|
HC AR TIGHTROPE ABS
|
Facility
IP
|
$1,012.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606239
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$759.00 |
| Max. Negotiated Rate |
$941.16 |
| Rate for Payer: Aetna Commercial |
$874.37
|
| Rate for Payer: Cash Price |
$627.44
|
| Rate for Payer: Cigna All Commercial |
$873.36
|
| Rate for Payer: CORVEL All Commercial |
$941.16
|
| Rate for Payer: Coventry All Commercial |
$890.56
|
| Rate for Payer: Encore All Commercial |
$931.55
|
| Rate for Payer: Frontpath All Commercial |
$931.04
|
| Rate for Payer: Humana ChoiceCare |
$874.06
|
| Rate for Payer: Lutheran Preferred All Commercial |
$910.80
|
| Rate for Payer: PHCS All Commercial |
$759.00
|
| Rate for Payer: PHP All Commercial |
$767.50
|
| Rate for Payer: Sagamore Health Network All Products |
$781.26
|
| Rate for Payer: Signature Care EPO |
$839.96
|
| Rate for Payer: Signature Care PPO |
$890.56
|
| Rate for Payer: United Healthcare Commercial |
$797.46
|
|
|
HC AR TIGHTROPE ABS
|
Facility
OP
|
$1,012.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606239
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$333.96 |
| Max. Negotiated Rate |
$941.16 |
| Rate for Payer: Aetna Commercial |
$854.13
|
| Rate for Payer: Aetna Medicare |
$333.96
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$333.96
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$581.19
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$632.60
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$384.05
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$367.36
|
| Rate for Payer: Cash Price |
$627.44
|
| Rate for Payer: Cash Price |
$627.44
|
| Rate for Payer: Centivo All Commercial |
$516.12
|
| Rate for Payer: Cigna All Commercial |
$873.36
|
| Rate for Payer: CORVEL All Commercial |
$941.16
|
| Rate for Payer: Coventry All Commercial |
$890.56
|
| Rate for Payer: Encore All Commercial |
$931.55
|
| Rate for Payer: Frontpath All Commercial |
$931.04
|
| Rate for Payer: Humana ChoiceCare |
$874.06
|
| Rate for Payer: Humana Medicare |
$516.12
|
| Rate for Payer: Lucent All Commercial |
$516.12
|
| Rate for Payer: Lutheran Preferred All Commercial |
$910.80
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$759.00
|
| Rate for Payer: PHP All Commercial |
$767.50
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$394.68
|
| Rate for Payer: Sagamore Health Network All Products |
$781.26
|
| Rate for Payer: Signature Care EPO |
$839.96
|
| Rate for Payer: Signature Care PPO |
$890.56
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$860.20
|
| Rate for Payer: United Healthcare Commercial |
$797.46
|
| Rate for Payer: United Healthcare Medicare |
$333.96
|
|
|
HC AR TIGHTROPE ABS 3H 11MM
|
Facility
OP
|
$2,295.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41608316
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$2,134.35 |
| Rate for Payer: Aetna Commercial |
$1,936.98
|
| Rate for Payer: Aetna Medicare |
$757.35
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$757.35
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,318.02
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,434.60
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$870.95
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$833.08
|
| Rate for Payer: Cash Price |
$1,422.90
|
| Rate for Payer: Cash Price |
$1,422.90
|
| Rate for Payer: Centivo All Commercial |
$1,170.45
|
| Rate for Payer: Cigna All Commercial |
$1,980.58
|
| Rate for Payer: CORVEL All Commercial |
$2,134.35
|
| Rate for Payer: Coventry All Commercial |
$2,019.60
|
| Rate for Payer: Encore All Commercial |
$2,112.55
|
| Rate for Payer: Frontpath All Commercial |
$2,111.40
|
| Rate for Payer: Humana ChoiceCare |
$1,982.19
|
| Rate for Payer: Humana Medicare |
$1,170.45
|
| Rate for Payer: Lucent All Commercial |
$1,170.45
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,065.50
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,721.25
|
| Rate for Payer: PHP All Commercial |
$1,740.53
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$895.05
|
| Rate for Payer: Sagamore Health Network All Products |
$1,771.74
|
| Rate for Payer: Signature Care EPO |
$1,904.85
|
| Rate for Payer: Signature Care PPO |
$2,019.60
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,950.75
|
| Rate for Payer: United Healthcare Commercial |
$1,808.46
|
| Rate for Payer: United Healthcare Medicare |
$757.35
|
|
|
HC AR TIGHTROPE ABS 3H 11MM
|
Facility
IP
|
$2,295.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41608316
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,721.25 |
| Max. Negotiated Rate |
$2,134.35 |
| Rate for Payer: Aetna Commercial |
$1,982.88
|
| Rate for Payer: Cash Price |
$1,422.90
|
| Rate for Payer: Cigna All Commercial |
$1,980.58
|
| Rate for Payer: CORVEL All Commercial |
$2,134.35
|
| Rate for Payer: Coventry All Commercial |
$2,019.60
|
| Rate for Payer: Encore All Commercial |
$2,112.55
|
| Rate for Payer: Frontpath All Commercial |
$2,111.40
|
| Rate for Payer: Humana ChoiceCare |
$1,982.19
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,065.50
|
| Rate for Payer: PHCS All Commercial |
$1,721.25
|
| Rate for Payer: PHP All Commercial |
$1,740.53
|
| Rate for Payer: Sagamore Health Network All Products |
$1,771.74
|
| Rate for Payer: Signature Care EPO |
$1,904.85
|
| Rate for Payer: Signature Care PPO |
$2,019.60
|
| Rate for Payer: United Healthcare Commercial |
$1,808.46
|
|
|
HC AR TIGHTROPE ABS II
|
Facility
OP
|
$2,430.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41608175
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$2,259.90 |
| Rate for Payer: Aetna Commercial |
$2,050.92
|
| Rate for Payer: Aetna Medicare |
$801.90
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$801.90
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,395.55
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,518.99
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$922.18
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$882.09
|
| Rate for Payer: Cash Price |
$1,506.60
|
| Rate for Payer: Cash Price |
$1,506.60
|
| Rate for Payer: Centivo All Commercial |
$1,239.30
|
| Rate for Payer: Cigna All Commercial |
$2,097.09
|
| Rate for Payer: CORVEL All Commercial |
$2,259.90
|
| Rate for Payer: Coventry All Commercial |
$2,138.40
|
| Rate for Payer: Encore All Commercial |
$2,236.82
|
| Rate for Payer: Frontpath All Commercial |
$2,235.60
|
| Rate for Payer: Humana ChoiceCare |
$2,098.79
|
| Rate for Payer: Humana Medicare |
$1,239.30
|
| Rate for Payer: Lucent All Commercial |
$1,239.30
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,187.00
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,822.50
|
| Rate for Payer: PHP All Commercial |
$1,842.91
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$947.70
|
| Rate for Payer: Sagamore Health Network All Products |
$1,875.96
|
| Rate for Payer: Signature Care EPO |
$2,016.90
|
| Rate for Payer: Signature Care PPO |
$2,138.40
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$2,065.50
|
| Rate for Payer: United Healthcare Commercial |
$1,914.84
|
| Rate for Payer: United Healthcare Medicare |
$801.90
|
|
|
HC AR TIGHTROPE ABS II
|
Facility
IP
|
$2,430.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41608175
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,822.50 |
| Max. Negotiated Rate |
$2,259.90 |
| Rate for Payer: Aetna Commercial |
$2,099.52
|
| Rate for Payer: Cash Price |
$1,506.60
|
| Rate for Payer: Cigna All Commercial |
$2,097.09
|
| Rate for Payer: CORVEL All Commercial |
$2,259.90
|
| Rate for Payer: Coventry All Commercial |
$2,138.40
|
| Rate for Payer: Encore All Commercial |
$2,236.82
|
| Rate for Payer: Frontpath All Commercial |
$2,235.60
|
| Rate for Payer: Humana ChoiceCare |
$2,098.79
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,187.00
|
| Rate for Payer: PHCS All Commercial |
$1,822.50
|
| Rate for Payer: PHP All Commercial |
$1,842.91
|
| Rate for Payer: Sagamore Health Network All Products |
$1,875.96
|
| Rate for Payer: Signature Care EPO |
$2,016.90
|
| Rate for Payer: Signature Care PPO |
$2,138.40
|
| Rate for Payer: United Healthcare Commercial |
$1,914.84
|
|
|
HC AR TIGHTROPE ABS II OPEN
|
Facility
OP
|
$1,622.50
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41607875
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$1,508.92 |
| Rate for Payer: Aetna Commercial |
$1,369.39
|
| Rate for Payer: Aetna Medicare |
$535.42
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$535.42
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$931.80
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,014.22
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$615.74
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$588.97
|
| Rate for Payer: Cash Price |
$1,005.95
|
| Rate for Payer: Cash Price |
$1,005.95
|
| Rate for Payer: Centivo All Commercial |
$827.48
|
| Rate for Payer: Cigna All Commercial |
$1,400.22
|
| Rate for Payer: CORVEL All Commercial |
$1,508.92
|
| Rate for Payer: Coventry All Commercial |
$1,427.80
|
| Rate for Payer: Encore All Commercial |
$1,493.51
|
| Rate for Payer: Frontpath All Commercial |
$1,492.70
|
| Rate for Payer: Humana ChoiceCare |
$1,401.35
|
| Rate for Payer: Humana Medicare |
$827.48
|
| Rate for Payer: Lucent All Commercial |
$827.48
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,460.25
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,216.88
|
| Rate for Payer: PHP All Commercial |
$1,230.50
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$632.78
|
| Rate for Payer: Sagamore Health Network All Products |
$1,252.57
|
| Rate for Payer: Signature Care EPO |
$1,346.68
|
| Rate for Payer: Signature Care PPO |
$1,427.80
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,379.12
|
| Rate for Payer: United Healthcare Commercial |
$1,278.53
|
| Rate for Payer: United Healthcare Medicare |
$535.42
|
|
|
HC AR TIGHTROPE ABS II OPEN
|
Facility
IP
|
$1,622.50
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41607875
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,216.88 |
| Max. Negotiated Rate |
$1,508.92 |
| Rate for Payer: Aetna Commercial |
$1,401.84
|
| Rate for Payer: Cash Price |
$1,005.95
|
| Rate for Payer: Cigna All Commercial |
$1,400.22
|
| Rate for Payer: CORVEL All Commercial |
$1,508.92
|
| Rate for Payer: Coventry All Commercial |
$1,427.80
|
| Rate for Payer: Encore All Commercial |
$1,493.51
|
| Rate for Payer: Frontpath All Commercial |
$1,492.70
|
| Rate for Payer: Humana ChoiceCare |
$1,401.35
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,460.25
|
| Rate for Payer: PHCS All Commercial |
$1,216.88
|
| Rate for Payer: PHP All Commercial |
$1,230.50
|
| Rate for Payer: Sagamore Health Network All Products |
$1,252.57
|
| Rate for Payer: Signature Care EPO |
$1,346.68
|
| Rate for Payer: Signature Care PPO |
$1,427.80
|
| Rate for Payer: United Healthcare Commercial |
$1,278.53
|
|
|
HC AR TIGHTROPE BTB II RECON
|
Facility
OP
|
$2,172.50
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41607876
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$2,020.42 |
| Rate for Payer: Aetna Commercial |
$1,833.59
|
| Rate for Payer: Aetna Medicare |
$716.92
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$716.92
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,247.67
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,358.03
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$824.46
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$788.62
|
| Rate for Payer: Cash Price |
$1,346.95
|
| Rate for Payer: Cash Price |
$1,346.95
|
| Rate for Payer: Centivo All Commercial |
$1,107.98
|
| Rate for Payer: Cigna All Commercial |
$1,874.87
|
| Rate for Payer: CORVEL All Commercial |
$2,020.42
|
| Rate for Payer: Coventry All Commercial |
$1,911.80
|
| Rate for Payer: Encore All Commercial |
$1,999.79
|
| Rate for Payer: Frontpath All Commercial |
$1,998.70
|
| Rate for Payer: Humana ChoiceCare |
$1,876.39
|
| Rate for Payer: Humana Medicare |
$1,107.98
|
| Rate for Payer: Lucent All Commercial |
$1,107.98
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,955.25
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,629.38
|
| Rate for Payer: PHP All Commercial |
$1,647.62
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$847.28
|
| Rate for Payer: Sagamore Health Network All Products |
$1,677.17
|
| Rate for Payer: Signature Care EPO |
$1,803.18
|
| Rate for Payer: Signature Care PPO |
$1,911.80
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,846.62
|
| Rate for Payer: United Healthcare Commercial |
$1,711.93
|
| Rate for Payer: United Healthcare Medicare |
$716.92
|
|
|
HC AR TIGHTROPE BTB II RECON
|
Facility
IP
|
$2,172.50
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41607876
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,629.38 |
| Max. Negotiated Rate |
$2,020.42 |
| Rate for Payer: Aetna Commercial |
$1,877.04
|
| Rate for Payer: Cash Price |
$1,346.95
|
| Rate for Payer: Cigna All Commercial |
$1,874.87
|
| Rate for Payer: CORVEL All Commercial |
$2,020.42
|
| Rate for Payer: Coventry All Commercial |
$1,911.80
|
| Rate for Payer: Encore All Commercial |
$1,999.79
|
| Rate for Payer: Frontpath All Commercial |
$1,998.70
|
| Rate for Payer: Humana ChoiceCare |
$1,876.39
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,955.25
|
| Rate for Payer: PHCS All Commercial |
$1,629.38
|
| Rate for Payer: PHP All Commercial |
$1,647.62
|
| Rate for Payer: Sagamore Health Network All Products |
$1,677.17
|
| Rate for Payer: Signature Care EPO |
$1,803.18
|
| Rate for Payer: Signature Care PPO |
$1,911.80
|
| Rate for Payer: United Healthcare Commercial |
$1,711.93
|
|
|
HC AR TIGHTROPE BUTTON 14 MM
|
Facility
IP
|
$1,232.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41607078
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$924.00 |
| Max. Negotiated Rate |
$1,145.76 |
| Rate for Payer: Aetna Commercial |
$1,064.45
|
| Rate for Payer: Cash Price |
$763.84
|
| Rate for Payer: Cigna All Commercial |
$1,063.22
|
| Rate for Payer: CORVEL All Commercial |
$1,145.76
|
| Rate for Payer: Coventry All Commercial |
$1,084.16
|
| Rate for Payer: Encore All Commercial |
$1,134.06
|
| Rate for Payer: Frontpath All Commercial |
$1,133.44
|
| Rate for Payer: Humana ChoiceCare |
$1,064.08
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,108.80
|
| Rate for Payer: PHCS All Commercial |
$924.00
|
| Rate for Payer: PHP All Commercial |
$934.35
|
| Rate for Payer: Sagamore Health Network All Products |
$951.10
|
| Rate for Payer: Signature Care EPO |
$1,022.56
|
| Rate for Payer: Signature Care PPO |
$1,084.16
|
| Rate for Payer: United Healthcare Commercial |
$970.82
|
|
|
HC AR TIGHTROPE BUTTON 14 MM
|
Facility
OP
|
$1,232.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41607078
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$406.56 |
| Max. Negotiated Rate |
$1,145.76 |
| Rate for Payer: Aetna Commercial |
$1,039.81
|
| Rate for Payer: Aetna Medicare |
$406.56
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$406.56
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$707.54
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$770.12
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$467.54
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$447.22
|
| Rate for Payer: Cash Price |
$763.84
|
| Rate for Payer: Cash Price |
$763.84
|
| Rate for Payer: Centivo All Commercial |
$628.32
|
| Rate for Payer: Cigna All Commercial |
$1,063.22
|
| Rate for Payer: CORVEL All Commercial |
$1,145.76
|
| Rate for Payer: Coventry All Commercial |
$1,084.16
|
| Rate for Payer: Encore All Commercial |
$1,134.06
|
| Rate for Payer: Frontpath All Commercial |
$1,133.44
|
| Rate for Payer: Humana ChoiceCare |
$1,064.08
|
| Rate for Payer: Humana Medicare |
$628.32
|
| Rate for Payer: Lucent All Commercial |
$628.32
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,108.80
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$924.00
|
| Rate for Payer: PHP All Commercial |
$934.35
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$480.48
|
| Rate for Payer: Sagamore Health Network All Products |
$951.10
|
| Rate for Payer: Signature Care EPO |
$1,022.56
|
| Rate for Payer: Signature Care PPO |
$1,084.16
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,047.20
|
| Rate for Payer: United Healthcare Commercial |
$970.82
|
| Rate for Payer: United Healthcare Medicare |
$406.56
|
|
|
HC AR TIGHTROPE BUTTON 14MM RND
|
Facility
OP
|
$1,785.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41608351
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$1,660.05 |
| Rate for Payer: Aetna Commercial |
$1,506.54
|
| Rate for Payer: Aetna Medicare |
$589.05
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$589.05
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,025.13
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,115.80
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$677.41
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$647.96
|
| Rate for Payer: Cash Price |
$1,106.70
|
| Rate for Payer: Cash Price |
$1,106.70
|
| Rate for Payer: Centivo All Commercial |
$910.35
|
| Rate for Payer: Cigna All Commercial |
$1,540.46
|
| Rate for Payer: CORVEL All Commercial |
$1,660.05
|
| Rate for Payer: Coventry All Commercial |
$1,570.80
|
| Rate for Payer: Encore All Commercial |
$1,643.09
|
| Rate for Payer: Frontpath All Commercial |
$1,642.20
|
| Rate for Payer: Humana ChoiceCare |
$1,541.70
|
| Rate for Payer: Humana Medicare |
$910.35
|
| Rate for Payer: Lucent All Commercial |
$910.35
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,606.50
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,338.75
|
| Rate for Payer: PHP All Commercial |
$1,353.74
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$696.15
|
| Rate for Payer: Sagamore Health Network All Products |
$1,378.02
|
| Rate for Payer: Signature Care EPO |
$1,481.55
|
| Rate for Payer: Signature Care PPO |
$1,570.80
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,517.25
|
| Rate for Payer: United Healthcare Commercial |
$1,406.58
|
| Rate for Payer: United Healthcare Medicare |
$589.05
|
|
|
HC AR TIGHTROPE BUTTON 14MM RND
|
Facility
IP
|
$1,785.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41608351
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,338.75 |
| Max. Negotiated Rate |
$1,660.05 |
| Rate for Payer: Aetna Commercial |
$1,542.24
|
| Rate for Payer: Cash Price |
$1,106.70
|
| Rate for Payer: Cigna All Commercial |
$1,540.46
|
| Rate for Payer: CORVEL All Commercial |
$1,660.05
|
| Rate for Payer: Coventry All Commercial |
$1,570.80
|
| Rate for Payer: Encore All Commercial |
$1,643.09
|
| Rate for Payer: Frontpath All Commercial |
$1,642.20
|
| Rate for Payer: Humana ChoiceCare |
$1,541.70
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,606.50
|
| Rate for Payer: PHCS All Commercial |
$1,338.75
|
| Rate for Payer: PHP All Commercial |
$1,353.74
|
| Rate for Payer: Sagamore Health Network All Products |
$1,378.02
|
| Rate for Payer: Signature Care EPO |
$1,481.55
|
| Rate for Payer: Signature Care PPO |
$1,570.80
|
| Rate for Payer: United Healthcare Commercial |
$1,406.58
|
|
|
HC AR TIGHTROPE BUTTON 8X12
|
Facility
IP
|
$786.50
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606574
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$589.88 |
| Max. Negotiated Rate |
$731.44 |
| Rate for Payer: Aetna Commercial |
$679.54
|
| Rate for Payer: Cash Price |
$487.63
|
| Rate for Payer: Cigna All Commercial |
$678.75
|
| Rate for Payer: CORVEL All Commercial |
$731.44
|
| Rate for Payer: Coventry All Commercial |
$692.12
|
| Rate for Payer: Encore All Commercial |
$723.97
|
| Rate for Payer: Frontpath All Commercial |
$723.58
|
| Rate for Payer: Humana ChoiceCare |
$679.30
|
| Rate for Payer: Lutheran Preferred All Commercial |
$707.85
|
| Rate for Payer: PHCS All Commercial |
$589.88
|
| Rate for Payer: PHP All Commercial |
$596.48
|
| Rate for Payer: Sagamore Health Network All Products |
$607.18
|
| Rate for Payer: Signature Care EPO |
$652.80
|
| Rate for Payer: Signature Care PPO |
$692.12
|
| Rate for Payer: United Healthcare Commercial |
$619.76
|
|
|
HC AR TIGHTROPE BUTTON 8X12
|
Facility
OP
|
$786.50
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606574
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$259.54 |
| Max. Negotiated Rate |
$731.44 |
| Rate for Payer: Aetna Commercial |
$663.81
|
| Rate for Payer: Aetna Medicare |
$259.54
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$259.54
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$451.69
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$491.64
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$298.48
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$285.50
|
| Rate for Payer: Cash Price |
$487.63
|
| Rate for Payer: Cash Price |
$487.63
|
| Rate for Payer: Centivo All Commercial |
$401.12
|
| Rate for Payer: Cigna All Commercial |
$678.75
|
| Rate for Payer: CORVEL All Commercial |
$731.44
|
| Rate for Payer: Coventry All Commercial |
$692.12
|
| Rate for Payer: Encore All Commercial |
$723.97
|
| Rate for Payer: Frontpath All Commercial |
$723.58
|
| Rate for Payer: Humana ChoiceCare |
$679.30
|
| Rate for Payer: Humana Medicare |
$401.12
|
| Rate for Payer: Lucent All Commercial |
$401.12
|
| Rate for Payer: Lutheran Preferred All Commercial |
$707.85
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$589.88
|
| Rate for Payer: PHP All Commercial |
$596.48
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$306.74
|
| Rate for Payer: Sagamore Health Network All Products |
$607.18
|
| Rate for Payer: Signature Care EPO |
$652.80
|
| Rate for Payer: Signature Care PPO |
$692.12
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$668.52
|
| Rate for Payer: United Healthcare Commercial |
$619.76
|
| Rate for Payer: United Healthcare Medicare |
$259.54
|
|
|
HC AR TIGHTROPE II
|
Facility
OP
|
$3,571.20
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41608176
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$3,321.22 |
| Rate for Payer: Aetna Commercial |
$3,014.09
|
| Rate for Payer: Aetna Medicare |
$1,178.50
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,178.50
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$2,050.94
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$2,232.36
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,355.27
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,296.35
|
| Rate for Payer: Cash Price |
$2,214.14
|
| Rate for Payer: Cash Price |
$2,214.14
|
| Rate for Payer: Centivo All Commercial |
$1,821.31
|
| Rate for Payer: Cigna All Commercial |
$3,081.95
|
| Rate for Payer: CORVEL All Commercial |
$3,321.22
|
| Rate for Payer: Coventry All Commercial |
$3,142.66
|
| Rate for Payer: Encore All Commercial |
$3,287.29
|
| Rate for Payer: Frontpath All Commercial |
$3,285.50
|
| Rate for Payer: Humana ChoiceCare |
$3,084.45
|
| Rate for Payer: Humana Medicare |
$1,821.31
|
| Rate for Payer: Lucent All Commercial |
$1,821.31
|
| Rate for Payer: Lutheran Preferred All Commercial |
$3,214.08
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$2,678.40
|
| Rate for Payer: PHP All Commercial |
$2,708.40
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$1,392.77
|
| Rate for Payer: Sagamore Health Network All Products |
$2,756.97
|
| Rate for Payer: Signature Care EPO |
$2,964.10
|
| Rate for Payer: Signature Care PPO |
$3,142.66
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$3,035.52
|
| Rate for Payer: United Healthcare Commercial |
$2,814.11
|
| Rate for Payer: United Healthcare Medicare |
$1,178.50
|
|
|
HC AR TIGHTROPE II
|
Facility
IP
|
$3,571.20
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41608176
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,678.40 |
| Max. Negotiated Rate |
$3,321.22 |
| Rate for Payer: Aetna Commercial |
$3,085.52
|
| Rate for Payer: Cash Price |
$2,214.14
|
| Rate for Payer: Cigna All Commercial |
$3,081.95
|
| Rate for Payer: CORVEL All Commercial |
$3,321.22
|
| Rate for Payer: Coventry All Commercial |
$3,142.66
|
| Rate for Payer: Encore All Commercial |
$3,287.29
|
| Rate for Payer: Frontpath All Commercial |
$3,285.50
|
| Rate for Payer: Humana ChoiceCare |
$3,084.45
|
| Rate for Payer: Lutheran Preferred All Commercial |
$3,214.08
|
| Rate for Payer: PHCS All Commercial |
$2,678.40
|
| Rate for Payer: PHP All Commercial |
$2,708.40
|
| Rate for Payer: Sagamore Health Network All Products |
$2,756.97
|
| Rate for Payer: Signature Care EPO |
$2,964.10
|
| Rate for Payer: Signature Care PPO |
$3,142.66
|
| Rate for Payer: United Healthcare Commercial |
$2,814.11
|
|
|
HC AR TIGHTROPE PLATE IMPLANT 1.5
|
Facility
IP
|
$15,820.20
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41608030
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$11,865.15 |
| Max. Negotiated Rate |
$14,712.79 |
| Rate for Payer: Aetna Commercial |
$13,668.65
|
| Rate for Payer: Cash Price |
$9,808.52
|
| Rate for Payer: Cigna All Commercial |
$13,652.83
|
| Rate for Payer: CORVEL All Commercial |
$14,712.79
|
| Rate for Payer: Coventry All Commercial |
$13,921.78
|
| Rate for Payer: Encore All Commercial |
$14,562.49
|
| Rate for Payer: Frontpath All Commercial |
$14,554.58
|
| Rate for Payer: Humana ChoiceCare |
$13,663.91
|
| Rate for Payer: Lutheran Preferred All Commercial |
$14,238.18
|
| Rate for Payer: PHCS All Commercial |
$11,865.15
|
| Rate for Payer: PHP All Commercial |
$11,998.04
|
| Rate for Payer: Sagamore Health Network All Products |
$12,213.19
|
| Rate for Payer: Signature Care EPO |
$13,130.77
|
| Rate for Payer: Signature Care PPO |
$13,921.78
|
| Rate for Payer: United Healthcare Commercial |
$12,466.32
|
|
|
HC AR TIGHTROPE PLATE IMPLANT 1.5
|
Facility
OP
|
$15,820.20
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41608030
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$14,712.79 |
| Rate for Payer: Aetna Commercial |
$13,352.25
|
| Rate for Payer: Aetna Medicare |
$5,220.67
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$5,220.67
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$9,085.54
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$9,889.21
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$6,003.77
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$5,742.73
|
| Rate for Payer: Cash Price |
$9,808.52
|
| Rate for Payer: Cash Price |
$9,808.52
|
| Rate for Payer: Centivo All Commercial |
$8,068.30
|
| Rate for Payer: Cigna All Commercial |
$13,652.83
|
| Rate for Payer: CORVEL All Commercial |
$14,712.79
|
| Rate for Payer: Coventry All Commercial |
$13,921.78
|
| Rate for Payer: Encore All Commercial |
$14,562.49
|
| Rate for Payer: Frontpath All Commercial |
$14,554.58
|
| Rate for Payer: Humana ChoiceCare |
$13,663.91
|
| Rate for Payer: Humana Medicare |
$8,068.30
|
| Rate for Payer: Lucent All Commercial |
$8,068.30
|
| Rate for Payer: Lutheran Preferred All Commercial |
$14,238.18
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$11,865.15
|
| Rate for Payer: PHP All Commercial |
$11,998.04
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$6,169.88
|
| Rate for Payer: Sagamore Health Network All Products |
$12,213.19
|
| Rate for Payer: Signature Care EPO |
$13,130.77
|
| Rate for Payer: Signature Care PPO |
$13,921.78
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$13,447.17
|
| Rate for Payer: United Healthcare Commercial |
$12,466.32
|
| Rate for Payer: United Healthcare Medicare |
$5,220.67
|
|
|
HC AR TIGHTROPE SUTURE ACL
|
Facility
IP
|
$2,035.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605851
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,526.25 |
| Max. Negotiated Rate |
$1,892.55 |
| Rate for Payer: Aetna Commercial |
$1,758.24
|
| Rate for Payer: Cash Price |
$1,261.70
|
| Rate for Payer: Cigna All Commercial |
$1,756.20
|
| Rate for Payer: CORVEL All Commercial |
$1,892.55
|
| Rate for Payer: Coventry All Commercial |
$1,790.80
|
| Rate for Payer: Encore All Commercial |
$1,873.22
|
| Rate for Payer: Frontpath All Commercial |
$1,872.20
|
| Rate for Payer: Humana ChoiceCare |
$1,757.63
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,831.50
|
| Rate for Payer: PHCS All Commercial |
$1,526.25
|
| Rate for Payer: PHP All Commercial |
$1,543.34
|
| Rate for Payer: Sagamore Health Network All Products |
$1,571.02
|
| Rate for Payer: Signature Care EPO |
$1,689.05
|
| Rate for Payer: Signature Care PPO |
$1,790.80
|
| Rate for Payer: United Healthcare Commercial |
$1,603.58
|
|
|
HC AR TIGHTROPE SUTURE ACL
|
Facility
OP
|
$2,035.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605851
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$1,892.55 |
| Rate for Payer: Aetna Commercial |
$1,717.54
|
| Rate for Payer: Aetna Medicare |
$671.55
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$671.55
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,168.70
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,272.08
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$772.28
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$738.70
|
| Rate for Payer: Cash Price |
$1,261.70
|
| Rate for Payer: Cash Price |
$1,261.70
|
| Rate for Payer: Centivo All Commercial |
$1,037.85
|
| Rate for Payer: Cigna All Commercial |
$1,756.20
|
| Rate for Payer: CORVEL All Commercial |
$1,892.55
|
| Rate for Payer: Coventry All Commercial |
$1,790.80
|
| Rate for Payer: Encore All Commercial |
$1,873.22
|
| Rate for Payer: Frontpath All Commercial |
$1,872.20
|
| Rate for Payer: Humana ChoiceCare |
$1,757.63
|
| Rate for Payer: Humana Medicare |
$1,037.85
|
| Rate for Payer: Lucent All Commercial |
$1,037.85
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,831.50
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,526.25
|
| Rate for Payer: PHP All Commercial |
$1,543.34
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$793.65
|
| Rate for Payer: Sagamore Health Network All Products |
$1,571.02
|
| Rate for Payer: Signature Care EPO |
$1,689.05
|
| Rate for Payer: Signature Care PPO |
$1,790.80
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,729.75
|
| Rate for Payer: United Healthcare Commercial |
$1,603.58
|
| Rate for Payer: United Healthcare Medicare |
$671.55
|
|
|
HC AR TIGHTROPE SYNDESMOSIS
|
Facility
IP
|
$4,653.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603538
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,489.75 |
| Max. Negotiated Rate |
$4,327.29 |
| Rate for Payer: Aetna Commercial |
$4,020.19
|
| Rate for Payer: Cash Price |
$2,884.86
|
| Rate for Payer: Cigna All Commercial |
$4,015.54
|
| Rate for Payer: CORVEL All Commercial |
$4,327.29
|
| Rate for Payer: Coventry All Commercial |
$4,094.64
|
| Rate for Payer: Encore All Commercial |
$4,283.09
|
| Rate for Payer: Frontpath All Commercial |
$4,280.76
|
| Rate for Payer: Humana ChoiceCare |
$4,018.80
|
| Rate for Payer: Lutheran Preferred All Commercial |
$4,187.70
|
| Rate for Payer: PHCS All Commercial |
$3,489.75
|
| Rate for Payer: PHP All Commercial |
$3,528.84
|
| Rate for Payer: Sagamore Health Network All Products |
$3,592.12
|
| Rate for Payer: Signature Care EPO |
$3,861.99
|
| Rate for Payer: Signature Care PPO |
$4,094.64
|
| Rate for Payer: United Healthcare Commercial |
$3,666.56
|
|
|
HC AR TIGHTROPE SYNDESMOSIS
|
Facility
OP
|
$4,653.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603538
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$4,327.29 |
| Rate for Payer: Aetna Commercial |
$3,927.13
|
| Rate for Payer: Aetna Medicare |
$1,535.49
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,535.49
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$2,672.22
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$2,908.59
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,765.81
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,689.04
|
| Rate for Payer: Cash Price |
$2,884.86
|
| Rate for Payer: Cash Price |
$2,884.86
|
| Rate for Payer: Centivo All Commercial |
$2,373.03
|
| Rate for Payer: Cigna All Commercial |
$4,015.54
|
| Rate for Payer: CORVEL All Commercial |
$4,327.29
|
| Rate for Payer: Coventry All Commercial |
$4,094.64
|
| Rate for Payer: Encore All Commercial |
$4,283.09
|
| Rate for Payer: Frontpath All Commercial |
$4,280.76
|
| Rate for Payer: Humana ChoiceCare |
$4,018.80
|
| Rate for Payer: Humana Medicare |
$2,373.03
|
| Rate for Payer: Lucent All Commercial |
$2,373.03
|
| Rate for Payer: Lutheran Preferred All Commercial |
$4,187.70
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$3,489.75
|
| Rate for Payer: PHP All Commercial |
$3,528.84
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$1,814.67
|
| Rate for Payer: Sagamore Health Network All Products |
$3,592.12
|
| Rate for Payer: Signature Care EPO |
$3,861.99
|
| Rate for Payer: Signature Care PPO |
$4,094.64
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$3,955.05
|
| Rate for Payer: United Healthcare Commercial |
$3,666.56
|
| Rate for Payer: United Healthcare Medicare |
$1,535.49
|
|
|
HC AR TIGHTROPE SYN IMPLANT
|
Facility
OP
|
$8,971.20
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41608029
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$8,343.22 |
| Rate for Payer: Aetna Commercial |
$7,571.69
|
| Rate for Payer: Aetna Medicare |
$2,960.50
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$2,960.50
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$5,152.16
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$5,607.90
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$3,404.57
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$3,256.55
|
| Rate for Payer: Cash Price |
$5,562.14
|
| Rate for Payer: Cash Price |
$5,562.14
|
| Rate for Payer: Centivo All Commercial |
$4,575.31
|
| Rate for Payer: Cigna All Commercial |
$7,742.15
|
| Rate for Payer: CORVEL All Commercial |
$8,343.22
|
| Rate for Payer: Coventry All Commercial |
$7,894.66
|
| Rate for Payer: Encore All Commercial |
$8,257.99
|
| Rate for Payer: Frontpath All Commercial |
$8,253.50
|
| Rate for Payer: Humana ChoiceCare |
$7,748.43
|
| Rate for Payer: Humana Medicare |
$4,575.31
|
| Rate for Payer: Lucent All Commercial |
$4,575.31
|
| Rate for Payer: Lutheran Preferred All Commercial |
$8,074.08
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$6,728.40
|
| Rate for Payer: PHP All Commercial |
$6,803.76
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$3,498.77
|
| Rate for Payer: Sagamore Health Network All Products |
$6,925.77
|
| Rate for Payer: Signature Care EPO |
$7,446.10
|
| Rate for Payer: Signature Care PPO |
$7,894.66
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$7,625.52
|
| Rate for Payer: United Healthcare Commercial |
$7,069.31
|
| Rate for Payer: United Healthcare Medicare |
$2,960.50
|
|
