|
HC PARING/CUTG B9 HYPRKER LES 1
|
Facility
|
IP
|
$176.26
|
|
|
Service Code
|
CPT 11055
|
| Hospital Charge Code |
1681055
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$132.19 |
| Max. Negotiated Rate |
$163.92 |
| Rate for Payer: Aetna Commercial |
$152.29
|
| Rate for Payer: Cash Price |
$105.76
|
| Rate for Payer: Cigna All Commercial |
$152.11
|
| Rate for Payer: CORVEL All Commercial |
$163.92
|
| Rate for Payer: Coventry All Commercial |
$155.11
|
| Rate for Payer: Encore All Commercial |
$162.25
|
| Rate for Payer: Frontpath All Commercial |
$162.16
|
| Rate for Payer: Humana ChoiceCare |
$152.24
|
| Rate for Payer: Lutheran Preferred All Commercial |
$158.63
|
| Rate for Payer: PHCS All Commercial |
$132.19
|
| Rate for Payer: PHP All Commercial |
$133.68
|
| Rate for Payer: Sagamore Health Network All Products |
$136.07
|
| Rate for Payer: Signature Care EPO |
$146.30
|
| Rate for Payer: Signature Care PPO |
$155.11
|
| Rate for Payer: United Healthcare Commercial |
$138.89
|
|
|
HC PARING/CUTG B9 HYPRKER LES 1
|
Facility
|
OP
|
$176.26
|
|
|
Service Code
|
CPT 11055
|
| Hospital Charge Code |
1681055
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$54.64 |
| Max. Negotiated Rate |
$318.54 |
| Rate for Payer: Aetna Commercial |
$148.76
|
| Rate for Payer: Aetna Medicare |
$56.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$318.54
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$54.64
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$101.23
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$110.18
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$318.54
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$64.86
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$62.04
|
| Rate for Payer: Cash Price |
$105.76
|
| Rate for Payer: Cash Price |
$105.76
|
| Rate for Payer: Centivo All Commercial |
$95.89
|
| Rate for Payer: Cigna All Commercial |
$152.11
|
| Rate for Payer: CORVEL All Commercial |
$163.92
|
| Rate for Payer: Coventry All Commercial |
$155.11
|
| Rate for Payer: Encore All Commercial |
$162.25
|
| Rate for Payer: Frontpath All Commercial |
$162.16
|
| Rate for Payer: Humana ChoiceCare |
$152.24
|
| Rate for Payer: Humana Medicare |
$56.40
|
| Rate for Payer: Lucent All Commercial |
$95.89
|
| Rate for Payer: Lutheran Preferred All Commercial |
$158.63
|
| Rate for Payer: Managed Health Services Medicaid |
$318.54
|
| Rate for Payer: MDWise Medicaid |
$318.54
|
| Rate for Payer: PHCS All Commercial |
$132.19
|
| Rate for Payer: PHP All Commercial |
$133.68
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$68.74
|
| Rate for Payer: Sagamore Health Network All Products |
$136.07
|
| Rate for Payer: Signature Care EPO |
$146.30
|
| Rate for Payer: Signature Care PPO |
$155.11
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$149.82
|
| Rate for Payer: United Healthcare Commercial |
$138.89
|
| Rate for Payer: United Healthcare Medicare |
$56.40
|
|
|
HC PARVOVIRUS B19 AB, IGM
|
Facility
|
OP
|
$165.06
|
|
|
Service Code
|
CPT 86747
|
| Hospital Charge Code |
63001965
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$15.03 |
| Max. Negotiated Rate |
$153.51 |
| Rate for Payer: Aetna Commercial |
$139.31
|
| Rate for Payer: Aetna Medicare |
$52.82
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$15.03
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$51.17
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$75.86
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$75.86
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$15.03
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$60.74
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$58.10
|
| Rate for Payer: Cash Price |
$99.04
|
| Rate for Payer: Cash Price |
$99.04
|
| Rate for Payer: Centivo All Commercial |
$89.79
|
| Rate for Payer: Cigna All Commercial |
$142.45
|
| Rate for Payer: CORVEL All Commercial |
$153.51
|
| Rate for Payer: Coventry All Commercial |
$145.25
|
| Rate for Payer: Encore All Commercial |
$151.94
|
| Rate for Payer: Frontpath All Commercial |
$151.86
|
| Rate for Payer: Humana ChoiceCare |
$142.56
|
| Rate for Payer: Humana Medicare |
$52.82
|
| Rate for Payer: Lucent All Commercial |
$89.79
|
| Rate for Payer: Lutheran Preferred All Commercial |
$148.55
|
| Rate for Payer: Managed Health Services Medicaid |
$15.03
|
| Rate for Payer: MDWise Medicaid |
$15.03
|
| Rate for Payer: PHCS All Commercial |
$123.80
|
| Rate for Payer: PHP All Commercial |
$125.18
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$64.37
|
| Rate for Payer: Sagamore Health Network All Products |
$127.43
|
| Rate for Payer: Signature Care EPO |
$137.00
|
| Rate for Payer: Signature Care PPO |
$145.25
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$140.30
|
| Rate for Payer: United Healthcare Commercial |
$130.07
|
| Rate for Payer: United Healthcare Medicare |
$52.82
|
|
|
HC PARVOVIRUS B19 AB, IGM
|
Facility
|
IP
|
$165.06
|
|
|
Service Code
|
CPT 86747
|
| Hospital Charge Code |
63001965
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$123.80 |
| Max. Negotiated Rate |
$153.51 |
| Rate for Payer: Aetna Commercial |
$142.61
|
| Rate for Payer: Cash Price |
$99.04
|
| Rate for Payer: Cigna All Commercial |
$142.45
|
| Rate for Payer: CORVEL All Commercial |
$153.51
|
| Rate for Payer: Coventry All Commercial |
$145.25
|
| Rate for Payer: Encore All Commercial |
$151.94
|
| Rate for Payer: Frontpath All Commercial |
$151.86
|
| Rate for Payer: Humana ChoiceCare |
$142.56
|
| Rate for Payer: Lutheran Preferred All Commercial |
$148.55
|
| Rate for Payer: PHCS All Commercial |
$123.80
|
| Rate for Payer: PHP All Commercial |
$125.18
|
| Rate for Payer: Sagamore Health Network All Products |
$127.43
|
| Rate for Payer: Signature Care EPO |
$137.00
|
| Rate for Payer: Signature Care PPO |
$145.25
|
| Rate for Payer: United Healthcare Commercial |
$130.07
|
|
|
HC PARVOVIRUS B19 TOTAL AB
|
Facility
|
OP
|
$125.46
|
|
|
Service Code
|
CPT 86747
|
| Hospital Charge Code |
63001966
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$15.03 |
| Max. Negotiated Rate |
$116.68 |
| Rate for Payer: Aetna Commercial |
$105.89
|
| Rate for Payer: Aetna Medicare |
$40.15
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$15.03
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$38.89
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$57.66
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$57.66
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$15.03
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$46.17
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$44.16
|
| Rate for Payer: Cash Price |
$75.28
|
| Rate for Payer: Cash Price |
$75.28
|
| Rate for Payer: Centivo All Commercial |
$68.25
|
| Rate for Payer: Cigna All Commercial |
$108.27
|
| Rate for Payer: CORVEL All Commercial |
$116.68
|
| Rate for Payer: Coventry All Commercial |
$110.40
|
| Rate for Payer: Encore All Commercial |
$115.49
|
| Rate for Payer: Frontpath All Commercial |
$115.42
|
| Rate for Payer: Humana ChoiceCare |
$108.36
|
| Rate for Payer: Humana Medicare |
$40.15
|
| Rate for Payer: Lucent All Commercial |
$68.25
|
| Rate for Payer: Lutheran Preferred All Commercial |
$112.91
|
| Rate for Payer: Managed Health Services Medicaid |
$15.03
|
| Rate for Payer: MDWise Medicaid |
$15.03
|
| Rate for Payer: PHCS All Commercial |
$94.09
|
| Rate for Payer: PHP All Commercial |
$95.15
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$48.93
|
| Rate for Payer: Sagamore Health Network All Products |
$96.86
|
| Rate for Payer: Signature Care EPO |
$104.13
|
| Rate for Payer: Signature Care PPO |
$110.40
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$106.64
|
| Rate for Payer: United Healthcare Commercial |
$98.86
|
| Rate for Payer: United Healthcare Medicare |
$40.15
|
|
|
HC PARVOVIRUS B19 TOTAL AB
|
Facility
|
IP
|
$125.46
|
|
|
Service Code
|
CPT 86747
|
| Hospital Charge Code |
63001966
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$94.09 |
| Max. Negotiated Rate |
$116.68 |
| Rate for Payer: Aetna Commercial |
$108.40
|
| Rate for Payer: Cash Price |
$75.28
|
| Rate for Payer: Cigna All Commercial |
$108.27
|
| Rate for Payer: CORVEL All Commercial |
$116.68
|
| Rate for Payer: Coventry All Commercial |
$110.40
|
| Rate for Payer: Encore All Commercial |
$115.49
|
| Rate for Payer: Frontpath All Commercial |
$115.42
|
| Rate for Payer: Humana ChoiceCare |
$108.36
|
| Rate for Payer: Lutheran Preferred All Commercial |
$112.91
|
| Rate for Payer: PHCS All Commercial |
$94.09
|
| Rate for Payer: PHP All Commercial |
$95.15
|
| Rate for Payer: Sagamore Health Network All Products |
$96.86
|
| Rate for Payer: Signature Care EPO |
$104.13
|
| Rate for Payer: Signature Care PPO |
$110.40
|
| Rate for Payer: United Healthcare Commercial |
$98.86
|
|
|
HC PASTE OSTOMY ADAPT
|
Facility
|
IP
|
$15.96
|
|
| Hospital Charge Code |
41601086
|
|
Hospital Revenue Code
|
271
|
| Min. Negotiated Rate |
$11.97 |
| Max. Negotiated Rate |
$14.84 |
| Rate for Payer: Aetna Commercial |
$13.79
|
| Rate for Payer: Cash Price |
$9.58
|
| Rate for Payer: Cigna All Commercial |
$13.77
|
| Rate for Payer: CORVEL All Commercial |
$14.84
|
| Rate for Payer: Coventry All Commercial |
$14.04
|
| Rate for Payer: Encore All Commercial |
$14.69
|
| Rate for Payer: Frontpath All Commercial |
$14.68
|
| Rate for Payer: Humana ChoiceCare |
$13.78
|
| Rate for Payer: Lutheran Preferred All Commercial |
$14.36
|
| Rate for Payer: PHCS All Commercial |
$11.97
|
| Rate for Payer: PHP All Commercial |
$12.10
|
| Rate for Payer: Sagamore Health Network All Products |
$12.32
|
| Rate for Payer: Signature Care EPO |
$13.25
|
| Rate for Payer: Signature Care PPO |
$14.04
|
| Rate for Payer: United Healthcare Commercial |
$12.58
|
|
|
HC PASTE OSTOMY ADAPT
|
Facility
|
OP
|
$15.96
|
|
| Hospital Charge Code |
41601086
|
|
Hospital Revenue Code
|
271
|
| Min. Negotiated Rate |
$4.95 |
| Max. Negotiated Rate |
$21.01 |
| Rate for Payer: Aetna Commercial |
$13.47
|
| Rate for Payer: Aetna Medicare |
$5.11
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$21.01
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$4.95
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$9.17
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$9.98
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$21.01
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$5.87
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$5.62
|
| Rate for Payer: Cash Price |
$9.58
|
| Rate for Payer: Cash Price |
$9.58
|
| Rate for Payer: Centivo All Commercial |
$8.68
|
| Rate for Payer: Cigna All Commercial |
$13.77
|
| Rate for Payer: CORVEL All Commercial |
$14.84
|
| Rate for Payer: Coventry All Commercial |
$14.04
|
| Rate for Payer: Encore All Commercial |
$14.69
|
| Rate for Payer: Frontpath All Commercial |
$14.68
|
| Rate for Payer: Humana ChoiceCare |
$13.78
|
| Rate for Payer: Humana Medicare |
$5.11
|
| Rate for Payer: Lucent All Commercial |
$8.68
|
| Rate for Payer: Lutheran Preferred All Commercial |
$14.36
|
| Rate for Payer: Managed Health Services Medicaid |
$21.01
|
| Rate for Payer: MDWise Medicaid |
$21.01
|
| Rate for Payer: PHCS All Commercial |
$11.97
|
| Rate for Payer: PHP All Commercial |
$12.10
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$6.22
|
| Rate for Payer: Sagamore Health Network All Products |
$12.32
|
| Rate for Payer: Signature Care EPO |
$13.25
|
| Rate for Payer: Signature Care PPO |
$14.04
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$13.57
|
| Rate for Payer: United Healthcare Commercial |
$12.58
|
| Rate for Payer: United Healthcare Medicare |
$5.11
|
|
|
HC PATHOLOGY CONSULT-BLOOD
|
Facility
|
OP
|
$77.79
|
|
|
Service Code
|
CPT 85060
|
| Hospital Charge Code |
63001731
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$10.48 |
| Max. Negotiated Rate |
$72.34 |
| Rate for Payer: Aetna Commercial |
$65.65
|
| Rate for Payer: Aetna Medicare |
$24.89
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$10.48
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$24.11
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$35.75
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$35.75
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$10.48
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$28.63
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$27.38
|
| Rate for Payer: Cash Price |
$46.67
|
| Rate for Payer: Cash Price |
$46.67
|
| Rate for Payer: Centivo All Commercial |
$42.32
|
| Rate for Payer: Cigna All Commercial |
$67.13
|
| Rate for Payer: CORVEL All Commercial |
$72.34
|
| Rate for Payer: Coventry All Commercial |
$68.46
|
| Rate for Payer: Encore All Commercial |
$71.61
|
| Rate for Payer: Frontpath All Commercial |
$71.57
|
| Rate for Payer: Humana ChoiceCare |
$67.19
|
| Rate for Payer: Humana Medicare |
$24.89
|
| Rate for Payer: Lucent All Commercial |
$42.32
|
| Rate for Payer: Lutheran Preferred All Commercial |
$70.01
|
| Rate for Payer: Managed Health Services Medicaid |
$10.48
|
| Rate for Payer: MDWise Medicaid |
$10.48
|
| Rate for Payer: PHCS All Commercial |
$58.34
|
| Rate for Payer: PHP All Commercial |
$59.00
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$30.34
|
| Rate for Payer: Sagamore Health Network All Products |
$60.05
|
| Rate for Payer: Signature Care EPO |
$64.57
|
| Rate for Payer: Signature Care PPO |
$68.46
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$66.12
|
| Rate for Payer: United Healthcare Commercial |
$61.30
|
| Rate for Payer: United Healthcare Medicare |
$24.89
|
|
|
HC PATHOLOGY CONSULT-BLOOD
|
Facility
|
IP
|
$77.79
|
|
|
Service Code
|
CPT 85060
|
| Hospital Charge Code |
63001731
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$58.34 |
| Max. Negotiated Rate |
$72.34 |
| Rate for Payer: Aetna Commercial |
$67.21
|
| Rate for Payer: Cash Price |
$46.67
|
| Rate for Payer: Cigna All Commercial |
$67.13
|
| Rate for Payer: CORVEL All Commercial |
$72.34
|
| Rate for Payer: Coventry All Commercial |
$68.46
|
| Rate for Payer: Encore All Commercial |
$71.61
|
| Rate for Payer: Frontpath All Commercial |
$71.57
|
| Rate for Payer: Humana ChoiceCare |
$67.19
|
| Rate for Payer: Lutheran Preferred All Commercial |
$70.01
|
| Rate for Payer: PHCS All Commercial |
$58.34
|
| Rate for Payer: PHP All Commercial |
$59.00
|
| Rate for Payer: Sagamore Health Network All Products |
$60.05
|
| Rate for Payer: Signature Care EPO |
$64.57
|
| Rate for Payer: Signature Care PPO |
$68.46
|
| Rate for Payer: United Healthcare Commercial |
$61.30
|
|
|
HC P DRILL BIT 1.7 CANN
|
Facility
|
IP
|
$2,475.00
|
|
| Hospital Charge Code |
41608184
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,856.25 |
| Max. Negotiated Rate |
$2,301.75 |
| Rate for Payer: Aetna Commercial |
$2,138.40
|
| Rate for Payer: Cash Price |
$1,485.00
|
| Rate for Payer: Cigna All Commercial |
$2,135.93
|
| Rate for Payer: CORVEL All Commercial |
$2,301.75
|
| Rate for Payer: Coventry All Commercial |
$2,178.00
|
| Rate for Payer: Encore All Commercial |
$2,278.24
|
| Rate for Payer: Frontpath All Commercial |
$2,277.00
|
| Rate for Payer: Humana ChoiceCare |
$2,137.66
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,227.50
|
| Rate for Payer: PHCS All Commercial |
$1,856.25
|
| Rate for Payer: PHP All Commercial |
$1,877.04
|
| Rate for Payer: Sagamore Health Network All Products |
$1,910.70
|
| Rate for Payer: Signature Care EPO |
$2,054.25
|
| Rate for Payer: Signature Care PPO |
$2,178.00
|
| Rate for Payer: United Healthcare Commercial |
$1,950.30
|
|
|
HC P DRILL BIT 1.7 CANN
|
Facility
|
OP
|
$2,475.00
|
|
| Hospital Charge Code |
41608184
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$31.20 |
| Max. Negotiated Rate |
$2,301.75 |
| Rate for Payer: Aetna Commercial |
$2,088.90
|
| Rate for Payer: Aetna Medicare |
$792.00
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$31.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$767.25
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$1,421.39
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,547.12
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$31.20
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$910.80
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$871.20
|
| Rate for Payer: Cash Price |
$1,485.00
|
| Rate for Payer: Cash Price |
$1,485.00
|
| Rate for Payer: Centivo All Commercial |
$1,346.40
|
| Rate for Payer: Cigna All Commercial |
$2,135.93
|
| Rate for Payer: CORVEL All Commercial |
$2,301.75
|
| Rate for Payer: Coventry All Commercial |
$2,178.00
|
| Rate for Payer: Encore All Commercial |
$2,278.24
|
| Rate for Payer: Frontpath All Commercial |
$2,277.00
|
| Rate for Payer: Humana ChoiceCare |
$2,137.66
|
| Rate for Payer: Humana Medicare |
$792.00
|
| Rate for Payer: Lucent All Commercial |
$1,346.40
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,227.50
|
| Rate for Payer: Managed Health Services Medicaid |
$31.20
|
| Rate for Payer: MDWise Medicaid |
$31.20
|
| Rate for Payer: PHCS All Commercial |
$1,856.25
|
| Rate for Payer: PHP All Commercial |
$1,877.04
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$965.25
|
| Rate for Payer: Sagamore Health Network All Products |
$1,910.70
|
| Rate for Payer: Signature Care EPO |
$2,054.25
|
| Rate for Payer: Signature Care PPO |
$2,178.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$2,103.75
|
| Rate for Payer: United Healthcare Commercial |
$1,950.30
|
| Rate for Payer: United Healthcare Medicare |
$792.00
|
|
|
HC PEANUT ENDO 5MM
|
Facility
|
OP
|
$105.63
|
|
| Hospital Charge Code |
41608370
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$31.20 |
| Max. Negotiated Rate |
$98.24 |
| Rate for Payer: Aetna Commercial |
$89.15
|
| Rate for Payer: Aetna Medicare |
$33.80
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$31.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$32.75
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$60.66
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$66.03
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$31.20
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$38.87
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$37.18
|
| Rate for Payer: Cash Price |
$63.38
|
| Rate for Payer: Cash Price |
$63.38
|
| Rate for Payer: Centivo All Commercial |
$57.46
|
| Rate for Payer: Cigna All Commercial |
$91.16
|
| Rate for Payer: CORVEL All Commercial |
$98.24
|
| Rate for Payer: Coventry All Commercial |
$92.95
|
| Rate for Payer: Encore All Commercial |
$97.23
|
| Rate for Payer: Frontpath All Commercial |
$97.18
|
| Rate for Payer: Humana ChoiceCare |
$91.23
|
| Rate for Payer: Humana Medicare |
$33.80
|
| Rate for Payer: Lucent All Commercial |
$57.46
|
| Rate for Payer: Lutheran Preferred All Commercial |
$95.07
|
| Rate for Payer: Managed Health Services Medicaid |
$31.20
|
| Rate for Payer: MDWise Medicaid |
$31.20
|
| Rate for Payer: PHCS All Commercial |
$79.22
|
| Rate for Payer: PHP All Commercial |
$80.11
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$41.20
|
| Rate for Payer: Sagamore Health Network All Products |
$81.55
|
| Rate for Payer: Signature Care EPO |
$87.67
|
| Rate for Payer: Signature Care PPO |
$92.95
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$89.79
|
| Rate for Payer: United Healthcare Commercial |
$83.24
|
| Rate for Payer: United Healthcare Medicare |
$33.80
|
|
|
HC PEANUT ENDO 5MM
|
Facility
|
IP
|
$105.63
|
|
| Hospital Charge Code |
41608370
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$79.22 |
| Max. Negotiated Rate |
$98.24 |
| Rate for Payer: Aetna Commercial |
$91.26
|
| Rate for Payer: Cash Price |
$63.38
|
| Rate for Payer: Cigna All Commercial |
$91.16
|
| Rate for Payer: CORVEL All Commercial |
$98.24
|
| Rate for Payer: Coventry All Commercial |
$92.95
|
| Rate for Payer: Encore All Commercial |
$97.23
|
| Rate for Payer: Frontpath All Commercial |
$97.18
|
| Rate for Payer: Humana ChoiceCare |
$91.23
|
| Rate for Payer: Lutheran Preferred All Commercial |
$95.07
|
| Rate for Payer: PHCS All Commercial |
$79.22
|
| Rate for Payer: PHP All Commercial |
$80.11
|
| Rate for Payer: Sagamore Health Network All Products |
$81.55
|
| Rate for Payer: Signature Care EPO |
$87.67
|
| Rate for Payer: Signature Care PPO |
$92.95
|
| Rate for Payer: United Healthcare Commercial |
$83.24
|
|
|
HC PEP THERAPY
|
Facility
|
IP
|
$275.66
|
|
|
Service Code
|
CPT 94664
|
| Hospital Charge Code |
1704640
|
|
Hospital Revenue Code
|
410
|
| Min. Negotiated Rate |
$206.75 |
| Max. Negotiated Rate |
$256.36 |
| Rate for Payer: Aetna Commercial |
$238.17
|
| Rate for Payer: Cash Price |
$165.40
|
| Rate for Payer: Cigna All Commercial |
$237.89
|
| Rate for Payer: CORVEL All Commercial |
$256.36
|
| Rate for Payer: Coventry All Commercial |
$242.58
|
| Rate for Payer: Encore All Commercial |
$253.75
|
| Rate for Payer: Frontpath All Commercial |
$253.61
|
| Rate for Payer: Humana ChoiceCare |
$238.09
|
| Rate for Payer: Lutheran Preferred All Commercial |
$248.09
|
| Rate for Payer: PHCS All Commercial |
$206.75
|
| Rate for Payer: PHP All Commercial |
$209.06
|
| Rate for Payer: Sagamore Health Network All Products |
$212.81
|
| Rate for Payer: Signature Care EPO |
$228.80
|
| Rate for Payer: Signature Care PPO |
$242.58
|
| Rate for Payer: United Healthcare Commercial |
$217.22
|
|
|
HC PEP THERAPY
|
Facility
|
OP
|
$275.66
|
|
|
Service Code
|
CPT 94664
|
| Hospital Charge Code |
1704640
|
|
Hospital Revenue Code
|
410
|
| Min. Negotiated Rate |
$6.37 |
| Max. Negotiated Rate |
$256.36 |
| Rate for Payer: Aetna Commercial |
$232.66
|
| Rate for Payer: Aetna Medicare |
$88.21
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$6.37
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$85.45
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$158.31
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$172.32
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$6.37
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$101.44
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$97.03
|
| Rate for Payer: Cash Price |
$165.40
|
| Rate for Payer: Cash Price |
$165.40
|
| Rate for Payer: Centivo All Commercial |
$149.96
|
| Rate for Payer: Cigna All Commercial |
$237.89
|
| Rate for Payer: CORVEL All Commercial |
$256.36
|
| Rate for Payer: Coventry All Commercial |
$242.58
|
| Rate for Payer: Encore All Commercial |
$253.75
|
| Rate for Payer: Frontpath All Commercial |
$253.61
|
| Rate for Payer: Humana ChoiceCare |
$238.09
|
| Rate for Payer: Humana Medicare |
$88.21
|
| Rate for Payer: Lucent All Commercial |
$149.96
|
| Rate for Payer: Lutheran Preferred All Commercial |
$248.09
|
| Rate for Payer: Managed Health Services Medicaid |
$6.37
|
| Rate for Payer: MDWise Medicaid |
$6.37
|
| Rate for Payer: PHCS All Commercial |
$206.75
|
| Rate for Payer: PHP All Commercial |
$209.06
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$107.51
|
| Rate for Payer: Sagamore Health Network All Products |
$212.81
|
| Rate for Payer: Signature Care EPO |
$228.80
|
| Rate for Payer: Signature Care PPO |
$242.58
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$234.31
|
| Rate for Payer: United Healthcare Commercial |
$217.22
|
| Rate for Payer: United Healthcare Medicare |
$88.21
|
|
|
HC PERQ DEV PLCMNT BREAST 1ST LES MR GUIDE
|
Facility
|
OP
|
$1,251.85
|
|
|
Service Code
|
CPT 19287
|
| Hospital Charge Code |
1579287
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$388.07 |
| Max. Negotiated Rate |
$1,164.22 |
| Rate for Payer: Aetna Commercial |
$1,056.56
|
| Rate for Payer: Aetna Medicare |
$400.59
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$388.07
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$718.94
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$782.53
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$460.68
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$440.65
|
| Rate for Payer: Cash Price |
$751.11
|
| Rate for Payer: Centivo All Commercial |
$681.01
|
| Rate for Payer: Cigna All Commercial |
$1,080.35
|
| Rate for Payer: CORVEL All Commercial |
$1,164.22
|
| Rate for Payer: Coventry All Commercial |
$1,101.63
|
| Rate for Payer: Encore All Commercial |
$1,152.33
|
| Rate for Payer: Frontpath All Commercial |
$1,151.70
|
| Rate for Payer: Humana ChoiceCare |
$1,081.22
|
| Rate for Payer: Humana Medicare |
$400.59
|
| Rate for Payer: Lucent All Commercial |
$681.01
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,126.66
|
| Rate for Payer: PHCS All Commercial |
$938.89
|
| Rate for Payer: PHP All Commercial |
$949.40
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$488.22
|
| Rate for Payer: Sagamore Health Network All Products |
$966.43
|
| Rate for Payer: Signature Care EPO |
$1,039.04
|
| Rate for Payer: Signature Care PPO |
$1,101.63
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,064.07
|
| Rate for Payer: United Healthcare Commercial |
$986.46
|
| Rate for Payer: United Healthcare Medicare |
$400.59
|
|
|
HC PERQ DEV PLCMNT BREAST 1ST LES MR GUIDE
|
Facility
|
IP
|
$1,251.85
|
|
|
Service Code
|
CPT 19287
|
| Hospital Charge Code |
1579287
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$938.89 |
| Max. Negotiated Rate |
$1,164.22 |
| Rate for Payer: Aetna Commercial |
$1,081.60
|
| Rate for Payer: Cash Price |
$751.11
|
| Rate for Payer: Cigna All Commercial |
$1,080.35
|
| Rate for Payer: CORVEL All Commercial |
$1,164.22
|
| Rate for Payer: Coventry All Commercial |
$1,101.63
|
| Rate for Payer: Encore All Commercial |
$1,152.33
|
| Rate for Payer: Frontpath All Commercial |
$1,151.70
|
| Rate for Payer: Humana ChoiceCare |
$1,081.22
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,126.66
|
| Rate for Payer: PHCS All Commercial |
$938.89
|
| Rate for Payer: PHP All Commercial |
$949.40
|
| Rate for Payer: Sagamore Health Network All Products |
$966.43
|
| Rate for Payer: Signature Care EPO |
$1,039.04
|
| Rate for Payer: Signature Care PPO |
$1,101.63
|
| Rate for Payer: United Healthcare Commercial |
$986.46
|
|
|
HC PET IMAGE W/CT FULL BODY IN
|
Facility
|
OP
|
$9,844.98
|
|
|
Service Code
|
CPT 78816 PI
|
| Hospital Charge Code |
1639004
|
|
Hospital Revenue Code
|
404
|
| Min. Negotiated Rate |
$777.75 |
| Max. Negotiated Rate |
$9,155.83 |
| Rate for Payer: Aetna Commercial |
$8,309.16
|
| Rate for Payer: Aetna Medicare |
$3,150.39
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$777.75
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$3,051.94
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$5,653.97
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$6,154.10
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$777.75
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$3,622.95
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$3,465.43
|
| Rate for Payer: Cash Price |
$5,906.99
|
| Rate for Payer: Cash Price |
$5,906.99
|
| Rate for Payer: Centivo All Commercial |
$5,355.67
|
| Rate for Payer: Cigna All Commercial |
$8,496.22
|
| Rate for Payer: CORVEL All Commercial |
$9,155.83
|
| Rate for Payer: Coventry All Commercial |
$8,663.58
|
| Rate for Payer: Encore All Commercial |
$9,062.30
|
| Rate for Payer: Frontpath All Commercial |
$9,057.38
|
| Rate for Payer: Humana ChoiceCare |
$8,503.11
|
| Rate for Payer: Humana Medicare |
$3,150.39
|
| Rate for Payer: Lucent All Commercial |
$5,355.67
|
| Rate for Payer: Lutheran Preferred All Commercial |
$8,860.48
|
| Rate for Payer: Managed Health Services Medicaid |
$777.75
|
| Rate for Payer: MDWise Medicaid |
$777.75
|
| Rate for Payer: PHCS All Commercial |
$7,383.73
|
| Rate for Payer: PHP All Commercial |
$7,466.43
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$3,839.54
|
| Rate for Payer: Sagamore Health Network All Products |
$7,600.32
|
| Rate for Payer: Signature Care EPO |
$8,171.33
|
| Rate for Payer: Signature Care PPO |
$8,663.58
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$8,368.23
|
| Rate for Payer: United Healthcare Commercial |
$7,757.84
|
| Rate for Payer: United Healthcare Medicare |
$3,150.39
|
|
|
HC PET IMAGE W/CT FULL BODY IN
|
Facility
|
IP
|
$9,844.98
|
|
|
Service Code
|
CPT 78816 PI
|
| Hospital Charge Code |
1639004
|
|
Hospital Revenue Code
|
404
|
| Min. Negotiated Rate |
$7,383.73 |
| Max. Negotiated Rate |
$9,155.83 |
| Rate for Payer: Aetna Commercial |
$8,506.06
|
| Rate for Payer: Cash Price |
$5,906.99
|
| Rate for Payer: Cigna All Commercial |
$8,496.22
|
| Rate for Payer: CORVEL All Commercial |
$9,155.83
|
| Rate for Payer: Coventry All Commercial |
$8,663.58
|
| Rate for Payer: Encore All Commercial |
$9,062.30
|
| Rate for Payer: Frontpath All Commercial |
$9,057.38
|
| Rate for Payer: Humana ChoiceCare |
$8,503.11
|
| Rate for Payer: Lutheran Preferred All Commercial |
$8,860.48
|
| Rate for Payer: PHCS All Commercial |
$7,383.73
|
| Rate for Payer: PHP All Commercial |
$7,466.43
|
| Rate for Payer: Sagamore Health Network All Products |
$7,600.32
|
| Rate for Payer: Signature Care EPO |
$8,171.33
|
| Rate for Payer: Signature Care PPO |
$8,663.58
|
| Rate for Payer: United Healthcare Commercial |
$7,757.84
|
|
|
HC PET IMAGEW/CT FULL BODY ST
|
Facility
|
IP
|
$9,844.98
|
|
|
Service Code
|
CPT 78816 PS
|
| Hospital Charge Code |
1639003
|
|
Hospital Revenue Code
|
404
|
| Min. Negotiated Rate |
$7,383.73 |
| Max. Negotiated Rate |
$9,155.83 |
| Rate for Payer: Aetna Commercial |
$8,506.06
|
| Rate for Payer: Cash Price |
$5,906.99
|
| Rate for Payer: Cigna All Commercial |
$8,496.22
|
| Rate for Payer: CORVEL All Commercial |
$9,155.83
|
| Rate for Payer: Coventry All Commercial |
$8,663.58
|
| Rate for Payer: Encore All Commercial |
$9,062.30
|
| Rate for Payer: Frontpath All Commercial |
$9,057.38
|
| Rate for Payer: Humana ChoiceCare |
$8,503.11
|
| Rate for Payer: Lutheran Preferred All Commercial |
$8,860.48
|
| Rate for Payer: PHCS All Commercial |
$7,383.73
|
| Rate for Payer: PHP All Commercial |
$7,466.43
|
| Rate for Payer: Sagamore Health Network All Products |
$7,600.32
|
| Rate for Payer: Signature Care EPO |
$8,171.33
|
| Rate for Payer: Signature Care PPO |
$8,663.58
|
| Rate for Payer: United Healthcare Commercial |
$7,757.84
|
|
|
HC PET IMAGEW/CT FULL BODY ST
|
Facility
|
OP
|
$9,844.98
|
|
|
Service Code
|
CPT 78816 PS
|
| Hospital Charge Code |
1639003
|
|
Hospital Revenue Code
|
404
|
| Min. Negotiated Rate |
$777.75 |
| Max. Negotiated Rate |
$9,155.83 |
| Rate for Payer: Aetna Commercial |
$8,309.16
|
| Rate for Payer: Aetna Medicare |
$3,150.39
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$777.75
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$3,051.94
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$5,653.97
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$6,154.10
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$777.75
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$3,622.95
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$3,465.43
|
| Rate for Payer: Cash Price |
$5,906.99
|
| Rate for Payer: Cash Price |
$5,906.99
|
| Rate for Payer: Centivo All Commercial |
$5,355.67
|
| Rate for Payer: Cigna All Commercial |
$8,496.22
|
| Rate for Payer: CORVEL All Commercial |
$9,155.83
|
| Rate for Payer: Coventry All Commercial |
$8,663.58
|
| Rate for Payer: Encore All Commercial |
$9,062.30
|
| Rate for Payer: Frontpath All Commercial |
$9,057.38
|
| Rate for Payer: Humana ChoiceCare |
$8,503.11
|
| Rate for Payer: Humana Medicare |
$3,150.39
|
| Rate for Payer: Lucent All Commercial |
$5,355.67
|
| Rate for Payer: Lutheran Preferred All Commercial |
$8,860.48
|
| Rate for Payer: Managed Health Services Medicaid |
$777.75
|
| Rate for Payer: MDWise Medicaid |
$777.75
|
| Rate for Payer: PHCS All Commercial |
$7,383.73
|
| Rate for Payer: PHP All Commercial |
$7,466.43
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$3,839.54
|
| Rate for Payer: Sagamore Health Network All Products |
$7,600.32
|
| Rate for Payer: Signature Care EPO |
$8,171.33
|
| Rate for Payer: Signature Care PPO |
$8,663.58
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$8,368.23
|
| Rate for Payer: United Healthcare Commercial |
$7,757.84
|
| Rate for Payer: United Healthcare Medicare |
$3,150.39
|
|
|
HC PET IMAGE W/CT NOPR SKULL M/THGH IN
|
Facility
|
IP
|
$8,853.70
|
|
|
Service Code
|
CPT 78815 Q0,PI
|
| Hospital Charge Code |
1639011
|
|
Hospital Revenue Code
|
404
|
| Min. Negotiated Rate |
$6,640.27 |
| Max. Negotiated Rate |
$8,233.94 |
| Rate for Payer: Aetna Commercial |
$7,649.60
|
| Rate for Payer: Cash Price |
$5,312.22
|
| Rate for Payer: Cigna All Commercial |
$7,640.74
|
| Rate for Payer: CORVEL All Commercial |
$8,233.94
|
| Rate for Payer: Coventry All Commercial |
$7,791.26
|
| Rate for Payer: Encore All Commercial |
$8,149.83
|
| Rate for Payer: Frontpath All Commercial |
$8,145.40
|
| Rate for Payer: Humana ChoiceCare |
$7,646.94
|
| Rate for Payer: Lutheran Preferred All Commercial |
$7,968.33
|
| Rate for Payer: PHCS All Commercial |
$6,640.27
|
| Rate for Payer: PHP All Commercial |
$6,714.65
|
| Rate for Payer: Sagamore Health Network All Products |
$6,835.06
|
| Rate for Payer: Signature Care EPO |
$7,348.57
|
| Rate for Payer: Signature Care PPO |
$7,791.26
|
| Rate for Payer: United Healthcare Commercial |
$6,976.72
|
|
|
HC PET IMAGE W/CT NOPR SKULL M/THGH IN
|
Facility
|
OP
|
$8,853.70
|
|
|
Service Code
|
CPT 78815 Q0,PI
|
| Hospital Charge Code |
1639011
|
|
Hospital Revenue Code
|
404
|
| Min. Negotiated Rate |
$777.75 |
| Max. Negotiated Rate |
$8,233.94 |
| Rate for Payer: Aetna Commercial |
$7,472.52
|
| Rate for Payer: Aetna Medicare |
$2,833.18
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$777.75
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$2,744.65
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$5,084.68
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$5,534.45
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$777.75
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$3,258.16
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$3,116.50
|
| Rate for Payer: Cash Price |
$5,312.22
|
| Rate for Payer: Cash Price |
$5,312.22
|
| Rate for Payer: Centivo All Commercial |
$4,816.41
|
| Rate for Payer: Cigna All Commercial |
$7,640.74
|
| Rate for Payer: CORVEL All Commercial |
$8,233.94
|
| Rate for Payer: Coventry All Commercial |
$7,791.26
|
| Rate for Payer: Encore All Commercial |
$8,149.83
|
| Rate for Payer: Frontpath All Commercial |
$8,145.40
|
| Rate for Payer: Humana ChoiceCare |
$7,646.94
|
| Rate for Payer: Humana Medicare |
$2,833.18
|
| Rate for Payer: Lucent All Commercial |
$4,816.41
|
| Rate for Payer: Lutheran Preferred All Commercial |
$7,968.33
|
| Rate for Payer: Managed Health Services Medicaid |
$777.75
|
| Rate for Payer: MDWise Medicaid |
$777.75
|
| Rate for Payer: PHCS All Commercial |
$6,640.27
|
| Rate for Payer: PHP All Commercial |
$6,714.65
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$3,452.94
|
| Rate for Payer: Sagamore Health Network All Products |
$6,835.06
|
| Rate for Payer: Signature Care EPO |
$7,348.57
|
| Rate for Payer: Signature Care PPO |
$7,791.26
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$7,525.65
|
| Rate for Payer: United Healthcare Commercial |
$6,976.72
|
| Rate for Payer: United Healthcare Medicare |
$2,833.18
|
|
|
HC PET IMAGE W/CT SKULL-THIGH IN
|
Facility
|
OP
|
$8,853.70
|
|
|
Service Code
|
CPT 78815 PI
|
| Hospital Charge Code |
1639005
|
|
Hospital Revenue Code
|
404
|
| Min. Negotiated Rate |
$777.75 |
| Max. Negotiated Rate |
$8,233.94 |
| Rate for Payer: Aetna Commercial |
$7,472.52
|
| Rate for Payer: Aetna Medicare |
$2,833.18
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$777.75
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$2,744.65
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$5,084.68
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$5,534.45
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$777.75
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$3,258.16
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$3,116.50
|
| Rate for Payer: Cash Price |
$5,312.22
|
| Rate for Payer: Cash Price |
$5,312.22
|
| Rate for Payer: Centivo All Commercial |
$4,816.41
|
| Rate for Payer: Cigna All Commercial |
$7,640.74
|
| Rate for Payer: CORVEL All Commercial |
$8,233.94
|
| Rate for Payer: Coventry All Commercial |
$7,791.26
|
| Rate for Payer: Encore All Commercial |
$8,149.83
|
| Rate for Payer: Frontpath All Commercial |
$8,145.40
|
| Rate for Payer: Humana ChoiceCare |
$7,646.94
|
| Rate for Payer: Humana Medicare |
$2,833.18
|
| Rate for Payer: Lucent All Commercial |
$4,816.41
|
| Rate for Payer: Lutheran Preferred All Commercial |
$7,968.33
|
| Rate for Payer: Managed Health Services Medicaid |
$777.75
|
| Rate for Payer: MDWise Medicaid |
$777.75
|
| Rate for Payer: PHCS All Commercial |
$6,640.27
|
| Rate for Payer: PHP All Commercial |
$6,714.65
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$3,452.94
|
| Rate for Payer: Sagamore Health Network All Products |
$6,835.06
|
| Rate for Payer: Signature Care EPO |
$7,348.57
|
| Rate for Payer: Signature Care PPO |
$7,791.26
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$7,525.65
|
| Rate for Payer: United Healthcare Commercial |
$6,976.72
|
| Rate for Payer: United Healthcare Medicare |
$2,833.18
|
|
