|
HC ACU 3.5X18MM LOCK HEX SCREW
|
Facility
OP
|
$696.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602831
|
|
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 3.5X18MM LOCK HEX SCREW
|
Facility
IP
|
$696.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602831
|
|
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 3.5X18 NON-LOCK HEX SCREW
|
Facility
IP
|
$489.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602836
|
|
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 3.5X18 NON-LOCK HEX SCREW
|
Facility
OP
|
$489.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602836
|
|
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 3.5X20 LOCK HEX SCREW
|
Facility
OP
|
$696.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602639
|
|
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 3.5X20 LOCK HEX SCREW
|
Facility
IP
|
$696.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602639
|
|
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 3.5X20 NON-LOCK HEX SCREW
|
Facility
IP
|
$313.20
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602654
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$194.18 |
| Max. Negotiated Rate |
$288.30 |
| Rate for Payer: Aetna Commercial |
$270.60
|
| Rate for Payer: Cigna All Products |
$270.29
|
| Rate for Payer: Coventry/First Health All Products |
$275.62
|
| Rate for Payer: Encore All Products |
$288.30
|
| Rate for Payer: Frontpath All Products |
$288.14
|
| Rate for Payer: Humana ChoiceCare |
$270.51
|
| Rate for Payer: Lutheran Preferred All Products |
$281.88
|
| Rate for Payer: PHCS/Multiplan All Products |
$234.90
|
| Rate for Payer: PHP All Products |
$237.53
|
| Rate for Payer: Sagamore All Products |
$241.79
|
| Rate for Payer: Self Pay/Cash Rate |
$194.18
|
| Rate for Payer: Signature Care EPO |
$259.96
|
| Rate for Payer: Signature Care PPO |
$275.62
|
| Rate for Payer: United Healthcare Commercial |
$246.80
|
|
|
HC ACU 3.5X20 NON-LOCK HEX SCREW
|
Facility
OP
|
$313.20
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602654
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$103.36 |
| Max. Negotiated Rate |
$288.30 |
| Rate for Payer: Aetna Commercial |
$264.34
|
| Rate for Payer: Aetna Medicare |
$103.36
|
| Rate for Payer: Anthem Exchange |
$179.87
|
| Rate for Payer: Anthem Medicare |
$103.36
|
| Rate for Payer: Anthem PPO |
$179.87
|
| Rate for Payer: Anthem Traditional |
$195.78
|
| Rate for Payer: Caresource Just 4 Me |
$118.86
|
| Rate for Payer: Caresource Medicare |
$113.69
|
| Rate for Payer: Centivo/Paragon All Products |
$159.73
|
| Rate for Payer: Cigna All Products |
$270.29
|
| Rate for Payer: Coventry/First Health All Products |
$275.62
|
| Rate for Payer: Encore All Products |
$288.30
|
| Rate for Payer: Frontpath All Products |
$288.14
|
| Rate for Payer: Humana ChoiceCare |
$270.51
|
| Rate for Payer: Humana Medicare |
$159.73
|
| Rate for Payer: Lucent/Coldwater Veneers |
$159.73
|
| Rate for Payer: Lutheran Preferred All Products |
$281.88
|
| Rate for Payer: PHCS/Multiplan All Products |
$234.90
|
| Rate for Payer: PHP All Products |
$237.53
|
| Rate for Payer: Plain Church Group Ministry All Products |
$122.15
|
| Rate for Payer: Sagamore All Products |
$241.79
|
| Rate for Payer: Self Pay/Cash Rate |
$194.18
|
| Rate for Payer: Signature Care EPO |
$259.96
|
| Rate for Payer: Signature Care PPO |
$275.62
|
| Rate for Payer: Three Rivers Preferred All Products |
$266.22
|
| Rate for Payer: United Healthcare Commercial |
$246.80
|
| Rate for Payer: United Healthcare Medicare |
$103.36
|
|
|
HC ACU 3.5X22 LOCK HEX SCREW
|
Facility
IP
|
$696.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602640
|
|
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 3.5X22 LOCK HEX SCREW
|
Facility
OP
|
$696.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602640
|
|
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 3.5X22 NON-LOCK HEX SCREW
|
Facility
OP
|
$489.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602655
|
|
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 3.5X22 NON-LOCK HEX SCREW
|
Facility
IP
|
$489.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602655
|
|
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 3.5X24 LOCK HEX SCREW
|
Facility
IP
|
$696.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602641
|
|
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 3.5X24 LOCK HEX SCREW
|
Facility
OP
|
$696.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602641
|
|
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 3.5X24 NON-LOCK HEX SCREW
|
Facility
OP
|
$489.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602656
|
|
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 3.5X24 NON-LOCK HEX SCREW
|
Facility
IP
|
$489.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602656
|
|
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 3.5X26 LOCK HEX SCREW
|
Facility
IP
|
$696.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602642
|
|
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 3.5X26 LOCK HEX SCREW
|
Facility
OP
|
$696.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602642
|
|
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 3.5X26 NON-LOCK HEX SCREW
|
Facility
OP
|
$489.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602657
|
|
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 3.5X26 NON-LOCK HEX SCREW
|
Facility
IP
|
$489.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602657
|
|
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 3.5X28 LOCK HEX SCREW
|
Facility
OP
|
$696.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602643
|
|
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 3.5X28 LOCK HEX SCREW
|
Facility
IP
|
$696.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602643
|
|
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 3.5X28 NON-LOCK HEX SCREW
|
Facility
IP
|
$489.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602658
|
|
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 3.5X28 NON-LOCK HEX SCREW
|
Facility
OP
|
$489.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602658
|
|
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 3.5X30 LOCK HEX SCREW
|
Facility
OP
|
$696.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602644
|
|
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
|
|
