|
HC THER IVNTJ COG FUNCJ CNTCT 1ST 15 MIN - SP
|
Facility
|
OP
|
$180.00
|
|
|
Service Code
|
CPT 97129 GN
|
| Hospital Charge Code |
1747129
|
|
Hospital Revenue Code
|
440
|
| Min. Negotiated Rate |
$47.81 |
| Max. Negotiated Rate |
$167.40 |
| Rate for Payer: Aetna Commercial |
$151.92
|
| Rate for Payer: Aetna Medicare |
$57.60
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$47.81
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$55.80
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$103.37
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$112.52
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$47.81
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$66.24
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$63.36
|
| Rate for Payer: Cash Price |
$108.00
|
| Rate for Payer: Cash Price |
$108.00
|
| Rate for Payer: Centivo All Commercial |
$97.92
|
| Rate for Payer: Cigna All Commercial |
$155.34
|
| Rate for Payer: CORVEL All Commercial |
$167.40
|
| Rate for Payer: Coventry All Commercial |
$158.40
|
| Rate for Payer: Encore All Commercial |
$165.69
|
| Rate for Payer: Frontpath All Commercial |
$165.60
|
| Rate for Payer: Humana ChoiceCare |
$155.47
|
| Rate for Payer: Humana Medicare |
$57.60
|
| Rate for Payer: Lucent All Commercial |
$97.92
|
| Rate for Payer: Lutheran Preferred All Commercial |
$162.00
|
| Rate for Payer: Managed Health Services Medicaid |
$47.81
|
| Rate for Payer: MDWise Medicaid |
$47.81
|
| Rate for Payer: PHCS All Commercial |
$135.00
|
| Rate for Payer: PHP All Commercial |
$136.51
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$70.20
|
| Rate for Payer: Sagamore Health Network All Products |
$138.96
|
| Rate for Payer: Signature Care EPO |
$149.40
|
| Rate for Payer: Signature Care PPO |
$158.40
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$153.00
|
| Rate for Payer: United Healthcare Commercial |
$141.84
|
| Rate for Payer: United Healthcare Medicare |
$57.60
|
|
|
HC THER IVNTJ COG FUNCJ CNTCT 1ST 15 MIN - SP
|
Facility
|
IP
|
$180.00
|
|
|
Service Code
|
CPT 97129 GN
|
| Hospital Charge Code |
1747129
|
|
Hospital Revenue Code
|
440
|
| Min. Negotiated Rate |
$135.00 |
| Max. Negotiated Rate |
$167.40 |
| Rate for Payer: Aetna Commercial |
$155.52
|
| Rate for Payer: Cash Price |
$108.00
|
| Rate for Payer: Cigna All Commercial |
$155.34
|
| Rate for Payer: CORVEL All Commercial |
$167.40
|
| Rate for Payer: Coventry All Commercial |
$158.40
|
| Rate for Payer: Encore All Commercial |
$165.69
|
| Rate for Payer: Frontpath All Commercial |
$165.60
|
| Rate for Payer: Humana ChoiceCare |
$155.47
|
| Rate for Payer: Lutheran Preferred All Commercial |
$162.00
|
| Rate for Payer: PHCS All Commercial |
$135.00
|
| Rate for Payer: PHP All Commercial |
$136.51
|
| Rate for Payer: Sagamore Health Network All Products |
$138.96
|
| Rate for Payer: Signature Care EPO |
$149.40
|
| Rate for Payer: Signature Care PPO |
$158.40
|
| Rate for Payer: United Healthcare Commercial |
$141.84
|
|
|
HC THER IVNTJ COG FUNCJ CNTCT EA ADD'L 15 MIN - OT
|
Facility
|
IP
|
$143.02
|
|
|
Service Code
|
CPT 97130 GO
|
| Hospital Charge Code |
1737130
|
|
Hospital Revenue Code
|
430
|
| Min. Negotiated Rate |
$107.27 |
| Max. Negotiated Rate |
$133.01 |
| Rate for Payer: Aetna Commercial |
$123.57
|
| Rate for Payer: Cash Price |
$85.81
|
| Rate for Payer: Cigna All Commercial |
$123.43
|
| Rate for Payer: CORVEL All Commercial |
$133.01
|
| Rate for Payer: Coventry All Commercial |
$125.86
|
| Rate for Payer: Encore All Commercial |
$131.65
|
| Rate for Payer: Frontpath All Commercial |
$131.58
|
| Rate for Payer: Humana ChoiceCare |
$123.53
|
| Rate for Payer: Lutheran Preferred All Commercial |
$128.72
|
| Rate for Payer: PHCS All Commercial |
$107.27
|
| Rate for Payer: PHP All Commercial |
$108.47
|
| Rate for Payer: Sagamore Health Network All Products |
$110.41
|
| Rate for Payer: Signature Care EPO |
$118.71
|
| Rate for Payer: Signature Care PPO |
$125.86
|
| Rate for Payer: United Healthcare Commercial |
$112.70
|
|
|
HC THER IVNTJ COG FUNCJ CNTCT EA ADD'L 15 MIN - OT
|
Facility
|
OP
|
$143.02
|
|
|
Service Code
|
CPT 97130 GO
|
| Hospital Charge Code |
1737130
|
|
Hospital Revenue Code
|
430
|
| Min. Negotiated Rate |
$44.34 |
| Max. Negotiated Rate |
$133.01 |
| Rate for Payer: Aetna Commercial |
$120.71
|
| Rate for Payer: Aetna Medicare |
$45.77
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$47.81
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$44.34
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$82.14
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$89.40
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$47.81
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$52.63
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$50.34
|
| Rate for Payer: Cash Price |
$85.81
|
| Rate for Payer: Cash Price |
$85.81
|
| Rate for Payer: Centivo All Commercial |
$77.80
|
| Rate for Payer: Cigna All Commercial |
$123.43
|
| Rate for Payer: CORVEL All Commercial |
$133.01
|
| Rate for Payer: Coventry All Commercial |
$125.86
|
| Rate for Payer: Encore All Commercial |
$131.65
|
| Rate for Payer: Frontpath All Commercial |
$131.58
|
| Rate for Payer: Humana ChoiceCare |
$123.53
|
| Rate for Payer: Humana Medicare |
$45.77
|
| Rate for Payer: Lucent All Commercial |
$77.80
|
| Rate for Payer: Lutheran Preferred All Commercial |
$128.72
|
| Rate for Payer: Managed Health Services Medicaid |
$47.81
|
| Rate for Payer: MDWise Medicaid |
$47.81
|
| Rate for Payer: PHCS All Commercial |
$107.27
|
| Rate for Payer: PHP All Commercial |
$108.47
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$55.78
|
| Rate for Payer: Sagamore Health Network All Products |
$110.41
|
| Rate for Payer: Signature Care EPO |
$118.71
|
| Rate for Payer: Signature Care PPO |
$125.86
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$121.57
|
| Rate for Payer: United Healthcare Commercial |
$112.70
|
| Rate for Payer: United Healthcare Medicare |
$45.77
|
|
|
HC THER IVNTJ COG FUNCJ CNTCT EA ADD'L 15 MIN - SP
|
Facility
|
OP
|
$112.00
|
|
|
Service Code
|
CPT 97130 GN
|
| Hospital Charge Code |
1747130
|
|
Hospital Revenue Code
|
440
|
| Min. Negotiated Rate |
$34.72 |
| Max. Negotiated Rate |
$104.16 |
| Rate for Payer: Aetna Commercial |
$94.53
|
| Rate for Payer: Aetna Medicare |
$35.84
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$47.81
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$34.72
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$64.32
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$70.01
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$47.81
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$41.22
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$39.42
|
| Rate for Payer: Cash Price |
$67.20
|
| Rate for Payer: Cash Price |
$67.20
|
| Rate for Payer: Centivo All Commercial |
$60.93
|
| Rate for Payer: Cigna All Commercial |
$96.66
|
| Rate for Payer: CORVEL All Commercial |
$104.16
|
| Rate for Payer: Coventry All Commercial |
$98.56
|
| Rate for Payer: Encore All Commercial |
$103.10
|
| Rate for Payer: Frontpath All Commercial |
$103.04
|
| Rate for Payer: Humana ChoiceCare |
$96.73
|
| Rate for Payer: Humana Medicare |
$35.84
|
| Rate for Payer: Lucent All Commercial |
$60.93
|
| Rate for Payer: Lutheran Preferred All Commercial |
$100.80
|
| Rate for Payer: Managed Health Services Medicaid |
$47.81
|
| Rate for Payer: MDWise Medicaid |
$47.81
|
| Rate for Payer: PHCS All Commercial |
$84.00
|
| Rate for Payer: PHP All Commercial |
$84.94
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$43.68
|
| Rate for Payer: Sagamore Health Network All Products |
$86.46
|
| Rate for Payer: Signature Care EPO |
$92.96
|
| Rate for Payer: Signature Care PPO |
$98.56
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$95.20
|
| Rate for Payer: United Healthcare Commercial |
$88.26
|
| Rate for Payer: United Healthcare Medicare |
$35.84
|
|
|
HC THER IVNTJ COG FUNCJ CNTCT EA ADD'L 15 MIN - SP
|
Facility
|
IP
|
$112.00
|
|
|
Service Code
|
CPT 97130 GN
|
| Hospital Charge Code |
1747130
|
|
Hospital Revenue Code
|
440
|
| Min. Negotiated Rate |
$84.00 |
| Max. Negotiated Rate |
$104.16 |
| Rate for Payer: Aetna Commercial |
$96.77
|
| Rate for Payer: Cash Price |
$67.20
|
| Rate for Payer: Cigna All Commercial |
$96.66
|
| Rate for Payer: CORVEL All Commercial |
$104.16
|
| Rate for Payer: Coventry All Commercial |
$98.56
|
| Rate for Payer: Encore All Commercial |
$103.10
|
| Rate for Payer: Frontpath All Commercial |
$103.04
|
| Rate for Payer: Humana ChoiceCare |
$96.73
|
| Rate for Payer: Lutheran Preferred All Commercial |
$100.80
|
| Rate for Payer: PHCS All Commercial |
$84.00
|
| Rate for Payer: PHP All Commercial |
$84.94
|
| Rate for Payer: Sagamore Health Network All Products |
$86.46
|
| Rate for Payer: Signature Care EPO |
$92.96
|
| Rate for Payer: Signature Care PPO |
$98.56
|
| Rate for Payer: United Healthcare Commercial |
$88.26
|
|
|
HC THER PROC GROUP-RESP FUNCTION
|
Facility
|
IP
|
$258.28
|
|
|
Service Code
|
CPT G0239
|
| Hospital Charge Code |
1600239
|
|
Hospital Revenue Code
|
410
|
| Min. Negotiated Rate |
$193.71 |
| Max. Negotiated Rate |
$240.20 |
| Rate for Payer: Aetna Commercial |
$223.15
|
| Rate for Payer: Cash Price |
$154.97
|
| Rate for Payer: Cigna All Commercial |
$222.90
|
| Rate for Payer: CORVEL All Commercial |
$240.20
|
| Rate for Payer: Coventry All Commercial |
$227.29
|
| Rate for Payer: Encore All Commercial |
$237.75
|
| Rate for Payer: Frontpath All Commercial |
$237.62
|
| Rate for Payer: Humana ChoiceCare |
$223.08
|
| Rate for Payer: Lutheran Preferred All Commercial |
$232.45
|
| Rate for Payer: PHCS All Commercial |
$193.71
|
| Rate for Payer: PHP All Commercial |
$195.88
|
| Rate for Payer: Sagamore Health Network All Products |
$199.39
|
| Rate for Payer: Signature Care EPO |
$214.37
|
| Rate for Payer: Signature Care PPO |
$227.29
|
| Rate for Payer: United Healthcare Commercial |
$203.52
|
|
|
HC THER PROC GROUP-RESP FUNCTION
|
Facility
|
OP
|
$258.28
|
|
|
Service Code
|
CPT G0239
|
| Hospital Charge Code |
1600239
|
|
Hospital Revenue Code
|
410
|
| Min. Negotiated Rate |
$6.37 |
| Max. Negotiated Rate |
$240.20 |
| Rate for Payer: Aetna Commercial |
$217.99
|
| Rate for Payer: Aetna Medicare |
$82.65
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$6.37
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$80.07
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$148.33
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$161.45
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$6.37
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$95.05
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$90.91
|
| Rate for Payer: Cash Price |
$154.97
|
| Rate for Payer: Cash Price |
$154.97
|
| Rate for Payer: Centivo All Commercial |
$140.50
|
| Rate for Payer: Cigna All Commercial |
$222.90
|
| Rate for Payer: CORVEL All Commercial |
$240.20
|
| Rate for Payer: Coventry All Commercial |
$227.29
|
| Rate for Payer: Encore All Commercial |
$237.75
|
| Rate for Payer: Frontpath All Commercial |
$237.62
|
| Rate for Payer: Humana ChoiceCare |
$223.08
|
| Rate for Payer: Humana Medicare |
$82.65
|
| Rate for Payer: Lucent All Commercial |
$140.50
|
| Rate for Payer: Lutheran Preferred All Commercial |
$232.45
|
| Rate for Payer: Managed Health Services Medicaid |
$6.37
|
| Rate for Payer: MDWise Medicaid |
$6.37
|
| Rate for Payer: PHCS All Commercial |
$193.71
|
| Rate for Payer: PHP All Commercial |
$195.88
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$100.73
|
| Rate for Payer: Sagamore Health Network All Products |
$199.39
|
| Rate for Payer: Signature Care EPO |
$214.37
|
| Rate for Payer: Signature Care PPO |
$227.29
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$219.54
|
| Rate for Payer: United Healthcare Commercial |
$203.52
|
| Rate for Payer: United Healthcare Medicare |
$82.65
|
|
|
HC THER PROC-STRNGTH/ENDUR/15 MIN
|
Facility
|
OP
|
$238.68
|
|
|
Service Code
|
CPT G0237
|
| Hospital Charge Code |
1600237
|
|
Hospital Revenue Code
|
410
|
| Min. Negotiated Rate |
$6.37 |
| Max. Negotiated Rate |
$221.97 |
| Rate for Payer: Aetna Commercial |
$201.45
|
| Rate for Payer: Aetna Medicare |
$76.38
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$6.37
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$73.99
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$137.07
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$149.20
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$6.37
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$87.83
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$84.02
|
| Rate for Payer: Cash Price |
$143.21
|
| Rate for Payer: Cash Price |
$143.21
|
| Rate for Payer: Centivo All Commercial |
$129.84
|
| Rate for Payer: Cigna All Commercial |
$205.98
|
| Rate for Payer: CORVEL All Commercial |
$221.97
|
| Rate for Payer: Coventry All Commercial |
$210.04
|
| Rate for Payer: Encore All Commercial |
$219.70
|
| Rate for Payer: Frontpath All Commercial |
$219.59
|
| Rate for Payer: Humana ChoiceCare |
$206.15
|
| Rate for Payer: Humana Medicare |
$76.38
|
| Rate for Payer: Lucent All Commercial |
$129.84
|
| Rate for Payer: Lutheran Preferred All Commercial |
$214.81
|
| Rate for Payer: Managed Health Services Medicaid |
$6.37
|
| Rate for Payer: MDWise Medicaid |
$6.37
|
| Rate for Payer: PHCS All Commercial |
$179.01
|
| Rate for Payer: PHP All Commercial |
$181.01
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$93.09
|
| Rate for Payer: Sagamore Health Network All Products |
$184.26
|
| Rate for Payer: Signature Care EPO |
$198.10
|
| Rate for Payer: Signature Care PPO |
$210.04
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$202.88
|
| Rate for Payer: United Healthcare Commercial |
$188.08
|
| Rate for Payer: United Healthcare Medicare |
$76.38
|
|
|
HC THER PROC-STRNGTH/ENDUR/15 MIN
|
Facility
|
IP
|
$238.68
|
|
|
Service Code
|
CPT G0237
|
| Hospital Charge Code |
1600237
|
|
Hospital Revenue Code
|
410
|
| Min. Negotiated Rate |
$179.01 |
| Max. Negotiated Rate |
$221.97 |
| Rate for Payer: Aetna Commercial |
$206.22
|
| Rate for Payer: Cash Price |
$143.21
|
| Rate for Payer: Cigna All Commercial |
$205.98
|
| Rate for Payer: CORVEL All Commercial |
$221.97
|
| Rate for Payer: Coventry All Commercial |
$210.04
|
| Rate for Payer: Encore All Commercial |
$219.70
|
| Rate for Payer: Frontpath All Commercial |
$219.59
|
| Rate for Payer: Humana ChoiceCare |
$206.15
|
| Rate for Payer: Lutheran Preferred All Commercial |
$214.81
|
| Rate for Payer: PHCS All Commercial |
$179.01
|
| Rate for Payer: PHP All Commercial |
$181.01
|
| Rate for Payer: Sagamore Health Network All Products |
$184.26
|
| Rate for Payer: Signature Care EPO |
$198.10
|
| Rate for Payer: Signature Care PPO |
$210.04
|
| Rate for Payer: United Healthcare Commercial |
$188.08
|
|
|
HC THIN PREP-NON-GYN +INTERP
|
Facility
|
IP
|
$197.15
|
|
|
Service Code
|
CPT 88112 59
|
| Hospital Charge Code |
63002154
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$147.86 |
| Max. Negotiated Rate |
$183.35 |
| Rate for Payer: Aetna Commercial |
$170.34
|
| Rate for Payer: Cash Price |
$118.29
|
| Rate for Payer: Cigna All Commercial |
$170.14
|
| Rate for Payer: CORVEL All Commercial |
$183.35
|
| Rate for Payer: Coventry All Commercial |
$173.49
|
| Rate for Payer: Encore All Commercial |
$181.48
|
| Rate for Payer: Frontpath All Commercial |
$181.38
|
| Rate for Payer: Humana ChoiceCare |
$170.28
|
| Rate for Payer: Lutheran Preferred All Commercial |
$177.44
|
| Rate for Payer: PHCS All Commercial |
$147.86
|
| Rate for Payer: PHP All Commercial |
$149.52
|
| Rate for Payer: Sagamore Health Network All Products |
$152.20
|
| Rate for Payer: Signature Care EPO |
$163.63
|
| Rate for Payer: Signature Care PPO |
$173.49
|
| Rate for Payer: United Healthcare Commercial |
$155.35
|
|
|
HC THIN PREP-NON-GYN +INTERP
|
Facility
|
OP
|
$197.15
|
|
|
Service Code
|
CPT 88112 59
|
| Hospital Charge Code |
63002154
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$38.87 |
| Max. Negotiated Rate |
$183.35 |
| Rate for Payer: Aetna Commercial |
$166.39
|
| Rate for Payer: Aetna Medicare |
$63.09
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$38.87
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$61.12
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$90.61
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$90.61
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$38.87
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$72.55
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$69.40
|
| Rate for Payer: Cash Price |
$118.29
|
| Rate for Payer: Cash Price |
$118.29
|
| Rate for Payer: Centivo All Commercial |
$107.25
|
| Rate for Payer: Cigna All Commercial |
$170.14
|
| Rate for Payer: CORVEL All Commercial |
$183.35
|
| Rate for Payer: Coventry All Commercial |
$173.49
|
| Rate for Payer: Encore All Commercial |
$181.48
|
| Rate for Payer: Frontpath All Commercial |
$181.38
|
| Rate for Payer: Humana ChoiceCare |
$170.28
|
| Rate for Payer: Humana Medicare |
$63.09
|
| Rate for Payer: Lucent All Commercial |
$107.25
|
| Rate for Payer: Lutheran Preferred All Commercial |
$177.44
|
| Rate for Payer: Managed Health Services Medicaid |
$38.87
|
| Rate for Payer: MDWise Medicaid |
$38.87
|
| Rate for Payer: PHCS All Commercial |
$147.86
|
| Rate for Payer: PHP All Commercial |
$149.52
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$76.89
|
| Rate for Payer: Sagamore Health Network All Products |
$152.20
|
| Rate for Payer: Signature Care EPO |
$163.63
|
| Rate for Payer: Signature Care PPO |
$173.49
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$167.58
|
| Rate for Payer: United Healthcare Commercial |
$155.35
|
| Rate for Payer: United Healthcare Medicare |
$63.09
|
|
|
HC THIN PREP-NON-GYN PATH +INTERP
|
Facility
|
IP
|
$197.15
|
|
|
Service Code
|
CPT 88112
|
| Hospital Charge Code |
63002060
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$147.86 |
| Max. Negotiated Rate |
$183.35 |
| Rate for Payer: Aetna Commercial |
$170.34
|
| Rate for Payer: Cash Price |
$118.29
|
| Rate for Payer: Cigna All Commercial |
$170.14
|
| Rate for Payer: CORVEL All Commercial |
$183.35
|
| Rate for Payer: Coventry All Commercial |
$173.49
|
| Rate for Payer: Encore All Commercial |
$181.48
|
| Rate for Payer: Frontpath All Commercial |
$181.38
|
| Rate for Payer: Humana ChoiceCare |
$170.28
|
| Rate for Payer: Lutheran Preferred All Commercial |
$177.44
|
| Rate for Payer: PHCS All Commercial |
$147.86
|
| Rate for Payer: PHP All Commercial |
$149.52
|
| Rate for Payer: Sagamore Health Network All Products |
$152.20
|
| Rate for Payer: Signature Care EPO |
$163.63
|
| Rate for Payer: Signature Care PPO |
$173.49
|
| Rate for Payer: United Healthcare Commercial |
$155.35
|
|
|
HC THIN PREP-NON-GYN PATH +INTERP
|
Facility
|
OP
|
$197.15
|
|
|
Service Code
|
CPT 88112
|
| Hospital Charge Code |
63002060
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$38.87 |
| Max. Negotiated Rate |
$183.35 |
| Rate for Payer: Aetna Commercial |
$166.39
|
| Rate for Payer: Aetna Medicare |
$63.09
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$38.87
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$61.12
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$90.61
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$90.61
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$38.87
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$72.55
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$69.40
|
| Rate for Payer: Cash Price |
$118.29
|
| Rate for Payer: Cash Price |
$118.29
|
| Rate for Payer: Centivo All Commercial |
$107.25
|
| Rate for Payer: Cigna All Commercial |
$170.14
|
| Rate for Payer: CORVEL All Commercial |
$183.35
|
| Rate for Payer: Coventry All Commercial |
$173.49
|
| Rate for Payer: Encore All Commercial |
$181.48
|
| Rate for Payer: Frontpath All Commercial |
$181.38
|
| Rate for Payer: Humana ChoiceCare |
$170.28
|
| Rate for Payer: Humana Medicare |
$63.09
|
| Rate for Payer: Lucent All Commercial |
$107.25
|
| Rate for Payer: Lutheran Preferred All Commercial |
$177.44
|
| Rate for Payer: Managed Health Services Medicaid |
$38.87
|
| Rate for Payer: MDWise Medicaid |
$38.87
|
| Rate for Payer: PHCS All Commercial |
$147.86
|
| Rate for Payer: PHP All Commercial |
$149.52
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$76.89
|
| Rate for Payer: Sagamore Health Network All Products |
$152.20
|
| Rate for Payer: Signature Care EPO |
$163.63
|
| Rate for Payer: Signature Care PPO |
$173.49
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$167.58
|
| Rate for Payer: United Healthcare Commercial |
$155.35
|
| Rate for Payer: United Healthcare Medicare |
$63.09
|
|
|
HC THORACENTESIS W/ IMAGING
|
Facility
|
IP
|
$1,562.05
|
|
|
Service Code
|
CPT 32555
|
| Hospital Charge Code |
1642555
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,171.54 |
| Max. Negotiated Rate |
$1,452.71 |
| Rate for Payer: Aetna Commercial |
$1,349.61
|
| Rate for Payer: Cash Price |
$937.23
|
| Rate for Payer: Cigna All Commercial |
$1,348.05
|
| Rate for Payer: CORVEL All Commercial |
$1,452.71
|
| Rate for Payer: Coventry All Commercial |
$1,374.60
|
| Rate for Payer: Encore All Commercial |
$1,437.87
|
| Rate for Payer: Frontpath All Commercial |
$1,437.09
|
| Rate for Payer: Humana ChoiceCare |
$1,349.14
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,405.85
|
| Rate for Payer: PHCS All Commercial |
$1,171.54
|
| Rate for Payer: PHP All Commercial |
$1,184.66
|
| Rate for Payer: Sagamore Health Network All Products |
$1,205.90
|
| Rate for Payer: Signature Care EPO |
$1,296.50
|
| Rate for Payer: Signature Care PPO |
$1,374.60
|
| Rate for Payer: United Healthcare Commercial |
$1,230.90
|
|
|
HC THORACENTESIS W/ IMAGING
|
Facility
|
OP
|
$1,562.05
|
|
|
Service Code
|
CPT 32555
|
| Hospital Charge Code |
1642555
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$329.12 |
| Max. Negotiated Rate |
$1,452.71 |
| Rate for Payer: Aetna Commercial |
$1,318.37
|
| Rate for Payer: Aetna Medicare |
$499.86
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$329.12
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$484.24
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$897.09
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$976.44
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$329.12
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$574.83
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$549.84
|
| Rate for Payer: Cash Price |
$937.23
|
| Rate for Payer: Cash Price |
$937.23
|
| Rate for Payer: Centivo All Commercial |
$849.76
|
| Rate for Payer: Cigna All Commercial |
$1,348.05
|
| Rate for Payer: CORVEL All Commercial |
$1,452.71
|
| Rate for Payer: Coventry All Commercial |
$1,374.60
|
| Rate for Payer: Encore All Commercial |
$1,437.87
|
| Rate for Payer: Frontpath All Commercial |
$1,437.09
|
| Rate for Payer: Humana ChoiceCare |
$1,349.14
|
| Rate for Payer: Humana Medicare |
$499.86
|
| Rate for Payer: Lucent All Commercial |
$849.76
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,405.85
|
| Rate for Payer: Managed Health Services Medicaid |
$329.12
|
| Rate for Payer: MDWise Medicaid |
$329.12
|
| Rate for Payer: PHCS All Commercial |
$1,171.54
|
| Rate for Payer: PHP All Commercial |
$1,184.66
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$609.20
|
| Rate for Payer: Sagamore Health Network All Products |
$1,205.90
|
| Rate for Payer: Signature Care EPO |
$1,296.50
|
| Rate for Payer: Signature Care PPO |
$1,374.60
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,327.74
|
| Rate for Payer: United Healthcare Commercial |
$1,230.90
|
| Rate for Payer: United Healthcare Medicare |
$499.86
|
|
|
HC THORACENTESIS W/IMAGING BS
|
Facility
|
IP
|
$1,680.04
|
|
|
Service Code
|
CPT 32555
|
| Hospital Charge Code |
1684005
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,260.03 |
| Max. Negotiated Rate |
$1,562.44 |
| Rate for Payer: Aetna Commercial |
$1,451.55
|
| Rate for Payer: Cash Price |
$1,008.02
|
| Rate for Payer: Cigna All Commercial |
$1,449.87
|
| Rate for Payer: CORVEL All Commercial |
$1,562.44
|
| Rate for Payer: Coventry All Commercial |
$1,478.44
|
| Rate for Payer: Encore All Commercial |
$1,546.48
|
| Rate for Payer: Frontpath All Commercial |
$1,545.64
|
| Rate for Payer: Humana ChoiceCare |
$1,451.05
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,512.04
|
| Rate for Payer: PHCS All Commercial |
$1,260.03
|
| Rate for Payer: PHP All Commercial |
$1,274.14
|
| Rate for Payer: Sagamore Health Network All Products |
$1,296.99
|
| Rate for Payer: Signature Care EPO |
$1,394.43
|
| Rate for Payer: Signature Care PPO |
$1,478.44
|
| Rate for Payer: United Healthcare Commercial |
$1,323.87
|
|
|
HC THORACENTESIS W/IMAGING BS
|
Facility
|
OP
|
$1,680.04
|
|
|
Service Code
|
CPT 32555
|
| Hospital Charge Code |
1684005
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$329.12 |
| Max. Negotiated Rate |
$1,562.44 |
| Rate for Payer: Aetna Commercial |
$1,417.95
|
| Rate for Payer: Aetna Medicare |
$537.61
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$329.12
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$520.81
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$964.85
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,050.19
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$329.12
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$618.25
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$591.37
|
| Rate for Payer: Cash Price |
$1,008.02
|
| Rate for Payer: Cash Price |
$1,008.02
|
| Rate for Payer: Centivo All Commercial |
$913.94
|
| Rate for Payer: Cigna All Commercial |
$1,449.87
|
| Rate for Payer: CORVEL All Commercial |
$1,562.44
|
| Rate for Payer: Coventry All Commercial |
$1,478.44
|
| Rate for Payer: Encore All Commercial |
$1,546.48
|
| Rate for Payer: Frontpath All Commercial |
$1,545.64
|
| Rate for Payer: Humana ChoiceCare |
$1,451.05
|
| Rate for Payer: Humana Medicare |
$537.61
|
| Rate for Payer: Lucent All Commercial |
$913.94
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,512.04
|
| Rate for Payer: Managed Health Services Medicaid |
$329.12
|
| Rate for Payer: MDWise Medicaid |
$329.12
|
| Rate for Payer: PHCS All Commercial |
$1,260.03
|
| Rate for Payer: PHP All Commercial |
$1,274.14
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$655.22
|
| Rate for Payer: Sagamore Health Network All Products |
$1,296.99
|
| Rate for Payer: Signature Care EPO |
$1,394.43
|
| Rate for Payer: Signature Care PPO |
$1,478.44
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,428.03
|
| Rate for Payer: United Healthcare Commercial |
$1,323.87
|
| Rate for Payer: United Healthcare Medicare |
$537.61
|
|
|
HC THROAT CULTURE
|
Facility
|
IP
|
$218.24
|
|
|
Service Code
|
CPT 87070
|
| Hospital Charge Code |
63001995
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$163.68 |
| Max. Negotiated Rate |
$202.96 |
| Rate for Payer: Aetna Commercial |
$188.56
|
| Rate for Payer: Cash Price |
$130.94
|
| Rate for Payer: Cigna All Commercial |
$188.34
|
| Rate for Payer: CORVEL All Commercial |
$202.96
|
| Rate for Payer: Coventry All Commercial |
$192.05
|
| Rate for Payer: Encore All Commercial |
$200.89
|
| Rate for Payer: Frontpath All Commercial |
$200.78
|
| Rate for Payer: Humana ChoiceCare |
$188.49
|
| Rate for Payer: Lutheran Preferred All Commercial |
$196.42
|
| Rate for Payer: PHCS All Commercial |
$163.68
|
| Rate for Payer: PHP All Commercial |
$165.51
|
| Rate for Payer: Sagamore Health Network All Products |
$168.48
|
| Rate for Payer: Signature Care EPO |
$181.14
|
| Rate for Payer: Signature Care PPO |
$192.05
|
| Rate for Payer: United Healthcare Commercial |
$171.97
|
|
|
HC THROAT CULTURE
|
Facility
|
OP
|
$218.24
|
|
|
Service Code
|
CPT 87070
|
| Hospital Charge Code |
63001995
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$8.62 |
| Max. Negotiated Rate |
$202.96 |
| Rate for Payer: Aetna Commercial |
$184.19
|
| Rate for Payer: Aetna Medicare |
$69.84
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$8.62
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$67.65
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$100.30
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$100.30
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$8.62
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$80.31
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$76.82
|
| Rate for Payer: Cash Price |
$130.94
|
| Rate for Payer: Cash Price |
$130.94
|
| Rate for Payer: Centivo All Commercial |
$118.72
|
| Rate for Payer: Cigna All Commercial |
$188.34
|
| Rate for Payer: CORVEL All Commercial |
$202.96
|
| Rate for Payer: Coventry All Commercial |
$192.05
|
| Rate for Payer: Encore All Commercial |
$200.89
|
| Rate for Payer: Frontpath All Commercial |
$200.78
|
| Rate for Payer: Humana ChoiceCare |
$188.49
|
| Rate for Payer: Humana Medicare |
$69.84
|
| Rate for Payer: Lucent All Commercial |
$118.72
|
| Rate for Payer: Lutheran Preferred All Commercial |
$196.42
|
| Rate for Payer: Managed Health Services Medicaid |
$8.62
|
| Rate for Payer: MDWise Medicaid |
$8.62
|
| Rate for Payer: PHCS All Commercial |
$163.68
|
| Rate for Payer: PHP All Commercial |
$165.51
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$85.11
|
| Rate for Payer: Sagamore Health Network All Products |
$168.48
|
| Rate for Payer: Signature Care EPO |
$181.14
|
| Rate for Payer: Signature Care PPO |
$192.05
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$185.50
|
| Rate for Payer: United Healthcare Commercial |
$171.97
|
| Rate for Payer: United Healthcare Medicare |
$69.84
|
|
|
HC THROMBIN CLOTTING TIME
|
Facility
|
OP
|
$312.46
|
|
|
Service Code
|
CPT 85670
|
| Hospital Charge Code |
63001754
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$5.77 |
| Max. Negotiated Rate |
$290.59 |
| Rate for Payer: Aetna Commercial |
$263.72
|
| Rate for Payer: Aetna Medicare |
$99.99
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$5.77
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$96.86
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$143.61
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$143.61
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$5.77
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$114.99
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$109.99
|
| Rate for Payer: Cash Price |
$187.48
|
| Rate for Payer: Cash Price |
$187.48
|
| Rate for Payer: Centivo All Commercial |
$169.98
|
| Rate for Payer: Cigna All Commercial |
$269.65
|
| Rate for Payer: CORVEL All Commercial |
$290.59
|
| Rate for Payer: Coventry All Commercial |
$274.96
|
| Rate for Payer: Encore All Commercial |
$287.62
|
| Rate for Payer: Frontpath All Commercial |
$287.46
|
| Rate for Payer: Humana ChoiceCare |
$269.87
|
| Rate for Payer: Humana Medicare |
$99.99
|
| Rate for Payer: Lucent All Commercial |
$169.98
|
| Rate for Payer: Lutheran Preferred All Commercial |
$281.21
|
| Rate for Payer: Managed Health Services Medicaid |
$5.77
|
| Rate for Payer: MDWise Medicaid |
$5.77
|
| Rate for Payer: PHCS All Commercial |
$234.34
|
| Rate for Payer: PHP All Commercial |
$236.97
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$121.86
|
| Rate for Payer: Sagamore Health Network All Products |
$241.22
|
| Rate for Payer: Signature Care EPO |
$259.34
|
| Rate for Payer: Signature Care PPO |
$274.96
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$265.59
|
| Rate for Payer: United Healthcare Commercial |
$246.22
|
| Rate for Payer: United Healthcare Medicare |
$99.99
|
|
|
HC THROMBIN CLOTTING TIME
|
Facility
|
IP
|
$312.46
|
|
|
Service Code
|
CPT 85670
|
| Hospital Charge Code |
63001754
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$234.34 |
| Max. Negotiated Rate |
$290.59 |
| Rate for Payer: Aetna Commercial |
$269.97
|
| Rate for Payer: Cash Price |
$187.48
|
| Rate for Payer: Cigna All Commercial |
$269.65
|
| Rate for Payer: CORVEL All Commercial |
$290.59
|
| Rate for Payer: Coventry All Commercial |
$274.96
|
| Rate for Payer: Encore All Commercial |
$287.62
|
| Rate for Payer: Frontpath All Commercial |
$287.46
|
| Rate for Payer: Humana ChoiceCare |
$269.87
|
| Rate for Payer: Lutheran Preferred All Commercial |
$281.21
|
| Rate for Payer: PHCS All Commercial |
$234.34
|
| Rate for Payer: PHP All Commercial |
$236.97
|
| Rate for Payer: Sagamore Health Network All Products |
$241.22
|
| Rate for Payer: Signature Care EPO |
$259.34
|
| Rate for Payer: Signature Care PPO |
$274.96
|
| Rate for Payer: United Healthcare Commercial |
$246.22
|
|
|
HC THROMBO INHIBITION
|
Facility
|
IP
|
$175.48
|
|
|
Service Code
|
CPT 85705
|
| Hospital Charge Code |
63001755
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$131.61 |
| Max. Negotiated Rate |
$163.20 |
| Rate for Payer: Aetna Commercial |
$151.61
|
| Rate for Payer: Cash Price |
$105.29
|
| Rate for Payer: Cigna All Commercial |
$151.44
|
| Rate for Payer: CORVEL All Commercial |
$163.20
|
| Rate for Payer: Coventry All Commercial |
$154.42
|
| Rate for Payer: Encore All Commercial |
$161.53
|
| Rate for Payer: Frontpath All Commercial |
$161.44
|
| Rate for Payer: Humana ChoiceCare |
$151.56
|
| Rate for Payer: Lutheran Preferred All Commercial |
$157.93
|
| Rate for Payer: PHCS All Commercial |
$131.61
|
| Rate for Payer: PHP All Commercial |
$133.08
|
| Rate for Payer: Sagamore Health Network All Products |
$135.47
|
| Rate for Payer: Signature Care EPO |
$145.65
|
| Rate for Payer: Signature Care PPO |
$154.42
|
| Rate for Payer: United Healthcare Commercial |
$138.28
|
|
|
HC THROMBO INHIBITION
|
Facility
|
OP
|
$175.48
|
|
|
Service Code
|
CPT 85705
|
| Hospital Charge Code |
63001755
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$9.63 |
| Max. Negotiated Rate |
$163.20 |
| Rate for Payer: Aetna Commercial |
$148.11
|
| Rate for Payer: Aetna Medicare |
$56.15
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$9.63
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$54.40
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$80.65
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$80.65
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$9.63
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$64.58
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$61.77
|
| Rate for Payer: Cash Price |
$105.29
|
| Rate for Payer: Cash Price |
$105.29
|
| Rate for Payer: Centivo All Commercial |
$95.46
|
| Rate for Payer: Cigna All Commercial |
$151.44
|
| Rate for Payer: CORVEL All Commercial |
$163.20
|
| Rate for Payer: Coventry All Commercial |
$154.42
|
| Rate for Payer: Encore All Commercial |
$161.53
|
| Rate for Payer: Frontpath All Commercial |
$161.44
|
| Rate for Payer: Humana ChoiceCare |
$151.56
|
| Rate for Payer: Humana Medicare |
$56.15
|
| Rate for Payer: Lucent All Commercial |
$95.46
|
| Rate for Payer: Lutheran Preferred All Commercial |
$157.93
|
| Rate for Payer: Managed Health Services Medicaid |
$9.63
|
| Rate for Payer: MDWise Medicaid |
$9.63
|
| Rate for Payer: PHCS All Commercial |
$131.61
|
| Rate for Payer: PHP All Commercial |
$133.08
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$68.44
|
| Rate for Payer: Sagamore Health Network All Products |
$135.47
|
| Rate for Payer: Signature Care EPO |
$145.65
|
| Rate for Payer: Signature Care PPO |
$154.42
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$149.16
|
| Rate for Payer: United Healthcare Commercial |
$138.28
|
| Rate for Payer: United Healthcare Medicare |
$56.15
|
|
|
HC THY BINDING GLOB
|
Facility
|
IP
|
$246.84
|
|
|
Service Code
|
CPT 84442
|
| Hospital Charge Code |
63001690
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$185.13 |
| Max. Negotiated Rate |
$229.56 |
| Rate for Payer: Aetna Commercial |
$213.27
|
| Rate for Payer: Cash Price |
$148.10
|
| Rate for Payer: Cigna All Commercial |
$213.02
|
| Rate for Payer: CORVEL All Commercial |
$229.56
|
| Rate for Payer: Coventry All Commercial |
$217.22
|
| Rate for Payer: Encore All Commercial |
$227.22
|
| Rate for Payer: Frontpath All Commercial |
$227.09
|
| Rate for Payer: Humana ChoiceCare |
$213.20
|
| Rate for Payer: Lutheran Preferred All Commercial |
$222.16
|
| Rate for Payer: PHCS All Commercial |
$185.13
|
| Rate for Payer: PHP All Commercial |
$187.20
|
| Rate for Payer: Sagamore Health Network All Products |
$190.56
|
| Rate for Payer: Signature Care EPO |
$204.88
|
| Rate for Payer: Signature Care PPO |
$217.22
|
| Rate for Payer: United Healthcare Commercial |
$194.51
|
|
