Service Code
|
CPT 93976 TC
|
| Hospital Charge Code |
6187360
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$182.29 |
| Max. Negotiated Rate |
$848.64 |
| Rate for Payer: Aetna Commercial |
$585.94
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$559.89
|
| Rate for Payer: Aetna Managed Medicare |
$182.29
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$848.64
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$716.56
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$681.20
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$345.05
|
| Rate for Payer: Cash Price |
$187.80
|
| Rate for Payer: Cash Price |
$187.80
|
| Rate for Payer: Cash Price |
$187.80
|
| Rate for Payer: Cigna Commercial |
$598.96
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$364.33
|
| Rate for Payer: Health EOS Commercial |
$579.43
|
| Rate for Payer: HFN Commercial |
$598.96
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$488.28
|
| Rate for Payer: Multiplan Commercial |
$520.83
|
| Rate for Payer: NAPHCARE Commercial |
$390.62
|
| Rate for Payer: Preferred Network Access Commercial |
$598.96
|
| Rate for Payer: Quartz Beloit One Network |
$319.01
|
| Rate for Payer: Quartz Commercial |
$423.18
|
| Rate for Payer: Quartz Medicare Advantage |
$390.62
|
| Rate for Payer: The Alliance Commercial |
$472.08
|
| Rate for Payer: United Healthcare PPO |
$596.96
|
| Rate for Payer: WEA Trust Commercial |
$358.07
|
| Rate for Payer: WPS Commercial |
$482.21
|
|
|
US Doppler Limited
|
Professional
|
Both
|
$626.00
|
|
|
Service Code
|
CPT 93976 TC
|
| Hospital Charge Code |
6187360
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$118.02 |
| Max. Negotiated Rate |
$618.49 |
| Rate for Payer: Aetna Commercial |
$618.49
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$559.89
|
| Rate for Payer: Aetna Managed Medicare |
$118.02
|
| Rate for Payer: Anthem Medicare Advantage |
$118.02
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$118.02
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$118.02
|
| Rate for Payer: Cash Price |
$187.80
|
| Rate for Payer: Cash Price |
$187.80
|
| Rate for Payer: Cash Price |
$187.80
|
| Rate for Payer: Cigna Commercial |
$618.49
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$121.67
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$118.02
|
| Rate for Payer: Health EOS Commercial |
$592.45
|
| Rate for Payer: HFN Commercial |
$618.49
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$443.63
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$443.63
|
| Rate for Payer: Independent Care Health Plan Medicare |
$118.02
|
| Rate for Payer: Multiplan Commercial |
$520.83
|
| Rate for Payer: NAPHCARE Commercial |
$177.03
|
| Rate for Payer: Preferred Network Access Commercial |
$618.49
|
| Rate for Payer: Quartz Beloit One Network |
$286.46
|
| Rate for Payer: Quartz Commercial |
$371.09
|
| Rate for Payer: Quartz Medicare Advantage |
$118.02
|
| Rate for Payer: The Alliance Commercial |
$295.05
|
| Rate for Payer: United Healthcare Medicaid |
$121.67
|
| Rate for Payer: United Healthcare Medicare Advantage |
$118.02
|
| Rate for Payer: WEA Trust Commercial |
$358.07
|
| Rate for Payer: WPS Commercial |
$472.08
|
|
|
US Drainage Abscess or Cyst
|
Professional
|
Both
|
$1,444.00
|
|
|
Service Code
|
CPT 76942
|
| Hospital Charge Code |
2544829
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$63.94 |
| Max. Negotiated Rate |
$1,426.67 |
| Rate for Payer: Aetna Commercial |
$1,426.67
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$1,291.51
|
| Rate for Payer: Aetna Managed Medicare |
$63.94
|
| Rate for Payer: Anthem Medicare Advantage |
$63.94
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$63.94
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$63.94
|
| Rate for Payer: Cash Price |
$433.20
|
| Rate for Payer: Cash Price |
$433.20
|
| Rate for Payer: Cash Price |
$433.20
|
| Rate for Payer: Cigna Commercial |
$1,426.67
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$750.88
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$63.94
|
| Rate for Payer: Health EOS Commercial |
$1,366.60
|
| Rate for Payer: HFN Commercial |
$1,426.67
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$204.78
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$204.78
|
| Rate for Payer: Independent Care Health Plan Medicare |
$63.94
|
| Rate for Payer: Multiplan Commercial |
$1,201.41
|
| Rate for Payer: NAPHCARE Commercial |
$95.91
|
| Rate for Payer: Preferred Network Access Commercial |
$1,426.67
|
| Rate for Payer: Quartz Beloit One Network |
$660.77
|
| Rate for Payer: Quartz Commercial |
$856.00
|
| Rate for Payer: Quartz Medicare Advantage |
$63.94
|
| Rate for Payer: The Alliance Commercial |
$242.97
|
| Rate for Payer: United Healthcare Medicare Advantage |
$63.94
|
| Rate for Payer: WEA Trust Commercial |
$825.97
|
| Rate for Payer: WPS Commercial |
$319.70
|
|
|
US Drainage Abscess or Cyst
|
Facility
|
IP
|
$1,444.00
|
|
|
Service Code
|
CPT 76942
|
| Hospital Charge Code |
2544829
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$735.86 |
| Max. Negotiated Rate |
$1,381.62 |
| Rate for Payer: Aetna Commercial |
$1,351.58
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$1,291.51
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$795.93
|
| Rate for Payer: Cash Price |
$433.20
|
| Rate for Payer: Cigna Commercial |
$1,381.62
|
| Rate for Payer: Health EOS Commercial |
$1,336.57
|
| Rate for Payer: HFN Commercial |
$1,381.62
|
| Rate for Payer: Multiplan Commercial |
$1,201.41
|
| Rate for Payer: Preferred Network Access Commercial |
$1,381.62
|
| Rate for Payer: Quartz Beloit One Network |
$735.86
|
| Rate for Payer: Quartz Commercial |
$901.06
|
| Rate for Payer: WEA Trust Commercial |
$825.97
|
| Rate for Payer: WPS Commercial |
$1,112.31
|
|
|
US Drainage Abscess or Cyst
|
Facility
|
OP
|
$1,444.00
|
|
|
Service Code
|
CPT 76942
|
| Hospital Charge Code |
2544829
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$255.76 |
| Max. Negotiated Rate |
$1,381.62 |
| Rate for Payer: Aetna Commercial |
$1,351.58
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$1,291.51
|
| Rate for Payer: Aetna Managed Medicare |
$420.49
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$848.64
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$716.56
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$681.20
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$795.93
|
| Rate for Payer: Cash Price |
$433.20
|
| Rate for Payer: Cash Price |
$433.20
|
| Rate for Payer: Cash Price |
$433.20
|
| Rate for Payer: Cigna Commercial |
$1,381.62
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$840.41
|
| Rate for Payer: Health EOS Commercial |
$1,336.57
|
| Rate for Payer: HFN Commercial |
$1,381.62
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$1,126.32
|
| Rate for Payer: Multiplan Commercial |
$1,201.41
|
| Rate for Payer: NAPHCARE Commercial |
$901.06
|
| Rate for Payer: Preferred Network Access Commercial |
$1,381.62
|
| Rate for Payer: Quartz Beloit One Network |
$735.86
|
| Rate for Payer: Quartz Commercial |
$976.14
|
| Rate for Payer: Quartz Medicare Advantage |
$901.06
|
| Rate for Payer: The Alliance Commercial |
$255.76
|
| Rate for Payer: United Healthcare PPO |
$596.96
|
| Rate for Payer: WEA Trust Commercial |
$825.97
|
| Rate for Payer: WPS Commercial |
$1,112.31
|
|
|
US Drainage Gallbladder
|
Facility
|
IP
|
$2,250.00
|
|
|
Service Code
|
CPT 75989 TC
|
| Hospital Charge Code |
5963643
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$1,146.60 |
| Max. Negotiated Rate |
$2,152.80 |
| Rate for Payer: Aetna Commercial |
$2,106.00
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$2,012.40
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$1,240.20
|
| Rate for Payer: Cash Price |
$675.00
|
| Rate for Payer: Cigna Commercial |
$2,152.80
|
| Rate for Payer: Health EOS Commercial |
$2,082.60
|
| Rate for Payer: HFN Commercial |
$2,152.80
|
| Rate for Payer: Multiplan Commercial |
$1,872.00
|
| Rate for Payer: Preferred Network Access Commercial |
$2,152.80
|
| Rate for Payer: Quartz Beloit One Network |
$1,146.60
|
| Rate for Payer: Quartz Commercial |
$1,404.00
|
| Rate for Payer: WEA Trust Commercial |
$1,287.00
|
| Rate for Payer: WPS Commercial |
$1,733.17
|
|
|
US Drainage Gallbladder
|
Professional
|
Both
|
$2,250.00
|
|
|
Service Code
|
CPT 75989 TC
|
| Hospital Charge Code |
5963643
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$57.68 |
| Max. Negotiated Rate |
$2,223.00 |
| Rate for Payer: Aetna Commercial |
$2,223.00
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$2,012.40
|
| Rate for Payer: Aetna Managed Medicare |
$57.68
|
| Rate for Payer: Anthem Medicare Advantage |
$57.68
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$57.68
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$57.68
|
| Rate for Payer: Cash Price |
$675.00
|
| Rate for Payer: Cash Price |
$675.00
|
| Rate for Payer: Cash Price |
$675.00
|
| Rate for Payer: Cigna Commercial |
$2,223.00
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$1,170.00
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$57.68
|
| Rate for Payer: Health EOS Commercial |
$2,129.40
|
| Rate for Payer: HFN Commercial |
$2,223.00
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$222.44
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$222.44
|
| Rate for Payer: Independent Care Health Plan Medicare |
$57.68
|
| Rate for Payer: Multiplan Commercial |
$1,872.00
|
| Rate for Payer: NAPHCARE Commercial |
$86.52
|
| Rate for Payer: Preferred Network Access Commercial |
$2,223.00
|
| Rate for Payer: Quartz Beloit One Network |
$1,029.60
|
| Rate for Payer: Quartz Commercial |
$1,333.80
|
| Rate for Payer: Quartz Medicare Advantage |
$57.68
|
| Rate for Payer: The Alliance Commercial |
$219.18
|
| Rate for Payer: United Healthcare Medicare Advantage |
$57.68
|
| Rate for Payer: WEA Trust Commercial |
$1,287.00
|
| Rate for Payer: WPS Commercial |
$288.39
|
|
|
US Drainage Gallbladder
|
Facility
|
OP
|
$2,250.00
|
|
|
Service Code
|
CPT 75989 TC
|
| Hospital Charge Code |
5963643
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$230.71 |
| Max. Negotiated Rate |
$2,152.80 |
| Rate for Payer: Aetna Commercial |
$2,106.00
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$2,012.40
|
| Rate for Payer: Aetna Managed Medicare |
$655.20
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$848.64
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$716.56
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$681.20
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$1,240.20
|
| Rate for Payer: Cash Price |
$675.00
|
| Rate for Payer: Cash Price |
$675.00
|
| Rate for Payer: Cash Price |
$675.00
|
| Rate for Payer: Cigna Commercial |
$2,152.80
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$1,309.50
|
| Rate for Payer: Health EOS Commercial |
$2,082.60
|
| Rate for Payer: HFN Commercial |
$2,152.80
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$1,755.00
|
| Rate for Payer: Multiplan Commercial |
$1,872.00
|
| Rate for Payer: NAPHCARE Commercial |
$1,404.00
|
| Rate for Payer: Preferred Network Access Commercial |
$2,152.80
|
| Rate for Payer: Quartz Beloit One Network |
$1,146.60
|
| Rate for Payer: Quartz Commercial |
$1,521.00
|
| Rate for Payer: Quartz Medicare Advantage |
$1,404.00
|
| Rate for Payer: The Alliance Commercial |
$230.71
|
| Rate for Payer: United Healthcare PPO |
$596.96
|
| Rate for Payer: WEA Trust Commercial |
$1,287.00
|
| Rate for Payer: WPS Commercial |
$1,733.17
|
|
|
US Drainage Liver
|
Facility
|
IP
|
$2,250.00
|
|
|
Service Code
|
CPT 75989 TC
|
| Hospital Charge Code |
2544831
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$1,146.60 |
| Max. Negotiated Rate |
$2,152.80 |
| Rate for Payer: Aetna Commercial |
$2,106.00
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$2,012.40
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$1,240.20
|
| Rate for Payer: Cash Price |
$675.00
|
| Rate for Payer: Cigna Commercial |
$2,152.80
|
| Rate for Payer: Health EOS Commercial |
$2,082.60
|
| Rate for Payer: HFN Commercial |
$2,152.80
|
| Rate for Payer: Multiplan Commercial |
$1,872.00
|
| Rate for Payer: Preferred Network Access Commercial |
$2,152.80
|
| Rate for Payer: Quartz Beloit One Network |
$1,146.60
|
| Rate for Payer: Quartz Commercial |
$1,404.00
|
| Rate for Payer: WEA Trust Commercial |
$1,287.00
|
| Rate for Payer: WPS Commercial |
$1,733.17
|
|
|
US Drainage Liver
|
Facility
|
OP
|
$2,250.00
|
|
|
Service Code
|
CPT 75989 TC
|
| Hospital Charge Code |
2544831
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$230.71 |
| Max. Negotiated Rate |
$2,152.80 |
| Rate for Payer: Aetna Commercial |
$2,106.00
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$2,012.40
|
| Rate for Payer: Aetna Managed Medicare |
$655.20
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$848.64
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$716.56
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$681.20
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$1,240.20
|
| Rate for Payer: Cash Price |
$675.00
|
| Rate for Payer: Cash Price |
$675.00
|
| Rate for Payer: Cash Price |
$675.00
|
| Rate for Payer: Cigna Commercial |
$2,152.80
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$1,309.50
|
| Rate for Payer: Health EOS Commercial |
$2,082.60
|
| Rate for Payer: HFN Commercial |
$2,152.80
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$1,755.00
|
| Rate for Payer: Multiplan Commercial |
$1,872.00
|
| Rate for Payer: NAPHCARE Commercial |
$1,404.00
|
| Rate for Payer: Preferred Network Access Commercial |
$2,152.80
|
| Rate for Payer: Quartz Beloit One Network |
$1,146.60
|
| Rate for Payer: Quartz Commercial |
$1,521.00
|
| Rate for Payer: Quartz Medicare Advantage |
$1,404.00
|
| Rate for Payer: The Alliance Commercial |
$230.71
|
| Rate for Payer: United Healthcare PPO |
$596.96
|
| Rate for Payer: WEA Trust Commercial |
$1,287.00
|
| Rate for Payer: WPS Commercial |
$1,733.17
|
|
|
US Drainage Liver
|
Professional
|
Both
|
$2,250.00
|
|
|
Service Code
|
CPT 75989 TC
|
| Hospital Charge Code |
2544831
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$57.68 |
| Max. Negotiated Rate |
$2,223.00 |
| Rate for Payer: Aetna Commercial |
$2,223.00
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$2,012.40
|
| Rate for Payer: Aetna Managed Medicare |
$57.68
|
| Rate for Payer: Anthem Medicare Advantage |
$57.68
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$57.68
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$57.68
|
| Rate for Payer: Cash Price |
$675.00
|
| Rate for Payer: Cash Price |
$675.00
|
| Rate for Payer: Cash Price |
$675.00
|
| Rate for Payer: Cigna Commercial |
$2,223.00
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$1,170.00
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$57.68
|
| Rate for Payer: Health EOS Commercial |
$2,129.40
|
| Rate for Payer: HFN Commercial |
$2,223.00
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$222.44
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$222.44
|
| Rate for Payer: Independent Care Health Plan Medicare |
$57.68
|
| Rate for Payer: Multiplan Commercial |
$1,872.00
|
| Rate for Payer: NAPHCARE Commercial |
$86.52
|
| Rate for Payer: Preferred Network Access Commercial |
$2,223.00
|
| Rate for Payer: Quartz Beloit One Network |
$1,029.60
|
| Rate for Payer: Quartz Commercial |
$1,333.80
|
| Rate for Payer: Quartz Medicare Advantage |
$57.68
|
| Rate for Payer: The Alliance Commercial |
$219.18
|
| Rate for Payer: United Healthcare Medicare Advantage |
$57.68
|
| Rate for Payer: WEA Trust Commercial |
$1,287.00
|
| Rate for Payer: WPS Commercial |
$288.39
|
|
|
US Drainage Peritoneal
|
Facility
|
OP
|
$1,839.00
|
|
|
Service Code
|
CPT 76999
|
| Hospital Charge Code |
2544841
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$91.58 |
| Max. Negotiated Rate |
$1,759.56 |
| Rate for Payer: Aetna Commercial |
$1,721.30
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$1,644.80
|
| Rate for Payer: Aetna Managed Medicare |
$91.58
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$848.64
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$716.56
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$681.20
|
| Rate for Payer: Anthem Medicare Advantage |
$91.58
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$1,013.66
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$91.58
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$91.58
|
| Rate for Payer: Cash Price |
$551.70
|
| Rate for Payer: Cash Price |
$551.70
|
| Rate for Payer: Cash Price |
$551.70
|
| Rate for Payer: Cigna Commercial |
$1,759.56
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$91.58
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$1,070.30
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$91.58
|
| Rate for Payer: Health EOS Commercial |
$1,702.18
|
| Rate for Payer: HFN Commercial |
$1,759.56
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$340.69
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$91.58
|
| Rate for Payer: Independent Care Health Plan Medicare |
$91.58
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$91.58
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$91.58
|
| Rate for Payer: Multiplan Commercial |
$1,530.05
|
| Rate for Payer: NAPHCARE Commercial |
$137.37
|
| Rate for Payer: Preferred Network Access Commercial |
$1,759.56
|
| Rate for Payer: Quartz Beloit One Network |
$937.15
|
| Rate for Payer: Quartz Commercial |
$1,243.16
|
| Rate for Payer: Quartz Medicare Advantage |
$91.58
|
| Rate for Payer: The Alliance Commercial |
$366.33
|
| Rate for Payer: United Healthcare Medicare Advantage |
$91.58
|
| Rate for Payer: United Healthcare PPO |
$596.96
|
| Rate for Payer: WEA Trust Commercial |
$1,051.91
|
| Rate for Payer: Wellcare Medicare |
$91.58
|
| Rate for Payer: WPS Commercial |
$1,416.58
|
|
|
US Drainage Peritoneal
|
Facility
|
IP
|
$1,839.00
|
|
|
Service Code
|
CPT 76999
|
| Hospital Charge Code |
2544841
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$937.15 |
| Max. Negotiated Rate |
$1,759.56 |
| Rate for Payer: Aetna Commercial |
$1,721.30
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$1,644.80
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$1,013.66
|
| Rate for Payer: Cash Price |
$551.70
|
| Rate for Payer: Cigna Commercial |
$1,759.56
|
| Rate for Payer: Health EOS Commercial |
$1,702.18
|
| Rate for Payer: HFN Commercial |
$1,759.56
|
| Rate for Payer: Multiplan Commercial |
$1,530.05
|
| Rate for Payer: Preferred Network Access Commercial |
$1,759.56
|
| Rate for Payer: Quartz Beloit One Network |
$937.15
|
| Rate for Payer: Quartz Commercial |
$1,147.54
|
| Rate for Payer: WEA Trust Commercial |
$1,051.91
|
| Rate for Payer: WPS Commercial |
$1,416.58
|
|
|
US Drainage Peritoneal
|
Professional
|
Both
|
$1,839.00
|
|
|
Service Code
|
CPT 76999
|
| Hospital Charge Code |
2544841
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$841.53 |
| Max. Negotiated Rate |
$1,816.93 |
| Rate for Payer: Aetna Commercial |
$1,816.93
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$1,644.80
|
| Rate for Payer: Cash Price |
$551.70
|
| Rate for Payer: Cash Price |
$551.70
|
| Rate for Payer: Cigna Commercial |
$1,816.93
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$956.28
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$1,147.54
|
| Rate for Payer: Health EOS Commercial |
$1,740.43
|
| Rate for Payer: HFN Commercial |
$1,816.93
|
| Rate for Payer: Multiplan Commercial |
$1,530.05
|
| Rate for Payer: Preferred Network Access Commercial |
$1,816.93
|
| Rate for Payer: Quartz Beloit One Network |
$841.53
|
| Rate for Payer: Quartz Commercial |
$1,090.16
|
| Rate for Payer: The Alliance Commercial |
$956.28
|
| Rate for Payer: WEA Trust Commercial |
$1,051.91
|
| Rate for Payer: WPS Commercial |
$1,416.58
|
|
|
US Drainage Renal Right
|
Professional
|
Both
|
$1,927.00
|
|
|
Service Code
|
CPT 76942
|
| Hospital Charge Code |
2544847
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$63.94 |
| Max. Negotiated Rate |
$1,903.88 |
| Rate for Payer: Aetna Commercial |
$1,903.88
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$1,723.51
|
| Rate for Payer: Aetna Managed Medicare |
$63.94
|
| Rate for Payer: Anthem Medicare Advantage |
$63.94
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$63.94
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$63.94
|
| Rate for Payer: Cash Price |
$578.10
|
| Rate for Payer: Cash Price |
$578.10
|
| Rate for Payer: Cash Price |
$578.10
|
| Rate for Payer: Cigna Commercial |
$1,903.88
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$1,002.04
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$63.94
|
| Rate for Payer: Health EOS Commercial |
$1,823.71
|
| Rate for Payer: HFN Commercial |
$1,903.88
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$204.78
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$204.78
|
| Rate for Payer: Independent Care Health Plan Medicare |
$63.94
|
| Rate for Payer: Multiplan Commercial |
$1,603.26
|
| Rate for Payer: NAPHCARE Commercial |
$95.91
|
| Rate for Payer: Preferred Network Access Commercial |
$1,903.88
|
| Rate for Payer: Quartz Beloit One Network |
$881.80
|
| Rate for Payer: Quartz Commercial |
$1,142.33
|
| Rate for Payer: Quartz Medicare Advantage |
$63.94
|
| Rate for Payer: The Alliance Commercial |
$242.97
|
| Rate for Payer: United Healthcare Medicare Advantage |
$63.94
|
| Rate for Payer: WEA Trust Commercial |
$1,102.24
|
| Rate for Payer: WPS Commercial |
$319.70
|
|
|
US Drainage Renal Right
|
Facility
|
IP
|
$1,927.00
|
|
|
Service Code
|
CPT 76942
|
| Hospital Charge Code |
2544847
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$982.00 |
| Max. Negotiated Rate |
$1,843.75 |
| Rate for Payer: Aetna Commercial |
$1,803.67
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$1,723.51
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$1,062.16
|
| Rate for Payer: Cash Price |
$578.10
|
| Rate for Payer: Cigna Commercial |
$1,843.75
|
| Rate for Payer: Health EOS Commercial |
$1,783.63
|
| Rate for Payer: HFN Commercial |
$1,843.75
|
| Rate for Payer: Multiplan Commercial |
$1,603.26
|
| Rate for Payer: Preferred Network Access Commercial |
$1,843.75
|
| Rate for Payer: Quartz Beloit One Network |
$982.00
|
| Rate for Payer: Quartz Commercial |
$1,202.45
|
| Rate for Payer: WEA Trust Commercial |
$1,102.24
|
| Rate for Payer: WPS Commercial |
$1,484.37
|
|
|
US Drainage Renal Right
|
Facility
|
OP
|
$1,927.00
|
|
|
Service Code
|
CPT 76942
|
| Hospital Charge Code |
2544847
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$255.76 |
| Max. Negotiated Rate |
$1,843.75 |
| Rate for Payer: Aetna Commercial |
$1,803.67
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$1,723.51
|
| Rate for Payer: Aetna Managed Medicare |
$561.14
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$848.64
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$716.56
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$681.20
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$1,062.16
|
| Rate for Payer: Cash Price |
$578.10
|
| Rate for Payer: Cash Price |
$578.10
|
| Rate for Payer: Cash Price |
$578.10
|
| Rate for Payer: Cigna Commercial |
$1,843.75
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$1,121.51
|
| Rate for Payer: Health EOS Commercial |
$1,783.63
|
| Rate for Payer: HFN Commercial |
$1,843.75
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$1,503.06
|
| Rate for Payer: Multiplan Commercial |
$1,603.26
|
| Rate for Payer: NAPHCARE Commercial |
$1,202.45
|
| Rate for Payer: Preferred Network Access Commercial |
$1,843.75
|
| Rate for Payer: Quartz Beloit One Network |
$982.00
|
| Rate for Payer: Quartz Commercial |
$1,302.65
|
| Rate for Payer: Quartz Medicare Advantage |
$1,202.45
|
| Rate for Payer: The Alliance Commercial |
$255.76
|
| Rate for Payer: United Healthcare PPO |
$596.96
|
| Rate for Payer: WEA Trust Commercial |
$1,102.24
|
| Rate for Payer: WPS Commercial |
$1,484.37
|
|
|
US ED Abdomen Limited
|
Facility
|
IP
|
$590.00
|
|
|
Service Code
|
CPT 76705 TC
|
| Hospital Charge Code |
2587091
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$300.66 |
| Max. Negotiated Rate |
$564.51 |
| Rate for Payer: Aetna Commercial |
$552.24
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$527.70
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$325.21
|
| Rate for Payer: Cash Price |
$177.00
|
| Rate for Payer: Cigna Commercial |
$564.51
|
| Rate for Payer: Health EOS Commercial |
$546.10
|
| Rate for Payer: HFN Commercial |
$564.51
|
| Rate for Payer: Multiplan Commercial |
$490.88
|
| Rate for Payer: Preferred Network Access Commercial |
$564.51
|
| Rate for Payer: Quartz Beloit One Network |
$300.66
|
| Rate for Payer: Quartz Commercial |
$368.16
|
| Rate for Payer: WEA Trust Commercial |
$337.48
|
| Rate for Payer: WPS Commercial |
$454.48
|
|
|
US ED Abdomen Limited
|
Professional
|
Both
|
$590.00
|
|
|
Service Code
|
CPT 76705 TC
|
| Hospital Charge Code |
2587091
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$58.34 |
| Max. Negotiated Rate |
$582.92 |
| Rate for Payer: WPS Commercial |
$291.72
|
| Rate for Payer: Aetna Commercial |
$582.92
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$527.70
|
| Rate for Payer: Aetna Managed Medicare |
$58.34
|
| Rate for Payer: Anthem Medicare Advantage |
$58.34
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$58.34
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$58.34
|
| Rate for Payer: Cash Price |
$177.00
|
| Rate for Payer: Cash Price |
$177.00
|
| Rate for Payer: Cash Price |
$177.00
|
| Rate for Payer: Cigna Commercial |
$582.92
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$306.80
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$58.34
|
| Rate for Payer: Health EOS Commercial |
$558.38
|
| Rate for Payer: HFN Commercial |
$582.92
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$220.01
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$220.01
|
| Rate for Payer: Independent Care Health Plan Medicare |
$58.34
|
| Rate for Payer: Multiplan Commercial |
$490.88
|
| Rate for Payer: NAPHCARE Commercial |
$87.52
|
| Rate for Payer: Preferred Network Access Commercial |
$582.92
|
| Rate for Payer: Quartz Beloit One Network |
$269.98
|
| Rate for Payer: Quartz Commercial |
$349.75
|
| Rate for Payer: Quartz Medicare Advantage |
$58.34
|
| Rate for Payer: The Alliance Commercial |
$221.71
|
| Rate for Payer: United Healthcare Medicare Advantage |
$58.34
|
| Rate for Payer: WEA Trust Commercial |
$337.48
|
|
|
US ED Abdomen Limited
|
Facility
|
OP
|
$590.00
|
|
|
Service Code
|
CPT 76705 TC
|
| Hospital Charge Code |
2587091
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$171.81 |
| Max. Negotiated Rate |
$848.64 |
| Rate for Payer: Aetna Commercial |
$552.24
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$527.70
|
| Rate for Payer: Aetna Managed Medicare |
$171.81
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$848.64
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$716.56
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$681.20
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$325.21
|
| Rate for Payer: Cash Price |
$177.00
|
| Rate for Payer: Cash Price |
$177.00
|
| Rate for Payer: Cash Price |
$177.00
|
| Rate for Payer: Cigna Commercial |
$564.51
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$343.38
|
| Rate for Payer: Health EOS Commercial |
$546.10
|
| Rate for Payer: HFN Commercial |
$564.51
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$460.20
|
| Rate for Payer: Multiplan Commercial |
$490.88
|
| Rate for Payer: NAPHCARE Commercial |
$368.16
|
| Rate for Payer: Preferred Network Access Commercial |
$564.51
|
| Rate for Payer: Quartz Beloit One Network |
$300.66
|
| Rate for Payer: Quartz Commercial |
$398.84
|
| Rate for Payer: Quartz Medicare Advantage |
$368.16
|
| Rate for Payer: The Alliance Commercial |
$233.38
|
| Rate for Payer: United Healthcare PPO |
$596.96
|
| Rate for Payer: WEA Trust Commercial |
$337.48
|
| Rate for Payer: WPS Commercial |
$454.48
|
|
