|
HC Z NAIL CPM 13MM X 42CM 125 R
|
Facility
OP
|
$7,741.84
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602973
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$7,199.91 |
| Rate for Payer: Aetna Commercial |
$6,534.11
|
| Rate for Payer: Aetna Medicare |
$2,554.81
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$2,554.81
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$4,446.14
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$4,839.42
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$2,938.03
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$2,810.29
|
| Rate for Payer: Cash Price |
$4,799.94
|
| Rate for Payer: Cash Price |
$4,799.94
|
| Rate for Payer: Centivo All Commercial |
$3,948.34
|
| Rate for Payer: Cigna All Commercial |
$6,681.21
|
| Rate for Payer: CORVEL All Commercial |
$7,199.91
|
| Rate for Payer: Coventry All Commercial |
$6,812.82
|
| Rate for Payer: Encore All Commercial |
$7,126.36
|
| Rate for Payer: Frontpath All Commercial |
$7,122.49
|
| Rate for Payer: Humana ChoiceCare |
$6,686.63
|
| Rate for Payer: Humana Medicare |
$3,948.34
|
| Rate for Payer: Lucent All Commercial |
$3,948.34
|
| Rate for Payer: Lutheran Preferred All Commercial |
$6,967.66
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$5,806.38
|
| Rate for Payer: PHP All Commercial |
$5,871.41
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$3,019.32
|
| Rate for Payer: Sagamore Health Network All Products |
$5,976.70
|
| Rate for Payer: Signature Care EPO |
$6,425.73
|
| Rate for Payer: Signature Care PPO |
$6,812.82
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$6,580.56
|
| Rate for Payer: United Healthcare Commercial |
$6,100.57
|
| Rate for Payer: United Healthcare Medicare |
$2,554.81
|
|
|
HC Z NAIL CPM 13MM X 42CM 130 L
|
Facility
OP
|
$7,741.84
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603014
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$7,199.91 |
| Rate for Payer: Aetna Commercial |
$6,534.11
|
| Rate for Payer: Aetna Medicare |
$2,554.81
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$2,554.81
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$4,446.14
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$4,839.42
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$2,938.03
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$2,810.29
|
| Rate for Payer: Cash Price |
$4,799.94
|
| Rate for Payer: Cash Price |
$4,799.94
|
| Rate for Payer: Centivo All Commercial |
$3,948.34
|
| Rate for Payer: Cigna All Commercial |
$6,681.21
|
| Rate for Payer: CORVEL All Commercial |
$7,199.91
|
| Rate for Payer: Coventry All Commercial |
$6,812.82
|
| Rate for Payer: Encore All Commercial |
$7,126.36
|
| Rate for Payer: Frontpath All Commercial |
$7,122.49
|
| Rate for Payer: Humana ChoiceCare |
$6,686.63
|
| Rate for Payer: Humana Medicare |
$3,948.34
|
| Rate for Payer: Lucent All Commercial |
$3,948.34
|
| Rate for Payer: Lutheran Preferred All Commercial |
$6,967.66
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$5,806.38
|
| Rate for Payer: PHP All Commercial |
$5,871.41
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$3,019.32
|
| Rate for Payer: Sagamore Health Network All Products |
$5,976.70
|
| Rate for Payer: Signature Care EPO |
$6,425.73
|
| Rate for Payer: Signature Care PPO |
$6,812.82
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$6,580.56
|
| Rate for Payer: United Healthcare Commercial |
$6,100.57
|
| Rate for Payer: United Healthcare Medicare |
$2,554.81
|
|
|
HC Z NAIL CPM 13MM X 42CM 130 L
|
Facility
IP
|
$7,741.84
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603014
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$5,806.38 |
| Max. Negotiated Rate |
$7,199.91 |
| Rate for Payer: Aetna Commercial |
$6,688.95
|
| Rate for Payer: Cash Price |
$4,799.94
|
| Rate for Payer: Cigna All Commercial |
$6,681.21
|
| Rate for Payer: CORVEL All Commercial |
$7,199.91
|
| Rate for Payer: Coventry All Commercial |
$6,812.82
|
| Rate for Payer: Encore All Commercial |
$7,126.36
|
| Rate for Payer: Frontpath All Commercial |
$7,122.49
|
| Rate for Payer: Humana ChoiceCare |
$6,686.63
|
| Rate for Payer: Lutheran Preferred All Commercial |
$6,967.66
|
| Rate for Payer: PHCS All Commercial |
$5,806.38
|
| Rate for Payer: PHP All Commercial |
$5,871.41
|
| Rate for Payer: Sagamore Health Network All Products |
$5,976.70
|
| Rate for Payer: Signature Care EPO |
$6,425.73
|
| Rate for Payer: Signature Care PPO |
$6,812.82
|
| Rate for Payer: United Healthcare Commercial |
$6,100.57
|
|
|
HC Z NAIL CPM 13MM X 42CM 130 R
|
Facility
OP
|
$7,741.84
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602975
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$7,199.91 |
| Rate for Payer: Aetna Commercial |
$6,534.11
|
| Rate for Payer: Aetna Medicare |
$2,554.81
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$2,554.81
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$4,446.14
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$4,839.42
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$2,938.03
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$2,810.29
|
| Rate for Payer: Cash Price |
$4,799.94
|
| Rate for Payer: Cash Price |
$4,799.94
|
| Rate for Payer: Centivo All Commercial |
$3,948.34
|
| Rate for Payer: Cigna All Commercial |
$6,681.21
|
| Rate for Payer: CORVEL All Commercial |
$7,199.91
|
| Rate for Payer: Coventry All Commercial |
$6,812.82
|
| Rate for Payer: Encore All Commercial |
$7,126.36
|
| Rate for Payer: Frontpath All Commercial |
$7,122.49
|
| Rate for Payer: Humana ChoiceCare |
$6,686.63
|
| Rate for Payer: Humana Medicare |
$3,948.34
|
| Rate for Payer: Lucent All Commercial |
$3,948.34
|
| Rate for Payer: Lutheran Preferred All Commercial |
$6,967.66
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$5,806.38
|
| Rate for Payer: PHP All Commercial |
$5,871.41
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$3,019.32
|
| Rate for Payer: Sagamore Health Network All Products |
$5,976.70
|
| Rate for Payer: Signature Care EPO |
$6,425.73
|
| Rate for Payer: Signature Care PPO |
$6,812.82
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$6,580.56
|
| Rate for Payer: United Healthcare Commercial |
$6,100.57
|
| Rate for Payer: United Healthcare Medicare |
$2,554.81
|
|
|
HC Z NAIL CPM 13MM X 42CM 130 R
|
Facility
IP
|
$7,741.84
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602975
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$5,806.38 |
| Max. Negotiated Rate |
$7,199.91 |
| Rate for Payer: Aetna Commercial |
$6,688.95
|
| Rate for Payer: Cash Price |
$4,799.94
|
| Rate for Payer: Cigna All Commercial |
$6,681.21
|
| Rate for Payer: CORVEL All Commercial |
$7,199.91
|
| Rate for Payer: Coventry All Commercial |
$6,812.82
|
| Rate for Payer: Encore All Commercial |
$7,126.36
|
| Rate for Payer: Frontpath All Commercial |
$7,122.49
|
| Rate for Payer: Humana ChoiceCare |
$6,686.63
|
| Rate for Payer: Lutheran Preferred All Commercial |
$6,967.66
|
| Rate for Payer: PHCS All Commercial |
$5,806.38
|
| Rate for Payer: PHP All Commercial |
$5,871.41
|
| Rate for Payer: Sagamore Health Network All Products |
$5,976.70
|
| Rate for Payer: Signature Care EPO |
$6,425.73
|
| Rate for Payer: Signature Care PPO |
$6,812.82
|
| Rate for Payer: United Healthcare Commercial |
$6,100.57
|
|
|
HC Z NAIL CPM NEU NAIL CAP 0MM
|
Facility
OP
|
$965.40
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603050
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$318.58 |
| Max. Negotiated Rate |
$897.82 |
| Rate for Payer: Aetna Commercial |
$814.80
|
| Rate for Payer: Aetna Medicare |
$318.58
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$318.58
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$554.43
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$603.47
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$366.37
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$350.44
|
| Rate for Payer: Cash Price |
$598.55
|
| Rate for Payer: Cash Price |
$598.55
|
| Rate for Payer: Centivo All Commercial |
$492.35
|
| Rate for Payer: Cigna All Commercial |
$833.14
|
| Rate for Payer: CORVEL All Commercial |
$897.82
|
| Rate for Payer: Coventry All Commercial |
$849.55
|
| Rate for Payer: Encore All Commercial |
$888.65
|
| Rate for Payer: Frontpath All Commercial |
$888.17
|
| Rate for Payer: Humana ChoiceCare |
$833.82
|
| Rate for Payer: Humana Medicare |
$492.35
|
| Rate for Payer: Lucent All Commercial |
$492.35
|
| Rate for Payer: Lutheran Preferred All Commercial |
$868.86
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$724.05
|
| Rate for Payer: PHP All Commercial |
$732.16
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$376.51
|
| Rate for Payer: Sagamore Health Network All Products |
$745.29
|
| Rate for Payer: Signature Care EPO |
$801.28
|
| Rate for Payer: Signature Care PPO |
$849.55
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$820.59
|
| Rate for Payer: United Healthcare Commercial |
$760.74
|
| Rate for Payer: United Healthcare Medicare |
$318.58
|
|
|
HC Z NAIL CPM NEU NAIL CAP 0MM
|
Facility
IP
|
$965.40
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603050
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$724.05 |
| Max. Negotiated Rate |
$897.82 |
| Rate for Payer: Aetna Commercial |
$834.11
|
| Rate for Payer: Cash Price |
$598.55
|
| Rate for Payer: Cigna All Commercial |
$833.14
|
| Rate for Payer: CORVEL All Commercial |
$897.82
|
| Rate for Payer: Coventry All Commercial |
$849.55
|
| Rate for Payer: Encore All Commercial |
$888.65
|
| Rate for Payer: Frontpath All Commercial |
$888.17
|
| Rate for Payer: Humana ChoiceCare |
$833.82
|
| Rate for Payer: Lutheran Preferred All Commercial |
$868.86
|
| Rate for Payer: PHCS All Commercial |
$724.05
|
| Rate for Payer: PHP All Commercial |
$732.16
|
| Rate for Payer: Sagamore Health Network All Products |
$745.29
|
| Rate for Payer: Signature Care EPO |
$801.28
|
| Rate for Payer: Signature Care PPO |
$849.55
|
| Rate for Payer: United Healthcare Commercial |
$760.74
|
|
|
HC Z NAIL CPM NEU NAIL CAP 10MM
|
Facility
IP
|
$965.40
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603052
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$724.05 |
| Max. Negotiated Rate |
$897.82 |
| Rate for Payer: Aetna Commercial |
$834.11
|
| Rate for Payer: Cash Price |
$598.55
|
| Rate for Payer: Cigna All Commercial |
$833.14
|
| Rate for Payer: CORVEL All Commercial |
$897.82
|
| Rate for Payer: Coventry All Commercial |
$849.55
|
| Rate for Payer: Encore All Commercial |
$888.65
|
| Rate for Payer: Frontpath All Commercial |
$888.17
|
| Rate for Payer: Humana ChoiceCare |
$833.82
|
| Rate for Payer: Lutheran Preferred All Commercial |
$868.86
|
| Rate for Payer: PHCS All Commercial |
$724.05
|
| Rate for Payer: PHP All Commercial |
$732.16
|
| Rate for Payer: Sagamore Health Network All Products |
$745.29
|
| Rate for Payer: Signature Care EPO |
$801.28
|
| Rate for Payer: Signature Care PPO |
$849.55
|
| Rate for Payer: United Healthcare Commercial |
$760.74
|
|
|
HC Z NAIL CPM NEU NAIL CAP 10MM
|
Facility
OP
|
$965.40
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603052
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$318.58 |
| Max. Negotiated Rate |
$897.82 |
| Rate for Payer: Aetna Commercial |
$814.80
|
| Rate for Payer: Aetna Medicare |
$318.58
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$318.58
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$554.43
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$603.47
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$366.37
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$350.44
|
| Rate for Payer: Cash Price |
$598.55
|
| Rate for Payer: Cash Price |
$598.55
|
| Rate for Payer: Centivo All Commercial |
$492.35
|
| Rate for Payer: Cigna All Commercial |
$833.14
|
| Rate for Payer: CORVEL All Commercial |
$897.82
|
| Rate for Payer: Coventry All Commercial |
$849.55
|
| Rate for Payer: Encore All Commercial |
$888.65
|
| Rate for Payer: Frontpath All Commercial |
$888.17
|
| Rate for Payer: Humana ChoiceCare |
$833.82
|
| Rate for Payer: Humana Medicare |
$492.35
|
| Rate for Payer: Lucent All Commercial |
$492.35
|
| Rate for Payer: Lutheran Preferred All Commercial |
$868.86
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$724.05
|
| Rate for Payer: PHP All Commercial |
$732.16
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$376.51
|
| Rate for Payer: Sagamore Health Network All Products |
$745.29
|
| Rate for Payer: Signature Care EPO |
$801.28
|
| Rate for Payer: Signature Care PPO |
$849.55
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$820.59
|
| Rate for Payer: United Healthcare Commercial |
$760.74
|
| Rate for Payer: United Healthcare Medicare |
$318.58
|
|
|
HC Z NAIL CPM NEU NAIL CAP 15MM
|
Facility
IP
|
$965.40
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603053
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$724.05 |
| Max. Negotiated Rate |
$897.82 |
| Rate for Payer: Aetna Commercial |
$834.11
|
| Rate for Payer: Cash Price |
$598.55
|
| Rate for Payer: Cigna All Commercial |
$833.14
|
| Rate for Payer: CORVEL All Commercial |
$897.82
|
| Rate for Payer: Coventry All Commercial |
$849.55
|
| Rate for Payer: Encore All Commercial |
$888.65
|
| Rate for Payer: Frontpath All Commercial |
$888.17
|
| Rate for Payer: Humana ChoiceCare |
$833.82
|
| Rate for Payer: Lutheran Preferred All Commercial |
$868.86
|
| Rate for Payer: PHCS All Commercial |
$724.05
|
| Rate for Payer: PHP All Commercial |
$732.16
|
| Rate for Payer: Sagamore Health Network All Products |
$745.29
|
| Rate for Payer: Signature Care EPO |
$801.28
|
| Rate for Payer: Signature Care PPO |
$849.55
|
| Rate for Payer: United Healthcare Commercial |
$760.74
|
|
|
HC Z NAIL CPM NEU NAIL CAP 15MM
|
Facility
OP
|
$965.40
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603053
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$318.58 |
| Max. Negotiated Rate |
$897.82 |
| Rate for Payer: Aetna Commercial |
$814.80
|
| Rate for Payer: Aetna Medicare |
$318.58
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$318.58
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$554.43
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$603.47
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$366.37
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$350.44
|
| Rate for Payer: Cash Price |
$598.55
|
| Rate for Payer: Cash Price |
$598.55
|
| Rate for Payer: Centivo All Commercial |
$492.35
|
| Rate for Payer: Cigna All Commercial |
$833.14
|
| Rate for Payer: CORVEL All Commercial |
$897.82
|
| Rate for Payer: Coventry All Commercial |
$849.55
|
| Rate for Payer: Encore All Commercial |
$888.65
|
| Rate for Payer: Frontpath All Commercial |
$888.17
|
| Rate for Payer: Humana ChoiceCare |
$833.82
|
| Rate for Payer: Humana Medicare |
$492.35
|
| Rate for Payer: Lucent All Commercial |
$492.35
|
| Rate for Payer: Lutheran Preferred All Commercial |
$868.86
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$724.05
|
| Rate for Payer: PHP All Commercial |
$732.16
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$376.51
|
| Rate for Payer: Sagamore Health Network All Products |
$745.29
|
| Rate for Payer: Signature Care EPO |
$801.28
|
| Rate for Payer: Signature Care PPO |
$849.55
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$820.59
|
| Rate for Payer: United Healthcare Commercial |
$760.74
|
| Rate for Payer: United Healthcare Medicare |
$318.58
|
|
|
HC Z NAIL CPM NEU NAIL CAP 5MM
|
Facility
OP
|
$965.40
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603051
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$318.58 |
| Max. Negotiated Rate |
$897.82 |
| Rate for Payer: Aetna Commercial |
$814.80
|
| Rate for Payer: Aetna Medicare |
$318.58
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$318.58
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$554.43
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$603.47
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$366.37
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$350.44
|
| Rate for Payer: Cash Price |
$598.55
|
| Rate for Payer: Cash Price |
$598.55
|
| Rate for Payer: Centivo All Commercial |
$492.35
|
| Rate for Payer: Cigna All Commercial |
$833.14
|
| Rate for Payer: CORVEL All Commercial |
$897.82
|
| Rate for Payer: Coventry All Commercial |
$849.55
|
| Rate for Payer: Encore All Commercial |
$888.65
|
| Rate for Payer: Frontpath All Commercial |
$888.17
|
| Rate for Payer: Humana ChoiceCare |
$833.82
|
| Rate for Payer: Humana Medicare |
$492.35
|
| Rate for Payer: Lucent All Commercial |
$492.35
|
| Rate for Payer: Lutheran Preferred All Commercial |
$868.86
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$724.05
|
| Rate for Payer: PHP All Commercial |
$732.16
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$376.51
|
| Rate for Payer: Sagamore Health Network All Products |
$745.29
|
| Rate for Payer: Signature Care EPO |
$801.28
|
| Rate for Payer: Signature Care PPO |
$849.55
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$820.59
|
| Rate for Payer: United Healthcare Commercial |
$760.74
|
| Rate for Payer: United Healthcare Medicare |
$318.58
|
|
|
HC Z NAIL CPM NEU NAIL CAP 5MM
|
Facility
IP
|
$965.40
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603051
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$724.05 |
| Max. Negotiated Rate |
$897.82 |
| Rate for Payer: Aetna Commercial |
$834.11
|
| Rate for Payer: Cash Price |
$598.55
|
| Rate for Payer: Cigna All Commercial |
$833.14
|
| Rate for Payer: CORVEL All Commercial |
$897.82
|
| Rate for Payer: Coventry All Commercial |
$849.55
|
| Rate for Payer: Encore All Commercial |
$888.65
|
| Rate for Payer: Frontpath All Commercial |
$888.17
|
| Rate for Payer: Humana ChoiceCare |
$833.82
|
| Rate for Payer: Lutheran Preferred All Commercial |
$868.86
|
| Rate for Payer: PHCS All Commercial |
$724.05
|
| Rate for Payer: PHP All Commercial |
$732.16
|
| Rate for Payer: Sagamore Health Network All Products |
$745.29
|
| Rate for Payer: Signature Care EPO |
$801.28
|
| Rate for Payer: Signature Care PPO |
$849.55
|
| Rate for Payer: United Healthcare Commercial |
$760.74
|
|
|
HC Z NAIL D13X360 RETRO
|
Facility
IP
|
$14,336.28
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41607918
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$10,752.21 |
| Max. Negotiated Rate |
$13,332.74 |
| Rate for Payer: Aetna Commercial |
$12,386.55
|
| Rate for Payer: Cash Price |
$8,888.49
|
| Rate for Payer: Cigna All Commercial |
$12,372.21
|
| Rate for Payer: CORVEL All Commercial |
$13,332.74
|
| Rate for Payer: Coventry All Commercial |
$12,615.93
|
| Rate for Payer: Encore All Commercial |
$13,196.55
|
| Rate for Payer: Frontpath All Commercial |
$13,189.38
|
| Rate for Payer: Humana ChoiceCare |
$12,382.25
|
| Rate for Payer: Lutheran Preferred All Commercial |
$12,902.65
|
| Rate for Payer: PHCS All Commercial |
$10,752.21
|
| Rate for Payer: PHP All Commercial |
$10,872.63
|
| Rate for Payer: Sagamore Health Network All Products |
$11,067.61
|
| Rate for Payer: Signature Care EPO |
$11,899.11
|
| Rate for Payer: Signature Care PPO |
$12,615.93
|
| Rate for Payer: United Healthcare Commercial |
$11,296.99
|
|
|
HC Z NAIL D13X360 RETRO
|
Facility
OP
|
$14,336.28
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41607918
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$13,332.74 |
| Rate for Payer: Aetna Commercial |
$12,099.82
|
| Rate for Payer: Aetna Medicare |
$4,730.97
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$4,730.97
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$8,233.33
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$8,961.61
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$5,440.62
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$5,204.07
|
| Rate for Payer: Cash Price |
$8,888.49
|
| Rate for Payer: Cash Price |
$8,888.49
|
| Rate for Payer: Centivo All Commercial |
$7,311.50
|
| Rate for Payer: Cigna All Commercial |
$12,372.21
|
| Rate for Payer: CORVEL All Commercial |
$13,332.74
|
| Rate for Payer: Coventry All Commercial |
$12,615.93
|
| Rate for Payer: Encore All Commercial |
$13,196.55
|
| Rate for Payer: Frontpath All Commercial |
$13,189.38
|
| Rate for Payer: Humana ChoiceCare |
$12,382.25
|
| Rate for Payer: Humana Medicare |
$7,311.50
|
| Rate for Payer: Lucent All Commercial |
$7,311.50
|
| Rate for Payer: Lutheran Preferred All Commercial |
$12,902.65
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$10,752.21
|
| Rate for Payer: PHP All Commercial |
$10,872.63
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$5,591.15
|
| Rate for Payer: Sagamore Health Network All Products |
$11,067.61
|
| Rate for Payer: Signature Care EPO |
$11,899.11
|
| Rate for Payer: Signature Care PPO |
$12,615.93
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$12,185.84
|
| Rate for Payer: United Healthcare Commercial |
$11,296.99
|
| Rate for Payer: United Healthcare Medicare |
$4,730.97
|
|
|
HC Z NAIL LAG SCREW 10.5 X 110
|
Facility
IP
|
$1,869.55
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602618
|
|
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 LAG SCREW 10.5 X 110
|
Facility
OP
|
$1,869.55
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602618
|
|
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 LAG SCREW 10.5 X 95
|
Facility
IP
|
$1,869.55
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602571
|
|
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 LAG SCREW 10.5 X 95
|
Facility
OP
|
$1,869.55
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602571
|
|
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 RET FEM CAP 0MM
|
Facility
OP
|
$948.80
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606996
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$313.10 |
| Max. Negotiated Rate |
$882.38 |
| Rate for Payer: Aetna Commercial |
$800.79
|
| Rate for Payer: Aetna Medicare |
$313.10
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$313.10
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$544.90
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$593.09
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$360.07
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$344.41
|
| Rate for Payer: Cash Price |
$588.26
|
| Rate for Payer: Cash Price |
$588.26
|
| Rate for Payer: Centivo All Commercial |
$483.89
|
| Rate for Payer: Cigna All Commercial |
$818.81
|
| Rate for Payer: CORVEL All Commercial |
$882.38
|
| Rate for Payer: Coventry All Commercial |
$834.94
|
| Rate for Payer: Encore All Commercial |
$873.37
|
| Rate for Payer: Frontpath All Commercial |
$872.90
|
| Rate for Payer: Humana ChoiceCare |
$819.48
|
| Rate for Payer: Humana Medicare |
$483.89
|
| Rate for Payer: Lucent All Commercial |
$483.89
|
| Rate for Payer: Lutheran Preferred All Commercial |
$853.92
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$711.60
|
| Rate for Payer: PHP All Commercial |
$719.57
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$370.03
|
| Rate for Payer: Sagamore Health Network All Products |
$732.47
|
| Rate for Payer: Signature Care EPO |
$787.50
|
| Rate for Payer: Signature Care PPO |
$834.94
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$806.48
|
| Rate for Payer: United Healthcare Commercial |
$747.65
|
| Rate for Payer: United Healthcare Medicare |
$313.10
|
|
|
HC Z NAIL RET FEM CAP 0MM
|
Facility
IP
|
$948.80
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606996
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$711.60 |
| Max. Negotiated Rate |
$882.38 |
| Rate for Payer: Aetna Commercial |
$819.76
|
| Rate for Payer: Cash Price |
$588.26
|
| Rate for Payer: Cigna All Commercial |
$818.81
|
| Rate for Payer: CORVEL All Commercial |
$882.38
|
| Rate for Payer: Coventry All Commercial |
$834.94
|
| Rate for Payer: Encore All Commercial |
$873.37
|
| Rate for Payer: Frontpath All Commercial |
$872.90
|
| Rate for Payer: Humana ChoiceCare |
$819.48
|
| Rate for Payer: Lutheran Preferred All Commercial |
$853.92
|
| Rate for Payer: PHCS All Commercial |
$711.60
|
| Rate for Payer: PHP All Commercial |
$719.57
|
| Rate for Payer: Sagamore Health Network All Products |
$732.47
|
| Rate for Payer: Signature Care EPO |
$787.50
|
| Rate for Payer: Signature Care PPO |
$834.94
|
| Rate for Payer: United Healthcare Commercial |
$747.65
|
|
|
HC Z NAIL SCREW CORT 5X35
|
Facility
IP
|
$932.15
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602570
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$699.11 |
| Max. Negotiated Rate |
$866.90 |
| Rate for Payer: Aetna Commercial |
$805.38
|
| Rate for Payer: Cash Price |
$577.93
|
| Rate for Payer: Cigna All Commercial |
$804.45
|
| Rate for Payer: CORVEL All Commercial |
$866.90
|
| Rate for Payer: Coventry All Commercial |
$820.29
|
| Rate for Payer: Encore All Commercial |
$858.04
|
| Rate for Payer: Frontpath All Commercial |
$857.58
|
| Rate for Payer: Humana ChoiceCare |
$805.10
|
| Rate for Payer: Lutheran Preferred All Commercial |
$838.94
|
| Rate for Payer: PHCS All Commercial |
$699.11
|
| Rate for Payer: PHP All Commercial |
$706.94
|
| Rate for Payer: Sagamore Health Network All Products |
$719.62
|
| Rate for Payer: Signature Care EPO |
$773.68
|
| Rate for Payer: Signature Care PPO |
$820.29
|
| Rate for Payer: United Healthcare Commercial |
$734.53
|
|
|
HC Z NAIL SCREW CORT 5X35
|
Facility
OP
|
$932.15
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41602570
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$307.61 |
| Max. Negotiated Rate |
$866.90 |
| Rate for Payer: Aetna Commercial |
$786.73
|
| Rate for Payer: Aetna Medicare |
$307.61
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$307.61
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$535.33
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$582.69
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$353.75
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$338.37
|
| Rate for Payer: Cash Price |
$577.93
|
| Rate for Payer: Cash Price |
$577.93
|
| Rate for Payer: Centivo All Commercial |
$475.40
|
| Rate for Payer: Cigna All Commercial |
$804.45
|
| Rate for Payer: CORVEL All Commercial |
$866.90
|
| Rate for Payer: Coventry All Commercial |
$820.29
|
| Rate for Payer: Encore All Commercial |
$858.04
|
| Rate for Payer: Frontpath All Commercial |
$857.58
|
| Rate for Payer: Humana ChoiceCare |
$805.10
|
| Rate for Payer: Humana Medicare |
$475.40
|
| Rate for Payer: Lucent All Commercial |
$475.40
|
| Rate for Payer: Lutheran Preferred All Commercial |
$838.94
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$699.11
|
| Rate for Payer: PHP All Commercial |
$706.94
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$363.54
|
| Rate for Payer: Sagamore Health Network All Products |
$719.62
|
| Rate for Payer: Signature Care EPO |
$773.68
|
| Rate for Payer: Signature Care PPO |
$820.29
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$792.33
|
| Rate for Payer: United Healthcare Commercial |
$734.53
|
| Rate for Payer: United Healthcare Medicare |
$307.61
|
|
|
HC Z NAIL SET SCREW 8 MM
|
Facility
OP
|
$915.45
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603867
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$302.10 |
| Max. Negotiated Rate |
$851.37 |
| Rate for Payer: Aetna Commercial |
$772.64
|
| Rate for Payer: Aetna Medicare |
$302.10
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$302.10
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$525.74
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$572.25
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$347.41
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$332.31
|
| Rate for Payer: Cash Price |
$567.58
|
| Rate for Payer: Cash Price |
$567.58
|
| Rate for Payer: Centivo All Commercial |
$466.88
|
| Rate for Payer: Cigna All Commercial |
$790.03
|
| Rate for Payer: CORVEL All Commercial |
$851.37
|
| Rate for Payer: Coventry All Commercial |
$805.60
|
| Rate for Payer: Encore All Commercial |
$842.67
|
| Rate for Payer: Frontpath All Commercial |
$842.21
|
| Rate for Payer: Humana ChoiceCare |
$790.67
|
| Rate for Payer: Humana Medicare |
$466.88
|
| Rate for Payer: Lucent All Commercial |
$466.88
|
| Rate for Payer: Lutheran Preferred All Commercial |
$823.90
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$686.59
|
| Rate for Payer: PHP All Commercial |
$694.28
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$357.03
|
| Rate for Payer: Sagamore Health Network All Products |
$706.73
|
| Rate for Payer: Signature Care EPO |
$759.82
|
| Rate for Payer: Signature Care PPO |
$805.60
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$778.13
|
| Rate for Payer: United Healthcare Commercial |
$721.37
|
| Rate for Payer: United Healthcare Medicare |
$302.10
|
|
|
HC Z NAIL SET SCREW 8 MM
|
Facility
IP
|
$915.45
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603867
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$686.59 |
| Max. Negotiated Rate |
$851.37 |
| Rate for Payer: Aetna Commercial |
$790.95
|
| Rate for Payer: Cash Price |
$567.58
|
| Rate for Payer: Cigna All Commercial |
$790.03
|
| Rate for Payer: CORVEL All Commercial |
$851.37
|
| Rate for Payer: Coventry All Commercial |
$805.60
|
| Rate for Payer: Encore All Commercial |
$842.67
|
| Rate for Payer: Frontpath All Commercial |
$842.21
|
| Rate for Payer: Humana ChoiceCare |
$790.67
|
| Rate for Payer: Lutheran Preferred All Commercial |
$823.90
|
| Rate for Payer: PHCS All Commercial |
$686.59
|
| Rate for Payer: PHP All Commercial |
$694.28
|
| Rate for Payer: Sagamore Health Network All Products |
$706.73
|
| Rate for Payer: Signature Care EPO |
$759.82
|
| Rate for Payer: Signature Care PPO |
$805.60
|
| Rate for Payer: United Healthcare Commercial |
$721.37
|
|
