|
COLLECTION: Venous Draw
|
Professional
|
Both
|
$45.00
|
|
|
Service Code
|
CPT 36415
|
| Hospital Charge Code |
3029072
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$9.71 |
| Max. Negotiated Rate |
$44.46 |
| Rate for Payer: Aetna Commercial |
$44.46
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$40.25
|
| Rate for Payer: Aetna Managed Medicare |
$9.71
|
| Rate for Payer: Anthem Medicare Advantage |
$9.71
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$9.71
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$9.71
|
| Rate for Payer: Cash Price |
$13.50
|
| Rate for Payer: Cash Price |
$13.50
|
| Rate for Payer: Cash Price |
$13.50
|
| Rate for Payer: Cigna Commercial |
$44.46
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$23.40
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$9.71
|
| Rate for Payer: Health EOS Commercial |
$42.59
|
| Rate for Payer: HFN Commercial |
$44.46
|
| Rate for Payer: Independent Care Health Plan Medicare |
$9.71
|
| Rate for Payer: Multiplan Commercial |
$37.44
|
| Rate for Payer: NAPHCARE Commercial |
$14.57
|
| Rate for Payer: Preferred Network Access Commercial |
$44.46
|
| Rate for Payer: Quartz Beloit One Network |
$20.59
|
| Rate for Payer: Quartz Commercial |
$26.68
|
| Rate for Payer: Quartz Medicare Advantage |
$9.71
|
| Rate for Payer: The Alliance Commercial |
$41.28
|
| Rate for Payer: United Healthcare Medicare Advantage |
$9.71
|
| Rate for Payer: WEA Trust Commercial |
$25.74
|
| Rate for Payer: WPS Commercial |
$42.74
|
|
|
COLLECTOR AUTOLOGOUS TISSUE ABS-1050
|
Facility
|
IP
|
$4,096.00
|
|
| Hospital Charge Code |
5547217
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,087.32 |
| Max. Negotiated Rate |
$3,919.05 |
| Rate for Payer: Aetna Commercial |
$3,833.86
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$3,663.46
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$2,257.72
|
| Rate for Payer: Cash Price |
$1,228.80
|
| Rate for Payer: Cigna Commercial |
$3,919.05
|
| Rate for Payer: Health EOS Commercial |
$3,791.26
|
| Rate for Payer: HFN Commercial |
$3,919.05
|
| Rate for Payer: Multiplan Commercial |
$3,407.87
|
| Rate for Payer: Preferred Network Access Commercial |
$3,919.05
|
| Rate for Payer: Quartz Beloit One Network |
$2,087.32
|
| Rate for Payer: Quartz Commercial |
$2,555.90
|
| Rate for Payer: WEA Trust Commercial |
$2,342.91
|
| Rate for Payer: WPS Commercial |
$3,155.15
|
|
|
COLLECTOR AUTOLOGOUS TISSUE ABS-1050
|
Facility
|
OP
|
$4,096.00
|
|
| Hospital Charge Code |
5547217
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,192.76 |
| Max. Negotiated Rate |
$3,919.05 |
| Rate for Payer: Aetna Commercial |
$3,833.86
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$3,663.46
|
| Rate for Payer: Aetna Managed Medicare |
$1,192.76
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$2,768.90
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$2,129.92
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$2,044.72
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$2,257.72
|
| Rate for Payer: Cash Price |
$1,228.80
|
| Rate for Payer: Cigna Commercial |
$3,919.05
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$2,383.87
|
| Rate for Payer: Health EOS Commercial |
$3,791.26
|
| Rate for Payer: HFN Commercial |
$3,919.05
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$3,194.88
|
| Rate for Payer: Multiplan Commercial |
$3,407.87
|
| Rate for Payer: NAPHCARE Commercial |
$2,555.90
|
| Rate for Payer: Preferred Network Access Commercial |
$3,919.05
|
| Rate for Payer: Quartz Beloit One Network |
$2,087.32
|
| Rate for Payer: Quartz Commercial |
$2,768.90
|
| Rate for Payer: Quartz Medicare Advantage |
$2,555.90
|
| Rate for Payer: The Alliance Commercial |
$2,129.92
|
| Rate for Payer: WEA Trust Commercial |
$2,342.91
|
| Rate for Payer: WPS Commercial |
$3,155.15
|
|
|
COLOCARDS
|
Facility
|
IP
|
$120.00
|
|
| Hospital Charge Code |
2973174
|
|
Hospital Revenue Code
|
271
|
| Min. Negotiated Rate |
$61.15 |
| Max. Negotiated Rate |
$114.82 |
| Rate for Payer: Aetna Commercial |
$112.32
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$107.33
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$66.14
|
| Rate for Payer: Cash Price |
$36.00
|
| Rate for Payer: Cigna Commercial |
$114.82
|
| Rate for Payer: Health EOS Commercial |
$111.07
|
| Rate for Payer: HFN Commercial |
$114.82
|
| Rate for Payer: Multiplan Commercial |
$99.84
|
| Rate for Payer: Preferred Network Access Commercial |
$114.82
|
| Rate for Payer: Quartz Beloit One Network |
$61.15
|
| Rate for Payer: Quartz Commercial |
$74.88
|
| Rate for Payer: WEA Trust Commercial |
$68.64
|
| Rate for Payer: WPS Commercial |
$92.44
|
|
|
COLOCARDS
|
Facility
|
OP
|
$120.00
|
|
| Hospital Charge Code |
2973174
|
|
Hospital Revenue Code
|
271
|
| Min. Negotiated Rate |
$34.94 |
| Max. Negotiated Rate |
$114.82 |
| Rate for Payer: Aetna Commercial |
$112.32
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$107.33
|
| Rate for Payer: Aetna Managed Medicare |
$34.94
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$81.12
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$62.40
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$59.90
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$66.14
|
| Rate for Payer: Cash Price |
$36.00
|
| Rate for Payer: Cigna Commercial |
$114.82
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$69.84
|
| Rate for Payer: Health EOS Commercial |
$111.07
|
| Rate for Payer: HFN Commercial |
$114.82
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$93.60
|
| Rate for Payer: Multiplan Commercial |
$99.84
|
| Rate for Payer: NAPHCARE Commercial |
$74.88
|
| Rate for Payer: Preferred Network Access Commercial |
$114.82
|
| Rate for Payer: Quartz Beloit One Network |
$61.15
|
| Rate for Payer: Quartz Commercial |
$81.12
|
| Rate for Payer: Quartz Medicare Advantage |
$74.88
|
| Rate for Payer: The Alliance Commercial |
$62.40
|
| Rate for Payer: WEA Trust Commercial |
$68.64
|
| Rate for Payer: WPS Commercial |
$92.44
|
|
|
Colon Cancer Panel
|
Facility
|
IP
|
$1,652.00
|
|
|
Service Code
|
CPT 81435
|
| Hospital Charge Code |
4924643
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$841.86 |
| Max. Negotiated Rate |
$1,580.63 |
| Rate for Payer: Aetna Commercial |
$1,546.27
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$1,477.55
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$910.58
|
| Rate for Payer: Cash Price |
$495.60
|
| Rate for Payer: Cigna Commercial |
$1,580.63
|
| Rate for Payer: Health EOS Commercial |
$1,529.09
|
| Rate for Payer: HFN Commercial |
$1,580.63
|
| Rate for Payer: Multiplan Commercial |
$1,374.46
|
| Rate for Payer: Preferred Network Access Commercial |
$1,580.63
|
| Rate for Payer: Quartz Beloit One Network |
$841.86
|
| Rate for Payer: Quartz Commercial |
$1,030.85
|
| Rate for Payer: WEA Trust Commercial |
$944.94
|
| Rate for Payer: WPS Commercial |
$1,272.54
|
|
|
Colon Cancer Panel
|
Professional
|
Both
|
$1,652.00
|
|
|
Service Code
|
CPT 81435
|
| Hospital Charge Code |
4924643
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$755.96 |
| Max. Negotiated Rate |
$5,966.88 |
| Rate for Payer: Aetna Commercial |
$1,632.18
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$1,477.55
|
| Rate for Payer: Aetna Managed Medicare |
$1,356.11
|
| Rate for Payer: Anthem Medicare Advantage |
$1,356.11
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$1,356.11
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$1,356.11
|
| Rate for Payer: Cash Price |
$495.60
|
| Rate for Payer: Cash Price |
$495.60
|
| Rate for Payer: Cigna Commercial |
$1,632.18
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$859.04
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$1,356.11
|
| Rate for Payer: Health EOS Commercial |
$1,563.45
|
| Rate for Payer: HFN Commercial |
$1,632.18
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$2,147.29
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$2,147.29
|
| Rate for Payer: Independent Care Health Plan Medicare |
$1,356.11
|
| Rate for Payer: Multiplan Commercial |
$1,374.46
|
| Rate for Payer: NAPHCARE Commercial |
$2,034.16
|
| Rate for Payer: Preferred Network Access Commercial |
$1,632.18
|
| Rate for Payer: Quartz Beloit One Network |
$755.96
|
| Rate for Payer: Quartz Commercial |
$979.31
|
| Rate for Payer: Quartz Medicare Advantage |
$1,356.11
|
| Rate for Payer: The Alliance Commercial |
$5,356.63
|
| Rate for Payer: United Healthcare Medicare Advantage |
$1,356.11
|
| Rate for Payer: WEA Trust Commercial |
$944.94
|
| Rate for Payer: WPS Commercial |
$5,966.88
|
|
|
Colon Cancer Panel
|
Facility
|
OP
|
$1,652.00
|
|
|
Service Code
|
CPT 81435
|
| Hospital Charge Code |
4924643
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$841.86 |
| Max. Negotiated Rate |
$5,424.43 |
| Rate for Payer: Aetna Commercial |
$1,546.27
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$1,477.55
|
| Rate for Payer: Aetna Managed Medicare |
$1,356.11
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$2,281.11
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$1,064.52
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$1,009.77
|
| Rate for Payer: Anthem Medicare Advantage |
$1,356.11
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$910.58
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$1,356.11
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$1,356.11
|
| Rate for Payer: Cash Price |
$495.60
|
| Rate for Payer: Cash Price |
$495.60
|
| Rate for Payer: Cigna Commercial |
$1,580.63
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$1,356.11
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$961.46
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$1,356.11
|
| Rate for Payer: Health EOS Commercial |
$1,529.09
|
| Rate for Payer: HFN Commercial |
$1,580.63
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$5,044.72
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$1,356.11
|
| Rate for Payer: Independent Care Health Plan Medicare |
$1,356.11
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$1,356.11
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$1,356.11
|
| Rate for Payer: Multiplan Commercial |
$1,374.46
|
| Rate for Payer: NAPHCARE Commercial |
$2,034.16
|
| Rate for Payer: Preferred Network Access Commercial |
$1,580.63
|
| Rate for Payer: Quartz Beloit One Network |
$841.86
|
| Rate for Payer: Quartz Commercial |
$1,116.75
|
| Rate for Payer: Quartz Medicare Advantage |
$1,356.11
|
| Rate for Payer: The Alliance Commercial |
$5,424.43
|
| Rate for Payer: United Healthcare Medicare Advantage |
$1,356.11
|
| Rate for Payer: United Healthcare PPO |
$1,288.56
|
| Rate for Payer: WEA Trust Commercial |
$944.94
|
| Rate for Payer: Wellcare Medicare |
$1,356.11
|
| Rate for Payer: WPS Commercial |
$1,272.54
|
|
|
Colon Cancer Panel 2
|
Facility
|
IP
|
$1,652.00
|
|
|
Service Code
|
CPT 81436
|
| Hospital Charge Code |
4924644
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$841.86 |
| Max. Negotiated Rate |
$1,580.63 |
| Rate for Payer: Aetna Commercial |
$1,546.27
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$1,477.55
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$910.58
|
| Rate for Payer: Cash Price |
$495.60
|
| Rate for Payer: Cigna Commercial |
$1,580.63
|
| Rate for Payer: Health EOS Commercial |
$1,529.09
|
| Rate for Payer: HFN Commercial |
$1,580.63
|
| Rate for Payer: Multiplan Commercial |
$1,374.46
|
| Rate for Payer: Preferred Network Access Commercial |
$1,580.63
|
| Rate for Payer: Quartz Beloit One Network |
$841.86
|
| Rate for Payer: Quartz Commercial |
$1,030.85
|
| Rate for Payer: WEA Trust Commercial |
$944.94
|
| Rate for Payer: WPS Commercial |
$1,272.54
|
|
|
Colon Cancer Panel 2
|
Professional
|
Both
|
$1,652.00
|
|
|
Service Code
|
CPT 81436
|
| Hospital Charge Code |
4924644
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$755.96 |
| Max. Negotiated Rate |
$2,147.29 |
| Rate for Payer: Aetna Commercial |
$1,632.18
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$1,477.55
|
| Rate for Payer: Cash Price |
$495.60
|
| Rate for Payer: Cash Price |
$495.60
|
| Rate for Payer: Cigna Commercial |
$1,632.18
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$859.04
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$1,030.85
|
| Rate for Payer: Health EOS Commercial |
$1,563.45
|
| Rate for Payer: HFN Commercial |
$1,632.18
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$2,147.29
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$2,147.29
|
| Rate for Payer: Multiplan Commercial |
$1,374.46
|
| Rate for Payer: Preferred Network Access Commercial |
$1,632.18
|
| Rate for Payer: Quartz Beloit One Network |
$755.96
|
| Rate for Payer: Quartz Commercial |
$979.31
|
| Rate for Payer: The Alliance Commercial |
$859.04
|
| Rate for Payer: WEA Trust Commercial |
$944.94
|
| Rate for Payer: WPS Commercial |
$1,272.54
|
|
|
Colon Cancer Panel 2
|
Facility
|
OP
|
$1,652.00
|
|
|
Service Code
|
CPT 81436
|
| Hospital Charge Code |
4924644
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$481.06 |
| Max. Negotiated Rate |
$2,281.11 |
| Rate for Payer: Aetna Commercial |
$1,546.27
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$1,477.55
|
| Rate for Payer: Aetna Managed Medicare |
$481.06
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$2,281.11
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$1,064.52
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$1,009.77
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$910.58
|
| Rate for Payer: Cash Price |
$495.60
|
| Rate for Payer: Cash Price |
$495.60
|
| Rate for Payer: Cigna Commercial |
$1,580.63
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$961.46
|
| Rate for Payer: Health EOS Commercial |
$1,529.09
|
| Rate for Payer: HFN Commercial |
$1,580.63
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$1,288.56
|
| Rate for Payer: Multiplan Commercial |
$1,374.46
|
| Rate for Payer: NAPHCARE Commercial |
$1,030.85
|
| Rate for Payer: Preferred Network Access Commercial |
$1,580.63
|
| Rate for Payer: Quartz Beloit One Network |
$841.86
|
| Rate for Payer: Quartz Commercial |
$1,116.75
|
| Rate for Payer: Quartz Medicare Advantage |
$1,030.85
|
| Rate for Payer: The Alliance Commercial |
$859.04
|
| Rate for Payer: United Healthcare PPO |
$1,288.56
|
| Rate for Payer: WEA Trust Commercial |
$944.94
|
| Rate for Payer: WPS Commercial |
$1,272.54
|
|
|
COLON DECOMPRESSION
|
Facility
|
OP
|
$2,026.00
|
|
|
Service Code
|
CPT 44799
|
| Hospital Charge Code |
2960551
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$954.50 |
| Max. Negotiated Rate |
$29,092.96 |
| Rate for Payer: Aetna Commercial |
$1,896.34
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$1,812.05
|
| Rate for Payer: Aetna Managed Medicare |
$954.50
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$29,092.96
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$26,282.88
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$24,968.32
|
| Rate for Payer: Anthem Medicare Advantage |
$954.50
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$1,116.73
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$954.50
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$954.50
|
| Rate for Payer: Cash Price |
$607.80
|
| Rate for Payer: Cash Price |
$607.80
|
| Rate for Payer: Cash Price |
$607.80
|
| Rate for Payer: Cash Price |
$607.80
|
| Rate for Payer: Cigna Commercial |
$1,938.48
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$954.50
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$954.50
|
| Rate for Payer: Health EOS Commercial |
$1,875.27
|
| Rate for Payer: HFN Commercial |
$1,938.48
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$3,550.75
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$954.50
|
| Rate for Payer: Independent Care Health Plan Medicare |
$954.50
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$954.50
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$954.50
|
| Rate for Payer: Multiplan Commercial |
$1,685.63
|
| Rate for Payer: NAPHCARE Commercial |
$1,431.75
|
| Rate for Payer: Preferred Network Access Commercial |
$1,938.48
|
| Rate for Payer: Quartz Beloit One Network |
$1,032.45
|
| Rate for Payer: Quartz Commercial |
$1,369.58
|
| Rate for Payer: Quartz Medicare Advantage |
$954.50
|
| Rate for Payer: The Alliance Commercial |
$3,818.01
|
| Rate for Payer: United Healthcare Medicare Advantage |
$954.50
|
| Rate for Payer: United Healthcare PPO |
$14,223.04
|
| Rate for Payer: WEA Trust Commercial |
$1,158.87
|
| Rate for Payer: Wellcare Medicare |
$954.50
|
| Rate for Payer: WPS Commercial |
$1,560.63
|
|
|
COLON DECOMPRESSION
|
Facility
|
IP
|
$2,026.00
|
|
|
Service Code
|
CPT 44799
|
| Hospital Charge Code |
2960551
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,032.45 |
| Max. Negotiated Rate |
$1,938.48 |
| Rate for Payer: Aetna Commercial |
$1,896.34
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$1,812.05
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$1,116.73
|
| Rate for Payer: Cash Price |
$607.80
|
| Rate for Payer: Cigna Commercial |
$1,938.48
|
| Rate for Payer: Health EOS Commercial |
$1,875.27
|
| Rate for Payer: HFN Commercial |
$1,938.48
|
| Rate for Payer: Multiplan Commercial |
$1,685.63
|
| Rate for Payer: Preferred Network Access Commercial |
$1,938.48
|
| Rate for Payer: Quartz Beloit One Network |
$1,032.45
|
| Rate for Payer: Quartz Commercial |
$1,264.22
|
| Rate for Payer: WEA Trust Commercial |
$1,158.87
|
| Rate for Payer: WPS Commercial |
$1,560.63
|
|
|
COLON DECOMPRESSION SET 14 FR G22181
|
Facility
|
OP
|
$2,191.00
|
|
|
Service Code
|
HCPCS C1729
|
| Hospital Charge Code |
2972898
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$638.02 |
| Max. Negotiated Rate |
$2,096.35 |
| Rate for Payer: Aetna Commercial |
$2,050.78
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$1,959.63
|
| Rate for Payer: Aetna Managed Medicare |
$638.02
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$1,481.12
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$1,139.32
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$1,093.75
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$1,207.68
|
| Rate for Payer: Cash Price |
$657.30
|
| Rate for Payer: Cigna Commercial |
$2,096.35
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$1,275.16
|
| Rate for Payer: Health EOS Commercial |
$2,027.99
|
| Rate for Payer: HFN Commercial |
$2,096.35
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$1,708.98
|
| Rate for Payer: Multiplan Commercial |
$1,822.91
|
| Rate for Payer: NAPHCARE Commercial |
$1,367.18
|
| Rate for Payer: Preferred Network Access Commercial |
$2,096.35
|
| Rate for Payer: Quartz Beloit One Network |
$1,116.53
|
| Rate for Payer: Quartz Commercial |
$1,481.12
|
| Rate for Payer: Quartz Medicare Advantage |
$1,367.18
|
| Rate for Payer: The Alliance Commercial |
$1,139.32
|
| Rate for Payer: WEA Trust Commercial |
$1,253.25
|
| Rate for Payer: WPS Commercial |
$1,687.73
|
|
|
COLON DECOMPRESSION SET 14 FR G22181
|
Facility
|
IP
|
$2,191.00
|
|
|
Service Code
|
HCPCS C1729
|
| Hospital Charge Code |
2972898
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,116.53 |
| Max. Negotiated Rate |
$2,096.35 |
| Rate for Payer: Aetna Commercial |
$2,050.78
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$1,959.63
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$1,207.68
|
| Rate for Payer: Cash Price |
$657.30
|
| Rate for Payer: Cigna Commercial |
$2,096.35
|
| Rate for Payer: Health EOS Commercial |
$2,027.99
|
| Rate for Payer: HFN Commercial |
$2,096.35
|
| Rate for Payer: Multiplan Commercial |
$1,822.91
|
| Rate for Payer: Preferred Network Access Commercial |
$2,096.35
|
| Rate for Payer: Quartz Beloit One Network |
$1,116.53
|
| Rate for Payer: Quartz Commercial |
$1,367.18
|
| Rate for Payer: WEA Trust Commercial |
$1,253.25
|
| Rate for Payer: WPS Commercial |
$1,687.73
|
|
|
COLONOSCOPY
|
Facility
|
OP
|
$1,084.00
|
|
| Hospital Charge Code |
2959939
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$315.66 |
| Max. Negotiated Rate |
$1,037.17 |
| Rate for Payer: Aetna Commercial |
$1,014.62
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$969.53
|
| Rate for Payer: Aetna Managed Medicare |
$315.66
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$732.78
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$563.68
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$541.13
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$597.50
|
| Rate for Payer: Cash Price |
$325.20
|
| Rate for Payer: Cigna Commercial |
$1,037.17
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$630.89
|
| Rate for Payer: Health EOS Commercial |
$1,003.35
|
| Rate for Payer: HFN Commercial |
$1,037.17
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$845.52
|
| Rate for Payer: Multiplan Commercial |
$901.89
|
| Rate for Payer: NAPHCARE Commercial |
$676.42
|
| Rate for Payer: Preferred Network Access Commercial |
$1,037.17
|
| Rate for Payer: Quartz Beloit One Network |
$552.41
|
| Rate for Payer: Quartz Commercial |
$732.78
|
| Rate for Payer: Quartz Medicare Advantage |
$676.42
|
| Rate for Payer: The Alliance Commercial |
$563.68
|
| Rate for Payer: WEA Trust Commercial |
$620.05
|
| Rate for Payer: WPS Commercial |
$835.01
|
|
|
COLONOSCOPY
|
Facility
|
IP
|
$1,084.00
|
|
| Hospital Charge Code |
2959939
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$552.41 |
| Max. Negotiated Rate |
$1,037.17 |
| Rate for Payer: Aetna Commercial |
$1,014.62
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$969.53
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$597.50
|
| Rate for Payer: Cash Price |
$325.20
|
| Rate for Payer: Cigna Commercial |
$1,037.17
|
| Rate for Payer: Health EOS Commercial |
$1,003.35
|
| Rate for Payer: HFN Commercial |
$1,037.17
|
| Rate for Payer: Multiplan Commercial |
$901.89
|
| Rate for Payer: Preferred Network Access Commercial |
$1,037.17
|
| Rate for Payer: Quartz Beloit One Network |
$552.41
|
| Rate for Payer: Quartz Commercial |
$676.42
|
| Rate for Payer: WEA Trust Commercial |
$620.05
|
| Rate for Payer: WPS Commercial |
$835.01
|
|
|
COLONOSCOPY AND BIOPSY 45380
|
Professional
|
Both
|
$2,432.00
|
|
|
Service Code
|
CPT 45380
|
| Hospital Charge Code |
3014807
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$172.62 |
| Max. Negotiated Rate |
$2,402.82 |
| Rate for Payer: Aetna Commercial |
$2,402.82
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$2,175.18
|
| Rate for Payer: Aetna Managed Medicare |
$172.62
|
| Rate for Payer: Anthem Medicare Advantage |
$172.62
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$172.62
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$172.62
|
| Rate for Payer: Cash Price |
$729.60
|
| Rate for Payer: Cash Price |
$729.60
|
| Rate for Payer: Cash Price |
$729.60
|
| Rate for Payer: Cigna Commercial |
$2,402.82
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$430.63
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$172.62
|
| Rate for Payer: Health EOS Commercial |
$2,301.64
|
| Rate for Payer: HFN Commercial |
$2,402.82
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$697.60
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$697.60
|
| Rate for Payer: Independent Care Health Plan Medicare |
$172.62
|
| Rate for Payer: Multiplan Commercial |
$2,023.42
|
| Rate for Payer: NAPHCARE Commercial |
$258.93
|
| Rate for Payer: Preferred Network Access Commercial |
$2,402.82
|
| Rate for Payer: Quartz Beloit One Network |
$1,112.88
|
| Rate for Payer: Quartz Commercial |
$1,441.69
|
| Rate for Payer: Quartz Medicare Advantage |
$172.62
|
| Rate for Payer: The Alliance Commercial |
$733.63
|
| Rate for Payer: United Healthcare Medicaid |
$430.63
|
| Rate for Payer: United Healthcare Medicare Advantage |
$172.62
|
| Rate for Payer: WEA Trust Commercial |
$1,391.10
|
| Rate for Payer: WPS Commercial |
$776.79
|
|
|
COLONOSCOPY/CONTROL BLEEDING 45382
|
Professional
|
Both
|
$2,594.00
|
|
|
Service Code
|
CPT 45382
|
| Hospital Charge Code |
3014809
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$221.29 |
| Max. Negotiated Rate |
$2,562.87 |
| Rate for Payer: Aetna Commercial |
$2,562.87
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$2,320.07
|
| Rate for Payer: Aetna Managed Medicare |
$221.29
|
| Rate for Payer: Anthem Medicare Advantage |
$221.29
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$221.29
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$221.29
|
| Rate for Payer: Cash Price |
$778.20
|
| Rate for Payer: Cash Price |
$778.20
|
| Rate for Payer: Cash Price |
$778.20
|
| Rate for Payer: Cigna Commercial |
$2,562.87
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$653.16
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$221.29
|
| Rate for Payer: Health EOS Commercial |
$2,454.96
|
| Rate for Payer: HFN Commercial |
$2,562.87
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$901.06
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$901.06
|
| Rate for Payer: Independent Care Health Plan Medicare |
$221.29
|
| Rate for Payer: Multiplan Commercial |
$2,158.21
|
| Rate for Payer: NAPHCARE Commercial |
$331.94
|
| Rate for Payer: Preferred Network Access Commercial |
$2,562.87
|
| Rate for Payer: Quartz Beloit One Network |
$1,187.01
|
| Rate for Payer: Quartz Commercial |
$1,537.72
|
| Rate for Payer: Quartz Medicare Advantage |
$221.29
|
| Rate for Payer: The Alliance Commercial |
$940.49
|
| Rate for Payer: United Healthcare Medicaid |
$653.16
|
| Rate for Payer: United Healthcare Medicare Advantage |
$221.29
|
| Rate for Payer: WEA Trust Commercial |
$1,483.77
|
| Rate for Payer: WPS Commercial |
$995.81
|
|
|
COLONOSCOPY DILATE STRICTURE 45386
|
Professional
|
Both
|
$2,800.00
|
|
|
Service Code
|
CPT 45386
|
| Hospital Charge Code |
3014812
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$182.12 |
| Max. Negotiated Rate |
$2,766.40 |
| Rate for Payer: Aetna Commercial |
$2,766.40
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$2,504.32
|
| Rate for Payer: Aetna Managed Medicare |
$182.12
|
| Rate for Payer: Anthem Medicare Advantage |
$182.12
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$182.12
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$182.12
|
| Rate for Payer: Cash Price |
$840.00
|
| Rate for Payer: Cash Price |
$840.00
|
| Rate for Payer: Cash Price |
$840.00
|
| Rate for Payer: Cigna Commercial |
$2,766.40
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$585.25
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$182.12
|
| Rate for Payer: Health EOS Commercial |
$2,649.92
|
| Rate for Payer: HFN Commercial |
$2,766.40
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$734.09
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$734.09
|
| Rate for Payer: Independent Care Health Plan Medicare |
$182.12
|
| Rate for Payer: Multiplan Commercial |
$2,329.60
|
| Rate for Payer: NAPHCARE Commercial |
$273.19
|
| Rate for Payer: Preferred Network Access Commercial |
$2,766.40
|
| Rate for Payer: Quartz Beloit One Network |
$1,281.28
|
| Rate for Payer: Quartz Commercial |
$1,659.84
|
| Rate for Payer: Quartz Medicare Advantage |
$182.12
|
| Rate for Payer: The Alliance Commercial |
$774.03
|
| Rate for Payer: United Healthcare Medicaid |
$585.25
|
| Rate for Payer: United Healthcare Medicare Advantage |
$182.12
|
| Rate for Payer: WEA Trust Commercial |
$1,601.60
|
| Rate for Payer: WPS Commercial |
$819.56
|
|
|
COLONOSCOPY, FLEXIBLE; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)
|
Facility
|
OP
|
$4,947.89
|
|
|
Service Code
|
CPT 45378
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$978.68 |
| Max. Negotiated Rate |
$4,947.89 |
| Rate for Payer: Aetna Managed Medicare |
$978.68
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$3,030.56
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$2,388.88
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$2,270.32
|
| Rate for Payer: Anthem Medicare Advantage |
$978.68
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$978.68
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$978.68
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$978.68
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$4,947.89
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$978.68
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$3,640.70
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$978.68
|
| Rate for Payer: Independent Care Health Plan Medicare |
$978.68
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$978.68
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$978.68
|
| Rate for Payer: NAPHCARE Commercial |
$1,468.02
|
| Rate for Payer: Quartz Medicare Advantage |
$978.68
|
| Rate for Payer: The Alliance Commercial |
$3,914.73
|
| Rate for Payer: United Healthcare Medicare Advantage |
$978.68
|
| Rate for Payer: United Healthcare PPO |
$2,347.28
|
| Rate for Payer: Wellcare Medicare |
$978.68
|
|
|
COLONOSCOPY, FLEXIBLE; WITH BIOPSY, SINGLE OR MULTIPLE
|
Facility
|
OP
|
$5,037.34
|
|
|
Service Code
|
CPT 45380
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,259.34 |
| Max. Negotiated Rate |
$5,037.34 |
| Rate for Payer: Aetna Managed Medicare |
$1,259.34
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$3,635.84
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$2,985.84
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$2,835.04
|
| Rate for Payer: Anthem Medicare Advantage |
$1,259.34
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$1,259.34
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$1,259.34
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$1,259.34
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$4,947.89
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$1,259.34
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$4,684.73
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$1,259.34
|
| Rate for Payer: Independent Care Health Plan Medicare |
$1,259.34
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$1,259.34
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$1,259.34
|
| Rate for Payer: NAPHCARE Commercial |
$1,889.00
|
| Rate for Payer: Quartz Medicare Advantage |
$1,259.34
|
| Rate for Payer: The Alliance Commercial |
$5,037.34
|
| Rate for Payer: United Healthcare Medicare Advantage |
$1,259.34
|
| Rate for Payer: United Healthcare PPO |
$3,726.32
|
| Rate for Payer: Wellcare Medicare |
$1,259.34
|
|
|
COLONOSCOPY, FLEXIBLE; WITH CONTROL OF BLEEDING, ANY METHOD
|
Facility
|
OP
|
$5,037.34
|
|
|
Service Code
|
CPT 45382
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,259.34 |
| Max. Negotiated Rate |
$5,037.34 |
| Rate for Payer: Aetna Managed Medicare |
$1,259.34
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$3,635.84
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$2,985.84
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$2,835.04
|
| Rate for Payer: Anthem Medicare Advantage |
$1,259.34
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$1,259.34
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$1,259.34
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$1,259.34
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$4,947.89
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$1,259.34
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$4,684.73
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$1,259.34
|
| Rate for Payer: Independent Care Health Plan Medicare |
$1,259.34
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$1,259.34
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$1,259.34
|
| Rate for Payer: NAPHCARE Commercial |
$1,889.00
|
| Rate for Payer: Quartz Medicare Advantage |
$1,259.34
|
| Rate for Payer: The Alliance Commercial |
$5,037.34
|
| Rate for Payer: United Healthcare Medicare Advantage |
$1,259.34
|
| Rate for Payer: United Healthcare PPO |
$3,726.32
|
| Rate for Payer: Wellcare Medicare |
$1,259.34
|
|
|
Colonoscopy Flexible with Decompression 45393
|
Professional
|
Both
|
$2,107.00
|
|
|
Service Code
|
CPT 45393
|
| Hospital Charge Code |
5430710
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$211.65 |
| Max. Negotiated Rate |
$2,081.72 |
| Rate for Payer: Aetna Commercial |
$2,081.72
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$1,884.50
|
| Rate for Payer: Aetna Managed Medicare |
$211.65
|
| Rate for Payer: Anthem Medicare Advantage |
$211.65
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$211.65
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$211.65
|
| Rate for Payer: Cash Price |
$632.10
|
| Rate for Payer: Cash Price |
$632.10
|
| Rate for Payer: Cash Price |
$632.10
|
| Rate for Payer: Cigna Commercial |
$2,081.72
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$270.62
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$211.65
|
| Rate for Payer: Health EOS Commercial |
$1,994.06
|
| Rate for Payer: HFN Commercial |
$2,081.72
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$875.28
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$875.28
|
| Rate for Payer: Independent Care Health Plan Medicare |
$211.65
|
| Rate for Payer: Multiplan Commercial |
$1,753.02
|
| Rate for Payer: NAPHCARE Commercial |
$317.48
|
| Rate for Payer: Preferred Network Access Commercial |
$2,081.72
|
| Rate for Payer: Quartz Beloit One Network |
$964.16
|
| Rate for Payer: Quartz Commercial |
$1,249.03
|
| Rate for Payer: Quartz Medicare Advantage |
$211.65
|
| Rate for Payer: The Alliance Commercial |
$899.51
|
| Rate for Payer: United Healthcare Medicaid |
$270.62
|
| Rate for Payer: United Healthcare Medicare Advantage |
$211.65
|
| Rate for Payer: WEA Trust Commercial |
$1,205.20
|
| Rate for Payer: WPS Commercial |
$952.43
|
|
|
COLONOSCOPY, FLEXIBLE; WITH DIRECTED SUBMUCOSAL INJECTION(S), ANY SUBSTANCE
|
Facility
|
OP
|
$5,037.34
|
|
|
Service Code
|
CPT 45381
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,259.34 |
| Max. Negotiated Rate |
$5,037.34 |
| Rate for Payer: Aetna Managed Medicare |
$1,259.34
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$3,635.84
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$2,985.84
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$2,835.04
|
| Rate for Payer: Anthem Medicare Advantage |
$1,259.34
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$1,259.34
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$1,259.34
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$1,259.34
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$4,947.89
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$1,259.34
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$4,684.73
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$1,259.34
|
| Rate for Payer: Independent Care Health Plan Medicare |
$1,259.34
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$1,259.34
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$1,259.34
|
| Rate for Payer: NAPHCARE Commercial |
$1,889.00
|
| Rate for Payer: Quartz Medicare Advantage |
$1,259.34
|
| Rate for Payer: The Alliance Commercial |
$5,037.34
|
| Rate for Payer: United Healthcare Medicare Advantage |
$1,259.34
|
| Rate for Payer: United Healthcare PPO |
$3,726.32
|
| Rate for Payer: Wellcare Medicare |
$1,259.34
|
|
