|
HC Z K-WIRE .045 6IN
|
Facility
|
IP
|
$49.71
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603535
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$37.28 |
| Max. Negotiated Rate |
$46.23 |
| Rate for Payer: Aetna Commercial |
$42.95
|
| Rate for Payer: Cash Price |
$29.83
|
| Rate for Payer: Cigna All Commercial |
$42.90
|
| Rate for Payer: CORVEL All Commercial |
$46.23
|
| Rate for Payer: Coventry All Commercial |
$43.74
|
| Rate for Payer: Encore All Commercial |
$45.76
|
| Rate for Payer: Frontpath All Commercial |
$45.73
|
| Rate for Payer: Humana ChoiceCare |
$42.93
|
| Rate for Payer: Lutheran Preferred All Commercial |
$44.74
|
| Rate for Payer: PHCS All Commercial |
$37.28
|
| Rate for Payer: PHP All Commercial |
$37.70
|
| Rate for Payer: Sagamore Health Network All Products |
$38.38
|
| Rate for Payer: Signature Care EPO |
$41.26
|
| Rate for Payer: Signature Care PPO |
$43.74
|
| Rate for Payer: United Healthcare Commercial |
$39.17
|
|
|
HC Z K-WIRE .045 6IN
|
Facility
|
OP
|
$49.71
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603535
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$15.41 |
| Max. Negotiated Rate |
$134.40 |
| Rate for Payer: Aetna Commercial |
$41.96
|
| Rate for Payer: Aetna Medicare |
$15.91
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$15.41
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$28.55
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$31.07
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$18.29
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$17.50
|
| Rate for Payer: Cash Price |
$29.83
|
| Rate for Payer: Cash Price |
$29.83
|
| Rate for Payer: Centivo All Commercial |
$27.04
|
| Rate for Payer: Cigna All Commercial |
$42.90
|
| Rate for Payer: CORVEL All Commercial |
$46.23
|
| Rate for Payer: Coventry All Commercial |
$43.74
|
| Rate for Payer: Encore All Commercial |
$45.76
|
| Rate for Payer: Frontpath All Commercial |
$45.73
|
| Rate for Payer: Humana ChoiceCare |
$42.93
|
| Rate for Payer: Humana Medicare |
$15.91
|
| Rate for Payer: Lucent All Commercial |
$27.04
|
| Rate for Payer: Lutheran Preferred All Commercial |
$44.74
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$37.28
|
| Rate for Payer: PHP All Commercial |
$37.70
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$19.39
|
| Rate for Payer: Sagamore Health Network All Products |
$38.38
|
| Rate for Payer: Signature Care EPO |
$41.26
|
| Rate for Payer: Signature Care PPO |
$43.74
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$42.25
|
| Rate for Payer: United Healthcare Commercial |
$39.17
|
| Rate for Payer: United Healthcare Medicare |
$15.91
|
|
|
HC Z K-WIRE .062 6IN
|
Facility
|
IP
|
$49.71
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603536
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$37.28 |
| Max. Negotiated Rate |
$46.23 |
| Rate for Payer: Aetna Commercial |
$42.95
|
| Rate for Payer: Cash Price |
$29.83
|
| Rate for Payer: Cigna All Commercial |
$42.90
|
| Rate for Payer: CORVEL All Commercial |
$46.23
|
| Rate for Payer: Coventry All Commercial |
$43.74
|
| Rate for Payer: Encore All Commercial |
$45.76
|
| Rate for Payer: Frontpath All Commercial |
$45.73
|
| Rate for Payer: Humana ChoiceCare |
$42.93
|
| Rate for Payer: Lutheran Preferred All Commercial |
$44.74
|
| Rate for Payer: PHCS All Commercial |
$37.28
|
| Rate for Payer: PHP All Commercial |
$37.70
|
| Rate for Payer: Sagamore Health Network All Products |
$38.38
|
| Rate for Payer: Signature Care EPO |
$41.26
|
| Rate for Payer: Signature Care PPO |
$43.74
|
| Rate for Payer: United Healthcare Commercial |
$39.17
|
|
|
HC Z K-WIRE .062 6IN
|
Facility
|
OP
|
$49.71
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603536
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$15.41 |
| Max. Negotiated Rate |
$134.40 |
| Rate for Payer: Aetna Commercial |
$41.96
|
| Rate for Payer: Aetna Medicare |
$15.91
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$15.41
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$28.55
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$31.07
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$18.29
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$17.50
|
| Rate for Payer: Cash Price |
$29.83
|
| Rate for Payer: Cash Price |
$29.83
|
| Rate for Payer: Centivo All Commercial |
$27.04
|
| Rate for Payer: Cigna All Commercial |
$42.90
|
| Rate for Payer: CORVEL All Commercial |
$46.23
|
| Rate for Payer: Coventry All Commercial |
$43.74
|
| Rate for Payer: Encore All Commercial |
$45.76
|
| Rate for Payer: Frontpath All Commercial |
$45.73
|
| Rate for Payer: Humana ChoiceCare |
$42.93
|
| Rate for Payer: Humana Medicare |
$15.91
|
| Rate for Payer: Lucent All Commercial |
$27.04
|
| Rate for Payer: Lutheran Preferred All Commercial |
$44.74
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$37.28
|
| Rate for Payer: PHP All Commercial |
$37.70
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$19.39
|
| Rate for Payer: Sagamore Health Network All Products |
$38.38
|
| Rate for Payer: Signature Care EPO |
$41.26
|
| Rate for Payer: Signature Care PPO |
$43.74
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$42.25
|
| Rate for Payer: United Healthcare Commercial |
$39.17
|
| Rate for Payer: United Healthcare Medicare |
$15.91
|
|
|
HC Z K-WIRE 1.6 150 TROC TIP
|
Facility
|
OP
|
$55.93
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603909
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$17.34 |
| Max. Negotiated Rate |
$134.40 |
| Rate for Payer: Aetna Commercial |
$47.20
|
| Rate for Payer: Aetna Medicare |
$17.90
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$17.34
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$32.12
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$34.96
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$20.58
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$19.69
|
| Rate for Payer: Cash Price |
$33.56
|
| Rate for Payer: Cash Price |
$33.56
|
| Rate for Payer: Centivo All Commercial |
$30.43
|
| Rate for Payer: Cigna All Commercial |
$48.27
|
| Rate for Payer: CORVEL All Commercial |
$52.01
|
| Rate for Payer: Coventry All Commercial |
$49.22
|
| Rate for Payer: Encore All Commercial |
$51.48
|
| Rate for Payer: Frontpath All Commercial |
$51.46
|
| Rate for Payer: Humana ChoiceCare |
$48.31
|
| Rate for Payer: Humana Medicare |
$17.90
|
| Rate for Payer: Lucent All Commercial |
$30.43
|
| Rate for Payer: Lutheran Preferred All Commercial |
$50.34
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$41.95
|
| Rate for Payer: PHP All Commercial |
$42.42
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$21.81
|
| Rate for Payer: Sagamore Health Network All Products |
$43.18
|
| Rate for Payer: Signature Care EPO |
$46.42
|
| Rate for Payer: Signature Care PPO |
$49.22
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$47.54
|
| Rate for Payer: United Healthcare Commercial |
$44.07
|
| Rate for Payer: United Healthcare Medicare |
$17.90
|
|
|
HC Z K-WIRE 1.6 150 TROC TIP
|
Facility
|
IP
|
$55.93
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603909
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$41.95 |
| Max. Negotiated Rate |
$52.01 |
| Rate for Payer: Aetna Commercial |
$48.32
|
| Rate for Payer: Cash Price |
$33.56
|
| Rate for Payer: Cigna All Commercial |
$48.27
|
| Rate for Payer: CORVEL All Commercial |
$52.01
|
| Rate for Payer: Coventry All Commercial |
$49.22
|
| Rate for Payer: Encore All Commercial |
$51.48
|
| Rate for Payer: Frontpath All Commercial |
$51.46
|
| Rate for Payer: Humana ChoiceCare |
$48.31
|
| Rate for Payer: Lutheran Preferred All Commercial |
$50.34
|
| Rate for Payer: PHCS All Commercial |
$41.95
|
| Rate for Payer: PHP All Commercial |
$42.42
|
| Rate for Payer: Sagamore Health Network All Products |
$43.18
|
| Rate for Payer: Signature Care EPO |
$46.42
|
| Rate for Payer: Signature Care PPO |
$49.22
|
| Rate for Payer: United Healthcare Commercial |
$44.07
|
|
|
HC Z KWIRE 1.6 NS
|
Facility
|
OP
|
$155.54
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41607465
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$48.22 |
| Max. Negotiated Rate |
$144.65 |
| Rate for Payer: Aetna Commercial |
$131.28
|
| Rate for Payer: Aetna Medicare |
$49.77
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$48.22
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$89.33
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$97.23
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$57.24
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$54.75
|
| Rate for Payer: Cash Price |
$93.32
|
| Rate for Payer: Cash Price |
$93.32
|
| Rate for Payer: Centivo All Commercial |
$84.61
|
| Rate for Payer: Cigna All Commercial |
$134.23
|
| Rate for Payer: CORVEL All Commercial |
$144.65
|
| Rate for Payer: Coventry All Commercial |
$136.88
|
| Rate for Payer: Encore All Commercial |
$143.17
|
| Rate for Payer: Frontpath All Commercial |
$143.10
|
| Rate for Payer: Humana ChoiceCare |
$134.34
|
| Rate for Payer: Humana Medicare |
$49.77
|
| Rate for Payer: Lucent All Commercial |
$84.61
|
| Rate for Payer: Lutheran Preferred All Commercial |
$139.99
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$116.66
|
| Rate for Payer: PHP All Commercial |
$117.96
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$60.66
|
| Rate for Payer: Sagamore Health Network All Products |
$120.08
|
| Rate for Payer: Signature Care EPO |
$129.10
|
| Rate for Payer: Signature Care PPO |
$136.88
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$132.21
|
| Rate for Payer: United Healthcare Commercial |
$122.57
|
| Rate for Payer: United Healthcare Medicare |
$49.77
|
|
|
HC Z KWIRE 1.6 NS
|
Facility
|
IP
|
$155.54
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41607465
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$116.66 |
| Max. Negotiated Rate |
$144.65 |
| Rate for Payer: Aetna Commercial |
$134.39
|
| Rate for Payer: Cash Price |
$93.32
|
| Rate for Payer: Cigna All Commercial |
$134.23
|
| Rate for Payer: CORVEL All Commercial |
$144.65
|
| Rate for Payer: Coventry All Commercial |
$136.88
|
| Rate for Payer: Encore All Commercial |
$143.17
|
| Rate for Payer: Frontpath All Commercial |
$143.10
|
| Rate for Payer: Humana ChoiceCare |
$134.34
|
| Rate for Payer: Lutheran Preferred All Commercial |
$139.99
|
| Rate for Payer: PHCS All Commercial |
$116.66
|
| Rate for Payer: PHP All Commercial |
$117.96
|
| Rate for Payer: Sagamore Health Network All Products |
$120.08
|
| Rate for Payer: Signature Care EPO |
$129.10
|
| Rate for Payer: Signature Care PPO |
$136.88
|
| Rate for Payer: United Healthcare Commercial |
$122.57
|
|
|
HC Z KWIRE 1.6 SS
|
Facility
|
IP
|
$233.31
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606547
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$174.98 |
| Max. Negotiated Rate |
$216.98 |
| Rate for Payer: Aetna Commercial |
$201.58
|
| Rate for Payer: Cash Price |
$139.99
|
| Rate for Payer: Cigna All Commercial |
$201.35
|
| Rate for Payer: CORVEL All Commercial |
$216.98
|
| Rate for Payer: Coventry All Commercial |
$205.31
|
| Rate for Payer: Encore All Commercial |
$214.76
|
| Rate for Payer: Frontpath All Commercial |
$214.65
|
| Rate for Payer: Humana ChoiceCare |
$201.51
|
| Rate for Payer: Lutheran Preferred All Commercial |
$209.98
|
| Rate for Payer: PHCS All Commercial |
$174.98
|
| Rate for Payer: PHP All Commercial |
$176.94
|
| Rate for Payer: Sagamore Health Network All Products |
$180.12
|
| Rate for Payer: Signature Care EPO |
$193.65
|
| Rate for Payer: Signature Care PPO |
$205.31
|
| Rate for Payer: United Healthcare Commercial |
$183.85
|
|
|
HC Z KWIRE 1.6 SS
|
Facility
|
OP
|
$233.31
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606547
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$72.33 |
| Max. Negotiated Rate |
$216.98 |
| Rate for Payer: Aetna Commercial |
$196.91
|
| Rate for Payer: Aetna Medicare |
$74.66
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$72.33
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$133.99
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$145.84
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$85.86
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$82.13
|
| Rate for Payer: Cash Price |
$139.99
|
| Rate for Payer: Cash Price |
$139.99
|
| Rate for Payer: Centivo All Commercial |
$126.92
|
| Rate for Payer: Cigna All Commercial |
$201.35
|
| Rate for Payer: CORVEL All Commercial |
$216.98
|
| Rate for Payer: Coventry All Commercial |
$205.31
|
| Rate for Payer: Encore All Commercial |
$214.76
|
| Rate for Payer: Frontpath All Commercial |
$214.65
|
| Rate for Payer: Humana ChoiceCare |
$201.51
|
| Rate for Payer: Humana Medicare |
$74.66
|
| Rate for Payer: Lucent All Commercial |
$126.92
|
| Rate for Payer: Lutheran Preferred All Commercial |
$209.98
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$174.98
|
| Rate for Payer: PHP All Commercial |
$176.94
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$90.99
|
| Rate for Payer: Sagamore Health Network All Products |
$180.12
|
| Rate for Payer: Signature Care EPO |
$193.65
|
| Rate for Payer: Signature Care PPO |
$205.31
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$198.31
|
| Rate for Payer: United Healthcare Commercial |
$183.85
|
| Rate for Payer: United Healthcare Medicare |
$74.66
|
|
|
HC Z KWIRE 1.6 THD
|
Facility
|
IP
|
$268.66
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606358
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$201.50 |
| Max. Negotiated Rate |
$249.85 |
| Rate for Payer: Aetna Commercial |
$232.12
|
| Rate for Payer: Cash Price |
$161.20
|
| Rate for Payer: Cigna All Commercial |
$231.85
|
| Rate for Payer: CORVEL All Commercial |
$249.85
|
| Rate for Payer: Coventry All Commercial |
$236.42
|
| Rate for Payer: Encore All Commercial |
$247.30
|
| Rate for Payer: Frontpath All Commercial |
$247.17
|
| Rate for Payer: Humana ChoiceCare |
$232.04
|
| Rate for Payer: Lutheran Preferred All Commercial |
$241.79
|
| Rate for Payer: PHCS All Commercial |
$201.50
|
| Rate for Payer: PHP All Commercial |
$203.75
|
| Rate for Payer: Sagamore Health Network All Products |
$207.41
|
| Rate for Payer: Signature Care EPO |
$222.99
|
| Rate for Payer: Signature Care PPO |
$236.42
|
| Rate for Payer: United Healthcare Commercial |
$211.70
|
|
|
HC Z KWIRE 1.6 THD
|
Facility
|
OP
|
$268.66
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606358
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$83.28 |
| Max. Negotiated Rate |
$249.85 |
| Rate for Payer: Aetna Commercial |
$226.75
|
| Rate for Payer: Aetna Medicare |
$85.97
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$83.28
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$154.29
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$167.94
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$98.87
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$94.57
|
| Rate for Payer: Cash Price |
$161.20
|
| Rate for Payer: Cash Price |
$161.20
|
| Rate for Payer: Centivo All Commercial |
$146.15
|
| Rate for Payer: Cigna All Commercial |
$231.85
|
| Rate for Payer: CORVEL All Commercial |
$249.85
|
| Rate for Payer: Coventry All Commercial |
$236.42
|
| Rate for Payer: Encore All Commercial |
$247.30
|
| Rate for Payer: Frontpath All Commercial |
$247.17
|
| Rate for Payer: Humana ChoiceCare |
$232.04
|
| Rate for Payer: Humana Medicare |
$85.97
|
| Rate for Payer: Lucent All Commercial |
$146.15
|
| Rate for Payer: Lutheran Preferred All Commercial |
$241.79
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$201.50
|
| Rate for Payer: PHP All Commercial |
$203.75
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$104.78
|
| Rate for Payer: Sagamore Health Network All Products |
$207.41
|
| Rate for Payer: Signature Care EPO |
$222.99
|
| Rate for Payer: Signature Care PPO |
$236.42
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$228.36
|
| Rate for Payer: United Healthcare Commercial |
$211.70
|
| Rate for Payer: United Healthcare Medicare |
$85.97
|
|
|
HC Z K-WIRE 2.0, 152 S3
|
Facility
|
OP
|
$268.66
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603753
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$83.28 |
| Max. Negotiated Rate |
$249.85 |
| Rate for Payer: Aetna Commercial |
$226.75
|
| Rate for Payer: Aetna Medicare |
$85.97
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$83.28
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$154.29
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$167.94
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$98.87
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$94.57
|
| Rate for Payer: Cash Price |
$161.20
|
| Rate for Payer: Cash Price |
$161.20
|
| Rate for Payer: Centivo All Commercial |
$146.15
|
| Rate for Payer: Cigna All Commercial |
$231.85
|
| Rate for Payer: CORVEL All Commercial |
$249.85
|
| Rate for Payer: Coventry All Commercial |
$236.42
|
| Rate for Payer: Encore All Commercial |
$247.30
|
| Rate for Payer: Frontpath All Commercial |
$247.17
|
| Rate for Payer: Humana ChoiceCare |
$232.04
|
| Rate for Payer: Humana Medicare |
$85.97
|
| Rate for Payer: Lucent All Commercial |
$146.15
|
| Rate for Payer: Lutheran Preferred All Commercial |
$241.79
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$201.50
|
| Rate for Payer: PHP All Commercial |
$203.75
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$104.78
|
| Rate for Payer: Sagamore Health Network All Products |
$207.41
|
| Rate for Payer: Signature Care EPO |
$222.99
|
| Rate for Payer: Signature Care PPO |
$236.42
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$228.36
|
| Rate for Payer: United Healthcare Commercial |
$211.70
|
| Rate for Payer: United Healthcare Medicare |
$85.97
|
|
|
HC Z K-WIRE 2.0, 152 S3
|
Facility
|
IP
|
$268.66
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603753
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$201.50 |
| Max. Negotiated Rate |
$249.85 |
| Rate for Payer: Aetna Commercial |
$232.12
|
| Rate for Payer: Cash Price |
$161.20
|
| Rate for Payer: Cigna All Commercial |
$231.85
|
| Rate for Payer: CORVEL All Commercial |
$249.85
|
| Rate for Payer: Coventry All Commercial |
$236.42
|
| Rate for Payer: Encore All Commercial |
$247.30
|
| Rate for Payer: Frontpath All Commercial |
$247.17
|
| Rate for Payer: Humana ChoiceCare |
$232.04
|
| Rate for Payer: Lutheran Preferred All Commercial |
$241.79
|
| Rate for Payer: PHCS All Commercial |
$201.50
|
| Rate for Payer: PHP All Commercial |
$203.75
|
| Rate for Payer: Sagamore Health Network All Products |
$207.41
|
| Rate for Payer: Signature Care EPO |
$222.99
|
| Rate for Payer: Signature Care PPO |
$236.42
|
| Rate for Payer: United Healthcare Commercial |
$211.70
|
|
|
HC Z KWIRE 2.0 KIRSCH
|
Facility
|
OP
|
$149.17
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606568
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$46.24 |
| Max. Negotiated Rate |
$138.73 |
| Rate for Payer: Aetna Commercial |
$125.90
|
| Rate for Payer: Aetna Medicare |
$47.73
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$46.24
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$85.67
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$93.25
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$54.89
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$52.51
|
| Rate for Payer: Cash Price |
$89.50
|
| Rate for Payer: Cash Price |
$89.50
|
| Rate for Payer: Centivo All Commercial |
$81.15
|
| Rate for Payer: Cigna All Commercial |
$128.73
|
| Rate for Payer: CORVEL All Commercial |
$138.73
|
| Rate for Payer: Coventry All Commercial |
$131.27
|
| Rate for Payer: Encore All Commercial |
$137.31
|
| Rate for Payer: Frontpath All Commercial |
$137.24
|
| Rate for Payer: Humana ChoiceCare |
$128.84
|
| Rate for Payer: Humana Medicare |
$47.73
|
| Rate for Payer: Lucent All Commercial |
$81.15
|
| Rate for Payer: Lutheran Preferred All Commercial |
$134.25
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$111.88
|
| Rate for Payer: PHP All Commercial |
$113.13
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$58.18
|
| Rate for Payer: Sagamore Health Network All Products |
$115.16
|
| Rate for Payer: Signature Care EPO |
$123.81
|
| Rate for Payer: Signature Care PPO |
$131.27
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$126.79
|
| Rate for Payer: United Healthcare Commercial |
$117.55
|
| Rate for Payer: United Healthcare Medicare |
$47.73
|
|
|
HC Z KWIRE 2.0 KIRSCH
|
Facility
|
IP
|
$149.17
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606568
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$111.88 |
| Max. Negotiated Rate |
$138.73 |
| Rate for Payer: Aetna Commercial |
$128.88
|
| Rate for Payer: Cash Price |
$89.50
|
| Rate for Payer: Cigna All Commercial |
$128.73
|
| Rate for Payer: CORVEL All Commercial |
$138.73
|
| Rate for Payer: Coventry All Commercial |
$131.27
|
| Rate for Payer: Encore All Commercial |
$137.31
|
| Rate for Payer: Frontpath All Commercial |
$137.24
|
| Rate for Payer: Humana ChoiceCare |
$128.84
|
| Rate for Payer: Lutheran Preferred All Commercial |
$134.25
|
| Rate for Payer: PHCS All Commercial |
$111.88
|
| Rate for Payer: PHP All Commercial |
$113.13
|
| Rate for Payer: Sagamore Health Network All Products |
$115.16
|
| Rate for Payer: Signature Care EPO |
$123.81
|
| Rate for Payer: Signature Care PPO |
$131.27
|
| Rate for Payer: United Healthcare Commercial |
$117.55
|
|
|
HC Z LAG SCREW 10.5X110
|
Facility
|
OP
|
$2,279.77
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606930
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$2,120.19 |
| Rate for Payer: Aetna Commercial |
$1,924.13
|
| Rate for Payer: Aetna Medicare |
$729.53
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$706.73
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$1,309.27
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,425.08
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$838.96
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$802.48
|
| Rate for Payer: Cash Price |
$1,367.86
|
| Rate for Payer: Cash Price |
$1,367.86
|
| Rate for Payer: Centivo All Commercial |
$1,240.19
|
| Rate for Payer: Cigna All Commercial |
$1,967.44
|
| Rate for Payer: CORVEL All Commercial |
$2,120.19
|
| Rate for Payer: Coventry All Commercial |
$2,006.20
|
| Rate for Payer: Encore All Commercial |
$2,098.53
|
| Rate for Payer: Frontpath All Commercial |
$2,097.39
|
| Rate for Payer: Humana ChoiceCare |
$1,969.04
|
| Rate for Payer: Humana Medicare |
$729.53
|
| Rate for Payer: Lucent All Commercial |
$1,240.19
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,051.79
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$1,709.83
|
| Rate for Payer: PHP All Commercial |
$1,728.98
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$889.11
|
| Rate for Payer: Sagamore Health Network All Products |
$1,759.98
|
| Rate for Payer: Signature Care EPO |
$1,892.21
|
| Rate for Payer: Signature Care PPO |
$2,006.20
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,937.80
|
| Rate for Payer: United Healthcare Commercial |
$1,796.46
|
| Rate for Payer: United Healthcare Medicare |
$729.53
|
|
|
HC Z LAG SCREW 10.5X110
|
Facility
|
IP
|
$2,279.77
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606930
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,709.83 |
| Max. Negotiated Rate |
$2,120.19 |
| Rate for Payer: Aetna Commercial |
$1,969.72
|
| Rate for Payer: Cash Price |
$1,367.86
|
| Rate for Payer: Cigna All Commercial |
$1,967.44
|
| Rate for Payer: CORVEL All Commercial |
$2,120.19
|
| Rate for Payer: Coventry All Commercial |
$2,006.20
|
| Rate for Payer: Encore All Commercial |
$2,098.53
|
| Rate for Payer: Frontpath All Commercial |
$2,097.39
|
| Rate for Payer: Humana ChoiceCare |
$1,969.04
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,051.79
|
| Rate for Payer: PHCS All Commercial |
$1,709.83
|
| Rate for Payer: PHP All Commercial |
$1,728.98
|
| Rate for Payer: Sagamore Health Network All Products |
$1,759.98
|
| Rate for Payer: Signature Care EPO |
$1,892.21
|
| Rate for Payer: Signature Care PPO |
$2,006.20
|
| Rate for Payer: United Healthcare Commercial |
$1,796.46
|
|
|
HC Z MED AUG BASEPLATE
|
Facility
|
OP
|
$8,694.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606612
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$8,085.42 |
| Rate for Payer: Aetna Commercial |
$7,337.74
|
| Rate for Payer: Aetna Medicare |
$2,782.08
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$2,695.14
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$4,992.96
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$5,434.62
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$3,199.39
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$3,060.29
|
| Rate for Payer: Cash Price |
$5,216.40
|
| Rate for Payer: Cash Price |
$5,216.40
|
| Rate for Payer: Centivo All Commercial |
$4,729.54
|
| Rate for Payer: Cigna All Commercial |
$7,502.92
|
| Rate for Payer: CORVEL All Commercial |
$8,085.42
|
| Rate for Payer: Coventry All Commercial |
$7,650.72
|
| Rate for Payer: Encore All Commercial |
$8,002.83
|
| Rate for Payer: Frontpath All Commercial |
$7,998.48
|
| Rate for Payer: Humana ChoiceCare |
$7,509.01
|
| Rate for Payer: Humana Medicare |
$2,782.08
|
| Rate for Payer: Lucent All Commercial |
$4,729.54
|
| Rate for Payer: Lutheran Preferred All Commercial |
$7,824.60
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$6,520.50
|
| Rate for Payer: PHP All Commercial |
$6,593.53
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$3,390.66
|
| Rate for Payer: Sagamore Health Network All Products |
$6,711.77
|
| Rate for Payer: Signature Care EPO |
$7,216.02
|
| Rate for Payer: Signature Care PPO |
$7,650.72
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$7,389.90
|
| Rate for Payer: United Healthcare Commercial |
$6,850.87
|
| Rate for Payer: United Healthcare Medicare |
$2,782.08
|
|
|
HC Z MED AUG BASEPLATE
|
Facility
|
IP
|
$8,694.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606612
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$6,520.50 |
| Max. Negotiated Rate |
$8,085.42 |
| Rate for Payer: Aetna Commercial |
$7,511.62
|
| Rate for Payer: Cash Price |
$5,216.40
|
| Rate for Payer: Cigna All Commercial |
$7,502.92
|
| Rate for Payer: CORVEL All Commercial |
$8,085.42
|
| Rate for Payer: Coventry All Commercial |
$7,650.72
|
| Rate for Payer: Encore All Commercial |
$8,002.83
|
| Rate for Payer: Frontpath All Commercial |
$7,998.48
|
| Rate for Payer: Humana ChoiceCare |
$7,509.01
|
| Rate for Payer: Lutheran Preferred All Commercial |
$7,824.60
|
| Rate for Payer: PHCS All Commercial |
$6,520.50
|
| Rate for Payer: PHP All Commercial |
$6,593.53
|
| Rate for Payer: Sagamore Health Network All Products |
$6,711.77
|
| Rate for Payer: Signature Care EPO |
$7,216.02
|
| Rate for Payer: Signature Care PPO |
$7,650.72
|
| Rate for Payer: United Healthcare Commercial |
$6,850.87
|
|
|
HC Z NAIL 10.5X105 LAG SCREW
|
Facility
|
OP
|
$2,279.77
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606626
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$2,120.19 |
| Rate for Payer: Aetna Commercial |
$1,924.13
|
| Rate for Payer: Aetna Medicare |
$729.53
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$706.73
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$1,309.27
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,425.08
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$838.96
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$802.48
|
| Rate for Payer: Cash Price |
$1,367.86
|
| Rate for Payer: Cash Price |
$1,367.86
|
| Rate for Payer: Centivo All Commercial |
$1,240.19
|
| Rate for Payer: Cigna All Commercial |
$1,967.44
|
| Rate for Payer: CORVEL All Commercial |
$2,120.19
|
| Rate for Payer: Coventry All Commercial |
$2,006.20
|
| Rate for Payer: Encore All Commercial |
$2,098.53
|
| Rate for Payer: Frontpath All Commercial |
$2,097.39
|
| Rate for Payer: Humana ChoiceCare |
$1,969.04
|
| Rate for Payer: Humana Medicare |
$729.53
|
| Rate for Payer: Lucent All Commercial |
$1,240.19
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,051.79
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$1,709.83
|
| Rate for Payer: PHP All Commercial |
$1,728.98
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$889.11
|
| Rate for Payer: Sagamore Health Network All Products |
$1,759.98
|
| Rate for Payer: Signature Care EPO |
$1,892.21
|
| Rate for Payer: Signature Care PPO |
$2,006.20
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,937.80
|
| Rate for Payer: United Healthcare Commercial |
$1,796.46
|
| Rate for Payer: United Healthcare Medicare |
$729.53
|
|
|
HC Z NAIL 10.5X105 LAG SCREW
|
Facility
|
IP
|
$2,279.77
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606626
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,709.83 |
| Max. Negotiated Rate |
$2,120.19 |
| Rate for Payer: Aetna Commercial |
$1,969.72
|
| Rate for Payer: Cash Price |
$1,367.86
|
| Rate for Payer: Cigna All Commercial |
$1,967.44
|
| Rate for Payer: CORVEL All Commercial |
$2,120.19
|
| Rate for Payer: Coventry All Commercial |
$2,006.20
|
| Rate for Payer: Encore All Commercial |
$2,098.53
|
| Rate for Payer: Frontpath All Commercial |
$2,097.39
|
| Rate for Payer: Humana ChoiceCare |
$1,969.04
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,051.79
|
| Rate for Payer: PHCS All Commercial |
$1,709.83
|
| Rate for Payer: PHP All Commercial |
$1,728.98
|
| Rate for Payer: Sagamore Health Network All Products |
$1,759.98
|
| Rate for Payer: Signature Care EPO |
$1,892.21
|
| Rate for Payer: Signature Care PPO |
$2,006.20
|
| Rate for Payer: United Healthcare Commercial |
$1,796.46
|
|
|
HC Z NAIL 10.5X120 LAG SCREW HFN
|
Facility
|
IP
|
$2,279.77
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606615
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,709.83 |
| Max. Negotiated Rate |
$2,120.19 |
| Rate for Payer: Aetna Commercial |
$1,969.72
|
| Rate for Payer: Cash Price |
$1,367.86
|
| Rate for Payer: Cigna All Commercial |
$1,967.44
|
| Rate for Payer: CORVEL All Commercial |
$2,120.19
|
| Rate for Payer: Coventry All Commercial |
$2,006.20
|
| Rate for Payer: Encore All Commercial |
$2,098.53
|
| Rate for Payer: Frontpath All Commercial |
$2,097.39
|
| Rate for Payer: Humana ChoiceCare |
$1,969.04
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,051.79
|
| Rate for Payer: PHCS All Commercial |
$1,709.83
|
| Rate for Payer: PHP All Commercial |
$1,728.98
|
| Rate for Payer: Sagamore Health Network All Products |
$1,759.98
|
| Rate for Payer: Signature Care EPO |
$1,892.21
|
| Rate for Payer: Signature Care PPO |
$2,006.20
|
| Rate for Payer: United Healthcare Commercial |
$1,796.46
|
|
|
HC Z NAIL 10.5X120 LAG SCREW HFN
|
Facility
|
OP
|
$2,279.77
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606615
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$2,120.19 |
| Rate for Payer: Aetna Commercial |
$1,924.13
|
| Rate for Payer: Aetna Medicare |
$729.53
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$706.73
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$1,309.27
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,425.08
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$838.96
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$802.48
|
| Rate for Payer: Cash Price |
$1,367.86
|
| Rate for Payer: Cash Price |
$1,367.86
|
| Rate for Payer: Centivo All Commercial |
$1,240.19
|
| Rate for Payer: Cigna All Commercial |
$1,967.44
|
| Rate for Payer: CORVEL All Commercial |
$2,120.19
|
| Rate for Payer: Coventry All Commercial |
$2,006.20
|
| Rate for Payer: Encore All Commercial |
$2,098.53
|
| Rate for Payer: Frontpath All Commercial |
$2,097.39
|
| Rate for Payer: Humana ChoiceCare |
$1,969.04
|
| Rate for Payer: Humana Medicare |
$729.53
|
| Rate for Payer: Lucent All Commercial |
$1,240.19
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,051.79
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$1,709.83
|
| Rate for Payer: PHP All Commercial |
$1,728.98
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$889.11
|
| Rate for Payer: Sagamore Health Network All Products |
$1,759.98
|
| Rate for Payer: Signature Care EPO |
$1,892.21
|
| Rate for Payer: Signature Care PPO |
$2,006.20
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,937.80
|
| Rate for Payer: United Healthcare Commercial |
$1,796.46
|
| Rate for Payer: United Healthcare Medicare |
$729.53
|
|
|
HC Z NAIL 10.5X125 LAG SCREW
|
Facility
|
IP
|
$2,279.77
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606522
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,709.83 |
| Max. Negotiated Rate |
$2,120.19 |
| Rate for Payer: Aetna Commercial |
$1,969.72
|
| Rate for Payer: Cash Price |
$1,367.86
|
| Rate for Payer: Cigna All Commercial |
$1,967.44
|
| Rate for Payer: CORVEL All Commercial |
$2,120.19
|
| Rate for Payer: Coventry All Commercial |
$2,006.20
|
| Rate for Payer: Encore All Commercial |
$2,098.53
|
| Rate for Payer: Frontpath All Commercial |
$2,097.39
|
| Rate for Payer: Humana ChoiceCare |
$1,969.04
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,051.79
|
| Rate for Payer: PHCS All Commercial |
$1,709.83
|
| Rate for Payer: PHP All Commercial |
$1,728.98
|
| Rate for Payer: Sagamore Health Network All Products |
$1,759.98
|
| Rate for Payer: Signature Care EPO |
$1,892.21
|
| Rate for Payer: Signature Care PPO |
$2,006.20
|
| Rate for Payer: United Healthcare Commercial |
$1,796.46
|
|
