|
HC Z SCREW 4X42 AFFIX BT
|
Facility
|
OP
|
$827.70
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41607412
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$769.76 |
| Rate for Payer: Aetna Commercial |
$698.58
|
| Rate for Payer: Aetna Medicare |
$264.86
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$256.59
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$475.35
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$517.40
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$304.59
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$291.35
|
| Rate for Payer: Cash Price |
$496.62
|
| Rate for Payer: Cash Price |
$496.62
|
| Rate for Payer: Centivo All Commercial |
$450.27
|
| Rate for Payer: Cigna All Commercial |
$714.31
|
| Rate for Payer: CORVEL All Commercial |
$769.76
|
| Rate for Payer: Coventry All Commercial |
$728.38
|
| Rate for Payer: Encore All Commercial |
$761.90
|
| Rate for Payer: Frontpath All Commercial |
$761.48
|
| Rate for Payer: Humana ChoiceCare |
$714.88
|
| Rate for Payer: Humana Medicare |
$264.86
|
| Rate for Payer: Lucent All Commercial |
$450.27
|
| Rate for Payer: Lutheran Preferred All Commercial |
$744.93
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$620.77
|
| Rate for Payer: PHP All Commercial |
$627.73
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$322.80
|
| Rate for Payer: Sagamore Health Network All Products |
$638.98
|
| Rate for Payer: Signature Care EPO |
$686.99
|
| Rate for Payer: Signature Care PPO |
$728.38
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$703.54
|
| Rate for Payer: United Healthcare Commercial |
$652.23
|
| Rate for Payer: United Healthcare Medicare |
$264.86
|
|
|
HC Z SCREW 4X42 AFFIX BT
|
Facility
|
IP
|
$827.70
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41607412
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$620.77 |
| Max. Negotiated Rate |
$769.76 |
| Rate for Payer: Aetna Commercial |
$715.13
|
| Rate for Payer: Cash Price |
$496.62
|
| Rate for Payer: Cigna All Commercial |
$714.31
|
| Rate for Payer: CORVEL All Commercial |
$769.76
|
| Rate for Payer: Coventry All Commercial |
$728.38
|
| Rate for Payer: Encore All Commercial |
$761.90
|
| Rate for Payer: Frontpath All Commercial |
$761.48
|
| Rate for Payer: Humana ChoiceCare |
$714.88
|
| Rate for Payer: Lutheran Preferred All Commercial |
$744.93
|
| Rate for Payer: PHCS All Commercial |
$620.77
|
| Rate for Payer: PHP All Commercial |
$627.73
|
| Rate for Payer: Sagamore Health Network All Products |
$638.98
|
| Rate for Payer: Signature Care EPO |
$686.99
|
| Rate for Payer: Signature Care PPO |
$728.38
|
| Rate for Payer: United Healthcare Commercial |
$652.23
|
|
|
HC Z SCREW 5.0X40 CORT
|
Facility
|
OP
|
$914.05
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606514
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$850.07 |
| Rate for Payer: Aetna Commercial |
$771.46
|
| Rate for Payer: Aetna Medicare |
$292.50
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$283.36
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$524.94
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$571.37
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$336.37
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$321.75
|
| Rate for Payer: Cash Price |
$548.43
|
| Rate for Payer: Cash Price |
$548.43
|
| Rate for Payer: Centivo All Commercial |
$497.24
|
| Rate for Payer: Cigna All Commercial |
$788.83
|
| Rate for Payer: CORVEL All Commercial |
$850.07
|
| Rate for Payer: Coventry All Commercial |
$804.36
|
| Rate for Payer: Encore All Commercial |
$841.38
|
| Rate for Payer: Frontpath All Commercial |
$840.93
|
| Rate for Payer: Humana ChoiceCare |
$789.46
|
| Rate for Payer: Humana Medicare |
$292.50
|
| Rate for Payer: Lucent All Commercial |
$497.24
|
| Rate for Payer: Lutheran Preferred All Commercial |
$822.64
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$685.54
|
| Rate for Payer: PHP All Commercial |
$693.22
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$356.48
|
| Rate for Payer: Sagamore Health Network All Products |
$705.65
|
| Rate for Payer: Signature Care EPO |
$758.66
|
| Rate for Payer: Signature Care PPO |
$804.36
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$776.94
|
| Rate for Payer: United Healthcare Commercial |
$720.27
|
| Rate for Payer: United Healthcare Medicare |
$292.50
|
|
|
HC Z SCREW 5.0X40 CORT
|
Facility
|
IP
|
$914.05
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606514
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$685.54 |
| Max. Negotiated Rate |
$850.07 |
| Rate for Payer: Aetna Commercial |
$789.74
|
| Rate for Payer: Cash Price |
$548.43
|
| Rate for Payer: Cigna All Commercial |
$788.83
|
| Rate for Payer: CORVEL All Commercial |
$850.07
|
| Rate for Payer: Coventry All Commercial |
$804.36
|
| Rate for Payer: Encore All Commercial |
$841.38
|
| Rate for Payer: Frontpath All Commercial |
$840.93
|
| Rate for Payer: Humana ChoiceCare |
$789.46
|
| Rate for Payer: Lutheran Preferred All Commercial |
$822.64
|
| Rate for Payer: PHCS All Commercial |
$685.54
|
| Rate for Payer: PHP All Commercial |
$693.22
|
| Rate for Payer: Sagamore Health Network All Products |
$705.65
|
| Rate for Payer: Signature Care EPO |
$758.66
|
| Rate for Payer: Signature Care PPO |
$804.36
|
| Rate for Payer: United Healthcare Commercial |
$720.27
|
|
|
HC Z SCREW 5X26 NCB CORT
|
Facility
|
OP
|
$782.35
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41608277
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$727.59 |
| Rate for Payer: Aetna Commercial |
$660.30
|
| Rate for Payer: Aetna Medicare |
$250.35
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$242.53
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$449.30
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$489.05
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$287.90
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$275.39
|
| Rate for Payer: Cash Price |
$469.41
|
| Rate for Payer: Cash Price |
$469.41
|
| Rate for Payer: Centivo All Commercial |
$425.60
|
| Rate for Payer: Cigna All Commercial |
$675.17
|
| Rate for Payer: CORVEL All Commercial |
$727.59
|
| Rate for Payer: Coventry All Commercial |
$688.47
|
| Rate for Payer: Encore All Commercial |
$720.15
|
| Rate for Payer: Frontpath All Commercial |
$719.76
|
| Rate for Payer: Humana ChoiceCare |
$675.72
|
| Rate for Payer: Humana Medicare |
$250.35
|
| Rate for Payer: Lucent All Commercial |
$425.60
|
| Rate for Payer: Lutheran Preferred All Commercial |
$704.12
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$586.76
|
| Rate for Payer: PHP All Commercial |
$593.33
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$305.12
|
| Rate for Payer: Sagamore Health Network All Products |
$603.97
|
| Rate for Payer: Signature Care EPO |
$649.35
|
| Rate for Payer: Signature Care PPO |
$688.47
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$665.00
|
| Rate for Payer: United Healthcare Commercial |
$616.49
|
| Rate for Payer: United Healthcare Medicare |
$250.35
|
|
|
HC Z SCREW 5X26 NCB CORT
|
Facility
|
IP
|
$782.35
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41608277
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$586.76 |
| Max. Negotiated Rate |
$727.59 |
| Rate for Payer: Aetna Commercial |
$675.95
|
| Rate for Payer: Cash Price |
$469.41
|
| Rate for Payer: Cigna All Commercial |
$675.17
|
| Rate for Payer: CORVEL All Commercial |
$727.59
|
| Rate for Payer: Coventry All Commercial |
$688.47
|
| Rate for Payer: Encore All Commercial |
$720.15
|
| Rate for Payer: Frontpath All Commercial |
$719.76
|
| Rate for Payer: Humana ChoiceCare |
$675.72
|
| Rate for Payer: Lutheran Preferred All Commercial |
$704.12
|
| Rate for Payer: PHCS All Commercial |
$586.76
|
| Rate for Payer: PHP All Commercial |
$593.33
|
| Rate for Payer: Sagamore Health Network All Products |
$603.97
|
| Rate for Payer: Signature Care EPO |
$649.35
|
| Rate for Payer: Signature Care PPO |
$688.47
|
| Rate for Payer: United Healthcare Commercial |
$616.49
|
|
|
HC Z SCREW 5X36 NCB CORT ST
|
Facility
|
IP
|
$782.35
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606619
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$586.76 |
| Max. Negotiated Rate |
$727.59 |
| Rate for Payer: Aetna Commercial |
$675.95
|
| Rate for Payer: Cash Price |
$469.41
|
| Rate for Payer: Cigna All Commercial |
$675.17
|
| Rate for Payer: CORVEL All Commercial |
$727.59
|
| Rate for Payer: Coventry All Commercial |
$688.47
|
| Rate for Payer: Encore All Commercial |
$720.15
|
| Rate for Payer: Frontpath All Commercial |
$719.76
|
| Rate for Payer: Humana ChoiceCare |
$675.72
|
| Rate for Payer: Lutheran Preferred All Commercial |
$704.12
|
| Rate for Payer: PHCS All Commercial |
$586.76
|
| Rate for Payer: PHP All Commercial |
$593.33
|
| Rate for Payer: Sagamore Health Network All Products |
$603.97
|
| Rate for Payer: Signature Care EPO |
$649.35
|
| Rate for Payer: Signature Care PPO |
$688.47
|
| Rate for Payer: United Healthcare Commercial |
$616.49
|
|
|
HC Z SCREW 5X36 NCB CORT ST
|
Facility
|
OP
|
$782.35
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606619
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$727.59 |
| Rate for Payer: Aetna Commercial |
$660.30
|
| Rate for Payer: Aetna Medicare |
$250.35
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$242.53
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$449.30
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$489.05
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$287.90
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$275.39
|
| Rate for Payer: Cash Price |
$469.41
|
| Rate for Payer: Cash Price |
$469.41
|
| Rate for Payer: Centivo All Commercial |
$425.60
|
| Rate for Payer: Cigna All Commercial |
$675.17
|
| Rate for Payer: CORVEL All Commercial |
$727.59
|
| Rate for Payer: Coventry All Commercial |
$688.47
|
| Rate for Payer: Encore All Commercial |
$720.15
|
| Rate for Payer: Frontpath All Commercial |
$719.76
|
| Rate for Payer: Humana ChoiceCare |
$675.72
|
| Rate for Payer: Humana Medicare |
$250.35
|
| Rate for Payer: Lucent All Commercial |
$425.60
|
| Rate for Payer: Lutheran Preferred All Commercial |
$704.12
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$586.76
|
| Rate for Payer: PHP All Commercial |
$593.33
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$305.12
|
| Rate for Payer: Sagamore Health Network All Products |
$603.97
|
| Rate for Payer: Signature Care EPO |
$649.35
|
| Rate for Payer: Signature Care PPO |
$688.47
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$665.00
|
| Rate for Payer: United Healthcare Commercial |
$616.49
|
| Rate for Payer: United Healthcare Medicare |
$250.35
|
|
|
HC Z SCREW 5X38 CORT
|
Facility
|
IP
|
$914.05
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606614
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$685.54 |
| Max. Negotiated Rate |
$850.07 |
| Rate for Payer: Aetna Commercial |
$789.74
|
| Rate for Payer: Cash Price |
$548.43
|
| Rate for Payer: Cigna All Commercial |
$788.83
|
| Rate for Payer: CORVEL All Commercial |
$850.07
|
| Rate for Payer: Coventry All Commercial |
$804.36
|
| Rate for Payer: Encore All Commercial |
$841.38
|
| Rate for Payer: Frontpath All Commercial |
$840.93
|
| Rate for Payer: Humana ChoiceCare |
$789.46
|
| Rate for Payer: Lutheran Preferred All Commercial |
$822.64
|
| Rate for Payer: PHCS All Commercial |
$685.54
|
| Rate for Payer: PHP All Commercial |
$693.22
|
| Rate for Payer: Sagamore Health Network All Products |
$705.65
|
| Rate for Payer: Signature Care EPO |
$758.66
|
| Rate for Payer: Signature Care PPO |
$804.36
|
| Rate for Payer: United Healthcare Commercial |
$720.27
|
|
|
HC Z SCREW 5X38 CORT
|
Facility
|
OP
|
$914.05
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606614
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$850.07 |
| Rate for Payer: Aetna Commercial |
$771.46
|
| Rate for Payer: Aetna Medicare |
$292.50
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$283.36
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$524.94
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$571.37
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$336.37
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$321.75
|
| Rate for Payer: Cash Price |
$548.43
|
| Rate for Payer: Cash Price |
$548.43
|
| Rate for Payer: Centivo All Commercial |
$497.24
|
| Rate for Payer: Cigna All Commercial |
$788.83
|
| Rate for Payer: CORVEL All Commercial |
$850.07
|
| Rate for Payer: Coventry All Commercial |
$804.36
|
| Rate for Payer: Encore All Commercial |
$841.38
|
| Rate for Payer: Frontpath All Commercial |
$840.93
|
| Rate for Payer: Humana ChoiceCare |
$789.46
|
| Rate for Payer: Humana Medicare |
$292.50
|
| Rate for Payer: Lucent All Commercial |
$497.24
|
| Rate for Payer: Lutheran Preferred All Commercial |
$822.64
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$685.54
|
| Rate for Payer: PHP All Commercial |
$693.22
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$356.48
|
| Rate for Payer: Sagamore Health Network All Products |
$705.65
|
| Rate for Payer: Signature Care EPO |
$758.66
|
| Rate for Payer: Signature Care PPO |
$804.36
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$776.94
|
| Rate for Payer: United Healthcare Commercial |
$720.27
|
| Rate for Payer: United Healthcare Medicare |
$292.50
|
|
|
HC Z SCREW 5X40 NCB CORT ST
|
Facility
|
IP
|
$782.35
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606557
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$586.76 |
| Max. Negotiated Rate |
$727.59 |
| Rate for Payer: Aetna Commercial |
$675.95
|
| Rate for Payer: Cash Price |
$469.41
|
| Rate for Payer: Cigna All Commercial |
$675.17
|
| Rate for Payer: CORVEL All Commercial |
$727.59
|
| Rate for Payer: Coventry All Commercial |
$688.47
|
| Rate for Payer: Encore All Commercial |
$720.15
|
| Rate for Payer: Frontpath All Commercial |
$719.76
|
| Rate for Payer: Humana ChoiceCare |
$675.72
|
| Rate for Payer: Lutheran Preferred All Commercial |
$704.12
|
| Rate for Payer: PHCS All Commercial |
$586.76
|
| Rate for Payer: PHP All Commercial |
$593.33
|
| Rate for Payer: Sagamore Health Network All Products |
$603.97
|
| Rate for Payer: Signature Care EPO |
$649.35
|
| Rate for Payer: Signature Care PPO |
$688.47
|
| Rate for Payer: United Healthcare Commercial |
$616.49
|
|
|
HC Z SCREW 5X40 NCB CORT ST
|
Facility
|
OP
|
$782.35
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606557
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$727.59 |
| Rate for Payer: Aetna Commercial |
$660.30
|
| Rate for Payer: Aetna Medicare |
$250.35
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$242.53
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$449.30
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$489.05
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$287.90
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$275.39
|
| Rate for Payer: Cash Price |
$469.41
|
| Rate for Payer: Cash Price |
$469.41
|
| Rate for Payer: Centivo All Commercial |
$425.60
|
| Rate for Payer: Cigna All Commercial |
$675.17
|
| Rate for Payer: CORVEL All Commercial |
$727.59
|
| Rate for Payer: Coventry All Commercial |
$688.47
|
| Rate for Payer: Encore All Commercial |
$720.15
|
| Rate for Payer: Frontpath All Commercial |
$719.76
|
| Rate for Payer: Humana ChoiceCare |
$675.72
|
| Rate for Payer: Humana Medicare |
$250.35
|
| Rate for Payer: Lucent All Commercial |
$425.60
|
| Rate for Payer: Lutheran Preferred All Commercial |
$704.12
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$586.76
|
| Rate for Payer: PHP All Commercial |
$593.33
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$305.12
|
| Rate for Payer: Sagamore Health Network All Products |
$603.97
|
| Rate for Payer: Signature Care EPO |
$649.35
|
| Rate for Payer: Signature Care PPO |
$688.47
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$665.00
|
| Rate for Payer: United Healthcare Commercial |
$616.49
|
| Rate for Payer: United Healthcare Medicare |
$250.35
|
|
|
HC Z SCREW 5X42 CORT
|
Facility
|
OP
|
$914.05
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606650
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$850.07 |
| Rate for Payer: Aetna Commercial |
$771.46
|
| Rate for Payer: Aetna Medicare |
$292.50
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$283.36
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$524.94
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$571.37
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$336.37
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$321.75
|
| Rate for Payer: Cash Price |
$548.43
|
| Rate for Payer: Cash Price |
$548.43
|
| Rate for Payer: Centivo All Commercial |
$497.24
|
| Rate for Payer: Cigna All Commercial |
$788.83
|
| Rate for Payer: CORVEL All Commercial |
$850.07
|
| Rate for Payer: Coventry All Commercial |
$804.36
|
| Rate for Payer: Encore All Commercial |
$841.38
|
| Rate for Payer: Frontpath All Commercial |
$840.93
|
| Rate for Payer: Humana ChoiceCare |
$789.46
|
| Rate for Payer: Humana Medicare |
$292.50
|
| Rate for Payer: Lucent All Commercial |
$497.24
|
| Rate for Payer: Lutheran Preferred All Commercial |
$822.64
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$685.54
|
| Rate for Payer: PHP All Commercial |
$693.22
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$356.48
|
| Rate for Payer: Sagamore Health Network All Products |
$705.65
|
| Rate for Payer: Signature Care EPO |
$758.66
|
| Rate for Payer: Signature Care PPO |
$804.36
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$776.94
|
| Rate for Payer: United Healthcare Commercial |
$720.27
|
| Rate for Payer: United Healthcare Medicare |
$292.50
|
|
|
HC Z SCREW 5X42 CORT
|
Facility
|
IP
|
$914.05
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606650
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$685.54 |
| Max. Negotiated Rate |
$850.07 |
| Rate for Payer: Aetna Commercial |
$789.74
|
| Rate for Payer: Cash Price |
$548.43
|
| Rate for Payer: Cigna All Commercial |
$788.83
|
| Rate for Payer: CORVEL All Commercial |
$850.07
|
| Rate for Payer: Coventry All Commercial |
$804.36
|
| Rate for Payer: Encore All Commercial |
$841.38
|
| Rate for Payer: Frontpath All Commercial |
$840.93
|
| Rate for Payer: Humana ChoiceCare |
$789.46
|
| Rate for Payer: Lutheran Preferred All Commercial |
$822.64
|
| Rate for Payer: PHCS All Commercial |
$685.54
|
| Rate for Payer: PHP All Commercial |
$693.22
|
| Rate for Payer: Sagamore Health Network All Products |
$705.65
|
| Rate for Payer: Signature Care EPO |
$758.66
|
| Rate for Payer: Signature Care PPO |
$804.36
|
| Rate for Payer: United Healthcare Commercial |
$720.27
|
|
|
HC Z SCREW 5X44 CORT
|
Facility
|
OP
|
$914.05
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606929
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$850.07 |
| Rate for Payer: Aetna Commercial |
$771.46
|
| Rate for Payer: Aetna Medicare |
$292.50
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$283.36
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$524.94
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$571.37
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$336.37
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$321.75
|
| Rate for Payer: Cash Price |
$548.43
|
| Rate for Payer: Cash Price |
$548.43
|
| Rate for Payer: Centivo All Commercial |
$497.24
|
| Rate for Payer: Cigna All Commercial |
$788.83
|
| Rate for Payer: CORVEL All Commercial |
$850.07
|
| Rate for Payer: Coventry All Commercial |
$804.36
|
| Rate for Payer: Encore All Commercial |
$841.38
|
| Rate for Payer: Frontpath All Commercial |
$840.93
|
| Rate for Payer: Humana ChoiceCare |
$789.46
|
| Rate for Payer: Humana Medicare |
$292.50
|
| Rate for Payer: Lucent All Commercial |
$497.24
|
| Rate for Payer: Lutheran Preferred All Commercial |
$822.64
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$685.54
|
| Rate for Payer: PHP All Commercial |
$693.22
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$356.48
|
| Rate for Payer: Sagamore Health Network All Products |
$705.65
|
| Rate for Payer: Signature Care EPO |
$758.66
|
| Rate for Payer: Signature Care PPO |
$804.36
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$776.94
|
| Rate for Payer: United Healthcare Commercial |
$720.27
|
| Rate for Payer: United Healthcare Medicare |
$292.50
|
|
|
HC Z SCREW 5X44 CORT
|
Facility
|
IP
|
$914.05
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606929
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$685.54 |
| Max. Negotiated Rate |
$850.07 |
| Rate for Payer: Aetna Commercial |
$789.74
|
| Rate for Payer: Cash Price |
$548.43
|
| Rate for Payer: Cigna All Commercial |
$788.83
|
| Rate for Payer: CORVEL All Commercial |
$850.07
|
| Rate for Payer: Coventry All Commercial |
$804.36
|
| Rate for Payer: Encore All Commercial |
$841.38
|
| Rate for Payer: Frontpath All Commercial |
$840.93
|
| Rate for Payer: Humana ChoiceCare |
$789.46
|
| Rate for Payer: Lutheran Preferred All Commercial |
$822.64
|
| Rate for Payer: PHCS All Commercial |
$685.54
|
| Rate for Payer: PHP All Commercial |
$693.22
|
| Rate for Payer: Sagamore Health Network All Products |
$705.65
|
| Rate for Payer: Signature Care EPO |
$758.66
|
| Rate for Payer: Signature Care PPO |
$804.36
|
| Rate for Payer: United Healthcare Commercial |
$720.27
|
|
|
HC Z SCREW 5X44 NCB CORT ST
|
Facility
|
IP
|
$782.35
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41607448
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$586.76 |
| Max. Negotiated Rate |
$727.59 |
| Rate for Payer: Aetna Commercial |
$675.95
|
| Rate for Payer: Cash Price |
$469.41
|
| Rate for Payer: Cigna All Commercial |
$675.17
|
| Rate for Payer: CORVEL All Commercial |
$727.59
|
| Rate for Payer: Coventry All Commercial |
$688.47
|
| Rate for Payer: Encore All Commercial |
$720.15
|
| Rate for Payer: Frontpath All Commercial |
$719.76
|
| Rate for Payer: Humana ChoiceCare |
$675.72
|
| Rate for Payer: Lutheran Preferred All Commercial |
$704.12
|
| Rate for Payer: PHCS All Commercial |
$586.76
|
| Rate for Payer: PHP All Commercial |
$593.33
|
| Rate for Payer: Sagamore Health Network All Products |
$603.97
|
| Rate for Payer: Signature Care EPO |
$649.35
|
| Rate for Payer: Signature Care PPO |
$688.47
|
| Rate for Payer: United Healthcare Commercial |
$616.49
|
|
|
HC Z SCREW 5X44 NCB CORT ST
|
Facility
|
OP
|
$782.35
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41607448
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$727.59 |
| Rate for Payer: Aetna Commercial |
$660.30
|
| Rate for Payer: Aetna Medicare |
$250.35
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$242.53
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$449.30
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$489.05
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$287.90
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$275.39
|
| Rate for Payer: Cash Price |
$469.41
|
| Rate for Payer: Cash Price |
$469.41
|
| Rate for Payer: Centivo All Commercial |
$425.60
|
| Rate for Payer: Cigna All Commercial |
$675.17
|
| Rate for Payer: CORVEL All Commercial |
$727.59
|
| Rate for Payer: Coventry All Commercial |
$688.47
|
| Rate for Payer: Encore All Commercial |
$720.15
|
| Rate for Payer: Frontpath All Commercial |
$719.76
|
| Rate for Payer: Humana ChoiceCare |
$675.72
|
| Rate for Payer: Humana Medicare |
$250.35
|
| Rate for Payer: Lucent All Commercial |
$425.60
|
| Rate for Payer: Lutheran Preferred All Commercial |
$704.12
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$586.76
|
| Rate for Payer: PHP All Commercial |
$593.33
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$305.12
|
| Rate for Payer: Sagamore Health Network All Products |
$603.97
|
| Rate for Payer: Signature Care EPO |
$649.35
|
| Rate for Payer: Signature Care PPO |
$688.47
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$665.00
|
| Rate for Payer: United Healthcare Commercial |
$616.49
|
| Rate for Payer: United Healthcare Medicare |
$250.35
|
|
|
HC Z SCREW 5X65 NCB CANC
|
Facility
|
IP
|
$932.12
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41608275
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$699.09 |
| Max. Negotiated Rate |
$866.87 |
| Rate for Payer: Aetna Commercial |
$805.35
|
| Rate for Payer: Cash Price |
$559.27
|
| Rate for Payer: Cigna All Commercial |
$804.42
|
| Rate for Payer: CORVEL All Commercial |
$866.87
|
| Rate for Payer: Coventry All Commercial |
$820.27
|
| Rate for Payer: Encore All Commercial |
$858.02
|
| Rate for Payer: Frontpath All Commercial |
$857.55
|
| Rate for Payer: Humana ChoiceCare |
$805.07
|
| Rate for Payer: Lutheran Preferred All Commercial |
$838.91
|
| Rate for Payer: PHCS All Commercial |
$699.09
|
| Rate for Payer: PHP All Commercial |
$706.92
|
| Rate for Payer: Sagamore Health Network All Products |
$719.60
|
| Rate for Payer: Signature Care EPO |
$773.66
|
| Rate for Payer: Signature Care PPO |
$820.27
|
| Rate for Payer: United Healthcare Commercial |
$734.51
|
|
|
HC Z SCREW 5X65 NCB CANC
|
Facility
|
OP
|
$932.12
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41608275
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$866.87 |
| Rate for Payer: Aetna Commercial |
$786.71
|
| Rate for Payer: Aetna Medicare |
$298.28
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$288.96
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$535.32
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$582.67
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$343.02
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$328.11
|
| Rate for Payer: Cash Price |
$559.27
|
| Rate for Payer: Cash Price |
$559.27
|
| Rate for Payer: Centivo All Commercial |
$507.07
|
| Rate for Payer: Cigna All Commercial |
$804.42
|
| Rate for Payer: CORVEL All Commercial |
$866.87
|
| Rate for Payer: Coventry All Commercial |
$820.27
|
| Rate for Payer: Encore All Commercial |
$858.02
|
| Rate for Payer: Frontpath All Commercial |
$857.55
|
| Rate for Payer: Humana ChoiceCare |
$805.07
|
| Rate for Payer: Humana Medicare |
$298.28
|
| Rate for Payer: Lucent All Commercial |
$507.07
|
| Rate for Payer: Lutheran Preferred All Commercial |
$838.91
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$699.09
|
| Rate for Payer: PHP All Commercial |
$706.92
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$363.53
|
| Rate for Payer: Sagamore Health Network All Products |
$719.60
|
| Rate for Payer: Signature Care EPO |
$773.66
|
| Rate for Payer: Signature Care PPO |
$820.27
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$792.30
|
| Rate for Payer: United Healthcare Commercial |
$734.51
|
| Rate for Payer: United Healthcare Medicare |
$298.28
|
|
|
HC Z SCREW 5X70 NCB CANC
|
Facility
|
OP
|
$932.12
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41607629
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$866.87 |
| Rate for Payer: Aetna Commercial |
$786.71
|
| Rate for Payer: Aetna Medicare |
$298.28
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$288.96
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$535.32
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$582.67
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$343.02
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$328.11
|
| Rate for Payer: Cash Price |
$559.27
|
| Rate for Payer: Cash Price |
$559.27
|
| Rate for Payer: Centivo All Commercial |
$507.07
|
| Rate for Payer: Cigna All Commercial |
$804.42
|
| Rate for Payer: CORVEL All Commercial |
$866.87
|
| Rate for Payer: Coventry All Commercial |
$820.27
|
| Rate for Payer: Encore All Commercial |
$858.02
|
| Rate for Payer: Frontpath All Commercial |
$857.55
|
| Rate for Payer: Humana ChoiceCare |
$805.07
|
| Rate for Payer: Humana Medicare |
$298.28
|
| Rate for Payer: Lucent All Commercial |
$507.07
|
| Rate for Payer: Lutheran Preferred All Commercial |
$838.91
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$699.09
|
| Rate for Payer: PHP All Commercial |
$706.92
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$363.53
|
| Rate for Payer: Sagamore Health Network All Products |
$719.60
|
| Rate for Payer: Signature Care EPO |
$773.66
|
| Rate for Payer: Signature Care PPO |
$820.27
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$792.30
|
| Rate for Payer: United Healthcare Commercial |
$734.51
|
| Rate for Payer: United Healthcare Medicare |
$298.28
|
|
|
HC Z SCREW 5X70 NCB CANC
|
Facility
|
IP
|
$932.12
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41607629
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$699.09 |
| Max. Negotiated Rate |
$866.87 |
| Rate for Payer: Aetna Commercial |
$805.35
|
| Rate for Payer: Cash Price |
$559.27
|
| Rate for Payer: Cigna All Commercial |
$804.42
|
| Rate for Payer: CORVEL All Commercial |
$866.87
|
| Rate for Payer: Coventry All Commercial |
$820.27
|
| Rate for Payer: Encore All Commercial |
$858.02
|
| Rate for Payer: Frontpath All Commercial |
$857.55
|
| Rate for Payer: Humana ChoiceCare |
$805.07
|
| Rate for Payer: Lutheran Preferred All Commercial |
$838.91
|
| Rate for Payer: PHCS All Commercial |
$699.09
|
| Rate for Payer: PHP All Commercial |
$706.92
|
| Rate for Payer: Sagamore Health Network All Products |
$719.60
|
| Rate for Payer: Signature Care EPO |
$773.66
|
| Rate for Payer: Signature Care PPO |
$820.27
|
| Rate for Payer: United Healthcare Commercial |
$734.51
|
|
|
HC Z SCREW 5X75 NCB CANC
|
Facility
|
OP
|
$932.12
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41608276
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$866.87 |
| Rate for Payer: Aetna Commercial |
$786.71
|
| Rate for Payer: Aetna Medicare |
$298.28
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$288.96
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$535.32
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$582.67
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$343.02
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$328.11
|
| Rate for Payer: Cash Price |
$559.27
|
| Rate for Payer: Cash Price |
$559.27
|
| Rate for Payer: Centivo All Commercial |
$507.07
|
| Rate for Payer: Cigna All Commercial |
$804.42
|
| Rate for Payer: CORVEL All Commercial |
$866.87
|
| Rate for Payer: Coventry All Commercial |
$820.27
|
| Rate for Payer: Encore All Commercial |
$858.02
|
| Rate for Payer: Frontpath All Commercial |
$857.55
|
| Rate for Payer: Humana ChoiceCare |
$805.07
|
| Rate for Payer: Humana Medicare |
$298.28
|
| Rate for Payer: Lucent All Commercial |
$507.07
|
| Rate for Payer: Lutheran Preferred All Commercial |
$838.91
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$699.09
|
| Rate for Payer: PHP All Commercial |
$706.92
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$363.53
|
| Rate for Payer: Sagamore Health Network All Products |
$719.60
|
| Rate for Payer: Signature Care EPO |
$773.66
|
| Rate for Payer: Signature Care PPO |
$820.27
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$792.30
|
| Rate for Payer: United Healthcare Commercial |
$734.51
|
| Rate for Payer: United Healthcare Medicare |
$298.28
|
|
|
HC Z SCREW 5X75 NCB CANC
|
Facility
|
IP
|
$932.12
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41608276
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$699.09 |
| Max. Negotiated Rate |
$866.87 |
| Rate for Payer: Aetna Commercial |
$805.35
|
| Rate for Payer: Cash Price |
$559.27
|
| Rate for Payer: Cigna All Commercial |
$804.42
|
| Rate for Payer: CORVEL All Commercial |
$866.87
|
| Rate for Payer: Coventry All Commercial |
$820.27
|
| Rate for Payer: Encore All Commercial |
$858.02
|
| Rate for Payer: Frontpath All Commercial |
$857.55
|
| Rate for Payer: Humana ChoiceCare |
$805.07
|
| Rate for Payer: Lutheran Preferred All Commercial |
$838.91
|
| Rate for Payer: PHCS All Commercial |
$699.09
|
| Rate for Payer: PHP All Commercial |
$706.92
|
| Rate for Payer: Sagamore Health Network All Products |
$719.60
|
| Rate for Payer: Signature Care EPO |
$773.66
|
| Rate for Payer: Signature Care PPO |
$820.27
|
| Rate for Payer: United Healthcare Commercial |
$734.51
|
|
|
HC Z SCREW 6.5X16X40 CANN
|
Facility
|
OP
|
$1,082.70
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41608341
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$1,006.91 |
| Rate for Payer: Aetna Commercial |
$913.80
|
| Rate for Payer: Aetna Medicare |
$346.46
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$335.64
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$621.79
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$676.80
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$398.43
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$381.11
|
| Rate for Payer: Cash Price |
$649.62
|
| Rate for Payer: Cash Price |
$649.62
|
| Rate for Payer: Centivo All Commercial |
$588.99
|
| Rate for Payer: Cigna All Commercial |
$934.37
|
| Rate for Payer: CORVEL All Commercial |
$1,006.91
|
| Rate for Payer: Coventry All Commercial |
$952.78
|
| Rate for Payer: Encore All Commercial |
$996.63
|
| Rate for Payer: Frontpath All Commercial |
$996.08
|
| Rate for Payer: Humana ChoiceCare |
$935.13
|
| Rate for Payer: Humana Medicare |
$346.46
|
| Rate for Payer: Lucent All Commercial |
$588.99
|
| Rate for Payer: Lutheran Preferred All Commercial |
$974.43
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$812.02
|
| Rate for Payer: PHP All Commercial |
$821.12
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$422.25
|
| Rate for Payer: Sagamore Health Network All Products |
$835.84
|
| Rate for Payer: Signature Care EPO |
$898.64
|
| Rate for Payer: Signature Care PPO |
$952.78
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$920.29
|
| Rate for Payer: United Healthcare Commercial |
$853.17
|
| Rate for Payer: United Healthcare Medicare |
$346.46
|
|
