|
HC SN SCREW 7.0X85 SS CANN FT
|
Facility
OP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603159
|
|
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 7.0X90 16 SS CANN PT
|
Facility
OP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603123
|
|
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 7.0X90 16 SS CANN PT
|
Facility
IP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603123
|
|
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 7.0X90 32 SS CANN PT
|
Facility
IP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603140
|
|
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 7.0X90 32 SS CANN PT
|
Facility
OP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603140
|
|
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 7.0X90 SS CANN FT
|
Facility
IP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603160
|
|
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 7.0X90 SS CANN FT
|
Facility
OP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603160
|
|
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 7.0X95 16 SS CANN PT
|
Facility
IP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603124
|
|
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 7.0X95 16 SS CANN PT
|
Facility
OP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603124
|
|
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 7.0X95 32 SS CANN PT
|
Facility
OP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603141
|
|
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 7.0X95 32 SS CANN PT
|
Facility
IP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603141
|
|
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 7.0X95 SS CANN FT
|
Facility
OP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603161
|
|
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 7.0X95 SS CANN FT
|
Facility
IP
|
$2,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603161
|
|
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 BIOSURE HA 8X20
|
Facility
IP
|
$2,156.40
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603596
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,617.30 |
| Max. Negotiated Rate |
$2,005.45 |
| Rate for Payer: Aetna Commercial |
$1,863.13
|
| Rate for Payer: Cash Price |
$1,336.97
|
| Rate for Payer: Cigna All Commercial |
$1,860.97
|
| Rate for Payer: CORVEL All Commercial |
$2,005.45
|
| Rate for Payer: Coventry All Commercial |
$1,897.63
|
| Rate for Payer: Encore All Commercial |
$1,984.97
|
| Rate for Payer: Frontpath All Commercial |
$1,983.89
|
| Rate for Payer: Humana ChoiceCare |
$1,862.48
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,940.76
|
| Rate for Payer: PHCS All Commercial |
$1,617.30
|
| Rate for Payer: PHP All Commercial |
$1,635.41
|
| Rate for Payer: Sagamore Health Network All Products |
$1,664.74
|
| Rate for Payer: Signature Care EPO |
$1,789.81
|
| Rate for Payer: Signature Care PPO |
$1,897.63
|
| Rate for Payer: United Healthcare Commercial |
$1,699.24
|
|
|
HC SN SCREW BIOSURE HA 8X20
|
Facility
OP
|
$2,156.40
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603596
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$2,005.45 |
| Rate for Payer: Aetna Commercial |
$1,820.00
|
| Rate for Payer: Aetna Medicare |
$711.61
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$711.61
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,238.42
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,347.97
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$818.35
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$782.77
|
| Rate for Payer: Cash Price |
$1,336.97
|
| Rate for Payer: Cash Price |
$1,336.97
|
| Rate for Payer: Centivo All Commercial |
$1,099.76
|
| Rate for Payer: Cigna All Commercial |
$1,860.97
|
| Rate for Payer: CORVEL All Commercial |
$2,005.45
|
| Rate for Payer: Coventry All Commercial |
$1,897.63
|
| Rate for Payer: Encore All Commercial |
$1,984.97
|
| Rate for Payer: Frontpath All Commercial |
$1,983.89
|
| Rate for Payer: Humana ChoiceCare |
$1,862.48
|
| Rate for Payer: Humana Medicare |
$1,099.76
|
| Rate for Payer: Lucent All Commercial |
$1,099.76
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,940.76
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,617.30
|
| Rate for Payer: PHP All Commercial |
$1,635.41
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$841.00
|
| Rate for Payer: Sagamore Health Network All Products |
$1,664.74
|
| Rate for Payer: Signature Care EPO |
$1,789.81
|
| Rate for Payer: Signature Care PPO |
$1,897.63
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,832.94
|
| Rate for Payer: United Healthcare Commercial |
$1,699.24
|
| Rate for Payer: United Healthcare Medicare |
$711.61
|
|
|
HC SN SCREW BIOSURE HA 9X25
|
Facility
IP
|
$1,630.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603433
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,222.50 |
| Max. Negotiated Rate |
$1,515.90 |
| Rate for Payer: Aetna Commercial |
$1,408.32
|
| Rate for Payer: Cash Price |
$1,010.60
|
| Rate for Payer: Cigna All Commercial |
$1,406.69
|
| Rate for Payer: CORVEL All Commercial |
$1,515.90
|
| Rate for Payer: Coventry All Commercial |
$1,434.40
|
| Rate for Payer: Encore All Commercial |
$1,500.42
|
| Rate for Payer: Frontpath All Commercial |
$1,499.60
|
| Rate for Payer: Humana ChoiceCare |
$1,407.83
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,467.00
|
| Rate for Payer: PHCS All Commercial |
$1,222.50
|
| Rate for Payer: PHP All Commercial |
$1,236.19
|
| Rate for Payer: Sagamore Health Network All Products |
$1,258.36
|
| Rate for Payer: Signature Care EPO |
$1,352.90
|
| Rate for Payer: Signature Care PPO |
$1,434.40
|
| Rate for Payer: United Healthcare Commercial |
$1,284.44
|
|
|
HC SN SCREW BIOSURE HA 9X25
|
Facility
OP
|
$1,630.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603433
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$1,515.90 |
| Rate for Payer: Aetna Commercial |
$1,375.72
|
| Rate for Payer: Aetna Medicare |
$537.90
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$537.90
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$936.11
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,018.91
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$618.58
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$591.69
|
| Rate for Payer: Cash Price |
$1,010.60
|
| Rate for Payer: Cash Price |
$1,010.60
|
| Rate for Payer: Centivo All Commercial |
$831.30
|
| Rate for Payer: Cigna All Commercial |
$1,406.69
|
| Rate for Payer: CORVEL All Commercial |
$1,515.90
|
| Rate for Payer: Coventry All Commercial |
$1,434.40
|
| Rate for Payer: Encore All Commercial |
$1,500.42
|
| Rate for Payer: Frontpath All Commercial |
$1,499.60
|
| Rate for Payer: Humana ChoiceCare |
$1,407.83
|
| Rate for Payer: Humana Medicare |
$831.30
|
| Rate for Payer: Lucent All Commercial |
$831.30
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,467.00
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,222.50
|
| Rate for Payer: PHP All Commercial |
$1,236.19
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$635.70
|
| Rate for Payer: Sagamore Health Network All Products |
$1,258.36
|
| Rate for Payer: Signature Care EPO |
$1,352.90
|
| Rate for Payer: Signature Care PPO |
$1,434.40
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,385.50
|
| Rate for Payer: United Healthcare Commercial |
$1,284.44
|
| Rate for Payer: United Healthcare Medicare |
$537.90
|
|
|
HC SN SCREW PL 4.5X26 CRTX
|
Facility
OP
|
$173.18
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603257
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$57.15 |
| Max. Negotiated Rate |
$524.16 |
| Rate for Payer: Aetna Commercial |
$146.16
|
| Rate for Payer: Aetna Medicare |
$57.15
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$57.15
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$99.46
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$108.25
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$65.72
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$62.86
|
| Rate for Payer: Cash Price |
$107.37
|
| Rate for Payer: Cash Price |
$107.37
|
| Rate for Payer: Centivo All Commercial |
$88.32
|
| Rate for Payer: Cigna All Commercial |
$149.45
|
| Rate for Payer: CORVEL All Commercial |
$161.06
|
| Rate for Payer: Coventry All Commercial |
$152.40
|
| Rate for Payer: Encore All Commercial |
$159.41
|
| Rate for Payer: Frontpath All Commercial |
$159.33
|
| Rate for Payer: Humana ChoiceCare |
$149.58
|
| Rate for Payer: Humana Medicare |
$88.32
|
| Rate for Payer: Lucent All Commercial |
$88.32
|
| Rate for Payer: Lutheran Preferred All Commercial |
$155.86
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$129.88
|
| Rate for Payer: PHP All Commercial |
$131.34
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$67.54
|
| Rate for Payer: Sagamore Health Network All Products |
$133.69
|
| Rate for Payer: Signature Care EPO |
$143.74
|
| Rate for Payer: Signature Care PPO |
$152.40
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$147.20
|
| Rate for Payer: United Healthcare Commercial |
$136.47
|
| Rate for Payer: United Healthcare Medicare |
$57.15
|
|
|
HC SN SCREW PL 4.5X26 CRTX
|
Facility
IP
|
$173.18
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603257
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$129.88 |
| Max. Negotiated Rate |
$161.06 |
| Rate for Payer: Aetna Commercial |
$149.63
|
| Rate for Payer: Cash Price |
$107.37
|
| Rate for Payer: Cigna All Commercial |
$149.45
|
| Rate for Payer: CORVEL All Commercial |
$161.06
|
| Rate for Payer: Coventry All Commercial |
$152.40
|
| Rate for Payer: Encore All Commercial |
$159.41
|
| Rate for Payer: Frontpath All Commercial |
$159.33
|
| Rate for Payer: Humana ChoiceCare |
$149.58
|
| Rate for Payer: Lutheran Preferred All Commercial |
$155.86
|
| Rate for Payer: PHCS All Commercial |
$129.88
|
| Rate for Payer: PHP All Commercial |
$131.34
|
| Rate for Payer: Sagamore Health Network All Products |
$133.69
|
| Rate for Payer: Signature Care EPO |
$143.74
|
| Rate for Payer: Signature Care PPO |
$152.40
|
| Rate for Payer: United Healthcare Commercial |
$136.47
|
|
|
HC SN SCREW PL 4.5X28 CRTX
|
Facility
IP
|
$173.18
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603258
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$129.88 |
| Max. Negotiated Rate |
$161.06 |
| Rate for Payer: Aetna Commercial |
$149.63
|
| Rate for Payer: Cash Price |
$107.37
|
| Rate for Payer: Cigna All Commercial |
$149.45
|
| Rate for Payer: CORVEL All Commercial |
$161.06
|
| Rate for Payer: Coventry All Commercial |
$152.40
|
| Rate for Payer: Encore All Commercial |
$159.41
|
| Rate for Payer: Frontpath All Commercial |
$159.33
|
| Rate for Payer: Humana ChoiceCare |
$149.58
|
| Rate for Payer: Lutheran Preferred All Commercial |
$155.86
|
| Rate for Payer: PHCS All Commercial |
$129.88
|
| Rate for Payer: PHP All Commercial |
$131.34
|
| Rate for Payer: Sagamore Health Network All Products |
$133.69
|
| Rate for Payer: Signature Care EPO |
$143.74
|
| Rate for Payer: Signature Care PPO |
$152.40
|
| Rate for Payer: United Healthcare Commercial |
$136.47
|
|
|
HC SN SCREW PL 4.5X28 CRTX
|
Facility
OP
|
$173.18
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603258
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$57.15 |
| Max. Negotiated Rate |
$524.16 |
| Rate for Payer: Aetna Commercial |
$146.16
|
| Rate for Payer: Aetna Medicare |
$57.15
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$57.15
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$99.46
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$108.25
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$65.72
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$62.86
|
| Rate for Payer: Cash Price |
$107.37
|
| Rate for Payer: Cash Price |
$107.37
|
| Rate for Payer: Centivo All Commercial |
$88.32
|
| Rate for Payer: Cigna All Commercial |
$149.45
|
| Rate for Payer: CORVEL All Commercial |
$161.06
|
| Rate for Payer: Coventry All Commercial |
$152.40
|
| Rate for Payer: Encore All Commercial |
$159.41
|
| Rate for Payer: Frontpath All Commercial |
$159.33
|
| Rate for Payer: Humana ChoiceCare |
$149.58
|
| Rate for Payer: Humana Medicare |
$88.32
|
| Rate for Payer: Lucent All Commercial |
$88.32
|
| Rate for Payer: Lutheran Preferred All Commercial |
$155.86
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$129.88
|
| Rate for Payer: PHP All Commercial |
$131.34
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$67.54
|
| Rate for Payer: Sagamore Health Network All Products |
$133.69
|
| Rate for Payer: Signature Care EPO |
$143.74
|
| Rate for Payer: Signature Care PPO |
$152.40
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$147.20
|
| Rate for Payer: United Healthcare Commercial |
$136.47
|
| Rate for Payer: United Healthcare Medicare |
$57.15
|
|
|
HC SN SCREW PL 4.5X32 LOCK
|
Facility
OP
|
$755.15
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603259
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$249.20 |
| Max. Negotiated Rate |
$702.29 |
| Rate for Payer: Aetna Commercial |
$637.35
|
| Rate for Payer: Aetna Medicare |
$249.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$249.20
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$433.68
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$472.04
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$286.58
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$274.12
|
| Rate for Payer: Cash Price |
$468.19
|
| Rate for Payer: Cash Price |
$468.19
|
| Rate for Payer: Centivo All Commercial |
$385.13
|
| Rate for Payer: Cigna All Commercial |
$651.69
|
| Rate for Payer: CORVEL All Commercial |
$702.29
|
| Rate for Payer: Coventry All Commercial |
$664.53
|
| Rate for Payer: Encore All Commercial |
$695.12
|
| Rate for Payer: Frontpath All Commercial |
$694.74
|
| Rate for Payer: Humana ChoiceCare |
$652.22
|
| Rate for Payer: Humana Medicare |
$385.13
|
| Rate for Payer: Lucent All Commercial |
$385.13
|
| Rate for Payer: Lutheran Preferred All Commercial |
$679.64
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$566.36
|
| Rate for Payer: PHP All Commercial |
$572.71
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$294.51
|
| Rate for Payer: Sagamore Health Network All Products |
$582.98
|
| Rate for Payer: Signature Care EPO |
$626.77
|
| Rate for Payer: Signature Care PPO |
$664.53
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$641.88
|
| Rate for Payer: United Healthcare Commercial |
$595.06
|
| Rate for Payer: United Healthcare Medicare |
$249.20
|
|
|
HC SN SCREW PL 4.5X32 LOCK
|
Facility
IP
|
$755.15
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603259
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$566.36 |
| Max. Negotiated Rate |
$702.29 |
| Rate for Payer: Aetna Commercial |
$652.45
|
| Rate for Payer: Cash Price |
$468.19
|
| Rate for Payer: Cigna All Commercial |
$651.69
|
| Rate for Payer: CORVEL All Commercial |
$702.29
|
| Rate for Payer: Coventry All Commercial |
$664.53
|
| Rate for Payer: Encore All Commercial |
$695.12
|
| Rate for Payer: Frontpath All Commercial |
$694.74
|
| Rate for Payer: Humana ChoiceCare |
$652.22
|
| Rate for Payer: Lutheran Preferred All Commercial |
$679.64
|
| Rate for Payer: PHCS All Commercial |
$566.36
|
| Rate for Payer: PHP All Commercial |
$572.71
|
| Rate for Payer: Sagamore Health Network All Products |
$582.98
|
| Rate for Payer: Signature Care EPO |
$626.77
|
| Rate for Payer: Signature Care PPO |
$664.53
|
| Rate for Payer: United Healthcare Commercial |
$595.06
|
|
|
HC SN SCREW PL 5.7X40 CANN
|
Facility
IP
|
$1,329.35
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603260
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$997.01 |
| Max. Negotiated Rate |
$1,236.30 |
| Rate for Payer: Aetna Commercial |
$1,148.56
|
| Rate for Payer: Cash Price |
$824.20
|
| Rate for Payer: Cigna All Commercial |
$1,147.23
|
| Rate for Payer: CORVEL All Commercial |
$1,236.30
|
| Rate for Payer: Coventry All Commercial |
$1,169.83
|
| Rate for Payer: Encore All Commercial |
$1,223.67
|
| Rate for Payer: Frontpath All Commercial |
$1,223.00
|
| Rate for Payer: Humana ChoiceCare |
$1,148.16
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,196.42
|
| Rate for Payer: PHCS All Commercial |
$997.01
|
| Rate for Payer: PHP All Commercial |
$1,008.18
|
| Rate for Payer: Sagamore Health Network All Products |
$1,026.26
|
| Rate for Payer: Signature Care EPO |
$1,103.36
|
| Rate for Payer: Signature Care PPO |
$1,169.83
|
| Rate for Payer: United Healthcare Commercial |
$1,047.53
|
|
|
HC SN SCREW PL 5.7X40 CANN
|
Facility
OP
|
$1,329.35
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603260
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$438.69 |
| Max. Negotiated Rate |
$1,236.30 |
| Rate for Payer: Aetna Commercial |
$1,121.97
|
| Rate for Payer: Aetna Medicare |
$438.69
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$438.69
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$763.45
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$830.98
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$504.49
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$482.55
|
| Rate for Payer: Cash Price |
$824.20
|
| Rate for Payer: Cash Price |
$824.20
|
| Rate for Payer: Centivo All Commercial |
$677.97
|
| Rate for Payer: Cigna All Commercial |
$1,147.23
|
| Rate for Payer: CORVEL All Commercial |
$1,236.30
|
| Rate for Payer: Coventry All Commercial |
$1,169.83
|
| Rate for Payer: Encore All Commercial |
$1,223.67
|
| Rate for Payer: Frontpath All Commercial |
$1,223.00
|
| Rate for Payer: Humana ChoiceCare |
$1,148.16
|
| Rate for Payer: Humana Medicare |
$677.97
|
| Rate for Payer: Lucent All Commercial |
$677.97
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,196.42
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$997.01
|
| Rate for Payer: PHP All Commercial |
$1,008.18
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$518.45
|
| Rate for Payer: Sagamore Health Network All Products |
$1,026.26
|
| Rate for Payer: Signature Care EPO |
$1,103.36
|
| Rate for Payer: Signature Care PPO |
$1,169.83
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,129.95
|
| Rate for Payer: United Healthcare Commercial |
$1,047.53
|
| Rate for Payer: United Healthcare Medicare |
$438.69
|
|
