|
HC W SCREW 5.5X65 PT
|
Facility
IP
|
$1,420.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604837
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,065.00 |
| Max. Negotiated Rate |
$1,320.60 |
| Rate for Payer: Aetna Commercial |
$1,226.88
|
| Rate for Payer: Cash Price |
$880.40
|
| Rate for Payer: Cigna All Commercial |
$1,225.46
|
| Rate for Payer: CORVEL All Commercial |
$1,320.60
|
| Rate for Payer: Coventry All Commercial |
$1,249.60
|
| Rate for Payer: Encore All Commercial |
$1,307.11
|
| Rate for Payer: Frontpath All Commercial |
$1,306.40
|
| Rate for Payer: Humana ChoiceCare |
$1,226.45
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,278.00
|
| Rate for Payer: PHCS All Commercial |
$1,065.00
|
| Rate for Payer: PHP All Commercial |
$1,076.93
|
| Rate for Payer: Sagamore Health Network All Products |
$1,096.24
|
| Rate for Payer: Signature Care EPO |
$1,178.60
|
| Rate for Payer: Signature Care PPO |
$1,249.60
|
| Rate for Payer: United Healthcare Commercial |
$1,118.96
|
|
|
HC W SCREW 5.5X70 PT
|
Facility
OP
|
$1,420.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604838
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$468.60 |
| Max. Negotiated Rate |
$1,320.60 |
| Rate for Payer: Aetna Commercial |
$1,198.48
|
| Rate for Payer: Aetna Medicare |
$468.60
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$468.60
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$815.51
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$887.64
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$538.89
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$515.46
|
| Rate for Payer: Cash Price |
$880.40
|
| Rate for Payer: Cash Price |
$880.40
|
| Rate for Payer: Centivo All Commercial |
$724.20
|
| Rate for Payer: Cigna All Commercial |
$1,225.46
|
| Rate for Payer: CORVEL All Commercial |
$1,320.60
|
| Rate for Payer: Coventry All Commercial |
$1,249.60
|
| Rate for Payer: Encore All Commercial |
$1,307.11
|
| Rate for Payer: Frontpath All Commercial |
$1,306.40
|
| Rate for Payer: Humana ChoiceCare |
$1,226.45
|
| Rate for Payer: Humana Medicare |
$724.20
|
| Rate for Payer: Lucent All Commercial |
$724.20
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,278.00
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,065.00
|
| Rate for Payer: PHP All Commercial |
$1,076.93
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$553.80
|
| Rate for Payer: Sagamore Health Network All Products |
$1,096.24
|
| Rate for Payer: Signature Care EPO |
$1,178.60
|
| Rate for Payer: Signature Care PPO |
$1,249.60
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,207.00
|
| Rate for Payer: United Healthcare Commercial |
$1,118.96
|
| Rate for Payer: United Healthcare Medicare |
$468.60
|
|
|
HC W SCREW 5.5X70 PT
|
Facility
IP
|
$1,420.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604838
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,065.00 |
| Max. Negotiated Rate |
$1,320.60 |
| Rate for Payer: Aetna Commercial |
$1,226.88
|
| Rate for Payer: Cash Price |
$880.40
|
| Rate for Payer: Cigna All Commercial |
$1,225.46
|
| Rate for Payer: CORVEL All Commercial |
$1,320.60
|
| Rate for Payer: Coventry All Commercial |
$1,249.60
|
| Rate for Payer: Encore All Commercial |
$1,307.11
|
| Rate for Payer: Frontpath All Commercial |
$1,306.40
|
| Rate for Payer: Humana ChoiceCare |
$1,226.45
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,278.00
|
| Rate for Payer: PHCS All Commercial |
$1,065.00
|
| Rate for Payer: PHP All Commercial |
$1,076.93
|
| Rate for Payer: Sagamore Health Network All Products |
$1,096.24
|
| Rate for Payer: Signature Care EPO |
$1,178.60
|
| Rate for Payer: Signature Care PPO |
$1,249.60
|
| Rate for Payer: United Healthcare Commercial |
$1,118.96
|
|
|
HC W SCREW 5.5X75 PT
|
Facility
IP
|
$1,420.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604839
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,065.00 |
| Max. Negotiated Rate |
$1,320.60 |
| Rate for Payer: Aetna Commercial |
$1,226.88
|
| Rate for Payer: Cash Price |
$880.40
|
| Rate for Payer: Cigna All Commercial |
$1,225.46
|
| Rate for Payer: CORVEL All Commercial |
$1,320.60
|
| Rate for Payer: Coventry All Commercial |
$1,249.60
|
| Rate for Payer: Encore All Commercial |
$1,307.11
|
| Rate for Payer: Frontpath All Commercial |
$1,306.40
|
| Rate for Payer: Humana ChoiceCare |
$1,226.45
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,278.00
|
| Rate for Payer: PHCS All Commercial |
$1,065.00
|
| Rate for Payer: PHP All Commercial |
$1,076.93
|
| Rate for Payer: Sagamore Health Network All Products |
$1,096.24
|
| Rate for Payer: Signature Care EPO |
$1,178.60
|
| Rate for Payer: Signature Care PPO |
$1,249.60
|
| Rate for Payer: United Healthcare Commercial |
$1,118.96
|
|
|
HC W SCREW 5.5X75 PT
|
Facility
OP
|
$1,420.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604839
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$468.60 |
| Max. Negotiated Rate |
$1,320.60 |
| Rate for Payer: Aetna Commercial |
$1,198.48
|
| Rate for Payer: Aetna Medicare |
$468.60
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$468.60
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$815.51
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$887.64
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$538.89
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$515.46
|
| Rate for Payer: Cash Price |
$880.40
|
| Rate for Payer: Cash Price |
$880.40
|
| Rate for Payer: Centivo All Commercial |
$724.20
|
| Rate for Payer: Cigna All Commercial |
$1,225.46
|
| Rate for Payer: CORVEL All Commercial |
$1,320.60
|
| Rate for Payer: Coventry All Commercial |
$1,249.60
|
| Rate for Payer: Encore All Commercial |
$1,307.11
|
| Rate for Payer: Frontpath All Commercial |
$1,306.40
|
| Rate for Payer: Humana ChoiceCare |
$1,226.45
|
| Rate for Payer: Humana Medicare |
$724.20
|
| Rate for Payer: Lucent All Commercial |
$724.20
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,278.00
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,065.00
|
| Rate for Payer: PHP All Commercial |
$1,076.93
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$553.80
|
| Rate for Payer: Sagamore Health Network All Products |
$1,096.24
|
| Rate for Payer: Signature Care EPO |
$1,178.60
|
| Rate for Payer: Signature Care PPO |
$1,249.60
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,207.00
|
| Rate for Payer: United Healthcare Commercial |
$1,118.96
|
| Rate for Payer: United Healthcare Medicare |
$468.60
|
|
|
HC W SCREW 5.5X80 PT
|
Facility
IP
|
$1,420.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604840
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,065.00 |
| Max. Negotiated Rate |
$1,320.60 |
| Rate for Payer: Aetna Commercial |
$1,226.88
|
| Rate for Payer: Cash Price |
$880.40
|
| Rate for Payer: Cigna All Commercial |
$1,225.46
|
| Rate for Payer: CORVEL All Commercial |
$1,320.60
|
| Rate for Payer: Coventry All Commercial |
$1,249.60
|
| Rate for Payer: Encore All Commercial |
$1,307.11
|
| Rate for Payer: Frontpath All Commercial |
$1,306.40
|
| Rate for Payer: Humana ChoiceCare |
$1,226.45
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,278.00
|
| Rate for Payer: PHCS All Commercial |
$1,065.00
|
| Rate for Payer: PHP All Commercial |
$1,076.93
|
| Rate for Payer: Sagamore Health Network All Products |
$1,096.24
|
| Rate for Payer: Signature Care EPO |
$1,178.60
|
| Rate for Payer: Signature Care PPO |
$1,249.60
|
| Rate for Payer: United Healthcare Commercial |
$1,118.96
|
|
|
HC W SCREW 5.5X80 PT
|
Facility
OP
|
$1,420.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604840
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$468.60 |
| Max. Negotiated Rate |
$1,320.60 |
| Rate for Payer: Aetna Commercial |
$1,198.48
|
| Rate for Payer: Aetna Medicare |
$468.60
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$468.60
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$815.51
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$887.64
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$538.89
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$515.46
|
| Rate for Payer: Cash Price |
$880.40
|
| Rate for Payer: Cash Price |
$880.40
|
| Rate for Payer: Centivo All Commercial |
$724.20
|
| Rate for Payer: Cigna All Commercial |
$1,225.46
|
| Rate for Payer: CORVEL All Commercial |
$1,320.60
|
| Rate for Payer: Coventry All Commercial |
$1,249.60
|
| Rate for Payer: Encore All Commercial |
$1,307.11
|
| Rate for Payer: Frontpath All Commercial |
$1,306.40
|
| Rate for Payer: Humana ChoiceCare |
$1,226.45
|
| Rate for Payer: Humana Medicare |
$724.20
|
| Rate for Payer: Lucent All Commercial |
$724.20
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,278.00
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,065.00
|
| Rate for Payer: PHP All Commercial |
$1,076.93
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$553.80
|
| Rate for Payer: Sagamore Health Network All Products |
$1,096.24
|
| Rate for Payer: Signature Care EPO |
$1,178.60
|
| Rate for Payer: Signature Care PPO |
$1,249.60
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,207.00
|
| Rate for Payer: United Healthcare Commercial |
$1,118.96
|
| Rate for Payer: United Healthcare Medicare |
$468.60
|
|
|
HC W SCREW 5.5X85 PT
|
Facility
IP
|
$1,420.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604841
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,065.00 |
| Max. Negotiated Rate |
$1,320.60 |
| Rate for Payer: Aetna Commercial |
$1,226.88
|
| Rate for Payer: Cash Price |
$880.40
|
| Rate for Payer: Cigna All Commercial |
$1,225.46
|
| Rate for Payer: CORVEL All Commercial |
$1,320.60
|
| Rate for Payer: Coventry All Commercial |
$1,249.60
|
| Rate for Payer: Encore All Commercial |
$1,307.11
|
| Rate for Payer: Frontpath All Commercial |
$1,306.40
|
| Rate for Payer: Humana ChoiceCare |
$1,226.45
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,278.00
|
| Rate for Payer: PHCS All Commercial |
$1,065.00
|
| Rate for Payer: PHP All Commercial |
$1,076.93
|
| Rate for Payer: Sagamore Health Network All Products |
$1,096.24
|
| Rate for Payer: Signature Care EPO |
$1,178.60
|
| Rate for Payer: Signature Care PPO |
$1,249.60
|
| Rate for Payer: United Healthcare Commercial |
$1,118.96
|
|
|
HC W SCREW 5.5X85 PT
|
Facility
OP
|
$1,420.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604841
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$468.60 |
| Max. Negotiated Rate |
$1,320.60 |
| Rate for Payer: Aetna Commercial |
$1,198.48
|
| Rate for Payer: Aetna Medicare |
$468.60
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$468.60
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$815.51
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$887.64
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$538.89
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$515.46
|
| Rate for Payer: Cash Price |
$880.40
|
| Rate for Payer: Cash Price |
$880.40
|
| Rate for Payer: Centivo All Commercial |
$724.20
|
| Rate for Payer: Cigna All Commercial |
$1,225.46
|
| Rate for Payer: CORVEL All Commercial |
$1,320.60
|
| Rate for Payer: Coventry All Commercial |
$1,249.60
|
| Rate for Payer: Encore All Commercial |
$1,307.11
|
| Rate for Payer: Frontpath All Commercial |
$1,306.40
|
| Rate for Payer: Humana ChoiceCare |
$1,226.45
|
| Rate for Payer: Humana Medicare |
$724.20
|
| Rate for Payer: Lucent All Commercial |
$724.20
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,278.00
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,065.00
|
| Rate for Payer: PHP All Commercial |
$1,076.93
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$553.80
|
| Rate for Payer: Sagamore Health Network All Products |
$1,096.24
|
| Rate for Payer: Signature Care EPO |
$1,178.60
|
| Rate for Payer: Signature Care PPO |
$1,249.60
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,207.00
|
| Rate for Payer: United Healthcare Commercial |
$1,118.96
|
| Rate for Payer: United Healthcare Medicare |
$468.60
|
|
|
HC W SCREW 5.5X90 PT
|
Facility
OP
|
$1,420.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604842
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$468.60 |
| Max. Negotiated Rate |
$1,320.60 |
| Rate for Payer: Aetna Commercial |
$1,198.48
|
| Rate for Payer: Aetna Medicare |
$468.60
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$468.60
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$815.51
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$887.64
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$538.89
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$515.46
|
| Rate for Payer: Cash Price |
$880.40
|
| Rate for Payer: Cash Price |
$880.40
|
| Rate for Payer: Centivo All Commercial |
$724.20
|
| Rate for Payer: Cigna All Commercial |
$1,225.46
|
| Rate for Payer: CORVEL All Commercial |
$1,320.60
|
| Rate for Payer: Coventry All Commercial |
$1,249.60
|
| Rate for Payer: Encore All Commercial |
$1,307.11
|
| Rate for Payer: Frontpath All Commercial |
$1,306.40
|
| Rate for Payer: Humana ChoiceCare |
$1,226.45
|
| Rate for Payer: Humana Medicare |
$724.20
|
| Rate for Payer: Lucent All Commercial |
$724.20
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,278.00
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,065.00
|
| Rate for Payer: PHP All Commercial |
$1,076.93
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$553.80
|
| Rate for Payer: Sagamore Health Network All Products |
$1,096.24
|
| Rate for Payer: Signature Care EPO |
$1,178.60
|
| Rate for Payer: Signature Care PPO |
$1,249.60
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,207.00
|
| Rate for Payer: United Healthcare Commercial |
$1,118.96
|
| Rate for Payer: United Healthcare Medicare |
$468.60
|
|
|
HC W SCREW 5.5X90 PT
|
Facility
IP
|
$1,420.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604842
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,065.00 |
| Max. Negotiated Rate |
$1,320.60 |
| Rate for Payer: Aetna Commercial |
$1,226.88
|
| Rate for Payer: Cash Price |
$880.40
|
| Rate for Payer: Cigna All Commercial |
$1,225.46
|
| Rate for Payer: CORVEL All Commercial |
$1,320.60
|
| Rate for Payer: Coventry All Commercial |
$1,249.60
|
| Rate for Payer: Encore All Commercial |
$1,307.11
|
| Rate for Payer: Frontpath All Commercial |
$1,306.40
|
| Rate for Payer: Humana ChoiceCare |
$1,226.45
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,278.00
|
| Rate for Payer: PHCS All Commercial |
$1,065.00
|
| Rate for Payer: PHP All Commercial |
$1,076.93
|
| Rate for Payer: Sagamore Health Network All Products |
$1,096.24
|
| Rate for Payer: Signature Care EPO |
$1,178.60
|
| Rate for Payer: Signature Care PPO |
$1,249.60
|
| Rate for Payer: United Healthcare Commercial |
$1,118.96
|
|
|
HC W SCREW 6.5X100X16
|
Facility
OP
|
$2,330.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605766
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$2,166.90 |
| Rate for Payer: Aetna Commercial |
$1,966.52
|
| Rate for Payer: Aetna Medicare |
$768.90
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$768.90
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,338.12
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,456.48
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$884.24
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$845.79
|
| Rate for Payer: Cash Price |
$1,444.60
|
| Rate for Payer: Cash Price |
$1,444.60
|
| Rate for Payer: Centivo All Commercial |
$1,188.30
|
| Rate for Payer: Cigna All Commercial |
$2,010.79
|
| Rate for Payer: CORVEL All Commercial |
$2,166.90
|
| Rate for Payer: Coventry All Commercial |
$2,050.40
|
| Rate for Payer: Encore All Commercial |
$2,144.76
|
| Rate for Payer: Frontpath All Commercial |
$2,143.60
|
| Rate for Payer: Humana ChoiceCare |
$2,012.42
|
| Rate for Payer: Humana Medicare |
$1,188.30
|
| Rate for Payer: Lucent All Commercial |
$1,188.30
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,097.00
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,747.50
|
| Rate for Payer: PHP All Commercial |
$1,767.07
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$908.70
|
| Rate for Payer: Sagamore Health Network All Products |
$1,798.76
|
| Rate for Payer: Signature Care EPO |
$1,933.90
|
| Rate for Payer: Signature Care PPO |
$2,050.40
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,980.50
|
| Rate for Payer: United Healthcare Commercial |
$1,836.04
|
| Rate for Payer: United Healthcare Medicare |
$768.90
|
|
|
HC W SCREW 6.5X100X16
|
Facility
IP
|
$2,330.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605766
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,747.50 |
| Max. Negotiated Rate |
$2,166.90 |
| Rate for Payer: Aetna Commercial |
$2,013.12
|
| Rate for Payer: Cash Price |
$1,444.60
|
| Rate for Payer: Cigna All Commercial |
$2,010.79
|
| Rate for Payer: CORVEL All Commercial |
$2,166.90
|
| Rate for Payer: Coventry All Commercial |
$2,050.40
|
| Rate for Payer: Encore All Commercial |
$2,144.76
|
| Rate for Payer: Frontpath All Commercial |
$2,143.60
|
| Rate for Payer: Humana ChoiceCare |
$2,012.42
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,097.00
|
| Rate for Payer: PHCS All Commercial |
$1,747.50
|
| Rate for Payer: PHP All Commercial |
$1,767.07
|
| Rate for Payer: Sagamore Health Network All Products |
$1,798.76
|
| Rate for Payer: Signature Care EPO |
$1,933.90
|
| Rate for Payer: Signature Care PPO |
$2,050.40
|
| Rate for Payer: United Healthcare Commercial |
$1,836.04
|
|
|
HC W SCREW 6.5X100X32
|
Facility
OP
|
$2,330.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605765
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$2,166.90 |
| Rate for Payer: Aetna Commercial |
$1,966.52
|
| Rate for Payer: Aetna Medicare |
$768.90
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$768.90
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,338.12
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,456.48
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$884.24
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$845.79
|
| Rate for Payer: Cash Price |
$1,444.60
|
| Rate for Payer: Cash Price |
$1,444.60
|
| Rate for Payer: Centivo All Commercial |
$1,188.30
|
| Rate for Payer: Cigna All Commercial |
$2,010.79
|
| Rate for Payer: CORVEL All Commercial |
$2,166.90
|
| Rate for Payer: Coventry All Commercial |
$2,050.40
|
| Rate for Payer: Encore All Commercial |
$2,144.76
|
| Rate for Payer: Frontpath All Commercial |
$2,143.60
|
| Rate for Payer: Humana ChoiceCare |
$2,012.42
|
| Rate for Payer: Humana Medicare |
$1,188.30
|
| Rate for Payer: Lucent All Commercial |
$1,188.30
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,097.00
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,747.50
|
| Rate for Payer: PHP All Commercial |
$1,767.07
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$908.70
|
| Rate for Payer: Sagamore Health Network All Products |
$1,798.76
|
| Rate for Payer: Signature Care EPO |
$1,933.90
|
| Rate for Payer: Signature Care PPO |
$2,050.40
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,980.50
|
| Rate for Payer: United Healthcare Commercial |
$1,836.04
|
| Rate for Payer: United Healthcare Medicare |
$768.90
|
|
|
HC W SCREW 6.5X100X32
|
Facility
IP
|
$2,330.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605765
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,747.50 |
| Max. Negotiated Rate |
$2,166.90 |
| Rate for Payer: Aetna Commercial |
$2,013.12
|
| Rate for Payer: Cash Price |
$1,444.60
|
| Rate for Payer: Cigna All Commercial |
$2,010.79
|
| Rate for Payer: CORVEL All Commercial |
$2,166.90
|
| Rate for Payer: Coventry All Commercial |
$2,050.40
|
| Rate for Payer: Encore All Commercial |
$2,144.76
|
| Rate for Payer: Frontpath All Commercial |
$2,143.60
|
| Rate for Payer: Humana ChoiceCare |
$2,012.42
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,097.00
|
| Rate for Payer: PHCS All Commercial |
$1,747.50
|
| Rate for Payer: PHP All Commercial |
$1,767.07
|
| Rate for Payer: Sagamore Health Network All Products |
$1,798.76
|
| Rate for Payer: Signature Care EPO |
$1,933.90
|
| Rate for Payer: Signature Care PPO |
$2,050.40
|
| Rate for Payer: United Healthcare Commercial |
$1,836.04
|
|
|
HC W SCREW 6.5X105X16
|
Facility
IP
|
$2,330.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605768
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,747.50 |
| Max. Negotiated Rate |
$2,166.90 |
| Rate for Payer: Aetna Commercial |
$2,013.12
|
| Rate for Payer: Cash Price |
$1,444.60
|
| Rate for Payer: Cigna All Commercial |
$2,010.79
|
| Rate for Payer: CORVEL All Commercial |
$2,166.90
|
| Rate for Payer: Coventry All Commercial |
$2,050.40
|
| Rate for Payer: Encore All Commercial |
$2,144.76
|
| Rate for Payer: Frontpath All Commercial |
$2,143.60
|
| Rate for Payer: Humana ChoiceCare |
$2,012.42
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,097.00
|
| Rate for Payer: PHCS All Commercial |
$1,747.50
|
| Rate for Payer: PHP All Commercial |
$1,767.07
|
| Rate for Payer: Sagamore Health Network All Products |
$1,798.76
|
| Rate for Payer: Signature Care EPO |
$1,933.90
|
| Rate for Payer: Signature Care PPO |
$2,050.40
|
| Rate for Payer: United Healthcare Commercial |
$1,836.04
|
|
|
HC W SCREW 6.5X105X16
|
Facility
OP
|
$2,330.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605768
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$2,166.90 |
| Rate for Payer: Aetna Commercial |
$1,966.52
|
| Rate for Payer: Aetna Medicare |
$768.90
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$768.90
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,338.12
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,456.48
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$884.24
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$845.79
|
| Rate for Payer: Cash Price |
$1,444.60
|
| Rate for Payer: Cash Price |
$1,444.60
|
| Rate for Payer: Centivo All Commercial |
$1,188.30
|
| Rate for Payer: Cigna All Commercial |
$2,010.79
|
| Rate for Payer: CORVEL All Commercial |
$2,166.90
|
| Rate for Payer: Coventry All Commercial |
$2,050.40
|
| Rate for Payer: Encore All Commercial |
$2,144.76
|
| Rate for Payer: Frontpath All Commercial |
$2,143.60
|
| Rate for Payer: Humana ChoiceCare |
$2,012.42
|
| Rate for Payer: Humana Medicare |
$1,188.30
|
| Rate for Payer: Lucent All Commercial |
$1,188.30
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,097.00
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,747.50
|
| Rate for Payer: PHP All Commercial |
$1,767.07
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$908.70
|
| Rate for Payer: Sagamore Health Network All Products |
$1,798.76
|
| Rate for Payer: Signature Care EPO |
$1,933.90
|
| Rate for Payer: Signature Care PPO |
$2,050.40
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,980.50
|
| Rate for Payer: United Healthcare Commercial |
$1,836.04
|
| Rate for Payer: United Healthcare Medicare |
$768.90
|
|
|
HC W SCREW 6.5X105X32
|
Facility
IP
|
$2,330.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605767
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,747.50 |
| Max. Negotiated Rate |
$2,166.90 |
| Rate for Payer: Aetna Commercial |
$2,013.12
|
| Rate for Payer: Cash Price |
$1,444.60
|
| Rate for Payer: Cigna All Commercial |
$2,010.79
|
| Rate for Payer: CORVEL All Commercial |
$2,166.90
|
| Rate for Payer: Coventry All Commercial |
$2,050.40
|
| Rate for Payer: Encore All Commercial |
$2,144.76
|
| Rate for Payer: Frontpath All Commercial |
$2,143.60
|
| Rate for Payer: Humana ChoiceCare |
$2,012.42
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,097.00
|
| Rate for Payer: PHCS All Commercial |
$1,747.50
|
| Rate for Payer: PHP All Commercial |
$1,767.07
|
| Rate for Payer: Sagamore Health Network All Products |
$1,798.76
|
| Rate for Payer: Signature Care EPO |
$1,933.90
|
| Rate for Payer: Signature Care PPO |
$2,050.40
|
| Rate for Payer: United Healthcare Commercial |
$1,836.04
|
|
|
HC W SCREW 6.5X105X32
|
Facility
OP
|
$2,330.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605767
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$2,166.90 |
| Rate for Payer: Aetna Commercial |
$1,966.52
|
| Rate for Payer: Aetna Medicare |
$768.90
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$768.90
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,338.12
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,456.48
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$884.24
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$845.79
|
| Rate for Payer: Cash Price |
$1,444.60
|
| Rate for Payer: Cash Price |
$1,444.60
|
| Rate for Payer: Centivo All Commercial |
$1,188.30
|
| Rate for Payer: Cigna All Commercial |
$2,010.79
|
| Rate for Payer: CORVEL All Commercial |
$2,166.90
|
| Rate for Payer: Coventry All Commercial |
$2,050.40
|
| Rate for Payer: Encore All Commercial |
$2,144.76
|
| Rate for Payer: Frontpath All Commercial |
$2,143.60
|
| Rate for Payer: Humana ChoiceCare |
$2,012.42
|
| Rate for Payer: Humana Medicare |
$1,188.30
|
| Rate for Payer: Lucent All Commercial |
$1,188.30
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,097.00
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,747.50
|
| Rate for Payer: PHP All Commercial |
$1,767.07
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$908.70
|
| Rate for Payer: Sagamore Health Network All Products |
$1,798.76
|
| Rate for Payer: Signature Care EPO |
$1,933.90
|
| Rate for Payer: Signature Care PPO |
$2,050.40
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,980.50
|
| Rate for Payer: United Healthcare Commercial |
$1,836.04
|
| Rate for Payer: United Healthcare Medicare |
$768.90
|
|
|
HC W SCREW 6.5X110X16
|
Facility
IP
|
$2,330.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605770
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,747.50 |
| Max. Negotiated Rate |
$2,166.90 |
| Rate for Payer: Aetna Commercial |
$2,013.12
|
| Rate for Payer: Cash Price |
$1,444.60
|
| Rate for Payer: Cigna All Commercial |
$2,010.79
|
| Rate for Payer: CORVEL All Commercial |
$2,166.90
|
| Rate for Payer: Coventry All Commercial |
$2,050.40
|
| Rate for Payer: Encore All Commercial |
$2,144.76
|
| Rate for Payer: Frontpath All Commercial |
$2,143.60
|
| Rate for Payer: Humana ChoiceCare |
$2,012.42
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,097.00
|
| Rate for Payer: PHCS All Commercial |
$1,747.50
|
| Rate for Payer: PHP All Commercial |
$1,767.07
|
| Rate for Payer: Sagamore Health Network All Products |
$1,798.76
|
| Rate for Payer: Signature Care EPO |
$1,933.90
|
| Rate for Payer: Signature Care PPO |
$2,050.40
|
| Rate for Payer: United Healthcare Commercial |
$1,836.04
|
|
|
HC W SCREW 6.5X110X16
|
Facility
OP
|
$2,330.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605770
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$2,166.90 |
| Rate for Payer: Aetna Commercial |
$1,966.52
|
| Rate for Payer: Aetna Medicare |
$768.90
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$768.90
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,338.12
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,456.48
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$884.24
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$845.79
|
| Rate for Payer: Cash Price |
$1,444.60
|
| Rate for Payer: Cash Price |
$1,444.60
|
| Rate for Payer: Centivo All Commercial |
$1,188.30
|
| Rate for Payer: Cigna All Commercial |
$2,010.79
|
| Rate for Payer: CORVEL All Commercial |
$2,166.90
|
| Rate for Payer: Coventry All Commercial |
$2,050.40
|
| Rate for Payer: Encore All Commercial |
$2,144.76
|
| Rate for Payer: Frontpath All Commercial |
$2,143.60
|
| Rate for Payer: Humana ChoiceCare |
$2,012.42
|
| Rate for Payer: Humana Medicare |
$1,188.30
|
| Rate for Payer: Lucent All Commercial |
$1,188.30
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,097.00
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,747.50
|
| Rate for Payer: PHP All Commercial |
$1,767.07
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$908.70
|
| Rate for Payer: Sagamore Health Network All Products |
$1,798.76
|
| Rate for Payer: Signature Care EPO |
$1,933.90
|
| Rate for Payer: Signature Care PPO |
$2,050.40
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,980.50
|
| Rate for Payer: United Healthcare Commercial |
$1,836.04
|
| Rate for Payer: United Healthcare Medicare |
$768.90
|
|
|
HC W SCREW 6.5X110X32
|
Facility
OP
|
$2,330.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605769
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$2,166.90 |
| Rate for Payer: Aetna Commercial |
$1,966.52
|
| Rate for Payer: Aetna Medicare |
$768.90
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$768.90
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,338.12
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,456.48
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$884.24
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$845.79
|
| Rate for Payer: Cash Price |
$1,444.60
|
| Rate for Payer: Cash Price |
$1,444.60
|
| Rate for Payer: Centivo All Commercial |
$1,188.30
|
| Rate for Payer: Cigna All Commercial |
$2,010.79
|
| Rate for Payer: CORVEL All Commercial |
$2,166.90
|
| Rate for Payer: Coventry All Commercial |
$2,050.40
|
| Rate for Payer: Encore All Commercial |
$2,144.76
|
| Rate for Payer: Frontpath All Commercial |
$2,143.60
|
| Rate for Payer: Humana ChoiceCare |
$2,012.42
|
| Rate for Payer: Humana Medicare |
$1,188.30
|
| Rate for Payer: Lucent All Commercial |
$1,188.30
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,097.00
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,747.50
|
| Rate for Payer: PHP All Commercial |
$1,767.07
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$908.70
|
| Rate for Payer: Sagamore Health Network All Products |
$1,798.76
|
| Rate for Payer: Signature Care EPO |
$1,933.90
|
| Rate for Payer: Signature Care PPO |
$2,050.40
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,980.50
|
| Rate for Payer: United Healthcare Commercial |
$1,836.04
|
| Rate for Payer: United Healthcare Medicare |
$768.90
|
|
|
HC W SCREW 6.5X110X32
|
Facility
IP
|
$2,330.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605769
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,747.50 |
| Max. Negotiated Rate |
$2,166.90 |
| Rate for Payer: Aetna Commercial |
$2,013.12
|
| Rate for Payer: Cash Price |
$1,444.60
|
| Rate for Payer: Cigna All Commercial |
$2,010.79
|
| Rate for Payer: CORVEL All Commercial |
$2,166.90
|
| Rate for Payer: Coventry All Commercial |
$2,050.40
|
| Rate for Payer: Encore All Commercial |
$2,144.76
|
| Rate for Payer: Frontpath All Commercial |
$2,143.60
|
| Rate for Payer: Humana ChoiceCare |
$2,012.42
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,097.00
|
| Rate for Payer: PHCS All Commercial |
$1,747.50
|
| Rate for Payer: PHP All Commercial |
$1,767.07
|
| Rate for Payer: Sagamore Health Network All Products |
$1,798.76
|
| Rate for Payer: Signature Care EPO |
$1,933.90
|
| Rate for Payer: Signature Care PPO |
$2,050.40
|
| Rate for Payer: United Healthcare Commercial |
$1,836.04
|
|
|
HC W SCREW 6.5X115X16
|
Facility
IP
|
$2,330.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605772
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,747.50 |
| Max. Negotiated Rate |
$2,166.90 |
| Rate for Payer: Aetna Commercial |
$2,013.12
|
| Rate for Payer: Cash Price |
$1,444.60
|
| Rate for Payer: Cigna All Commercial |
$2,010.79
|
| Rate for Payer: CORVEL All Commercial |
$2,166.90
|
| Rate for Payer: Coventry All Commercial |
$2,050.40
|
| Rate for Payer: Encore All Commercial |
$2,144.76
|
| Rate for Payer: Frontpath All Commercial |
$2,143.60
|
| Rate for Payer: Humana ChoiceCare |
$2,012.42
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,097.00
|
| Rate for Payer: PHCS All Commercial |
$1,747.50
|
| Rate for Payer: PHP All Commercial |
$1,767.07
|
| Rate for Payer: Sagamore Health Network All Products |
$1,798.76
|
| Rate for Payer: Signature Care EPO |
$1,933.90
|
| Rate for Payer: Signature Care PPO |
$2,050.40
|
| Rate for Payer: United Healthcare Commercial |
$1,836.04
|
|
|
HC W SCREW 6.5X115X16
|
Facility
OP
|
$2,330.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605772
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$2,166.90 |
| Rate for Payer: Aetna Commercial |
$1,966.52
|
| Rate for Payer: Aetna Medicare |
$768.90
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$768.90
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,338.12
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,456.48
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$884.24
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$845.79
|
| Rate for Payer: Cash Price |
$1,444.60
|
| Rate for Payer: Cash Price |
$1,444.60
|
| Rate for Payer: Centivo All Commercial |
$1,188.30
|
| Rate for Payer: Cigna All Commercial |
$2,010.79
|
| Rate for Payer: CORVEL All Commercial |
$2,166.90
|
| Rate for Payer: Coventry All Commercial |
$2,050.40
|
| Rate for Payer: Encore All Commercial |
$2,144.76
|
| Rate for Payer: Frontpath All Commercial |
$2,143.60
|
| Rate for Payer: Humana ChoiceCare |
$2,012.42
|
| Rate for Payer: Humana Medicare |
$1,188.30
|
| Rate for Payer: Lucent All Commercial |
$1,188.30
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,097.00
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,747.50
|
| Rate for Payer: PHP All Commercial |
$1,767.07
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$908.70
|
| Rate for Payer: Sagamore Health Network All Products |
$1,798.76
|
| Rate for Payer: Signature Care EPO |
$1,933.90
|
| Rate for Payer: Signature Care PPO |
$2,050.40
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,980.50
|
| Rate for Payer: United Healthcare Commercial |
$1,836.04
|
| Rate for Payer: United Healthcare Medicare |
$768.90
|
|
