|
HC SN SCREW 7.0X100 16 SS CANN PT
|
Facility
IP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603125
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,552.50 |
| Max. Negotiated Rate |
$1,925.10 |
| Rate for Payer: Aetna Commercial |
$1,788.48
|
| Rate for Payer: Cash Price |
$1,283.40
|
| Rate for Payer: Cigna All Commercial |
$1,786.41
|
| Rate for Payer: CORVEL All Commercial |
$1,925.10
|
| Rate for Payer: Coventry All Commercial |
$1,821.60
|
| Rate for Payer: Encore All Commercial |
$1,905.44
|
| Rate for Payer: Frontpath All Commercial |
$1,904.40
|
| Rate for Payer: Humana ChoiceCare |
$1,787.86
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,863.00
|
| Rate for Payer: PHCS All Commercial |
$1,552.50
|
| Rate for Payer: PHP All Commercial |
$1,569.89
|
| Rate for Payer: Sagamore Health Network All Products |
$1,598.04
|
| Rate for Payer: Signature Care EPO |
$1,718.10
|
| Rate for Payer: Signature Care PPO |
$1,821.60
|
| Rate for Payer: United Healthcare Commercial |
$1,631.16
|
|
|
HC SN SCREW 7.0X100 32 SS CANN PT
|
Facility
OP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603142
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$1,925.10 |
| Rate for Payer: Aetna Commercial |
$1,747.08
|
| Rate for Payer: Aetna Medicare |
$683.10
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$683.10
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,188.80
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,293.96
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$785.56
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$751.41
|
| Rate for Payer: Cash Price |
$1,283.40
|
| Rate for Payer: Cash Price |
$1,283.40
|
| Rate for Payer: Centivo All Commercial |
$1,055.70
|
| Rate for Payer: Cigna All Commercial |
$1,786.41
|
| Rate for Payer: CORVEL All Commercial |
$1,925.10
|
| Rate for Payer: Coventry All Commercial |
$1,821.60
|
| Rate for Payer: Encore All Commercial |
$1,905.44
|
| Rate for Payer: Frontpath All Commercial |
$1,904.40
|
| Rate for Payer: Humana ChoiceCare |
$1,787.86
|
| Rate for Payer: Humana Medicare |
$1,055.70
|
| Rate for Payer: Lucent All Commercial |
$1,055.70
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,863.00
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,552.50
|
| Rate for Payer: PHP All Commercial |
$1,569.89
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$807.30
|
| Rate for Payer: Sagamore Health Network All Products |
$1,598.04
|
| Rate for Payer: Signature Care EPO |
$1,718.10
|
| Rate for Payer: Signature Care PPO |
$1,821.60
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,759.50
|
| Rate for Payer: United Healthcare Commercial |
$1,631.16
|
| Rate for Payer: United Healthcare Medicare |
$683.10
|
|
|
HC SN SCREW 7.0X100 32 SS CANN PT
|
Facility
IP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603142
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,552.50 |
| Max. Negotiated Rate |
$1,925.10 |
| Rate for Payer: Aetna Commercial |
$1,788.48
|
| Rate for Payer: Cash Price |
$1,283.40
|
| Rate for Payer: Cigna All Commercial |
$1,786.41
|
| Rate for Payer: CORVEL All Commercial |
$1,925.10
|
| Rate for Payer: Coventry All Commercial |
$1,821.60
|
| Rate for Payer: Encore All Commercial |
$1,905.44
|
| Rate for Payer: Frontpath All Commercial |
$1,904.40
|
| Rate for Payer: Humana ChoiceCare |
$1,787.86
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,863.00
|
| Rate for Payer: PHCS All Commercial |
$1,552.50
|
| Rate for Payer: PHP All Commercial |
$1,569.89
|
| Rate for Payer: Sagamore Health Network All Products |
$1,598.04
|
| Rate for Payer: Signature Care EPO |
$1,718.10
|
| Rate for Payer: Signature Care PPO |
$1,821.60
|
| Rate for Payer: United Healthcare Commercial |
$1,631.16
|
|
|
HC SN SCREW 7.0X100 SS CANN FT
|
Facility
IP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603162
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,552.50 |
| Max. Negotiated Rate |
$1,925.10 |
| Rate for Payer: Aetna Commercial |
$1,788.48
|
| Rate for Payer: Cash Price |
$1,283.40
|
| Rate for Payer: Cigna All Commercial |
$1,786.41
|
| Rate for Payer: CORVEL All Commercial |
$1,925.10
|
| Rate for Payer: Coventry All Commercial |
$1,821.60
|
| Rate for Payer: Encore All Commercial |
$1,905.44
|
| Rate for Payer: Frontpath All Commercial |
$1,904.40
|
| Rate for Payer: Humana ChoiceCare |
$1,787.86
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,863.00
|
| Rate for Payer: PHCS All Commercial |
$1,552.50
|
| Rate for Payer: PHP All Commercial |
$1,569.89
|
| Rate for Payer: Sagamore Health Network All Products |
$1,598.04
|
| Rate for Payer: Signature Care EPO |
$1,718.10
|
| Rate for Payer: Signature Care PPO |
$1,821.60
|
| Rate for Payer: United Healthcare Commercial |
$1,631.16
|
|
|
HC SN SCREW 7.0X100 SS CANN FT
|
Facility
OP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603162
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$1,925.10 |
| Rate for Payer: Aetna Commercial |
$1,747.08
|
| Rate for Payer: Aetna Medicare |
$683.10
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$683.10
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,188.80
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,293.96
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$785.56
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$751.41
|
| Rate for Payer: Cash Price |
$1,283.40
|
| Rate for Payer: Cash Price |
$1,283.40
|
| Rate for Payer: Centivo All Commercial |
$1,055.70
|
| Rate for Payer: Cigna All Commercial |
$1,786.41
|
| Rate for Payer: CORVEL All Commercial |
$1,925.10
|
| Rate for Payer: Coventry All Commercial |
$1,821.60
|
| Rate for Payer: Encore All Commercial |
$1,905.44
|
| Rate for Payer: Frontpath All Commercial |
$1,904.40
|
| Rate for Payer: Humana ChoiceCare |
$1,787.86
|
| Rate for Payer: Humana Medicare |
$1,055.70
|
| Rate for Payer: Lucent All Commercial |
$1,055.70
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,863.00
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,552.50
|
| Rate for Payer: PHP All Commercial |
$1,569.89
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$807.30
|
| Rate for Payer: Sagamore Health Network All Products |
$1,598.04
|
| Rate for Payer: Signature Care EPO |
$1,718.10
|
| Rate for Payer: Signature Care PPO |
$1,821.60
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,759.50
|
| Rate for Payer: United Healthcare Commercial |
$1,631.16
|
| Rate for Payer: United Healthcare Medicare |
$683.10
|
|
|
HC SN SCREW 7.0X105 16 SS CANN PT
|
Facility
OP
|
$1,848.75
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603126
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$1,719.34 |
| Rate for Payer: Aetna Commercial |
$1,560.34
|
| Rate for Payer: Aetna Medicare |
$610.09
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$610.09
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,061.74
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,155.65
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$701.60
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$671.10
|
| Rate for Payer: Cash Price |
$1,146.23
|
| Rate for Payer: Cash Price |
$1,146.23
|
| Rate for Payer: Centivo All Commercial |
$942.86
|
| Rate for Payer: Cigna All Commercial |
$1,595.47
|
| Rate for Payer: CORVEL All Commercial |
$1,719.34
|
| Rate for Payer: Coventry All Commercial |
$1,626.90
|
| Rate for Payer: Encore All Commercial |
$1,701.77
|
| Rate for Payer: Frontpath All Commercial |
$1,700.85
|
| Rate for Payer: Humana ChoiceCare |
$1,596.77
|
| Rate for Payer: Humana Medicare |
$942.86
|
| Rate for Payer: Lucent All Commercial |
$942.86
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,663.88
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,386.56
|
| Rate for Payer: PHP All Commercial |
$1,402.09
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$721.01
|
| Rate for Payer: Sagamore Health Network All Products |
$1,427.24
|
| Rate for Payer: Signature Care EPO |
$1,534.46
|
| Rate for Payer: Signature Care PPO |
$1,626.90
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,571.44
|
| Rate for Payer: United Healthcare Commercial |
$1,456.82
|
| Rate for Payer: United Healthcare Medicare |
$610.09
|
|
|
HC SN SCREW 7.0X105 16 SS CANN PT
|
Facility
IP
|
$1,848.75
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603126
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,386.56 |
| Max. Negotiated Rate |
$1,719.34 |
| Rate for Payer: Aetna Commercial |
$1,597.32
|
| Rate for Payer: Cash Price |
$1,146.23
|
| Rate for Payer: Cigna All Commercial |
$1,595.47
|
| Rate for Payer: CORVEL All Commercial |
$1,719.34
|
| Rate for Payer: Coventry All Commercial |
$1,626.90
|
| Rate for Payer: Encore All Commercial |
$1,701.77
|
| Rate for Payer: Frontpath All Commercial |
$1,700.85
|
| Rate for Payer: Humana ChoiceCare |
$1,596.77
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,663.88
|
| Rate for Payer: PHCS All Commercial |
$1,386.56
|
| Rate for Payer: PHP All Commercial |
$1,402.09
|
| Rate for Payer: Sagamore Health Network All Products |
$1,427.24
|
| Rate for Payer: Signature Care EPO |
$1,534.46
|
| Rate for Payer: Signature Care PPO |
$1,626.90
|
| Rate for Payer: United Healthcare Commercial |
$1,456.82
|
|
|
HC SN SCREW 7.0X105 32 SS CANN PT
|
Facility
OP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603143
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$1,925.10 |
| Rate for Payer: Aetna Commercial |
$1,747.08
|
| Rate for Payer: Aetna Medicare |
$683.10
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$683.10
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,188.80
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,293.96
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$785.56
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$751.41
|
| Rate for Payer: Cash Price |
$1,283.40
|
| Rate for Payer: Cash Price |
$1,283.40
|
| Rate for Payer: Centivo All Commercial |
$1,055.70
|
| Rate for Payer: Cigna All Commercial |
$1,786.41
|
| Rate for Payer: CORVEL All Commercial |
$1,925.10
|
| Rate for Payer: Coventry All Commercial |
$1,821.60
|
| Rate for Payer: Encore All Commercial |
$1,905.44
|
| Rate for Payer: Frontpath All Commercial |
$1,904.40
|
| Rate for Payer: Humana ChoiceCare |
$1,787.86
|
| Rate for Payer: Humana Medicare |
$1,055.70
|
| Rate for Payer: Lucent All Commercial |
$1,055.70
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,863.00
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,552.50
|
| Rate for Payer: PHP All Commercial |
$1,569.89
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$807.30
|
| Rate for Payer: Sagamore Health Network All Products |
$1,598.04
|
| Rate for Payer: Signature Care EPO |
$1,718.10
|
| Rate for Payer: Signature Care PPO |
$1,821.60
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,759.50
|
| Rate for Payer: United Healthcare Commercial |
$1,631.16
|
| Rate for Payer: United Healthcare Medicare |
$683.10
|
|
|
HC SN SCREW 7.0X105 32 SS CANN PT
|
Facility
IP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603143
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,552.50 |
| Max. Negotiated Rate |
$1,925.10 |
| Rate for Payer: Aetna Commercial |
$1,788.48
|
| Rate for Payer: Cash Price |
$1,283.40
|
| Rate for Payer: Cigna All Commercial |
$1,786.41
|
| Rate for Payer: CORVEL All Commercial |
$1,925.10
|
| Rate for Payer: Coventry All Commercial |
$1,821.60
|
| Rate for Payer: Encore All Commercial |
$1,905.44
|
| Rate for Payer: Frontpath All Commercial |
$1,904.40
|
| Rate for Payer: Humana ChoiceCare |
$1,787.86
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,863.00
|
| Rate for Payer: PHCS All Commercial |
$1,552.50
|
| Rate for Payer: PHP All Commercial |
$1,569.89
|
| Rate for Payer: Sagamore Health Network All Products |
$1,598.04
|
| Rate for Payer: Signature Care EPO |
$1,718.10
|
| Rate for Payer: Signature Care PPO |
$1,821.60
|
| Rate for Payer: United Healthcare Commercial |
$1,631.16
|
|
|
HC SN SCREW 7.0X105 SS CANN FT
|
Facility
IP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603163
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,552.50 |
| Max. Negotiated Rate |
$1,925.10 |
| Rate for Payer: Aetna Commercial |
$1,788.48
|
| Rate for Payer: Cash Price |
$1,283.40
|
| Rate for Payer: Cigna All Commercial |
$1,786.41
|
| Rate for Payer: CORVEL All Commercial |
$1,925.10
|
| Rate for Payer: Coventry All Commercial |
$1,821.60
|
| Rate for Payer: Encore All Commercial |
$1,905.44
|
| Rate for Payer: Frontpath All Commercial |
$1,904.40
|
| Rate for Payer: Humana ChoiceCare |
$1,787.86
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,863.00
|
| Rate for Payer: PHCS All Commercial |
$1,552.50
|
| Rate for Payer: PHP All Commercial |
$1,569.89
|
| Rate for Payer: Sagamore Health Network All Products |
$1,598.04
|
| Rate for Payer: Signature Care EPO |
$1,718.10
|
| Rate for Payer: Signature Care PPO |
$1,821.60
|
| Rate for Payer: United Healthcare Commercial |
$1,631.16
|
|
|
HC SN SCREW 7.0X105 SS CANN FT
|
Facility
OP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603163
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$1,925.10 |
| Rate for Payer: Aetna Commercial |
$1,747.08
|
| Rate for Payer: Aetna Medicare |
$683.10
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$683.10
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,188.80
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,293.96
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$785.56
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$751.41
|
| Rate for Payer: Cash Price |
$1,283.40
|
| Rate for Payer: Cash Price |
$1,283.40
|
| Rate for Payer: Centivo All Commercial |
$1,055.70
|
| Rate for Payer: Cigna All Commercial |
$1,786.41
|
| Rate for Payer: CORVEL All Commercial |
$1,925.10
|
| Rate for Payer: Coventry All Commercial |
$1,821.60
|
| Rate for Payer: Encore All Commercial |
$1,905.44
|
| Rate for Payer: Frontpath All Commercial |
$1,904.40
|
| Rate for Payer: Humana ChoiceCare |
$1,787.86
|
| Rate for Payer: Humana Medicare |
$1,055.70
|
| Rate for Payer: Lucent All Commercial |
$1,055.70
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,863.00
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,552.50
|
| Rate for Payer: PHP All Commercial |
$1,569.89
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$807.30
|
| Rate for Payer: Sagamore Health Network All Products |
$1,598.04
|
| Rate for Payer: Signature Care EPO |
$1,718.10
|
| Rate for Payer: Signature Care PPO |
$1,821.60
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,759.50
|
| Rate for Payer: United Healthcare Commercial |
$1,631.16
|
| Rate for Payer: United Healthcare Medicare |
$683.10
|
|
|
HC SN SCREW 7.0X110 16 SS CANN PT
|
Facility
OP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603127
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$1,925.10 |
| Rate for Payer: Aetna Commercial |
$1,747.08
|
| Rate for Payer: Aetna Medicare |
$683.10
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$683.10
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,188.80
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,293.96
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$785.56
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$751.41
|
| Rate for Payer: Cash Price |
$1,283.40
|
| Rate for Payer: Cash Price |
$1,283.40
|
| Rate for Payer: Centivo All Commercial |
$1,055.70
|
| Rate for Payer: Cigna All Commercial |
$1,786.41
|
| Rate for Payer: CORVEL All Commercial |
$1,925.10
|
| Rate for Payer: Coventry All Commercial |
$1,821.60
|
| Rate for Payer: Encore All Commercial |
$1,905.44
|
| Rate for Payer: Frontpath All Commercial |
$1,904.40
|
| Rate for Payer: Humana ChoiceCare |
$1,787.86
|
| Rate for Payer: Humana Medicare |
$1,055.70
|
| Rate for Payer: Lucent All Commercial |
$1,055.70
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,863.00
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,552.50
|
| Rate for Payer: PHP All Commercial |
$1,569.89
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$807.30
|
| Rate for Payer: Sagamore Health Network All Products |
$1,598.04
|
| Rate for Payer: Signature Care EPO |
$1,718.10
|
| Rate for Payer: Signature Care PPO |
$1,821.60
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,759.50
|
| Rate for Payer: United Healthcare Commercial |
$1,631.16
|
| Rate for Payer: United Healthcare Medicare |
$683.10
|
|
|
HC SN SCREW 7.0X110 16 SS CANN PT
|
Facility
IP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603127
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,552.50 |
| Max. Negotiated Rate |
$1,925.10 |
| Rate for Payer: Aetna Commercial |
$1,788.48
|
| Rate for Payer: Cash Price |
$1,283.40
|
| Rate for Payer: Cigna All Commercial |
$1,786.41
|
| Rate for Payer: CORVEL All Commercial |
$1,925.10
|
| Rate for Payer: Coventry All Commercial |
$1,821.60
|
| Rate for Payer: Encore All Commercial |
$1,905.44
|
| Rate for Payer: Frontpath All Commercial |
$1,904.40
|
| Rate for Payer: Humana ChoiceCare |
$1,787.86
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,863.00
|
| Rate for Payer: PHCS All Commercial |
$1,552.50
|
| Rate for Payer: PHP All Commercial |
$1,569.89
|
| Rate for Payer: Sagamore Health Network All Products |
$1,598.04
|
| Rate for Payer: Signature Care EPO |
$1,718.10
|
| Rate for Payer: Signature Care PPO |
$1,821.60
|
| Rate for Payer: United Healthcare Commercial |
$1,631.16
|
|
|
HC SN SCREW 7.0X110 32 SS CANN PT
|
Facility
IP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603144
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,552.50 |
| Max. Negotiated Rate |
$1,925.10 |
| Rate for Payer: Aetna Commercial |
$1,788.48
|
| Rate for Payer: Cash Price |
$1,283.40
|
| Rate for Payer: Cigna All Commercial |
$1,786.41
|
| Rate for Payer: CORVEL All Commercial |
$1,925.10
|
| Rate for Payer: Coventry All Commercial |
$1,821.60
|
| Rate for Payer: Encore All Commercial |
$1,905.44
|
| Rate for Payer: Frontpath All Commercial |
$1,904.40
|
| Rate for Payer: Humana ChoiceCare |
$1,787.86
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,863.00
|
| Rate for Payer: PHCS All Commercial |
$1,552.50
|
| Rate for Payer: PHP All Commercial |
$1,569.89
|
| Rate for Payer: Sagamore Health Network All Products |
$1,598.04
|
| Rate for Payer: Signature Care EPO |
$1,718.10
|
| Rate for Payer: Signature Care PPO |
$1,821.60
|
| Rate for Payer: United Healthcare Commercial |
$1,631.16
|
|
|
HC SN SCREW 7.0X110 32 SS CANN PT
|
Facility
OP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603144
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$1,925.10 |
| Rate for Payer: Aetna Commercial |
$1,747.08
|
| Rate for Payer: Aetna Medicare |
$683.10
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$683.10
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,188.80
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,293.96
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$785.56
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$751.41
|
| Rate for Payer: Cash Price |
$1,283.40
|
| Rate for Payer: Cash Price |
$1,283.40
|
| Rate for Payer: Centivo All Commercial |
$1,055.70
|
| Rate for Payer: Cigna All Commercial |
$1,786.41
|
| Rate for Payer: CORVEL All Commercial |
$1,925.10
|
| Rate for Payer: Coventry All Commercial |
$1,821.60
|
| Rate for Payer: Encore All Commercial |
$1,905.44
|
| Rate for Payer: Frontpath All Commercial |
$1,904.40
|
| Rate for Payer: Humana ChoiceCare |
$1,787.86
|
| Rate for Payer: Humana Medicare |
$1,055.70
|
| Rate for Payer: Lucent All Commercial |
$1,055.70
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,863.00
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,552.50
|
| Rate for Payer: PHP All Commercial |
$1,569.89
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$807.30
|
| Rate for Payer: Sagamore Health Network All Products |
$1,598.04
|
| Rate for Payer: Signature Care EPO |
$1,718.10
|
| Rate for Payer: Signature Care PPO |
$1,821.60
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,759.50
|
| Rate for Payer: United Healthcare Commercial |
$1,631.16
|
| Rate for Payer: United Healthcare Medicare |
$683.10
|
|
|
HC SN SCREW 7.0X110 SS CANN FT
|
Facility
OP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603164
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$1,925.10 |
| Rate for Payer: Aetna Commercial |
$1,747.08
|
| Rate for Payer: Aetna Medicare |
$683.10
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$683.10
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,188.80
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,293.96
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$785.56
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$751.41
|
| Rate for Payer: Cash Price |
$1,283.40
|
| Rate for Payer: Cash Price |
$1,283.40
|
| Rate for Payer: Centivo All Commercial |
$1,055.70
|
| Rate for Payer: Cigna All Commercial |
$1,786.41
|
| Rate for Payer: CORVEL All Commercial |
$1,925.10
|
| Rate for Payer: Coventry All Commercial |
$1,821.60
|
| Rate for Payer: Encore All Commercial |
$1,905.44
|
| Rate for Payer: Frontpath All Commercial |
$1,904.40
|
| Rate for Payer: Humana ChoiceCare |
$1,787.86
|
| Rate for Payer: Humana Medicare |
$1,055.70
|
| Rate for Payer: Lucent All Commercial |
$1,055.70
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,863.00
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,552.50
|
| Rate for Payer: PHP All Commercial |
$1,569.89
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$807.30
|
| Rate for Payer: Sagamore Health Network All Products |
$1,598.04
|
| Rate for Payer: Signature Care EPO |
$1,718.10
|
| Rate for Payer: Signature Care PPO |
$1,821.60
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,759.50
|
| Rate for Payer: United Healthcare Commercial |
$1,631.16
|
| Rate for Payer: United Healthcare Medicare |
$683.10
|
|
|
HC SN SCREW 7.0X110 SS CANN FT
|
Facility
IP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603164
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,552.50 |
| Max. Negotiated Rate |
$1,925.10 |
| Rate for Payer: Aetna Commercial |
$1,788.48
|
| Rate for Payer: Cash Price |
$1,283.40
|
| Rate for Payer: Cigna All Commercial |
$1,786.41
|
| Rate for Payer: CORVEL All Commercial |
$1,925.10
|
| Rate for Payer: Coventry All Commercial |
$1,821.60
|
| Rate for Payer: Encore All Commercial |
$1,905.44
|
| Rate for Payer: Frontpath All Commercial |
$1,904.40
|
| Rate for Payer: Humana ChoiceCare |
$1,787.86
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,863.00
|
| Rate for Payer: PHCS All Commercial |
$1,552.50
|
| Rate for Payer: PHP All Commercial |
$1,569.89
|
| Rate for Payer: Sagamore Health Network All Products |
$1,598.04
|
| Rate for Payer: Signature Care EPO |
$1,718.10
|
| Rate for Payer: Signature Care PPO |
$1,821.60
|
| Rate for Payer: United Healthcare Commercial |
$1,631.16
|
|
|
HC SN SCREW 7.0X115 16 SS CANN PT
|
Facility
OP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603128
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$1,925.10 |
| Rate for Payer: Aetna Commercial |
$1,747.08
|
| Rate for Payer: Aetna Medicare |
$683.10
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$683.10
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,188.80
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,293.96
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$785.56
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$751.41
|
| Rate for Payer: Cash Price |
$1,283.40
|
| Rate for Payer: Cash Price |
$1,283.40
|
| Rate for Payer: Centivo All Commercial |
$1,055.70
|
| Rate for Payer: Cigna All Commercial |
$1,786.41
|
| Rate for Payer: CORVEL All Commercial |
$1,925.10
|
| Rate for Payer: Coventry All Commercial |
$1,821.60
|
| Rate for Payer: Encore All Commercial |
$1,905.44
|
| Rate for Payer: Frontpath All Commercial |
$1,904.40
|
| Rate for Payer: Humana ChoiceCare |
$1,787.86
|
| Rate for Payer: Humana Medicare |
$1,055.70
|
| Rate for Payer: Lucent All Commercial |
$1,055.70
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,863.00
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,552.50
|
| Rate for Payer: PHP All Commercial |
$1,569.89
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$807.30
|
| Rate for Payer: Sagamore Health Network All Products |
$1,598.04
|
| Rate for Payer: Signature Care EPO |
$1,718.10
|
| Rate for Payer: Signature Care PPO |
$1,821.60
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,759.50
|
| Rate for Payer: United Healthcare Commercial |
$1,631.16
|
| Rate for Payer: United Healthcare Medicare |
$683.10
|
|
|
HC SN SCREW 7.0X115 16 SS CANN PT
|
Facility
IP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603128
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,552.50 |
| Max. Negotiated Rate |
$1,925.10 |
| Rate for Payer: Aetna Commercial |
$1,788.48
|
| Rate for Payer: Cash Price |
$1,283.40
|
| Rate for Payer: Cigna All Commercial |
$1,786.41
|
| Rate for Payer: CORVEL All Commercial |
$1,925.10
|
| Rate for Payer: Coventry All Commercial |
$1,821.60
|
| Rate for Payer: Encore All Commercial |
$1,905.44
|
| Rate for Payer: Frontpath All Commercial |
$1,904.40
|
| Rate for Payer: Humana ChoiceCare |
$1,787.86
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,863.00
|
| Rate for Payer: PHCS All Commercial |
$1,552.50
|
| Rate for Payer: PHP All Commercial |
$1,569.89
|
| Rate for Payer: Sagamore Health Network All Products |
$1,598.04
|
| Rate for Payer: Signature Care EPO |
$1,718.10
|
| Rate for Payer: Signature Care PPO |
$1,821.60
|
| Rate for Payer: United Healthcare Commercial |
$1,631.16
|
|
|
HC SN SCREW 7.0X115 32 SS CANN PT
|
Facility
OP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603145
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$1,925.10 |
| Rate for Payer: Aetna Commercial |
$1,747.08
|
| Rate for Payer: Aetna Medicare |
$683.10
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$683.10
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,188.80
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,293.96
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$785.56
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$751.41
|
| Rate for Payer: Cash Price |
$1,283.40
|
| Rate for Payer: Cash Price |
$1,283.40
|
| Rate for Payer: Centivo All Commercial |
$1,055.70
|
| Rate for Payer: Cigna All Commercial |
$1,786.41
|
| Rate for Payer: CORVEL All Commercial |
$1,925.10
|
| Rate for Payer: Coventry All Commercial |
$1,821.60
|
| Rate for Payer: Encore All Commercial |
$1,905.44
|
| Rate for Payer: Frontpath All Commercial |
$1,904.40
|
| Rate for Payer: Humana ChoiceCare |
$1,787.86
|
| Rate for Payer: Humana Medicare |
$1,055.70
|
| Rate for Payer: Lucent All Commercial |
$1,055.70
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,863.00
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,552.50
|
| Rate for Payer: PHP All Commercial |
$1,569.89
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$807.30
|
| Rate for Payer: Sagamore Health Network All Products |
$1,598.04
|
| Rate for Payer: Signature Care EPO |
$1,718.10
|
| Rate for Payer: Signature Care PPO |
$1,821.60
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,759.50
|
| Rate for Payer: United Healthcare Commercial |
$1,631.16
|
| Rate for Payer: United Healthcare Medicare |
$683.10
|
|
|
HC SN SCREW 7.0X115 32 SS CANN PT
|
Facility
IP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603145
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,552.50 |
| Max. Negotiated Rate |
$1,925.10 |
| Rate for Payer: Aetna Commercial |
$1,788.48
|
| Rate for Payer: Cash Price |
$1,283.40
|
| Rate for Payer: Cigna All Commercial |
$1,786.41
|
| Rate for Payer: CORVEL All Commercial |
$1,925.10
|
| Rate for Payer: Coventry All Commercial |
$1,821.60
|
| Rate for Payer: Encore All Commercial |
$1,905.44
|
| Rate for Payer: Frontpath All Commercial |
$1,904.40
|
| Rate for Payer: Humana ChoiceCare |
$1,787.86
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,863.00
|
| Rate for Payer: PHCS All Commercial |
$1,552.50
|
| Rate for Payer: PHP All Commercial |
$1,569.89
|
| Rate for Payer: Sagamore Health Network All Products |
$1,598.04
|
| Rate for Payer: Signature Care EPO |
$1,718.10
|
| Rate for Payer: Signature Care PPO |
$1,821.60
|
| Rate for Payer: United Healthcare Commercial |
$1,631.16
|
|
|
HC SN SCREW 7.0X115 SS CANN FT
|
Facility
OP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603165
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$1,925.10 |
| Rate for Payer: Aetna Commercial |
$1,747.08
|
| Rate for Payer: Aetna Medicare |
$683.10
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$683.10
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,188.80
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,293.96
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$785.56
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$751.41
|
| Rate for Payer: Cash Price |
$1,283.40
|
| Rate for Payer: Cash Price |
$1,283.40
|
| Rate for Payer: Centivo All Commercial |
$1,055.70
|
| Rate for Payer: Cigna All Commercial |
$1,786.41
|
| Rate for Payer: CORVEL All Commercial |
$1,925.10
|
| Rate for Payer: Coventry All Commercial |
$1,821.60
|
| Rate for Payer: Encore All Commercial |
$1,905.44
|
| Rate for Payer: Frontpath All Commercial |
$1,904.40
|
| Rate for Payer: Humana ChoiceCare |
$1,787.86
|
| Rate for Payer: Humana Medicare |
$1,055.70
|
| Rate for Payer: Lucent All Commercial |
$1,055.70
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,863.00
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,552.50
|
| Rate for Payer: PHP All Commercial |
$1,569.89
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$807.30
|
| Rate for Payer: Sagamore Health Network All Products |
$1,598.04
|
| Rate for Payer: Signature Care EPO |
$1,718.10
|
| Rate for Payer: Signature Care PPO |
$1,821.60
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,759.50
|
| Rate for Payer: United Healthcare Commercial |
$1,631.16
|
| Rate for Payer: United Healthcare Medicare |
$683.10
|
|
|
HC SN SCREW 7.0X115 SS CANN FT
|
Facility
IP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603165
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,552.50 |
| Max. Negotiated Rate |
$1,925.10 |
| Rate for Payer: Aetna Commercial |
$1,788.48
|
| Rate for Payer: Cash Price |
$1,283.40
|
| Rate for Payer: Cigna All Commercial |
$1,786.41
|
| Rate for Payer: CORVEL All Commercial |
$1,925.10
|
| Rate for Payer: Coventry All Commercial |
$1,821.60
|
| Rate for Payer: Encore All Commercial |
$1,905.44
|
| Rate for Payer: Frontpath All Commercial |
$1,904.40
|
| Rate for Payer: Humana ChoiceCare |
$1,787.86
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,863.00
|
| Rate for Payer: PHCS All Commercial |
$1,552.50
|
| Rate for Payer: PHP All Commercial |
$1,569.89
|
| Rate for Payer: Sagamore Health Network All Products |
$1,598.04
|
| Rate for Payer: Signature Care EPO |
$1,718.10
|
| Rate for Payer: Signature Care PPO |
$1,821.60
|
| Rate for Payer: United Healthcare Commercial |
$1,631.16
|
|
|
HC SN SCREW 7.0X120 16 SS CANN PT
|
Facility
OP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603129
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$1,925.10 |
| Rate for Payer: Aetna Commercial |
$1,747.08
|
| Rate for Payer: Aetna Medicare |
$683.10
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$683.10
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,188.80
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,293.96
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$785.56
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$751.41
|
| Rate for Payer: Cash Price |
$1,283.40
|
| Rate for Payer: Cash Price |
$1,283.40
|
| Rate for Payer: Centivo All Commercial |
$1,055.70
|
| Rate for Payer: Cigna All Commercial |
$1,786.41
|
| Rate for Payer: CORVEL All Commercial |
$1,925.10
|
| Rate for Payer: Coventry All Commercial |
$1,821.60
|
| Rate for Payer: Encore All Commercial |
$1,905.44
|
| Rate for Payer: Frontpath All Commercial |
$1,904.40
|
| Rate for Payer: Humana ChoiceCare |
$1,787.86
|
| Rate for Payer: Humana Medicare |
$1,055.70
|
| Rate for Payer: Lucent All Commercial |
$1,055.70
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,863.00
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,552.50
|
| Rate for Payer: PHP All Commercial |
$1,569.89
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$807.30
|
| Rate for Payer: Sagamore Health Network All Products |
$1,598.04
|
| Rate for Payer: Signature Care EPO |
$1,718.10
|
| Rate for Payer: Signature Care PPO |
$1,821.60
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,759.50
|
| Rate for Payer: United Healthcare Commercial |
$1,631.16
|
| Rate for Payer: United Healthcare Medicare |
$683.10
|
|
|
HC SN SCREW 7.0X120 16 SS CANN PT
|
Facility
IP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603129
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,552.50 |
| Max. Negotiated Rate |
$1,925.10 |
| Rate for Payer: Aetna Commercial |
$1,788.48
|
| Rate for Payer: Cash Price |
$1,283.40
|
| Rate for Payer: Cigna All Commercial |
$1,786.41
|
| Rate for Payer: CORVEL All Commercial |
$1,925.10
|
| Rate for Payer: Coventry All Commercial |
$1,821.60
|
| Rate for Payer: Encore All Commercial |
$1,905.44
|
| Rate for Payer: Frontpath All Commercial |
$1,904.40
|
| Rate for Payer: Humana ChoiceCare |
$1,787.86
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,863.00
|
| Rate for Payer: PHCS All Commercial |
$1,552.50
|
| Rate for Payer: PHP All Commercial |
$1,569.89
|
| Rate for Payer: Sagamore Health Network All Products |
$1,598.04
|
| Rate for Payer: Signature Care EPO |
$1,718.10
|
| Rate for Payer: Signature Care PPO |
$1,821.60
|
| Rate for Payer: United Healthcare Commercial |
$1,631.16
|
|
