|
HC ACU 3.5X42 NON-LOCK HEX SCREW
|
Facility
OP
|
$489.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602718
|
|
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 3.5X42 NON-LOCK HEX SCREW
|
Facility
IP
|
$489.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602718
|
|
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 3.5X44 LOCK HEX SCREW
|
Facility
IP
|
$696.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602723
|
|
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 3.5X44 LOCK HEX SCREW
|
Facility
OP
|
$696.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602723
|
|
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 3.5X44 NON-LOCK HEX SCREW
|
Facility
OP
|
$489.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602719
|
|
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 3.5X44 NON-LOCK HEX SCREW
|
Facility
IP
|
$489.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602719
|
|
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 3.5X46 LOCK HEX SCREW
|
Facility
OP
|
$696.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602724
|
|
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 3.5X46 LOCK HEX SCREW
|
Facility
IP
|
$696.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602724
|
|
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 3.5X46 NON-LOCK HEX SCREW
|
Facility
IP
|
$489.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602720
|
|
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 3.5X46 NON-LOCK HEX SCREW
|
Facility
OP
|
$489.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602720
|
|
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 3.5X48 LOCK HEX SCREW
|
Facility
OP
|
$696.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602725
|
|
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 3.5X48 LOCK HEX SCREW
|
Facility
IP
|
$696.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602725
|
|
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 3.5X48 NON-LOCK HEX SCREW
|
Facility
OP
|
$489.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602721
|
|
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 3.5X48 NON-LOCK HEX SCREW
|
Facility
IP
|
$489.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602721
|
|
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 3.5X50 LOCK HEX SCREW
|
Facility
IP
|
$792.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602650
|
|
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 3.5X50 LOCK HEX SCREW
|
Facility
OP
|
$792.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602650
|
|
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 3.5X50 NON-LOCK HEX SCREW
|
Facility
OP
|
$410.40
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602665
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$135.43 |
| Max. Negotiated Rate |
$377.77 |
| Rate for Payer: Aetna Commercial |
$346.38
|
| Rate for Payer: Aetna Medicare |
$135.43
|
| Rate for Payer: Anthem Exchange |
$235.69
|
| Rate for Payer: Anthem Medicare |
$135.43
|
| Rate for Payer: Anthem PPO |
$235.69
|
| Rate for Payer: Anthem Traditional |
$256.54
|
| Rate for Payer: Caresource Just 4 Me |
$155.75
|
| Rate for Payer: Caresource Medicare |
$148.98
|
| Rate for Payer: Centivo/Paragon All Products |
$209.30
|
| Rate for Payer: Cigna All Products |
$354.18
|
| Rate for Payer: Coventry/First Health All Products |
$361.15
|
| Rate for Payer: Encore All Products |
$377.77
|
| Rate for Payer: Frontpath All Products |
$377.57
|
| Rate for Payer: Humana ChoiceCare |
$354.46
|
| Rate for Payer: Humana Medicare |
$209.30
|
| Rate for Payer: Lucent/Coldwater Veneers |
$209.30
|
| Rate for Payer: Lutheran Preferred All Products |
$369.36
|
| Rate for Payer: PHCS/Multiplan All Products |
$307.80
|
| Rate for Payer: PHP All Products |
$311.25
|
| Rate for Payer: Plain Church Group Ministry All Products |
$160.06
|
| Rate for Payer: Sagamore All Products |
$316.83
|
| Rate for Payer: Self Pay/Cash Rate |
$254.45
|
| Rate for Payer: Signature Care EPO |
$340.63
|
| Rate for Payer: Signature Care PPO |
$361.15
|
| Rate for Payer: Three Rivers Preferred All Products |
$348.84
|
| Rate for Payer: United Healthcare Commercial |
$323.40
|
| Rate for Payer: United Healthcare Medicare |
$135.43
|
|
|
HC ACU 3.5X50 NON-LOCK HEX SCREW
|
Facility
IP
|
$410.40
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602665
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$254.45 |
| Max. Negotiated Rate |
$377.77 |
| Rate for Payer: Aetna Commercial |
$354.59
|
| Rate for Payer: Cigna All Products |
$354.18
|
| Rate for Payer: Coventry/First Health All Products |
$361.15
|
| Rate for Payer: Encore All Products |
$377.77
|
| Rate for Payer: Frontpath All Products |
$377.57
|
| Rate for Payer: Humana ChoiceCare |
$354.46
|
| Rate for Payer: Lutheran Preferred All Products |
$369.36
|
| Rate for Payer: PHCS/Multiplan All Products |
$307.80
|
| Rate for Payer: PHP All Products |
$311.25
|
| Rate for Payer: Sagamore All Products |
$316.83
|
| Rate for Payer: Self Pay/Cash Rate |
$254.45
|
| Rate for Payer: Signature Care EPO |
$340.63
|
| Rate for Payer: Signature Care PPO |
$361.15
|
| Rate for Payer: United Healthcare Commercial |
$323.40
|
|
|
HC ACU 3.5X55 LOCK HEX SCREW
|
Facility
IP
|
$792.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602651
|
|
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 3.5X55 LOCK HEX SCREW
|
Facility
OP
|
$792.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602651
|
|
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 3.5X55 NON-LOCK HEX SCREW
|
Facility
IP
|
$410.40
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602666
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$254.45 |
| Max. Negotiated Rate |
$377.77 |
| Rate for Payer: Aetna Commercial |
$354.59
|
| Rate for Payer: Cigna All Products |
$354.18
|
| Rate for Payer: Coventry/First Health All Products |
$361.15
|
| Rate for Payer: Encore All Products |
$377.77
|
| Rate for Payer: Frontpath All Products |
$377.57
|
| Rate for Payer: Humana ChoiceCare |
$354.46
|
| Rate for Payer: Lutheran Preferred All Products |
$369.36
|
| Rate for Payer: PHCS/Multiplan All Products |
$307.80
|
| Rate for Payer: PHP All Products |
$311.25
|
| Rate for Payer: Sagamore All Products |
$316.83
|
| Rate for Payer: Self Pay/Cash Rate |
$254.45
|
| Rate for Payer: Signature Care EPO |
$340.63
|
| Rate for Payer: Signature Care PPO |
$361.15
|
| Rate for Payer: United Healthcare Commercial |
$323.40
|
|
|
HC ACU 3.5X55 NON-LOCK HEX SCREW
|
Facility
OP
|
$410.40
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602666
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$135.43 |
| Max. Negotiated Rate |
$377.77 |
| Rate for Payer: Aetna Commercial |
$346.38
|
| Rate for Payer: Aetna Medicare |
$135.43
|
| Rate for Payer: Anthem Exchange |
$235.69
|
| Rate for Payer: Anthem Medicare |
$135.43
|
| Rate for Payer: Anthem PPO |
$235.69
|
| Rate for Payer: Anthem Traditional |
$256.54
|
| Rate for Payer: Caresource Just 4 Me |
$155.75
|
| Rate for Payer: Caresource Medicare |
$148.98
|
| Rate for Payer: Centivo/Paragon All Products |
$209.30
|
| Rate for Payer: Cigna All Products |
$354.18
|
| Rate for Payer: Coventry/First Health All Products |
$361.15
|
| Rate for Payer: Encore All Products |
$377.77
|
| Rate for Payer: Frontpath All Products |
$377.57
|
| Rate for Payer: Humana ChoiceCare |
$354.46
|
| Rate for Payer: Humana Medicare |
$209.30
|
| Rate for Payer: Lucent/Coldwater Veneers |
$209.30
|
| Rate for Payer: Lutheran Preferred All Products |
$369.36
|
| Rate for Payer: PHCS/Multiplan All Products |
$307.80
|
| Rate for Payer: PHP All Products |
$311.25
|
| Rate for Payer: Plain Church Group Ministry All Products |
$160.06
|
| Rate for Payer: Sagamore All Products |
$316.83
|
| Rate for Payer: Self Pay/Cash Rate |
$254.45
|
| Rate for Payer: Signature Care EPO |
$340.63
|
| Rate for Payer: Signature Care PPO |
$361.15
|
| Rate for Payer: Three Rivers Preferred All Products |
$348.84
|
| Rate for Payer: United Healthcare Commercial |
$323.40
|
| Rate for Payer: United Healthcare Medicare |
$135.43
|
|
|
HC ACU 3.5X60 LOCK HEX SCREW
|
Facility
IP
|
$792.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602652
|
|
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 3.5X60 LOCK HEX SCREW
|
Facility
OP
|
$792.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602652
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$261.36 |
| Max. Negotiated Rate |
$729.04 |
| Rate for Payer: Signature Care PPO |
$696.96
|
| 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: 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 3.5X60 NON-LOCK HEX SCREW
|
Facility
IP
|
$410.40
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602667
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$254.45 |
| Max. Negotiated Rate |
$377.77 |
| Rate for Payer: Aetna Commercial |
$354.59
|
| Rate for Payer: Cigna All Products |
$354.18
|
| Rate for Payer: Coventry/First Health All Products |
$361.15
|
| Rate for Payer: Encore All Products |
$377.77
|
| Rate for Payer: Frontpath All Products |
$377.57
|
| Rate for Payer: Humana ChoiceCare |
$354.46
|
| Rate for Payer: Lutheran Preferred All Products |
$369.36
|
| Rate for Payer: PHCS/Multiplan All Products |
$307.80
|
| Rate for Payer: PHP All Products |
$311.25
|
| Rate for Payer: Sagamore All Products |
$316.83
|
| Rate for Payer: Self Pay/Cash Rate |
$254.45
|
| Rate for Payer: Signature Care EPO |
$340.63
|
| Rate for Payer: Signature Care PPO |
$361.15
|
| Rate for Payer: United Healthcare Commercial |
$323.40
|
|
