|
HC SLEEVE ICED KNEE LARGE
|
Facility
|
IP
|
$259.14
|
|
| Hospital Charge Code |
41602162
|
|
Hospital Revenue Code
|
271
|
| Min. Negotiated Rate |
$194.35 |
| Max. Negotiated Rate |
$241.00 |
| Rate for Payer: Aetna Commercial |
$223.90
|
| Rate for Payer: Cash Price |
$155.48
|
| Rate for Payer: Cigna All Commercial |
$223.64
|
| Rate for Payer: CORVEL All Commercial |
$241.00
|
| Rate for Payer: Coventry All Commercial |
$228.04
|
| Rate for Payer: Encore All Commercial |
$238.54
|
| Rate for Payer: Frontpath All Commercial |
$238.41
|
| Rate for Payer: Humana ChoiceCare |
$223.82
|
| Rate for Payer: Lutheran Preferred All Commercial |
$233.23
|
| Rate for Payer: PHCS All Commercial |
$194.35
|
| Rate for Payer: PHP All Commercial |
$196.53
|
| Rate for Payer: Sagamore Health Network All Products |
$200.06
|
| Rate for Payer: Signature Care EPO |
$215.09
|
| Rate for Payer: Signature Care PPO |
$228.04
|
| Rate for Payer: United Healthcare Commercial |
$204.20
|
|
|
HC SLP STUDY 6/>YRS CPAP 4/> PARM <6 HRS RECORDING
|
Facility
|
IP
|
$6,877.84
|
|
|
Service Code
|
CPT 95811 52
|
| Hospital Charge Code |
1365811
|
|
Hospital Revenue Code
|
740
|
| Min. Negotiated Rate |
$5,158.38 |
| Max. Negotiated Rate |
$6,396.39 |
| Rate for Payer: Aetna Commercial |
$5,942.45
|
| Rate for Payer: Cash Price |
$4,126.70
|
| Rate for Payer: Cigna All Commercial |
$5,935.58
|
| Rate for Payer: CORVEL All Commercial |
$6,396.39
|
| Rate for Payer: Coventry All Commercial |
$6,052.50
|
| Rate for Payer: Encore All Commercial |
$6,331.05
|
| Rate for Payer: Frontpath All Commercial |
$6,327.61
|
| Rate for Payer: Humana ChoiceCare |
$5,940.39
|
| Rate for Payer: Lutheran Preferred All Commercial |
$6,190.06
|
| Rate for Payer: PHCS All Commercial |
$5,158.38
|
| Rate for Payer: PHP All Commercial |
$5,216.15
|
| Rate for Payer: Sagamore Health Network All Products |
$5,309.69
|
| Rate for Payer: Signature Care EPO |
$5,708.61
|
| Rate for Payer: Signature Care PPO |
$6,052.50
|
| Rate for Payer: United Healthcare Commercial |
$5,419.74
|
|
|
HC SLP STUDY 6/>YRS CPAP 4/> PARM <6 HRS RECORDING
|
Facility
|
OP
|
$6,877.84
|
|
|
Service Code
|
CPT 95811 52
|
| Hospital Charge Code |
1365811
|
|
Hospital Revenue Code
|
740
|
| Min. Negotiated Rate |
$200.10 |
| Max. Negotiated Rate |
$6,396.39 |
| Rate for Payer: Aetna Commercial |
$5,804.90
|
| Rate for Payer: Aetna Medicare |
$2,200.91
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$200.10
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$2,132.13
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$3,949.94
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$4,299.34
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$200.10
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$2,531.05
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$2,421.00
|
| Rate for Payer: Cash Price |
$4,126.70
|
| Rate for Payer: Cash Price |
$4,126.70
|
| Rate for Payer: Centivo All Commercial |
$3,741.54
|
| Rate for Payer: Cigna All Commercial |
$5,935.58
|
| Rate for Payer: CORVEL All Commercial |
$6,396.39
|
| Rate for Payer: Coventry All Commercial |
$6,052.50
|
| Rate for Payer: Encore All Commercial |
$6,331.05
|
| Rate for Payer: Frontpath All Commercial |
$6,327.61
|
| Rate for Payer: Humana ChoiceCare |
$5,940.39
|
| Rate for Payer: Humana Medicare |
$2,200.91
|
| Rate for Payer: Lucent All Commercial |
$3,741.54
|
| Rate for Payer: Lutheran Preferred All Commercial |
$6,190.06
|
| Rate for Payer: Managed Health Services Medicaid |
$200.10
|
| Rate for Payer: MDWise Medicaid |
$200.10
|
| Rate for Payer: PHCS All Commercial |
$5,158.38
|
| Rate for Payer: PHP All Commercial |
$5,216.15
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$2,682.36
|
| Rate for Payer: Sagamore Health Network All Products |
$5,309.69
|
| Rate for Payer: Signature Care EPO |
$5,708.61
|
| Rate for Payer: Signature Care PPO |
$6,052.50
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$5,846.16
|
| Rate for Payer: United Healthcare Commercial |
$5,419.74
|
| Rate for Payer: United Healthcare Medicare |
$2,200.91
|
|
|
HC SLP STUDY 6/>YRS CPAP 4/> PARM 6+ HRS RECORDING
|
Facility
|
OP
|
$6,877.84
|
|
|
Service Code
|
CPT 95811
|
| Hospital Charge Code |
1520011
|
|
Hospital Revenue Code
|
740
|
| Min. Negotiated Rate |
$200.10 |
| Max. Negotiated Rate |
$6,396.39 |
| Rate for Payer: Aetna Commercial |
$5,804.90
|
| Rate for Payer: Aetna Medicare |
$2,200.91
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$200.10
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$2,132.13
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$3,949.94
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$4,299.34
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$200.10
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$2,531.05
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$2,421.00
|
| Rate for Payer: Cash Price |
$4,126.70
|
| Rate for Payer: Cash Price |
$4,126.70
|
| Rate for Payer: Centivo All Commercial |
$3,741.54
|
| Rate for Payer: Cigna All Commercial |
$5,935.58
|
| Rate for Payer: CORVEL All Commercial |
$6,396.39
|
| Rate for Payer: Coventry All Commercial |
$6,052.50
|
| Rate for Payer: Encore All Commercial |
$6,331.05
|
| Rate for Payer: Frontpath All Commercial |
$6,327.61
|
| Rate for Payer: Humana ChoiceCare |
$5,940.39
|
| Rate for Payer: Humana Medicare |
$2,200.91
|
| Rate for Payer: Lucent All Commercial |
$3,741.54
|
| Rate for Payer: Lutheran Preferred All Commercial |
$6,190.06
|
| Rate for Payer: Managed Health Services Medicaid |
$200.10
|
| Rate for Payer: MDWise Medicaid |
$200.10
|
| Rate for Payer: PHCS All Commercial |
$5,158.38
|
| Rate for Payer: PHP All Commercial |
$5,216.15
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$2,682.36
|
| Rate for Payer: Sagamore Health Network All Products |
$5,309.69
|
| Rate for Payer: Signature Care EPO |
$5,708.61
|
| Rate for Payer: Signature Care PPO |
$6,052.50
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$5,846.16
|
| Rate for Payer: United Healthcare Commercial |
$5,419.74
|
| Rate for Payer: United Healthcare Medicare |
$2,200.91
|
|
|
HC SLP STUDY 6/>YRS CPAP 4/> PARM 6+ HRS RECORDING
|
Facility
|
IP
|
$6,877.84
|
|
|
Service Code
|
CPT 95811
|
| Hospital Charge Code |
1520011
|
|
Hospital Revenue Code
|
740
|
| Min. Negotiated Rate |
$5,158.38 |
| Max. Negotiated Rate |
$6,396.39 |
| Rate for Payer: Aetna Commercial |
$5,942.45
|
| Rate for Payer: Cash Price |
$4,126.70
|
| Rate for Payer: Cigna All Commercial |
$5,935.58
|
| Rate for Payer: CORVEL All Commercial |
$6,396.39
|
| Rate for Payer: Coventry All Commercial |
$6,052.50
|
| Rate for Payer: Encore All Commercial |
$6,331.05
|
| Rate for Payer: Frontpath All Commercial |
$6,327.61
|
| Rate for Payer: Humana ChoiceCare |
$5,940.39
|
| Rate for Payer: Lutheran Preferred All Commercial |
$6,190.06
|
| Rate for Payer: PHCS All Commercial |
$5,158.38
|
| Rate for Payer: PHP All Commercial |
$5,216.15
|
| Rate for Payer: Sagamore Health Network All Products |
$5,309.69
|
| Rate for Payer: Signature Care EPO |
$5,708.61
|
| Rate for Payer: Signature Care PPO |
$6,052.50
|
| Rate for Payer: United Healthcare Commercial |
$5,419.74
|
|
|
HC SMART LUNG CT SCAN
|
Facility
|
IP
|
$165.00
|
|
|
Service Code
|
CPT 71271
|
| Hospital Charge Code |
1660125
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$123.75 |
| Max. Negotiated Rate |
$153.45 |
| Rate for Payer: Aetna Commercial |
$142.56
|
| Rate for Payer: Cash Price |
$99.00
|
| Rate for Payer: Cigna All Commercial |
$142.40
|
| Rate for Payer: CORVEL All Commercial |
$153.45
|
| Rate for Payer: Coventry All Commercial |
$145.20
|
| Rate for Payer: Encore All Commercial |
$151.88
|
| Rate for Payer: Frontpath All Commercial |
$151.80
|
| Rate for Payer: Humana ChoiceCare |
$142.51
|
| Rate for Payer: Lutheran Preferred All Commercial |
$148.50
|
| Rate for Payer: PHCS All Commercial |
$123.75
|
| Rate for Payer: PHP All Commercial |
$125.14
|
| Rate for Payer: Sagamore Health Network All Products |
$127.38
|
| Rate for Payer: Signature Care EPO |
$136.95
|
| Rate for Payer: Signature Care PPO |
$145.20
|
| Rate for Payer: United Healthcare Commercial |
$130.02
|
|
|
HC SMART LUNG CT SCAN
|
Facility
|
OP
|
$165.00
|
|
|
Service Code
|
CPT 71271
|
| Hospital Charge Code |
1660125
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$51.15 |
| Max. Negotiated Rate |
$153.45 |
| Rate for Payer: Aetna Commercial |
$139.26
|
| Rate for Payer: Aetna Medicare |
$52.80
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$80.90
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$51.15
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$94.76
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$103.14
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$80.90
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$60.72
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$58.08
|
| Rate for Payer: Cash Price |
$99.00
|
| Rate for Payer: Cash Price |
$99.00
|
| Rate for Payer: Centivo All Commercial |
$89.76
|
| Rate for Payer: Cigna All Commercial |
$142.40
|
| Rate for Payer: CORVEL All Commercial |
$153.45
|
| Rate for Payer: Coventry All Commercial |
$145.20
|
| Rate for Payer: Encore All Commercial |
$151.88
|
| Rate for Payer: Frontpath All Commercial |
$151.80
|
| Rate for Payer: Humana ChoiceCare |
$142.51
|
| Rate for Payer: Humana Medicare |
$52.80
|
| Rate for Payer: Lucent All Commercial |
$89.76
|
| Rate for Payer: Lutheran Preferred All Commercial |
$148.50
|
| Rate for Payer: Managed Health Services Medicaid |
$80.90
|
| Rate for Payer: MDWise Medicaid |
$80.90
|
| Rate for Payer: PHCS All Commercial |
$123.75
|
| Rate for Payer: PHP All Commercial |
$125.14
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$64.35
|
| Rate for Payer: Sagamore Health Network All Products |
$127.38
|
| Rate for Payer: Signature Care EPO |
$136.95
|
| Rate for Payer: Signature Care PPO |
$145.20
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$140.25
|
| Rate for Payer: United Healthcare Commercial |
$130.02
|
| Rate for Payer: United Healthcare Medicare |
$52.80
|
|
|
HC SMOOTH MUSC AB TITER
|
Facility
|
IP
|
$194.36
|
|
|
Service Code
|
CPT 86256
|
| Hospital Charge Code |
63001025
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$145.77 |
| Max. Negotiated Rate |
$180.75 |
| Rate for Payer: Aetna Commercial |
$167.93
|
| Rate for Payer: Cash Price |
$116.62
|
| Rate for Payer: Cigna All Commercial |
$167.73
|
| Rate for Payer: CORVEL All Commercial |
$180.75
|
| Rate for Payer: Coventry All Commercial |
$171.04
|
| Rate for Payer: Encore All Commercial |
$178.91
|
| Rate for Payer: Frontpath All Commercial |
$178.81
|
| Rate for Payer: Humana ChoiceCare |
$167.87
|
| Rate for Payer: Lutheran Preferred All Commercial |
$174.92
|
| Rate for Payer: PHCS All Commercial |
$145.77
|
| Rate for Payer: PHP All Commercial |
$147.40
|
| Rate for Payer: Sagamore Health Network All Products |
$150.05
|
| Rate for Payer: Signature Care EPO |
$161.32
|
| Rate for Payer: Signature Care PPO |
$171.04
|
| Rate for Payer: United Healthcare Commercial |
$153.16
|
|
|
HC SMOOTH MUSC AB TITER
|
Facility
|
OP
|
$194.36
|
|
|
Service Code
|
CPT 86256
|
| Hospital Charge Code |
63001025
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$12.05 |
| Max. Negotiated Rate |
$180.75 |
| Rate for Payer: Aetna Commercial |
$164.04
|
| Rate for Payer: Aetna Medicare |
$62.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$12.05
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$60.25
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$89.33
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$89.33
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$12.05
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$71.52
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$68.41
|
| Rate for Payer: Cash Price |
$116.62
|
| Rate for Payer: Cash Price |
$116.62
|
| Rate for Payer: Centivo All Commercial |
$105.73
|
| Rate for Payer: Cigna All Commercial |
$167.73
|
| Rate for Payer: CORVEL All Commercial |
$180.75
|
| Rate for Payer: Coventry All Commercial |
$171.04
|
| Rate for Payer: Encore All Commercial |
$178.91
|
| Rate for Payer: Frontpath All Commercial |
$178.81
|
| Rate for Payer: Humana ChoiceCare |
$167.87
|
| Rate for Payer: Humana Medicare |
$62.20
|
| Rate for Payer: Lucent All Commercial |
$105.73
|
| Rate for Payer: Lutheran Preferred All Commercial |
$174.92
|
| Rate for Payer: Managed Health Services Medicaid |
$12.05
|
| Rate for Payer: MDWise Medicaid |
$12.05
|
| Rate for Payer: PHCS All Commercial |
$145.77
|
| Rate for Payer: PHP All Commercial |
$147.40
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$75.80
|
| Rate for Payer: Sagamore Health Network All Products |
$150.05
|
| Rate for Payer: Signature Care EPO |
$161.32
|
| Rate for Payer: Signature Care PPO |
$171.04
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$165.21
|
| Rate for Payer: United Healthcare Commercial |
$153.16
|
| Rate for Payer: United Healthcare Medicare |
$62.20
|
|
|
HC SNARE CONLD EXACTO
|
Facility
|
IP
|
$71.40
|
|
| Hospital Charge Code |
41608232
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$53.55 |
| Max. Negotiated Rate |
$66.40 |
| Rate for Payer: Aetna Commercial |
$61.69
|
| Rate for Payer: Cash Price |
$42.84
|
| Rate for Payer: Cigna All Commercial |
$61.62
|
| Rate for Payer: CORVEL All Commercial |
$66.40
|
| Rate for Payer: Coventry All Commercial |
$62.83
|
| Rate for Payer: Encore All Commercial |
$65.72
|
| Rate for Payer: Frontpath All Commercial |
$65.69
|
| Rate for Payer: Humana ChoiceCare |
$61.67
|
| Rate for Payer: Lutheran Preferred All Commercial |
$64.26
|
| Rate for Payer: PHCS All Commercial |
$53.55
|
| Rate for Payer: PHP All Commercial |
$54.15
|
| Rate for Payer: Sagamore Health Network All Products |
$55.12
|
| Rate for Payer: Signature Care EPO |
$59.26
|
| Rate for Payer: Signature Care PPO |
$62.83
|
| Rate for Payer: United Healthcare Commercial |
$56.26
|
|
|
HC SNARE CONLD EXACTO
|
Facility
|
OP
|
$71.40
|
|
| Hospital Charge Code |
41608232
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$22.13 |
| Max. Negotiated Rate |
$66.40 |
| Rate for Payer: Aetna Commercial |
$60.26
|
| Rate for Payer: Aetna Medicare |
$22.85
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$31.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$22.13
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$41.01
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$44.63
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$31.20
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$26.28
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$25.13
|
| Rate for Payer: Cash Price |
$42.84
|
| Rate for Payer: Cash Price |
$42.84
|
| Rate for Payer: Centivo All Commercial |
$38.84
|
| Rate for Payer: Cigna All Commercial |
$61.62
|
| Rate for Payer: CORVEL All Commercial |
$66.40
|
| Rate for Payer: Coventry All Commercial |
$62.83
|
| Rate for Payer: Encore All Commercial |
$65.72
|
| Rate for Payer: Frontpath All Commercial |
$65.69
|
| Rate for Payer: Humana ChoiceCare |
$61.67
|
| Rate for Payer: Humana Medicare |
$22.85
|
| Rate for Payer: Lucent All Commercial |
$38.84
|
| Rate for Payer: Lutheran Preferred All Commercial |
$64.26
|
| Rate for Payer: Managed Health Services Medicaid |
$31.20
|
| Rate for Payer: MDWise Medicaid |
$31.20
|
| Rate for Payer: PHCS All Commercial |
$53.55
|
| Rate for Payer: PHP All Commercial |
$54.15
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$27.85
|
| Rate for Payer: Sagamore Health Network All Products |
$55.12
|
| Rate for Payer: Signature Care EPO |
$59.26
|
| Rate for Payer: Signature Care PPO |
$62.83
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$60.69
|
| Rate for Payer: United Healthcare Commercial |
$56.26
|
| Rate for Payer: United Healthcare Medicare |
$22.85
|
|
|
HC SNARE I INJ NEEDLE
|
Facility
|
OP
|
$548.80
|
|
| Hospital Charge Code |
41601789
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$31.20 |
| Max. Negotiated Rate |
$510.38 |
| Rate for Payer: Aetna Commercial |
$463.19
|
| Rate for Payer: Aetna Medicare |
$175.62
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$31.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$170.13
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$315.18
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$343.05
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$31.20
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$201.96
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$193.18
|
| Rate for Payer: Cash Price |
$329.28
|
| Rate for Payer: Cash Price |
$329.28
|
| Rate for Payer: Centivo All Commercial |
$298.55
|
| Rate for Payer: Cigna All Commercial |
$473.61
|
| Rate for Payer: CORVEL All Commercial |
$510.38
|
| Rate for Payer: Coventry All Commercial |
$482.94
|
| Rate for Payer: Encore All Commercial |
$505.17
|
| Rate for Payer: Frontpath All Commercial |
$504.90
|
| Rate for Payer: Humana ChoiceCare |
$474.00
|
| Rate for Payer: Humana Medicare |
$175.62
|
| Rate for Payer: Lucent All Commercial |
$298.55
|
| Rate for Payer: Lutheran Preferred All Commercial |
$493.92
|
| Rate for Payer: Managed Health Services Medicaid |
$31.20
|
| Rate for Payer: MDWise Medicaid |
$31.20
|
| Rate for Payer: PHCS All Commercial |
$411.60
|
| Rate for Payer: PHP All Commercial |
$416.21
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$214.03
|
| Rate for Payer: Sagamore Health Network All Products |
$423.67
|
| Rate for Payer: Signature Care EPO |
$455.50
|
| Rate for Payer: Signature Care PPO |
$482.94
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$466.48
|
| Rate for Payer: United Healthcare Commercial |
$432.45
|
| Rate for Payer: United Healthcare Medicare |
$175.62
|
|
|
HC SNARE I INJ NEEDLE
|
Facility
|
IP
|
$548.80
|
|
| Hospital Charge Code |
41601789
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$411.60 |
| Max. Negotiated Rate |
$510.38 |
| Rate for Payer: Aetna Commercial |
$474.16
|
| Rate for Payer: Cash Price |
$329.28
|
| Rate for Payer: Cigna All Commercial |
$473.61
|
| Rate for Payer: CORVEL All Commercial |
$510.38
|
| Rate for Payer: Coventry All Commercial |
$482.94
|
| Rate for Payer: Encore All Commercial |
$505.17
|
| Rate for Payer: Frontpath All Commercial |
$504.90
|
| Rate for Payer: Humana ChoiceCare |
$474.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$493.92
|
| Rate for Payer: PHCS All Commercial |
$411.60
|
| Rate for Payer: PHP All Commercial |
$416.21
|
| Rate for Payer: Sagamore Health Network All Products |
$423.67
|
| Rate for Payer: Signature Care EPO |
$455.50
|
| Rate for Payer: Signature Care PPO |
$482.94
|
| Rate for Payer: United Healthcare Commercial |
$432.45
|
|
|
HC SNARE SPIRAL BARBED
|
Facility
|
IP
|
$170.10
|
|
| Hospital Charge Code |
41601334
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$127.58 |
| Max. Negotiated Rate |
$158.19 |
| Rate for Payer: Aetna Commercial |
$146.97
|
| Rate for Payer: Cash Price |
$102.06
|
| Rate for Payer: Cigna All Commercial |
$146.80
|
| Rate for Payer: CORVEL All Commercial |
$158.19
|
| Rate for Payer: Coventry All Commercial |
$149.69
|
| Rate for Payer: Encore All Commercial |
$156.58
|
| Rate for Payer: Frontpath All Commercial |
$156.49
|
| Rate for Payer: Humana ChoiceCare |
$146.92
|
| Rate for Payer: Lutheran Preferred All Commercial |
$153.09
|
| Rate for Payer: PHCS All Commercial |
$127.58
|
| Rate for Payer: PHP All Commercial |
$129.00
|
| Rate for Payer: Sagamore Health Network All Products |
$131.32
|
| Rate for Payer: Signature Care EPO |
$141.18
|
| Rate for Payer: Signature Care PPO |
$149.69
|
| Rate for Payer: United Healthcare Commercial |
$134.04
|
|
|
HC SNARE SPIRAL BARBED
|
Facility
|
OP
|
$170.10
|
|
| Hospital Charge Code |
41601334
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$31.20 |
| Max. Negotiated Rate |
$158.19 |
| Rate for Payer: Aetna Commercial |
$143.56
|
| Rate for Payer: Aetna Medicare |
$54.43
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$31.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$52.73
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$97.69
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$106.33
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$31.20
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$62.60
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$59.88
|
| Rate for Payer: Cash Price |
$102.06
|
| Rate for Payer: Cash Price |
$102.06
|
| Rate for Payer: Centivo All Commercial |
$92.53
|
| Rate for Payer: Cigna All Commercial |
$146.80
|
| Rate for Payer: CORVEL All Commercial |
$158.19
|
| Rate for Payer: Coventry All Commercial |
$149.69
|
| Rate for Payer: Encore All Commercial |
$156.58
|
| Rate for Payer: Frontpath All Commercial |
$156.49
|
| Rate for Payer: Humana ChoiceCare |
$146.92
|
| Rate for Payer: Humana Medicare |
$54.43
|
| Rate for Payer: Lucent All Commercial |
$92.53
|
| Rate for Payer: Lutheran Preferred All Commercial |
$153.09
|
| Rate for Payer: Managed Health Services Medicaid |
$31.20
|
| Rate for Payer: MDWise Medicaid |
$31.20
|
| Rate for Payer: PHCS All Commercial |
$127.58
|
| Rate for Payer: PHP All Commercial |
$129.00
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$66.34
|
| Rate for Payer: Sagamore Health Network All Products |
$131.32
|
| Rate for Payer: Signature Care EPO |
$141.18
|
| Rate for Payer: Signature Care PPO |
$149.69
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$144.59
|
| Rate for Payer: United Healthcare Commercial |
$134.04
|
| Rate for Payer: United Healthcare Medicare |
$54.43
|
|
|
HC SNARE STD OVAL
|
Facility
|
OP
|
$62.30
|
|
| Hospital Charge Code |
41602044
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$19.31 |
| Max. Negotiated Rate |
$57.94 |
| Rate for Payer: Aetna Commercial |
$52.58
|
| Rate for Payer: Aetna Medicare |
$19.94
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$31.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$19.31
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$35.78
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$38.94
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$31.20
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$22.93
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$21.93
|
| Rate for Payer: Cash Price |
$37.38
|
| Rate for Payer: Cash Price |
$37.38
|
| Rate for Payer: Centivo All Commercial |
$33.89
|
| Rate for Payer: Cigna All Commercial |
$53.76
|
| Rate for Payer: CORVEL All Commercial |
$57.94
|
| Rate for Payer: Coventry All Commercial |
$54.82
|
| Rate for Payer: Encore All Commercial |
$57.35
|
| Rate for Payer: Frontpath All Commercial |
$57.32
|
| Rate for Payer: Humana ChoiceCare |
$53.81
|
| Rate for Payer: Humana Medicare |
$19.94
|
| Rate for Payer: Lucent All Commercial |
$33.89
|
| Rate for Payer: Lutheran Preferred All Commercial |
$56.07
|
| Rate for Payer: Managed Health Services Medicaid |
$31.20
|
| Rate for Payer: MDWise Medicaid |
$31.20
|
| Rate for Payer: PHCS All Commercial |
$46.73
|
| Rate for Payer: PHP All Commercial |
$47.25
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$24.30
|
| Rate for Payer: Sagamore Health Network All Products |
$48.10
|
| Rate for Payer: Signature Care EPO |
$51.71
|
| Rate for Payer: Signature Care PPO |
$54.82
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$52.95
|
| Rate for Payer: United Healthcare Commercial |
$49.09
|
| Rate for Payer: United Healthcare Medicare |
$19.94
|
|
|
HC SNARE STD OVAL
|
Facility
|
IP
|
$62.30
|
|
| Hospital Charge Code |
41602044
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$46.73 |
| Max. Negotiated Rate |
$57.94 |
| Rate for Payer: Aetna Commercial |
$53.83
|
| Rate for Payer: Cash Price |
$37.38
|
| Rate for Payer: Cigna All Commercial |
$53.76
|
| Rate for Payer: CORVEL All Commercial |
$57.94
|
| Rate for Payer: Coventry All Commercial |
$54.82
|
| Rate for Payer: Encore All Commercial |
$57.35
|
| Rate for Payer: Frontpath All Commercial |
$57.32
|
| Rate for Payer: Humana ChoiceCare |
$53.81
|
| Rate for Payer: Lutheran Preferred All Commercial |
$56.07
|
| Rate for Payer: PHCS All Commercial |
$46.73
|
| Rate for Payer: PHP All Commercial |
$47.25
|
| Rate for Payer: Sagamore Health Network All Products |
$48.10
|
| Rate for Payer: Signature Care EPO |
$51.71
|
| Rate for Payer: Signature Care PPO |
$54.82
|
| Rate for Payer: United Healthcare Commercial |
$49.09
|
|
|
HC SNARE TRAXTION HEXAGONAL
|
Facility
|
OP
|
$140.00
|
|
| Hospital Charge Code |
41601222
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$31.20 |
| Max. Negotiated Rate |
$130.20 |
| Rate for Payer: Aetna Commercial |
$118.16
|
| Rate for Payer: Aetna Medicare |
$44.80
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$31.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$43.40
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$80.40
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$87.51
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$31.20
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$51.52
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$49.28
|
| Rate for Payer: Cash Price |
$84.00
|
| Rate for Payer: Cash Price |
$84.00
|
| Rate for Payer: Centivo All Commercial |
$76.16
|
| Rate for Payer: Cigna All Commercial |
$120.82
|
| Rate for Payer: CORVEL All Commercial |
$130.20
|
| Rate for Payer: Coventry All Commercial |
$123.20
|
| Rate for Payer: Encore All Commercial |
$128.87
|
| Rate for Payer: Frontpath All Commercial |
$128.80
|
| Rate for Payer: Humana ChoiceCare |
$120.92
|
| Rate for Payer: Humana Medicare |
$44.80
|
| Rate for Payer: Lucent All Commercial |
$76.16
|
| Rate for Payer: Lutheran Preferred All Commercial |
$126.00
|
| Rate for Payer: Managed Health Services Medicaid |
$31.20
|
| Rate for Payer: MDWise Medicaid |
$31.20
|
| Rate for Payer: PHCS All Commercial |
$105.00
|
| Rate for Payer: PHP All Commercial |
$106.18
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$54.60
|
| Rate for Payer: Sagamore Health Network All Products |
$108.08
|
| Rate for Payer: Signature Care EPO |
$116.20
|
| Rate for Payer: Signature Care PPO |
$123.20
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$119.00
|
| Rate for Payer: United Healthcare Commercial |
$110.32
|
| Rate for Payer: United Healthcare Medicare |
$44.80
|
|
|
HC SNARE TRAXTION HEXAGONAL
|
Facility
|
IP
|
$140.00
|
|
| Hospital Charge Code |
41601222
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$105.00 |
| Max. Negotiated Rate |
$130.20 |
| Rate for Payer: Aetna Commercial |
$120.96
|
| Rate for Payer: Cash Price |
$84.00
|
| Rate for Payer: Cigna All Commercial |
$120.82
|
| Rate for Payer: CORVEL All Commercial |
$130.20
|
| Rate for Payer: Coventry All Commercial |
$123.20
|
| Rate for Payer: Encore All Commercial |
$128.87
|
| Rate for Payer: Frontpath All Commercial |
$128.80
|
| Rate for Payer: Humana ChoiceCare |
$120.92
|
| Rate for Payer: Lutheran Preferred All Commercial |
$126.00
|
| Rate for Payer: PHCS All Commercial |
$105.00
|
| Rate for Payer: PHP All Commercial |
$106.18
|
| Rate for Payer: Sagamore Health Network All Products |
$108.08
|
| Rate for Payer: Signature Care EPO |
$116.20
|
| Rate for Payer: Signature Care PPO |
$123.20
|
| Rate for Payer: United Healthcare Commercial |
$110.32
|
|
|
HC SNF ROOM
|
Facility
|
IP
|
$1,538.16
|
|
| Hospital Charge Code |
10010029
|
|
Hospital Revenue Code
|
120
|
| Min. Negotiated Rate |
$1,153.62 |
| Max. Negotiated Rate |
$5,212.20 |
| Rate for Payer: Aetna Commercial |
$1,328.97
|
| Rate for Payer: Aetna Medicare |
$3,066.00
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$3,224.00
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$3,525.90
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$3,372.60
|
| Rate for Payer: Cash Price |
$922.90
|
| Rate for Payer: Cash Price |
$922.90
|
| Rate for Payer: Centivo All Commercial |
$5,212.20
|
| Rate for Payer: Cigna All Commercial |
$1,327.43
|
| Rate for Payer: CORVEL All Commercial |
$1,430.49
|
| Rate for Payer: Coventry All Commercial |
$1,353.58
|
| Rate for Payer: Encore All Commercial |
$1,415.88
|
| Rate for Payer: Frontpath All Commercial |
$1,415.11
|
| Rate for Payer: Humana ChoiceCare |
$1,328.51
|
| Rate for Payer: Humana Medicare |
$3,066.00
|
| Rate for Payer: Lucent All Commercial |
$5,212.20
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,384.34
|
| Rate for Payer: PHCS All Commercial |
$1,153.62
|
| Rate for Payer: PHP All Commercial |
$1,166.54
|
| Rate for Payer: Sagamore Health Network All Products |
$1,187.46
|
| Rate for Payer: Signature Care EPO |
$1,276.67
|
| Rate for Payer: Signature Care PPO |
$1,353.58
|
| Rate for Payer: United Healthcare Commercial |
$1,212.07
|
| Rate for Payer: United Healthcare Medicare |
$3,066.00
|
|
|
HC SN HEWSON SUTURE RETRIEVER
|
Facility
|
OP
|
$983.30
|
|
| Hospital Charge Code |
41603952
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$31.20 |
| Max. Negotiated Rate |
$914.47 |
| Rate for Payer: Aetna Commercial |
$829.91
|
| Rate for Payer: Aetna Medicare |
$314.66
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$31.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$304.82
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$564.71
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$614.66
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$31.20
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$361.85
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$346.12
|
| Rate for Payer: Cash Price |
$589.98
|
| Rate for Payer: Cash Price |
$589.98
|
| Rate for Payer: Centivo All Commercial |
$534.92
|
| Rate for Payer: Cigna All Commercial |
$848.59
|
| Rate for Payer: CORVEL All Commercial |
$914.47
|
| Rate for Payer: Coventry All Commercial |
$865.30
|
| Rate for Payer: Encore All Commercial |
$905.13
|
| Rate for Payer: Frontpath All Commercial |
$904.64
|
| Rate for Payer: Humana ChoiceCare |
$849.28
|
| Rate for Payer: Humana Medicare |
$314.66
|
| Rate for Payer: Lucent All Commercial |
$534.92
|
| Rate for Payer: Lutheran Preferred All Commercial |
$884.97
|
| Rate for Payer: Managed Health Services Medicaid |
$31.20
|
| Rate for Payer: MDWise Medicaid |
$31.20
|
| Rate for Payer: PHCS All Commercial |
$737.48
|
| Rate for Payer: PHP All Commercial |
$745.73
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$383.49
|
| Rate for Payer: Sagamore Health Network All Products |
$759.11
|
| Rate for Payer: Signature Care EPO |
$816.14
|
| Rate for Payer: Signature Care PPO |
$865.30
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$835.80
|
| Rate for Payer: United Healthcare Commercial |
$774.84
|
| Rate for Payer: United Healthcare Medicare |
$314.66
|
|
|
HC SN HEWSON SUTURE RETRIEVER
|
Facility
|
IP
|
$983.30
|
|
| Hospital Charge Code |
41603952
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$737.48 |
| Max. Negotiated Rate |
$914.47 |
| Rate for Payer: Aetna Commercial |
$849.57
|
| Rate for Payer: Cash Price |
$589.98
|
| Rate for Payer: Cigna All Commercial |
$848.59
|
| Rate for Payer: CORVEL All Commercial |
$914.47
|
| Rate for Payer: Coventry All Commercial |
$865.30
|
| Rate for Payer: Encore All Commercial |
$905.13
|
| Rate for Payer: Frontpath All Commercial |
$904.64
|
| Rate for Payer: Humana ChoiceCare |
$849.28
|
| Rate for Payer: Lutheran Preferred All Commercial |
$884.97
|
| Rate for Payer: PHCS All Commercial |
$737.48
|
| Rate for Payer: PHP All Commercial |
$745.73
|
| Rate for Payer: Sagamore Health Network All Products |
$759.11
|
| Rate for Payer: Signature Care EPO |
$816.14
|
| Rate for Payer: Signature Care PPO |
$865.30
|
| Rate for Payer: United Healthcare Commercial |
$774.84
|
|
|
HC SN K WIRE .045 6IN DT
|
Facility
|
IP
|
$420.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603112
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$315.00 |
| Max. Negotiated Rate |
$390.60 |
| Rate for Payer: Aetna Commercial |
$362.88
|
| Rate for Payer: Cash Price |
$252.00
|
| Rate for Payer: Cigna All Commercial |
$362.46
|
| Rate for Payer: CORVEL All Commercial |
$390.60
|
| Rate for Payer: Coventry All Commercial |
$369.60
|
| Rate for Payer: Encore All Commercial |
$386.61
|
| Rate for Payer: Frontpath All Commercial |
$386.40
|
| Rate for Payer: Humana ChoiceCare |
$362.75
|
| Rate for Payer: Lutheran Preferred All Commercial |
$378.00
|
| Rate for Payer: PHCS All Commercial |
$315.00
|
| Rate for Payer: PHP All Commercial |
$318.53
|
| Rate for Payer: Sagamore Health Network All Products |
$324.24
|
| Rate for Payer: Signature Care EPO |
$348.60
|
| Rate for Payer: Signature Care PPO |
$369.60
|
| Rate for Payer: United Healthcare Commercial |
$330.96
|
|
|
HC SN K WIRE .045 6IN DT
|
Facility
|
OP
|
$420.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603112
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$130.20 |
| Max. Negotiated Rate |
$390.60 |
| Rate for Payer: Aetna Commercial |
$354.48
|
| Rate for Payer: Aetna Medicare |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$130.20
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$241.21
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$262.54
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$154.56
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$147.84
|
| Rate for Payer: Cash Price |
$252.00
|
| Rate for Payer: Cash Price |
$252.00
|
| Rate for Payer: Centivo All Commercial |
$228.48
|
| Rate for Payer: Cigna All Commercial |
$362.46
|
| Rate for Payer: CORVEL All Commercial |
$390.60
|
| Rate for Payer: Coventry All Commercial |
$369.60
|
| Rate for Payer: Encore All Commercial |
$386.61
|
| Rate for Payer: Frontpath All Commercial |
$386.40
|
| Rate for Payer: Humana ChoiceCare |
$362.75
|
| Rate for Payer: Humana Medicare |
$134.40
|
| Rate for Payer: Lucent All Commercial |
$228.48
|
| Rate for Payer: Lutheran Preferred All Commercial |
$378.00
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$315.00
|
| Rate for Payer: PHP All Commercial |
$318.53
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$163.80
|
| Rate for Payer: Sagamore Health Network All Products |
$324.24
|
| Rate for Payer: Signature Care EPO |
$348.60
|
| Rate for Payer: Signature Care PPO |
$369.60
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$357.00
|
| Rate for Payer: United Healthcare Commercial |
$330.96
|
| Rate for Payer: United Healthcare Medicare |
$134.40
|
|
|
HC SODIUM
|
Facility
|
OP
|
$78.54
|
|
|
Service Code
|
CPT 84295
|
| Hospital Charge Code |
63001109
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$4.81 |
| Max. Negotiated Rate |
$73.04 |
| Rate for Payer: Aetna Commercial |
$66.29
|
| Rate for Payer: Aetna Medicare |
$25.13
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$4.81
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$24.35
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$36.10
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$36.10
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$4.81
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$28.90
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$27.65
|
| Rate for Payer: Cash Price |
$47.12
|
| Rate for Payer: Cash Price |
$47.12
|
| Rate for Payer: Centivo All Commercial |
$42.73
|
| Rate for Payer: Cigna All Commercial |
$67.78
|
| Rate for Payer: CORVEL All Commercial |
$73.04
|
| Rate for Payer: Coventry All Commercial |
$69.12
|
| Rate for Payer: Encore All Commercial |
$72.30
|
| Rate for Payer: Frontpath All Commercial |
$72.26
|
| Rate for Payer: Humana ChoiceCare |
$67.83
|
| Rate for Payer: Humana Medicare |
$25.13
|
| Rate for Payer: Lucent All Commercial |
$42.73
|
| Rate for Payer: Lutheran Preferred All Commercial |
$70.69
|
| Rate for Payer: Managed Health Services Medicaid |
$4.81
|
| Rate for Payer: MDWise Medicaid |
$4.81
|
| Rate for Payer: PHCS All Commercial |
$58.91
|
| Rate for Payer: PHP All Commercial |
$59.56
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$30.63
|
| Rate for Payer: Sagamore Health Network All Products |
$60.63
|
| Rate for Payer: Signature Care EPO |
$65.19
|
| Rate for Payer: Signature Care PPO |
$69.12
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$66.76
|
| Rate for Payer: United Healthcare Commercial |
$61.89
|
| Rate for Payer: United Healthcare Medicare |
$25.13
|
|
