|
HC ACU 2.7X38 NON-LOCK HEX SCREW
|
Facility
IP
|
$489.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602702
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$303.55 |
| Max. Negotiated Rate |
$450.68 |
| Rate for Payer: Aetna Commercial |
$423.01
|
| Rate for Payer: Cigna All Products |
$422.52
|
| Rate for Payer: Coventry/First Health All Products |
$430.85
|
| Rate for Payer: Encore All Products |
$450.68
|
| Rate for Payer: Frontpath All Products |
$450.43
|
| Rate for Payer: Humana ChoiceCare |
$422.87
|
| Rate for Payer: Lutheran Preferred All Products |
$440.64
|
| Rate for Payer: PHCS/Multiplan All Products |
$367.20
|
| Rate for Payer: PHP All Products |
$371.31
|
| Rate for Payer: Sagamore All Products |
$377.97
|
| Rate for Payer: Self Pay/Cash Rate |
$303.55
|
| Rate for Payer: Signature Care EPO |
$406.37
|
| Rate for Payer: Signature Care PPO |
$430.85
|
| Rate for Payer: United Healthcare Commercial |
$385.80
|
|
|
HC ACU 2.7X38 NON-LOCK HEX SCREW
|
Facility
OP
|
$489.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602702
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$161.57 |
| Max. Negotiated Rate |
$450.68 |
| Rate for Payer: Aetna Commercial |
$413.22
|
| Rate for Payer: Aetna Medicare |
$161.57
|
| Rate for Payer: Anthem Exchange |
$281.18
|
| Rate for Payer: Anthem Medicare |
$161.57
|
| Rate for Payer: Anthem PPO |
$281.18
|
| Rate for Payer: Anthem Traditional |
$306.05
|
| Rate for Payer: Caresource Just 4 Me |
$185.80
|
| Rate for Payer: Caresource Medicare |
$177.72
|
| Rate for Payer: Centivo/Paragon All Products |
$249.70
|
| Rate for Payer: Cigna All Products |
$422.52
|
| Rate for Payer: Coventry/First Health All Products |
$430.85
|
| Rate for Payer: Encore All Products |
$450.68
|
| Rate for Payer: Frontpath All Products |
$450.43
|
| Rate for Payer: Humana ChoiceCare |
$422.87
|
| Rate for Payer: Humana Medicare |
$249.70
|
| Rate for Payer: Lucent/Coldwater Veneers |
$249.70
|
| Rate for Payer: Lutheran Preferred All Products |
$440.64
|
| Rate for Payer: PHCS/Multiplan All Products |
$367.20
|
| Rate for Payer: PHP All Products |
$371.31
|
| Rate for Payer: Plain Church Group Ministry All Products |
$190.94
|
| Rate for Payer: Sagamore All Products |
$377.97
|
| Rate for Payer: Self Pay/Cash Rate |
$303.55
|
| Rate for Payer: Signature Care EPO |
$406.37
|
| Rate for Payer: Signature Care PPO |
$430.85
|
| Rate for Payer: Three Rivers Preferred All Products |
$416.16
|
| Rate for Payer: United Healthcare Commercial |
$385.80
|
| Rate for Payer: United Healthcare Medicare |
$161.57
|
|
|
HC ACU 2.7X40 LOCK HEX SCREW
|
Facility
OP
|
$696.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602687
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$229.68 |
| Max. Negotiated Rate |
$640.67 |
| Rate for Payer: Aetna Commercial |
$587.42
|
| Rate for Payer: Aetna Medicare |
$229.68
|
| Rate for Payer: Anthem Exchange |
$399.71
|
| Rate for Payer: Anthem Medicare |
$229.68
|
| Rate for Payer: Anthem PPO |
$399.71
|
| Rate for Payer: Anthem Traditional |
$435.07
|
| Rate for Payer: Caresource Just 4 Me |
$264.13
|
| Rate for Payer: Caresource Medicare |
$252.65
|
| Rate for Payer: Centivo/Paragon All Products |
$354.96
|
| Rate for Payer: Cigna All Products |
$600.65
|
| Rate for Payer: Coventry/First Health All Products |
$612.48
|
| Rate for Payer: Encore All Products |
$640.67
|
| Rate for Payer: Frontpath All Products |
$640.32
|
| Rate for Payer: Humana ChoiceCare |
$601.14
|
| Rate for Payer: Humana Medicare |
$354.96
|
| Rate for Payer: Lucent/Coldwater Veneers |
$354.96
|
| Rate for Payer: Lutheran Preferred All Products |
$626.40
|
| Rate for Payer: PHCS/Multiplan All Products |
$522.00
|
| Rate for Payer: PHP All Products |
$527.85
|
| Rate for Payer: Plain Church Group Ministry All Products |
$271.44
|
| Rate for Payer: Sagamore All Products |
$537.31
|
| Rate for Payer: Self Pay/Cash Rate |
$431.52
|
| Rate for Payer: Signature Care EPO |
$577.68
|
| Rate for Payer: Signature Care PPO |
$612.48
|
| Rate for Payer: Three Rivers Preferred All Products |
$591.60
|
| Rate for Payer: United Healthcare Commercial |
$548.45
|
| Rate for Payer: United Healthcare Medicare |
$229.68
|
|
|
HC ACU 2.7X40 LOCK HEX SCREW
|
Facility
IP
|
$696.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602687
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$431.52 |
| Max. Negotiated Rate |
$640.67 |
| Rate for Payer: Aetna Commercial |
$601.34
|
| Rate for Payer: Cigna All Products |
$600.65
|
| Rate for Payer: Coventry/First Health All Products |
$612.48
|
| Rate for Payer: Encore All Products |
$640.67
|
| Rate for Payer: Frontpath All Products |
$640.32
|
| Rate for Payer: Humana ChoiceCare |
$601.14
|
| Rate for Payer: Lutheran Preferred All Products |
$626.40
|
| Rate for Payer: PHCS/Multiplan All Products |
$522.00
|
| Rate for Payer: PHP All Products |
$527.85
|
| Rate for Payer: Sagamore All Products |
$537.31
|
| Rate for Payer: Self Pay/Cash Rate |
$431.52
|
| Rate for Payer: Signature Care EPO |
$577.68
|
| Rate for Payer: Signature Care PPO |
$612.48
|
| Rate for Payer: United Healthcare Commercial |
$548.45
|
|
|
HC ACU 2.7X40 NON-LOCK HEX SCREW
|
Facility
IP
|
$489.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602703
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$303.55 |
| Max. Negotiated Rate |
$450.68 |
| Rate for Payer: Aetna Commercial |
$423.01
|
| Rate for Payer: Cigna All Products |
$422.52
|
| Rate for Payer: Coventry/First Health All Products |
$430.85
|
| Rate for Payer: Encore All Products |
$450.68
|
| Rate for Payer: Frontpath All Products |
$450.43
|
| Rate for Payer: Humana ChoiceCare |
$422.87
|
| Rate for Payer: Lutheran Preferred All Products |
$440.64
|
| Rate for Payer: PHCS/Multiplan All Products |
$367.20
|
| Rate for Payer: PHP All Products |
$371.31
|
| Rate for Payer: Sagamore All Products |
$377.97
|
| Rate for Payer: Self Pay/Cash Rate |
$303.55
|
| Rate for Payer: Signature Care EPO |
$406.37
|
| Rate for Payer: Signature Care PPO |
$430.85
|
| Rate for Payer: United Healthcare Commercial |
$385.80
|
|
|
HC ACU 2.7X40 NON-LOCK HEX SCREW
|
Facility
OP
|
$489.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602703
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$161.57 |
| Max. Negotiated Rate |
$450.68 |
| Rate for Payer: Aetna Commercial |
$413.22
|
| Rate for Payer: Aetna Medicare |
$161.57
|
| Rate for Payer: Anthem Exchange |
$281.18
|
| Rate for Payer: Anthem Medicare |
$161.57
|
| Rate for Payer: Anthem PPO |
$281.18
|
| Rate for Payer: Anthem Traditional |
$306.05
|
| Rate for Payer: Caresource Just 4 Me |
$185.80
|
| Rate for Payer: Caresource Medicare |
$177.72
|
| Rate for Payer: Centivo/Paragon All Products |
$249.70
|
| Rate for Payer: Cigna All Products |
$422.52
|
| Rate for Payer: Coventry/First Health All Products |
$430.85
|
| Rate for Payer: Encore All Products |
$450.68
|
| Rate for Payer: Frontpath All Products |
$450.43
|
| Rate for Payer: Humana ChoiceCare |
$422.87
|
| Rate for Payer: Humana Medicare |
$249.70
|
| Rate for Payer: Lucent/Coldwater Veneers |
$249.70
|
| Rate for Payer: Lutheran Preferred All Products |
$440.64
|
| Rate for Payer: PHCS/Multiplan All Products |
$367.20
|
| Rate for Payer: PHP All Products |
$371.31
|
| Rate for Payer: Plain Church Group Ministry All Products |
$190.94
|
| Rate for Payer: Sagamore All Products |
$377.97
|
| Rate for Payer: Self Pay/Cash Rate |
$303.55
|
| Rate for Payer: Signature Care EPO |
$406.37
|
| Rate for Payer: Signature Care PPO |
$430.85
|
| Rate for Payer: Three Rivers Preferred All Products |
$416.16
|
| Rate for Payer: United Healthcare Commercial |
$385.80
|
| Rate for Payer: United Healthcare Medicare |
$161.57
|
|
|
HC ACU 2.7X42 LOCK HEX SCREW
|
Facility
IP
|
$696.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602711
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$431.52 |
| Max. Negotiated Rate |
$640.67 |
| Rate for Payer: Aetna Commercial |
$601.34
|
| Rate for Payer: Cigna All Products |
$600.65
|
| Rate for Payer: Coventry/First Health All Products |
$612.48
|
| Rate for Payer: Encore All Products |
$640.67
|
| Rate for Payer: Frontpath All Products |
$640.32
|
| Rate for Payer: Humana ChoiceCare |
$601.14
|
| Rate for Payer: Lutheran Preferred All Products |
$626.40
|
| Rate for Payer: PHCS/Multiplan All Products |
$522.00
|
| Rate for Payer: PHP All Products |
$527.85
|
| Rate for Payer: Sagamore All Products |
$537.31
|
| Rate for Payer: Self Pay/Cash Rate |
$431.52
|
| Rate for Payer: Signature Care EPO |
$577.68
|
| Rate for Payer: Signature Care PPO |
$612.48
|
| Rate for Payer: United Healthcare Commercial |
$548.45
|
|
|
HC ACU 2.7X42 LOCK HEX SCREW
|
Facility
OP
|
$696.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602711
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$229.68 |
| Max. Negotiated Rate |
$640.67 |
| Rate for Payer: Signature Care PPO |
$612.48
|
| Rate for Payer: Aetna Commercial |
$587.42
|
| Rate for Payer: Aetna Medicare |
$229.68
|
| Rate for Payer: Anthem Exchange |
$399.71
|
| Rate for Payer: Anthem Medicare |
$229.68
|
| Rate for Payer: Anthem PPO |
$399.71
|
| Rate for Payer: Anthem Traditional |
$435.07
|
| Rate for Payer: Caresource Just 4 Me |
$264.13
|
| Rate for Payer: Caresource Medicare |
$252.65
|
| Rate for Payer: Centivo/Paragon All Products |
$354.96
|
| Rate for Payer: Cigna All Products |
$600.65
|
| Rate for Payer: Coventry/First Health All Products |
$612.48
|
| Rate for Payer: Encore All Products |
$640.67
|
| Rate for Payer: Frontpath All Products |
$640.32
|
| Rate for Payer: Humana ChoiceCare |
$601.14
|
| Rate for Payer: Humana Medicare |
$354.96
|
| Rate for Payer: Lucent/Coldwater Veneers |
$354.96
|
| Rate for Payer: Lutheran Preferred All Products |
$626.40
|
| Rate for Payer: PHCS/Multiplan All Products |
$522.00
|
| Rate for Payer: PHP All Products |
$527.85
|
| Rate for Payer: Plain Church Group Ministry All Products |
$271.44
|
| Rate for Payer: Sagamore All Products |
$537.31
|
| Rate for Payer: Self Pay/Cash Rate |
$431.52
|
| Rate for Payer: Signature Care EPO |
$577.68
|
| Rate for Payer: Three Rivers Preferred All Products |
$591.60
|
| Rate for Payer: United Healthcare Commercial |
$548.45
|
| Rate for Payer: United Healthcare Medicare |
$229.68
|
|
|
HC ACU 2.7X42 NON-LOCK HEX SCREW
|
Facility
IP
|
$489.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602707
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$303.55 |
| Max. Negotiated Rate |
$450.68 |
| Rate for Payer: Aetna Commercial |
$423.01
|
| Rate for Payer: Cigna All Products |
$422.52
|
| Rate for Payer: Coventry/First Health All Products |
$430.85
|
| Rate for Payer: Encore All Products |
$450.68
|
| Rate for Payer: Frontpath All Products |
$450.43
|
| Rate for Payer: Humana ChoiceCare |
$422.87
|
| Rate for Payer: Lutheran Preferred All Products |
$440.64
|
| Rate for Payer: PHCS/Multiplan All Products |
$367.20
|
| Rate for Payer: PHP All Products |
$371.31
|
| Rate for Payer: Sagamore All Products |
$377.97
|
| Rate for Payer: Self Pay/Cash Rate |
$303.55
|
| Rate for Payer: Signature Care EPO |
$406.37
|
| Rate for Payer: Signature Care PPO |
$430.85
|
| Rate for Payer: United Healthcare Commercial |
$385.80
|
|
|
HC ACU 2.7X42 NON-LOCK HEX SCREW
|
Facility
OP
|
$489.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602707
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$161.57 |
| Max. Negotiated Rate |
$450.68 |
| Rate for Payer: Aetna Commercial |
$413.22
|
| Rate for Payer: Aetna Medicare |
$161.57
|
| Rate for Payer: Anthem Exchange |
$281.18
|
| Rate for Payer: Anthem Medicare |
$161.57
|
| Rate for Payer: Anthem PPO |
$281.18
|
| Rate for Payer: Anthem Traditional |
$306.05
|
| Rate for Payer: Caresource Just 4 Me |
$185.80
|
| Rate for Payer: Caresource Medicare |
$177.72
|
| Rate for Payer: Centivo/Paragon All Products |
$249.70
|
| Rate for Payer: Cigna All Products |
$422.52
|
| Rate for Payer: Coventry/First Health All Products |
$430.85
|
| Rate for Payer: Encore All Products |
$450.68
|
| Rate for Payer: Frontpath All Products |
$450.43
|
| Rate for Payer: Humana ChoiceCare |
$422.87
|
| Rate for Payer: Humana Medicare |
$249.70
|
| Rate for Payer: Lucent/Coldwater Veneers |
$249.70
|
| Rate for Payer: Lutheran Preferred All Products |
$440.64
|
| Rate for Payer: PHCS/Multiplan All Products |
$367.20
|
| Rate for Payer: PHP All Products |
$371.31
|
| Rate for Payer: Plain Church Group Ministry All Products |
$190.94
|
| Rate for Payer: Sagamore All Products |
$377.97
|
| Rate for Payer: Self Pay/Cash Rate |
$303.55
|
| Rate for Payer: Signature Care EPO |
$406.37
|
| Rate for Payer: Signature Care PPO |
$430.85
|
| Rate for Payer: Three Rivers Preferred All Products |
$416.16
|
| Rate for Payer: United Healthcare Commercial |
$385.80
|
| Rate for Payer: United Healthcare Medicare |
$161.57
|
|
|
HC ACU 2.7X44 LOCK HEX SCREW
|
Facility
IP
|
$696.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602712
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$431.52 |
| Max. Negotiated Rate |
$640.67 |
| Rate for Payer: Aetna Commercial |
$601.34
|
| Rate for Payer: Cigna All Products |
$600.65
|
| Rate for Payer: Coventry/First Health All Products |
$612.48
|
| Rate for Payer: Encore All Products |
$640.67
|
| Rate for Payer: Frontpath All Products |
$640.32
|
| Rate for Payer: Humana ChoiceCare |
$601.14
|
| Rate for Payer: Lutheran Preferred All Products |
$626.40
|
| Rate for Payer: PHCS/Multiplan All Products |
$522.00
|
| Rate for Payer: PHP All Products |
$527.85
|
| Rate for Payer: Sagamore All Products |
$537.31
|
| Rate for Payer: Self Pay/Cash Rate |
$431.52
|
| Rate for Payer: Signature Care EPO |
$577.68
|
| Rate for Payer: Signature Care PPO |
$612.48
|
| Rate for Payer: United Healthcare Commercial |
$548.45
|
|
|
HC ACU 2.7X44 LOCK HEX SCREW
|
Facility
OP
|
$696.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602712
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$229.68 |
| Max. Negotiated Rate |
$640.67 |
| Rate for Payer: Aetna Commercial |
$587.42
|
| Rate for Payer: Aetna Medicare |
$229.68
|
| Rate for Payer: Anthem Exchange |
$399.71
|
| Rate for Payer: Anthem Medicare |
$229.68
|
| Rate for Payer: Anthem PPO |
$399.71
|
| Rate for Payer: Anthem Traditional |
$435.07
|
| Rate for Payer: Caresource Just 4 Me |
$264.13
|
| Rate for Payer: Caresource Medicare |
$252.65
|
| Rate for Payer: Centivo/Paragon All Products |
$354.96
|
| Rate for Payer: Cigna All Products |
$600.65
|
| Rate for Payer: Coventry/First Health All Products |
$612.48
|
| Rate for Payer: Encore All Products |
$640.67
|
| Rate for Payer: Frontpath All Products |
$640.32
|
| Rate for Payer: Humana ChoiceCare |
$601.14
|
| Rate for Payer: Humana Medicare |
$354.96
|
| Rate for Payer: Lucent/Coldwater Veneers |
$354.96
|
| Rate for Payer: Lutheran Preferred All Products |
$626.40
|
| Rate for Payer: PHCS/Multiplan All Products |
$522.00
|
| Rate for Payer: PHP All Products |
$527.85
|
| Rate for Payer: Plain Church Group Ministry All Products |
$271.44
|
| Rate for Payer: Sagamore All Products |
$537.31
|
| Rate for Payer: Self Pay/Cash Rate |
$431.52
|
| Rate for Payer: Signature Care EPO |
$577.68
|
| Rate for Payer: Signature Care PPO |
$612.48
|
| Rate for Payer: Three Rivers Preferred All Products |
$591.60
|
| Rate for Payer: United Healthcare Commercial |
$548.45
|
| Rate for Payer: United Healthcare Medicare |
$229.68
|
|
|
HC ACU 2.7X44 NON-LOCK HEX SCREW
|
Facility
IP
|
$489.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602708
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$303.55 |
| Max. Negotiated Rate |
$450.68 |
| Rate for Payer: Aetna Commercial |
$423.01
|
| Rate for Payer: Cigna All Products |
$422.52
|
| Rate for Payer: Coventry/First Health All Products |
$430.85
|
| Rate for Payer: Encore All Products |
$450.68
|
| Rate for Payer: Frontpath All Products |
$450.43
|
| Rate for Payer: Humana ChoiceCare |
$422.87
|
| Rate for Payer: Lutheran Preferred All Products |
$440.64
|
| Rate for Payer: PHCS/Multiplan All Products |
$367.20
|
| Rate for Payer: PHP All Products |
$371.31
|
| Rate for Payer: Sagamore All Products |
$377.97
|
| Rate for Payer: Self Pay/Cash Rate |
$303.55
|
| Rate for Payer: Signature Care EPO |
$406.37
|
| Rate for Payer: Signature Care PPO |
$430.85
|
| Rate for Payer: United Healthcare Commercial |
$385.80
|
|
|
HC ACU 2.7X44 NON-LOCK HEX SCREW
|
Facility
OP
|
$489.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602708
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$161.57 |
| Max. Negotiated Rate |
$450.68 |
| Rate for Payer: Aetna Commercial |
$413.22
|
| Rate for Payer: Aetna Medicare |
$161.57
|
| Rate for Payer: Anthem Exchange |
$281.18
|
| Rate for Payer: Anthem Medicare |
$161.57
|
| Rate for Payer: Anthem PPO |
$281.18
|
| Rate for Payer: Anthem Traditional |
$306.05
|
| Rate for Payer: Caresource Just 4 Me |
$185.80
|
| Rate for Payer: Caresource Medicare |
$177.72
|
| Rate for Payer: Centivo/Paragon All Products |
$249.70
|
| Rate for Payer: Cigna All Products |
$422.52
|
| Rate for Payer: Coventry/First Health All Products |
$430.85
|
| Rate for Payer: Encore All Products |
$450.68
|
| Rate for Payer: Frontpath All Products |
$450.43
|
| Rate for Payer: Humana ChoiceCare |
$422.87
|
| Rate for Payer: Humana Medicare |
$249.70
|
| Rate for Payer: Lucent/Coldwater Veneers |
$249.70
|
| Rate for Payer: Lutheran Preferred All Products |
$440.64
|
| Rate for Payer: PHCS/Multiplan All Products |
$367.20
|
| Rate for Payer: PHP All Products |
$371.31
|
| Rate for Payer: Plain Church Group Ministry All Products |
$190.94
|
| Rate for Payer: Sagamore All Products |
$377.97
|
| Rate for Payer: Self Pay/Cash Rate |
$303.55
|
| Rate for Payer: Signature Care EPO |
$406.37
|
| Rate for Payer: Signature Care PPO |
$430.85
|
| Rate for Payer: Three Rivers Preferred All Products |
$416.16
|
| Rate for Payer: United Healthcare Commercial |
$385.80
|
| Rate for Payer: United Healthcare Medicare |
$161.57
|
|
|
HC ACU 2.7X46 LOCK HEX SCREW
|
Facility
OP
|
$696.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602713
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$229.68 |
| Max. Negotiated Rate |
$640.67 |
| Rate for Payer: Aetna Commercial |
$587.42
|
| Rate for Payer: Aetna Medicare |
$229.68
|
| Rate for Payer: Anthem Exchange |
$399.71
|
| Rate for Payer: Anthem Medicare |
$229.68
|
| Rate for Payer: Anthem PPO |
$399.71
|
| Rate for Payer: Anthem Traditional |
$435.07
|
| Rate for Payer: Caresource Just 4 Me |
$264.13
|
| Rate for Payer: Caresource Medicare |
$252.65
|
| Rate for Payer: Centivo/Paragon All Products |
$354.96
|
| Rate for Payer: Cigna All Products |
$600.65
|
| Rate for Payer: Coventry/First Health All Products |
$612.48
|
| Rate for Payer: Encore All Products |
$640.67
|
| Rate for Payer: Frontpath All Products |
$640.32
|
| Rate for Payer: Humana ChoiceCare |
$601.14
|
| Rate for Payer: Humana Medicare |
$354.96
|
| Rate for Payer: Lucent/Coldwater Veneers |
$354.96
|
| Rate for Payer: Lutheran Preferred All Products |
$626.40
|
| Rate for Payer: PHCS/Multiplan All Products |
$522.00
|
| Rate for Payer: PHP All Products |
$527.85
|
| Rate for Payer: Plain Church Group Ministry All Products |
$271.44
|
| Rate for Payer: Sagamore All Products |
$537.31
|
| Rate for Payer: Self Pay/Cash Rate |
$431.52
|
| Rate for Payer: Signature Care EPO |
$577.68
|
| Rate for Payer: Signature Care PPO |
$612.48
|
| Rate for Payer: Three Rivers Preferred All Products |
$591.60
|
| Rate for Payer: United Healthcare Commercial |
$548.45
|
| Rate for Payer: United Healthcare Medicare |
$229.68
|
|
|
HC ACU 2.7X46 LOCK HEX SCREW
|
Facility
IP
|
$696.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602713
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$431.52 |
| Max. Negotiated Rate |
$640.67 |
| Rate for Payer: Aetna Commercial |
$601.34
|
| Rate for Payer: Cigna All Products |
$600.65
|
| Rate for Payer: Coventry/First Health All Products |
$612.48
|
| Rate for Payer: Encore All Products |
$640.67
|
| Rate for Payer: Frontpath All Products |
$640.32
|
| Rate for Payer: Humana ChoiceCare |
$601.14
|
| Rate for Payer: Lutheran Preferred All Products |
$626.40
|
| Rate for Payer: PHCS/Multiplan All Products |
$522.00
|
| Rate for Payer: PHP All Products |
$527.85
|
| Rate for Payer: Sagamore All Products |
$537.31
|
| Rate for Payer: Self Pay/Cash Rate |
$431.52
|
| Rate for Payer: Signature Care EPO |
$577.68
|
| Rate for Payer: Signature Care PPO |
$612.48
|
| Rate for Payer: United Healthcare Commercial |
$548.45
|
|
|
HC ACU 2.7X46 NON-LOCK HEX SCREW
|
Facility
OP
|
$489.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602709
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$161.57 |
| Max. Negotiated Rate |
$450.68 |
| Rate for Payer: Aetna Commercial |
$413.22
|
| Rate for Payer: Aetna Medicare |
$161.57
|
| Rate for Payer: Anthem Exchange |
$281.18
|
| Rate for Payer: Anthem Medicare |
$161.57
|
| Rate for Payer: Anthem PPO |
$281.18
|
| Rate for Payer: Anthem Traditional |
$306.05
|
| Rate for Payer: Caresource Just 4 Me |
$185.80
|
| Rate for Payer: Caresource Medicare |
$177.72
|
| Rate for Payer: Centivo/Paragon All Products |
$249.70
|
| Rate for Payer: Cigna All Products |
$422.52
|
| Rate for Payer: Coventry/First Health All Products |
$430.85
|
| Rate for Payer: Encore All Products |
$450.68
|
| Rate for Payer: Frontpath All Products |
$450.43
|
| Rate for Payer: Humana ChoiceCare |
$422.87
|
| Rate for Payer: Humana Medicare |
$249.70
|
| Rate for Payer: Lucent/Coldwater Veneers |
$249.70
|
| Rate for Payer: Lutheran Preferred All Products |
$440.64
|
| Rate for Payer: PHCS/Multiplan All Products |
$367.20
|
| Rate for Payer: PHP All Products |
$371.31
|
| Rate for Payer: Plain Church Group Ministry All Products |
$190.94
|
| Rate for Payer: Sagamore All Products |
$377.97
|
| Rate for Payer: Self Pay/Cash Rate |
$303.55
|
| Rate for Payer: Signature Care EPO |
$406.37
|
| Rate for Payer: Signature Care PPO |
$430.85
|
| Rate for Payer: Three Rivers Preferred All Products |
$416.16
|
| Rate for Payer: United Healthcare Commercial |
$385.80
|
| Rate for Payer: United Healthcare Medicare |
$161.57
|
|
|
HC ACU 2.7X46 NON-LOCK HEX SCREW
|
Facility
IP
|
$489.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602709
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$303.55 |
| Max. Negotiated Rate |
$450.68 |
| Rate for Payer: Aetna Commercial |
$423.01
|
| Rate for Payer: Cigna All Products |
$422.52
|
| Rate for Payer: Coventry/First Health All Products |
$430.85
|
| Rate for Payer: Encore All Products |
$450.68
|
| Rate for Payer: Frontpath All Products |
$450.43
|
| Rate for Payer: Humana ChoiceCare |
$422.87
|
| Rate for Payer: Lutheran Preferred All Products |
$440.64
|
| Rate for Payer: PHCS/Multiplan All Products |
$367.20
|
| Rate for Payer: PHP All Products |
$371.31
|
| Rate for Payer: Sagamore All Products |
$377.97
|
| Rate for Payer: Self Pay/Cash Rate |
$303.55
|
| Rate for Payer: Signature Care EPO |
$406.37
|
| Rate for Payer: Signature Care PPO |
$430.85
|
| Rate for Payer: United Healthcare Commercial |
$385.80
|
|
|
HC ACU 2.7X48 LOCK HEX SCREW
|
Facility
IP
|
$696.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602714
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$431.52 |
| Max. Negotiated Rate |
$640.67 |
| Rate for Payer: Aetna Commercial |
$601.34
|
| Rate for Payer: Cigna All Products |
$600.65
|
| Rate for Payer: Coventry/First Health All Products |
$612.48
|
| Rate for Payer: Encore All Products |
$640.67
|
| Rate for Payer: Frontpath All Products |
$640.32
|
| Rate for Payer: Humana ChoiceCare |
$601.14
|
| Rate for Payer: Lutheran Preferred All Products |
$626.40
|
| Rate for Payer: PHCS/Multiplan All Products |
$522.00
|
| Rate for Payer: PHP All Products |
$527.85
|
| Rate for Payer: Sagamore All Products |
$537.31
|
| Rate for Payer: Self Pay/Cash Rate |
$431.52
|
| Rate for Payer: Signature Care EPO |
$577.68
|
| Rate for Payer: Signature Care PPO |
$612.48
|
| Rate for Payer: United Healthcare Commercial |
$548.45
|
|
|
HC ACU 2.7X48 LOCK HEX SCREW
|
Facility
OP
|
$696.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602714
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$229.68 |
| Max. Negotiated Rate |
$640.67 |
| Rate for Payer: Aetna Commercial |
$587.42
|
| Rate for Payer: Aetna Medicare |
$229.68
|
| Rate for Payer: Anthem Exchange |
$399.71
|
| Rate for Payer: Anthem Medicare |
$229.68
|
| Rate for Payer: Anthem PPO |
$399.71
|
| Rate for Payer: Anthem Traditional |
$435.07
|
| Rate for Payer: Caresource Just 4 Me |
$264.13
|
| Rate for Payer: Caresource Medicare |
$252.65
|
| Rate for Payer: Centivo/Paragon All Products |
$354.96
|
| Rate for Payer: Cigna All Products |
$600.65
|
| Rate for Payer: Coventry/First Health All Products |
$612.48
|
| Rate for Payer: Encore All Products |
$640.67
|
| Rate for Payer: Frontpath All Products |
$640.32
|
| Rate for Payer: Humana ChoiceCare |
$601.14
|
| Rate for Payer: Humana Medicare |
$354.96
|
| Rate for Payer: Lucent/Coldwater Veneers |
$354.96
|
| Rate for Payer: Lutheran Preferred All Products |
$626.40
|
| Rate for Payer: PHCS/Multiplan All Products |
$522.00
|
| Rate for Payer: PHP All Products |
$527.85
|
| Rate for Payer: Plain Church Group Ministry All Products |
$271.44
|
| Rate for Payer: Sagamore All Products |
$537.31
|
| Rate for Payer: Self Pay/Cash Rate |
$431.52
|
| Rate for Payer: Signature Care EPO |
$577.68
|
| Rate for Payer: Signature Care PPO |
$612.48
|
| Rate for Payer: Three Rivers Preferred All Products |
$591.60
|
| Rate for Payer: United Healthcare Commercial |
$548.45
|
| Rate for Payer: United Healthcare Medicare |
$229.68
|
|
|
HC ACU 2.7X48 NON-LOCK HEX SCREW
|
Facility
OP
|
$489.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602710
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$161.57 |
| Max. Negotiated Rate |
$450.68 |
| Rate for Payer: Aetna Commercial |
$413.22
|
| Rate for Payer: Aetna Medicare |
$161.57
|
| Rate for Payer: Anthem Exchange |
$281.18
|
| Rate for Payer: Anthem Medicare |
$161.57
|
| Rate for Payer: Anthem PPO |
$281.18
|
| Rate for Payer: Anthem Traditional |
$306.05
|
| Rate for Payer: Caresource Just 4 Me |
$185.80
|
| Rate for Payer: Caresource Medicare |
$177.72
|
| Rate for Payer: Centivo/Paragon All Products |
$249.70
|
| Rate for Payer: Cigna All Products |
$422.52
|
| Rate for Payer: Coventry/First Health All Products |
$430.85
|
| Rate for Payer: Encore All Products |
$450.68
|
| Rate for Payer: Frontpath All Products |
$450.43
|
| Rate for Payer: Humana ChoiceCare |
$422.87
|
| Rate for Payer: Humana Medicare |
$249.70
|
| Rate for Payer: Lucent/Coldwater Veneers |
$249.70
|
| Rate for Payer: Lutheran Preferred All Products |
$440.64
|
| Rate for Payer: PHCS/Multiplan All Products |
$367.20
|
| Rate for Payer: PHP All Products |
$371.31
|
| Rate for Payer: Plain Church Group Ministry All Products |
$190.94
|
| Rate for Payer: Sagamore All Products |
$377.97
|
| Rate for Payer: Self Pay/Cash Rate |
$303.55
|
| Rate for Payer: Signature Care EPO |
$406.37
|
| Rate for Payer: Signature Care PPO |
$430.85
|
| Rate for Payer: Three Rivers Preferred All Products |
$416.16
|
| Rate for Payer: United Healthcare Commercial |
$385.80
|
| Rate for Payer: United Healthcare Medicare |
$161.57
|
|
|
HC ACU 2.7X48 NON-LOCK HEX SCREW
|
Facility
IP
|
$489.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602710
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$303.55 |
| Max. Negotiated Rate |
$450.68 |
| Rate for Payer: Aetna Commercial |
$423.01
|
| Rate for Payer: Cigna All Products |
$422.52
|
| Rate for Payer: Coventry/First Health All Products |
$430.85
|
| Rate for Payer: Encore All Products |
$450.68
|
| Rate for Payer: Frontpath All Products |
$450.43
|
| Rate for Payer: Humana ChoiceCare |
$422.87
|
| Rate for Payer: Lutheran Preferred All Products |
$440.64
|
| Rate for Payer: PHCS/Multiplan All Products |
$367.20
|
| Rate for Payer: PHP All Products |
$371.31
|
| Rate for Payer: Sagamore All Products |
$377.97
|
| Rate for Payer: Self Pay/Cash Rate |
$303.55
|
| Rate for Payer: Signature Care EPO |
$406.37
|
| Rate for Payer: Signature Care PPO |
$430.85
|
| Rate for Payer: United Healthcare Commercial |
$385.80
|
|
|
HC ACU 2.7X50 LOCK HEX SCREW
|
Facility
OP
|
$792.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602715
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$261.36 |
| Max. Negotiated Rate |
$729.04 |
| Rate for Payer: Aetna Commercial |
$668.45
|
| Rate for Payer: Aetna Medicare |
$261.36
|
| Rate for Payer: Anthem Exchange |
$454.85
|
| Rate for Payer: Anthem Medicare |
$261.36
|
| Rate for Payer: Anthem PPO |
$454.85
|
| Rate for Payer: Anthem Traditional |
$495.08
|
| Rate for Payer: Caresource Just 4 Me |
$300.56
|
| Rate for Payer: Caresource Medicare |
$287.50
|
| Rate for Payer: Centivo/Paragon All Products |
$403.92
|
| Rate for Payer: Cigna All Products |
$683.50
|
| Rate for Payer: Coventry/First Health All Products |
$696.96
|
| Rate for Payer: Encore All Products |
$729.04
|
| Rate for Payer: Frontpath All Products |
$728.64
|
| Rate for Payer: Humana ChoiceCare |
$684.05
|
| Rate for Payer: Humana Medicare |
$403.92
|
| Rate for Payer: Lucent/Coldwater Veneers |
$403.92
|
| Rate for Payer: Lutheran Preferred All Products |
$712.80
|
| Rate for Payer: PHCS/Multiplan All Products |
$594.00
|
| Rate for Payer: PHP All Products |
$600.65
|
| Rate for Payer: Plain Church Group Ministry All Products |
$308.88
|
| Rate for Payer: Sagamore All Products |
$611.42
|
| Rate for Payer: Self Pay/Cash Rate |
$491.04
|
| Rate for Payer: Signature Care EPO |
$657.36
|
| Rate for Payer: Signature Care PPO |
$696.96
|
| Rate for Payer: Three Rivers Preferred All Products |
$673.20
|
| Rate for Payer: United Healthcare Commercial |
$624.10
|
| Rate for Payer: United Healthcare Medicare |
$261.36
|
|
|
HC ACU 2.7X50 LOCK HEX SCREW
|
Facility
IP
|
$792.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602715
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$491.04 |
| Max. Negotiated Rate |
$729.04 |
| Rate for Payer: Aetna Commercial |
$684.29
|
| Rate for Payer: Cigna All Products |
$683.50
|
| Rate for Payer: Coventry/First Health All Products |
$696.96
|
| Rate for Payer: Encore All Products |
$729.04
|
| Rate for Payer: Frontpath All Products |
$728.64
|
| Rate for Payer: Humana ChoiceCare |
$684.05
|
| Rate for Payer: Lutheran Preferred All Products |
$712.80
|
| Rate for Payer: PHCS/Multiplan All Products |
$594.00
|
| Rate for Payer: PHP All Products |
$600.65
|
| Rate for Payer: Sagamore All Products |
$611.42
|
| Rate for Payer: Self Pay/Cash Rate |
$491.04
|
| Rate for Payer: Signature Care EPO |
$657.36
|
| Rate for Payer: Signature Care PPO |
$696.96
|
| Rate for Payer: United Healthcare Commercial |
$624.10
|
|
|
HC ACU 2.7X50 NON-LOCK HEX SCREW
|
Facility
OP
|
$596.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602704
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$196.68 |
| Max. Negotiated Rate |
$548.62 |
| Rate for Payer: Aetna Commercial |
$503.02
|
| Rate for Payer: Aetna Medicare |
$196.68
|
| Rate for Payer: Anthem Exchange |
$342.28
|
| Rate for Payer: Anthem Medicare |
$196.68
|
| Rate for Payer: Anthem PPO |
$342.28
|
| Rate for Payer: Anthem Traditional |
$372.56
|
| Rate for Payer: Caresource Just 4 Me |
$226.18
|
| Rate for Payer: Caresource Medicare |
$216.35
|
| Rate for Payer: Centivo/Paragon All Products |
$303.96
|
| Rate for Payer: Cigna All Products |
$514.35
|
| Rate for Payer: Coventry/First Health All Products |
$524.48
|
| Rate for Payer: Encore All Products |
$548.62
|
| Rate for Payer: Frontpath All Products |
$548.32
|
| Rate for Payer: Humana ChoiceCare |
$514.77
|
| Rate for Payer: Humana Medicare |
$303.96
|
| Rate for Payer: Lucent/Coldwater Veneers |
$303.96
|
| Rate for Payer: Lutheran Preferred All Products |
$536.40
|
| Rate for Payer: PHCS/Multiplan All Products |
$447.00
|
| Rate for Payer: PHP All Products |
$452.01
|
| Rate for Payer: Plain Church Group Ministry All Products |
$232.44
|
| Rate for Payer: Sagamore All Products |
$460.11
|
| Rate for Payer: Self Pay/Cash Rate |
$369.52
|
| Rate for Payer: Signature Care EPO |
$494.68
|
| Rate for Payer: Signature Care PPO |
$524.48
|
| Rate for Payer: Three Rivers Preferred All Products |
$506.60
|
| Rate for Payer: United Healthcare Commercial |
$469.65
|
| Rate for Payer: United Healthcare Medicare |
$196.68
|
|
