|
HC SN SCREW 7.0X65 SS CANN FT
|
Facility
OP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603155
|
|
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 7.0X65 SS CANN FT
|
Facility
IP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603155
|
|
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 7.0X70 16 SS CANN PT
|
Facility
IP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603121
|
|
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 7.0X70 16 SS CANN PT
|
Facility
OP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603121
|
|
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 7.0X70 32 SS CANN PT
|
Facility
IP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603136
|
|
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 7.0X70 32 SS CANN PT
|
Facility
OP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603136
|
|
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 7.0X70 SS CANN FT
|
Facility
IP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603156
|
|
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 7.0X70 SS CANN FT
|
Facility
OP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603156
|
|
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 7.0X75 16 SS CANN PT
|
Facility
OP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603122
|
|
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 7.0X75 16 SS CANN PT
|
Facility
IP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603122
|
|
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 7.0X75 32 SS CANN PT
|
Facility
IP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603137
|
|
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 7.0X75 32 SS CANN PT
|
Facility
OP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603137
|
|
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 7.0X75 SS CANN FT
|
Facility
OP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603157
|
|
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 7.0X75 SS CANN FT
|
Facility
IP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603157
|
|
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 7.0X80 16 SS CANN PT
|
Facility
OP
|
$1,601.90
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602934
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$1,489.77 |
| Rate for Payer: Aetna Commercial |
$1,352.00
|
| Rate for Payer: Aetna Medicare |
$528.63
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$528.63
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$919.97
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,001.35
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$607.92
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$581.49
|
| Rate for Payer: Cash Price |
$993.18
|
| Rate for Payer: Cash Price |
$993.18
|
| Rate for Payer: Centivo All Commercial |
$816.97
|
| Rate for Payer: Cigna All Commercial |
$1,382.44
|
| Rate for Payer: CORVEL All Commercial |
$1,489.77
|
| Rate for Payer: Coventry All Commercial |
$1,409.67
|
| Rate for Payer: Encore All Commercial |
$1,474.55
|
| Rate for Payer: Frontpath All Commercial |
$1,473.75
|
| Rate for Payer: Humana ChoiceCare |
$1,383.56
|
| Rate for Payer: Humana Medicare |
$816.97
|
| Rate for Payer: Lucent All Commercial |
$816.97
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,441.71
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,201.42
|
| Rate for Payer: PHP All Commercial |
$1,214.88
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$624.74
|
| Rate for Payer: Sagamore Health Network All Products |
$1,236.67
|
| Rate for Payer: Signature Care EPO |
$1,329.58
|
| Rate for Payer: Signature Care PPO |
$1,409.67
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,361.62
|
| Rate for Payer: United Healthcare Commercial |
$1,262.30
|
| Rate for Payer: United Healthcare Medicare |
$528.63
|
|
|
HC SN SCREW 7.0X80 16 SS CANN PT
|
Facility
IP
|
$1,601.90
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602934
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,201.42 |
| Max. Negotiated Rate |
$1,489.77 |
| Rate for Payer: Aetna Commercial |
$1,384.04
|
| Rate for Payer: Cash Price |
$993.18
|
| Rate for Payer: Cigna All Commercial |
$1,382.44
|
| Rate for Payer: CORVEL All Commercial |
$1,489.77
|
| Rate for Payer: Coventry All Commercial |
$1,409.67
|
| Rate for Payer: Encore All Commercial |
$1,474.55
|
| Rate for Payer: Frontpath All Commercial |
$1,473.75
|
| Rate for Payer: Humana ChoiceCare |
$1,383.56
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,441.71
|
| Rate for Payer: PHCS All Commercial |
$1,201.42
|
| Rate for Payer: PHP All Commercial |
$1,214.88
|
| Rate for Payer: Sagamore Health Network All Products |
$1,236.67
|
| Rate for Payer: Signature Care EPO |
$1,329.58
|
| Rate for Payer: Signature Care PPO |
$1,409.67
|
| Rate for Payer: United Healthcare Commercial |
$1,262.30
|
|
|
HC SN SCREW 7.0X80 32 SS CANN PT
|
Facility
IP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603138
|
|
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 7.0X80 32 SS CANN PT
|
Facility
OP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603138
|
|
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 7.0X80 SS CANN FT
|
Facility
IP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603158
|
|
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 7.0X80 SS CANN FT
|
Facility
OP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603158
|
|
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 7.0X85 16 SS CANN PT
|
Facility
OP
|
$1,601.90
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602935
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$1,489.77 |
| Rate for Payer: Aetna Commercial |
$1,352.00
|
| Rate for Payer: Aetna Medicare |
$528.63
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$528.63
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$919.97
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,001.35
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$607.92
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$581.49
|
| Rate for Payer: Cash Price |
$993.18
|
| Rate for Payer: Cash Price |
$993.18
|
| Rate for Payer: Centivo All Commercial |
$816.97
|
| Rate for Payer: Cigna All Commercial |
$1,382.44
|
| Rate for Payer: CORVEL All Commercial |
$1,489.77
|
| Rate for Payer: Coventry All Commercial |
$1,409.67
|
| Rate for Payer: Encore All Commercial |
$1,474.55
|
| Rate for Payer: Frontpath All Commercial |
$1,473.75
|
| Rate for Payer: Humana ChoiceCare |
$1,383.56
|
| Rate for Payer: Humana Medicare |
$816.97
|
| Rate for Payer: Lucent All Commercial |
$816.97
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,441.71
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,201.42
|
| Rate for Payer: PHP All Commercial |
$1,214.88
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$624.74
|
| Rate for Payer: Sagamore Health Network All Products |
$1,236.67
|
| Rate for Payer: Signature Care EPO |
$1,329.58
|
| Rate for Payer: Signature Care PPO |
$1,409.67
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,361.62
|
| Rate for Payer: United Healthcare Commercial |
$1,262.30
|
| Rate for Payer: United Healthcare Medicare |
$528.63
|
|
|
HC SN SCREW 7.0X85 16 SS CANN PT
|
Facility
IP
|
$1,601.90
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602935
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,201.42 |
| Max. Negotiated Rate |
$1,489.77 |
| Rate for Payer: Aetna Commercial |
$1,384.04
|
| Rate for Payer: Cash Price |
$993.18
|
| Rate for Payer: Cigna All Commercial |
$1,382.44
|
| Rate for Payer: CORVEL All Commercial |
$1,489.77
|
| Rate for Payer: Coventry All Commercial |
$1,409.67
|
| Rate for Payer: Encore All Commercial |
$1,474.55
|
| Rate for Payer: Frontpath All Commercial |
$1,473.75
|
| Rate for Payer: Humana ChoiceCare |
$1,383.56
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,441.71
|
| Rate for Payer: PHCS All Commercial |
$1,201.42
|
| Rate for Payer: PHP All Commercial |
$1,214.88
|
| Rate for Payer: Sagamore Health Network All Products |
$1,236.67
|
| Rate for Payer: Signature Care EPO |
$1,329.58
|
| Rate for Payer: Signature Care PPO |
$1,409.67
|
| Rate for Payer: United Healthcare Commercial |
$1,262.30
|
|
|
HC SN SCREW 7.0X85 32 SS CANN PT
|
Facility
IP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603139
|
|
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 7.0X85 32 SS CANN PT
|
Facility
OP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603139
|
|
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 7.0X85 SS CANN FT
|
Facility
IP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603159
|
|
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
|
|
