|
HC PLATE LP STRAIGHT 2.4MM X 7 HOLE
|
Facility
IP
|
$2,752.20
|
|
| Hospital Charge Code |
41601279
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,064.15 |
| Max. Negotiated Rate |
$2,559.55 |
| Rate for Payer: Aetna Commercial |
$2,377.90
|
| Rate for Payer: Cash Price |
$1,706.36
|
| Rate for Payer: Cigna All Commercial |
$2,375.15
|
| Rate for Payer: CORVEL All Commercial |
$2,559.55
|
| Rate for Payer: Coventry All Commercial |
$2,421.94
|
| Rate for Payer: Encore All Commercial |
$2,533.40
|
| Rate for Payer: Frontpath All Commercial |
$2,532.02
|
| Rate for Payer: Humana ChoiceCare |
$2,377.08
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,476.98
|
| Rate for Payer: PHCS All Commercial |
$2,064.15
|
| Rate for Payer: PHP All Commercial |
$2,087.27
|
| Rate for Payer: Sagamore Health Network All Products |
$2,124.70
|
| Rate for Payer: Signature Care EPO |
$2,284.33
|
| Rate for Payer: Signature Care PPO |
$2,421.94
|
| Rate for Payer: United Healthcare Commercial |
$2,168.73
|
|
|
HC PLATE LP STRAIGHT 2.4MM X 7 HOLE
|
Facility
OP
|
$2,752.20
|
|
| Hospital Charge Code |
41601279
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$2,559.55 |
| Rate for Payer: Aetna Commercial |
$2,322.86
|
| Rate for Payer: Aetna Medicare |
$908.23
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$908.23
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,580.59
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,720.40
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,044.46
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$999.05
|
| Rate for Payer: Cash Price |
$1,706.36
|
| Rate for Payer: Cash Price |
$1,706.36
|
| Rate for Payer: Centivo All Commercial |
$1,403.62
|
| Rate for Payer: Cigna All Commercial |
$2,375.15
|
| Rate for Payer: CORVEL All Commercial |
$2,559.55
|
| Rate for Payer: Coventry All Commercial |
$2,421.94
|
| Rate for Payer: Encore All Commercial |
$2,533.40
|
| Rate for Payer: Frontpath All Commercial |
$2,532.02
|
| Rate for Payer: Humana ChoiceCare |
$2,377.08
|
| Rate for Payer: Humana Medicare |
$1,403.62
|
| Rate for Payer: Lucent All Commercial |
$1,403.62
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,476.98
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$2,064.15
|
| Rate for Payer: PHP All Commercial |
$2,087.27
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$1,073.36
|
| Rate for Payer: Sagamore Health Network All Products |
$2,124.70
|
| Rate for Payer: Signature Care EPO |
$2,284.33
|
| Rate for Payer: Signature Care PPO |
$2,421.94
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$2,339.37
|
| Rate for Payer: United Healthcare Commercial |
$2,168.73
|
| Rate for Payer: United Healthcare Medicare |
$908.23
|
|
|
HC PLATE LP STRAIGHT 3.0MM 4 HOLE ACFS
|
Facility
OP
|
$3,168.00
|
|
| Hospital Charge Code |
41601280
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$2,946.24 |
| Rate for Payer: Aetna Commercial |
$2,673.79
|
| Rate for Payer: Aetna Medicare |
$1,045.44
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,045.44
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,819.38
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,980.32
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,202.26
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,149.98
|
| Rate for Payer: Cash Price |
$1,964.16
|
| Rate for Payer: Cash Price |
$1,964.16
|
| Rate for Payer: Centivo All Commercial |
$1,615.68
|
| Rate for Payer: Cigna All Commercial |
$2,733.98
|
| Rate for Payer: CORVEL All Commercial |
$2,946.24
|
| Rate for Payer: Coventry All Commercial |
$2,787.84
|
| Rate for Payer: Encore All Commercial |
$2,916.14
|
| Rate for Payer: Frontpath All Commercial |
$2,914.56
|
| Rate for Payer: Humana ChoiceCare |
$2,736.20
|
| Rate for Payer: Humana Medicare |
$1,615.68
|
| Rate for Payer: Lucent All Commercial |
$1,615.68
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,851.20
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$2,376.00
|
| Rate for Payer: PHP All Commercial |
$2,402.61
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$1,235.52
|
| Rate for Payer: Sagamore Health Network All Products |
$2,445.70
|
| Rate for Payer: Signature Care EPO |
$2,629.44
|
| Rate for Payer: Signature Care PPO |
$2,787.84
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$2,692.80
|
| Rate for Payer: United Healthcare Commercial |
$2,496.38
|
| Rate for Payer: United Healthcare Medicare |
$1,045.44
|
|
|
HC PLATE LP STRAIGHT 3.0MM 4 HOLE ACFS
|
Facility
IP
|
$3,168.00
|
|
| Hospital Charge Code |
41601280
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,376.00 |
| Max. Negotiated Rate |
$2,946.24 |
| Rate for Payer: Aetna Commercial |
$2,737.15
|
| Rate for Payer: Cash Price |
$1,964.16
|
| Rate for Payer: Cigna All Commercial |
$2,733.98
|
| Rate for Payer: CORVEL All Commercial |
$2,946.24
|
| Rate for Payer: Coventry All Commercial |
$2,787.84
|
| Rate for Payer: Encore All Commercial |
$2,916.14
|
| Rate for Payer: Frontpath All Commercial |
$2,914.56
|
| Rate for Payer: Humana ChoiceCare |
$2,736.20
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,851.20
|
| Rate for Payer: PHCS All Commercial |
$2,376.00
|
| Rate for Payer: PHP All Commercial |
$2,402.61
|
| Rate for Payer: Sagamore Health Network All Products |
$2,445.70
|
| Rate for Payer: Signature Care EPO |
$2,629.44
|
| Rate for Payer: Signature Care PPO |
$2,787.84
|
| Rate for Payer: United Healthcare Commercial |
$2,496.38
|
|
|
HC PLATE LP STRAIGHT 3.0MM 5 HOLE ACFS
|
Facility
OP
|
$3,168.00
|
|
| Hospital Charge Code |
41601281
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$2,946.24 |
| Rate for Payer: Aetna Commercial |
$2,673.79
|
| Rate for Payer: Aetna Medicare |
$1,045.44
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,045.44
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,819.38
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,980.32
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,202.26
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,149.98
|
| Rate for Payer: Cash Price |
$1,964.16
|
| Rate for Payer: Cash Price |
$1,964.16
|
| Rate for Payer: Centivo All Commercial |
$1,615.68
|
| Rate for Payer: Cigna All Commercial |
$2,733.98
|
| Rate for Payer: CORVEL All Commercial |
$2,946.24
|
| Rate for Payer: Coventry All Commercial |
$2,787.84
|
| Rate for Payer: Encore All Commercial |
$2,916.14
|
| Rate for Payer: Frontpath All Commercial |
$2,914.56
|
| Rate for Payer: Humana ChoiceCare |
$2,736.20
|
| Rate for Payer: Humana Medicare |
$1,615.68
|
| Rate for Payer: Lucent All Commercial |
$1,615.68
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,851.20
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$2,376.00
|
| Rate for Payer: PHP All Commercial |
$2,402.61
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$1,235.52
|
| Rate for Payer: Sagamore Health Network All Products |
$2,445.70
|
| Rate for Payer: Signature Care EPO |
$2,629.44
|
| Rate for Payer: Signature Care PPO |
$2,787.84
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$2,692.80
|
| Rate for Payer: United Healthcare Commercial |
$2,496.38
|
| Rate for Payer: United Healthcare Medicare |
$1,045.44
|
|
|
HC PLATE LP STRAIGHT 3.0MM 5 HOLE ACFS
|
Facility
IP
|
$3,168.00
|
|
| Hospital Charge Code |
41601281
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,376.00 |
| Max. Negotiated Rate |
$2,946.24 |
| Rate for Payer: Aetna Commercial |
$2,737.15
|
| Rate for Payer: Cash Price |
$1,964.16
|
| Rate for Payer: Cigna All Commercial |
$2,733.98
|
| Rate for Payer: CORVEL All Commercial |
$2,946.24
|
| Rate for Payer: Coventry All Commercial |
$2,787.84
|
| Rate for Payer: Encore All Commercial |
$2,916.14
|
| Rate for Payer: Frontpath All Commercial |
$2,914.56
|
| Rate for Payer: Humana ChoiceCare |
$2,736.20
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,851.20
|
| Rate for Payer: PHCS All Commercial |
$2,376.00
|
| Rate for Payer: PHP All Commercial |
$2,402.61
|
| Rate for Payer: Sagamore Health Network All Products |
$2,445.70
|
| Rate for Payer: Signature Care EPO |
$2,629.44
|
| Rate for Payer: Signature Care PPO |
$2,787.84
|
| Rate for Payer: United Healthcare Commercial |
$2,496.38
|
|
|
HC PLATE LP T 2.4MM X 3 HOLE
|
Facility
OP
|
$2,752.20
|
|
| Hospital Charge Code |
41601282
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$2,559.55 |
| Rate for Payer: Aetna Commercial |
$2,322.86
|
| Rate for Payer: Aetna Medicare |
$908.23
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$908.23
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,580.59
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,720.40
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,044.46
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$999.05
|
| Rate for Payer: Cash Price |
$1,706.36
|
| Rate for Payer: Cash Price |
$1,706.36
|
| Rate for Payer: Centivo All Commercial |
$1,403.62
|
| Rate for Payer: Cigna All Commercial |
$2,375.15
|
| Rate for Payer: CORVEL All Commercial |
$2,559.55
|
| Rate for Payer: Coventry All Commercial |
$2,421.94
|
| Rate for Payer: Encore All Commercial |
$2,533.40
|
| Rate for Payer: Frontpath All Commercial |
$2,532.02
|
| Rate for Payer: Humana ChoiceCare |
$2,377.08
|
| Rate for Payer: Humana Medicare |
$1,403.62
|
| Rate for Payer: Lucent All Commercial |
$1,403.62
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,476.98
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$2,064.15
|
| Rate for Payer: PHP All Commercial |
$2,087.27
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$1,073.36
|
| Rate for Payer: Sagamore Health Network All Products |
$2,124.70
|
| Rate for Payer: Signature Care EPO |
$2,284.33
|
| Rate for Payer: Signature Care PPO |
$2,421.94
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$2,339.37
|
| Rate for Payer: United Healthcare Commercial |
$2,168.73
|
| Rate for Payer: United Healthcare Medicare |
$908.23
|
|
|
HC PLATE LP T 2.4MM X 3 HOLE
|
Facility
IP
|
$2,752.20
|
|
| Hospital Charge Code |
41601282
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,064.15 |
| Max. Negotiated Rate |
$2,559.55 |
| Rate for Payer: Aetna Commercial |
$2,377.90
|
| Rate for Payer: Cash Price |
$1,706.36
|
| Rate for Payer: Cigna All Commercial |
$2,375.15
|
| Rate for Payer: CORVEL All Commercial |
$2,559.55
|
| Rate for Payer: Coventry All Commercial |
$2,421.94
|
| Rate for Payer: Encore All Commercial |
$2,533.40
|
| Rate for Payer: Frontpath All Commercial |
$2,532.02
|
| Rate for Payer: Humana ChoiceCare |
$2,377.08
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,476.98
|
| Rate for Payer: PHCS All Commercial |
$2,064.15
|
| Rate for Payer: PHP All Commercial |
$2,087.27
|
| Rate for Payer: Sagamore Health Network All Products |
$2,124.70
|
| Rate for Payer: Signature Care EPO |
$2,284.33
|
| Rate for Payer: Signature Care PPO |
$2,421.94
|
| Rate for Payer: United Healthcare Commercial |
$2,168.73
|
|
|
HC PLATE LP T 2.4MM X 4 HOLE
|
Facility
IP
|
$2,752.20
|
|
| Hospital Charge Code |
41601283
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,064.15 |
| Max. Negotiated Rate |
$2,559.55 |
| Rate for Payer: Aetna Commercial |
$2,377.90
|
| Rate for Payer: Cash Price |
$1,706.36
|
| Rate for Payer: Cigna All Commercial |
$2,375.15
|
| Rate for Payer: CORVEL All Commercial |
$2,559.55
|
| Rate for Payer: Coventry All Commercial |
$2,421.94
|
| Rate for Payer: Encore All Commercial |
$2,533.40
|
| Rate for Payer: Frontpath All Commercial |
$2,532.02
|
| Rate for Payer: Humana ChoiceCare |
$2,377.08
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,476.98
|
| Rate for Payer: PHCS All Commercial |
$2,064.15
|
| Rate for Payer: PHP All Commercial |
$2,087.27
|
| Rate for Payer: Sagamore Health Network All Products |
$2,124.70
|
| Rate for Payer: Signature Care EPO |
$2,284.33
|
| Rate for Payer: Signature Care PPO |
$2,421.94
|
| Rate for Payer: United Healthcare Commercial |
$2,168.73
|
|
|
HC PLATE LP T 2.4MM X 4 HOLE
|
Facility
OP
|
$2,752.20
|
|
| Hospital Charge Code |
41601283
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$2,559.55 |
| Rate for Payer: Aetna Commercial |
$2,322.86
|
| Rate for Payer: Aetna Medicare |
$908.23
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$908.23
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,580.59
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,720.40
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,044.46
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$999.05
|
| Rate for Payer: Cash Price |
$1,706.36
|
| Rate for Payer: Cash Price |
$1,706.36
|
| Rate for Payer: Centivo All Commercial |
$1,403.62
|
| Rate for Payer: Cigna All Commercial |
$2,375.15
|
| Rate for Payer: CORVEL All Commercial |
$2,559.55
|
| Rate for Payer: Coventry All Commercial |
$2,421.94
|
| Rate for Payer: Encore All Commercial |
$2,533.40
|
| Rate for Payer: Frontpath All Commercial |
$2,532.02
|
| Rate for Payer: Humana ChoiceCare |
$2,377.08
|
| Rate for Payer: Humana Medicare |
$1,403.62
|
| Rate for Payer: Lucent All Commercial |
$1,403.62
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,476.98
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$2,064.15
|
| Rate for Payer: PHP All Commercial |
$2,087.27
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$1,073.36
|
| Rate for Payer: Sagamore Health Network All Products |
$2,124.70
|
| Rate for Payer: Signature Care EPO |
$2,284.33
|
| Rate for Payer: Signature Care PPO |
$2,421.94
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$2,339.37
|
| Rate for Payer: United Healthcare Commercial |
$2,168.73
|
| Rate for Payer: United Healthcare Medicare |
$908.23
|
|
|
HC PLATE LP T 2.4MM X 5 HOLE
|
Facility
IP
|
$2,752.20
|
|
| Hospital Charge Code |
41601284
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,064.15 |
| Max. Negotiated Rate |
$2,559.55 |
| Rate for Payer: Aetna Commercial |
$2,377.90
|
| Rate for Payer: Cash Price |
$1,706.36
|
| Rate for Payer: Cigna All Commercial |
$2,375.15
|
| Rate for Payer: CORVEL All Commercial |
$2,559.55
|
| Rate for Payer: Coventry All Commercial |
$2,421.94
|
| Rate for Payer: Encore All Commercial |
$2,533.40
|
| Rate for Payer: Frontpath All Commercial |
$2,532.02
|
| Rate for Payer: Humana ChoiceCare |
$2,377.08
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,476.98
|
| Rate for Payer: PHCS All Commercial |
$2,064.15
|
| Rate for Payer: PHP All Commercial |
$2,087.27
|
| Rate for Payer: Sagamore Health Network All Products |
$2,124.70
|
| Rate for Payer: Signature Care EPO |
$2,284.33
|
| Rate for Payer: Signature Care PPO |
$2,421.94
|
| Rate for Payer: United Healthcare Commercial |
$2,168.73
|
|
|
HC PLATE LP T 2.4MM X 5 HOLE
|
Facility
OP
|
$2,752.20
|
|
| Hospital Charge Code |
41601284
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$2,559.55 |
| Rate for Payer: Aetna Commercial |
$2,322.86
|
| Rate for Payer: Aetna Medicare |
$908.23
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$908.23
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,580.59
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,720.40
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,044.46
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$999.05
|
| Rate for Payer: Cash Price |
$1,706.36
|
| Rate for Payer: Cash Price |
$1,706.36
|
| Rate for Payer: Centivo All Commercial |
$1,403.62
|
| Rate for Payer: Cigna All Commercial |
$2,375.15
|
| Rate for Payer: CORVEL All Commercial |
$2,559.55
|
| Rate for Payer: Coventry All Commercial |
$2,421.94
|
| Rate for Payer: Encore All Commercial |
$2,533.40
|
| Rate for Payer: Frontpath All Commercial |
$2,532.02
|
| Rate for Payer: Humana ChoiceCare |
$2,377.08
|
| Rate for Payer: Humana Medicare |
$1,403.62
|
| Rate for Payer: Lucent All Commercial |
$1,403.62
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,476.98
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$2,064.15
|
| Rate for Payer: PHP All Commercial |
$2,087.27
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$1,073.36
|
| Rate for Payer: Sagamore Health Network All Products |
$2,124.70
|
| Rate for Payer: Signature Care EPO |
$2,284.33
|
| Rate for Payer: Signature Care PPO |
$2,421.94
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$2,339.37
|
| Rate for Payer: United Healthcare Commercial |
$2,168.73
|
| Rate for Payer: United Healthcare Medicare |
$908.23
|
|
|
HC PLATE LP T 3.0MM 3 HOLE ACFS
|
Facility
IP
|
$3,168.00
|
|
| Hospital Charge Code |
41601285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,376.00 |
| Max. Negotiated Rate |
$2,946.24 |
| Rate for Payer: Aetna Commercial |
$2,737.15
|
| Rate for Payer: Cash Price |
$1,964.16
|
| Rate for Payer: Cigna All Commercial |
$2,733.98
|
| Rate for Payer: CORVEL All Commercial |
$2,946.24
|
| Rate for Payer: Coventry All Commercial |
$2,787.84
|
| Rate for Payer: Encore All Commercial |
$2,916.14
|
| Rate for Payer: Frontpath All Commercial |
$2,914.56
|
| Rate for Payer: Humana ChoiceCare |
$2,736.20
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,851.20
|
| Rate for Payer: PHCS All Commercial |
$2,376.00
|
| Rate for Payer: PHP All Commercial |
$2,402.61
|
| Rate for Payer: Sagamore Health Network All Products |
$2,445.70
|
| Rate for Payer: Signature Care EPO |
$2,629.44
|
| Rate for Payer: Signature Care PPO |
$2,787.84
|
| Rate for Payer: United Healthcare Commercial |
$2,496.38
|
|
|
HC PLATE LP T 3.0MM 3 HOLE ACFS
|
Facility
OP
|
$3,168.00
|
|
| Hospital Charge Code |
41601285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$2,946.24 |
| Rate for Payer: Aetna Commercial |
$2,673.79
|
| Rate for Payer: Aetna Medicare |
$1,045.44
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,045.44
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,819.38
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,980.32
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,202.26
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,149.98
|
| Rate for Payer: Cash Price |
$1,964.16
|
| Rate for Payer: Cash Price |
$1,964.16
|
| Rate for Payer: Centivo All Commercial |
$1,615.68
|
| Rate for Payer: Cigna All Commercial |
$2,733.98
|
| Rate for Payer: CORVEL All Commercial |
$2,946.24
|
| Rate for Payer: Coventry All Commercial |
$2,787.84
|
| Rate for Payer: Encore All Commercial |
$2,916.14
|
| Rate for Payer: Frontpath All Commercial |
$2,914.56
|
| Rate for Payer: Humana ChoiceCare |
$2,736.20
|
| Rate for Payer: Humana Medicare |
$1,615.68
|
| Rate for Payer: Lucent All Commercial |
$1,615.68
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,851.20
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$2,376.00
|
| Rate for Payer: PHP All Commercial |
$2,402.61
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$1,235.52
|
| Rate for Payer: Sagamore Health Network All Products |
$2,445.70
|
| Rate for Payer: Signature Care EPO |
$2,629.44
|
| Rate for Payer: Signature Care PPO |
$2,787.84
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$2,692.80
|
| Rate for Payer: United Healthcare Commercial |
$2,496.38
|
| Rate for Payer: United Healthcare Medicare |
$1,045.44
|
|
|
HC PLATE LP T 3.0MM 4 HOLE ACFS
|
Facility
OP
|
$3,168.00
|
|
| Hospital Charge Code |
41601286
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$2,946.24 |
| Rate for Payer: Aetna Commercial |
$2,673.79
|
| Rate for Payer: Aetna Medicare |
$1,045.44
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,045.44
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,819.38
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,980.32
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,202.26
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,149.98
|
| Rate for Payer: Cash Price |
$1,964.16
|
| Rate for Payer: Cash Price |
$1,964.16
|
| Rate for Payer: Centivo All Commercial |
$1,615.68
|
| Rate for Payer: Cigna All Commercial |
$2,733.98
|
| Rate for Payer: CORVEL All Commercial |
$2,946.24
|
| Rate for Payer: Coventry All Commercial |
$2,787.84
|
| Rate for Payer: Encore All Commercial |
$2,916.14
|
| Rate for Payer: Frontpath All Commercial |
$2,914.56
|
| Rate for Payer: Humana ChoiceCare |
$2,736.20
|
| Rate for Payer: Humana Medicare |
$1,615.68
|
| Rate for Payer: Lucent All Commercial |
$1,615.68
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,851.20
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$2,376.00
|
| Rate for Payer: PHP All Commercial |
$2,402.61
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$1,235.52
|
| Rate for Payer: Sagamore Health Network All Products |
$2,445.70
|
| Rate for Payer: Signature Care EPO |
$2,629.44
|
| Rate for Payer: Signature Care PPO |
$2,787.84
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$2,692.80
|
| Rate for Payer: United Healthcare Commercial |
$2,496.38
|
| Rate for Payer: United Healthcare Medicare |
$1,045.44
|
|
|
HC PLATE LP T 3.0MM 4 HOLE ACFS
|
Facility
IP
|
$3,168.00
|
|
| Hospital Charge Code |
41601286
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,376.00 |
| Max. Negotiated Rate |
$2,946.24 |
| Rate for Payer: Aetna Commercial |
$2,737.15
|
| Rate for Payer: Cash Price |
$1,964.16
|
| Rate for Payer: Cigna All Commercial |
$2,733.98
|
| Rate for Payer: CORVEL All Commercial |
$2,946.24
|
| Rate for Payer: Coventry All Commercial |
$2,787.84
|
| Rate for Payer: Encore All Commercial |
$2,916.14
|
| Rate for Payer: Frontpath All Commercial |
$2,914.56
|
| Rate for Payer: Humana ChoiceCare |
$2,736.20
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,851.20
|
| Rate for Payer: PHCS All Commercial |
$2,376.00
|
| Rate for Payer: PHP All Commercial |
$2,402.61
|
| Rate for Payer: Sagamore Health Network All Products |
$2,445.70
|
| Rate for Payer: Signature Care EPO |
$2,629.44
|
| Rate for Payer: Signature Care PPO |
$2,787.84
|
| Rate for Payer: United Healthcare Commercial |
$2,496.38
|
|
|
HC PLATE MINI STRAIGHT 3 HOLE
|
Facility
IP
|
$382.20
|
|
| Hospital Charge Code |
41601965
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$286.65 |
| Max. Negotiated Rate |
$355.45 |
| Rate for Payer: Aetna Commercial |
$330.22
|
| Rate for Payer: Cash Price |
$236.96
|
| Rate for Payer: Cigna All Commercial |
$329.84
|
| Rate for Payer: CORVEL All Commercial |
$355.45
|
| Rate for Payer: Coventry All Commercial |
$336.34
|
| Rate for Payer: Encore All Commercial |
$351.82
|
| Rate for Payer: Frontpath All Commercial |
$351.62
|
| Rate for Payer: Humana ChoiceCare |
$330.11
|
| Rate for Payer: Lutheran Preferred All Commercial |
$343.98
|
| Rate for Payer: PHCS All Commercial |
$286.65
|
| Rate for Payer: PHP All Commercial |
$289.86
|
| Rate for Payer: Sagamore Health Network All Products |
$295.06
|
| Rate for Payer: Signature Care EPO |
$317.23
|
| Rate for Payer: Signature Care PPO |
$336.34
|
| Rate for Payer: United Healthcare Commercial |
$301.17
|
|
|
HC PLATE MINI STRAIGHT 3 HOLE
|
Facility
OP
|
$382.20
|
|
| Hospital Charge Code |
41601965
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$126.13 |
| Max. Negotiated Rate |
$524.16 |
| Rate for Payer: Aetna Commercial |
$322.58
|
| Rate for Payer: Aetna Medicare |
$126.13
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$126.13
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$219.50
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$238.91
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$145.04
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$138.74
|
| Rate for Payer: Cash Price |
$236.96
|
| Rate for Payer: Cash Price |
$236.96
|
| Rate for Payer: Centivo All Commercial |
$194.92
|
| Rate for Payer: Cigna All Commercial |
$329.84
|
| Rate for Payer: CORVEL All Commercial |
$355.45
|
| Rate for Payer: Coventry All Commercial |
$336.34
|
| Rate for Payer: Encore All Commercial |
$351.82
|
| Rate for Payer: Frontpath All Commercial |
$351.62
|
| Rate for Payer: Humana ChoiceCare |
$330.11
|
| Rate for Payer: Humana Medicare |
$194.92
|
| Rate for Payer: Lucent All Commercial |
$194.92
|
| Rate for Payer: Lutheran Preferred All Commercial |
$343.98
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$286.65
|
| Rate for Payer: PHP All Commercial |
$289.86
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$149.06
|
| Rate for Payer: Sagamore Health Network All Products |
$295.06
|
| Rate for Payer: Signature Care EPO |
$317.23
|
| Rate for Payer: Signature Care PPO |
$336.34
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$324.87
|
| Rate for Payer: United Healthcare Commercial |
$301.17
|
| Rate for Payer: United Healthcare Medicare |
$126.13
|
|
|
HC PLATE MINI STRAIGHT 4 HOLE
|
Facility
IP
|
$419.44
|
|
| Hospital Charge Code |
41601966
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$314.58 |
| Max. Negotiated Rate |
$390.08 |
| Rate for Payer: Aetna Commercial |
$362.40
|
| Rate for Payer: Cash Price |
$260.05
|
| Rate for Payer: Cigna All Commercial |
$361.98
|
| Rate for Payer: CORVEL All Commercial |
$390.08
|
| Rate for Payer: Coventry All Commercial |
$369.11
|
| Rate for Payer: Encore All Commercial |
$386.09
|
| Rate for Payer: Frontpath All Commercial |
$385.88
|
| Rate for Payer: Humana ChoiceCare |
$362.27
|
| Rate for Payer: Lutheran Preferred All Commercial |
$377.50
|
| Rate for Payer: PHCS All Commercial |
$314.58
|
| Rate for Payer: PHP All Commercial |
$318.10
|
| Rate for Payer: Sagamore Health Network All Products |
$323.81
|
| Rate for Payer: Signature Care EPO |
$348.14
|
| Rate for Payer: Signature Care PPO |
$369.11
|
| Rate for Payer: United Healthcare Commercial |
$330.52
|
|
|
HC PLATE MINI STRAIGHT 4 HOLE
|
Facility
OP
|
$419.44
|
|
| Hospital Charge Code |
41601966
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$138.42 |
| Max. Negotiated Rate |
$524.16 |
| Rate for Payer: Aetna Commercial |
$354.01
|
| Rate for Payer: Aetna Medicare |
$138.42
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$138.42
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$240.88
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$262.19
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$159.18
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$152.26
|
| Rate for Payer: Cash Price |
$260.05
|
| Rate for Payer: Cash Price |
$260.05
|
| Rate for Payer: Centivo All Commercial |
$213.91
|
| Rate for Payer: Cigna All Commercial |
$361.98
|
| Rate for Payer: CORVEL All Commercial |
$390.08
|
| Rate for Payer: Coventry All Commercial |
$369.11
|
| Rate for Payer: Encore All Commercial |
$386.09
|
| Rate for Payer: Frontpath All Commercial |
$385.88
|
| Rate for Payer: Humana ChoiceCare |
$362.27
|
| Rate for Payer: Humana Medicare |
$213.91
|
| Rate for Payer: Lucent All Commercial |
$213.91
|
| Rate for Payer: Lutheran Preferred All Commercial |
$377.50
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$314.58
|
| Rate for Payer: PHP All Commercial |
$318.10
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$163.58
|
| Rate for Payer: Sagamore Health Network All Products |
$323.81
|
| Rate for Payer: Signature Care EPO |
$348.14
|
| Rate for Payer: Signature Care PPO |
$369.11
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$356.52
|
| Rate for Payer: United Healthcare Commercial |
$330.52
|
| Rate for Payer: United Healthcare Medicare |
$138.42
|
|
|
HC PLATE MINI STRAIGHT 5 HOLE
|
Facility
OP
|
$438.13
|
|
| Hospital Charge Code |
41601967
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$144.58 |
| Max. Negotiated Rate |
$524.16 |
| Rate for Payer: Aetna Commercial |
$369.78
|
| Rate for Payer: Aetna Medicare |
$144.58
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$144.58
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$251.62
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$273.88
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$166.27
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$159.04
|
| Rate for Payer: Cash Price |
$271.64
|
| Rate for Payer: Cash Price |
$271.64
|
| Rate for Payer: Centivo All Commercial |
$223.45
|
| Rate for Payer: Cigna All Commercial |
$378.11
|
| Rate for Payer: CORVEL All Commercial |
$407.46
|
| Rate for Payer: Coventry All Commercial |
$385.55
|
| Rate for Payer: Encore All Commercial |
$403.30
|
| Rate for Payer: Frontpath All Commercial |
$403.08
|
| Rate for Payer: Humana ChoiceCare |
$378.41
|
| Rate for Payer: Humana Medicare |
$223.45
|
| Rate for Payer: Lucent All Commercial |
$223.45
|
| Rate for Payer: Lutheran Preferred All Commercial |
$394.32
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$328.60
|
| Rate for Payer: PHP All Commercial |
$332.28
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$170.87
|
| Rate for Payer: Sagamore Health Network All Products |
$338.24
|
| Rate for Payer: Signature Care EPO |
$363.65
|
| Rate for Payer: Signature Care PPO |
$385.55
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$372.41
|
| Rate for Payer: United Healthcare Commercial |
$345.25
|
| Rate for Payer: United Healthcare Medicare |
$144.58
|
|
|
HC PLATE MINI STRAIGHT 5 HOLE
|
Facility
IP
|
$438.13
|
|
| Hospital Charge Code |
41601967
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$328.60 |
| Max. Negotiated Rate |
$407.46 |
| Rate for Payer: Aetna Commercial |
$378.54
|
| Rate for Payer: Cash Price |
$271.64
|
| Rate for Payer: Cigna All Commercial |
$378.11
|
| Rate for Payer: CORVEL All Commercial |
$407.46
|
| Rate for Payer: Coventry All Commercial |
$385.55
|
| Rate for Payer: Encore All Commercial |
$403.30
|
| Rate for Payer: Frontpath All Commercial |
$403.08
|
| Rate for Payer: Humana ChoiceCare |
$378.41
|
| Rate for Payer: Lutheran Preferred All Commercial |
$394.32
|
| Rate for Payer: PHCS All Commercial |
$328.60
|
| Rate for Payer: PHP All Commercial |
$332.28
|
| Rate for Payer: Sagamore Health Network All Products |
$338.24
|
| Rate for Payer: Signature Care EPO |
$363.65
|
| Rate for Payer: Signature Care PPO |
$385.55
|
| Rate for Payer: United Healthcare Commercial |
$345.25
|
|
|
HC PLATE OBLIQUE LEFT 4 HOLE
|
Facility
IP
|
$391.51
|
|
| Hospital Charge Code |
41601968
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$293.63 |
| Max. Negotiated Rate |
$364.10 |
| Rate for Payer: Aetna Commercial |
$338.26
|
| Rate for Payer: Cash Price |
$242.74
|
| Rate for Payer: Cigna All Commercial |
$337.87
|
| Rate for Payer: CORVEL All Commercial |
$364.10
|
| Rate for Payer: Coventry All Commercial |
$344.53
|
| Rate for Payer: Encore All Commercial |
$360.38
|
| Rate for Payer: Frontpath All Commercial |
$360.19
|
| Rate for Payer: Humana ChoiceCare |
$338.15
|
| Rate for Payer: Lutheran Preferred All Commercial |
$352.36
|
| Rate for Payer: PHCS All Commercial |
$293.63
|
| Rate for Payer: PHP All Commercial |
$296.92
|
| Rate for Payer: Sagamore Health Network All Products |
$302.25
|
| Rate for Payer: Signature Care EPO |
$324.95
|
| Rate for Payer: Signature Care PPO |
$344.53
|
| Rate for Payer: United Healthcare Commercial |
$308.51
|
|
|
HC PLATE OBLIQUE LEFT 4 HOLE
|
Facility
OP
|
$391.51
|
|
| Hospital Charge Code |
41601968
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$129.20 |
| Max. Negotiated Rate |
$524.16 |
| Rate for Payer: Aetna Commercial |
$330.43
|
| Rate for Payer: Aetna Medicare |
$129.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$129.20
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$224.84
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$244.73
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$148.58
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$142.12
|
| Rate for Payer: Cash Price |
$242.74
|
| Rate for Payer: Cash Price |
$242.74
|
| Rate for Payer: Centivo All Commercial |
$199.67
|
| Rate for Payer: Cigna All Commercial |
$337.87
|
| Rate for Payer: CORVEL All Commercial |
$364.10
|
| Rate for Payer: Coventry All Commercial |
$344.53
|
| Rate for Payer: Encore All Commercial |
$360.38
|
| Rate for Payer: Frontpath All Commercial |
$360.19
|
| Rate for Payer: Humana ChoiceCare |
$338.15
|
| Rate for Payer: Humana Medicare |
$199.67
|
| Rate for Payer: Lucent All Commercial |
$199.67
|
| Rate for Payer: Lutheran Preferred All Commercial |
$352.36
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$293.63
|
| Rate for Payer: PHP All Commercial |
$296.92
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$152.69
|
| Rate for Payer: Sagamore Health Network All Products |
$302.25
|
| Rate for Payer: Signature Care EPO |
$324.95
|
| Rate for Payer: Signature Care PPO |
$344.53
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$332.78
|
| Rate for Payer: United Healthcare Commercial |
$308.51
|
| Rate for Payer: United Healthcare Medicare |
$129.20
|
|
|
HC PLATE OBLIQUE LEFT 5 HOLE
|
Facility
OP
|
$391.51
|
|
| Hospital Charge Code |
41601969
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$129.20 |
| Max. Negotiated Rate |
$524.16 |
| Rate for Payer: Aetna Commercial |
$330.43
|
| Rate for Payer: Aetna Medicare |
$129.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$129.20
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$224.84
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$244.73
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$148.58
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$142.12
|
| Rate for Payer: Cash Price |
$242.74
|
| Rate for Payer: Cash Price |
$242.74
|
| Rate for Payer: Centivo All Commercial |
$199.67
|
| Rate for Payer: Cigna All Commercial |
$337.87
|
| Rate for Payer: CORVEL All Commercial |
$364.10
|
| Rate for Payer: Coventry All Commercial |
$344.53
|
| Rate for Payer: Encore All Commercial |
$360.38
|
| Rate for Payer: Frontpath All Commercial |
$360.19
|
| Rate for Payer: Humana ChoiceCare |
$338.15
|
| Rate for Payer: Humana Medicare |
$199.67
|
| Rate for Payer: Lucent All Commercial |
$199.67
|
| Rate for Payer: Lutheran Preferred All Commercial |
$352.36
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$293.63
|
| Rate for Payer: PHP All Commercial |
$296.92
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$152.69
|
| Rate for Payer: Sagamore Health Network All Products |
$302.25
|
| Rate for Payer: Signature Care EPO |
$324.95
|
| Rate for Payer: Signature Care PPO |
$344.53
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$332.78
|
| Rate for Payer: United Healthcare Commercial |
$308.51
|
| Rate for Payer: United Healthcare Medicare |
$129.20
|
|
