|
HC AR ACL DISP KIT
|
Facility
OP
|
$1,873.08
|
|
| Hospital Charge Code |
41606231
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$1,741.96 |
| Rate for Payer: Aetna Commercial |
$1,580.88
|
| Rate for Payer: Aetna Medicare |
$618.12
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$618.12
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,075.71
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,170.86
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$710.83
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$679.93
|
| Rate for Payer: Cash Price |
$1,161.31
|
| Rate for Payer: Cash Price |
$1,161.31
|
| Rate for Payer: Centivo All Commercial |
$955.27
|
| Rate for Payer: Cigna All Commercial |
$1,616.47
|
| Rate for Payer: CORVEL All Commercial |
$1,741.96
|
| Rate for Payer: Coventry All Commercial |
$1,648.31
|
| Rate for Payer: Encore All Commercial |
$1,724.17
|
| Rate for Payer: Frontpath All Commercial |
$1,723.23
|
| Rate for Payer: Humana ChoiceCare |
$1,617.78
|
| Rate for Payer: Humana Medicare |
$955.27
|
| Rate for Payer: Lucent All Commercial |
$955.27
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,685.77
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$1,404.81
|
| Rate for Payer: PHP All Commercial |
$1,420.54
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$730.50
|
| Rate for Payer: Sagamore Health Network All Products |
$1,446.02
|
| Rate for Payer: Signature Care EPO |
$1,554.66
|
| Rate for Payer: Signature Care PPO |
$1,648.31
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,592.12
|
| Rate for Payer: United Healthcare Commercial |
$1,475.99
|
| Rate for Payer: United Healthcare Medicare |
$618.12
|
|
|
HC AR ACL DISP KIT
|
Facility
IP
|
$1,873.08
|
|
| Hospital Charge Code |
41606231
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,404.81 |
| Max. Negotiated Rate |
$1,741.96 |
| Rate for Payer: Aetna Commercial |
$1,618.34
|
| Rate for Payer: Cash Price |
$1,161.31
|
| Rate for Payer: Cigna All Commercial |
$1,616.47
|
| Rate for Payer: CORVEL All Commercial |
$1,741.96
|
| Rate for Payer: Coventry All Commercial |
$1,648.31
|
| Rate for Payer: Encore All Commercial |
$1,724.17
|
| Rate for Payer: Frontpath All Commercial |
$1,723.23
|
| Rate for Payer: Humana ChoiceCare |
$1,617.78
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,685.77
|
| Rate for Payer: PHCS All Commercial |
$1,404.81
|
| Rate for Payer: PHP All Commercial |
$1,420.54
|
| Rate for Payer: Sagamore Health Network All Products |
$1,446.02
|
| Rate for Payer: Signature Care EPO |
$1,554.66
|
| Rate for Payer: Signature Care PPO |
$1,648.31
|
| Rate for Payer: United Healthcare Commercial |
$1,475.99
|
|
|
HC AR ACL/PCL REPAIR
|
Facility
IP
|
$2,376.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606191
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,782.00 |
| Max. Negotiated Rate |
$2,209.68 |
| Rate for Payer: Aetna Commercial |
$2,052.86
|
| Rate for Payer: Cash Price |
$1,473.12
|
| Rate for Payer: Cigna All Commercial |
$2,050.49
|
| Rate for Payer: CORVEL All Commercial |
$2,209.68
|
| Rate for Payer: Coventry All Commercial |
$2,090.88
|
| Rate for Payer: Encore All Commercial |
$2,187.11
|
| Rate for Payer: Frontpath All Commercial |
$2,185.92
|
| Rate for Payer: Humana ChoiceCare |
$2,052.15
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,138.40
|
| Rate for Payer: PHCS All Commercial |
$1,782.00
|
| Rate for Payer: PHP All Commercial |
$1,801.96
|
| Rate for Payer: Sagamore Health Network All Products |
$1,834.27
|
| Rate for Payer: Signature Care EPO |
$1,972.08
|
| Rate for Payer: Signature Care PPO |
$2,090.88
|
| Rate for Payer: United Healthcare Commercial |
$1,872.29
|
|
|
HC AR ACL/PCL REPAIR
|
Facility
OP
|
$2,376.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606191
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$2,209.68 |
| Rate for Payer: Aetna Commercial |
$2,005.34
|
| Rate for Payer: Aetna Medicare |
$784.08
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$784.08
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,364.54
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,485.24
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$901.69
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$862.49
|
| Rate for Payer: Cash Price |
$1,473.12
|
| Rate for Payer: Cash Price |
$1,473.12
|
| Rate for Payer: Centivo All Commercial |
$1,211.76
|
| Rate for Payer: Cigna All Commercial |
$2,050.49
|
| Rate for Payer: CORVEL All Commercial |
$2,209.68
|
| Rate for Payer: Coventry All Commercial |
$2,090.88
|
| Rate for Payer: Encore All Commercial |
$2,187.11
|
| Rate for Payer: Frontpath All Commercial |
$2,185.92
|
| Rate for Payer: Humana ChoiceCare |
$2,052.15
|
| Rate for Payer: Humana Medicare |
$1,211.76
|
| Rate for Payer: Lucent All Commercial |
$1,211.76
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,138.40
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,782.00
|
| Rate for Payer: PHP All Commercial |
$1,801.96
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$926.64
|
| Rate for Payer: Sagamore Health Network All Products |
$1,834.27
|
| Rate for Payer: Signature Care EPO |
$1,972.08
|
| Rate for Payer: Signature Care PPO |
$2,090.88
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$2,019.60
|
| Rate for Payer: United Healthcare Commercial |
$1,872.29
|
| Rate for Payer: United Healthcare Medicare |
$784.08
|
|
|
HC AR ACP KIT SERIES III
|
Facility
OP
|
$1,375.00
|
|
| Hospital Charge Code |
41607712
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$1,278.75 |
| Rate for Payer: Aetna Commercial |
$1,160.50
|
| Rate for Payer: Aetna Medicare |
$453.75
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$453.75
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$789.66
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$859.51
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$521.81
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$499.12
|
| Rate for Payer: Cash Price |
$852.50
|
| Rate for Payer: Cash Price |
$852.50
|
| Rate for Payer: Centivo All Commercial |
$701.25
|
| Rate for Payer: Cigna All Commercial |
$1,186.62
|
| Rate for Payer: CORVEL All Commercial |
$1,278.75
|
| Rate for Payer: Coventry All Commercial |
$1,210.00
|
| Rate for Payer: Encore All Commercial |
$1,265.69
|
| Rate for Payer: Frontpath All Commercial |
$1,265.00
|
| Rate for Payer: Humana ChoiceCare |
$1,187.59
|
| Rate for Payer: Humana Medicare |
$701.25
|
| Rate for Payer: Lucent All Commercial |
$701.25
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,237.50
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$1,031.25
|
| Rate for Payer: PHP All Commercial |
$1,042.80
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$536.25
|
| Rate for Payer: Sagamore Health Network All Products |
$1,061.50
|
| Rate for Payer: Signature Care EPO |
$1,141.25
|
| Rate for Payer: Signature Care PPO |
$1,210.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,168.75
|
| Rate for Payer: United Healthcare Commercial |
$1,083.50
|
| Rate for Payer: United Healthcare Medicare |
$453.75
|
|
|
HC AR ACP KIT SERIES III
|
Facility
IP
|
$1,375.00
|
|
| Hospital Charge Code |
41607712
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,031.25 |
| Max. Negotiated Rate |
$1,278.75 |
| Rate for Payer: Aetna Commercial |
$1,188.00
|
| Rate for Payer: Cash Price |
$852.50
|
| Rate for Payer: Cigna All Commercial |
$1,186.62
|
| Rate for Payer: CORVEL All Commercial |
$1,278.75
|
| Rate for Payer: Coventry All Commercial |
$1,210.00
|
| Rate for Payer: Encore All Commercial |
$1,265.69
|
| Rate for Payer: Frontpath All Commercial |
$1,265.00
|
| Rate for Payer: Humana ChoiceCare |
$1,187.59
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,237.50
|
| Rate for Payer: PHCS All Commercial |
$1,031.25
|
| Rate for Payer: PHP All Commercial |
$1,042.80
|
| Rate for Payer: Sagamore Health Network All Products |
$1,061.50
|
| Rate for Payer: Signature Care EPO |
$1,141.25
|
| Rate for Payer: Signature Care PPO |
$1,210.00
|
| Rate for Payer: United Healthcare Commercial |
$1,083.50
|
|
|
HC AR AC REPAIR KIT
|
Facility
OP
|
$4,455.00
|
|
| Hospital Charge Code |
41606545
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$4,143.15 |
| Rate for Payer: Aetna Commercial |
$3,760.02
|
| Rate for Payer: Aetna Medicare |
$1,470.15
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,470.15
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$2,558.51
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$2,784.82
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,690.67
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,617.16
|
| Rate for Payer: Cash Price |
$2,762.10
|
| Rate for Payer: Cash Price |
$2,762.10
|
| Rate for Payer: Centivo All Commercial |
$2,272.05
|
| Rate for Payer: Cigna All Commercial |
$3,844.66
|
| Rate for Payer: CORVEL All Commercial |
$4,143.15
|
| Rate for Payer: Coventry All Commercial |
$3,920.40
|
| Rate for Payer: Encore All Commercial |
$4,100.83
|
| Rate for Payer: Frontpath All Commercial |
$4,098.60
|
| Rate for Payer: Humana ChoiceCare |
$3,847.78
|
| Rate for Payer: Humana Medicare |
$2,272.05
|
| Rate for Payer: Lucent All Commercial |
$2,272.05
|
| Rate for Payer: Lutheran Preferred All Commercial |
$4,009.50
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$3,341.25
|
| Rate for Payer: PHP All Commercial |
$3,378.67
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$1,737.45
|
| Rate for Payer: Sagamore Health Network All Products |
$3,439.26
|
| Rate for Payer: Signature Care EPO |
$3,697.65
|
| Rate for Payer: Signature Care PPO |
$3,920.40
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$3,786.75
|
| Rate for Payer: United Healthcare Commercial |
$3,510.54
|
| Rate for Payer: United Healthcare Medicare |
$1,470.15
|
|
|
HC AR AC REPAIR KIT
|
Facility
IP
|
$4,455.00
|
|
| Hospital Charge Code |
41606545
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3,341.25 |
| Max. Negotiated Rate |
$4,143.15 |
| Rate for Payer: Aetna Commercial |
$3,849.12
|
| Rate for Payer: Cash Price |
$2,762.10
|
| Rate for Payer: Cigna All Commercial |
$3,844.66
|
| Rate for Payer: CORVEL All Commercial |
$4,143.15
|
| Rate for Payer: Coventry All Commercial |
$3,920.40
|
| Rate for Payer: Encore All Commercial |
$4,100.83
|
| Rate for Payer: Frontpath All Commercial |
$4,098.60
|
| Rate for Payer: Humana ChoiceCare |
$3,847.78
|
| Rate for Payer: Lutheran Preferred All Commercial |
$4,009.50
|
| Rate for Payer: PHCS All Commercial |
$3,341.25
|
| Rate for Payer: PHP All Commercial |
$3,378.67
|
| Rate for Payer: Sagamore Health Network All Products |
$3,439.26
|
| Rate for Payer: Signature Care EPO |
$3,697.65
|
| Rate for Payer: Signature Care PPO |
$3,920.40
|
| Rate for Payer: United Healthcare Commercial |
$3,510.54
|
|
|
HC AR ALLOGRAFT IMPLANT SYSTEM
|
Facility
IP
|
$11,732.40
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41608169
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$8,799.30 |
| Max. Negotiated Rate |
$10,911.13 |
| Rate for Payer: Aetna Commercial |
$10,136.79
|
| Rate for Payer: Cash Price |
$7,274.09
|
| Rate for Payer: Cigna All Commercial |
$10,125.06
|
| Rate for Payer: CORVEL All Commercial |
$10,911.13
|
| Rate for Payer: Coventry All Commercial |
$10,324.51
|
| Rate for Payer: Encore All Commercial |
$10,799.67
|
| Rate for Payer: Frontpath All Commercial |
$10,793.81
|
| Rate for Payer: Humana ChoiceCare |
$10,133.27
|
| Rate for Payer: Lutheran Preferred All Commercial |
$10,559.16
|
| Rate for Payer: PHCS All Commercial |
$8,799.30
|
| Rate for Payer: PHP All Commercial |
$8,897.85
|
| Rate for Payer: Sagamore Health Network All Products |
$9,057.41
|
| Rate for Payer: Signature Care EPO |
$9,737.89
|
| Rate for Payer: Signature Care PPO |
$10,324.51
|
| Rate for Payer: United Healthcare Commercial |
$9,245.13
|
|
|
HC AR ALLOGRAFT IMPLANT SYSTEM
|
Facility
OP
|
$11,732.40
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41608169
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$10,911.13 |
| Rate for Payer: Aetna Commercial |
$9,902.15
|
| Rate for Payer: Aetna Medicare |
$3,871.69
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$3,871.69
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$6,737.92
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$7,333.92
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$4,452.45
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$4,258.86
|
| Rate for Payer: Cash Price |
$7,274.09
|
| Rate for Payer: Cash Price |
$7,274.09
|
| Rate for Payer: Centivo All Commercial |
$5,983.52
|
| Rate for Payer: Cigna All Commercial |
$10,125.06
|
| Rate for Payer: CORVEL All Commercial |
$10,911.13
|
| Rate for Payer: Coventry All Commercial |
$10,324.51
|
| Rate for Payer: Encore All Commercial |
$10,799.67
|
| Rate for Payer: Frontpath All Commercial |
$10,793.81
|
| Rate for Payer: Humana ChoiceCare |
$10,133.27
|
| Rate for Payer: Humana Medicare |
$5,983.52
|
| Rate for Payer: Lucent All Commercial |
$5,983.52
|
| Rate for Payer: Lutheran Preferred All Commercial |
$10,559.16
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$8,799.30
|
| Rate for Payer: PHP All Commercial |
$8,897.85
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$4,575.64
|
| Rate for Payer: Sagamore Health Network All Products |
$9,057.41
|
| Rate for Payer: Signature Care EPO |
$9,737.89
|
| Rate for Payer: Signature Care PPO |
$10,324.51
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$9,972.54
|
| Rate for Payer: United Healthcare Commercial |
$9,245.13
|
| Rate for Payer: United Healthcare Medicare |
$3,871.69
|
|
|
HC AR AMNION VISCOUS 2 ML
|
Facility
IP
|
$6,480.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604620
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$4,860.00 |
| Max. Negotiated Rate |
$6,026.40 |
| Rate for Payer: Aetna Commercial |
$5,598.72
|
| Rate for Payer: Cash Price |
$4,017.60
|
| Rate for Payer: Cigna All Commercial |
$5,592.24
|
| Rate for Payer: CORVEL All Commercial |
$6,026.40
|
| Rate for Payer: Coventry All Commercial |
$5,702.40
|
| Rate for Payer: Encore All Commercial |
$5,964.84
|
| Rate for Payer: Frontpath All Commercial |
$5,961.60
|
| Rate for Payer: Humana ChoiceCare |
$5,596.78
|
| Rate for Payer: Lutheran Preferred All Commercial |
$5,832.00
|
| Rate for Payer: PHCS All Commercial |
$4,860.00
|
| Rate for Payer: PHP All Commercial |
$4,914.43
|
| Rate for Payer: Sagamore Health Network All Products |
$5,002.56
|
| Rate for Payer: Signature Care EPO |
$5,378.40
|
| Rate for Payer: Signature Care PPO |
$5,702.40
|
| Rate for Payer: United Healthcare Commercial |
$5,106.24
|
|
|
HC AR AMNION VISCOUS 2 ML
|
Facility
OP
|
$6,480.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604620
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$6,026.40 |
| Rate for Payer: Aetna Commercial |
$5,469.12
|
| Rate for Payer: Aetna Medicare |
$2,138.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$2,138.40
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$3,721.46
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$4,050.65
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$2,459.16
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$2,352.24
|
| Rate for Payer: Cash Price |
$4,017.60
|
| Rate for Payer: Cash Price |
$4,017.60
|
| Rate for Payer: Centivo All Commercial |
$3,304.80
|
| Rate for Payer: Cigna All Commercial |
$5,592.24
|
| Rate for Payer: CORVEL All Commercial |
$6,026.40
|
| Rate for Payer: Coventry All Commercial |
$5,702.40
|
| Rate for Payer: Encore All Commercial |
$5,964.84
|
| Rate for Payer: Frontpath All Commercial |
$5,961.60
|
| Rate for Payer: Humana ChoiceCare |
$5,596.78
|
| Rate for Payer: Humana Medicare |
$3,304.80
|
| Rate for Payer: Lucent All Commercial |
$3,304.80
|
| Rate for Payer: Lutheran Preferred All Commercial |
$5,832.00
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$4,860.00
|
| Rate for Payer: PHP All Commercial |
$4,914.43
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$2,527.20
|
| Rate for Payer: Sagamore Health Network All Products |
$5,002.56
|
| Rate for Payer: Signature Care EPO |
$5,378.40
|
| Rate for Payer: Signature Care PPO |
$5,702.40
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$5,508.00
|
| Rate for Payer: United Healthcare Commercial |
$5,106.24
|
| Rate for Payer: United Healthcare Medicare |
$2,138.40
|
|
|
HC AR ANATOEMIC 20
|
Facility
OP
|
$2,752.20
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603868
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$2,559.55 |
| Rate for Payer: Aetna Commercial |
$2,322.86
|
| Rate for Payer: Aetna Medicare |
$908.23
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$908.23
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,580.59
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,720.40
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,044.46
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$999.05
|
| Rate for Payer: Cash Price |
$1,706.36
|
| Rate for Payer: Cash Price |
$1,706.36
|
| Rate for Payer: Centivo All Commercial |
$1,403.62
|
| Rate for Payer: Cigna All Commercial |
$2,375.15
|
| Rate for Payer: CORVEL All Commercial |
$2,559.55
|
| Rate for Payer: Coventry All Commercial |
$2,421.94
|
| Rate for Payer: Encore All Commercial |
$2,533.40
|
| Rate for Payer: Frontpath All Commercial |
$2,532.02
|
| Rate for Payer: Humana ChoiceCare |
$2,377.08
|
| Rate for Payer: Humana Medicare |
$1,403.62
|
| Rate for Payer: Lucent All Commercial |
$1,403.62
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,476.98
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$2,064.15
|
| Rate for Payer: PHP All Commercial |
$2,087.27
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$1,073.36
|
| Rate for Payer: Sagamore Health Network All Products |
$2,124.70
|
| Rate for Payer: Signature Care EPO |
$2,284.33
|
| Rate for Payer: Signature Care PPO |
$2,421.94
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$2,339.37
|
| Rate for Payer: United Healthcare Commercial |
$2,168.73
|
| Rate for Payer: United Healthcare Medicare |
$908.23
|
|
|
HC AR ANATOEMIC 20
|
Facility
IP
|
$2,752.20
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603868
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,064.15 |
| Max. Negotiated Rate |
$2,559.55 |
| Rate for Payer: Aetna Commercial |
$2,377.90
|
| Rate for Payer: Cash Price |
$1,706.36
|
| Rate for Payer: Cigna All Commercial |
$2,375.15
|
| Rate for Payer: CORVEL All Commercial |
$2,559.55
|
| Rate for Payer: Coventry All Commercial |
$2,421.94
|
| Rate for Payer: Encore All Commercial |
$2,533.40
|
| Rate for Payer: Frontpath All Commercial |
$2,532.02
|
| Rate for Payer: Humana ChoiceCare |
$2,377.08
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,476.98
|
| Rate for Payer: PHCS All Commercial |
$2,064.15
|
| Rate for Payer: PHP All Commercial |
$2,087.27
|
| Rate for Payer: Sagamore Health Network All Products |
$2,124.70
|
| Rate for Payer: Signature Care EPO |
$2,284.33
|
| Rate for Payer: Signature Care PPO |
$2,421.94
|
| Rate for Payer: United Healthcare Commercial |
$2,168.73
|
|
|
HC AR ANATOEMIC 21.5
|
Facility
IP
|
$2,752.20
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603539
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,064.15 |
| Max. Negotiated Rate |
$2,559.55 |
| Rate for Payer: Aetna Commercial |
$2,377.90
|
| Rate for Payer: Cash Price |
$1,706.36
|
| Rate for Payer: Cigna All Commercial |
$2,375.15
|
| Rate for Payer: CORVEL All Commercial |
$2,559.55
|
| Rate for Payer: Coventry All Commercial |
$2,421.94
|
| Rate for Payer: Encore All Commercial |
$2,533.40
|
| Rate for Payer: Frontpath All Commercial |
$2,532.02
|
| Rate for Payer: Humana ChoiceCare |
$2,377.08
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,476.98
|
| Rate for Payer: PHCS All Commercial |
$2,064.15
|
| Rate for Payer: PHP All Commercial |
$2,087.27
|
| Rate for Payer: Sagamore Health Network All Products |
$2,124.70
|
| Rate for Payer: Signature Care EPO |
$2,284.33
|
| Rate for Payer: Signature Care PPO |
$2,421.94
|
| Rate for Payer: United Healthcare Commercial |
$2,168.73
|
|
|
HC AR ANATOEMIC 21.5
|
Facility
OP
|
$2,752.20
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603539
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$2,559.55 |
| Rate for Payer: Aetna Commercial |
$2,322.86
|
| Rate for Payer: Aetna Medicare |
$908.23
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$908.23
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,580.59
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,720.40
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,044.46
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$999.05
|
| Rate for Payer: Cash Price |
$1,706.36
|
| Rate for Payer: Cash Price |
$1,706.36
|
| Rate for Payer: Centivo All Commercial |
$1,403.62
|
| Rate for Payer: Cigna All Commercial |
$2,375.15
|
| Rate for Payer: CORVEL All Commercial |
$2,559.55
|
| Rate for Payer: Coventry All Commercial |
$2,421.94
|
| Rate for Payer: Encore All Commercial |
$2,533.40
|
| Rate for Payer: Frontpath All Commercial |
$2,532.02
|
| Rate for Payer: Humana ChoiceCare |
$2,377.08
|
| Rate for Payer: Humana Medicare |
$1,403.62
|
| Rate for Payer: Lucent All Commercial |
$1,403.62
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,476.98
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$2,064.15
|
| Rate for Payer: PHP All Commercial |
$2,087.27
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$1,073.36
|
| Rate for Payer: Sagamore Health Network All Products |
$2,124.70
|
| Rate for Payer: Signature Care EPO |
$2,284.33
|
| Rate for Payer: Signature Care PPO |
$2,421.94
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$2,339.37
|
| Rate for Payer: United Healthcare Commercial |
$2,168.73
|
| Rate for Payer: United Healthcare Medicare |
$908.23
|
|
|
HC AR ANATOEMIC 23
|
Facility
IP
|
$2,752.20
|
|
|
Service Code
|
CPT L8642
|
| Hospital Charge Code |
41603725
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,064.15 |
| Max. Negotiated Rate |
$2,559.55 |
| Rate for Payer: Aetna Commercial |
$2,377.90
|
| Rate for Payer: Cash Price |
$1,706.36
|
| Rate for Payer: Cigna All Commercial |
$2,375.15
|
| Rate for Payer: CORVEL All Commercial |
$2,559.55
|
| Rate for Payer: Coventry All Commercial |
$2,421.94
|
| Rate for Payer: Encore All Commercial |
$2,533.40
|
| Rate for Payer: Frontpath All Commercial |
$2,532.02
|
| Rate for Payer: Humana ChoiceCare |
$2,377.08
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,476.98
|
| Rate for Payer: PHCS All Commercial |
$2,064.15
|
| Rate for Payer: PHP All Commercial |
$2,087.27
|
| Rate for Payer: Sagamore Health Network All Products |
$2,124.70
|
| Rate for Payer: Signature Care EPO |
$2,284.33
|
| Rate for Payer: Signature Care PPO |
$2,421.94
|
| Rate for Payer: United Healthcare Commercial |
$2,168.73
|
|
|
HC AR ANATOEMIC 23
|
Facility
OP
|
$2,752.20
|
|
|
Service Code
|
CPT L8642
|
| Hospital Charge Code |
41603725
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$2,559.55 |
| Rate for Payer: Aetna Commercial |
$2,322.86
|
| Rate for Payer: Aetna Medicare |
$908.23
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$908.23
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,580.59
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,720.40
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,044.46
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$999.05
|
| Rate for Payer: Cash Price |
$1,706.36
|
| Rate for Payer: Cash Price |
$1,706.36
|
| Rate for Payer: Centivo All Commercial |
$1,403.62
|
| Rate for Payer: Cigna All Commercial |
$2,375.15
|
| Rate for Payer: CORVEL All Commercial |
$2,559.55
|
| Rate for Payer: Coventry All Commercial |
$2,421.94
|
| Rate for Payer: Encore All Commercial |
$2,533.40
|
| Rate for Payer: Frontpath All Commercial |
$2,532.02
|
| Rate for Payer: Humana ChoiceCare |
$2,377.08
|
| Rate for Payer: Humana Medicare |
$1,403.62
|
| Rate for Payer: Lucent All Commercial |
$1,403.62
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,476.98
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$2,064.15
|
| Rate for Payer: PHP All Commercial |
$2,087.27
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$1,073.36
|
| Rate for Payer: Sagamore Health Network All Products |
$2,124.70
|
| Rate for Payer: Signature Care EPO |
$2,284.33
|
| Rate for Payer: Signature Care PPO |
$2,421.94
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$2,339.37
|
| Rate for Payer: United Healthcare Commercial |
$2,168.73
|
| Rate for Payer: United Healthcare Medicare |
$908.23
|
|
|
HC AR ANCHOR BIO SWIVLCK 4.75X22
|
Facility
OP
|
$2,293.50
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603252
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$2,132.96 |
| Rate for Payer: Aetna Commercial |
$1,935.71
|
| Rate for Payer: Aetna Medicare |
$756.86
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$756.86
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,317.16
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,433.67
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$870.38
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$832.54
|
| Rate for Payer: Cash Price |
$1,421.97
|
| Rate for Payer: Cash Price |
$1,421.97
|
| Rate for Payer: Centivo All Commercial |
$1,169.68
|
| Rate for Payer: Cigna All Commercial |
$1,979.29
|
| Rate for Payer: CORVEL All Commercial |
$2,132.96
|
| Rate for Payer: Coventry All Commercial |
$2,018.28
|
| Rate for Payer: Encore All Commercial |
$2,111.17
|
| Rate for Payer: Frontpath All Commercial |
$2,110.02
|
| Rate for Payer: Humana ChoiceCare |
$1,980.90
|
| Rate for Payer: Humana Medicare |
$1,169.68
|
| Rate for Payer: Lucent All Commercial |
$1,169.68
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,064.15
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,720.12
|
| Rate for Payer: PHP All Commercial |
$1,739.39
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$894.46
|
| Rate for Payer: Sagamore Health Network All Products |
$1,770.58
|
| Rate for Payer: Signature Care EPO |
$1,903.60
|
| Rate for Payer: Signature Care PPO |
$2,018.28
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,949.48
|
| Rate for Payer: United Healthcare Commercial |
$1,807.28
|
| Rate for Payer: United Healthcare Medicare |
$756.86
|
|
|
HC AR ANCHOR BIO SWIVLCK 4.75X22
|
Facility
IP
|
$2,293.50
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603252
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,720.12 |
| Max. Negotiated Rate |
$2,132.96 |
| Rate for Payer: Aetna Commercial |
$1,981.58
|
| Rate for Payer: Cash Price |
$1,421.97
|
| Rate for Payer: Cigna All Commercial |
$1,979.29
|
| Rate for Payer: CORVEL All Commercial |
$2,132.96
|
| Rate for Payer: Coventry All Commercial |
$2,018.28
|
| Rate for Payer: Encore All Commercial |
$2,111.17
|
| Rate for Payer: Frontpath All Commercial |
$2,110.02
|
| Rate for Payer: Humana ChoiceCare |
$1,980.90
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,064.15
|
| Rate for Payer: PHCS All Commercial |
$1,720.12
|
| Rate for Payer: PHP All Commercial |
$1,739.39
|
| Rate for Payer: Sagamore Health Network All Products |
$1,770.58
|
| Rate for Payer: Signature Care EPO |
$1,903.60
|
| Rate for Payer: Signature Care PPO |
$2,018.28
|
| Rate for Payer: United Healthcare Commercial |
$1,807.28
|
|
|
HC AR ANCHOR SWVLCK 4.75X19.1
|
Facility
OP
|
$1,821.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41607037
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$1,694.09 |
| Rate for Payer: Aetna Commercial |
$1,537.43
|
| Rate for Payer: Aetna Medicare |
$601.13
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$601.13
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,046.14
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,138.68
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$691.30
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$661.24
|
| Rate for Payer: Cash Price |
$1,129.39
|
| Rate for Payer: Cash Price |
$1,129.39
|
| Rate for Payer: Centivo All Commercial |
$929.02
|
| Rate for Payer: Cigna All Commercial |
$1,572.04
|
| Rate for Payer: CORVEL All Commercial |
$1,694.09
|
| Rate for Payer: Coventry All Commercial |
$1,603.01
|
| Rate for Payer: Encore All Commercial |
$1,676.78
|
| Rate for Payer: Frontpath All Commercial |
$1,675.87
|
| Rate for Payer: Humana ChoiceCare |
$1,573.32
|
| Rate for Payer: Humana Medicare |
$929.02
|
| Rate for Payer: Lucent All Commercial |
$929.02
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,639.44
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,366.20
|
| Rate for Payer: PHP All Commercial |
$1,381.50
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$710.42
|
| Rate for Payer: Sagamore Health Network All Products |
$1,406.28
|
| Rate for Payer: Signature Care EPO |
$1,511.93
|
| Rate for Payer: Signature Care PPO |
$1,603.01
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,548.36
|
| Rate for Payer: United Healthcare Commercial |
$1,435.42
|
| Rate for Payer: United Healthcare Medicare |
$601.13
|
|
|
HC AR ANCHOR SWVLCK 4.75X19.1
|
Facility
IP
|
$1,821.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41607037
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,366.20 |
| Max. Negotiated Rate |
$1,694.09 |
| Rate for Payer: Aetna Commercial |
$1,573.86
|
| Rate for Payer: Cash Price |
$1,129.39
|
| Rate for Payer: Cigna All Commercial |
$1,572.04
|
| Rate for Payer: CORVEL All Commercial |
$1,694.09
|
| Rate for Payer: Coventry All Commercial |
$1,603.01
|
| Rate for Payer: Encore All Commercial |
$1,676.78
|
| Rate for Payer: Frontpath All Commercial |
$1,675.87
|
| Rate for Payer: Humana ChoiceCare |
$1,573.32
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,639.44
|
| Rate for Payer: PHCS All Commercial |
$1,366.20
|
| Rate for Payer: PHP All Commercial |
$1,381.50
|
| Rate for Payer: Sagamore Health Network All Products |
$1,406.28
|
| Rate for Payer: Signature Care EPO |
$1,511.93
|
| Rate for Payer: Signature Care PPO |
$1,603.01
|
| Rate for Payer: United Healthcare Commercial |
$1,435.42
|
|
|
HC AR ANCHOR SWVLCK 4.75X19.1 BC
|
Facility
OP
|
$2,871.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606641
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$2,670.03 |
| Rate for Payer: Aetna Commercial |
$2,423.12
|
| Rate for Payer: Aetna Medicare |
$947.43
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$947.43
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,648.82
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,794.66
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,089.54
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,042.17
|
| Rate for Payer: Cash Price |
$1,780.02
|
| Rate for Payer: Cash Price |
$1,780.02
|
| Rate for Payer: Centivo All Commercial |
$1,464.21
|
| Rate for Payer: Cigna All Commercial |
$2,477.67
|
| Rate for Payer: CORVEL All Commercial |
$2,670.03
|
| Rate for Payer: Coventry All Commercial |
$2,526.48
|
| Rate for Payer: Encore All Commercial |
$2,642.76
|
| Rate for Payer: Frontpath All Commercial |
$2,641.32
|
| Rate for Payer: Humana ChoiceCare |
$2,479.68
|
| Rate for Payer: Humana Medicare |
$1,464.21
|
| Rate for Payer: Lucent All Commercial |
$1,464.21
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,583.90
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$2,153.25
|
| Rate for Payer: PHP All Commercial |
$2,177.37
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$1,119.69
|
| Rate for Payer: Sagamore Health Network All Products |
$2,216.41
|
| Rate for Payer: Signature Care EPO |
$2,382.93
|
| Rate for Payer: Signature Care PPO |
$2,526.48
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$2,440.35
|
| Rate for Payer: United Healthcare Commercial |
$2,262.35
|
| Rate for Payer: United Healthcare Medicare |
$947.43
|
|
|
HC AR ANCHOR SWVLCK 4.75X19.1 BC
|
Facility
IP
|
$2,871.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606641
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,153.25 |
| Max. Negotiated Rate |
$2,670.03 |
| Rate for Payer: Aetna Commercial |
$2,480.54
|
| Rate for Payer: Cash Price |
$1,780.02
|
| Rate for Payer: Cigna All Commercial |
$2,477.67
|
| Rate for Payer: CORVEL All Commercial |
$2,670.03
|
| Rate for Payer: Coventry All Commercial |
$2,526.48
|
| Rate for Payer: Encore All Commercial |
$2,642.76
|
| Rate for Payer: Frontpath All Commercial |
$2,641.32
|
| Rate for Payer: Humana ChoiceCare |
$2,479.68
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,583.90
|
| Rate for Payer: PHCS All Commercial |
$2,153.25
|
| Rate for Payer: PHP All Commercial |
$2,177.37
|
| Rate for Payer: Sagamore Health Network All Products |
$2,216.41
|
| Rate for Payer: Signature Care EPO |
$2,382.93
|
| Rate for Payer: Signature Care PPO |
$2,526.48
|
| Rate for Payer: United Healthcare Commercial |
$2,262.35
|
|
|
HC AR ANGEL CPRP/BMA TRAY
|
Facility
IP
|
$3,880.80
|
|
| Hospital Charge Code |
41606173
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,910.60 |
| Max. Negotiated Rate |
$3,609.14 |
| Rate for Payer: Aetna Commercial |
$3,353.01
|
| Rate for Payer: Cash Price |
$2,406.10
|
| Rate for Payer: Cigna All Commercial |
$3,349.13
|
| Rate for Payer: CORVEL All Commercial |
$3,609.14
|
| Rate for Payer: Coventry All Commercial |
$3,415.10
|
| Rate for Payer: Encore All Commercial |
$3,572.28
|
| Rate for Payer: Frontpath All Commercial |
$3,570.34
|
| Rate for Payer: Humana ChoiceCare |
$3,351.85
|
| Rate for Payer: Lutheran Preferred All Commercial |
$3,492.72
|
| Rate for Payer: PHCS All Commercial |
$2,910.60
|
| Rate for Payer: PHP All Commercial |
$2,943.20
|
| Rate for Payer: Sagamore Health Network All Products |
$2,995.98
|
| Rate for Payer: Signature Care EPO |
$3,221.06
|
| Rate for Payer: Signature Care PPO |
$3,415.10
|
| Rate for Payer: United Healthcare Commercial |
$3,058.07
|
|
