|
HC W SCREW 6.5X115X32
|
Facility
|
IP
|
$2,330.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605771
|
|
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 6.5X115X32
|
Facility
|
OP
|
$2,330.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605771
|
|
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 6.5X120X16
|
Facility
|
IP
|
$2,330.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605774
|
|
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 6.5X120X16
|
Facility
|
OP
|
$2,330.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605774
|
|
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 6.5X120X32
|
Facility
|
IP
|
$2,330.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605773
|
|
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 6.5X120X32
|
Facility
|
OP
|
$2,330.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605773
|
|
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 6.5X35X16
|
Facility
|
IP
|
$2,330.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605775
|
|
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 6.5X35X16
|
Facility
|
OP
|
$2,330.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605775
|
|
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 6.5X40X16
|
Facility
|
OP
|
$2,330.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605776
|
|
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 6.5X40X16
|
Facility
|
IP
|
$2,330.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605776
|
|
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 6.5X45X16
|
Facility
|
IP
|
$2,330.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605777
|
|
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 6.5X45X16
|
Facility
|
OP
|
$2,330.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605777
|
|
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 6.5X50X16
|
Facility
|
OP
|
$2,330.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605778
|
|
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 6.5X50X16
|
Facility
|
IP
|
$2,330.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605778
|
|
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 6.5X55X16
|
Facility
|
OP
|
$2,330.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605779
|
|
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 6.5X55X16
|
Facility
|
IP
|
$2,330.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605779
|
|
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 6.5X60X16
|
Facility
|
OP
|
$2,330.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605780
|
|
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 6.5X60X16
|
Facility
|
IP
|
$2,330.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605780
|
|
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 6.5X65X16
|
Facility
|
OP
|
$2,330.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605781
|
|
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 6.5X65X16
|
Facility
|
IP
|
$2,330.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605781
|
|
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 6.5X70X16
|
Facility
|
IP
|
$2,330.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605783
|
|
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 6.5X70X16
|
Facility
|
OP
|
$2,330.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605783
|
|
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 6.5X70X32
|
Facility
|
OP
|
$2,330.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605782
|
|
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 6.5X70X32
|
Facility
|
IP
|
$2,330.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605782
|
|
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 6.5X75X16
|
Facility
|
IP
|
$2,330.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605785
|
|
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
|
|
