|
PR PART REMOVAL COLON W END COLOSTOMY
|
Professional
|
Both
|
$2,982.34
|
|
|
Service Code
|
CPT 44143
|
| Hospital Charge Code |
z44143
|
| Min. Negotiated Rate |
$1,466.83 |
| Max. Negotiated Rate |
$211,200.00 |
| Rate for Payer: Aetna Commercial |
$1,532.84
|
| Rate for Payer: Aetna Commercial |
$1,532.84
|
| Rate for Payer: Aetna Medicare |
$1,532.84
|
| Rate for Payer: Aetna Medicare |
$1,532.84
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$1,637.30
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$1,637.30
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,637.30
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,637.30
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$1,637.30
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$1,637.30
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,637.30
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,637.30
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$1,466.83
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$1,466.83
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,762.77
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,762.77
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,686.12
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,686.12
|
| Rate for Payer: Cash Price |
$1,849.05
|
| Rate for Payer: Cash Price |
$1,824.83
|
| Rate for Payer: Centivo All Commercial |
$2,375.90
|
| Rate for Payer: Centivo All Commercial |
$2,375.90
|
| Rate for Payer: Cigna All Commercial |
$1,532.84
|
| Rate for Payer: Cigna All Commercial |
$1,532.84
|
| Rate for Payer: CORVEL All Commercial |
$1,532.84
|
| Rate for Payer: CORVEL All Commercial |
$1,532.84
|
| Rate for Payer: Coventry All Commercial |
$1,839.41
|
| Rate for Payer: Coventry All Commercial |
$1,839.41
|
| Rate for Payer: Encore All Commercial |
$1,532.84
|
| Rate for Payer: Encore All Commercial |
$1,532.84
|
| Rate for Payer: Frontpath All Commercial |
$2,184.27
|
| Rate for Payer: Frontpath All Commercial |
$2,184.27
|
| Rate for Payer: Humana ChoiceCare |
$1,541.84
|
| Rate for Payer: Humana ChoiceCare |
$1,541.84
|
| Rate for Payer: Humana Medicare |
$1,532.84
|
| Rate for Payer: Humana Medicare |
$1,532.84
|
| Rate for Payer: Lucent All Commercial |
$2,145.98
|
| Rate for Payer: Lucent All Commercial |
$2,145.98
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,263.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,263.00
|
| Rate for Payer: Managed Health Services Medicaid |
$1,466.83
|
| Rate for Payer: Managed Health Services Medicaid |
$1,466.83
|
| Rate for Payer: MDWise Medicaid |
$1,466.83
|
| Rate for Payer: MDWise Medicaid |
$1,466.83
|
| Rate for Payer: PHCS All Commercial |
$1,532.84
|
| Rate for Payer: PHCS All Commercial |
$1,532.84
|
| Rate for Payer: PHP All Commercial |
$2,575.37
|
| Rate for Payer: PHP All Commercial |
$2,575.37
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$1,532.84
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$1,532.84
|
| Rate for Payer: Sagamore Health Network All Products |
$1,532.84
|
| Rate for Payer: Sagamore Health Network All Products |
$1,532.84
|
| Rate for Payer: Signature Care EPO |
$1,944.80
|
| Rate for Payer: Signature Care EPO |
$1,944.80
|
| Rate for Payer: Signature Care PPO |
$1,944.80
|
| Rate for Payer: Signature Care PPO |
$1,944.80
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$211,200.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$211,200.00
|
| Rate for Payer: United Healthcare Commercial |
$1,771.68
|
| Rate for Payer: United Healthcare Commercial |
$1,771.68
|
| Rate for Payer: United Healthcare Medicare |
$1,471.64
|
| Rate for Payer: United Healthcare Medicare |
$1,471.64
|
|
|
PR PART REMV BONE,DISTAL PHALANX
|
Professional
|
Both
|
$830.46
|
|
|
Service Code
|
CPT 26236
|
| Hospital Charge Code |
z26236
|
| Min. Negotiated Rate |
$404.35 |
| Max. Negotiated Rate |
$62,200.00 |
| Rate for Payer: Aetna Commercial |
$414.05
|
| Rate for Payer: Aetna Commercial |
$414.05
|
| Rate for Payer: Aetna Medicare |
$414.05
|
| Rate for Payer: Aetna Medicare |
$414.05
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$599.90
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$599.90
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$599.90
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$599.90
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$599.90
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$599.90
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$599.90
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$599.90
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$408.46
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$408.46
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$476.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$476.16
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$455.45
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$455.45
|
| Rate for Payer: Cash Price |
$514.89
|
| Rate for Payer: Cash Price |
$501.39
|
| Rate for Payer: Centivo All Commercial |
$641.78
|
| Rate for Payer: Centivo All Commercial |
$641.78
|
| Rate for Payer: Cigna All Commercial |
$414.05
|
| Rate for Payer: Cigna All Commercial |
$414.05
|
| Rate for Payer: CORVEL All Commercial |
$414.05
|
| Rate for Payer: CORVEL All Commercial |
$414.05
|
| Rate for Payer: Coventry All Commercial |
$496.86
|
| Rate for Payer: Coventry All Commercial |
$496.86
|
| Rate for Payer: Encore All Commercial |
$414.05
|
| Rate for Payer: Encore All Commercial |
$414.05
|
| Rate for Payer: Frontpath All Commercial |
$571.61
|
| Rate for Payer: Frontpath All Commercial |
$571.61
|
| Rate for Payer: Humana ChoiceCare |
$458.46
|
| Rate for Payer: Humana ChoiceCare |
$458.46
|
| Rate for Payer: Humana Medicare |
$414.05
|
| Rate for Payer: Humana Medicare |
$414.05
|
| Rate for Payer: Lucent All Commercial |
$579.67
|
| Rate for Payer: Lucent All Commercial |
$579.67
|
| Rate for Payer: Lutheran Preferred All Commercial |
$663.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$663.00
|
| Rate for Payer: Managed Health Services Medicaid |
$408.46
|
| Rate for Payer: Managed Health Services Medicaid |
$408.46
|
| Rate for Payer: MDWise Medicaid |
$408.46
|
| Rate for Payer: MDWise Medicaid |
$408.46
|
| Rate for Payer: PHCS All Commercial |
$414.05
|
| Rate for Payer: PHCS All Commercial |
$414.05
|
| Rate for Payer: PHP All Commercial |
$703.56
|
| Rate for Payer: PHP All Commercial |
$703.56
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$414.05
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$414.05
|
| Rate for Payer: Sagamore Health Network All Products |
$414.05
|
| Rate for Payer: Sagamore Health Network All Products |
$414.05
|
| Rate for Payer: Signature Care EPO |
$612.85
|
| Rate for Payer: Signature Care EPO |
$612.85
|
| Rate for Payer: Signature Care PPO |
$612.85
|
| Rate for Payer: Signature Care PPO |
$612.85
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$62,200.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$62,200.00
|
| Rate for Payer: United Healthcare Commercial |
$464.70
|
| Rate for Payer: United Healthcare Commercial |
$464.70
|
| Rate for Payer: United Healthcare Medicare |
$404.35
|
| Rate for Payer: United Healthcare Medicare |
$404.35
|
|
|
PR PART REMV BONE METATARSAL HEAD,EA
|
Professional
|
Both
|
$1,126.14
|
|
|
Service Code
|
CPT 28288
|
| Hospital Charge Code |
z28288
|
| Min. Negotiated Rate |
$220.96 |
| Max. Negotiated Rate |
$61,300.00 |
| Rate for Payer: Aetna Commercial |
$408.48
|
| Rate for Payer: Aetna Commercial |
$408.48
|
| Rate for Payer: Aetna Medicare |
$408.48
|
| Rate for Payer: Aetna Medicare |
$408.48
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$492.00
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$492.00
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$492.00
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$492.00
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$492.00
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$492.00
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$492.00
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$492.00
|
| Rate for Payer: Buckeye Health Medicaid OOS |
$220.96
|
| Rate for Payer: Buckeye Health Medicaid OOS |
$220.96
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$553.88
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$553.88
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$469.75
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$469.75
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$449.33
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$449.33
|
| Rate for Payer: Cash Price |
$681.09
|
| Rate for Payer: Cash Price |
$698.21
|
| Rate for Payer: Centivo All Commercial |
$633.14
|
| Rate for Payer: Centivo All Commercial |
$633.14
|
| Rate for Payer: Cigna All Commercial |
$408.48
|
| Rate for Payer: Cigna All Commercial |
$408.48
|
| Rate for Payer: CORVEL All Commercial |
$408.48
|
| Rate for Payer: CORVEL All Commercial |
$408.48
|
| Rate for Payer: Coventry All Commercial |
$490.18
|
| Rate for Payer: Coventry All Commercial |
$490.18
|
| Rate for Payer: Encore All Commercial |
$408.48
|
| Rate for Payer: Encore All Commercial |
$408.48
|
| Rate for Payer: Frontpath All Commercial |
$553.54
|
| Rate for Payer: Frontpath All Commercial |
$553.54
|
| Rate for Payer: Humana ChoiceCare |
$412.29
|
| Rate for Payer: Humana ChoiceCare |
$412.29
|
| Rate for Payer: Humana Medicare |
$408.48
|
| Rate for Payer: Humana Medicare |
$408.48
|
| Rate for Payer: Lucent All Commercial |
$571.87
|
| Rate for Payer: Lucent All Commercial |
$571.87
|
| Rate for Payer: Lutheran Preferred All Commercial |
$654.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$654.00
|
| Rate for Payer: Managed Health Services Medicaid |
$553.88
|
| Rate for Payer: Managed Health Services Medicaid |
$553.88
|
| Rate for Payer: MDWise Medicaid |
$553.88
|
| Rate for Payer: MDWise Medicaid |
$553.88
|
| Rate for Payer: Molina Healthcare of OH Medicare |
$220.96
|
| Rate for Payer: Molina Healthcare of OH Medicare |
$220.96
|
| Rate for Payer: PHCS All Commercial |
$408.48
|
| Rate for Payer: PHCS All Commercial |
$408.48
|
| Rate for Payer: PHP All Commercial |
$693.70
|
| Rate for Payer: PHP All Commercial |
$693.70
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$408.48
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$408.48
|
| Rate for Payer: Sagamore Health Network All Products |
$408.48
|
| Rate for Payer: Sagamore Health Network All Products |
$408.48
|
| Rate for Payer: Signature Care EPO |
$653.65
|
| Rate for Payer: Signature Care EPO |
$653.65
|
| Rate for Payer: Signature Care PPO |
$653.65
|
| Rate for Payer: Signature Care PPO |
$653.65
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$61,300.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$61,300.00
|
| Rate for Payer: United Healthcare Commercial |
$473.18
|
| Rate for Payer: United Healthcare Commercial |
$473.18
|
| Rate for Payer: United Healthcare Medicare |
$549.27
|
| Rate for Payer: United Healthcare Medicare |
$549.27
|
|
|
PR PART REMV PHALANX OF TOE
|
Professional
|
Both
|
$893.10
|
|
|
Service Code
|
CPT 28124
|
| Hospital Charge Code |
z28124
|
| Min. Negotiated Rate |
$169.05 |
| Max. Negotiated Rate |
$47,300.00 |
| Rate for Payer: Aetna Commercial |
$314.97
|
| Rate for Payer: Aetna Commercial |
$314.97
|
| Rate for Payer: Aetna Medicare |
$314.97
|
| Rate for Payer: Aetna Medicare |
$314.97
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$455.01
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$455.01
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$455.01
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$455.01
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$455.01
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$455.01
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$455.01
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$455.01
|
| Rate for Payer: Buckeye Health Medicaid OOS |
$169.05
|
| Rate for Payer: Buckeye Health Medicaid OOS |
$169.05
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$439.26
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$439.26
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$362.22
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$362.22
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$346.47
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$346.47
|
| Rate for Payer: Cash Price |
$538.09
|
| Rate for Payer: Cash Price |
$553.72
|
| Rate for Payer: Centivo All Commercial |
$488.20
|
| Rate for Payer: Centivo All Commercial |
$488.20
|
| Rate for Payer: Cigna All Commercial |
$314.97
|
| Rate for Payer: Cigna All Commercial |
$314.97
|
| Rate for Payer: CORVEL All Commercial |
$314.97
|
| Rate for Payer: CORVEL All Commercial |
$314.97
|
| Rate for Payer: Coventry All Commercial |
$377.96
|
| Rate for Payer: Coventry All Commercial |
$377.96
|
| Rate for Payer: Encore All Commercial |
$314.97
|
| Rate for Payer: Encore All Commercial |
$314.97
|
| Rate for Payer: Frontpath All Commercial |
$424.45
|
| Rate for Payer: Frontpath All Commercial |
$424.45
|
| Rate for Payer: Humana ChoiceCare |
$365.75
|
| Rate for Payer: Humana ChoiceCare |
$365.75
|
| Rate for Payer: Humana Medicare |
$314.97
|
| Rate for Payer: Humana Medicare |
$314.97
|
| Rate for Payer: Lucent All Commercial |
$440.96
|
| Rate for Payer: Lucent All Commercial |
$440.96
|
| Rate for Payer: Lutheran Preferred All Commercial |
$504.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$504.00
|
| Rate for Payer: Managed Health Services Medicaid |
$439.26
|
| Rate for Payer: Managed Health Services Medicaid |
$439.26
|
| Rate for Payer: MDWise Medicaid |
$439.26
|
| Rate for Payer: MDWise Medicaid |
$439.26
|
| Rate for Payer: Molina Healthcare of OH Medicare |
$169.05
|
| Rate for Payer: Molina Healthcare of OH Medicare |
$169.05
|
| Rate for Payer: PHCS All Commercial |
$314.97
|
| Rate for Payer: PHCS All Commercial |
$314.97
|
| Rate for Payer: PHP All Commercial |
$534.95
|
| Rate for Payer: PHP All Commercial |
$534.95
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$314.97
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$314.97
|
| Rate for Payer: Sagamore Health Network All Products |
$314.97
|
| Rate for Payer: Sagamore Health Network All Products |
$314.97
|
| Rate for Payer: Signature Care EPO |
$624.75
|
| Rate for Payer: Signature Care EPO |
$624.75
|
| Rate for Payer: Signature Care PPO |
$624.75
|
| Rate for Payer: Signature Care PPO |
$624.75
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$47,300.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$47,300.00
|
| Rate for Payer: United Healthcare Commercial |
$379.83
|
| Rate for Payer: United Healthcare Commercial |
$379.83
|
| Rate for Payer: United Healthcare Medicare |
$433.94
|
| Rate for Payer: United Healthcare Medicare |
$433.94
|
|
|
PR PART SIMPLE REMV VULVA
|
Professional
|
Both
|
$1,095.36
|
|
|
Service Code
|
CPT 56620
|
| Hospital Charge Code |
z56620
|
| Min. Negotiated Rate |
$535.73 |
| Max. Negotiated Rate |
$71,400.00 |
| Rate for Payer: Aetna Commercial |
$552.75
|
| Rate for Payer: Aetna Commercial |
$552.75
|
| Rate for Payer: Aetna Medicare |
$552.75
|
| Rate for Payer: Aetna Medicare |
$552.75
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$644.17
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$644.17
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$644.17
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$644.17
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$644.17
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$644.17
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$644.17
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$644.17
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$538.75
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$538.75
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$635.66
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$635.66
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$608.02
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$608.02
|
| Rate for Payer: Cash Price |
$679.12
|
| Rate for Payer: Cash Price |
$664.31
|
| Rate for Payer: Centivo All Commercial |
$856.76
|
| Rate for Payer: Centivo All Commercial |
$856.76
|
| Rate for Payer: Cigna All Commercial |
$552.75
|
| Rate for Payer: Cigna All Commercial |
$552.75
|
| Rate for Payer: CORVEL All Commercial |
$552.75
|
| Rate for Payer: CORVEL All Commercial |
$552.75
|
| Rate for Payer: Coventry All Commercial |
$663.30
|
| Rate for Payer: Coventry All Commercial |
$663.30
|
| Rate for Payer: Encore All Commercial |
$552.75
|
| Rate for Payer: Encore All Commercial |
$552.75
|
| Rate for Payer: Frontpath All Commercial |
$758.77
|
| Rate for Payer: Frontpath All Commercial |
$758.77
|
| Rate for Payer: Humana ChoiceCare |
$541.00
|
| Rate for Payer: Humana ChoiceCare |
$541.00
|
| Rate for Payer: Humana Medicare |
$552.75
|
| Rate for Payer: Humana Medicare |
$552.75
|
| Rate for Payer: Lucent All Commercial |
$773.85
|
| Rate for Payer: Lucent All Commercial |
$773.85
|
| Rate for Payer: Lutheran Preferred All Commercial |
$769.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$769.00
|
| Rate for Payer: Managed Health Services Medicaid |
$538.75
|
| Rate for Payer: Managed Health Services Medicaid |
$538.75
|
| Rate for Payer: MDWise Medicaid |
$538.75
|
| Rate for Payer: MDWise Medicaid |
$538.75
|
| Rate for Payer: PHCS All Commercial |
$552.75
|
| Rate for Payer: PHCS All Commercial |
$552.75
|
| Rate for Payer: PHP All Commercial |
$707.16
|
| Rate for Payer: PHP All Commercial |
$707.16
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$552.75
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$552.75
|
| Rate for Payer: Sagamore Health Network All Products |
$552.75
|
| Rate for Payer: Sagamore Health Network All Products |
$552.75
|
| Rate for Payer: Signature Care EPO |
$611.15
|
| Rate for Payer: Signature Care EPO |
$611.15
|
| Rate for Payer: Signature Care PPO |
$611.15
|
| Rate for Payer: Signature Care PPO |
$611.15
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$71,400.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$71,400.00
|
| Rate for Payer: United Healthcare Commercial |
$551.84
|
| Rate for Payer: United Healthcare Commercial |
$551.84
|
| Rate for Payer: United Healthcare Medicare |
$535.73
|
| Rate for Payer: United Healthcare Medicare |
$535.73
|
|
|
PR PELVIC EXAMINATION
|
Professional
|
Both
|
$41.74
|
|
|
Service Code
|
CPT 99459
|
| Hospital Charge Code |
z99459
|
| Min. Negotiated Rate |
$20.53 |
| Max. Negotiated Rate |
$20.53 |
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$20.53
|
| Rate for Payer: Cash Price |
$25.88
|
| Rate for Payer: Managed Health Services Medicaid |
$20.53
|
| Rate for Payer: MDWise Medicaid |
$20.53
|
|
|
PR PELVIC EXAMINATION W ANESTH
|
Professional
|
Both
|
$196.46
|
|
|
Service Code
|
CPT 57410
|
| Hospital Charge Code |
z57410
|
| Min. Negotiated Rate |
$95.83 |
| Max. Negotiated Rate |
$12,800.00 |
| Rate for Payer: Aetna Commercial |
$98.85
|
| Rate for Payer: Aetna Commercial |
$98.85
|
| Rate for Payer: Aetna Medicare |
$98.85
|
| Rate for Payer: Aetna Medicare |
$98.85
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$193.35
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$193.35
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$193.35
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$193.35
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$193.35
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$193.35
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$193.35
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$193.35
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$96.63
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$96.63
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$113.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$113.68
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$108.73
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$108.73
|
| Rate for Payer: Cash Price |
$121.81
|
| Rate for Payer: Cash Price |
$118.83
|
| Rate for Payer: Centivo All Commercial |
$153.22
|
| Rate for Payer: Centivo All Commercial |
$153.22
|
| Rate for Payer: Cigna All Commercial |
$98.85
|
| Rate for Payer: Cigna All Commercial |
$98.85
|
| Rate for Payer: CORVEL All Commercial |
$98.85
|
| Rate for Payer: CORVEL All Commercial |
$98.85
|
| Rate for Payer: Coventry All Commercial |
$118.62
|
| Rate for Payer: Coventry All Commercial |
$118.62
|
| Rate for Payer: Encore All Commercial |
$98.85
|
| Rate for Payer: Encore All Commercial |
$98.85
|
| Rate for Payer: Frontpath All Commercial |
$136.79
|
| Rate for Payer: Frontpath All Commercial |
$136.79
|
| Rate for Payer: Humana ChoiceCare |
$116.82
|
| Rate for Payer: Humana ChoiceCare |
$116.82
|
| Rate for Payer: Humana Medicare |
$98.85
|
| Rate for Payer: Humana Medicare |
$98.85
|
| Rate for Payer: Lucent All Commercial |
$138.39
|
| Rate for Payer: Lucent All Commercial |
$138.39
|
| Rate for Payer: Lutheran Preferred All Commercial |
$138.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$138.00
|
| Rate for Payer: Managed Health Services Medicaid |
$96.63
|
| Rate for Payer: Managed Health Services Medicaid |
$96.63
|
| Rate for Payer: MDWise Medicaid |
$96.63
|
| Rate for Payer: MDWise Medicaid |
$96.63
|
| Rate for Payer: PHCS All Commercial |
$98.85
|
| Rate for Payer: PHCS All Commercial |
$98.85
|
| Rate for Payer: PHP All Commercial |
$126.49
|
| Rate for Payer: PHP All Commercial |
$126.49
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$98.85
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$98.85
|
| Rate for Payer: Sagamore Health Network All Products |
$98.85
|
| Rate for Payer: Sagamore Health Network All Products |
$98.85
|
| Rate for Payer: Signature Care EPO |
$168.05
|
| Rate for Payer: Signature Care EPO |
$168.05
|
| Rate for Payer: Signature Care PPO |
$168.05
|
| Rate for Payer: Signature Care PPO |
$168.05
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$12,800.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$12,800.00
|
| Rate for Payer: United Healthcare Commercial |
$120.59
|
| Rate for Payer: United Healthcare Commercial |
$120.59
|
| Rate for Payer: United Healthcare Medicare |
$95.83
|
| Rate for Payer: United Healthcare Medicare |
$95.83
|
|
|
PR PELVIS/HIP JOINT SURGERY UNLISTED
|
Professional
|
Both
|
$1,312.41
|
|
|
Service Code
|
CPT 27299
|
| Hospital Charge Code |
z27299
|
| Min. Negotiated Rate |
$0.01 |
| Max. Negotiated Rate |
$1,115.55 |
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$0.01
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$0.01
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$0.01
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$0.01
|
| Rate for Payer: Cash Price |
$813.69
|
| Rate for Payer: Cash Price |
$813.69
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,115.55
|
| Rate for Payer: Signature Care EPO |
$836.66
|
| Rate for Payer: Signature Care PPO |
$836.66
|
|
|
PR PERCUTANEOUS TESTS W/ALLERGENIC EXTRACTS
|
Professional
|
Both
|
$7.00
|
|
|
Service Code
|
CPT 95004
|
| Hospital Charge Code |
z95004
|
| Min. Negotiated Rate |
$3.20 |
| Max. Negotiated Rate |
$400.00 |
| Rate for Payer: Aetna Commercial |
$3.62
|
| Rate for Payer: Aetna Commercial |
$3.62
|
| Rate for Payer: Aetna Medicare |
$3.62
|
| Rate for Payer: Aetna Medicare |
$3.62
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$6.07
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$6.07
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$6.07
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$6.07
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$6.07
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$6.07
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$6.07
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$6.07
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$3.20
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$3.20
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$4.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$4.16
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$3.98
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$3.98
|
| Rate for Payer: Cash Price |
$4.34
|
| Rate for Payer: Cash Price |
$4.04
|
| Rate for Payer: Centivo All Commercial |
$5.61
|
| Rate for Payer: Centivo All Commercial |
$5.61
|
| Rate for Payer: Cigna All Commercial |
$3.62
|
| Rate for Payer: Cigna All Commercial |
$3.62
|
| Rate for Payer: CORVEL All Commercial |
$3.62
|
| Rate for Payer: CORVEL All Commercial |
$3.62
|
| Rate for Payer: Coventry All Commercial |
$4.34
|
| Rate for Payer: Coventry All Commercial |
$4.34
|
| Rate for Payer: Encore All Commercial |
$3.62
|
| Rate for Payer: Encore All Commercial |
$3.62
|
| Rate for Payer: Frontpath All Commercial |
$4.70
|
| Rate for Payer: Frontpath All Commercial |
$4.70
|
| Rate for Payer: Humana ChoiceCare |
$4.76
|
| Rate for Payer: Humana ChoiceCare |
$4.76
|
| Rate for Payer: Humana Medicare |
$3.62
|
| Rate for Payer: Humana Medicare |
$3.62
|
| Rate for Payer: Lucent All Commercial |
$5.07
|
| Rate for Payer: Lucent All Commercial |
$5.07
|
| Rate for Payer: Lutheran Preferred All Commercial |
$5.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$5.00
|
| Rate for Payer: Managed Health Services Medicaid |
$3.20
|
| Rate for Payer: Managed Health Services Medicaid |
$3.20
|
| Rate for Payer: MDWise Medicaid |
$3.20
|
| Rate for Payer: MDWise Medicaid |
$3.20
|
| Rate for Payer: PHCS All Commercial |
$3.62
|
| Rate for Payer: PHCS All Commercial |
$3.62
|
| Rate for Payer: PHP All Commercial |
$4.02
|
| Rate for Payer: PHP All Commercial |
$4.02
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$3.62
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$3.62
|
| Rate for Payer: Sagamore Health Network All Products |
$3.62
|
| Rate for Payer: Sagamore Health Network All Products |
$3.62
|
| Rate for Payer: Signature Care EPO |
$4.97
|
| Rate for Payer: Signature Care EPO |
$4.97
|
| Rate for Payer: Signature Care PPO |
$4.97
|
| Rate for Payer: Signature Care PPO |
$4.97
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$400.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$400.00
|
| Rate for Payer: United Healthcare Commercial |
$6.51
|
| Rate for Payer: United Healthcare Commercial |
$6.51
|
| Rate for Payer: United Healthcare Medicare |
$3.50
|
| Rate for Payer: United Healthcare Medicare |
$3.50
|
|
|
PR PERCUT FIX CARPOMETACAR DISLOC,NON-THUMB
|
Professional
|
Both
|
$961.82
|
|
|
Service Code
|
CPT 26676
|
| Hospital Charge Code |
z26676
|
| Min. Negotiated Rate |
$469.35 |
| Max. Negotiated Rate |
$72,200.00 |
| Rate for Payer: Aetna Commercial |
$478.10
|
| Rate for Payer: Aetna Commercial |
$478.10
|
| Rate for Payer: Aetna Medicare |
$478.10
|
| Rate for Payer: Aetna Medicare |
$478.10
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$585.80
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$585.80
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$585.80
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$585.80
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$585.80
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$585.80
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$585.80
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$585.80
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$473.06
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$473.06
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$549.82
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$549.82
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$525.91
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$525.91
|
| Rate for Payer: Cash Price |
$596.33
|
| Rate for Payer: Cash Price |
$581.99
|
| Rate for Payer: Centivo All Commercial |
$741.05
|
| Rate for Payer: Centivo All Commercial |
$741.05
|
| Rate for Payer: Cigna All Commercial |
$478.10
|
| Rate for Payer: Cigna All Commercial |
$478.10
|
| Rate for Payer: CORVEL All Commercial |
$478.10
|
| Rate for Payer: CORVEL All Commercial |
$478.10
|
| Rate for Payer: Coventry All Commercial |
$573.72
|
| Rate for Payer: Coventry All Commercial |
$573.72
|
| Rate for Payer: Encore All Commercial |
$478.10
|
| Rate for Payer: Encore All Commercial |
$478.10
|
| Rate for Payer: Frontpath All Commercial |
$656.73
|
| Rate for Payer: Frontpath All Commercial |
$656.73
|
| Rate for Payer: Humana ChoiceCare |
$523.28
|
| Rate for Payer: Humana ChoiceCare |
$523.28
|
| Rate for Payer: Humana Medicare |
$478.10
|
| Rate for Payer: Humana Medicare |
$478.10
|
| Rate for Payer: Lucent All Commercial |
$669.34
|
| Rate for Payer: Lucent All Commercial |
$669.34
|
| Rate for Payer: Lutheran Preferred All Commercial |
$770.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$770.00
|
| Rate for Payer: Managed Health Services Medicaid |
$473.06
|
| Rate for Payer: Managed Health Services Medicaid |
$473.06
|
| Rate for Payer: MDWise Medicaid |
$473.06
|
| Rate for Payer: MDWise Medicaid |
$473.06
|
| Rate for Payer: PHCS All Commercial |
$478.10
|
| Rate for Payer: PHCS All Commercial |
$478.10
|
| Rate for Payer: PHP All Commercial |
$816.66
|
| Rate for Payer: PHP All Commercial |
$816.66
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$478.10
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$478.10
|
| Rate for Payer: Sagamore Health Network All Products |
$478.10
|
| Rate for Payer: Sagamore Health Network All Products |
$478.10
|
| Rate for Payer: Signature Care EPO |
$708.05
|
| Rate for Payer: Signature Care EPO |
$708.05
|
| Rate for Payer: Signature Care PPO |
$708.05
|
| Rate for Payer: Signature Care PPO |
$708.05
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$72,200.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$72,200.00
|
| Rate for Payer: United Healthcare Commercial |
$522.05
|
| Rate for Payer: United Healthcare Commercial |
$522.05
|
| Rate for Payer: United Healthcare Medicare |
$469.35
|
| Rate for Payer: United Healthcare Medicare |
$469.35
|
|
|
PR PERCUT FIX DISTAL FEMUR
|
Professional
|
Both
|
$1,257.18
|
|
|
Service Code
|
CPT 27509
|
| Hospital Charge Code |
z27509
|
| Min. Negotiated Rate |
$617.41 |
| Max. Negotiated Rate |
$94,900.00 |
| Rate for Payer: Aetna Commercial |
$634.96
|
| Rate for Payer: Aetna Commercial |
$634.96
|
| Rate for Payer: Aetna Medicare |
$634.96
|
| Rate for Payer: Aetna Medicare |
$634.96
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$691.30
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$691.30
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$691.30
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$691.30
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$691.30
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$691.30
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$691.30
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$691.30
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$618.33
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$618.33
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$730.20
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$730.20
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$698.46
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$698.46
|
| Rate for Payer: Cash Price |
$779.45
|
| Rate for Payer: Cash Price |
$765.59
|
| Rate for Payer: Centivo All Commercial |
$984.19
|
| Rate for Payer: Centivo All Commercial |
$984.19
|
| Rate for Payer: Cigna All Commercial |
$634.96
|
| Rate for Payer: Cigna All Commercial |
$634.96
|
| Rate for Payer: CORVEL All Commercial |
$634.96
|
| Rate for Payer: CORVEL All Commercial |
$634.96
|
| Rate for Payer: Coventry All Commercial |
$761.95
|
| Rate for Payer: Coventry All Commercial |
$761.95
|
| Rate for Payer: Encore All Commercial |
$634.96
|
| Rate for Payer: Encore All Commercial |
$634.96
|
| Rate for Payer: Frontpath All Commercial |
$878.28
|
| Rate for Payer: Frontpath All Commercial |
$878.28
|
| Rate for Payer: Humana ChoiceCare |
$677.32
|
| Rate for Payer: Humana ChoiceCare |
$677.32
|
| Rate for Payer: Humana Medicare |
$634.96
|
| Rate for Payer: Humana Medicare |
$634.96
|
| Rate for Payer: Lucent All Commercial |
$888.94
|
| Rate for Payer: Lucent All Commercial |
$888.94
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,013.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,013.00
|
| Rate for Payer: Managed Health Services Medicaid |
$618.33
|
| Rate for Payer: Managed Health Services Medicaid |
$618.33
|
| Rate for Payer: MDWise Medicaid |
$618.33
|
| Rate for Payer: MDWise Medicaid |
$618.33
|
| Rate for Payer: PHCS All Commercial |
$634.96
|
| Rate for Payer: PHCS All Commercial |
$634.96
|
| Rate for Payer: PHP All Commercial |
$1,074.29
|
| Rate for Payer: PHP All Commercial |
$1,074.29
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$634.96
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$634.96
|
| Rate for Payer: Sagamore Health Network All Products |
$634.96
|
| Rate for Payer: Sagamore Health Network All Products |
$634.96
|
| Rate for Payer: Signature Care EPO |
$905.25
|
| Rate for Payer: Signature Care EPO |
$905.25
|
| Rate for Payer: Signature Care PPO |
$905.25
|
| Rate for Payer: Signature Care PPO |
$905.25
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$94,900.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$94,900.00
|
| Rate for Payer: United Healthcare Commercial |
$688.29
|
| Rate for Payer: United Healthcare Commercial |
$688.29
|
| Rate for Payer: United Healthcare Medicare |
$617.41
|
| Rate for Payer: United Healthcare Medicare |
$617.41
|
|
|
PR PERCUT FIX HUM SUPRACONDYLAR FX
|
Professional
|
Both
|
$1,468.20
|
|
|
Service Code
|
CPT 24538
|
| Hospital Charge Code |
z24538
|
| Min. Negotiated Rate |
$719.72 |
| Max. Negotiated Rate |
$110,700.00 |
| Rate for Payer: Aetna Commercial |
$739.83
|
| Rate for Payer: Aetna Commercial |
$739.83
|
| Rate for Payer: Aetna Medicare |
$739.83
|
| Rate for Payer: Aetna Medicare |
$739.83
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$906.10
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$906.10
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$906.10
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$906.10
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$906.10
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$906.10
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$906.10
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$906.10
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$722.12
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$722.12
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$850.80
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$850.80
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$813.81
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$813.81
|
| Rate for Payer: Cash Price |
$910.28
|
| Rate for Payer: Cash Price |
$892.45
|
| Rate for Payer: Centivo All Commercial |
$1,146.74
|
| Rate for Payer: Centivo All Commercial |
$1,146.74
|
| Rate for Payer: Cigna All Commercial |
$739.83
|
| Rate for Payer: Cigna All Commercial |
$739.83
|
| Rate for Payer: CORVEL All Commercial |
$739.83
|
| Rate for Payer: CORVEL All Commercial |
$739.83
|
| Rate for Payer: Coventry All Commercial |
$887.80
|
| Rate for Payer: Coventry All Commercial |
$887.80
|
| Rate for Payer: Encore All Commercial |
$739.83
|
| Rate for Payer: Encore All Commercial |
$739.83
|
| Rate for Payer: Frontpath All Commercial |
$1,025.60
|
| Rate for Payer: Frontpath All Commercial |
$1,025.60
|
| Rate for Payer: Humana ChoiceCare |
$787.78
|
| Rate for Payer: Humana ChoiceCare |
$787.78
|
| Rate for Payer: Humana Medicare |
$739.83
|
| Rate for Payer: Humana Medicare |
$739.83
|
| Rate for Payer: Lucent All Commercial |
$1,035.76
|
| Rate for Payer: Lucent All Commercial |
$1,035.76
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,181.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,181.00
|
| Rate for Payer: Managed Health Services Medicaid |
$722.12
|
| Rate for Payer: Managed Health Services Medicaid |
$722.12
|
| Rate for Payer: MDWise Medicaid |
$722.12
|
| Rate for Payer: MDWise Medicaid |
$722.12
|
| Rate for Payer: PHCS All Commercial |
$739.83
|
| Rate for Payer: PHCS All Commercial |
$739.83
|
| Rate for Payer: PHP All Commercial |
$1,252.31
|
| Rate for Payer: PHP All Commercial |
$1,252.31
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$739.83
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$739.83
|
| Rate for Payer: Sagamore Health Network All Products |
$739.83
|
| Rate for Payer: Sagamore Health Network All Products |
$739.83
|
| Rate for Payer: Signature Care EPO |
$1,052.30
|
| Rate for Payer: Signature Care EPO |
$1,052.30
|
| Rate for Payer: Signature Care PPO |
$1,052.30
|
| Rate for Payer: Signature Care PPO |
$1,052.30
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$110,700.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$110,700.00
|
| Rate for Payer: United Healthcare Commercial |
$798.78
|
| Rate for Payer: United Healthcare Commercial |
$798.78
|
| Rate for Payer: United Healthcare Medicare |
$719.72
|
| Rate for Payer: United Healthcare Medicare |
$719.72
|
|
|
PR PERCUT FIX PROX/NECK FEMUR FX
|
Professional
|
Both
|
$1,674.42
|
|
|
Service Code
|
CPT 27235
|
| Hospital Charge Code |
z27235
|
| Min. Negotiated Rate |
$820.57 |
| Max. Negotiated Rate |
$126,200.00 |
| Rate for Payer: Aetna Commercial |
$844.63
|
| Rate for Payer: Aetna Commercial |
$844.63
|
| Rate for Payer: Aetna Medicare |
$844.63
|
| Rate for Payer: Aetna Medicare |
$844.63
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$1,202.00
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$1,202.00
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,202.00
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,202.00
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$1,202.00
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$1,202.00
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,202.00
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,202.00
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$823.54
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$823.54
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$971.32
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$971.32
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$929.09
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$929.09
|
| Rate for Payer: Cash Price |
$1,038.14
|
| Rate for Payer: Cash Price |
$1,017.51
|
| Rate for Payer: Centivo All Commercial |
$1,309.18
|
| Rate for Payer: Centivo All Commercial |
$1,309.18
|
| Rate for Payer: Cigna All Commercial |
$844.63
|
| Rate for Payer: Cigna All Commercial |
$844.63
|
| Rate for Payer: CORVEL All Commercial |
$844.63
|
| Rate for Payer: CORVEL All Commercial |
$844.63
|
| Rate for Payer: Coventry All Commercial |
$1,013.56
|
| Rate for Payer: Coventry All Commercial |
$1,013.56
|
| Rate for Payer: Encore All Commercial |
$844.63
|
| Rate for Payer: Encore All Commercial |
$844.63
|
| Rate for Payer: Frontpath All Commercial |
$1,179.89
|
| Rate for Payer: Frontpath All Commercial |
$1,179.89
|
| Rate for Payer: Humana ChoiceCare |
$945.15
|
| Rate for Payer: Humana ChoiceCare |
$945.15
|
| Rate for Payer: Humana Medicare |
$844.63
|
| Rate for Payer: Humana Medicare |
$844.63
|
| Rate for Payer: Lucent All Commercial |
$1,182.48
|
| Rate for Payer: Lucent All Commercial |
$1,182.48
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,346.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,346.00
|
| Rate for Payer: Managed Health Services Medicaid |
$823.54
|
| Rate for Payer: Managed Health Services Medicaid |
$823.54
|
| Rate for Payer: MDWise Medicaid |
$823.54
|
| Rate for Payer: MDWise Medicaid |
$823.54
|
| Rate for Payer: PHCS All Commercial |
$844.63
|
| Rate for Payer: PHCS All Commercial |
$844.63
|
| Rate for Payer: PHP All Commercial |
$1,427.79
|
| Rate for Payer: PHP All Commercial |
$1,427.79
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$844.63
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$844.63
|
| Rate for Payer: Sagamore Health Network All Products |
$844.63
|
| Rate for Payer: Sagamore Health Network All Products |
$844.63
|
| Rate for Payer: Signature Care EPO |
$1,263.10
|
| Rate for Payer: Signature Care EPO |
$1,263.10
|
| Rate for Payer: Signature Care PPO |
$1,263.10
|
| Rate for Payer: Signature Care PPO |
$1,263.10
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$126,200.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$126,200.00
|
| Rate for Payer: United Healthcare Commercial |
$993.44
|
| Rate for Payer: United Healthcare Commercial |
$993.44
|
| Rate for Payer: United Healthcare Medicare |
$820.57
|
| Rate for Payer: United Healthcare Medicare |
$820.57
|
|
|
PR PERCUT RX DIST FINGR FX
|
Professional
|
Both
|
$802.28
|
|
|
Service Code
|
CPT 26756
|
| Hospital Charge Code |
z26756
|
| Min. Negotiated Rate |
$391.56 |
| Max. Negotiated Rate |
$60,200.00 |
| Rate for Payer: Aetna Commercial |
$399.24
|
| Rate for Payer: Aetna Commercial |
$399.24
|
| Rate for Payer: Aetna Medicare |
$399.24
|
| Rate for Payer: Aetna Medicare |
$399.24
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$432.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$432.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$432.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$432.40
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$432.40
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$432.40
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$432.40
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$432.40
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$394.60
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$394.60
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$459.13
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$459.13
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$439.16
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$439.16
|
| Rate for Payer: Cash Price |
$497.41
|
| Rate for Payer: Cash Price |
$485.53
|
| Rate for Payer: Centivo All Commercial |
$618.82
|
| Rate for Payer: Centivo All Commercial |
$618.82
|
| Rate for Payer: Cigna All Commercial |
$399.24
|
| Rate for Payer: Cigna All Commercial |
$399.24
|
| Rate for Payer: CORVEL All Commercial |
$399.24
|
| Rate for Payer: CORVEL All Commercial |
$399.24
|
| Rate for Payer: Coventry All Commercial |
$479.09
|
| Rate for Payer: Coventry All Commercial |
$479.09
|
| Rate for Payer: Encore All Commercial |
$399.24
|
| Rate for Payer: Encore All Commercial |
$399.24
|
| Rate for Payer: Frontpath All Commercial |
$547.88
|
| Rate for Payer: Frontpath All Commercial |
$547.88
|
| Rate for Payer: Humana ChoiceCare |
$431.78
|
| Rate for Payer: Humana ChoiceCare |
$431.78
|
| Rate for Payer: Humana Medicare |
$399.24
|
| Rate for Payer: Humana Medicare |
$399.24
|
| Rate for Payer: Lucent All Commercial |
$558.94
|
| Rate for Payer: Lucent All Commercial |
$558.94
|
| Rate for Payer: Lutheran Preferred All Commercial |
$642.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$642.00
|
| Rate for Payer: Managed Health Services Medicaid |
$394.60
|
| Rate for Payer: Managed Health Services Medicaid |
$394.60
|
| Rate for Payer: MDWise Medicaid |
$394.60
|
| Rate for Payer: MDWise Medicaid |
$394.60
|
| Rate for Payer: PHCS All Commercial |
$399.24
|
| Rate for Payer: PHCS All Commercial |
$399.24
|
| Rate for Payer: PHP All Commercial |
$681.31
|
| Rate for Payer: PHP All Commercial |
$681.31
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$399.24
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$399.24
|
| Rate for Payer: Sagamore Health Network All Products |
$399.24
|
| Rate for Payer: Sagamore Health Network All Products |
$399.24
|
| Rate for Payer: Signature Care EPO |
$595.85
|
| Rate for Payer: Signature Care EPO |
$595.85
|
| Rate for Payer: Signature Care PPO |
$595.85
|
| Rate for Payer: Signature Care PPO |
$595.85
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$60,200.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$60,200.00
|
| Rate for Payer: United Healthcare Commercial |
$430.90
|
| Rate for Payer: United Healthcare Commercial |
$430.90
|
| Rate for Payer: United Healthcare Medicare |
$391.56
|
| Rate for Payer: United Healthcare Medicare |
$391.56
|
|
|
PR PERCUT RX I-P JT,TOE DISLOC
|
Professional
|
Both
|
$333.02
|
|
|
Service Code
|
CPT 28666
|
| Hospital Charge Code |
z28666
|
| Min. Negotiated Rate |
$163.67 |
| Max. Negotiated Rate |
$25,200.00 |
| Rate for Payer: Aetna Commercial |
$169.87
|
| Rate for Payer: Aetna Commercial |
$169.87
|
| Rate for Payer: Aetna Medicare |
$169.87
|
| Rate for Payer: Aetna Medicare |
$169.87
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$238.88
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$238.88
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$238.88
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$238.88
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$238.88
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$238.88
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$238.88
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$238.88
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$163.80
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$163.80
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$195.35
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$195.35
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$186.86
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$186.86
|
| Rate for Payer: Cash Price |
$206.47
|
| Rate for Payer: Cash Price |
$202.95
|
| Rate for Payer: Centivo All Commercial |
$263.30
|
| Rate for Payer: Centivo All Commercial |
$263.30
|
| Rate for Payer: Cigna All Commercial |
$169.87
|
| Rate for Payer: Cigna All Commercial |
$169.87
|
| Rate for Payer: CORVEL All Commercial |
$169.87
|
| Rate for Payer: CORVEL All Commercial |
$169.87
|
| Rate for Payer: Coventry All Commercial |
$203.84
|
| Rate for Payer: Coventry All Commercial |
$203.84
|
| Rate for Payer: Encore All Commercial |
$169.87
|
| Rate for Payer: Encore All Commercial |
$169.87
|
| Rate for Payer: Frontpath All Commercial |
$228.18
|
| Rate for Payer: Frontpath All Commercial |
$228.18
|
| Rate for Payer: Humana ChoiceCare |
$226.76
|
| Rate for Payer: Humana ChoiceCare |
$226.76
|
| Rate for Payer: Humana Medicare |
$169.87
|
| Rate for Payer: Humana Medicare |
$169.87
|
| Rate for Payer: Lucent All Commercial |
$237.82
|
| Rate for Payer: Lucent All Commercial |
$237.82
|
| Rate for Payer: Lutheran Preferred All Commercial |
$268.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$268.00
|
| Rate for Payer: Managed Health Services Medicaid |
$163.80
|
| Rate for Payer: Managed Health Services Medicaid |
$163.80
|
| Rate for Payer: MDWise Medicaid |
$163.80
|
| Rate for Payer: MDWise Medicaid |
$163.80
|
| Rate for Payer: PHCS All Commercial |
$169.87
|
| Rate for Payer: PHCS All Commercial |
$169.87
|
| Rate for Payer: PHP All Commercial |
$284.78
|
| Rate for Payer: PHP All Commercial |
$284.78
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$169.87
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$169.87
|
| Rate for Payer: Sagamore Health Network All Products |
$169.87
|
| Rate for Payer: Sagamore Health Network All Products |
$169.87
|
| Rate for Payer: Signature Care EPO |
$288.78
|
| Rate for Payer: Signature Care EPO |
$288.78
|
| Rate for Payer: Signature Care PPO |
$288.78
|
| Rate for Payer: Signature Care PPO |
$288.78
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$25,200.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$25,200.00
|
| Rate for Payer: United Healthcare Commercial |
$214.31
|
| Rate for Payer: United Healthcare Commercial |
$214.31
|
| Rate for Payer: United Healthcare Medicare |
$163.67
|
| Rate for Payer: United Healthcare Medicare |
$163.67
|
|
|
PR PERCUT RX PROX/MID FING SHFT FX
|
Professional
|
Both
|
$895.62
|
|
|
Service Code
|
CPT 26727
|
| Hospital Charge Code |
z26727
|
| Min. Negotiated Rate |
$436.60 |
| Max. Negotiated Rate |
$67,100.00 |
| Rate for Payer: Aetna Commercial |
$445.51
|
| Rate for Payer: Aetna Commercial |
$445.51
|
| Rate for Payer: Aetna Medicare |
$445.51
|
| Rate for Payer: Aetna Medicare |
$445.51
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$499.00
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$499.00
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$499.00
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$499.00
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$499.00
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$499.00
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$499.00
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$499.00
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$440.50
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$440.50
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$512.34
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$512.34
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$490.06
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$490.06
|
| Rate for Payer: Cash Price |
$555.28
|
| Rate for Payer: Cash Price |
$541.38
|
| Rate for Payer: Centivo All Commercial |
$690.54
|
| Rate for Payer: Centivo All Commercial |
$690.54
|
| Rate for Payer: Cigna All Commercial |
$445.51
|
| Rate for Payer: Cigna All Commercial |
$445.51
|
| Rate for Payer: CORVEL All Commercial |
$445.51
|
| Rate for Payer: CORVEL All Commercial |
$445.51
|
| Rate for Payer: Coventry All Commercial |
$534.61
|
| Rate for Payer: Coventry All Commercial |
$534.61
|
| Rate for Payer: Encore All Commercial |
$445.51
|
| Rate for Payer: Encore All Commercial |
$445.51
|
| Rate for Payer: Frontpath All Commercial |
$612.27
|
| Rate for Payer: Frontpath All Commercial |
$612.27
|
| Rate for Payer: Humana ChoiceCare |
$491.10
|
| Rate for Payer: Humana ChoiceCare |
$491.10
|
| Rate for Payer: Humana Medicare |
$445.51
|
| Rate for Payer: Humana Medicare |
$445.51
|
| Rate for Payer: Lucent All Commercial |
$623.71
|
| Rate for Payer: Lucent All Commercial |
$623.71
|
| Rate for Payer: Lutheran Preferred All Commercial |
$716.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$716.00
|
| Rate for Payer: Managed Health Services Medicaid |
$440.50
|
| Rate for Payer: Managed Health Services Medicaid |
$440.50
|
| Rate for Payer: MDWise Medicaid |
$440.50
|
| Rate for Payer: MDWise Medicaid |
$440.50
|
| Rate for Payer: PHCS All Commercial |
$445.51
|
| Rate for Payer: PHCS All Commercial |
$445.51
|
| Rate for Payer: PHP All Commercial |
$759.68
|
| Rate for Payer: PHP All Commercial |
$759.68
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$445.51
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$445.51
|
| Rate for Payer: Sagamore Health Network All Products |
$445.51
|
| Rate for Payer: Sagamore Health Network All Products |
$445.51
|
| Rate for Payer: Signature Care EPO |
$668.10
|
| Rate for Payer: Signature Care EPO |
$668.10
|
| Rate for Payer: Signature Care PPO |
$668.10
|
| Rate for Payer: Signature Care PPO |
$668.10
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$67,100.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$67,100.00
|
| Rate for Payer: United Healthcare Commercial |
$489.66
|
| Rate for Payer: United Healthcare Commercial |
$489.66
|
| Rate for Payer: United Healthcare Medicare |
$436.60
|
| Rate for Payer: United Healthcare Medicare |
$436.60
|
|
|
PR PERCUT SKELETAL FIX, DISTAL RADIUS FX
|
Professional
|
Both
|
$1,251.38
|
|
|
Service Code
|
CPT 25606
|
| Hospital Charge Code |
z25606
|
| Min. Negotiated Rate |
$610.56 |
| Max. Negotiated Rate |
$93,800.00 |
| Rate for Payer: Aetna Commercial |
$623.58
|
| Rate for Payer: Aetna Commercial |
$623.58
|
| Rate for Payer: Aetna Medicare |
$623.58
|
| Rate for Payer: Aetna Medicare |
$623.58
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$753.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$753.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$753.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$753.20
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$753.20
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$753.20
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$753.20
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$753.20
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$615.48
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$615.48
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$717.12
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$717.12
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$685.94
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$685.94
|
| Rate for Payer: Cash Price |
$775.86
|
| Rate for Payer: Cash Price |
$757.09
|
| Rate for Payer: Centivo All Commercial |
$966.55
|
| Rate for Payer: Centivo All Commercial |
$966.55
|
| Rate for Payer: Cigna All Commercial |
$623.58
|
| Rate for Payer: Cigna All Commercial |
$623.58
|
| Rate for Payer: CORVEL All Commercial |
$623.58
|
| Rate for Payer: CORVEL All Commercial |
$623.58
|
| Rate for Payer: Coventry All Commercial |
$748.30
|
| Rate for Payer: Coventry All Commercial |
$748.30
|
| Rate for Payer: Encore All Commercial |
$623.58
|
| Rate for Payer: Encore All Commercial |
$623.58
|
| Rate for Payer: Frontpath All Commercial |
$863.99
|
| Rate for Payer: Frontpath All Commercial |
$863.99
|
| Rate for Payer: Humana ChoiceCare |
$675.24
|
| Rate for Payer: Humana ChoiceCare |
$675.24
|
| Rate for Payer: Humana Medicare |
$623.58
|
| Rate for Payer: Humana Medicare |
$623.58
|
| Rate for Payer: Lucent All Commercial |
$873.01
|
| Rate for Payer: Lucent All Commercial |
$873.01
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,001.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,001.00
|
| Rate for Payer: Managed Health Services Medicaid |
$615.48
|
| Rate for Payer: Managed Health Services Medicaid |
$615.48
|
| Rate for Payer: MDWise Medicaid |
$615.48
|
| Rate for Payer: MDWise Medicaid |
$615.48
|
| Rate for Payer: PHCS All Commercial |
$623.58
|
| Rate for Payer: PHCS All Commercial |
$623.58
|
| Rate for Payer: PHP All Commercial |
$1,062.38
|
| Rate for Payer: PHP All Commercial |
$1,062.38
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$623.58
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$623.58
|
| Rate for Payer: Sagamore Health Network All Products |
$623.58
|
| Rate for Payer: Sagamore Health Network All Products |
$623.58
|
| Rate for Payer: Signature Care EPO |
$916.30
|
| Rate for Payer: Signature Care EPO |
$916.30
|
| Rate for Payer: Signature Care PPO |
$916.30
|
| Rate for Payer: Signature Care PPO |
$916.30
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$93,800.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$93,800.00
|
| Rate for Payer: United Healthcare Commercial |
$704.64
|
| Rate for Payer: United Healthcare Commercial |
$704.64
|
| Rate for Payer: United Healthcare Medicare |
$610.56
|
| Rate for Payer: United Healthcare Medicare |
$610.56
|
|
|
PR PERI-PX DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON
|
Professional
|
Both
|
$84.32
|
|
|
Service Code
|
CPT 93286
|
| Hospital Charge Code |
z93286
|
| Min. Negotiated Rate |
$31.99 |
| Max. Negotiated Rate |
$6,500.00 |
| Rate for Payer: Aetna Commercial |
$44.96
|
| Rate for Payer: Aetna Commercial |
$44.96
|
| Rate for Payer: Aetna Medicare |
$44.96
|
| Rate for Payer: Aetna Medicare |
$44.96
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$38.13
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$38.13
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$38.13
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$38.13
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$38.13
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$38.13
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$38.13
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$38.13
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$41.24
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$41.24
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$51.70
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$51.70
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$49.46
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$49.46
|
| Rate for Payer: Cash Price |
$51.98
|
| Rate for Payer: Cash Price |
$52.28
|
| Rate for Payer: Centivo All Commercial |
$69.69
|
| Rate for Payer: Centivo All Commercial |
$69.69
|
| Rate for Payer: Cigna All Commercial |
$44.96
|
| Rate for Payer: Cigna All Commercial |
$44.96
|
| Rate for Payer: CORVEL All Commercial |
$44.96
|
| Rate for Payer: CORVEL All Commercial |
$44.96
|
| Rate for Payer: Coventry All Commercial |
$53.95
|
| Rate for Payer: Coventry All Commercial |
$53.95
|
| Rate for Payer: Encore All Commercial |
$44.96
|
| Rate for Payer: Encore All Commercial |
$44.96
|
| Rate for Payer: Frontpath All Commercial |
$50.48
|
| Rate for Payer: Frontpath All Commercial |
$50.48
|
| Rate for Payer: Humana ChoiceCare |
$34.78
|
| Rate for Payer: Humana ChoiceCare |
$34.78
|
| Rate for Payer: Humana Medicare |
$44.96
|
| Rate for Payer: Humana Medicare |
$44.96
|
| Rate for Payer: Lucent All Commercial |
$62.94
|
| Rate for Payer: Lucent All Commercial |
$62.94
|
| Rate for Payer: Lutheran Preferred All Commercial |
$69.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$69.00
|
| Rate for Payer: Managed Health Services Medicaid |
$41.24
|
| Rate for Payer: Managed Health Services Medicaid |
$41.24
|
| Rate for Payer: MDWise Medicaid |
$41.24
|
| Rate for Payer: MDWise Medicaid |
$41.24
|
| Rate for Payer: PHCS All Commercial |
$44.96
|
| Rate for Payer: PHCS All Commercial |
$44.96
|
| Rate for Payer: PHP All Commercial |
$61.97
|
| Rate for Payer: PHP All Commercial |
$61.97
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$44.96
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$44.96
|
| Rate for Payer: Sagamore Health Network All Products |
$44.96
|
| Rate for Payer: Sagamore Health Network All Products |
$44.96
|
| Rate for Payer: Signature Care EPO |
$39.15
|
| Rate for Payer: Signature Care EPO |
$39.15
|
| Rate for Payer: Signature Care PPO |
$39.15
|
| Rate for Payer: Signature Care PPO |
$39.15
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$6,500.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$6,500.00
|
| Rate for Payer: United Healthcare Commercial |
$31.99
|
| Rate for Payer: United Healthcare Commercial |
$31.99
|
|
|
PR PERI-PX DEV EVAL & PROG SING/DUAL/MULTI LEAD DFB
|
Professional
|
Both
|
$98.46
|
|
|
Service Code
|
CPT 93287
|
| Hospital Charge Code |
z93287
|
| Min. Negotiated Rate |
$42.33 |
| Max. Negotiated Rate |
$7,600.00 |
| Rate for Payer: Aetna Commercial |
$52.18
|
| Rate for Payer: Aetna Commercial |
$52.18
|
| Rate for Payer: Aetna Medicare |
$52.18
|
| Rate for Payer: Aetna Medicare |
$52.18
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$50.45
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$50.45
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$50.45
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$50.45
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$50.45
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$50.45
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$50.45
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$50.45
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$47.96
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$47.96
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$60.01
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$60.01
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$57.40
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$57.40
|
| Rate for Payer: Cash Price |
$60.46
|
| Rate for Payer: Cash Price |
$61.05
|
| Rate for Payer: Centivo All Commercial |
$80.88
|
| Rate for Payer: Centivo All Commercial |
$80.88
|
| Rate for Payer: Cigna All Commercial |
$52.18
|
| Rate for Payer: Cigna All Commercial |
$52.18
|
| Rate for Payer: CORVEL All Commercial |
$52.18
|
| Rate for Payer: CORVEL All Commercial |
$52.18
|
| Rate for Payer: Coventry All Commercial |
$62.62
|
| Rate for Payer: Coventry All Commercial |
$62.62
|
| Rate for Payer: Encore All Commercial |
$52.18
|
| Rate for Payer: Encore All Commercial |
$52.18
|
| Rate for Payer: Frontpath All Commercial |
$58.70
|
| Rate for Payer: Frontpath All Commercial |
$58.70
|
| Rate for Payer: Humana ChoiceCare |
$46.02
|
| Rate for Payer: Humana ChoiceCare |
$46.02
|
| Rate for Payer: Humana Medicare |
$52.18
|
| Rate for Payer: Humana Medicare |
$52.18
|
| Rate for Payer: Lucent All Commercial |
$73.05
|
| Rate for Payer: Lucent All Commercial |
$73.05
|
| Rate for Payer: Lutheran Preferred All Commercial |
$81.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$81.00
|
| Rate for Payer: Managed Health Services Medicaid |
$47.96
|
| Rate for Payer: Managed Health Services Medicaid |
$47.96
|
| Rate for Payer: MDWise Medicaid |
$47.96
|
| Rate for Payer: MDWise Medicaid |
$47.96
|
| Rate for Payer: PHCS All Commercial |
$52.18
|
| Rate for Payer: PHCS All Commercial |
$52.18
|
| Rate for Payer: PHP All Commercial |
$72.36
|
| Rate for Payer: PHP All Commercial |
$72.36
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$52.18
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$52.18
|
| Rate for Payer: Sagamore Health Network All Products |
$52.18
|
| Rate for Payer: Sagamore Health Network All Products |
$52.18
|
| Rate for Payer: Signature Care EPO |
$51.82
|
| Rate for Payer: Signature Care EPO |
$51.82
|
| Rate for Payer: Signature Care PPO |
$51.82
|
| Rate for Payer: Signature Care PPO |
$51.82
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$7,600.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$7,600.00
|
| Rate for Payer: United Healthcare Commercial |
$42.33
|
| Rate for Payer: United Healthcare Commercial |
$42.33
|
|
|
PR PERITONEAL LAVAGE W/WO IMAGING GUIDANCE
|
Professional
|
Both
|
$191.88
|
|
|
Service Code
|
CPT 49084
|
| Hospital Charge Code |
z49084
|
| Min. Negotiated Rate |
$94.37 |
| Max. Negotiated Rate |
$13,700.00 |
| Rate for Payer: Aetna Commercial |
$99.02
|
| Rate for Payer: Aetna Commercial |
$99.02
|
| Rate for Payer: Aetna Medicare |
$99.02
|
| Rate for Payer: Aetna Medicare |
$99.02
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$116.70
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$116.70
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$116.70
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$116.70
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$116.70
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$116.70
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$116.70
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$116.70
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$94.37
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$94.37
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$113.87
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$113.87
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$108.92
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$108.92
|
| Rate for Payer: Cash Price |
$118.97
|
| Rate for Payer: Cash Price |
$118.20
|
| Rate for Payer: Centivo All Commercial |
$153.48
|
| Rate for Payer: Centivo All Commercial |
$153.48
|
| Rate for Payer: Cigna All Commercial |
$99.02
|
| Rate for Payer: Cigna All Commercial |
$99.02
|
| Rate for Payer: CORVEL All Commercial |
$99.02
|
| Rate for Payer: CORVEL All Commercial |
$99.02
|
| Rate for Payer: Coventry All Commercial |
$118.82
|
| Rate for Payer: Coventry All Commercial |
$118.82
|
| Rate for Payer: Encore All Commercial |
$99.02
|
| Rate for Payer: Encore All Commercial |
$99.02
|
| Rate for Payer: Frontpath All Commercial |
$141.04
|
| Rate for Payer: Frontpath All Commercial |
$141.04
|
| Rate for Payer: Humana ChoiceCare |
$112.69
|
| Rate for Payer: Humana ChoiceCare |
$112.69
|
| Rate for Payer: Humana Medicare |
$99.02
|
| Rate for Payer: Humana Medicare |
$99.02
|
| Rate for Payer: Lucent All Commercial |
$138.63
|
| Rate for Payer: Lucent All Commercial |
$138.63
|
| Rate for Payer: Lutheran Preferred All Commercial |
$147.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$147.00
|
| Rate for Payer: Managed Health Services Medicaid |
$94.37
|
| Rate for Payer: Managed Health Services Medicaid |
$94.37
|
| Rate for Payer: MDWise Medicaid |
$94.37
|
| Rate for Payer: MDWise Medicaid |
$94.37
|
| Rate for Payer: PHCS All Commercial |
$99.02
|
| Rate for Payer: PHCS All Commercial |
$99.02
|
| Rate for Payer: PHP All Commercial |
$166.81
|
| Rate for Payer: PHP All Commercial |
$166.81
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$99.02
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$99.02
|
| Rate for Payer: Sagamore Health Network All Products |
$99.02
|
| Rate for Payer: Sagamore Health Network All Products |
$99.02
|
| Rate for Payer: Signature Care EPO |
$104.02
|
| Rate for Payer: Signature Care EPO |
$104.02
|
| Rate for Payer: Signature Care PPO |
$104.02
|
| Rate for Payer: Signature Care PPO |
$104.02
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$13,700.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$13,700.00
|
| Rate for Payer: United Healthcare Commercial |
$124.41
|
| Rate for Payer: United Healthcare Commercial |
$124.41
|
| Rate for Payer: United Healthcare Medicare |
$95.32
|
| Rate for Payer: United Healthcare Medicare |
$95.32
|
|
|
PR PERQ NL/PL LITHOTRP COMPLEX >2 CM MLT LOCATIONS
|
Professional
|
Both
|
$2,039.88
|
|
|
Service Code
|
CPT 50081
|
| Hospital Charge Code |
z50081
|
| Min. Negotiated Rate |
$1,022.84 |
| Max. Negotiated Rate |
$1,860.93 |
| Rate for Payer: Aetna Commercial |
$1,200.60
|
| Rate for Payer: Aetna Medicare |
$1,200.60
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$1,026.48
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,380.69
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,320.66
|
| Rate for Payer: Cash Price |
$1,264.73
|
| Rate for Payer: Centivo All Commercial |
$1,860.93
|
| Rate for Payer: Cigna All Commercial |
$1,200.60
|
| Rate for Payer: CORVEL All Commercial |
$1,200.60
|
| Rate for Payer: Coventry All Commercial |
$1,440.72
|
| Rate for Payer: Encore All Commercial |
$1,200.60
|
| Rate for Payer: Frontpath All Commercial |
$1,647.01
|
| Rate for Payer: Humana ChoiceCare |
$1,161.16
|
| Rate for Payer: Humana Medicare |
$1,200.60
|
| Rate for Payer: Lucent All Commercial |
$1,680.84
|
| Rate for Payer: Managed Health Services Medicaid |
$1,026.48
|
| Rate for Payer: MDWise Medicaid |
$1,026.48
|
| Rate for Payer: PHCS All Commercial |
$1,200.60
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$1,200.60
|
| Rate for Payer: Sagamore Health Network All Products |
$1,200.60
|
| Rate for Payer: United Healthcare Commercial |
$1,585.84
|
| Rate for Payer: United Healthcare Medicare |
$1,022.84
|
|
|
PR PERQ NL/PL LITHOTRP SIMPLE UP TO 2 CM 1 LOCATION
|
Professional
|
Both
|
$1,268.34
|
|
|
Service Code
|
CPT 50080
|
| Hospital Charge Code |
z50080
|
| Min. Negotiated Rate |
$633.97 |
| Max. Negotiated Rate |
$1,265.30 |
| Rate for Payer: Aetna Commercial |
$816.32
|
| Rate for Payer: Aetna Medicare |
$816.32
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$637.60
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$938.77
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$897.95
|
| Rate for Payer: Cash Price |
$786.37
|
| Rate for Payer: Centivo All Commercial |
$1,265.30
|
| Rate for Payer: Cigna All Commercial |
$816.32
|
| Rate for Payer: CORVEL All Commercial |
$816.32
|
| Rate for Payer: Coventry All Commercial |
$979.58
|
| Rate for Payer: Encore All Commercial |
$816.32
|
| Rate for Payer: Frontpath All Commercial |
$1,118.39
|
| Rate for Payer: Humana ChoiceCare |
$796.19
|
| Rate for Payer: Humana Medicare |
$816.32
|
| Rate for Payer: Lucent All Commercial |
$1,142.85
|
| Rate for Payer: Managed Health Services Medicaid |
$637.60
|
| Rate for Payer: MDWise Medicaid |
$637.60
|
| Rate for Payer: PHCS All Commercial |
$816.32
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$816.32
|
| Rate for Payer: Sagamore Health Network All Products |
$816.32
|
| Rate for Payer: United Healthcare Commercial |
$1,079.06
|
| Rate for Payer: United Healthcare Medicare |
$633.97
|
|
|
PR PESSARY, NON RUBBER,ANY TYPE
|
Professional
|
Both
|
$216.00
|
|
|
Service Code
|
CPT A4562
|
| Hospital Charge Code |
zA4562
|
| Min. Negotiated Rate |
$10.24 |
| Max. Negotiated Rate |
$96.56 |
| Rate for Payer: Aetna Commercial |
$62.30
|
| Rate for Payer: Aetna Medicare |
$62.30
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$31.06
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$31.06
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$31.06
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$31.06
|
| Rate for Payer: Buckeye Health Medicaid OOS |
$10.24
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$69.48
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$71.64
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$68.53
|
| Rate for Payer: Cash Price |
$133.92
|
| Rate for Payer: Centivo All Commercial |
$96.56
|
| Rate for Payer: Cigna All Commercial |
$62.30
|
| Rate for Payer: CORVEL All Commercial |
$62.30
|
| Rate for Payer: Coventry All Commercial |
$74.76
|
| Rate for Payer: Encore All Commercial |
$62.30
|
| Rate for Payer: Humana ChoiceCare |
$57.56
|
| Rate for Payer: Humana Medicare |
$62.30
|
| Rate for Payer: Lucent All Commercial |
$87.22
|
| Rate for Payer: Managed Health Services Medicaid |
$69.48
|
| Rate for Payer: MDWise Medicaid |
$69.48
|
| Rate for Payer: Molina Healthcare of OH Medicare |
$10.24
|
| Rate for Payer: PHCS All Commercial |
$62.30
|
| Rate for Payer: PHP All Commercial |
$50.79
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$62.30
|
| Rate for Payer: Sagamore Health Network All Products |
$62.30
|
| Rate for Payer: Signature Care EPO |
$44.55
|
| Rate for Payer: Signature Care PPO |
$44.55
|
| Rate for Payer: United Healthcare Commercial |
$45.45
|
|
|
PR PESSARY RUBBER, ANY TYPE
|
Professional
|
Both
|
$216.00
|
|
|
Service Code
|
CPT A4561
|
| Hospital Charge Code |
zA4561
|
| Min. Negotiated Rate |
$10.24 |
| Max. Negotiated Rate |
$27.97 |
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$12.46
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$12.46
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$12.46
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$12.46
|
| Rate for Payer: Buckeye Health Medicaid OOS |
$10.24
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$27.97
|
| Rate for Payer: Cash Price |
$133.92
|
| Rate for Payer: Humana ChoiceCare |
$23.17
|
| Rate for Payer: Managed Health Services Medicaid |
$27.97
|
| Rate for Payer: MDWise Medicaid |
$27.97
|
| Rate for Payer: Molina Healthcare of OH Medicare |
$10.24
|
| Rate for Payer: PHP All Commercial |
$20.45
|
| Rate for Payer: Signature Care EPO |
$17.93
|
| Rate for Payer: Signature Care PPO |
$17.93
|
| Rate for Payer: United Healthcare Commercial |
$18.28
|
|
|
PR PHYSICIAN TELEPHONE EVALUATION 21-30 MIN
|
Professional
|
Both
|
$242.22
|
|
|
Service Code
|
CPT 99443
|
| Hospital Charge Code |
z99443
|
| Min. Negotiated Rate |
$31.63 |
| Max. Negotiated Rate |
$9,500.00 |
| Rate for Payer: Aetna Commercial |
$93.91
|
| Rate for Payer: Aetna Commercial |
$93.91
|
| Rate for Payer: Aetna Medicare |
$93.91
|
| Rate for Payer: Aetna Medicare |
$93.91
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$46.57
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$46.57
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$46.57
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$46.57
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$46.57
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$46.57
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$46.57
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$46.57
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$108.00
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$108.00
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$103.30
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$103.30
|
| Rate for Payer: Cash Price |
$145.66
|
| Rate for Payer: Cash Price |
$150.18
|
| Rate for Payer: Centivo All Commercial |
$145.56
|
| Rate for Payer: Centivo All Commercial |
$145.56
|
| Rate for Payer: Cigna All Commercial |
$93.91
|
| Rate for Payer: Cigna All Commercial |
$93.91
|
| Rate for Payer: CORVEL All Commercial |
$93.91
|
| Rate for Payer: CORVEL All Commercial |
$93.91
|
| Rate for Payer: Coventry All Commercial |
$112.69
|
| Rate for Payer: Coventry All Commercial |
$112.69
|
| Rate for Payer: Encore All Commercial |
$93.91
|
| Rate for Payer: Encore All Commercial |
$93.91
|
| Rate for Payer: Frontpath All Commercial |
$100.78
|
| Rate for Payer: Frontpath All Commercial |
$100.78
|
| Rate for Payer: Humana ChoiceCare |
$31.63
|
| Rate for Payer: Humana ChoiceCare |
$31.63
|
| Rate for Payer: Humana Medicare |
$93.91
|
| Rate for Payer: Humana Medicare |
$93.91
|
| Rate for Payer: Lucent All Commercial |
$131.47
|
| Rate for Payer: Lucent All Commercial |
$131.47
|
| Rate for Payer: Lutheran Preferred All Commercial |
$97.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$97.00
|
| Rate for Payer: PHCS All Commercial |
$93.91
|
| Rate for Payer: PHCS All Commercial |
$93.91
|
| Rate for Payer: PHP All Commercial |
$92.76
|
| Rate for Payer: PHP All Commercial |
$92.76
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$93.91
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$93.91
|
| Rate for Payer: Sagamore Health Network All Products |
$93.91
|
| Rate for Payer: Sagamore Health Network All Products |
$93.91
|
| Rate for Payer: Signature Care EPO |
$103.39
|
| Rate for Payer: Signature Care EPO |
$103.39
|
| Rate for Payer: Signature Care PPO |
$103.39
|
| Rate for Payer: Signature Care PPO |
$103.39
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$9,500.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$9,500.00
|
| Rate for Payer: United Healthcare Commercial |
$37.78
|
| Rate for Payer: United Healthcare Commercial |
$37.78
|
| Rate for Payer: United Healthcare Medicare |
$117.47
|
| Rate for Payer: United Healthcare Medicare |
$117.47
|
|
