|
HC Z NAIL 10.5 X 125 LAG SCREW
|
Facility
OP
|
$1,869.55
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603048
|
|
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 125 LAG SCREW
|
Facility
IP
|
$1,869.55
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603048
|
|
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 10.5X125 LAG SCREW
|
Facility
OP
|
$2,279.77
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606522
|
|
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 10.5X125 LAG SCREW
|
Facility
IP
|
$2,279.77
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606522
|
|
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 10.5 X 130 LAG SCREW
|
Facility
OP
|
$1,869.55
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603049
|
|
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 130 LAG SCREW
|
Facility
IP
|
$1,869.55
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603049
|
|
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 70 LAG SCREW
|
Facility
IP
|
$1,869.55
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603042
|
|
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 70 LAG SCREW
|
Facility
OP
|
$1,869.55
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603042
|
|
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 75 LAG SCREW
|
Facility
IP
|
$1,869.55
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603043
|
|
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 75 LAG SCREW
|
Facility
OP
|
$1,869.55
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603043
|
|
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 80 LAG SCREW
|
Facility
OP
|
$1,869.55
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603044
|
|
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 80 LAG SCREW
|
Facility
IP
|
$1,869.55
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603044
|
|
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 85 LAG SCREW
|
Facility
IP
|
$1,869.55
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603015
|
|
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 85 LAG SCREW
|
Facility
OP
|
$1,869.55
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603015
|
|
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 10.5X85 LAG SCREW HFN
|
Facility
IP
|
$2,279.77
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41607032
|
|
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 10.5X85 LAG SCREW HFN
|
Facility
OP
|
$2,279.77
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41607032
|
|
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 90 LAG SCREW
|
Facility
OP
|
$1,869.55
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603016
|
|
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 90 LAG SCREW
|
Facility
IP
|
$1,869.55
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603016
|
|
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 10.5X90 LAG SCREW HFN
|
Facility
OP
|
$2,279.77
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41607009
|
|
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 10.5X90 LAG SCREW HFN
|
Facility
IP
|
$2,279.77
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41607009
|
|
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 10.5 X 95 LAG SCREW
|
Facility
OP
|
$2,279.77
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606949
|
|
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 95 LAG SCREW
|
Facility
IP
|
$2,279.77
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606949
|
|
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 11.5X24 SHT UNIV
|
Facility
IP
|
$7,310.41
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606995
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$5,482.81 |
| Max. Negotiated Rate |
$6,798.68 |
| Rate for Payer: Aetna Commercial |
$6,316.19
|
| Rate for Payer: Cash Price |
$4,532.45
|
| Rate for Payer: Cigna All Commercial |
$6,308.88
|
| Rate for Payer: CORVEL All Commercial |
$6,798.68
|
| Rate for Payer: Coventry All Commercial |
$6,433.16
|
| Rate for Payer: Encore All Commercial |
$6,729.23
|
| Rate for Payer: Frontpath All Commercial |
$6,725.58
|
| Rate for Payer: Humana ChoiceCare |
$6,314.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$6,579.37
|
| Rate for Payer: PHCS All Commercial |
$5,482.81
|
| Rate for Payer: PHP All Commercial |
$5,544.21
|
| Rate for Payer: Sagamore Health Network All Products |
$5,643.64
|
| Rate for Payer: Signature Care EPO |
$6,067.64
|
| Rate for Payer: Signature Care PPO |
$6,433.16
|
| Rate for Payer: United Healthcare Commercial |
$5,760.60
|
|
|
HC Z NAIL 11.5X24 SHT UNIV
|
Facility
OP
|
$7,310.41
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606995
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$6,798.68 |
| Rate for Payer: Aetna Commercial |
$6,169.99
|
| Rate for Payer: Aetna Medicare |
$2,412.44
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$2,412.44
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$4,198.37
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$4,569.74
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$2,774.30
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$2,653.68
|
| Rate for Payer: Cash Price |
$4,532.45
|
| Rate for Payer: Cash Price |
$4,532.45
|
| Rate for Payer: Centivo All Commercial |
$3,728.31
|
| Rate for Payer: Cigna All Commercial |
$6,308.88
|
| Rate for Payer: CORVEL All Commercial |
$6,798.68
|
| Rate for Payer: Coventry All Commercial |
$6,433.16
|
| Rate for Payer: Encore All Commercial |
$6,729.23
|
| Rate for Payer: Frontpath All Commercial |
$6,725.58
|
| Rate for Payer: Humana ChoiceCare |
$6,314.00
|
| Rate for Payer: Humana Medicare |
$3,728.31
|
| Rate for Payer: Lucent All Commercial |
$3,728.31
|
| Rate for Payer: Lutheran Preferred All Commercial |
$6,579.37
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$5,482.81
|
| Rate for Payer: PHP All Commercial |
$5,544.21
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$2,851.06
|
| Rate for Payer: Sagamore Health Network All Products |
$5,643.64
|
| Rate for Payer: Signature Care EPO |
$6,067.64
|
| Rate for Payer: Signature Care PPO |
$6,433.16
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$6,213.85
|
| Rate for Payer: United Healthcare Commercial |
$5,760.60
|
| Rate for Payer: United Healthcare Medicare |
$2,412.44
|
|
|
HC Z NAIL 11X180 HFN 130 DEG
|
Facility
OP
|
$5,719.43
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606521
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$5,319.07 |
| Rate for Payer: Aetna Commercial |
$4,827.20
|
| Rate for Payer: Aetna Medicare |
$1,887.41
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,887.41
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$3,284.67
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$3,575.22
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$2,170.52
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$2,076.15
|
| Rate for Payer: Cash Price |
$3,546.05
|
| Rate for Payer: Cash Price |
$3,546.05
|
| Rate for Payer: Centivo All Commercial |
$2,916.91
|
| Rate for Payer: Cigna All Commercial |
$4,935.87
|
| Rate for Payer: CORVEL All Commercial |
$5,319.07
|
| Rate for Payer: Coventry All Commercial |
$5,033.10
|
| Rate for Payer: Encore All Commercial |
$5,264.74
|
| Rate for Payer: Frontpath All Commercial |
$5,261.88
|
| Rate for Payer: Humana ChoiceCare |
$4,939.87
|
| Rate for Payer: Humana Medicare |
$2,916.91
|
| Rate for Payer: Lucent All Commercial |
$2,916.91
|
| Rate for Payer: Lutheran Preferred All Commercial |
$5,147.49
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$4,289.57
|
| Rate for Payer: PHP All Commercial |
$4,337.62
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$2,230.58
|
| Rate for Payer: Sagamore Health Network All Products |
$4,415.40
|
| Rate for Payer: Signature Care EPO |
$4,747.13
|
| Rate for Payer: Signature Care PPO |
$5,033.10
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$4,861.52
|
| Rate for Payer: United Healthcare Commercial |
$4,506.91
|
| Rate for Payer: United Healthcare Medicare |
$1,887.41
|
|
