|
HC I2B SCREW 2.0X13 COLAG
|
Facility
|
IP
|
$2,217.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41608498
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,663.20 |
| Max. Negotiated Rate |
$2,062.37 |
| Rate for Payer: Aetna Commercial |
$1,916.01
|
| Rate for Payer: Cash Price |
$1,330.56
|
| Rate for Payer: Cigna All Commercial |
$1,913.79
|
| Rate for Payer: CORVEL All Commercial |
$2,062.37
|
| Rate for Payer: Coventry All Commercial |
$1,951.49
|
| Rate for Payer: Encore All Commercial |
$2,041.30
|
| Rate for Payer: Frontpath All Commercial |
$2,040.19
|
| Rate for Payer: Humana ChoiceCare |
$1,915.34
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,995.84
|
| Rate for Payer: PHCS All Commercial |
$1,663.20
|
| Rate for Payer: PHP All Commercial |
$1,681.83
|
| Rate for Payer: Sagamore Health Network All Products |
$1,711.99
|
| Rate for Payer: Signature Care EPO |
$1,840.61
|
| Rate for Payer: Signature Care PPO |
$1,951.49
|
| Rate for Payer: United Healthcare Commercial |
$1,747.47
|
|
|
HC I2B SCREW 2.0X13 COLAG
|
Facility
|
OP
|
$2,217.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41608498
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$2,062.37 |
| Rate for Payer: Aetna Commercial |
$1,871.65
|
| Rate for Payer: Aetna Medicare |
$709.63
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$687.46
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$1,273.57
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,386.22
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$816.08
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$780.60
|
| Rate for Payer: Cash Price |
$1,330.56
|
| Rate for Payer: Cash Price |
$1,330.56
|
| Rate for Payer: Centivo All Commercial |
$1,206.37
|
| Rate for Payer: Cigna All Commercial |
$1,913.79
|
| Rate for Payer: CORVEL All Commercial |
$2,062.37
|
| Rate for Payer: Coventry All Commercial |
$1,951.49
|
| Rate for Payer: Encore All Commercial |
$2,041.30
|
| Rate for Payer: Frontpath All Commercial |
$2,040.19
|
| Rate for Payer: Humana ChoiceCare |
$1,915.34
|
| Rate for Payer: Humana Medicare |
$709.63
|
| Rate for Payer: Lucent All Commercial |
$1,206.37
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,995.84
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$1,663.20
|
| Rate for Payer: PHP All Commercial |
$1,681.83
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$864.86
|
| Rate for Payer: Sagamore Health Network All Products |
$1,711.99
|
| Rate for Payer: Signature Care EPO |
$1,840.61
|
| Rate for Payer: Signature Care PPO |
$1,951.49
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,884.96
|
| Rate for Payer: United Healthcare Commercial |
$1,747.47
|
| Rate for Payer: United Healthcare Medicare |
$709.63
|
|
|
HC I2B SCREW 2.4X10 NON LOCK
|
Facility
|
OP
|
$1,330.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41607884
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$1,236.90 |
| Rate for Payer: Aetna Commercial |
$1,122.52
|
| Rate for Payer: Aetna Medicare |
$425.60
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$412.30
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$763.82
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$831.38
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$489.44
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$468.16
|
| Rate for Payer: Cash Price |
$798.00
|
| Rate for Payer: Cash Price |
$798.00
|
| Rate for Payer: Centivo All Commercial |
$723.52
|
| Rate for Payer: Cigna All Commercial |
$1,147.79
|
| Rate for Payer: CORVEL All Commercial |
$1,236.90
|
| Rate for Payer: Coventry All Commercial |
$1,170.40
|
| Rate for Payer: Encore All Commercial |
$1,224.27
|
| Rate for Payer: Frontpath All Commercial |
$1,223.60
|
| Rate for Payer: Humana ChoiceCare |
$1,148.72
|
| Rate for Payer: Humana Medicare |
$425.60
|
| Rate for Payer: Lucent All Commercial |
$723.52
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,197.00
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$997.50
|
| Rate for Payer: PHP All Commercial |
$1,008.67
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$518.70
|
| Rate for Payer: Sagamore Health Network All Products |
$1,026.76
|
| Rate for Payer: Signature Care EPO |
$1,103.90
|
| Rate for Payer: Signature Care PPO |
$1,170.40
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,130.50
|
| Rate for Payer: United Healthcare Commercial |
$1,048.04
|
| Rate for Payer: United Healthcare Medicare |
$425.60
|
|
|
HC I2B SCREW 2.4X10 NON LOCK
|
Facility
|
IP
|
$1,330.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41607884
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$997.50 |
| Max. Negotiated Rate |
$1,236.90 |
| Rate for Payer: Aetna Commercial |
$1,149.12
|
| Rate for Payer: Cash Price |
$798.00
|
| Rate for Payer: Cigna All Commercial |
$1,147.79
|
| Rate for Payer: CORVEL All Commercial |
$1,236.90
|
| Rate for Payer: Coventry All Commercial |
$1,170.40
|
| Rate for Payer: Encore All Commercial |
$1,224.27
|
| Rate for Payer: Frontpath All Commercial |
$1,223.60
|
| Rate for Payer: Humana ChoiceCare |
$1,148.72
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,197.00
|
| Rate for Payer: PHCS All Commercial |
$997.50
|
| Rate for Payer: PHP All Commercial |
$1,008.67
|
| Rate for Payer: Sagamore Health Network All Products |
$1,026.76
|
| Rate for Payer: Signature Care EPO |
$1,103.90
|
| Rate for Payer: Signature Care PPO |
$1,170.40
|
| Rate for Payer: United Healthcare Commercial |
$1,048.04
|
|
|
HC I2B SCREW 2.4X12 LOCK
|
Facility
|
IP
|
$1,250.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41608255
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$937.50 |
| Max. Negotiated Rate |
$1,162.50 |
| Rate for Payer: Aetna Commercial |
$1,080.00
|
| Rate for Payer: Cash Price |
$750.00
|
| Rate for Payer: Cigna All Commercial |
$1,078.75
|
| Rate for Payer: CORVEL All Commercial |
$1,162.50
|
| Rate for Payer: Coventry All Commercial |
$1,100.00
|
| Rate for Payer: Encore All Commercial |
$1,150.62
|
| Rate for Payer: Frontpath All Commercial |
$1,150.00
|
| Rate for Payer: Humana ChoiceCare |
$1,079.62
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,125.00
|
| Rate for Payer: PHCS All Commercial |
$937.50
|
| Rate for Payer: PHP All Commercial |
$948.00
|
| Rate for Payer: Sagamore Health Network All Products |
$965.00
|
| Rate for Payer: Signature Care EPO |
$1,037.50
|
| Rate for Payer: Signature Care PPO |
$1,100.00
|
| Rate for Payer: United Healthcare Commercial |
$985.00
|
|
|
HC I2B SCREW 2.4X12 LOCK
|
Facility
|
OP
|
$1,250.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41608255
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$1,162.50 |
| Rate for Payer: Aetna Commercial |
$1,055.00
|
| Rate for Payer: Aetna Medicare |
$400.00
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$387.50
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$717.88
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$781.38
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$460.00
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$440.00
|
| Rate for Payer: Cash Price |
$750.00
|
| Rate for Payer: Cash Price |
$750.00
|
| Rate for Payer: Centivo All Commercial |
$680.00
|
| Rate for Payer: Cigna All Commercial |
$1,078.75
|
| Rate for Payer: CORVEL All Commercial |
$1,162.50
|
| Rate for Payer: Coventry All Commercial |
$1,100.00
|
| Rate for Payer: Encore All Commercial |
$1,150.62
|
| Rate for Payer: Frontpath All Commercial |
$1,150.00
|
| Rate for Payer: Humana ChoiceCare |
$1,079.62
|
| Rate for Payer: Humana Medicare |
$400.00
|
| Rate for Payer: Lucent All Commercial |
$680.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,125.00
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$937.50
|
| Rate for Payer: PHP All Commercial |
$948.00
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$487.50
|
| Rate for Payer: Sagamore Health Network All Products |
$965.00
|
| Rate for Payer: Signature Care EPO |
$1,037.50
|
| Rate for Payer: Signature Care PPO |
$1,100.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,062.50
|
| Rate for Payer: United Healthcare Commercial |
$985.00
|
| Rate for Payer: United Healthcare Medicare |
$400.00
|
|
|
HC I2B SCREW 2.4X12 NON LOCK
|
Facility
|
OP
|
$1,330.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41607886
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$1,236.90 |
| Rate for Payer: Aetna Commercial |
$1,122.52
|
| Rate for Payer: Aetna Medicare |
$425.60
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$412.30
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$763.82
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$831.38
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$489.44
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$468.16
|
| Rate for Payer: Cash Price |
$798.00
|
| Rate for Payer: Cash Price |
$798.00
|
| Rate for Payer: Centivo All Commercial |
$723.52
|
| Rate for Payer: Cigna All Commercial |
$1,147.79
|
| Rate for Payer: CORVEL All Commercial |
$1,236.90
|
| Rate for Payer: Coventry All Commercial |
$1,170.40
|
| Rate for Payer: Encore All Commercial |
$1,224.27
|
| Rate for Payer: Frontpath All Commercial |
$1,223.60
|
| Rate for Payer: Humana ChoiceCare |
$1,148.72
|
| Rate for Payer: Humana Medicare |
$425.60
|
| Rate for Payer: Lucent All Commercial |
$723.52
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,197.00
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$997.50
|
| Rate for Payer: PHP All Commercial |
$1,008.67
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$518.70
|
| Rate for Payer: Sagamore Health Network All Products |
$1,026.76
|
| Rate for Payer: Signature Care EPO |
$1,103.90
|
| Rate for Payer: Signature Care PPO |
$1,170.40
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,130.50
|
| Rate for Payer: United Healthcare Commercial |
$1,048.04
|
| Rate for Payer: United Healthcare Medicare |
$425.60
|
|
|
HC I2B SCREW 2.4X12 NON LOCK
|
Facility
|
IP
|
$1,330.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41607886
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$997.50 |
| Max. Negotiated Rate |
$1,236.90 |
| Rate for Payer: Aetna Commercial |
$1,149.12
|
| Rate for Payer: Cash Price |
$798.00
|
| Rate for Payer: Cigna All Commercial |
$1,147.79
|
| Rate for Payer: CORVEL All Commercial |
$1,236.90
|
| Rate for Payer: Coventry All Commercial |
$1,170.40
|
| Rate for Payer: Encore All Commercial |
$1,224.27
|
| Rate for Payer: Frontpath All Commercial |
$1,223.60
|
| Rate for Payer: Humana ChoiceCare |
$1,148.72
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,197.00
|
| Rate for Payer: PHCS All Commercial |
$997.50
|
| Rate for Payer: PHP All Commercial |
$1,008.67
|
| Rate for Payer: Sagamore Health Network All Products |
$1,026.76
|
| Rate for Payer: Signature Care EPO |
$1,103.90
|
| Rate for Payer: Signature Care PPO |
$1,170.40
|
| Rate for Payer: United Healthcare Commercial |
$1,048.04
|
|
|
HC I2B SCREW 2.4X16 NON LOCK
|
Facility
|
IP
|
$1,590.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41608256
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,192.50 |
| Max. Negotiated Rate |
$1,478.70 |
| Rate for Payer: Aetna Commercial |
$1,373.76
|
| Rate for Payer: Cash Price |
$954.00
|
| Rate for Payer: Cigna All Commercial |
$1,372.17
|
| Rate for Payer: CORVEL All Commercial |
$1,478.70
|
| Rate for Payer: Coventry All Commercial |
$1,399.20
|
| Rate for Payer: Encore All Commercial |
$1,463.60
|
| Rate for Payer: Frontpath All Commercial |
$1,462.80
|
| Rate for Payer: Humana ChoiceCare |
$1,373.28
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,431.00
|
| Rate for Payer: PHCS All Commercial |
$1,192.50
|
| Rate for Payer: PHP All Commercial |
$1,205.86
|
| Rate for Payer: Sagamore Health Network All Products |
$1,227.48
|
| Rate for Payer: Signature Care EPO |
$1,319.70
|
| Rate for Payer: Signature Care PPO |
$1,399.20
|
| Rate for Payer: United Healthcare Commercial |
$1,252.92
|
|
|
HC I2B SCREW 2.4X16 NON LOCK
|
Facility
|
OP
|
$1,590.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41608256
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$1,478.70 |
| Rate for Payer: Aetna Commercial |
$1,341.96
|
| Rate for Payer: Aetna Medicare |
$508.80
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$492.90
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$913.14
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$993.91
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$585.12
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$559.68
|
| Rate for Payer: Cash Price |
$954.00
|
| Rate for Payer: Cash Price |
$954.00
|
| Rate for Payer: Centivo All Commercial |
$864.96
|
| Rate for Payer: Cigna All Commercial |
$1,372.17
|
| Rate for Payer: CORVEL All Commercial |
$1,478.70
|
| Rate for Payer: Coventry All Commercial |
$1,399.20
|
| Rate for Payer: Encore All Commercial |
$1,463.60
|
| Rate for Payer: Frontpath All Commercial |
$1,462.80
|
| Rate for Payer: Humana ChoiceCare |
$1,373.28
|
| Rate for Payer: Humana Medicare |
$508.80
|
| Rate for Payer: Lucent All Commercial |
$864.96
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,431.00
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$1,192.50
|
| Rate for Payer: PHP All Commercial |
$1,205.86
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$620.10
|
| Rate for Payer: Sagamore Health Network All Products |
$1,227.48
|
| Rate for Payer: Signature Care EPO |
$1,319.70
|
| Rate for Payer: Signature Care PPO |
$1,399.20
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,351.50
|
| Rate for Payer: United Healthcare Commercial |
$1,252.92
|
| Rate for Payer: United Healthcare Medicare |
$508.80
|
|
|
HC I2B SCREW 2.5X12 COLAG
|
Facility
|
IP
|
$2,217.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41608257
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,663.20 |
| Max. Negotiated Rate |
$2,062.37 |
| Rate for Payer: Aetna Commercial |
$1,916.01
|
| Rate for Payer: Cash Price |
$1,330.56
|
| Rate for Payer: Cigna All Commercial |
$1,913.79
|
| Rate for Payer: CORVEL All Commercial |
$2,062.37
|
| Rate for Payer: Coventry All Commercial |
$1,951.49
|
| Rate for Payer: Encore All Commercial |
$2,041.30
|
| Rate for Payer: Frontpath All Commercial |
$2,040.19
|
| Rate for Payer: Humana ChoiceCare |
$1,915.34
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,995.84
|
| Rate for Payer: PHCS All Commercial |
$1,663.20
|
| Rate for Payer: PHP All Commercial |
$1,681.83
|
| Rate for Payer: Sagamore Health Network All Products |
$1,711.99
|
| Rate for Payer: Signature Care EPO |
$1,840.61
|
| Rate for Payer: Signature Care PPO |
$1,951.49
|
| Rate for Payer: United Healthcare Commercial |
$1,747.47
|
|
|
HC I2B SCREW 2.5X12 COLAG
|
Facility
|
OP
|
$2,217.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41608257
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$2,062.37 |
| Rate for Payer: Aetna Commercial |
$1,871.65
|
| Rate for Payer: Aetna Medicare |
$709.63
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$687.46
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$1,273.57
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,386.22
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$816.08
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$780.60
|
| Rate for Payer: Cash Price |
$1,330.56
|
| Rate for Payer: Cash Price |
$1,330.56
|
| Rate for Payer: Centivo All Commercial |
$1,206.37
|
| Rate for Payer: Cigna All Commercial |
$1,913.79
|
| Rate for Payer: CORVEL All Commercial |
$2,062.37
|
| Rate for Payer: Coventry All Commercial |
$1,951.49
|
| Rate for Payer: Encore All Commercial |
$2,041.30
|
| Rate for Payer: Frontpath All Commercial |
$2,040.19
|
| Rate for Payer: Humana ChoiceCare |
$1,915.34
|
| Rate for Payer: Humana Medicare |
$709.63
|
| Rate for Payer: Lucent All Commercial |
$1,206.37
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,995.84
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$1,663.20
|
| Rate for Payer: PHP All Commercial |
$1,681.83
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$864.86
|
| Rate for Payer: Sagamore Health Network All Products |
$1,711.99
|
| Rate for Payer: Signature Care EPO |
$1,840.61
|
| Rate for Payer: Signature Care PPO |
$1,951.49
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,884.96
|
| Rate for Payer: United Healthcare Commercial |
$1,747.47
|
| Rate for Payer: United Healthcare Medicare |
$709.63
|
|
|
HC I2B SCREW 2.5X14 COLAG
|
Facility
|
IP
|
$2,217.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41608258
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,663.20 |
| Max. Negotiated Rate |
$2,062.37 |
| Rate for Payer: Aetna Commercial |
$1,916.01
|
| Rate for Payer: Cash Price |
$1,330.56
|
| Rate for Payer: Cigna All Commercial |
$1,913.79
|
| Rate for Payer: CORVEL All Commercial |
$2,062.37
|
| Rate for Payer: Coventry All Commercial |
$1,951.49
|
| Rate for Payer: Encore All Commercial |
$2,041.30
|
| Rate for Payer: Frontpath All Commercial |
$2,040.19
|
| Rate for Payer: Humana ChoiceCare |
$1,915.34
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,995.84
|
| Rate for Payer: PHCS All Commercial |
$1,663.20
|
| Rate for Payer: PHP All Commercial |
$1,681.83
|
| Rate for Payer: Sagamore Health Network All Products |
$1,711.99
|
| Rate for Payer: Signature Care EPO |
$1,840.61
|
| Rate for Payer: Signature Care PPO |
$1,951.49
|
| Rate for Payer: United Healthcare Commercial |
$1,747.47
|
|
|
HC I2B SCREW 2.5X14 COLAG
|
Facility
|
OP
|
$2,217.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41608258
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$2,062.37 |
| Rate for Payer: Aetna Commercial |
$1,871.65
|
| Rate for Payer: Aetna Medicare |
$709.63
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$687.46
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$1,273.57
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,386.22
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$816.08
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$780.60
|
| Rate for Payer: Cash Price |
$1,330.56
|
| Rate for Payer: Cash Price |
$1,330.56
|
| Rate for Payer: Centivo All Commercial |
$1,206.37
|
| Rate for Payer: Cigna All Commercial |
$1,913.79
|
| Rate for Payer: CORVEL All Commercial |
$2,062.37
|
| Rate for Payer: Coventry All Commercial |
$1,951.49
|
| Rate for Payer: Encore All Commercial |
$2,041.30
|
| Rate for Payer: Frontpath All Commercial |
$2,040.19
|
| Rate for Payer: Humana ChoiceCare |
$1,915.34
|
| Rate for Payer: Humana Medicare |
$709.63
|
| Rate for Payer: Lucent All Commercial |
$1,206.37
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,995.84
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$1,663.20
|
| Rate for Payer: PHP All Commercial |
$1,681.83
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$864.86
|
| Rate for Payer: Sagamore Health Network All Products |
$1,711.99
|
| Rate for Payer: Signature Care EPO |
$1,840.61
|
| Rate for Payer: Signature Care PPO |
$1,951.49
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,884.96
|
| Rate for Payer: United Healthcare Commercial |
$1,747.47
|
| Rate for Payer: United Healthcare Medicare |
$709.63
|
|
|
HC I2B SCREW 2.5X18 COLAG
|
Facility
|
OP
|
$2,217.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41608418
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$2,062.37 |
| Rate for Payer: Aetna Commercial |
$1,871.65
|
| Rate for Payer: Aetna Medicare |
$709.63
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$687.46
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$1,273.57
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,386.22
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$816.08
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$780.60
|
| Rate for Payer: Cash Price |
$1,330.56
|
| Rate for Payer: Cash Price |
$1,330.56
|
| Rate for Payer: Centivo All Commercial |
$1,206.37
|
| Rate for Payer: Cigna All Commercial |
$1,913.79
|
| Rate for Payer: CORVEL All Commercial |
$2,062.37
|
| Rate for Payer: Coventry All Commercial |
$1,951.49
|
| Rate for Payer: Encore All Commercial |
$2,041.30
|
| Rate for Payer: Frontpath All Commercial |
$2,040.19
|
| Rate for Payer: Humana ChoiceCare |
$1,915.34
|
| Rate for Payer: Humana Medicare |
$709.63
|
| Rate for Payer: Lucent All Commercial |
$1,206.37
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,995.84
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$1,663.20
|
| Rate for Payer: PHP All Commercial |
$1,681.83
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$864.86
|
| Rate for Payer: Sagamore Health Network All Products |
$1,711.99
|
| Rate for Payer: Signature Care EPO |
$1,840.61
|
| Rate for Payer: Signature Care PPO |
$1,951.49
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,884.96
|
| Rate for Payer: United Healthcare Commercial |
$1,747.47
|
| Rate for Payer: United Healthcare Medicare |
$709.63
|
|
|
HC I2B SCREW 2.5X18 COLAG
|
Facility
|
IP
|
$2,217.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41608418
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,663.20 |
| Max. Negotiated Rate |
$2,062.37 |
| Rate for Payer: Aetna Commercial |
$1,916.01
|
| Rate for Payer: Cash Price |
$1,330.56
|
| Rate for Payer: Cigna All Commercial |
$1,913.79
|
| Rate for Payer: CORVEL All Commercial |
$2,062.37
|
| Rate for Payer: Coventry All Commercial |
$1,951.49
|
| Rate for Payer: Encore All Commercial |
$2,041.30
|
| Rate for Payer: Frontpath All Commercial |
$2,040.19
|
| Rate for Payer: Humana ChoiceCare |
$1,915.34
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,995.84
|
| Rate for Payer: PHCS All Commercial |
$1,663.20
|
| Rate for Payer: PHP All Commercial |
$1,681.83
|
| Rate for Payer: Sagamore Health Network All Products |
$1,711.99
|
| Rate for Payer: Signature Care EPO |
$1,840.61
|
| Rate for Payer: Signature Care PPO |
$1,951.49
|
| Rate for Payer: United Healthcare Commercial |
$1,747.47
|
|
|
HC I2B SCREW 2.7X 14 LOCK
|
Facility
|
OP
|
$1,590.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41608179
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$1,478.70 |
| Rate for Payer: Aetna Commercial |
$1,341.96
|
| Rate for Payer: Aetna Medicare |
$508.80
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$492.90
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$913.14
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$993.91
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$585.12
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$559.68
|
| Rate for Payer: Cash Price |
$954.00
|
| Rate for Payer: Cash Price |
$954.00
|
| Rate for Payer: Centivo All Commercial |
$864.96
|
| Rate for Payer: Cigna All Commercial |
$1,372.17
|
| Rate for Payer: CORVEL All Commercial |
$1,478.70
|
| Rate for Payer: Coventry All Commercial |
$1,399.20
|
| Rate for Payer: Encore All Commercial |
$1,463.60
|
| Rate for Payer: Frontpath All Commercial |
$1,462.80
|
| Rate for Payer: Humana ChoiceCare |
$1,373.28
|
| Rate for Payer: Humana Medicare |
$508.80
|
| Rate for Payer: Lucent All Commercial |
$864.96
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,431.00
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$1,192.50
|
| Rate for Payer: PHP All Commercial |
$1,205.86
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$620.10
|
| Rate for Payer: Sagamore Health Network All Products |
$1,227.48
|
| Rate for Payer: Signature Care EPO |
$1,319.70
|
| Rate for Payer: Signature Care PPO |
$1,399.20
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,351.50
|
| Rate for Payer: United Healthcare Commercial |
$1,252.92
|
| Rate for Payer: United Healthcare Medicare |
$508.80
|
|
|
HC I2B SCREW 2.7X 14 LOCK
|
Facility
|
IP
|
$1,590.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41608179
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,192.50 |
| Max. Negotiated Rate |
$1,478.70 |
| Rate for Payer: Aetna Commercial |
$1,373.76
|
| Rate for Payer: Cash Price |
$954.00
|
| Rate for Payer: Cigna All Commercial |
$1,372.17
|
| Rate for Payer: CORVEL All Commercial |
$1,478.70
|
| Rate for Payer: Coventry All Commercial |
$1,399.20
|
| Rate for Payer: Encore All Commercial |
$1,463.60
|
| Rate for Payer: Frontpath All Commercial |
$1,462.80
|
| Rate for Payer: Humana ChoiceCare |
$1,373.28
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,431.00
|
| Rate for Payer: PHCS All Commercial |
$1,192.50
|
| Rate for Payer: PHP All Commercial |
$1,205.86
|
| Rate for Payer: Sagamore Health Network All Products |
$1,227.48
|
| Rate for Payer: Signature Care EPO |
$1,319.70
|
| Rate for Payer: Signature Care PPO |
$1,399.20
|
| Rate for Payer: United Healthcare Commercial |
$1,252.92
|
|
|
HC I2B SCREW 2.7X 14 NONLOCK
|
Facility
|
IP
|
$1,250.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41608180
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$937.50 |
| Max. Negotiated Rate |
$1,162.50 |
| Rate for Payer: Aetna Commercial |
$1,080.00
|
| Rate for Payer: Cash Price |
$750.00
|
| Rate for Payer: Cigna All Commercial |
$1,078.75
|
| Rate for Payer: CORVEL All Commercial |
$1,162.50
|
| Rate for Payer: Coventry All Commercial |
$1,100.00
|
| Rate for Payer: Encore All Commercial |
$1,150.62
|
| Rate for Payer: Frontpath All Commercial |
$1,150.00
|
| Rate for Payer: Humana ChoiceCare |
$1,079.62
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,125.00
|
| Rate for Payer: PHCS All Commercial |
$937.50
|
| Rate for Payer: PHP All Commercial |
$948.00
|
| Rate for Payer: Sagamore Health Network All Products |
$965.00
|
| Rate for Payer: Signature Care EPO |
$1,037.50
|
| Rate for Payer: Signature Care PPO |
$1,100.00
|
| Rate for Payer: United Healthcare Commercial |
$985.00
|
|
|
HC I2B SCREW 2.7X 14 NONLOCK
|
Facility
|
OP
|
$1,250.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41608180
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$1,162.50 |
| Rate for Payer: Aetna Commercial |
$1,055.00
|
| Rate for Payer: Aetna Medicare |
$400.00
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$387.50
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$717.88
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$781.38
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$460.00
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$440.00
|
| Rate for Payer: Cash Price |
$750.00
|
| Rate for Payer: Cash Price |
$750.00
|
| Rate for Payer: Centivo All Commercial |
$680.00
|
| Rate for Payer: Cigna All Commercial |
$1,078.75
|
| Rate for Payer: CORVEL All Commercial |
$1,162.50
|
| Rate for Payer: Coventry All Commercial |
$1,100.00
|
| Rate for Payer: Encore All Commercial |
$1,150.62
|
| Rate for Payer: Frontpath All Commercial |
$1,150.00
|
| Rate for Payer: Humana ChoiceCare |
$1,079.62
|
| Rate for Payer: Humana Medicare |
$400.00
|
| Rate for Payer: Lucent All Commercial |
$680.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,125.00
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$937.50
|
| Rate for Payer: PHP All Commercial |
$948.00
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$487.50
|
| Rate for Payer: Sagamore Health Network All Products |
$965.00
|
| Rate for Payer: Signature Care EPO |
$1,037.50
|
| Rate for Payer: Signature Care PPO |
$1,100.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,062.50
|
| Rate for Payer: United Healthcare Commercial |
$985.00
|
| Rate for Payer: United Healthcare Medicare |
$400.00
|
|
|
HC I2B SCREW 2.7X 16LOCK
|
Facility
|
IP
|
$1,250.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41608181
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$937.50 |
| Max. Negotiated Rate |
$1,162.50 |
| Rate for Payer: Aetna Commercial |
$1,080.00
|
| Rate for Payer: Cash Price |
$750.00
|
| Rate for Payer: Cigna All Commercial |
$1,078.75
|
| Rate for Payer: CORVEL All Commercial |
$1,162.50
|
| Rate for Payer: Coventry All Commercial |
$1,100.00
|
| Rate for Payer: Encore All Commercial |
$1,150.62
|
| Rate for Payer: Frontpath All Commercial |
$1,150.00
|
| Rate for Payer: Humana ChoiceCare |
$1,079.62
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,125.00
|
| Rate for Payer: PHCS All Commercial |
$937.50
|
| Rate for Payer: PHP All Commercial |
$948.00
|
| Rate for Payer: Sagamore Health Network All Products |
$965.00
|
| Rate for Payer: Signature Care EPO |
$1,037.50
|
| Rate for Payer: Signature Care PPO |
$1,100.00
|
| Rate for Payer: United Healthcare Commercial |
$985.00
|
|
|
HC I2B SCREW 2.7X 16LOCK
|
Facility
|
OP
|
$1,250.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41608181
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$1,162.50 |
| Rate for Payer: Aetna Commercial |
$1,055.00
|
| Rate for Payer: Aetna Medicare |
$400.00
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$387.50
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$717.88
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$781.38
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$460.00
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$440.00
|
| Rate for Payer: Cash Price |
$750.00
|
| Rate for Payer: Cash Price |
$750.00
|
| Rate for Payer: Centivo All Commercial |
$680.00
|
| Rate for Payer: Cigna All Commercial |
$1,078.75
|
| Rate for Payer: CORVEL All Commercial |
$1,162.50
|
| Rate for Payer: Coventry All Commercial |
$1,100.00
|
| Rate for Payer: Encore All Commercial |
$1,150.62
|
| Rate for Payer: Frontpath All Commercial |
$1,150.00
|
| Rate for Payer: Humana ChoiceCare |
$1,079.62
|
| Rate for Payer: Humana Medicare |
$400.00
|
| Rate for Payer: Lucent All Commercial |
$680.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,125.00
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$937.50
|
| Rate for Payer: PHP All Commercial |
$948.00
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$487.50
|
| Rate for Payer: Sagamore Health Network All Products |
$965.00
|
| Rate for Payer: Signature Care EPO |
$1,037.50
|
| Rate for Payer: Signature Care PPO |
$1,100.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,062.50
|
| Rate for Payer: United Healthcare Commercial |
$985.00
|
| Rate for Payer: United Healthcare Medicare |
$400.00
|
|
|
HC I2B SCREW LP 2.4X11 CORT
|
Facility
|
OP
|
$1,250.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41608494
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$1,162.50 |
| Rate for Payer: Aetna Commercial |
$1,055.00
|
| Rate for Payer: Aetna Medicare |
$400.00
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$387.50
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$717.88
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$781.38
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$460.00
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$440.00
|
| Rate for Payer: Cash Price |
$750.00
|
| Rate for Payer: Cash Price |
$750.00
|
| Rate for Payer: Centivo All Commercial |
$680.00
|
| Rate for Payer: Cigna All Commercial |
$1,078.75
|
| Rate for Payer: CORVEL All Commercial |
$1,162.50
|
| Rate for Payer: Coventry All Commercial |
$1,100.00
|
| Rate for Payer: Encore All Commercial |
$1,150.62
|
| Rate for Payer: Frontpath All Commercial |
$1,150.00
|
| Rate for Payer: Humana ChoiceCare |
$1,079.62
|
| Rate for Payer: Humana Medicare |
$400.00
|
| Rate for Payer: Lucent All Commercial |
$680.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,125.00
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$937.50
|
| Rate for Payer: PHP All Commercial |
$948.00
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$487.50
|
| Rate for Payer: Sagamore Health Network All Products |
$965.00
|
| Rate for Payer: Signature Care EPO |
$1,037.50
|
| Rate for Payer: Signature Care PPO |
$1,100.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,062.50
|
| Rate for Payer: United Healthcare Commercial |
$985.00
|
| Rate for Payer: United Healthcare Medicare |
$400.00
|
|
|
HC I2B SCREW LP 2.4X11 CORT
|
Facility
|
IP
|
$1,250.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41608494
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$937.50 |
| Max. Negotiated Rate |
$1,162.50 |
| Rate for Payer: Aetna Commercial |
$1,080.00
|
| Rate for Payer: Cash Price |
$750.00
|
| Rate for Payer: Cigna All Commercial |
$1,078.75
|
| Rate for Payer: CORVEL All Commercial |
$1,162.50
|
| Rate for Payer: Coventry All Commercial |
$1,100.00
|
| Rate for Payer: Encore All Commercial |
$1,150.62
|
| Rate for Payer: Frontpath All Commercial |
$1,150.00
|
| Rate for Payer: Humana ChoiceCare |
$1,079.62
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,125.00
|
| Rate for Payer: PHCS All Commercial |
$937.50
|
| Rate for Payer: PHP All Commercial |
$948.00
|
| Rate for Payer: Sagamore Health Network All Products |
$965.00
|
| Rate for Payer: Signature Care EPO |
$1,037.50
|
| Rate for Payer: Signature Care PPO |
$1,100.00
|
| Rate for Payer: United Healthcare Commercial |
$985.00
|
|
|
HC I2B SCREW LP 2.4X13 CORT
|
Facility
|
OP
|
$1,590.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41608495
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$1,478.70 |
| Rate for Payer: Aetna Commercial |
$1,341.96
|
| Rate for Payer: Aetna Medicare |
$508.80
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$492.90
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$913.14
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$993.91
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$585.12
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$559.68
|
| Rate for Payer: Cash Price |
$954.00
|
| Rate for Payer: Cash Price |
$954.00
|
| Rate for Payer: Centivo All Commercial |
$864.96
|
| Rate for Payer: Cigna All Commercial |
$1,372.17
|
| Rate for Payer: CORVEL All Commercial |
$1,478.70
|
| Rate for Payer: Coventry All Commercial |
$1,399.20
|
| Rate for Payer: Encore All Commercial |
$1,463.60
|
| Rate for Payer: Frontpath All Commercial |
$1,462.80
|
| Rate for Payer: Humana ChoiceCare |
$1,373.28
|
| Rate for Payer: Humana Medicare |
$508.80
|
| Rate for Payer: Lucent All Commercial |
$864.96
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,431.00
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$1,192.50
|
| Rate for Payer: PHP All Commercial |
$1,205.86
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$620.10
|
| Rate for Payer: Sagamore Health Network All Products |
$1,227.48
|
| Rate for Payer: Signature Care EPO |
$1,319.70
|
| Rate for Payer: Signature Care PPO |
$1,399.20
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,351.50
|
| Rate for Payer: United Healthcare Commercial |
$1,252.92
|
| Rate for Payer: United Healthcare Medicare |
$508.80
|
|
