|
HC Z MF T-PLATE 2.0 18
|
Facility
OP
|
$391.51
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604278
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$129.20 |
| Max. Negotiated Rate |
$524.16 |
| Rate for Payer: Aetna Commercial |
$330.43
|
| Rate for Payer: Aetna Medicare |
$129.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$129.20
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$224.84
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$244.73
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$148.58
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$142.12
|
| Rate for Payer: Cash Price |
$242.74
|
| Rate for Payer: Cash Price |
$242.74
|
| Rate for Payer: Centivo All Commercial |
$199.67
|
| Rate for Payer: Cigna All Commercial |
$337.87
|
| Rate for Payer: CORVEL All Commercial |
$364.10
|
| Rate for Payer: Coventry All Commercial |
$344.53
|
| Rate for Payer: Encore All Commercial |
$360.38
|
| Rate for Payer: Frontpath All Commercial |
$360.19
|
| Rate for Payer: Humana ChoiceCare |
$338.15
|
| Rate for Payer: Humana Medicare |
$199.67
|
| Rate for Payer: Lucent All Commercial |
$199.67
|
| Rate for Payer: Lutheran Preferred All Commercial |
$352.36
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$293.63
|
| Rate for Payer: PHP All Commercial |
$296.92
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$152.69
|
| Rate for Payer: Sagamore Health Network All Products |
$302.25
|
| Rate for Payer: Signature Care EPO |
$324.95
|
| Rate for Payer: Signature Care PPO |
$344.53
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$332.78
|
| Rate for Payer: United Healthcare Commercial |
$308.51
|
| Rate for Payer: United Healthcare Medicare |
$129.20
|
|
|
HC Z MF T-PLATE 2.7 32
|
Facility
IP
|
$391.51
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604287
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$293.63 |
| Max. Negotiated Rate |
$364.10 |
| Rate for Payer: Aetna Commercial |
$338.26
|
| Rate for Payer: Cash Price |
$242.74
|
| Rate for Payer: Cigna All Commercial |
$337.87
|
| Rate for Payer: CORVEL All Commercial |
$364.10
|
| Rate for Payer: Coventry All Commercial |
$344.53
|
| Rate for Payer: Encore All Commercial |
$360.38
|
| Rate for Payer: Frontpath All Commercial |
$360.19
|
| Rate for Payer: Humana ChoiceCare |
$338.15
|
| Rate for Payer: Lutheran Preferred All Commercial |
$352.36
|
| Rate for Payer: PHCS All Commercial |
$293.63
|
| Rate for Payer: PHP All Commercial |
$296.92
|
| Rate for Payer: Sagamore Health Network All Products |
$302.25
|
| Rate for Payer: Signature Care EPO |
$324.95
|
| Rate for Payer: Signature Care PPO |
$344.53
|
| Rate for Payer: United Healthcare Commercial |
$308.51
|
|
|
HC Z MF T-PLATE 2.7 32
|
Facility
OP
|
$391.51
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604287
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$129.20 |
| Max. Negotiated Rate |
$524.16 |
| Rate for Payer: Aetna Commercial |
$330.43
|
| Rate for Payer: Aetna Medicare |
$129.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$129.20
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$224.84
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$244.73
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$148.58
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$142.12
|
| Rate for Payer: Cash Price |
$242.74
|
| Rate for Payer: Cash Price |
$242.74
|
| Rate for Payer: Centivo All Commercial |
$199.67
|
| Rate for Payer: Cigna All Commercial |
$337.87
|
| Rate for Payer: CORVEL All Commercial |
$364.10
|
| Rate for Payer: Coventry All Commercial |
$344.53
|
| Rate for Payer: Encore All Commercial |
$360.38
|
| Rate for Payer: Frontpath All Commercial |
$360.19
|
| Rate for Payer: Humana ChoiceCare |
$338.15
|
| Rate for Payer: Humana Medicare |
$199.67
|
| Rate for Payer: Lucent All Commercial |
$199.67
|
| Rate for Payer: Lutheran Preferred All Commercial |
$352.36
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$293.63
|
| Rate for Payer: PHP All Commercial |
$296.92
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$152.69
|
| Rate for Payer: Sagamore Health Network All Products |
$302.25
|
| Rate for Payer: Signature Care EPO |
$324.95
|
| Rate for Payer: Signature Care PPO |
$344.53
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$332.78
|
| Rate for Payer: United Healthcare Commercial |
$308.51
|
| Rate for Payer: United Healthcare Medicare |
$129.20
|
|
|
HC Z MOD HD 36 +3 NECK
|
Facility
IP
|
$5,153.47
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41606586
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,865.10 |
| Max. Negotiated Rate |
$4,792.73 |
| Rate for Payer: Aetna Commercial |
$4,452.60
|
| Rate for Payer: Cash Price |
$3,195.15
|
| Rate for Payer: Cigna All Commercial |
$4,447.44
|
| Rate for Payer: CORVEL All Commercial |
$4,792.73
|
| Rate for Payer: Coventry All Commercial |
$4,535.05
|
| Rate for Payer: Encore All Commercial |
$4,743.77
|
| Rate for Payer: Frontpath All Commercial |
$4,741.19
|
| Rate for Payer: Humana ChoiceCare |
$4,451.05
|
| Rate for Payer: Lutheran Preferred All Commercial |
$4,638.12
|
| Rate for Payer: PHCS All Commercial |
$3,865.10
|
| Rate for Payer: PHP All Commercial |
$3,908.39
|
| Rate for Payer: Sagamore Health Network All Products |
$3,978.48
|
| Rate for Payer: Signature Care EPO |
$4,277.38
|
| Rate for Payer: Signature Care PPO |
$4,535.05
|
| Rate for Payer: United Healthcare Commercial |
$4,060.93
|
|
|
HC Z MOD HD 36 +3 NECK
|
Facility
OP
|
$5,153.47
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41606586
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$4,792.73 |
| Rate for Payer: Aetna Commercial |
$4,349.53
|
| Rate for Payer: Aetna Medicare |
$1,700.65
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,700.65
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$2,959.64
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$3,221.43
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,955.74
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,870.71
|
| Rate for Payer: Cash Price |
$3,195.15
|
| Rate for Payer: Cash Price |
$3,195.15
|
| Rate for Payer: Centivo All Commercial |
$2,628.27
|
| Rate for Payer: Cigna All Commercial |
$4,447.44
|
| Rate for Payer: CORVEL All Commercial |
$4,792.73
|
| Rate for Payer: Coventry All Commercial |
$4,535.05
|
| Rate for Payer: Encore All Commercial |
$4,743.77
|
| Rate for Payer: Frontpath All Commercial |
$4,741.19
|
| Rate for Payer: Humana ChoiceCare |
$4,451.05
|
| Rate for Payer: Humana Medicare |
$2,628.27
|
| Rate for Payer: Lucent All Commercial |
$2,628.27
|
| Rate for Payer: Lutheran Preferred All Commercial |
$4,638.12
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$3,865.10
|
| Rate for Payer: PHP All Commercial |
$3,908.39
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$2,009.85
|
| Rate for Payer: Sagamore Health Network All Products |
$3,978.48
|
| Rate for Payer: Signature Care EPO |
$4,277.38
|
| Rate for Payer: Signature Care PPO |
$4,535.05
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$4,380.45
|
| Rate for Payer: United Healthcare Commercial |
$4,060.93
|
| Rate for Payer: United Healthcare Medicare |
$1,700.65
|
|
|
HC Z MOD STEM 40MM
|
Facility
IP
|
$3,312.00
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41606370
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,484.00 |
| Max. Negotiated Rate |
$3,080.16 |
| Rate for Payer: Aetna Commercial |
$2,861.57
|
| Rate for Payer: Cash Price |
$2,053.44
|
| Rate for Payer: Cigna All Commercial |
$2,858.26
|
| Rate for Payer: CORVEL All Commercial |
$3,080.16
|
| Rate for Payer: Coventry All Commercial |
$2,914.56
|
| Rate for Payer: Encore All Commercial |
$3,048.70
|
| Rate for Payer: Frontpath All Commercial |
$3,047.04
|
| Rate for Payer: Humana ChoiceCare |
$2,860.57
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,980.80
|
| Rate for Payer: PHCS All Commercial |
$2,484.00
|
| Rate for Payer: PHP All Commercial |
$2,511.82
|
| Rate for Payer: Sagamore Health Network All Products |
$2,556.86
|
| Rate for Payer: Signature Care EPO |
$2,748.96
|
| Rate for Payer: Signature Care PPO |
$2,914.56
|
| Rate for Payer: United Healthcare Commercial |
$2,609.86
|
|
|
HC Z MOD STEM 40MM
|
Facility
OP
|
$3,312.00
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41606370
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$3,080.16 |
| Rate for Payer: Aetna Commercial |
$2,795.33
|
| Rate for Payer: Aetna Medicare |
$1,092.96
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,092.96
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,902.08
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$2,070.33
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,256.90
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,202.26
|
| Rate for Payer: Cash Price |
$2,053.44
|
| Rate for Payer: Cash Price |
$2,053.44
|
| Rate for Payer: Centivo All Commercial |
$1,689.12
|
| Rate for Payer: Cigna All Commercial |
$2,858.26
|
| Rate for Payer: CORVEL All Commercial |
$3,080.16
|
| Rate for Payer: Coventry All Commercial |
$2,914.56
|
| Rate for Payer: Encore All Commercial |
$3,048.70
|
| Rate for Payer: Frontpath All Commercial |
$3,047.04
|
| Rate for Payer: Humana ChoiceCare |
$2,860.57
|
| Rate for Payer: Humana Medicare |
$1,689.12
|
| Rate for Payer: Lucent All Commercial |
$1,689.12
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,980.80
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$2,484.00
|
| Rate for Payer: PHP All Commercial |
$2,511.82
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$1,291.68
|
| Rate for Payer: Sagamore Health Network All Products |
$2,556.86
|
| Rate for Payer: Signature Care EPO |
$2,748.96
|
| Rate for Payer: Signature Care PPO |
$2,914.56
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$2,815.20
|
| Rate for Payer: United Healthcare Commercial |
$2,609.86
|
| Rate for Payer: United Healthcare Medicare |
$1,092.96
|
|
|
HC Z MODULAR HUMERAL HEAD 50MM
|
Facility
IP
|
$11,520.00
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41607444
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$8,640.00 |
| Max. Negotiated Rate |
$10,713.60 |
| Rate for Payer: Aetna Commercial |
$9,953.28
|
| Rate for Payer: Cash Price |
$7,142.40
|
| Rate for Payer: Cigna All Commercial |
$9,941.76
|
| Rate for Payer: CORVEL All Commercial |
$10,713.60
|
| Rate for Payer: Coventry All Commercial |
$10,137.60
|
| Rate for Payer: Encore All Commercial |
$10,604.16
|
| Rate for Payer: Frontpath All Commercial |
$10,598.40
|
| Rate for Payer: Humana ChoiceCare |
$9,949.82
|
| Rate for Payer: Lutheran Preferred All Commercial |
$10,368.00
|
| Rate for Payer: PHCS All Commercial |
$8,640.00
|
| Rate for Payer: PHP All Commercial |
$8,736.77
|
| Rate for Payer: Sagamore Health Network All Products |
$8,893.44
|
| Rate for Payer: Signature Care EPO |
$9,561.60
|
| Rate for Payer: Signature Care PPO |
$10,137.60
|
| Rate for Payer: United Healthcare Commercial |
$9,077.76
|
|
|
HC Z MODULAR HUMERAL HEAD 50MM
|
Facility
OP
|
$11,520.00
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41607444
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$10,713.60 |
| Rate for Payer: Aetna Commercial |
$9,722.88
|
| Rate for Payer: Aetna Medicare |
$3,801.60
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$3,801.60
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$6,615.94
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$7,201.15
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$4,371.84
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$4,181.76
|
| Rate for Payer: Cash Price |
$7,142.40
|
| Rate for Payer: Cash Price |
$7,142.40
|
| Rate for Payer: Centivo All Commercial |
$5,875.20
|
| Rate for Payer: Cigna All Commercial |
$9,941.76
|
| Rate for Payer: CORVEL All Commercial |
$10,713.60
|
| Rate for Payer: Coventry All Commercial |
$10,137.60
|
| Rate for Payer: Encore All Commercial |
$10,604.16
|
| Rate for Payer: Frontpath All Commercial |
$10,598.40
|
| Rate for Payer: Humana ChoiceCare |
$9,949.82
|
| Rate for Payer: Humana Medicare |
$5,875.20
|
| Rate for Payer: Lucent All Commercial |
$5,875.20
|
| Rate for Payer: Lutheran Preferred All Commercial |
$10,368.00
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$8,640.00
|
| Rate for Payer: PHP All Commercial |
$8,736.77
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$4,492.80
|
| Rate for Payer: Sagamore Health Network All Products |
$8,893.44
|
| Rate for Payer: Signature Care EPO |
$9,561.60
|
| Rate for Payer: Signature Care PPO |
$10,137.60
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$9,792.00
|
| Rate for Payer: United Healthcare Commercial |
$9,077.76
|
| Rate for Payer: United Healthcare Medicare |
$3,801.60
|
|
|
HC Z MODULAR HUMERAL HEAD LG
|
Facility
IP
|
$11,520.00
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41607443
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$8,640.00 |
| Max. Negotiated Rate |
$10,713.60 |
| Rate for Payer: Aetna Commercial |
$9,953.28
|
| Rate for Payer: Cash Price |
$7,142.40
|
| Rate for Payer: Cigna All Commercial |
$9,941.76
|
| Rate for Payer: CORVEL All Commercial |
$10,713.60
|
| Rate for Payer: Coventry All Commercial |
$10,137.60
|
| Rate for Payer: Encore All Commercial |
$10,604.16
|
| Rate for Payer: Frontpath All Commercial |
$10,598.40
|
| Rate for Payer: Humana ChoiceCare |
$9,949.82
|
| Rate for Payer: Lutheran Preferred All Commercial |
$10,368.00
|
| Rate for Payer: PHCS All Commercial |
$8,640.00
|
| Rate for Payer: PHP All Commercial |
$8,736.77
|
| Rate for Payer: Sagamore Health Network All Products |
$8,893.44
|
| Rate for Payer: Signature Care EPO |
$9,561.60
|
| Rate for Payer: Signature Care PPO |
$10,137.60
|
| Rate for Payer: United Healthcare Commercial |
$9,077.76
|
|
|
HC Z MODULAR HUMERAL HEAD LG
|
Facility
OP
|
$11,520.00
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41607443
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$10,713.60 |
| Rate for Payer: Aetna Commercial |
$9,722.88
|
| Rate for Payer: Aetna Medicare |
$3,801.60
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$3,801.60
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$6,615.94
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$7,201.15
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$4,371.84
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$4,181.76
|
| Rate for Payer: Cash Price |
$7,142.40
|
| Rate for Payer: Cash Price |
$7,142.40
|
| Rate for Payer: Centivo All Commercial |
$5,875.20
|
| Rate for Payer: Cigna All Commercial |
$9,941.76
|
| Rate for Payer: CORVEL All Commercial |
$10,713.60
|
| Rate for Payer: Coventry All Commercial |
$10,137.60
|
| Rate for Payer: Encore All Commercial |
$10,604.16
|
| Rate for Payer: Frontpath All Commercial |
$10,598.40
|
| Rate for Payer: Humana ChoiceCare |
$9,949.82
|
| Rate for Payer: Humana Medicare |
$5,875.20
|
| Rate for Payer: Lucent All Commercial |
$5,875.20
|
| Rate for Payer: Lutheran Preferred All Commercial |
$10,368.00
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$8,640.00
|
| Rate for Payer: PHP All Commercial |
$8,736.77
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$4,492.80
|
| Rate for Payer: Sagamore Health Network All Products |
$8,893.44
|
| Rate for Payer: Signature Care EPO |
$9,561.60
|
| Rate for Payer: Signature Care PPO |
$10,137.60
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$9,792.00
|
| Rate for Payer: United Healthcare Commercial |
$9,077.76
|
| Rate for Payer: United Healthcare Medicare |
$3,801.60
|
|
|
HC Z MODULAR TIBIAL LOCKING BAR
|
Facility
IP
|
$882.28
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41603500
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$661.71 |
| Max. Negotiated Rate |
$820.52 |
| Rate for Payer: Aetna Commercial |
$762.29
|
| Rate for Payer: Cash Price |
$547.01
|
| Rate for Payer: Cigna All Commercial |
$761.41
|
| Rate for Payer: CORVEL All Commercial |
$820.52
|
| Rate for Payer: Coventry All Commercial |
$776.41
|
| Rate for Payer: Encore All Commercial |
$812.14
|
| Rate for Payer: Frontpath All Commercial |
$811.70
|
| Rate for Payer: Humana ChoiceCare |
$762.03
|
| Rate for Payer: Lutheran Preferred All Commercial |
$794.05
|
| Rate for Payer: PHCS All Commercial |
$661.71
|
| Rate for Payer: PHP All Commercial |
$669.12
|
| Rate for Payer: Sagamore Health Network All Products |
$681.12
|
| Rate for Payer: Signature Care EPO |
$732.29
|
| Rate for Payer: Signature Care PPO |
$776.41
|
| Rate for Payer: United Healthcare Commercial |
$695.24
|
|
|
HC Z MODULAR TIBIAL LOCKING BAR
|
Facility
OP
|
$882.28
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41603500
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$291.15 |
| Max. Negotiated Rate |
$820.52 |
| Rate for Payer: Aetna Commercial |
$744.64
|
| Rate for Payer: Aetna Medicare |
$291.15
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$291.15
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$506.69
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$551.51
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$334.83
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$320.27
|
| Rate for Payer: Cash Price |
$547.01
|
| Rate for Payer: Cash Price |
$547.01
|
| Rate for Payer: Centivo All Commercial |
$449.96
|
| Rate for Payer: Cigna All Commercial |
$761.41
|
| Rate for Payer: CORVEL All Commercial |
$820.52
|
| Rate for Payer: Coventry All Commercial |
$776.41
|
| Rate for Payer: Encore All Commercial |
$812.14
|
| Rate for Payer: Frontpath All Commercial |
$811.70
|
| Rate for Payer: Humana ChoiceCare |
$762.03
|
| Rate for Payer: Humana Medicare |
$449.96
|
| Rate for Payer: Lucent All Commercial |
$449.96
|
| Rate for Payer: Lutheran Preferred All Commercial |
$794.05
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$661.71
|
| Rate for Payer: PHP All Commercial |
$669.12
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$344.09
|
| Rate for Payer: Sagamore Health Network All Products |
$681.12
|
| Rate for Payer: Signature Care EPO |
$732.29
|
| Rate for Payer: Signature Care PPO |
$776.41
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$749.94
|
| Rate for Payer: United Healthcare Commercial |
$695.24
|
| Rate for Payer: United Healthcare Medicare |
$291.15
|
|
|
HC Z NAIL 10.5 X 100 LAG SCREW
|
Facility
IP
|
$1,869.55
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603045
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,402.16 |
| Max. Negotiated Rate |
$1,738.68 |
| Rate for Payer: Aetna Commercial |
$1,615.29
|
| Rate for Payer: Cash Price |
$1,159.12
|
| Rate for Payer: Cigna All Commercial |
$1,613.42
|
| Rate for Payer: CORVEL All Commercial |
$1,738.68
|
| Rate for Payer: Coventry All Commercial |
$1,645.20
|
| Rate for Payer: Encore All Commercial |
$1,720.92
|
| Rate for Payer: Frontpath All Commercial |
$1,719.99
|
| Rate for Payer: Humana ChoiceCare |
$1,614.73
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,682.60
|
| Rate for Payer: PHCS All Commercial |
$1,402.16
|
| Rate for Payer: PHP All Commercial |
$1,417.87
|
| Rate for Payer: Sagamore Health Network All Products |
$1,443.29
|
| Rate for Payer: Signature Care EPO |
$1,551.73
|
| Rate for Payer: Signature Care PPO |
$1,645.20
|
| Rate for Payer: United Healthcare Commercial |
$1,473.21
|
|
|
HC Z NAIL 10.5 X 100 LAG SCREW
|
Facility
OP
|
$1,869.55
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603045
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$1,738.68 |
| Rate for Payer: Aetna Commercial |
$1,577.90
|
| Rate for Payer: Aetna Medicare |
$616.95
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$616.95
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,073.68
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,168.66
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$709.49
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$678.65
|
| Rate for Payer: Cash Price |
$1,159.12
|
| Rate for Payer: Cash Price |
$1,159.12
|
| Rate for Payer: Centivo All Commercial |
$953.47
|
| Rate for Payer: Cigna All Commercial |
$1,613.42
|
| Rate for Payer: CORVEL All Commercial |
$1,738.68
|
| Rate for Payer: Coventry All Commercial |
$1,645.20
|
| Rate for Payer: Encore All Commercial |
$1,720.92
|
| Rate for Payer: Frontpath All Commercial |
$1,719.99
|
| Rate for Payer: Humana ChoiceCare |
$1,614.73
|
| Rate for Payer: Humana Medicare |
$953.47
|
| Rate for Payer: Lucent All Commercial |
$953.47
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,682.60
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,402.16
|
| Rate for Payer: PHP All Commercial |
$1,417.87
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$729.12
|
| Rate for Payer: Sagamore Health Network All Products |
$1,443.29
|
| Rate for Payer: Signature Care EPO |
$1,551.73
|
| Rate for Payer: Signature Care PPO |
$1,645.20
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,589.12
|
| Rate for Payer: United Healthcare Commercial |
$1,473.21
|
| Rate for Payer: United Healthcare Medicare |
$616.95
|
|
|
HC Z NAIL 10.5 X 105 LAG SCREW
|
Facility
IP
|
$1,869.55
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603017
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,402.16 |
| Max. Negotiated Rate |
$1,738.68 |
| Rate for Payer: Aetna Commercial |
$1,615.29
|
| Rate for Payer: Cash Price |
$1,159.12
|
| Rate for Payer: Cigna All Commercial |
$1,613.42
|
| Rate for Payer: CORVEL All Commercial |
$1,738.68
|
| Rate for Payer: Coventry All Commercial |
$1,645.20
|
| Rate for Payer: Encore All Commercial |
$1,720.92
|
| Rate for Payer: Frontpath All Commercial |
$1,719.99
|
| Rate for Payer: Humana ChoiceCare |
$1,614.73
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,682.60
|
| Rate for Payer: PHCS All Commercial |
$1,402.16
|
| Rate for Payer: PHP All Commercial |
$1,417.87
|
| Rate for Payer: Sagamore Health Network All Products |
$1,443.29
|
| Rate for Payer: Signature Care EPO |
$1,551.73
|
| Rate for Payer: Signature Care PPO |
$1,645.20
|
| Rate for Payer: United Healthcare Commercial |
$1,473.21
|
|
|
HC Z NAIL 10.5 X 105 LAG SCREW
|
Facility
OP
|
$1,869.55
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603017
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$1,738.68 |
| Rate for Payer: Aetna Commercial |
$1,577.90
|
| Rate for Payer: Aetna Medicare |
$616.95
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$616.95
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,073.68
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,168.66
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$709.49
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$678.65
|
| Rate for Payer: Cash Price |
$1,159.12
|
| Rate for Payer: Cash Price |
$1,159.12
|
| Rate for Payer: Centivo All Commercial |
$953.47
|
| Rate for Payer: Cigna All Commercial |
$1,613.42
|
| Rate for Payer: CORVEL All Commercial |
$1,738.68
|
| Rate for Payer: Coventry All Commercial |
$1,645.20
|
| Rate for Payer: Encore All Commercial |
$1,720.92
|
| Rate for Payer: Frontpath All Commercial |
$1,719.99
|
| Rate for Payer: Humana ChoiceCare |
$1,614.73
|
| Rate for Payer: Humana Medicare |
$953.47
|
| Rate for Payer: Lucent All Commercial |
$953.47
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,682.60
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,402.16
|
| Rate for Payer: PHP All Commercial |
$1,417.87
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$729.12
|
| Rate for Payer: Sagamore Health Network All Products |
$1,443.29
|
| Rate for Payer: Signature Care EPO |
$1,551.73
|
| Rate for Payer: Signature Care PPO |
$1,645.20
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,589.12
|
| Rate for Payer: United Healthcare Commercial |
$1,473.21
|
| Rate for Payer: United Healthcare Medicare |
$616.95
|
|
|
HC Z NAIL 10.5X105 LAG SCREW
|
Facility
IP
|
$2,279.77
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606626
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,709.83 |
| Max. Negotiated Rate |
$2,120.19 |
| Rate for Payer: Aetna Commercial |
$1,969.72
|
| Rate for Payer: Cash Price |
$1,413.46
|
| Rate for Payer: Cigna All Commercial |
$1,967.44
|
| Rate for Payer: CORVEL All Commercial |
$2,120.19
|
| Rate for Payer: Coventry All Commercial |
$2,006.20
|
| Rate for Payer: Encore All Commercial |
$2,098.53
|
| Rate for Payer: Frontpath All Commercial |
$2,097.39
|
| Rate for Payer: Humana ChoiceCare |
$1,969.04
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,051.79
|
| Rate for Payer: PHCS All Commercial |
$1,709.83
|
| Rate for Payer: PHP All Commercial |
$1,728.98
|
| Rate for Payer: Sagamore Health Network All Products |
$1,759.98
|
| Rate for Payer: Signature Care EPO |
$1,892.21
|
| Rate for Payer: Signature Care PPO |
$2,006.20
|
| Rate for Payer: United Healthcare Commercial |
$1,796.46
|
|
|
HC Z NAIL 10.5X105 LAG SCREW
|
Facility
OP
|
$2,279.77
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606626
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$2,120.19 |
| Rate for Payer: Aetna Commercial |
$1,924.13
|
| Rate for Payer: Aetna Medicare |
$752.32
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$752.32
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,309.27
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,425.08
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$865.17
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$827.56
|
| Rate for Payer: Cash Price |
$1,413.46
|
| Rate for Payer: Cash Price |
$1,413.46
|
| Rate for Payer: Centivo All Commercial |
$1,162.68
|
| Rate for Payer: Cigna All Commercial |
$1,967.44
|
| Rate for Payer: CORVEL All Commercial |
$2,120.19
|
| Rate for Payer: Coventry All Commercial |
$2,006.20
|
| Rate for Payer: Encore All Commercial |
$2,098.53
|
| Rate for Payer: Frontpath All Commercial |
$2,097.39
|
| Rate for Payer: Humana ChoiceCare |
$1,969.04
|
| Rate for Payer: Humana Medicare |
$1,162.68
|
| Rate for Payer: Lucent All Commercial |
$1,162.68
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,051.79
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,709.83
|
| Rate for Payer: PHP All Commercial |
$1,728.98
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$889.11
|
| Rate for Payer: Sagamore Health Network All Products |
$1,759.98
|
| Rate for Payer: Signature Care EPO |
$1,892.21
|
| Rate for Payer: Signature Care PPO |
$2,006.20
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,937.80
|
| Rate for Payer: United Healthcare Commercial |
$1,796.46
|
| Rate for Payer: United Healthcare Medicare |
$752.32
|
|
|
HC Z NAIL 10.5 X 115 LAG SCREW
|
Facility
IP
|
$1,869.55
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603046
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,402.16 |
| Max. Negotiated Rate |
$1,738.68 |
| Rate for Payer: Aetna Commercial |
$1,615.29
|
| Rate for Payer: Cash Price |
$1,159.12
|
| Rate for Payer: Cigna All Commercial |
$1,613.42
|
| Rate for Payer: CORVEL All Commercial |
$1,738.68
|
| Rate for Payer: Coventry All Commercial |
$1,645.20
|
| Rate for Payer: Encore All Commercial |
$1,720.92
|
| Rate for Payer: Frontpath All Commercial |
$1,719.99
|
| Rate for Payer: Humana ChoiceCare |
$1,614.73
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,682.60
|
| Rate for Payer: PHCS All Commercial |
$1,402.16
|
| Rate for Payer: PHP All Commercial |
$1,417.87
|
| Rate for Payer: Sagamore Health Network All Products |
$1,443.29
|
| Rate for Payer: Signature Care EPO |
$1,551.73
|
| Rate for Payer: Signature Care PPO |
$1,645.20
|
| Rate for Payer: United Healthcare Commercial |
$1,473.21
|
|
|
HC Z NAIL 10.5 X 115 LAG SCREW
|
Facility
OP
|
$1,869.55
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603046
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$1,738.68 |
| Rate for Payer: Aetna Commercial |
$1,577.90
|
| Rate for Payer: Aetna Medicare |
$616.95
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$616.95
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,073.68
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,168.66
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$709.49
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$678.65
|
| Rate for Payer: Cash Price |
$1,159.12
|
| Rate for Payer: Cash Price |
$1,159.12
|
| Rate for Payer: Centivo All Commercial |
$953.47
|
| Rate for Payer: Cigna All Commercial |
$1,613.42
|
| Rate for Payer: CORVEL All Commercial |
$1,738.68
|
| Rate for Payer: Coventry All Commercial |
$1,645.20
|
| Rate for Payer: Encore All Commercial |
$1,720.92
|
| Rate for Payer: Frontpath All Commercial |
$1,719.99
|
| Rate for Payer: Humana ChoiceCare |
$1,614.73
|
| Rate for Payer: Humana Medicare |
$953.47
|
| Rate for Payer: Lucent All Commercial |
$953.47
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,682.60
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,402.16
|
| Rate for Payer: PHP All Commercial |
$1,417.87
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$729.12
|
| Rate for Payer: Sagamore Health Network All Products |
$1,443.29
|
| Rate for Payer: Signature Care EPO |
$1,551.73
|
| Rate for Payer: Signature Care PPO |
$1,645.20
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,589.12
|
| Rate for Payer: United Healthcare Commercial |
$1,473.21
|
| Rate for Payer: United Healthcare Medicare |
$616.95
|
|
|
HC Z NAIL 10.5 X 120 LAG SCREW
|
Facility
IP
|
$1,869.55
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603047
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,402.16 |
| Max. Negotiated Rate |
$1,738.68 |
| Rate for Payer: Aetna Commercial |
$1,615.29
|
| Rate for Payer: Cash Price |
$1,159.12
|
| Rate for Payer: Cigna All Commercial |
$1,613.42
|
| Rate for Payer: CORVEL All Commercial |
$1,738.68
|
| Rate for Payer: Coventry All Commercial |
$1,645.20
|
| Rate for Payer: Encore All Commercial |
$1,720.92
|
| Rate for Payer: Frontpath All Commercial |
$1,719.99
|
| Rate for Payer: Humana ChoiceCare |
$1,614.73
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,682.60
|
| Rate for Payer: PHCS All Commercial |
$1,402.16
|
| Rate for Payer: PHP All Commercial |
$1,417.87
|
| Rate for Payer: Sagamore Health Network All Products |
$1,443.29
|
| Rate for Payer: Signature Care EPO |
$1,551.73
|
| Rate for Payer: Signature Care PPO |
$1,645.20
|
| Rate for Payer: United Healthcare Commercial |
$1,473.21
|
|
|
HC Z NAIL 10.5 X 120 LAG SCREW
|
Facility
OP
|
$1,869.55
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603047
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$1,738.68 |
| Rate for Payer: Aetna Commercial |
$1,577.90
|
| Rate for Payer: Aetna Medicare |
$616.95
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$616.95
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,073.68
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,168.66
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$709.49
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$678.65
|
| Rate for Payer: Cash Price |
$1,159.12
|
| Rate for Payer: Cash Price |
$1,159.12
|
| Rate for Payer: Centivo All Commercial |
$953.47
|
| Rate for Payer: Cigna All Commercial |
$1,613.42
|
| Rate for Payer: CORVEL All Commercial |
$1,738.68
|
| Rate for Payer: Coventry All Commercial |
$1,645.20
|
| Rate for Payer: Encore All Commercial |
$1,720.92
|
| Rate for Payer: Frontpath All Commercial |
$1,719.99
|
| Rate for Payer: Humana ChoiceCare |
$1,614.73
|
| Rate for Payer: Humana Medicare |
$953.47
|
| Rate for Payer: Lucent All Commercial |
$953.47
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,682.60
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,402.16
|
| Rate for Payer: PHP All Commercial |
$1,417.87
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$729.12
|
| Rate for Payer: Sagamore Health Network All Products |
$1,443.29
|
| Rate for Payer: Signature Care EPO |
$1,551.73
|
| Rate for Payer: Signature Care PPO |
$1,645.20
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,589.12
|
| Rate for Payer: United Healthcare Commercial |
$1,473.21
|
| Rate for Payer: United Healthcare Medicare |
$616.95
|
|
|
HC Z NAIL 10.5X120 LAG SCREW HFN
|
Facility
IP
|
$2,279.77
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606615
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,709.83 |
| Max. Negotiated Rate |
$2,120.19 |
| Rate for Payer: Aetna Commercial |
$1,969.72
|
| Rate for Payer: Cash Price |
$1,413.46
|
| Rate for Payer: Cigna All Commercial |
$1,967.44
|
| Rate for Payer: CORVEL All Commercial |
$2,120.19
|
| Rate for Payer: Coventry All Commercial |
$2,006.20
|
| Rate for Payer: Encore All Commercial |
$2,098.53
|
| Rate for Payer: Frontpath All Commercial |
$2,097.39
|
| Rate for Payer: Humana ChoiceCare |
$1,969.04
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,051.79
|
| Rate for Payer: PHCS All Commercial |
$1,709.83
|
| Rate for Payer: PHP All Commercial |
$1,728.98
|
| Rate for Payer: Sagamore Health Network All Products |
$1,759.98
|
| Rate for Payer: Signature Care EPO |
$1,892.21
|
| Rate for Payer: Signature Care PPO |
$2,006.20
|
| Rate for Payer: United Healthcare Commercial |
$1,796.46
|
|
|
HC Z NAIL 10.5X120 LAG SCREW HFN
|
Facility
OP
|
$2,279.77
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606615
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$2,120.19 |
| Rate for Payer: Aetna Commercial |
$1,924.13
|
| Rate for Payer: Aetna Medicare |
$752.32
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$752.32
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,309.27
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,425.08
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$865.17
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$827.56
|
| Rate for Payer: Cash Price |
$1,413.46
|
| Rate for Payer: Cash Price |
$1,413.46
|
| Rate for Payer: Centivo All Commercial |
$1,162.68
|
| Rate for Payer: Cigna All Commercial |
$1,967.44
|
| Rate for Payer: CORVEL All Commercial |
$2,120.19
|
| Rate for Payer: Coventry All Commercial |
$2,006.20
|
| Rate for Payer: Encore All Commercial |
$2,098.53
|
| Rate for Payer: Frontpath All Commercial |
$2,097.39
|
| Rate for Payer: Humana ChoiceCare |
$1,969.04
|
| Rate for Payer: Humana Medicare |
$1,162.68
|
| Rate for Payer: Lucent All Commercial |
$1,162.68
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,051.79
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,709.83
|
| Rate for Payer: PHP All Commercial |
$1,728.98
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$889.11
|
| Rate for Payer: Sagamore Health Network All Products |
$1,759.98
|
| Rate for Payer: Signature Care EPO |
$1,892.21
|
| Rate for Payer: Signature Care PPO |
$2,006.20
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,937.80
|
| Rate for Payer: United Healthcare Commercial |
$1,796.46
|
| Rate for Payer: United Healthcare Medicare |
$752.32
|
|
