|
HC Z SCREW 4.0X42 CANC LOCK
|
Facility
|
IP
|
$933.24
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603785
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$699.93 |
| Max. Negotiated Rate |
$867.91 |
| Rate for Payer: Aetna Commercial |
$806.32
|
| Rate for Payer: Cash Price |
$559.94
|
| Rate for Payer: Cigna All Commercial |
$805.39
|
| Rate for Payer: CORVEL All Commercial |
$867.91
|
| Rate for Payer: Coventry All Commercial |
$821.25
|
| Rate for Payer: Encore All Commercial |
$859.05
|
| Rate for Payer: Frontpath All Commercial |
$858.58
|
| Rate for Payer: Humana ChoiceCare |
$806.04
|
| Rate for Payer: Lutheran Preferred All Commercial |
$839.92
|
| Rate for Payer: PHCS All Commercial |
$699.93
|
| Rate for Payer: PHP All Commercial |
$707.77
|
| Rate for Payer: Sagamore Health Network All Products |
$720.46
|
| Rate for Payer: Signature Care EPO |
$774.59
|
| Rate for Payer: Signature Care PPO |
$821.25
|
| Rate for Payer: United Healthcare Commercial |
$735.39
|
|
|
HC Z SCREW 4.0X42 CANC LOCK
|
Facility
|
OP
|
$933.24
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603785
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$867.91 |
| Rate for Payer: Aetna Commercial |
$787.65
|
| Rate for Payer: Aetna Medicare |
$298.64
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$289.30
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$535.96
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$583.37
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$343.43
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$328.50
|
| Rate for Payer: Cash Price |
$559.94
|
| Rate for Payer: Cash Price |
$559.94
|
| Rate for Payer: Centivo All Commercial |
$507.68
|
| Rate for Payer: Cigna All Commercial |
$805.39
|
| Rate for Payer: CORVEL All Commercial |
$867.91
|
| Rate for Payer: Coventry All Commercial |
$821.25
|
| Rate for Payer: Encore All Commercial |
$859.05
|
| Rate for Payer: Frontpath All Commercial |
$858.58
|
| Rate for Payer: Humana ChoiceCare |
$806.04
|
| Rate for Payer: Humana Medicare |
$298.64
|
| Rate for Payer: Lucent All Commercial |
$507.68
|
| Rate for Payer: Lutheran Preferred All Commercial |
$839.92
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$699.93
|
| Rate for Payer: PHP All Commercial |
$707.77
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$363.96
|
| Rate for Payer: Sagamore Health Network All Products |
$720.46
|
| Rate for Payer: Signature Care EPO |
$774.59
|
| Rate for Payer: Signature Care PPO |
$821.25
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$793.25
|
| Rate for Payer: United Healthcare Commercial |
$735.39
|
| Rate for Payer: United Healthcare Medicare |
$298.64
|
|
|
HC Z SCREW 4.0X42 CANN 1/3 THD
|
Facility
|
OP
|
$904.95
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604506
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$841.60 |
| Rate for Payer: Aetna Commercial |
$763.78
|
| Rate for Payer: Aetna Medicare |
$289.58
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$280.53
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$519.71
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$565.68
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$333.02
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$318.54
|
| Rate for Payer: Cash Price |
$542.97
|
| Rate for Payer: Cash Price |
$542.97
|
| Rate for Payer: Centivo All Commercial |
$492.29
|
| Rate for Payer: Cigna All Commercial |
$780.97
|
| Rate for Payer: CORVEL All Commercial |
$841.60
|
| Rate for Payer: Coventry All Commercial |
$796.36
|
| Rate for Payer: Encore All Commercial |
$833.01
|
| Rate for Payer: Frontpath All Commercial |
$832.55
|
| Rate for Payer: Humana ChoiceCare |
$781.61
|
| Rate for Payer: Humana Medicare |
$289.58
|
| Rate for Payer: Lucent All Commercial |
$492.29
|
| Rate for Payer: Lutheran Preferred All Commercial |
$814.46
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$678.71
|
| Rate for Payer: PHP All Commercial |
$686.31
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$352.93
|
| Rate for Payer: Sagamore Health Network All Products |
$698.62
|
| Rate for Payer: Signature Care EPO |
$751.11
|
| Rate for Payer: Signature Care PPO |
$796.36
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$769.21
|
| Rate for Payer: United Healthcare Commercial |
$713.10
|
| Rate for Payer: United Healthcare Medicare |
$289.58
|
|
|
HC Z SCREW 4.0X42 CANN 1/3 THD
|
Facility
|
IP
|
$904.95
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604506
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$678.71 |
| Max. Negotiated Rate |
$841.60 |
| Rate for Payer: Aetna Commercial |
$781.88
|
| Rate for Payer: Cash Price |
$542.97
|
| Rate for Payer: Cigna All Commercial |
$780.97
|
| Rate for Payer: CORVEL All Commercial |
$841.60
|
| Rate for Payer: Coventry All Commercial |
$796.36
|
| Rate for Payer: Encore All Commercial |
$833.01
|
| Rate for Payer: Frontpath All Commercial |
$832.55
|
| Rate for Payer: Humana ChoiceCare |
$781.61
|
| Rate for Payer: Lutheran Preferred All Commercial |
$814.46
|
| Rate for Payer: PHCS All Commercial |
$678.71
|
| Rate for Payer: PHP All Commercial |
$686.31
|
| Rate for Payer: Sagamore Health Network All Products |
$698.62
|
| Rate for Payer: Signature Care EPO |
$751.11
|
| Rate for Payer: Signature Care PPO |
$796.36
|
| Rate for Payer: United Healthcare Commercial |
$713.10
|
|
|
HC Z SCREW 4.0X44 CANC LOCK
|
Facility
|
IP
|
$933.24
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603784
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$699.93 |
| Max. Negotiated Rate |
$867.91 |
| Rate for Payer: Aetna Commercial |
$806.32
|
| Rate for Payer: Cash Price |
$559.94
|
| Rate for Payer: Cigna All Commercial |
$805.39
|
| Rate for Payer: CORVEL All Commercial |
$867.91
|
| Rate for Payer: Coventry All Commercial |
$821.25
|
| Rate for Payer: Encore All Commercial |
$859.05
|
| Rate for Payer: Frontpath All Commercial |
$858.58
|
| Rate for Payer: Humana ChoiceCare |
$806.04
|
| Rate for Payer: Lutheran Preferred All Commercial |
$839.92
|
| Rate for Payer: PHCS All Commercial |
$699.93
|
| Rate for Payer: PHP All Commercial |
$707.77
|
| Rate for Payer: Sagamore Health Network All Products |
$720.46
|
| Rate for Payer: Signature Care EPO |
$774.59
|
| Rate for Payer: Signature Care PPO |
$821.25
|
| Rate for Payer: United Healthcare Commercial |
$735.39
|
|
|
HC Z SCREW 4.0X44 CANC LOCK
|
Facility
|
OP
|
$933.24
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603784
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$867.91 |
| Rate for Payer: Aetna Commercial |
$787.65
|
| Rate for Payer: Aetna Medicare |
$298.64
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$289.30
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$535.96
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$583.37
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$343.43
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$328.50
|
| Rate for Payer: Cash Price |
$559.94
|
| Rate for Payer: Cash Price |
$559.94
|
| Rate for Payer: Centivo All Commercial |
$507.68
|
| Rate for Payer: Cigna All Commercial |
$805.39
|
| Rate for Payer: CORVEL All Commercial |
$867.91
|
| Rate for Payer: Coventry All Commercial |
$821.25
|
| Rate for Payer: Encore All Commercial |
$859.05
|
| Rate for Payer: Frontpath All Commercial |
$858.58
|
| Rate for Payer: Humana ChoiceCare |
$806.04
|
| Rate for Payer: Humana Medicare |
$298.64
|
| Rate for Payer: Lucent All Commercial |
$507.68
|
| Rate for Payer: Lutheran Preferred All Commercial |
$839.92
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$699.93
|
| Rate for Payer: PHP All Commercial |
$707.77
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$363.96
|
| Rate for Payer: Sagamore Health Network All Products |
$720.46
|
| Rate for Payer: Signature Care EPO |
$774.59
|
| Rate for Payer: Signature Care PPO |
$821.25
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$793.25
|
| Rate for Payer: United Healthcare Commercial |
$735.39
|
| Rate for Payer: United Healthcare Medicare |
$298.64
|
|
|
HC Z SCREW 4.0X44 CANN 1/3 THD
|
Facility
|
IP
|
$904.95
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604509
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$678.71 |
| Max. Negotiated Rate |
$841.60 |
| Rate for Payer: Aetna Commercial |
$781.88
|
| Rate for Payer: Cash Price |
$542.97
|
| Rate for Payer: Cigna All Commercial |
$780.97
|
| Rate for Payer: CORVEL All Commercial |
$841.60
|
| Rate for Payer: Coventry All Commercial |
$796.36
|
| Rate for Payer: Encore All Commercial |
$833.01
|
| Rate for Payer: Frontpath All Commercial |
$832.55
|
| Rate for Payer: Humana ChoiceCare |
$781.61
|
| Rate for Payer: Lutheran Preferred All Commercial |
$814.46
|
| Rate for Payer: PHCS All Commercial |
$678.71
|
| Rate for Payer: PHP All Commercial |
$686.31
|
| Rate for Payer: Sagamore Health Network All Products |
$698.62
|
| Rate for Payer: Signature Care EPO |
$751.11
|
| Rate for Payer: Signature Care PPO |
$796.36
|
| Rate for Payer: United Healthcare Commercial |
$713.10
|
|
|
HC Z SCREW 4.0X44 CANN 1/3 THD
|
Facility
|
OP
|
$904.95
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604509
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$841.60 |
| Rate for Payer: Aetna Commercial |
$763.78
|
| Rate for Payer: Aetna Medicare |
$289.58
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$280.53
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$519.71
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$565.68
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$333.02
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$318.54
|
| Rate for Payer: Cash Price |
$542.97
|
| Rate for Payer: Cash Price |
$542.97
|
| Rate for Payer: Centivo All Commercial |
$492.29
|
| Rate for Payer: Cigna All Commercial |
$780.97
|
| Rate for Payer: CORVEL All Commercial |
$841.60
|
| Rate for Payer: Coventry All Commercial |
$796.36
|
| Rate for Payer: Encore All Commercial |
$833.01
|
| Rate for Payer: Frontpath All Commercial |
$832.55
|
| Rate for Payer: Humana ChoiceCare |
$781.61
|
| Rate for Payer: Humana Medicare |
$289.58
|
| Rate for Payer: Lucent All Commercial |
$492.29
|
| Rate for Payer: Lutheran Preferred All Commercial |
$814.46
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$678.71
|
| Rate for Payer: PHP All Commercial |
$686.31
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$352.93
|
| Rate for Payer: Sagamore Health Network All Products |
$698.62
|
| Rate for Payer: Signature Care EPO |
$751.11
|
| Rate for Payer: Signature Care PPO |
$796.36
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$769.21
|
| Rate for Payer: United Healthcare Commercial |
$713.10
|
| Rate for Payer: United Healthcare Medicare |
$289.58
|
|
|
HC Z SCREW 4.0X48 CANC LOCK
|
Facility
|
OP
|
$933.24
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603782
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$867.91 |
| Rate for Payer: Aetna Commercial |
$787.65
|
| Rate for Payer: Aetna Medicare |
$298.64
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$289.30
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$535.96
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$583.37
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$343.43
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$328.50
|
| Rate for Payer: Cash Price |
$559.94
|
| Rate for Payer: Cash Price |
$559.94
|
| Rate for Payer: Centivo All Commercial |
$507.68
|
| Rate for Payer: Cigna All Commercial |
$805.39
|
| Rate for Payer: CORVEL All Commercial |
$867.91
|
| Rate for Payer: Coventry All Commercial |
$821.25
|
| Rate for Payer: Encore All Commercial |
$859.05
|
| Rate for Payer: Frontpath All Commercial |
$858.58
|
| Rate for Payer: Humana ChoiceCare |
$806.04
|
| Rate for Payer: Humana Medicare |
$298.64
|
| Rate for Payer: Lucent All Commercial |
$507.68
|
| Rate for Payer: Lutheran Preferred All Commercial |
$839.92
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$699.93
|
| Rate for Payer: PHP All Commercial |
$707.77
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$363.96
|
| Rate for Payer: Sagamore Health Network All Products |
$720.46
|
| Rate for Payer: Signature Care EPO |
$774.59
|
| Rate for Payer: Signature Care PPO |
$821.25
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$793.25
|
| Rate for Payer: United Healthcare Commercial |
$735.39
|
| Rate for Payer: United Healthcare Medicare |
$298.64
|
|
|
HC Z SCREW 4.0X48 CANC LOCK
|
Facility
|
IP
|
$933.24
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603782
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$699.93 |
| Max. Negotiated Rate |
$867.91 |
| Rate for Payer: Aetna Commercial |
$806.32
|
| Rate for Payer: Cash Price |
$559.94
|
| Rate for Payer: Cigna All Commercial |
$805.39
|
| Rate for Payer: CORVEL All Commercial |
$867.91
|
| Rate for Payer: Coventry All Commercial |
$821.25
|
| Rate for Payer: Encore All Commercial |
$859.05
|
| Rate for Payer: Frontpath All Commercial |
$858.58
|
| Rate for Payer: Humana ChoiceCare |
$806.04
|
| Rate for Payer: Lutheran Preferred All Commercial |
$839.92
|
| Rate for Payer: PHCS All Commercial |
$699.93
|
| Rate for Payer: PHP All Commercial |
$707.77
|
| Rate for Payer: Sagamore Health Network All Products |
$720.46
|
| Rate for Payer: Signature Care EPO |
$774.59
|
| Rate for Payer: Signature Care PPO |
$821.25
|
| Rate for Payer: United Healthcare Commercial |
$735.39
|
|
|
HC Z SCREW 4.0X50 CANC LOCK
|
Facility
|
IP
|
$933.24
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603781
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$699.93 |
| Max. Negotiated Rate |
$867.91 |
| Rate for Payer: Aetna Commercial |
$806.32
|
| Rate for Payer: Cash Price |
$559.94
|
| Rate for Payer: Cigna All Commercial |
$805.39
|
| Rate for Payer: CORVEL All Commercial |
$867.91
|
| Rate for Payer: Coventry All Commercial |
$821.25
|
| Rate for Payer: Encore All Commercial |
$859.05
|
| Rate for Payer: Frontpath All Commercial |
$858.58
|
| Rate for Payer: Humana ChoiceCare |
$806.04
|
| Rate for Payer: Lutheran Preferred All Commercial |
$839.92
|
| Rate for Payer: PHCS All Commercial |
$699.93
|
| Rate for Payer: PHP All Commercial |
$707.77
|
| Rate for Payer: Sagamore Health Network All Products |
$720.46
|
| Rate for Payer: Signature Care EPO |
$774.59
|
| Rate for Payer: Signature Care PPO |
$821.25
|
| Rate for Payer: United Healthcare Commercial |
$735.39
|
|
|
HC Z SCREW 4.0X50 CANC LOCK
|
Facility
|
OP
|
$933.24
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603781
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$867.91 |
| Rate for Payer: Aetna Commercial |
$787.65
|
| Rate for Payer: Aetna Medicare |
$298.64
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$289.30
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$535.96
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$583.37
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$343.43
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$328.50
|
| Rate for Payer: Cash Price |
$559.94
|
| Rate for Payer: Cash Price |
$559.94
|
| Rate for Payer: Centivo All Commercial |
$507.68
|
| Rate for Payer: Cigna All Commercial |
$805.39
|
| Rate for Payer: CORVEL All Commercial |
$867.91
|
| Rate for Payer: Coventry All Commercial |
$821.25
|
| Rate for Payer: Encore All Commercial |
$859.05
|
| Rate for Payer: Frontpath All Commercial |
$858.58
|
| Rate for Payer: Humana ChoiceCare |
$806.04
|
| Rate for Payer: Humana Medicare |
$298.64
|
| Rate for Payer: Lucent All Commercial |
$507.68
|
| Rate for Payer: Lutheran Preferred All Commercial |
$839.92
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$699.93
|
| Rate for Payer: PHP All Commercial |
$707.77
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$363.96
|
| Rate for Payer: Sagamore Health Network All Products |
$720.46
|
| Rate for Payer: Signature Care EPO |
$774.59
|
| Rate for Payer: Signature Care PPO |
$821.25
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$793.25
|
| Rate for Payer: United Healthcare Commercial |
$735.39
|
| Rate for Payer: United Healthcare Medicare |
$298.64
|
|
|
HC Z SCREW 4.0X50 CANN 1/2 THD
|
Facility
|
OP
|
$904.95
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604522
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$841.60 |
| Rate for Payer: Aetna Commercial |
$763.78
|
| Rate for Payer: Aetna Medicare |
$289.58
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$280.53
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$519.71
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$565.68
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$333.02
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$318.54
|
| Rate for Payer: Cash Price |
$542.97
|
| Rate for Payer: Cash Price |
$542.97
|
| Rate for Payer: Centivo All Commercial |
$492.29
|
| Rate for Payer: Cigna All Commercial |
$780.97
|
| Rate for Payer: CORVEL All Commercial |
$841.60
|
| Rate for Payer: Coventry All Commercial |
$796.36
|
| Rate for Payer: Encore All Commercial |
$833.01
|
| Rate for Payer: Frontpath All Commercial |
$832.55
|
| Rate for Payer: Humana ChoiceCare |
$781.61
|
| Rate for Payer: Humana Medicare |
$289.58
|
| Rate for Payer: Lucent All Commercial |
$492.29
|
| Rate for Payer: Lutheran Preferred All Commercial |
$814.46
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$678.71
|
| Rate for Payer: PHP All Commercial |
$686.31
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$352.93
|
| Rate for Payer: Sagamore Health Network All Products |
$698.62
|
| Rate for Payer: Signature Care EPO |
$751.11
|
| Rate for Payer: Signature Care PPO |
$796.36
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$769.21
|
| Rate for Payer: United Healthcare Commercial |
$713.10
|
| Rate for Payer: United Healthcare Medicare |
$289.58
|
|
|
HC Z SCREW 4.0X50 CANN 1/2 THD
|
Facility
|
IP
|
$904.95
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604522
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$678.71 |
| Max. Negotiated Rate |
$841.60 |
| Rate for Payer: Aetna Commercial |
$781.88
|
| Rate for Payer: Cash Price |
$542.97
|
| Rate for Payer: Cigna All Commercial |
$780.97
|
| Rate for Payer: CORVEL All Commercial |
$841.60
|
| Rate for Payer: Coventry All Commercial |
$796.36
|
| Rate for Payer: Encore All Commercial |
$833.01
|
| Rate for Payer: Frontpath All Commercial |
$832.55
|
| Rate for Payer: Humana ChoiceCare |
$781.61
|
| Rate for Payer: Lutheran Preferred All Commercial |
$814.46
|
| Rate for Payer: PHCS All Commercial |
$678.71
|
| Rate for Payer: PHP All Commercial |
$686.31
|
| Rate for Payer: Sagamore Health Network All Products |
$698.62
|
| Rate for Payer: Signature Care EPO |
$751.11
|
| Rate for Payer: Signature Care PPO |
$796.36
|
| Rate for Payer: United Healthcare Commercial |
$713.10
|
|
|
HC Z SCREW 4.0X50 CANN LAG
|
Facility
|
IP
|
$858.50
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606781
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$643.88 |
| Max. Negotiated Rate |
$798.40 |
| Rate for Payer: Aetna Commercial |
$741.74
|
| Rate for Payer: Cash Price |
$515.10
|
| Rate for Payer: Cigna All Commercial |
$740.89
|
| Rate for Payer: CORVEL All Commercial |
$798.40
|
| Rate for Payer: Coventry All Commercial |
$755.48
|
| Rate for Payer: Encore All Commercial |
$790.25
|
| Rate for Payer: Frontpath All Commercial |
$789.82
|
| Rate for Payer: Humana ChoiceCare |
$741.49
|
| Rate for Payer: Lutheran Preferred All Commercial |
$772.65
|
| Rate for Payer: PHCS All Commercial |
$643.88
|
| Rate for Payer: PHP All Commercial |
$651.09
|
| Rate for Payer: Sagamore Health Network All Products |
$662.76
|
| Rate for Payer: Signature Care EPO |
$712.55
|
| Rate for Payer: Signature Care PPO |
$755.48
|
| Rate for Payer: United Healthcare Commercial |
$676.50
|
|
|
HC Z SCREW 4.0X50 CANN LAG
|
Facility
|
OP
|
$858.50
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606781
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$798.40 |
| Rate for Payer: Aetna Commercial |
$724.57
|
| Rate for Payer: Aetna Medicare |
$274.72
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$266.13
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$493.04
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$536.65
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$315.93
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$302.19
|
| Rate for Payer: Cash Price |
$515.10
|
| Rate for Payer: Cash Price |
$515.10
|
| Rate for Payer: Centivo All Commercial |
$467.02
|
| Rate for Payer: Cigna All Commercial |
$740.89
|
| Rate for Payer: CORVEL All Commercial |
$798.40
|
| Rate for Payer: Coventry All Commercial |
$755.48
|
| Rate for Payer: Encore All Commercial |
$790.25
|
| Rate for Payer: Frontpath All Commercial |
$789.82
|
| Rate for Payer: Humana ChoiceCare |
$741.49
|
| Rate for Payer: Humana Medicare |
$274.72
|
| Rate for Payer: Lucent All Commercial |
$467.02
|
| Rate for Payer: Lutheran Preferred All Commercial |
$772.65
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$643.88
|
| Rate for Payer: PHP All Commercial |
$651.09
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$334.81
|
| Rate for Payer: Sagamore Health Network All Products |
$662.76
|
| Rate for Payer: Signature Care EPO |
$712.55
|
| Rate for Payer: Signature Care PPO |
$755.48
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$729.73
|
| Rate for Payer: United Healthcare Commercial |
$676.50
|
| Rate for Payer: United Healthcare Medicare |
$274.72
|
|
|
HC Z SCREW 4.0X55 CANC LOCK
|
Facility
|
IP
|
$933.24
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603780
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$699.93 |
| Max. Negotiated Rate |
$867.91 |
| Rate for Payer: Aetna Commercial |
$806.32
|
| Rate for Payer: Cash Price |
$559.94
|
| Rate for Payer: Cigna All Commercial |
$805.39
|
| Rate for Payer: CORVEL All Commercial |
$867.91
|
| Rate for Payer: Coventry All Commercial |
$821.25
|
| Rate for Payer: Encore All Commercial |
$859.05
|
| Rate for Payer: Frontpath All Commercial |
$858.58
|
| Rate for Payer: Humana ChoiceCare |
$806.04
|
| Rate for Payer: Lutheran Preferred All Commercial |
$839.92
|
| Rate for Payer: PHCS All Commercial |
$699.93
|
| Rate for Payer: PHP All Commercial |
$707.77
|
| Rate for Payer: Sagamore Health Network All Products |
$720.46
|
| Rate for Payer: Signature Care EPO |
$774.59
|
| Rate for Payer: Signature Care PPO |
$821.25
|
| Rate for Payer: United Healthcare Commercial |
$735.39
|
|
|
HC Z SCREW 4.0X55 CANC LOCK
|
Facility
|
OP
|
$933.24
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603780
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$867.91 |
| Rate for Payer: Aetna Commercial |
$787.65
|
| Rate for Payer: Aetna Medicare |
$298.64
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$289.30
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$535.96
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$583.37
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$343.43
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$328.50
|
| Rate for Payer: Cash Price |
$559.94
|
| Rate for Payer: Cash Price |
$559.94
|
| Rate for Payer: Centivo All Commercial |
$507.68
|
| Rate for Payer: Cigna All Commercial |
$805.39
|
| Rate for Payer: CORVEL All Commercial |
$867.91
|
| Rate for Payer: Coventry All Commercial |
$821.25
|
| Rate for Payer: Encore All Commercial |
$859.05
|
| Rate for Payer: Frontpath All Commercial |
$858.58
|
| Rate for Payer: Humana ChoiceCare |
$806.04
|
| Rate for Payer: Humana Medicare |
$298.64
|
| Rate for Payer: Lucent All Commercial |
$507.68
|
| Rate for Payer: Lutheran Preferred All Commercial |
$839.92
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$699.93
|
| Rate for Payer: PHP All Commercial |
$707.77
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$363.96
|
| Rate for Payer: Sagamore Health Network All Products |
$720.46
|
| Rate for Payer: Signature Care EPO |
$774.59
|
| Rate for Payer: Signature Care PPO |
$821.25
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$793.25
|
| Rate for Payer: United Healthcare Commercial |
$735.39
|
| Rate for Payer: United Healthcare Medicare |
$298.64
|
|
|
HC Z SCREW 4.0X55 CANN LAG
|
Facility
|
OP
|
$858.50
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606782
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$798.40 |
| Rate for Payer: Aetna Commercial |
$724.57
|
| Rate for Payer: Aetna Medicare |
$274.72
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$266.13
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$493.04
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$536.65
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$315.93
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$302.19
|
| Rate for Payer: Cash Price |
$515.10
|
| Rate for Payer: Cash Price |
$515.10
|
| Rate for Payer: Centivo All Commercial |
$467.02
|
| Rate for Payer: Cigna All Commercial |
$740.89
|
| Rate for Payer: CORVEL All Commercial |
$798.40
|
| Rate for Payer: Coventry All Commercial |
$755.48
|
| Rate for Payer: Encore All Commercial |
$790.25
|
| Rate for Payer: Frontpath All Commercial |
$789.82
|
| Rate for Payer: Humana ChoiceCare |
$741.49
|
| Rate for Payer: Humana Medicare |
$274.72
|
| Rate for Payer: Lucent All Commercial |
$467.02
|
| Rate for Payer: Lutheran Preferred All Commercial |
$772.65
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$643.88
|
| Rate for Payer: PHP All Commercial |
$651.09
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$334.81
|
| Rate for Payer: Sagamore Health Network All Products |
$662.76
|
| Rate for Payer: Signature Care EPO |
$712.55
|
| Rate for Payer: Signature Care PPO |
$755.48
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$729.73
|
| Rate for Payer: United Healthcare Commercial |
$676.50
|
| Rate for Payer: United Healthcare Medicare |
$274.72
|
|
|
HC Z SCREW 4.0X55 CANN LAG
|
Facility
|
IP
|
$858.50
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606782
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$643.88 |
| Max. Negotiated Rate |
$798.40 |
| Rate for Payer: Aetna Commercial |
$741.74
|
| Rate for Payer: Cash Price |
$515.10
|
| Rate for Payer: Cigna All Commercial |
$740.89
|
| Rate for Payer: CORVEL All Commercial |
$798.40
|
| Rate for Payer: Coventry All Commercial |
$755.48
|
| Rate for Payer: Encore All Commercial |
$790.25
|
| Rate for Payer: Frontpath All Commercial |
$789.82
|
| Rate for Payer: Humana ChoiceCare |
$741.49
|
| Rate for Payer: Lutheran Preferred All Commercial |
$772.65
|
| Rate for Payer: PHCS All Commercial |
$643.88
|
| Rate for Payer: PHP All Commercial |
$651.09
|
| Rate for Payer: Sagamore Health Network All Products |
$662.76
|
| Rate for Payer: Signature Care EPO |
$712.55
|
| Rate for Payer: Signature Care PPO |
$755.48
|
| Rate for Payer: United Healthcare Commercial |
$676.50
|
|
|
HC Z SCREW 4.0X60 CANC LOCK
|
Facility
|
IP
|
$933.24
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603779
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$699.93 |
| Max. Negotiated Rate |
$867.91 |
| Rate for Payer: Aetna Commercial |
$806.32
|
| Rate for Payer: Cash Price |
$559.94
|
| Rate for Payer: Cigna All Commercial |
$805.39
|
| Rate for Payer: CORVEL All Commercial |
$867.91
|
| Rate for Payer: Coventry All Commercial |
$821.25
|
| Rate for Payer: Encore All Commercial |
$859.05
|
| Rate for Payer: Frontpath All Commercial |
$858.58
|
| Rate for Payer: Humana ChoiceCare |
$806.04
|
| Rate for Payer: Lutheran Preferred All Commercial |
$839.92
|
| Rate for Payer: PHCS All Commercial |
$699.93
|
| Rate for Payer: PHP All Commercial |
$707.77
|
| Rate for Payer: Sagamore Health Network All Products |
$720.46
|
| Rate for Payer: Signature Care EPO |
$774.59
|
| Rate for Payer: Signature Care PPO |
$821.25
|
| Rate for Payer: United Healthcare Commercial |
$735.39
|
|
|
HC Z SCREW 4.0X60 CANC LOCK
|
Facility
|
OP
|
$933.24
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603779
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$867.91 |
| Rate for Payer: Aetna Commercial |
$787.65
|
| Rate for Payer: Aetna Medicare |
$298.64
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$289.30
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$535.96
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$583.37
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$343.43
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$328.50
|
| Rate for Payer: Cash Price |
$559.94
|
| Rate for Payer: Cash Price |
$559.94
|
| Rate for Payer: Centivo All Commercial |
$507.68
|
| Rate for Payer: Cigna All Commercial |
$805.39
|
| Rate for Payer: CORVEL All Commercial |
$867.91
|
| Rate for Payer: Coventry All Commercial |
$821.25
|
| Rate for Payer: Encore All Commercial |
$859.05
|
| Rate for Payer: Frontpath All Commercial |
$858.58
|
| Rate for Payer: Humana ChoiceCare |
$806.04
|
| Rate for Payer: Humana Medicare |
$298.64
|
| Rate for Payer: Lucent All Commercial |
$507.68
|
| Rate for Payer: Lutheran Preferred All Commercial |
$839.92
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$699.93
|
| Rate for Payer: PHP All Commercial |
$707.77
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$363.96
|
| Rate for Payer: Sagamore Health Network All Products |
$720.46
|
| Rate for Payer: Signature Care EPO |
$774.59
|
| Rate for Payer: Signature Care PPO |
$821.25
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$793.25
|
| Rate for Payer: United Healthcare Commercial |
$735.39
|
| Rate for Payer: United Healthcare Medicare |
$298.64
|
|
|
HC Z SCREW 4.0X60 CANN 1/2 THD
|
Facility
|
OP
|
$904.95
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604530
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$841.60 |
| Rate for Payer: Aetna Commercial |
$763.78
|
| Rate for Payer: Aetna Medicare |
$289.58
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$280.53
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$519.71
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$565.68
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$333.02
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$318.54
|
| Rate for Payer: Cash Price |
$542.97
|
| Rate for Payer: Cash Price |
$542.97
|
| Rate for Payer: Centivo All Commercial |
$492.29
|
| Rate for Payer: Cigna All Commercial |
$780.97
|
| Rate for Payer: CORVEL All Commercial |
$841.60
|
| Rate for Payer: Coventry All Commercial |
$796.36
|
| Rate for Payer: Encore All Commercial |
$833.01
|
| Rate for Payer: Frontpath All Commercial |
$832.55
|
| Rate for Payer: Humana ChoiceCare |
$781.61
|
| Rate for Payer: Humana Medicare |
$289.58
|
| Rate for Payer: Lucent All Commercial |
$492.29
|
| Rate for Payer: Lutheran Preferred All Commercial |
$814.46
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$678.71
|
| Rate for Payer: PHP All Commercial |
$686.31
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$352.93
|
| Rate for Payer: Sagamore Health Network All Products |
$698.62
|
| Rate for Payer: Signature Care EPO |
$751.11
|
| Rate for Payer: Signature Care PPO |
$796.36
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$769.21
|
| Rate for Payer: United Healthcare Commercial |
$713.10
|
| Rate for Payer: United Healthcare Medicare |
$289.58
|
|
|
HC Z SCREW 4.0X60 CANN 1/2 THD
|
Facility
|
IP
|
$904.95
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604530
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$678.71 |
| Max. Negotiated Rate |
$841.60 |
| Rate for Payer: Aetna Commercial |
$781.88
|
| Rate for Payer: Cash Price |
$542.97
|
| Rate for Payer: Cigna All Commercial |
$780.97
|
| Rate for Payer: CORVEL All Commercial |
$841.60
|
| Rate for Payer: Coventry All Commercial |
$796.36
|
| Rate for Payer: Encore All Commercial |
$833.01
|
| Rate for Payer: Frontpath All Commercial |
$832.55
|
| Rate for Payer: Humana ChoiceCare |
$781.61
|
| Rate for Payer: Lutheran Preferred All Commercial |
$814.46
|
| Rate for Payer: PHCS All Commercial |
$678.71
|
| Rate for Payer: PHP All Commercial |
$686.31
|
| Rate for Payer: Sagamore Health Network All Products |
$698.62
|
| Rate for Payer: Signature Care EPO |
$751.11
|
| Rate for Payer: Signature Care PPO |
$796.36
|
| Rate for Payer: United Healthcare Commercial |
$713.10
|
|
|
HC Z SCREW 4.0X65 CANC LOCK
|
Facility
|
OP
|
$933.24
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603778
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$867.91 |
| Rate for Payer: Aetna Commercial |
$787.65
|
| Rate for Payer: Aetna Medicare |
$298.64
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$289.30
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$535.96
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$583.37
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$343.43
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$328.50
|
| Rate for Payer: Cash Price |
$559.94
|
| Rate for Payer: Cash Price |
$559.94
|
| Rate for Payer: Centivo All Commercial |
$507.68
|
| Rate for Payer: Cigna All Commercial |
$805.39
|
| Rate for Payer: CORVEL All Commercial |
$867.91
|
| Rate for Payer: Coventry All Commercial |
$821.25
|
| Rate for Payer: Encore All Commercial |
$859.05
|
| Rate for Payer: Frontpath All Commercial |
$858.58
|
| Rate for Payer: Humana ChoiceCare |
$806.04
|
| Rate for Payer: Humana Medicare |
$298.64
|
| Rate for Payer: Lucent All Commercial |
$507.68
|
| Rate for Payer: Lutheran Preferred All Commercial |
$839.92
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$699.93
|
| Rate for Payer: PHP All Commercial |
$707.77
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$363.96
|
| Rate for Payer: Sagamore Health Network All Products |
$720.46
|
| Rate for Payer: Signature Care EPO |
$774.59
|
| Rate for Payer: Signature Care PPO |
$821.25
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$793.25
|
| Rate for Payer: United Healthcare Commercial |
$735.39
|
| Rate for Payer: United Healthcare Medicare |
$298.64
|
|
