|
PR OTI OPN S3 HA BTE BI
|
Professional
|
$2,000.00
|
|
|
Service Code
|
CPT V5261
|
| Hospital Charge Code |
zV5261BM
|
| Min. Negotiated Rate |
$1,500.00 |
| Max. Negotiated Rate |
$5,000.00 |
| Rate for Payer: Cash Price |
$1,240.00
|
| Rate for Payer: Cash Price |
$1,240.00
|
| Rate for Payer: PHCS All Commercial |
$1,500.00
|
| Rate for Payer: Signature Care EPO |
$2,000.00
|
| Rate for Payer: Signature Care PPO |
$2,000.00
|
| Rate for Payer: United Healthcare Commercial |
$5,000.00
|
|
|
PR OTI OPN S3 HA BTE MONO
|
Professional
|
$1,000.00
|
|
|
Service Code
|
CPT V5257
|
| Hospital Charge Code |
zV5257CZ
|
| Min. Negotiated Rate |
$750.00 |
| Max. Negotiated Rate |
$2,500.00 |
| Rate for Payer: Cash Price |
$620.00
|
| Rate for Payer: Cash Price |
$620.00
|
| Rate for Payer: PHCS All Commercial |
$750.00
|
| Rate for Payer: Signature Care EPO |
$1,000.00
|
| Rate for Payer: Signature Care PPO |
$1,000.00
|
| Rate for Payer: United Healthcare Commercial |
$2,500.00
|
|
|
PR OTI OPN S 3 MINIRITE R BI
|
Professional
|
$2,000.00
|
|
|
Service Code
|
CPT V5261
|
| Hospital Charge Code |
zV5261BI
|
| Min. Negotiated Rate |
$1,500.00 |
| Max. Negotiated Rate |
$5,000.00 |
| Rate for Payer: Cash Price |
$1,240.00
|
| Rate for Payer: Cash Price |
$1,240.00
|
| Rate for Payer: PHCS All Commercial |
$1,500.00
|
| Rate for Payer: Signature Care EPO |
$2,000.00
|
| Rate for Payer: Signature Care PPO |
$2,000.00
|
| Rate for Payer: United Healthcare Commercial |
$5,000.00
|
|
|
PR OTI OPN S 3 MINIRITE R MONO
|
Professional
|
$1,000.00
|
|
|
Service Code
|
CPT V5257
|
| Hospital Charge Code |
zV5257CT
|
| Min. Negotiated Rate |
$750.00 |
| Max. Negotiated Rate |
$2,500.00 |
| Rate for Payer: Cash Price |
$620.00
|
| Rate for Payer: Cash Price |
$620.00
|
| Rate for Payer: PHCS All Commercial |
$750.00
|
| Rate for Payer: Signature Care EPO |
$1,000.00
|
| Rate for Payer: Signature Care PPO |
$1,000.00
|
| Rate for Payer: United Healthcare Commercial |
$2,500.00
|
|
|
PR OTI OPN TV ADPTR 3.0
|
Professional
|
$300.00
|
|
|
Service Code
|
CPT V5270
|
| Hospital Charge Code |
zV5270B
|
| Min. Negotiated Rate |
$225.00 |
| Max. Negotiated Rate |
$300.00 |
| Rate for Payer: Cash Price |
$186.00
|
| Rate for Payer: PHCS All Commercial |
$225.00
|
| Rate for Payer: Signature Care EPO |
$300.00
|
| Rate for Payer: Signature Care PPO |
$300.00
|
|
|
PR OTI REMOTE CONTROL 2.0
|
Professional
|
$300.00
|
|
|
Service Code
|
CPT V5270
|
| Hospital Charge Code |
zV5270D
|
| Min. Negotiated Rate |
$225.00 |
| Max. Negotiated Rate |
$300.00 |
| Rate for Payer: Cash Price |
$186.00
|
| Rate for Payer: PHCS All Commercial |
$225.00
|
| Rate for Payer: Signature Care EPO |
$300.00
|
| Rate for Payer: Signature Care PPO |
$300.00
|
|
|
PR OTI XCEED PLAY 1 BTE HA BI
|
Professional
|
$5,000.00
|
|
|
Service Code
|
CPT V5261
|
| Hospital Charge Code |
zV5261AJ
|
| Min. Negotiated Rate |
$3,750.00 |
| Max. Negotiated Rate |
$5,000.00 |
| Rate for Payer: Cash Price |
$3,100.00
|
| Rate for Payer: Cash Price |
$3,100.00
|
| Rate for Payer: PHCS All Commercial |
$3,750.00
|
| Rate for Payer: Signature Care EPO |
$5,000.00
|
| Rate for Payer: Signature Care PPO |
$5,000.00
|
| Rate for Payer: United Healthcare Commercial |
$5,000.00
|
|
|
PR OTI XCEED PLAY 1 BTE HA MON
|
Professional
|
$2,500.00
|
|
|
Service Code
|
CPT V5257
|
| Hospital Charge Code |
zV5257AS
|
| Min. Negotiated Rate |
$1,875.00 |
| Max. Negotiated Rate |
$2,500.00 |
| Rate for Payer: Cash Price |
$1,550.00
|
| Rate for Payer: Cash Price |
$1,550.00
|
| Rate for Payer: PHCS All Commercial |
$1,875.00
|
| Rate for Payer: Signature Care EPO |
$2,500.00
|
| Rate for Payer: Signature Care PPO |
$2,500.00
|
| Rate for Payer: United Healthcare Commercial |
$2,500.00
|
|
|
PR OTI XCEED PLAY 2 BTE HA BI
|
Professional
|
$2,000.00
|
|
|
Service Code
|
CPT V5261
|
| Hospital Charge Code |
zV5261AO
|
| Min. Negotiated Rate |
$1,500.00 |
| Max. Negotiated Rate |
$5,000.00 |
| Rate for Payer: Cash Price |
$1,240.00
|
| Rate for Payer: Cash Price |
$1,240.00
|
| Rate for Payer: PHCS All Commercial |
$1,500.00
|
| Rate for Payer: Signature Care EPO |
$2,000.00
|
| Rate for Payer: Signature Care PPO |
$2,000.00
|
| Rate for Payer: United Healthcare Commercial |
$5,000.00
|
|
|
PR OTI XCEED PLAY 2 BTE HA MON
|
Professional
|
$1,000.00
|
|
|
Service Code
|
CPT V5257
|
| Hospital Charge Code |
zV5257BC
|
| Min. Negotiated Rate |
$750.00 |
| Max. Negotiated Rate |
$2,500.00 |
| Rate for Payer: Cash Price |
$620.00
|
| Rate for Payer: Cash Price |
$620.00
|
| Rate for Payer: PHCS All Commercial |
$750.00
|
| Rate for Payer: Signature Care EPO |
$1,000.00
|
| Rate for Payer: Signature Care PPO |
$1,000.00
|
| Rate for Payer: United Healthcare Commercial |
$2,500.00
|
|
|
PR OTI XCEED SP/UP 1 BTE HA BI
|
Professional
|
$5,000.00
|
|
|
Service Code
|
CPT V5261
|
| Hospital Charge Code |
zV5261BQ
|
| Min. Negotiated Rate |
$3,750.00 |
| Max. Negotiated Rate |
$5,000.00 |
| Rate for Payer: Cash Price |
$3,100.00
|
| Rate for Payer: Cash Price |
$3,100.00
|
| Rate for Payer: PHCS All Commercial |
$3,750.00
|
| Rate for Payer: Signature Care EPO |
$5,000.00
|
| Rate for Payer: Signature Care PPO |
$5,000.00
|
| Rate for Payer: United Healthcare Commercial |
$5,000.00
|
|
|
PR OTI XCEED SP/UP 1 BTE HA MON
|
Professional
|
$2,500.00
|
|
|
Service Code
|
CPT V5257
|
| Hospital Charge Code |
zV5257DD
|
| Min. Negotiated Rate |
$1,875.00 |
| Max. Negotiated Rate |
$2,500.00 |
| Rate for Payer: Cash Price |
$1,550.00
|
| Rate for Payer: Cash Price |
$1,550.00
|
| Rate for Payer: PHCS All Commercial |
$1,875.00
|
| Rate for Payer: Signature Care EPO |
$2,500.00
|
| Rate for Payer: Signature Care PPO |
$2,500.00
|
| Rate for Payer: United Healthcare Commercial |
$2,500.00
|
|
|
PR OTI XCEED SP/UP 2 BTE HA BI
|
Professional
|
$3,000.00
|
|
|
Service Code
|
CPT V5261
|
| Hospital Charge Code |
zV5261BR
|
| Min. Negotiated Rate |
$2,250.00 |
| Max. Negotiated Rate |
$5,000.00 |
| Rate for Payer: Cash Price |
$1,860.00
|
| Rate for Payer: Cash Price |
$1,860.00
|
| Rate for Payer: PHCS All Commercial |
$2,250.00
|
| Rate for Payer: Signature Care EPO |
$3,000.00
|
| Rate for Payer: Signature Care PPO |
$3,000.00
|
| Rate for Payer: United Healthcare Commercial |
$5,000.00
|
|
|
PR OTI XCEED SP/UP 2 BTE HA MON
|
Professional
|
$1,500.00
|
|
|
Service Code
|
CPT V5257
|
| Hospital Charge Code |
zV5257DE
|
| Min. Negotiated Rate |
$1,125.00 |
| Max. Negotiated Rate |
$2,500.00 |
| Rate for Payer: Cash Price |
$930.00
|
| Rate for Payer: Cash Price |
$930.00
|
| Rate for Payer: PHCS All Commercial |
$1,125.00
|
| Rate for Payer: Signature Care EPO |
$1,500.00
|
| Rate for Payer: Signature Care PPO |
$1,500.00
|
| Rate for Payer: United Healthcare Commercial |
$2,500.00
|
|
|
PR OTI XCEED SP/UP 3 BTE HA BI
|
Professional
|
$2,000.00
|
|
|
Service Code
|
CPT V5261
|
| Hospital Charge Code |
zV5261BS
|
| Min. Negotiated Rate |
$1,500.00 |
| Max. Negotiated Rate |
$5,000.00 |
| Rate for Payer: Cash Price |
$1,240.00
|
| Rate for Payer: Cash Price |
$1,240.00
|
| Rate for Payer: PHCS All Commercial |
$1,500.00
|
| Rate for Payer: Signature Care EPO |
$2,000.00
|
| Rate for Payer: Signature Care PPO |
$2,000.00
|
| Rate for Payer: United Healthcare Commercial |
$5,000.00
|
|
|
PR OTI XCEED SP/UP 3 BTE HA MON
|
Professional
|
$1,000.00
|
|
|
Service Code
|
CPT V5257
|
| Hospital Charge Code |
zV5257DF
|
| Min. Negotiated Rate |
$750.00 |
| Max. Negotiated Rate |
$2,500.00 |
| Rate for Payer: Cash Price |
$620.00
|
| Rate for Payer: Cash Price |
$620.00
|
| Rate for Payer: PHCS All Commercial |
$750.00
|
| Rate for Payer: Signature Care EPO |
$1,000.00
|
| Rate for Payer: Signature Care PPO |
$1,000.00
|
| Rate for Payer: United Healthcare Commercial |
$2,500.00
|
|
|
PR PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1
|
Professional
|
$130.42
|
|
|
Service Code
|
CPT 11055
|
| Hospital Charge Code |
z11055
|
| Min. Negotiated Rate |
$14.97 |
| Max. Negotiated Rate |
$97.82 |
| Rate for Payer: Aetna Medicare |
$14.97
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$64.99
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$64.99
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$17.22
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$16.47
|
| Rate for Payer: Cash Price |
$80.86
|
| Rate for Payer: Cash Price |
$80.86
|
| Rate for Payer: Coventry All Commercial |
$17.96
|
| Rate for Payer: Frontpath All Commercial |
$20.99
|
| Rate for Payer: Humana ChoiceCare |
$22.96
|
| Rate for Payer: Humana Medicare |
$14.97
|
| Rate for Payer: Lucent All Commercial |
$25.45
|
| Rate for Payer: Lutheran Preferred All Commercial |
$19.00
|
| Rate for Payer: PHCS All Commercial |
$97.82
|
| Rate for Payer: PHP All Commercial |
$20.45
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$14.97
|
| Rate for Payer: Signature Care EPO |
$57.70
|
| Rate for Payer: Signature Care PPO |
$57.70
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$18.00
|
| Rate for Payer: United Healthcare Commercial |
$26.11
|
| Rate for Payer: United Healthcare Medicare |
$14.97
|
|
|
PR PARING/CUTTING BENIGN HYPERKERATOTIC LESION 2-4
|
Professional
|
$150.58
|
|
|
Service Code
|
CPT 11056
|
| Hospital Charge Code |
z11056
|
| Min. Negotiated Rate |
$20.98 |
| Max. Negotiated Rate |
$112.94 |
| Rate for Payer: Aetna Medicare |
$20.98
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$24.13
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$23.08
|
| Rate for Payer: Cash Price |
$93.36
|
| Rate for Payer: Cash Price |
$93.36
|
| Rate for Payer: Coventry All Commercial |
$25.18
|
| Rate for Payer: Frontpath All Commercial |
$28.98
|
| Rate for Payer: Humana ChoiceCare |
$32.17
|
| Rate for Payer: Humana Medicare |
$20.98
|
| Rate for Payer: Lucent All Commercial |
$35.67
|
| Rate for Payer: PHCS All Commercial |
$112.94
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$20.98
|
| Rate for Payer: United Healthcare Commercial |
$36.84
|
| Rate for Payer: United Healthcare Medicare |
$20.98
|
|
|
PR PARING/CUTTING BENIGN HYPERKERATOTIC LESION >4
|
Professional
|
$164.70
|
|
|
Service Code
|
CPT 11057
|
| Hospital Charge Code |
z11057
|
| Min. Negotiated Rate |
$27.30 |
| Max. Negotiated Rate |
$123.52 |
| Rate for Payer: Aetna Medicare |
$27.30
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$31.40
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$30.03
|
| Rate for Payer: Cash Price |
$102.11
|
| Rate for Payer: Cash Price |
$102.11
|
| Rate for Payer: Coventry All Commercial |
$32.76
|
| Rate for Payer: Frontpath All Commercial |
$37.45
|
| Rate for Payer: Humana ChoiceCare |
$41.89
|
| Rate for Payer: Humana Medicare |
$27.30
|
| Rate for Payer: Lucent All Commercial |
$46.41
|
| Rate for Payer: PHCS All Commercial |
$123.52
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$27.30
|
| Rate for Payer: United Healthcare Commercial |
$47.84
|
| Rate for Payer: United Healthcare Medicare |
$27.30
|
|
|
PR PART EXCIS 5TH METATARSAL HEAD
|
Professional
|
$835.26
|
|
|
Service Code
|
CPT 28110
|
| Hospital Charge Code |
z28110
|
| Min. Negotiated Rate |
$274.95 |
| Max. Negotiated Rate |
$626.44 |
| Rate for Payer: Aetna Medicare |
$274.95
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$316.19
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$302.44
|
| Rate for Payer: Cash Price |
$517.86
|
| Rate for Payer: Cash Price |
$517.86
|
| Rate for Payer: Coventry All Commercial |
$329.94
|
| Rate for Payer: Frontpath All Commercial |
$370.71
|
| Rate for Payer: Humana ChoiceCare |
$315.73
|
| Rate for Payer: Humana Medicare |
$274.95
|
| Rate for Payer: Lucent All Commercial |
$467.42
|
| Rate for Payer: PHCS All Commercial |
$626.44
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$274.95
|
| Rate for Payer: United Healthcare Commercial |
$327.84
|
| Rate for Payer: United Healthcare Medicare |
$274.95
|
|
|
PR PART/FULL REMOVAL OF KNEECAP
|
Professional
|
$1,192.86
|
|
|
Service Code
|
CPT 27350
|
| Hospital Charge Code |
z27350
|
| Min. Negotiated Rate |
$611.34 |
| Max. Negotiated Rate |
$1,039.28 |
| Rate for Payer: Aetna Medicare |
$611.34
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$838.10
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$838.10
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$703.04
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$672.47
|
| Rate for Payer: Cash Price |
$739.57
|
| Rate for Payer: Cash Price |
$739.57
|
| Rate for Payer: Coventry All Commercial |
$733.61
|
| Rate for Payer: Frontpath All Commercial |
$849.99
|
| Rate for Payer: Humana ChoiceCare |
$670.25
|
| Rate for Payer: Humana Medicare |
$611.34
|
| Rate for Payer: Lucent All Commercial |
$1,039.28
|
| Rate for Payer: Lutheran Preferred All Commercial |
$978.00
|
| Rate for Payer: PHCS All Commercial |
$894.64
|
| Rate for Payer: PHP All Commercial |
$1,037.79
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$611.34
|
| Rate for Payer: Signature Care EPO |
$895.90
|
| Rate for Payer: Signature Care PPO |
$895.90
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$917.00
|
| Rate for Payer: United Healthcare Commercial |
$697.89
|
| Rate for Payer: United Healthcare Medicare |
$611.34
|
|
|
PR PARTIAL EXCISION DEEP PELVIS
|
Professional
|
$1,770.56
|
|
|
Service Code
|
CPT 27071
|
| Hospital Charge Code |
z27071
|
| Min. Negotiated Rate |
$907.41 |
| Max. Negotiated Rate |
$1,542.60 |
| Rate for Payer: Aetna Medicare |
$907.41
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,185.20
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,185.20
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,043.52
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$998.15
|
| Rate for Payer: Cash Price |
$1,097.75
|
| Rate for Payer: Cash Price |
$1,097.75
|
| Rate for Payer: Coventry All Commercial |
$1,088.89
|
| Rate for Payer: Frontpath All Commercial |
$1,264.51
|
| Rate for Payer: Humana ChoiceCare |
$937.46
|
| Rate for Payer: Humana Medicare |
$907.41
|
| Rate for Payer: Lucent All Commercial |
$1,542.60
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,452.00
|
| Rate for Payer: PHCS All Commercial |
$1,327.92
|
| Rate for Payer: PHP All Commercial |
$1,540.39
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$907.41
|
| Rate for Payer: Signature Care EPO |
$1,288.60
|
| Rate for Payer: Signature Care PPO |
$1,288.60
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,361.00
|
| Rate for Payer: United Healthcare Commercial |
$981.84
|
| Rate for Payer: United Healthcare Medicare |
$907.41
|
|
|
PR PARTIAL HIP REPLACEMENT
|
Professional
|
$2,043.32
|
|
|
Service Code
|
CPT 27125
|
| Hospital Charge Code |
z27125
|
| Min. Negotiated Rate |
$1,047.20 |
| Max. Negotiated Rate |
$1,780.24 |
| Rate for Payer: Aetna Medicare |
$1,047.20
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,461.90
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,461.90
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,204.28
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,151.92
|
| Rate for Payer: Cash Price |
$1,266.86
|
| Rate for Payer: Cash Price |
$1,266.86
|
| Rate for Payer: Coventry All Commercial |
$1,256.64
|
| Rate for Payer: Frontpath All Commercial |
$1,470.52
|
| Rate for Payer: Humana ChoiceCare |
$1,110.06
|
| Rate for Payer: Humana Medicare |
$1,047.20
|
| Rate for Payer: Lucent All Commercial |
$1,780.24
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,676.00
|
| Rate for Payer: PHCS All Commercial |
$1,532.49
|
| Rate for Payer: PHP All Commercial |
$1,777.68
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$1,047.20
|
| Rate for Payer: Signature Care EPO |
$1,479.85
|
| Rate for Payer: Signature Care PPO |
$1,479.85
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,571.00
|
| Rate for Payer: United Healthcare Commercial |
$1,231.43
|
| Rate for Payer: United Healthcare Medicare |
$1,047.20
|
|
|
PR PARTIAL REMOVAL, CLAVICLE
|
Professional
|
$1,071.82
|
|
|
Service Code
|
CPT 23120
|
| Hospital Charge Code |
z23120
|
| Min. Negotiated Rate |
$549.31 |
| Max. Negotiated Rate |
$933.83 |
| Rate for Payer: Aetna Medicare |
$549.31
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$688.00
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$688.00
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$631.71
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$604.24
|
| Rate for Payer: Cash Price |
$664.53
|
| Rate for Payer: Cash Price |
$664.53
|
| Rate for Payer: Coventry All Commercial |
$659.17
|
| Rate for Payer: Frontpath All Commercial |
$760.27
|
| Rate for Payer: Humana ChoiceCare |
$589.70
|
| Rate for Payer: Humana Medicare |
$549.31
|
| Rate for Payer: Lucent All Commercial |
$933.83
|
| Rate for Payer: Lutheran Preferred All Commercial |
$879.00
|
| Rate for Payer: PHCS All Commercial |
$803.86
|
| Rate for Payer: PHP All Commercial |
$932.49
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$549.31
|
| Rate for Payer: Signature Care EPO |
$791.35
|
| Rate for Payer: Signature Care PPO |
$791.35
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$824.00
|
| Rate for Payer: United Healthcare Commercial |
$614.11
|
| Rate for Payer: United Healthcare Medicare |
$549.31
|
|
|
PR PARTIAL REMOVAL OF HYMEN
|
Professional
|
$372.70
|
|
|
Service Code
|
CPT 56700
|
| Hospital Charge Code |
z56700
|
| Min. Negotiated Rate |
$191.01 |
| Max. Negotiated Rate |
$324.72 |
| Rate for Payer: Aetna Medicare |
$191.01
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$228.10
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$228.10
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$219.66
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$210.11
|
| Rate for Payer: Cash Price |
$231.07
|
| Rate for Payer: Cash Price |
$231.07
|
| Rate for Payer: Coventry All Commercial |
$229.21
|
| Rate for Payer: Frontpath All Commercial |
$264.10
|
| Rate for Payer: Humana ChoiceCare |
$191.46
|
| Rate for Payer: Humana Medicare |
$191.01
|
| Rate for Payer: Lucent All Commercial |
$324.72
|
| Rate for Payer: Lutheran Preferred All Commercial |
$267.00
|
| Rate for Payer: PHCS All Commercial |
$279.52
|
| Rate for Payer: PHP All Commercial |
$245.98
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$191.01
|
| Rate for Payer: Signature Care EPO |
$209.95
|
| Rate for Payer: Signature Care PPO |
$209.95
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$248.00
|
| Rate for Payer: United Healthcare Commercial |
$207.96
|
| Rate for Payer: United Healthcare Medicare |
$191.01
|
|
