|
HC Z SCREW T15 3.5X16 CORT LP
|
Facility
|
OP
|
$388.85
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41607402
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$120.54 |
| Max. Negotiated Rate |
$361.63 |
| Rate for Payer: Aetna Commercial |
$328.19
|
| Rate for Payer: Aetna Medicare |
$124.43
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$120.54
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$223.32
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$243.07
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$143.10
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$136.88
|
| Rate for Payer: Cash Price |
$233.31
|
| Rate for Payer: Cash Price |
$233.31
|
| Rate for Payer: Centivo All Commercial |
$211.53
|
| Rate for Payer: Cigna All Commercial |
$335.58
|
| Rate for Payer: CORVEL All Commercial |
$361.63
|
| Rate for Payer: Coventry All Commercial |
$342.19
|
| Rate for Payer: Encore All Commercial |
$357.94
|
| Rate for Payer: Frontpath All Commercial |
$357.74
|
| Rate for Payer: Humana ChoiceCare |
$335.85
|
| Rate for Payer: Humana Medicare |
$124.43
|
| Rate for Payer: Lucent All Commercial |
$211.53
|
| Rate for Payer: Lutheran Preferred All Commercial |
$349.96
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$291.64
|
| Rate for Payer: PHP All Commercial |
$294.90
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$151.65
|
| Rate for Payer: Sagamore Health Network All Products |
$300.19
|
| Rate for Payer: Signature Care EPO |
$322.75
|
| Rate for Payer: Signature Care PPO |
$342.19
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$330.52
|
| Rate for Payer: United Healthcare Commercial |
$306.41
|
| Rate for Payer: United Healthcare Medicare |
$124.43
|
|
|
HC Z SCREW T15 3.5X 18 CORT LP
|
Facility
|
OP
|
$388.85
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41607684
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$120.54 |
| Max. Negotiated Rate |
$361.63 |
| Rate for Payer: Aetna Commercial |
$328.19
|
| Rate for Payer: Aetna Medicare |
$124.43
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$120.54
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$223.32
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$243.07
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$143.10
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$136.88
|
| Rate for Payer: Cash Price |
$233.31
|
| Rate for Payer: Cash Price |
$233.31
|
| Rate for Payer: Centivo All Commercial |
$211.53
|
| Rate for Payer: Cigna All Commercial |
$335.58
|
| Rate for Payer: CORVEL All Commercial |
$361.63
|
| Rate for Payer: Coventry All Commercial |
$342.19
|
| Rate for Payer: Encore All Commercial |
$357.94
|
| Rate for Payer: Frontpath All Commercial |
$357.74
|
| Rate for Payer: Humana ChoiceCare |
$335.85
|
| Rate for Payer: Humana Medicare |
$124.43
|
| Rate for Payer: Lucent All Commercial |
$211.53
|
| Rate for Payer: Lutheran Preferred All Commercial |
$349.96
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$291.64
|
| Rate for Payer: PHP All Commercial |
$294.90
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$151.65
|
| Rate for Payer: Sagamore Health Network All Products |
$300.19
|
| Rate for Payer: Signature Care EPO |
$322.75
|
| Rate for Payer: Signature Care PPO |
$342.19
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$330.52
|
| Rate for Payer: United Healthcare Commercial |
$306.41
|
| Rate for Payer: United Healthcare Medicare |
$124.43
|
|
|
HC Z SCREW T15 3.5X 18 CORT LP
|
Facility
|
IP
|
$388.85
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41607684
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$291.64 |
| Max. Negotiated Rate |
$361.63 |
| Rate for Payer: Aetna Commercial |
$335.97
|
| Rate for Payer: Cash Price |
$233.31
|
| Rate for Payer: Cigna All Commercial |
$335.58
|
| Rate for Payer: CORVEL All Commercial |
$361.63
|
| Rate for Payer: Coventry All Commercial |
$342.19
|
| Rate for Payer: Encore All Commercial |
$357.94
|
| Rate for Payer: Frontpath All Commercial |
$357.74
|
| Rate for Payer: Humana ChoiceCare |
$335.85
|
| Rate for Payer: Lutheran Preferred All Commercial |
$349.96
|
| Rate for Payer: PHCS All Commercial |
$291.64
|
| Rate for Payer: PHP All Commercial |
$294.90
|
| Rate for Payer: Sagamore Health Network All Products |
$300.19
|
| Rate for Payer: Signature Care EPO |
$322.75
|
| Rate for Payer: Signature Care PPO |
$342.19
|
| Rate for Payer: United Healthcare Commercial |
$306.41
|
|
|
HC Z SCREW T15 3.5X20 CORT LP
|
Facility
|
OP
|
$424.20
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603865
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$131.50 |
| Max. Negotiated Rate |
$394.51 |
| Rate for Payer: Aetna Commercial |
$358.02
|
| Rate for Payer: Aetna Medicare |
$135.74
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$131.50
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$243.62
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$265.17
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$156.11
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$149.32
|
| Rate for Payer: Cash Price |
$254.52
|
| Rate for Payer: Cash Price |
$254.52
|
| Rate for Payer: Centivo All Commercial |
$230.76
|
| Rate for Payer: Cigna All Commercial |
$366.08
|
| Rate for Payer: CORVEL All Commercial |
$394.51
|
| Rate for Payer: Coventry All Commercial |
$373.30
|
| Rate for Payer: Encore All Commercial |
$390.48
|
| Rate for Payer: Frontpath All Commercial |
$390.26
|
| Rate for Payer: Humana ChoiceCare |
$366.38
|
| Rate for Payer: Humana Medicare |
$135.74
|
| Rate for Payer: Lucent All Commercial |
$230.76
|
| Rate for Payer: Lutheran Preferred All Commercial |
$381.78
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$318.15
|
| Rate for Payer: PHP All Commercial |
$321.71
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$165.44
|
| Rate for Payer: Sagamore Health Network All Products |
$327.48
|
| Rate for Payer: Signature Care EPO |
$352.09
|
| Rate for Payer: Signature Care PPO |
$373.30
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$360.57
|
| Rate for Payer: United Healthcare Commercial |
$334.27
|
| Rate for Payer: United Healthcare Medicare |
$135.74
|
|
|
HC Z SCREW T15 3.5X20 CORT LP
|
Facility
|
IP
|
$424.20
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603865
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$318.15 |
| Max. Negotiated Rate |
$394.51 |
| Rate for Payer: Aetna Commercial |
$366.51
|
| Rate for Payer: Cash Price |
$254.52
|
| Rate for Payer: Cigna All Commercial |
$366.08
|
| Rate for Payer: CORVEL All Commercial |
$394.51
|
| Rate for Payer: Coventry All Commercial |
$373.30
|
| Rate for Payer: Encore All Commercial |
$390.48
|
| Rate for Payer: Frontpath All Commercial |
$390.26
|
| Rate for Payer: Humana ChoiceCare |
$366.38
|
| Rate for Payer: Lutheran Preferred All Commercial |
$381.78
|
| Rate for Payer: PHCS All Commercial |
$318.15
|
| Rate for Payer: PHP All Commercial |
$321.71
|
| Rate for Payer: Sagamore Health Network All Products |
$327.48
|
| Rate for Payer: Signature Care EPO |
$352.09
|
| Rate for Payer: Signature Care PPO |
$373.30
|
| Rate for Payer: United Healthcare Commercial |
$334.27
|
|
|
HC Z SCREW T15 3.5X22 CORT LP
|
Facility
|
IP
|
$424.20
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603864
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$318.15 |
| Max. Negotiated Rate |
$394.51 |
| Rate for Payer: Aetna Commercial |
$366.51
|
| Rate for Payer: Cash Price |
$254.52
|
| Rate for Payer: Cigna All Commercial |
$366.08
|
| Rate for Payer: CORVEL All Commercial |
$394.51
|
| Rate for Payer: Coventry All Commercial |
$373.30
|
| Rate for Payer: Encore All Commercial |
$390.48
|
| Rate for Payer: Frontpath All Commercial |
$390.26
|
| Rate for Payer: Humana ChoiceCare |
$366.38
|
| Rate for Payer: Lutheran Preferred All Commercial |
$381.78
|
| Rate for Payer: PHCS All Commercial |
$318.15
|
| Rate for Payer: PHP All Commercial |
$321.71
|
| Rate for Payer: Sagamore Health Network All Products |
$327.48
|
| Rate for Payer: Signature Care EPO |
$352.09
|
| Rate for Payer: Signature Care PPO |
$373.30
|
| Rate for Payer: United Healthcare Commercial |
$334.27
|
|
|
HC Z SCREW T15 3.5X22 CORT LP
|
Facility
|
OP
|
$424.20
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603864
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$131.50 |
| Max. Negotiated Rate |
$394.51 |
| Rate for Payer: Aetna Commercial |
$358.02
|
| Rate for Payer: Aetna Medicare |
$135.74
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$131.50
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$243.62
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$265.17
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$156.11
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$149.32
|
| Rate for Payer: Cash Price |
$254.52
|
| Rate for Payer: Cash Price |
$254.52
|
| Rate for Payer: Centivo All Commercial |
$230.76
|
| Rate for Payer: Cigna All Commercial |
$366.08
|
| Rate for Payer: CORVEL All Commercial |
$394.51
|
| Rate for Payer: Coventry All Commercial |
$373.30
|
| Rate for Payer: Encore All Commercial |
$390.48
|
| Rate for Payer: Frontpath All Commercial |
$390.26
|
| Rate for Payer: Humana ChoiceCare |
$366.38
|
| Rate for Payer: Humana Medicare |
$135.74
|
| Rate for Payer: Lucent All Commercial |
$230.76
|
| Rate for Payer: Lutheran Preferred All Commercial |
$381.78
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$318.15
|
| Rate for Payer: PHP All Commercial |
$321.71
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$165.44
|
| Rate for Payer: Sagamore Health Network All Products |
$327.48
|
| Rate for Payer: Signature Care EPO |
$352.09
|
| Rate for Payer: Signature Care PPO |
$373.30
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$360.57
|
| Rate for Payer: United Healthcare Commercial |
$334.27
|
| Rate for Payer: United Healthcare Medicare |
$135.74
|
|
|
HC Z SCREW T15 3.5X24 M-D LOCK
|
Facility
|
OP
|
$914.05
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603840
|
|
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 T15 3.5X24 M-D LOCK
|
Facility
|
IP
|
$914.05
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603840
|
|
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 T15 3.5X28 CORT LP
|
Facility
|
IP
|
$424.20
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603861
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$318.15 |
| Max. Negotiated Rate |
$394.51 |
| Rate for Payer: Aetna Commercial |
$366.51
|
| Rate for Payer: Cash Price |
$254.52
|
| Rate for Payer: Cigna All Commercial |
$366.08
|
| Rate for Payer: CORVEL All Commercial |
$394.51
|
| Rate for Payer: Coventry All Commercial |
$373.30
|
| Rate for Payer: Encore All Commercial |
$390.48
|
| Rate for Payer: Frontpath All Commercial |
$390.26
|
| Rate for Payer: Humana ChoiceCare |
$366.38
|
| Rate for Payer: Lutheran Preferred All Commercial |
$381.78
|
| Rate for Payer: PHCS All Commercial |
$318.15
|
| Rate for Payer: PHP All Commercial |
$321.71
|
| Rate for Payer: Sagamore Health Network All Products |
$327.48
|
| Rate for Payer: Signature Care EPO |
$352.09
|
| Rate for Payer: Signature Care PPO |
$373.30
|
| Rate for Payer: United Healthcare Commercial |
$334.27
|
|
|
HC Z SCREW T15 3.5X28 CORT LP
|
Facility
|
OP
|
$424.20
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603861
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$131.50 |
| Max. Negotiated Rate |
$394.51 |
| Rate for Payer: Aetna Commercial |
$358.02
|
| Rate for Payer: Aetna Medicare |
$135.74
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$131.50
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$243.62
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$265.17
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$156.11
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$149.32
|
| Rate for Payer: Cash Price |
$254.52
|
| Rate for Payer: Cash Price |
$254.52
|
| Rate for Payer: Centivo All Commercial |
$230.76
|
| Rate for Payer: Cigna All Commercial |
$366.08
|
| Rate for Payer: CORVEL All Commercial |
$394.51
|
| Rate for Payer: Coventry All Commercial |
$373.30
|
| Rate for Payer: Encore All Commercial |
$390.48
|
| Rate for Payer: Frontpath All Commercial |
$390.26
|
| Rate for Payer: Humana ChoiceCare |
$366.38
|
| Rate for Payer: Humana Medicare |
$135.74
|
| Rate for Payer: Lucent All Commercial |
$230.76
|
| Rate for Payer: Lutheran Preferred All Commercial |
$381.78
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$318.15
|
| Rate for Payer: PHP All Commercial |
$321.71
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$165.44
|
| Rate for Payer: Sagamore Health Network All Products |
$327.48
|
| Rate for Payer: Signature Care EPO |
$352.09
|
| Rate for Payer: Signature Care PPO |
$373.30
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$360.57
|
| Rate for Payer: United Healthcare Commercial |
$334.27
|
| Rate for Payer: United Healthcare Medicare |
$135.74
|
|
|
HC Z SCREW T15 3.5X30 CORT LP
|
Facility
|
OP
|
$424.20
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603860
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$131.50 |
| Max. Negotiated Rate |
$394.51 |
| Rate for Payer: Aetna Commercial |
$358.02
|
| Rate for Payer: Aetna Medicare |
$135.74
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$131.50
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$243.62
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$265.17
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$156.11
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$149.32
|
| Rate for Payer: Cash Price |
$254.52
|
| Rate for Payer: Cash Price |
$254.52
|
| Rate for Payer: Centivo All Commercial |
$230.76
|
| Rate for Payer: Cigna All Commercial |
$366.08
|
| Rate for Payer: CORVEL All Commercial |
$394.51
|
| Rate for Payer: Coventry All Commercial |
$373.30
|
| Rate for Payer: Encore All Commercial |
$390.48
|
| Rate for Payer: Frontpath All Commercial |
$390.26
|
| Rate for Payer: Humana ChoiceCare |
$366.38
|
| Rate for Payer: Humana Medicare |
$135.74
|
| Rate for Payer: Lucent All Commercial |
$230.76
|
| Rate for Payer: Lutheran Preferred All Commercial |
$381.78
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$318.15
|
| Rate for Payer: PHP All Commercial |
$321.71
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$165.44
|
| Rate for Payer: Sagamore Health Network All Products |
$327.48
|
| Rate for Payer: Signature Care EPO |
$352.09
|
| Rate for Payer: Signature Care PPO |
$373.30
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$360.57
|
| Rate for Payer: United Healthcare Commercial |
$334.27
|
| Rate for Payer: United Healthcare Medicare |
$135.74
|
|
|
HC Z SCREW T15 3.5X30 CORT LP
|
Facility
|
IP
|
$424.20
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603860
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$318.15 |
| Max. Negotiated Rate |
$394.51 |
| Rate for Payer: Aetna Commercial |
$366.51
|
| Rate for Payer: Cash Price |
$254.52
|
| Rate for Payer: Cigna All Commercial |
$366.08
|
| Rate for Payer: CORVEL All Commercial |
$394.51
|
| Rate for Payer: Coventry All Commercial |
$373.30
|
| Rate for Payer: Encore All Commercial |
$390.48
|
| Rate for Payer: Frontpath All Commercial |
$390.26
|
| Rate for Payer: Humana ChoiceCare |
$366.38
|
| Rate for Payer: Lutheran Preferred All Commercial |
$381.78
|
| Rate for Payer: PHCS All Commercial |
$318.15
|
| Rate for Payer: PHP All Commercial |
$321.71
|
| Rate for Payer: Sagamore Health Network All Products |
$327.48
|
| Rate for Payer: Signature Care EPO |
$352.09
|
| Rate for Payer: Signature Care PPO |
$373.30
|
| Rate for Payer: United Healthcare Commercial |
$334.27
|
|
|
HC Z SCREW T15 3.5X30 M-D LOCK
|
Facility
|
IP
|
$914.05
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603837
|
|
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 T15 3.5X30 M-D LOCK
|
Facility
|
OP
|
$914.05
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603837
|
|
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 T15 3.5X34 M-D LOCK
|
Facility
|
IP
|
$914.05
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603835
|
|
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 T15 3.5X34 M-D LOCK
|
Facility
|
OP
|
$914.05
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603835
|
|
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 T15 3.5X36 M-D LOCK
|
Facility
|
IP
|
$914.05
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603834
|
|
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 T15 3.5X36 M-D LOCK
|
Facility
|
OP
|
$914.05
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603834
|
|
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 T15 3.5X38 M-D LOCK
|
Facility
|
OP
|
$914.05
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603833
|
|
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 T15 3.5X38 M-D LOCK
|
Facility
|
IP
|
$914.05
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603833
|
|
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 T15 3.5X44 M-D LOCK
|
Facility
|
IP
|
$914.05
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603830
|
|
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 T15 3.5X44 M-D LOCK
|
Facility
|
OP
|
$914.05
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603830
|
|
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 T15 3.5X46 M-D LOCK
|
Facility
|
OP
|
$914.05
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603829
|
|
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 T15 3.5X46 M-D LOCK
|
Facility
|
IP
|
$914.05
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603829
|
|
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
|
|
