|
HC ZONISAMIDE
|
Facility
|
IP
|
$389.90
|
|
|
Service Code
|
CPT 80203
|
| Hospital Charge Code |
63001381
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$292.43 |
| Max. Negotiated Rate |
$362.61 |
| Rate for Payer: Aetna Commercial |
$336.87
|
| Rate for Payer: Cash Price |
$233.94
|
| Rate for Payer: Cigna All Commercial |
$336.48
|
| Rate for Payer: CORVEL All Commercial |
$362.61
|
| Rate for Payer: Coventry All Commercial |
$343.11
|
| Rate for Payer: Encore All Commercial |
$358.90
|
| Rate for Payer: Frontpath All Commercial |
$358.71
|
| Rate for Payer: Humana ChoiceCare |
$336.76
|
| Rate for Payer: Lutheran Preferred All Commercial |
$350.91
|
| Rate for Payer: PHCS All Commercial |
$292.43
|
| Rate for Payer: PHP All Commercial |
$295.70
|
| Rate for Payer: Sagamore Health Network All Products |
$301.00
|
| Rate for Payer: Signature Care EPO |
$323.62
|
| Rate for Payer: Signature Care PPO |
$343.11
|
| Rate for Payer: United Healthcare Commercial |
$307.24
|
|
|
HC ZONISAMIDE
|
Facility
|
OP
|
$389.90
|
|
|
Service Code
|
CPT 80203
|
| Hospital Charge Code |
63001381
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$13.25 |
| Max. Negotiated Rate |
$362.61 |
| Rate for Payer: Aetna Commercial |
$329.08
|
| Rate for Payer: Aetna Medicare |
$124.77
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$13.25
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$120.87
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$179.20
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$179.20
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$13.25
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$143.48
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$137.24
|
| Rate for Payer: Cash Price |
$233.94
|
| Rate for Payer: Cash Price |
$233.94
|
| Rate for Payer: Centivo All Commercial |
$212.11
|
| Rate for Payer: Cigna All Commercial |
$336.48
|
| Rate for Payer: CORVEL All Commercial |
$362.61
|
| Rate for Payer: Coventry All Commercial |
$343.11
|
| Rate for Payer: Encore All Commercial |
$358.90
|
| Rate for Payer: Frontpath All Commercial |
$358.71
|
| Rate for Payer: Humana ChoiceCare |
$336.76
|
| Rate for Payer: Humana Medicare |
$124.77
|
| Rate for Payer: Lucent All Commercial |
$212.11
|
| Rate for Payer: Lutheran Preferred All Commercial |
$350.91
|
| Rate for Payer: Managed Health Services Medicaid |
$13.25
|
| Rate for Payer: MDWise Medicaid |
$13.25
|
| Rate for Payer: PHCS All Commercial |
$292.43
|
| Rate for Payer: PHP All Commercial |
$295.70
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$152.06
|
| Rate for Payer: Sagamore Health Network All Products |
$301.00
|
| Rate for Payer: Signature Care EPO |
$323.62
|
| Rate for Payer: Signature Care PPO |
$343.11
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$331.42
|
| Rate for Payer: United Healthcare Commercial |
$307.24
|
| Rate for Payer: United Healthcare Medicare |
$124.77
|
|
|
HC Z PEEK ANCHOR 4.75 KNTLS
|
Facility
|
IP
|
$2,205.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41608267
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,653.75 |
| Max. Negotiated Rate |
$2,050.65 |
| Rate for Payer: Aetna Commercial |
$1,905.12
|
| Rate for Payer: Cash Price |
$1,323.00
|
| Rate for Payer: Cigna All Commercial |
$1,902.91
|
| Rate for Payer: CORVEL All Commercial |
$2,050.65
|
| Rate for Payer: Coventry All Commercial |
$1,940.40
|
| Rate for Payer: Encore All Commercial |
$2,029.70
|
| Rate for Payer: Frontpath All Commercial |
$2,028.60
|
| Rate for Payer: Humana ChoiceCare |
$1,904.46
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,984.50
|
| Rate for Payer: PHCS All Commercial |
$1,653.75
|
| Rate for Payer: PHP All Commercial |
$1,672.27
|
| Rate for Payer: Sagamore Health Network All Products |
$1,702.26
|
| Rate for Payer: Signature Care EPO |
$1,830.15
|
| Rate for Payer: Signature Care PPO |
$1,940.40
|
| Rate for Payer: United Healthcare Commercial |
$1,737.54
|
|
|
HC Z PEEK ANCHOR 4.75 KNTLS
|
Facility
|
OP
|
$2,205.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41608267
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$2,050.65 |
| Rate for Payer: Aetna Commercial |
$1,861.02
|
| Rate for Payer: Aetna Medicare |
$705.60
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$683.55
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$1,266.33
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,378.35
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$811.44
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$776.16
|
| Rate for Payer: Cash Price |
$1,323.00
|
| Rate for Payer: Cash Price |
$1,323.00
|
| Rate for Payer: Centivo All Commercial |
$1,199.52
|
| Rate for Payer: Cigna All Commercial |
$1,902.91
|
| Rate for Payer: CORVEL All Commercial |
$2,050.65
|
| Rate for Payer: Coventry All Commercial |
$1,940.40
|
| Rate for Payer: Encore All Commercial |
$2,029.70
|
| Rate for Payer: Frontpath All Commercial |
$2,028.60
|
| Rate for Payer: Humana ChoiceCare |
$1,904.46
|
| Rate for Payer: Humana Medicare |
$705.60
|
| Rate for Payer: Lucent All Commercial |
$1,199.52
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,984.50
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$1,653.75
|
| Rate for Payer: PHP All Commercial |
$1,672.27
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$859.95
|
| Rate for Payer: Sagamore Health Network All Products |
$1,702.26
|
| Rate for Payer: Signature Care EPO |
$1,830.15
|
| Rate for Payer: Signature Care PPO |
$1,940.40
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,874.25
|
| Rate for Payer: United Healthcare Commercial |
$1,737.54
|
| Rate for Payer: United Healthcare Medicare |
$705.60
|
|
|
HC Z PEG SCREW 2.5X10
|
Facility
|
OP
|
$622.16
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606495
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$578.61 |
| Rate for Payer: Aetna Commercial |
$525.10
|
| Rate for Payer: Aetna Medicare |
$199.09
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$192.87
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$357.31
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$388.91
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$228.95
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$219.00
|
| Rate for Payer: Cash Price |
$373.30
|
| Rate for Payer: Cash Price |
$373.30
|
| Rate for Payer: Centivo All Commercial |
$338.46
|
| Rate for Payer: Cigna All Commercial |
$536.92
|
| Rate for Payer: CORVEL All Commercial |
$578.61
|
| Rate for Payer: Coventry All Commercial |
$547.50
|
| Rate for Payer: Encore All Commercial |
$572.70
|
| Rate for Payer: Frontpath All Commercial |
$572.39
|
| Rate for Payer: Humana ChoiceCare |
$537.36
|
| Rate for Payer: Humana Medicare |
$199.09
|
| Rate for Payer: Lucent All Commercial |
$338.46
|
| Rate for Payer: Lutheran Preferred All Commercial |
$559.94
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$466.62
|
| Rate for Payer: PHP All Commercial |
$471.85
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$242.64
|
| Rate for Payer: Sagamore Health Network All Products |
$480.31
|
| Rate for Payer: Signature Care EPO |
$516.39
|
| Rate for Payer: Signature Care PPO |
$547.50
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$528.84
|
| Rate for Payer: United Healthcare Commercial |
$490.26
|
| Rate for Payer: United Healthcare Medicare |
$199.09
|
|
|
HC Z PEG SCREW 2.5X10
|
Facility
|
IP
|
$622.16
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606495
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$466.62 |
| Max. Negotiated Rate |
$578.61 |
| Rate for Payer: Aetna Commercial |
$537.55
|
| Rate for Payer: Cash Price |
$373.30
|
| Rate for Payer: Cigna All Commercial |
$536.92
|
| Rate for Payer: CORVEL All Commercial |
$578.61
|
| Rate for Payer: Coventry All Commercial |
$547.50
|
| Rate for Payer: Encore All Commercial |
$572.70
|
| Rate for Payer: Frontpath All Commercial |
$572.39
|
| Rate for Payer: Humana ChoiceCare |
$537.36
|
| Rate for Payer: Lutheran Preferred All Commercial |
$559.94
|
| Rate for Payer: PHCS All Commercial |
$466.62
|
| Rate for Payer: PHP All Commercial |
$471.85
|
| Rate for Payer: Sagamore Health Network All Products |
$480.31
|
| Rate for Payer: Signature Care EPO |
$516.39
|
| Rate for Payer: Signature Care PPO |
$547.50
|
| Rate for Payer: United Healthcare Commercial |
$490.26
|
|
|
HC Z PEG SCREW 2.5 X12
|
Facility
|
OP
|
$622.16
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41607934
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$578.61 |
| Rate for Payer: Aetna Commercial |
$525.10
|
| Rate for Payer: Aetna Medicare |
$199.09
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$192.87
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$357.31
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$388.91
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$228.95
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$219.00
|
| Rate for Payer: Cash Price |
$373.30
|
| Rate for Payer: Cash Price |
$373.30
|
| Rate for Payer: Centivo All Commercial |
$338.46
|
| Rate for Payer: Cigna All Commercial |
$536.92
|
| Rate for Payer: CORVEL All Commercial |
$578.61
|
| Rate for Payer: Coventry All Commercial |
$547.50
|
| Rate for Payer: Encore All Commercial |
$572.70
|
| Rate for Payer: Frontpath All Commercial |
$572.39
|
| Rate for Payer: Humana ChoiceCare |
$537.36
|
| Rate for Payer: Humana Medicare |
$199.09
|
| Rate for Payer: Lucent All Commercial |
$338.46
|
| Rate for Payer: Lutheran Preferred All Commercial |
$559.94
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$466.62
|
| Rate for Payer: PHP All Commercial |
$471.85
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$242.64
|
| Rate for Payer: Sagamore Health Network All Products |
$480.31
|
| Rate for Payer: Signature Care EPO |
$516.39
|
| Rate for Payer: Signature Care PPO |
$547.50
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$528.84
|
| Rate for Payer: United Healthcare Commercial |
$490.26
|
| Rate for Payer: United Healthcare Medicare |
$199.09
|
|
|
HC Z PEG SCREW 2.5 X12
|
Facility
|
IP
|
$622.16
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41607934
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$466.62 |
| Max. Negotiated Rate |
$578.61 |
| Rate for Payer: Aetna Commercial |
$537.55
|
| Rate for Payer: Cash Price |
$373.30
|
| Rate for Payer: Cigna All Commercial |
$536.92
|
| Rate for Payer: CORVEL All Commercial |
$578.61
|
| Rate for Payer: Coventry All Commercial |
$547.50
|
| Rate for Payer: Encore All Commercial |
$572.70
|
| Rate for Payer: Frontpath All Commercial |
$572.39
|
| Rate for Payer: Humana ChoiceCare |
$537.36
|
| Rate for Payer: Lutheran Preferred All Commercial |
$559.94
|
| Rate for Payer: PHCS All Commercial |
$466.62
|
| Rate for Payer: PHP All Commercial |
$471.85
|
| Rate for Payer: Sagamore Health Network All Products |
$480.31
|
| Rate for Payer: Signature Care EPO |
$516.39
|
| Rate for Payer: Signature Care PPO |
$547.50
|
| Rate for Payer: United Healthcare Commercial |
$490.26
|
|
|
HC Z PIN 3.2MM STEINMANN
|
Facility
|
OP
|
$920.92
|
|
| Hospital Charge Code |
41605693
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$31.20 |
| Max. Negotiated Rate |
$856.46 |
| Rate for Payer: Aetna Commercial |
$777.26
|
| Rate for Payer: Aetna Medicare |
$294.69
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$31.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$285.49
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$528.88
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$575.67
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$31.20
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$338.90
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$324.16
|
| Rate for Payer: Cash Price |
$552.55
|
| Rate for Payer: Cash Price |
$552.55
|
| Rate for Payer: Centivo All Commercial |
$500.98
|
| Rate for Payer: Cigna All Commercial |
$794.75
|
| Rate for Payer: CORVEL All Commercial |
$856.46
|
| Rate for Payer: Coventry All Commercial |
$810.41
|
| Rate for Payer: Encore All Commercial |
$847.71
|
| Rate for Payer: Frontpath All Commercial |
$847.25
|
| Rate for Payer: Humana ChoiceCare |
$795.40
|
| Rate for Payer: Humana Medicare |
$294.69
|
| Rate for Payer: Lucent All Commercial |
$500.98
|
| Rate for Payer: Lutheran Preferred All Commercial |
$828.83
|
| Rate for Payer: Managed Health Services Medicaid |
$31.20
|
| Rate for Payer: MDWise Medicaid |
$31.20
|
| Rate for Payer: PHCS All Commercial |
$690.69
|
| Rate for Payer: PHP All Commercial |
$698.43
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$359.16
|
| Rate for Payer: Sagamore Health Network All Products |
$710.95
|
| Rate for Payer: Signature Care EPO |
$764.36
|
| Rate for Payer: Signature Care PPO |
$810.41
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$782.78
|
| Rate for Payer: United Healthcare Commercial |
$725.68
|
| Rate for Payer: United Healthcare Medicare |
$294.69
|
|
|
HC Z PIN 3.2MM STEINMANN
|
Facility
|
IP
|
$920.92
|
|
| Hospital Charge Code |
41605693
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$690.69 |
| Max. Negotiated Rate |
$856.46 |
| Rate for Payer: Aetna Commercial |
$795.67
|
| Rate for Payer: Cash Price |
$552.55
|
| Rate for Payer: Cigna All Commercial |
$794.75
|
| Rate for Payer: CORVEL All Commercial |
$856.46
|
| Rate for Payer: Coventry All Commercial |
$810.41
|
| Rate for Payer: Encore All Commercial |
$847.71
|
| Rate for Payer: Frontpath All Commercial |
$847.25
|
| Rate for Payer: Humana ChoiceCare |
$795.40
|
| Rate for Payer: Lutheran Preferred All Commercial |
$828.83
|
| Rate for Payer: PHCS All Commercial |
$690.69
|
| Rate for Payer: PHP All Commercial |
$698.43
|
| Rate for Payer: Sagamore Health Network All Products |
$710.95
|
| Rate for Payer: Signature Care EPO |
$764.36
|
| Rate for Payer: Signature Care PPO |
$810.41
|
| Rate for Payer: United Healthcare Commercial |
$725.68
|
|
|
HC Z PIN 9IN
|
Facility
|
IP
|
$962.78
|
|
| Hospital Charge Code |
41605697
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$722.09 |
| Max. Negotiated Rate |
$895.39 |
| Rate for Payer: Aetna Commercial |
$831.84
|
| Rate for Payer: Cash Price |
$577.67
|
| Rate for Payer: Cigna All Commercial |
$830.88
|
| Rate for Payer: CORVEL All Commercial |
$895.39
|
| Rate for Payer: Coventry All Commercial |
$847.25
|
| Rate for Payer: Encore All Commercial |
$886.24
|
| Rate for Payer: Frontpath All Commercial |
$885.76
|
| Rate for Payer: Humana ChoiceCare |
$831.55
|
| Rate for Payer: Lutheran Preferred All Commercial |
$866.50
|
| Rate for Payer: PHCS All Commercial |
$722.09
|
| Rate for Payer: PHP All Commercial |
$730.17
|
| Rate for Payer: Sagamore Health Network All Products |
$743.27
|
| Rate for Payer: Signature Care EPO |
$799.11
|
| Rate for Payer: Signature Care PPO |
$847.25
|
| Rate for Payer: United Healthcare Commercial |
$758.67
|
|
|
HC Z PIN 9IN
|
Facility
|
OP
|
$962.78
|
|
| Hospital Charge Code |
41605697
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$31.20 |
| Max. Negotiated Rate |
$895.39 |
| Rate for Payer: Aetna Commercial |
$812.59
|
| Rate for Payer: Aetna Medicare |
$308.09
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$31.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$298.46
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$552.92
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$601.83
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$31.20
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$354.30
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$338.90
|
| Rate for Payer: Cash Price |
$577.67
|
| Rate for Payer: Cash Price |
$577.67
|
| Rate for Payer: Centivo All Commercial |
$523.75
|
| Rate for Payer: Cigna All Commercial |
$830.88
|
| Rate for Payer: CORVEL All Commercial |
$895.39
|
| Rate for Payer: Coventry All Commercial |
$847.25
|
| Rate for Payer: Encore All Commercial |
$886.24
|
| Rate for Payer: Frontpath All Commercial |
$885.76
|
| Rate for Payer: Humana ChoiceCare |
$831.55
|
| Rate for Payer: Humana Medicare |
$308.09
|
| Rate for Payer: Lucent All Commercial |
$523.75
|
| Rate for Payer: Lutheran Preferred All Commercial |
$866.50
|
| Rate for Payer: Managed Health Services Medicaid |
$31.20
|
| Rate for Payer: MDWise Medicaid |
$31.20
|
| Rate for Payer: PHCS All Commercial |
$722.09
|
| Rate for Payer: PHP All Commercial |
$730.17
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$375.48
|
| Rate for Payer: Sagamore Health Network All Products |
$743.27
|
| Rate for Payer: Signature Care EPO |
$799.11
|
| Rate for Payer: Signature Care PPO |
$847.25
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$818.36
|
| Rate for Payer: United Healthcare Commercial |
$758.67
|
| Rate for Payer: United Healthcare Medicare |
$308.09
|
|
|
HC Z PIN NANO STEIN 7
|
Facility
|
IP
|
$1,536.40
|
|
| Hospital Charge Code |
41607856
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,152.30 |
| Max. Negotiated Rate |
$1,428.85 |
| Rate for Payer: Aetna Commercial |
$1,327.45
|
| Rate for Payer: Cash Price |
$921.84
|
| Rate for Payer: Cigna All Commercial |
$1,325.91
|
| Rate for Payer: CORVEL All Commercial |
$1,428.85
|
| Rate for Payer: Coventry All Commercial |
$1,352.03
|
| Rate for Payer: Encore All Commercial |
$1,414.26
|
| Rate for Payer: Frontpath All Commercial |
$1,413.49
|
| Rate for Payer: Humana ChoiceCare |
$1,326.99
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,382.76
|
| Rate for Payer: PHCS All Commercial |
$1,152.30
|
| Rate for Payer: PHP All Commercial |
$1,165.21
|
| Rate for Payer: Sagamore Health Network All Products |
$1,186.10
|
| Rate for Payer: Signature Care EPO |
$1,275.21
|
| Rate for Payer: Signature Care PPO |
$1,352.03
|
| Rate for Payer: United Healthcare Commercial |
$1,210.68
|
|
|
HC Z PIN NANO STEIN 7
|
Facility
|
OP
|
$1,536.40
|
|
| Hospital Charge Code |
41607856
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$31.20 |
| Max. Negotiated Rate |
$1,428.85 |
| Rate for Payer: Aetna Commercial |
$1,296.72
|
| Rate for Payer: Aetna Medicare |
$491.65
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$31.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$476.28
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$882.35
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$960.40
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$31.20
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$565.40
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$540.81
|
| Rate for Payer: Cash Price |
$921.84
|
| Rate for Payer: Cash Price |
$921.84
|
| Rate for Payer: Centivo All Commercial |
$835.80
|
| Rate for Payer: Cigna All Commercial |
$1,325.91
|
| Rate for Payer: CORVEL All Commercial |
$1,428.85
|
| Rate for Payer: Coventry All Commercial |
$1,352.03
|
| Rate for Payer: Encore All Commercial |
$1,414.26
|
| Rate for Payer: Frontpath All Commercial |
$1,413.49
|
| Rate for Payer: Humana ChoiceCare |
$1,326.99
|
| Rate for Payer: Humana Medicare |
$491.65
|
| Rate for Payer: Lucent All Commercial |
$835.80
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,382.76
|
| Rate for Payer: Managed Health Services Medicaid |
$31.20
|
| Rate for Payer: MDWise Medicaid |
$31.20
|
| Rate for Payer: PHCS All Commercial |
$1,152.30
|
| Rate for Payer: PHP All Commercial |
$1,165.21
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$599.20
|
| Rate for Payer: Sagamore Health Network All Products |
$1,186.10
|
| Rate for Payer: Signature Care EPO |
$1,275.21
|
| Rate for Payer: Signature Care PPO |
$1,352.03
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,305.94
|
| Rate for Payer: United Healthcare Commercial |
$1,210.68
|
| Rate for Payer: United Healthcare Medicare |
$491.65
|
|
|
HC Z PIN STEIN 1.6X6 BT
|
Facility
|
OP
|
$260.61
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603884
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$80.79 |
| Max. Negotiated Rate |
$242.37 |
| Rate for Payer: Aetna Commercial |
$219.95
|
| Rate for Payer: Aetna Medicare |
$83.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$80.79
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$149.67
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$162.91
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$95.90
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$91.73
|
| Rate for Payer: Cash Price |
$156.37
|
| Rate for Payer: Cash Price |
$156.37
|
| Rate for Payer: Centivo All Commercial |
$141.77
|
| Rate for Payer: Cigna All Commercial |
$224.91
|
| Rate for Payer: CORVEL All Commercial |
$242.37
|
| Rate for Payer: Coventry All Commercial |
$229.34
|
| Rate for Payer: Encore All Commercial |
$239.89
|
| Rate for Payer: Frontpath All Commercial |
$239.76
|
| Rate for Payer: Humana ChoiceCare |
$225.09
|
| Rate for Payer: Humana Medicare |
$83.40
|
| Rate for Payer: Lucent All Commercial |
$141.77
|
| Rate for Payer: Lutheran Preferred All Commercial |
$234.55
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$195.46
|
| Rate for Payer: PHP All Commercial |
$197.65
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$101.64
|
| Rate for Payer: Sagamore Health Network All Products |
$201.19
|
| Rate for Payer: Signature Care EPO |
$216.31
|
| Rate for Payer: Signature Care PPO |
$229.34
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$221.52
|
| Rate for Payer: United Healthcare Commercial |
$205.36
|
| Rate for Payer: United Healthcare Medicare |
$83.40
|
|
|
HC Z PIN STEIN 1.6X6 BT
|
Facility
|
IP
|
$260.61
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603884
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$195.46 |
| Max. Negotiated Rate |
$242.37 |
| Rate for Payer: Aetna Commercial |
$225.17
|
| Rate for Payer: Cash Price |
$156.37
|
| Rate for Payer: Cigna All Commercial |
$224.91
|
| Rate for Payer: CORVEL All Commercial |
$242.37
|
| Rate for Payer: Coventry All Commercial |
$229.34
|
| Rate for Payer: Encore All Commercial |
$239.89
|
| Rate for Payer: Frontpath All Commercial |
$239.76
|
| Rate for Payer: Humana ChoiceCare |
$225.09
|
| Rate for Payer: Lutheran Preferred All Commercial |
$234.55
|
| Rate for Payer: PHCS All Commercial |
$195.46
|
| Rate for Payer: PHP All Commercial |
$197.65
|
| Rate for Payer: Sagamore Health Network All Products |
$201.19
|
| Rate for Payer: Signature Care EPO |
$216.31
|
| Rate for Payer: Signature Care PPO |
$229.34
|
| Rate for Payer: United Healthcare Commercial |
$205.36
|
|
|
HC Z PLATE CLAVICLE 8H 90MM
|
Facility
|
OP
|
$5,057.68
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41607403
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$4,703.64 |
| Rate for Payer: Aetna Commercial |
$4,268.68
|
| Rate for Payer: Aetna Medicare |
$1,618.46
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,567.88
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$2,904.63
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$3,161.56
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,861.23
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,780.30
|
| Rate for Payer: Cash Price |
$3,034.61
|
| Rate for Payer: Cash Price |
$3,034.61
|
| Rate for Payer: Centivo All Commercial |
$2,751.38
|
| Rate for Payer: Cigna All Commercial |
$4,364.78
|
| Rate for Payer: CORVEL All Commercial |
$4,703.64
|
| Rate for Payer: Coventry All Commercial |
$4,450.76
|
| Rate for Payer: Encore All Commercial |
$4,655.59
|
| Rate for Payer: Frontpath All Commercial |
$4,653.07
|
| Rate for Payer: Humana ChoiceCare |
$4,368.32
|
| Rate for Payer: Humana Medicare |
$1,618.46
|
| Rate for Payer: Lucent All Commercial |
$2,751.38
|
| Rate for Payer: Lutheran Preferred All Commercial |
$4,551.91
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$3,793.26
|
| Rate for Payer: PHP All Commercial |
$3,835.74
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$1,972.50
|
| Rate for Payer: Sagamore Health Network All Products |
$3,904.53
|
| Rate for Payer: Signature Care EPO |
$4,197.87
|
| Rate for Payer: Signature Care PPO |
$4,450.76
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$4,299.03
|
| Rate for Payer: United Healthcare Commercial |
$3,985.45
|
| Rate for Payer: United Healthcare Medicare |
$1,618.46
|
|
|
HC Z PLATE CLAVICLE 8H 90MM
|
Facility
|
IP
|
$5,057.68
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41607403
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,793.26 |
| Max. Negotiated Rate |
$4,703.64 |
| Rate for Payer: Aetna Commercial |
$4,369.84
|
| Rate for Payer: Cash Price |
$3,034.61
|
| Rate for Payer: Cigna All Commercial |
$4,364.78
|
| Rate for Payer: CORVEL All Commercial |
$4,703.64
|
| Rate for Payer: Coventry All Commercial |
$4,450.76
|
| Rate for Payer: Encore All Commercial |
$4,655.59
|
| Rate for Payer: Frontpath All Commercial |
$4,653.07
|
| Rate for Payer: Humana ChoiceCare |
$4,368.32
|
| Rate for Payer: Lutheran Preferred All Commercial |
$4,551.91
|
| Rate for Payer: PHCS All Commercial |
$3,793.26
|
| Rate for Payer: PHP All Commercial |
$3,835.74
|
| Rate for Payer: Sagamore Health Network All Products |
$3,904.53
|
| Rate for Payer: Signature Care EPO |
$4,197.87
|
| Rate for Payer: Signature Care PPO |
$4,450.76
|
| Rate for Payer: United Healthcare Commercial |
$3,985.45
|
|
|
HC Z PLATE DIST FEM NCB 278 R
|
Facility
|
OP
|
$4,745.77
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606564
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$4,413.57 |
| Rate for Payer: Aetna Commercial |
$4,005.43
|
| Rate for Payer: Aetna Medicare |
$1,518.65
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,471.19
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$2,725.50
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$2,966.58
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,746.44
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,670.51
|
| Rate for Payer: Cash Price |
$2,847.46
|
| Rate for Payer: Cash Price |
$2,847.46
|
| Rate for Payer: Centivo All Commercial |
$2,581.70
|
| Rate for Payer: Cigna All Commercial |
$4,095.60
|
| Rate for Payer: CORVEL All Commercial |
$4,413.57
|
| Rate for Payer: Coventry All Commercial |
$4,176.28
|
| Rate for Payer: Encore All Commercial |
$4,368.48
|
| Rate for Payer: Frontpath All Commercial |
$4,366.11
|
| Rate for Payer: Humana ChoiceCare |
$4,098.92
|
| Rate for Payer: Humana Medicare |
$1,518.65
|
| Rate for Payer: Lucent All Commercial |
$2,581.70
|
| Rate for Payer: Lutheran Preferred All Commercial |
$4,271.19
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$3,559.33
|
| Rate for Payer: PHP All Commercial |
$3,599.19
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$1,850.85
|
| Rate for Payer: Sagamore Health Network All Products |
$3,663.73
|
| Rate for Payer: Signature Care EPO |
$3,938.99
|
| Rate for Payer: Signature Care PPO |
$4,176.28
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$4,033.90
|
| Rate for Payer: United Healthcare Commercial |
$3,739.67
|
| Rate for Payer: United Healthcare Medicare |
$1,518.65
|
|
|
HC Z PLATE DIST FEM NCB 278 R
|
Facility
|
IP
|
$4,745.77
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606564
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,559.33 |
| Max. Negotiated Rate |
$4,413.57 |
| Rate for Payer: Aetna Commercial |
$4,100.35
|
| Rate for Payer: Cash Price |
$2,847.46
|
| Rate for Payer: Cigna All Commercial |
$4,095.60
|
| Rate for Payer: CORVEL All Commercial |
$4,413.57
|
| Rate for Payer: Coventry All Commercial |
$4,176.28
|
| Rate for Payer: Encore All Commercial |
$4,368.48
|
| Rate for Payer: Frontpath All Commercial |
$4,366.11
|
| Rate for Payer: Humana ChoiceCare |
$4,098.92
|
| Rate for Payer: Lutheran Preferred All Commercial |
$4,271.19
|
| Rate for Payer: PHCS All Commercial |
$3,559.33
|
| Rate for Payer: PHP All Commercial |
$3,599.19
|
| Rate for Payer: Sagamore Health Network All Products |
$3,663.73
|
| Rate for Payer: Signature Care EPO |
$3,938.99
|
| Rate for Payer: Signature Care PPO |
$4,176.28
|
| Rate for Payer: United Healthcare Commercial |
$3,739.67
|
|
|
HC Z PLATE DIST HUM LAT 7H R
|
Facility
|
OP
|
$3,497.83
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606723
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$3,252.98 |
| Rate for Payer: Aetna Commercial |
$2,952.17
|
| Rate for Payer: Aetna Medicare |
$1,119.31
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,084.33
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$2,008.80
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$2,186.49
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,287.20
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,231.24
|
| Rate for Payer: Cash Price |
$2,098.70
|
| Rate for Payer: Cash Price |
$2,098.70
|
| Rate for Payer: Centivo All Commercial |
$1,902.82
|
| Rate for Payer: Cigna All Commercial |
$3,018.63
|
| Rate for Payer: CORVEL All Commercial |
$3,252.98
|
| Rate for Payer: Coventry All Commercial |
$3,078.09
|
| Rate for Payer: Encore All Commercial |
$3,219.75
|
| Rate for Payer: Frontpath All Commercial |
$3,218.00
|
| Rate for Payer: Humana ChoiceCare |
$3,021.08
|
| Rate for Payer: Humana Medicare |
$1,119.31
|
| Rate for Payer: Lucent All Commercial |
$1,902.82
|
| Rate for Payer: Lutheran Preferred All Commercial |
$3,148.05
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$2,623.37
|
| Rate for Payer: PHP All Commercial |
$2,652.75
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$1,364.15
|
| Rate for Payer: Sagamore Health Network All Products |
$2,700.32
|
| Rate for Payer: Signature Care EPO |
$2,903.20
|
| Rate for Payer: Signature Care PPO |
$3,078.09
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$2,973.16
|
| Rate for Payer: United Healthcare Commercial |
$2,756.29
|
| Rate for Payer: United Healthcare Medicare |
$1,119.31
|
|
|
HC Z PLATE DIST HUM LAT 7H R
|
Facility
|
IP
|
$3,497.83
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606723
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,623.37 |
| Max. Negotiated Rate |
$3,252.98 |
| Rate for Payer: Aetna Commercial |
$3,022.13
|
| Rate for Payer: Cash Price |
$2,098.70
|
| Rate for Payer: Cigna All Commercial |
$3,018.63
|
| Rate for Payer: CORVEL All Commercial |
$3,252.98
|
| Rate for Payer: Coventry All Commercial |
$3,078.09
|
| Rate for Payer: Encore All Commercial |
$3,219.75
|
| Rate for Payer: Frontpath All Commercial |
$3,218.00
|
| Rate for Payer: Humana ChoiceCare |
$3,021.08
|
| Rate for Payer: Lutheran Preferred All Commercial |
$3,148.05
|
| Rate for Payer: PHCS All Commercial |
$2,623.37
|
| Rate for Payer: PHP All Commercial |
$2,652.75
|
| Rate for Payer: Sagamore Health Network All Products |
$2,700.32
|
| Rate for Payer: Signature Care EPO |
$2,903.20
|
| Rate for Payer: Signature Care PPO |
$3,078.09
|
| Rate for Payer: United Healthcare Commercial |
$2,756.29
|
|
|
HC Z PLATE FIB 6-H LOCK
|
Facility
|
IP
|
$1,156.05
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41607826
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$867.04 |
| Max. Negotiated Rate |
$1,075.13 |
| Rate for Payer: Aetna Commercial |
$998.83
|
| Rate for Payer: Cash Price |
$693.63
|
| Rate for Payer: Cigna All Commercial |
$997.67
|
| Rate for Payer: CORVEL All Commercial |
$1,075.13
|
| Rate for Payer: Coventry All Commercial |
$1,017.32
|
| Rate for Payer: Encore All Commercial |
$1,064.14
|
| Rate for Payer: Frontpath All Commercial |
$1,063.57
|
| Rate for Payer: Humana ChoiceCare |
$998.48
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,040.44
|
| Rate for Payer: PHCS All Commercial |
$867.04
|
| Rate for Payer: PHP All Commercial |
$876.75
|
| Rate for Payer: Sagamore Health Network All Products |
$892.47
|
| Rate for Payer: Signature Care EPO |
$959.52
|
| Rate for Payer: Signature Care PPO |
$1,017.32
|
| Rate for Payer: United Healthcare Commercial |
$910.97
|
|
|
HC Z PLATE FIB 6-H LOCK
|
Facility
|
OP
|
$1,156.05
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41607826
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$1,075.13 |
| Rate for Payer: Aetna Commercial |
$975.71
|
| Rate for Payer: Aetna Medicare |
$369.94
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$358.38
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$663.92
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$722.65
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$425.43
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$406.93
|
| Rate for Payer: Cash Price |
$693.63
|
| Rate for Payer: Cash Price |
$693.63
|
| Rate for Payer: Centivo All Commercial |
$628.89
|
| Rate for Payer: Cigna All Commercial |
$997.67
|
| Rate for Payer: CORVEL All Commercial |
$1,075.13
|
| Rate for Payer: Coventry All Commercial |
$1,017.32
|
| Rate for Payer: Encore All Commercial |
$1,064.14
|
| Rate for Payer: Frontpath All Commercial |
$1,063.57
|
| Rate for Payer: Humana ChoiceCare |
$998.48
|
| Rate for Payer: Humana Medicare |
$369.94
|
| Rate for Payer: Lucent All Commercial |
$628.89
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,040.44
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$867.04
|
| Rate for Payer: PHP All Commercial |
$876.75
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$450.86
|
| Rate for Payer: Sagamore Health Network All Products |
$892.47
|
| Rate for Payer: Signature Care EPO |
$959.52
|
| Rate for Payer: Signature Care PPO |
$1,017.32
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$982.64
|
| Rate for Payer: United Healthcare Commercial |
$910.97
|
| Rate for Payer: United Healthcare Medicare |
$369.94
|
|
|
HC Z PLATE FIB 7H LOCK
|
Facility
|
IP
|
$1,263.80
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41607861
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$947.85 |
| Max. Negotiated Rate |
$1,175.33 |
| Rate for Payer: Aetna Commercial |
$1,091.92
|
| Rate for Payer: Cash Price |
$758.28
|
| Rate for Payer: Cigna All Commercial |
$1,090.66
|
| Rate for Payer: CORVEL All Commercial |
$1,175.33
|
| Rate for Payer: Coventry All Commercial |
$1,112.14
|
| Rate for Payer: Encore All Commercial |
$1,163.33
|
| Rate for Payer: Frontpath All Commercial |
$1,162.70
|
| Rate for Payer: Humana ChoiceCare |
$1,091.54
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,137.42
|
| Rate for Payer: PHCS All Commercial |
$947.85
|
| Rate for Payer: PHP All Commercial |
$958.47
|
| Rate for Payer: Sagamore Health Network All Products |
$975.65
|
| Rate for Payer: Signature Care EPO |
$1,048.95
|
| Rate for Payer: Signature Care PPO |
$1,112.14
|
| Rate for Payer: United Healthcare Commercial |
$995.87
|
|
