|
HC Z NAIL TIB UNIV 10X30
|
Facility
IP
|
$5,632.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41607476
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$4,224.45 |
| Max. Negotiated Rate |
$5,238.32 |
| Rate for Payer: Aetna Commercial |
$4,866.57
|
| Rate for Payer: Cash Price |
$3,492.21
|
| Rate for Payer: Cigna All Commercial |
$4,860.93
|
| Rate for Payer: CORVEL All Commercial |
$5,238.32
|
| Rate for Payer: Coventry All Commercial |
$4,956.69
|
| Rate for Payer: Encore All Commercial |
$5,184.81
|
| Rate for Payer: Frontpath All Commercial |
$5,181.99
|
| Rate for Payer: Humana ChoiceCare |
$4,864.88
|
| Rate for Payer: Lutheran Preferred All Commercial |
$5,069.34
|
| Rate for Payer: PHCS All Commercial |
$4,224.45
|
| Rate for Payer: PHP All Commercial |
$4,271.76
|
| Rate for Payer: Sagamore Health Network All Products |
$4,348.37
|
| Rate for Payer: Signature Care EPO |
$4,675.06
|
| Rate for Payer: Signature Care PPO |
$4,956.69
|
| Rate for Payer: United Healthcare Commercial |
$4,438.49
|
|
|
HC Z NAIL TIB UNIV 10X30
|
Facility
OP
|
$5,632.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41607476
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$5,238.32 |
| Rate for Payer: Aetna Commercial |
$4,753.91
|
| Rate for Payer: Aetna Medicare |
$1,858.76
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,858.76
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$3,234.80
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$3,520.94
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$2,137.57
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$2,044.63
|
| Rate for Payer: Cash Price |
$3,492.21
|
| Rate for Payer: Cash Price |
$3,492.21
|
| Rate for Payer: Centivo All Commercial |
$2,872.63
|
| Rate for Payer: Cigna All Commercial |
$4,860.93
|
| Rate for Payer: CORVEL All Commercial |
$5,238.32
|
| Rate for Payer: Coventry All Commercial |
$4,956.69
|
| Rate for Payer: Encore All Commercial |
$5,184.81
|
| Rate for Payer: Frontpath All Commercial |
$5,181.99
|
| Rate for Payer: Humana ChoiceCare |
$4,864.88
|
| Rate for Payer: Humana Medicare |
$2,872.63
|
| Rate for Payer: Lucent All Commercial |
$2,872.63
|
| Rate for Payer: Lutheran Preferred All Commercial |
$5,069.34
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$4,224.45
|
| Rate for Payer: PHP All Commercial |
$4,271.76
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$2,196.71
|
| Rate for Payer: Sagamore Health Network All Products |
$4,348.37
|
| Rate for Payer: Signature Care EPO |
$4,675.06
|
| Rate for Payer: Signature Care PPO |
$4,956.69
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$4,787.71
|
| Rate for Payer: United Healthcare Commercial |
$4,438.49
|
| Rate for Payer: United Healthcare Medicare |
$1,858.76
|
|
|
HC Z NAIL TIB UNIV 10X34
|
Facility
IP
|
$5,632.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603903
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$4,224.45 |
| Max. Negotiated Rate |
$5,238.32 |
| Rate for Payer: Aetna Commercial |
$4,866.57
|
| Rate for Payer: Cash Price |
$3,492.21
|
| Rate for Payer: Cigna All Commercial |
$4,860.93
|
| Rate for Payer: CORVEL All Commercial |
$5,238.32
|
| Rate for Payer: Coventry All Commercial |
$4,956.69
|
| Rate for Payer: Encore All Commercial |
$5,184.81
|
| Rate for Payer: Frontpath All Commercial |
$5,181.99
|
| Rate for Payer: Humana ChoiceCare |
$4,864.88
|
| Rate for Payer: Lutheran Preferred All Commercial |
$5,069.34
|
| Rate for Payer: PHCS All Commercial |
$4,224.45
|
| Rate for Payer: PHP All Commercial |
$4,271.76
|
| Rate for Payer: Sagamore Health Network All Products |
$4,348.37
|
| Rate for Payer: Signature Care EPO |
$4,675.06
|
| Rate for Payer: Signature Care PPO |
$4,956.69
|
| Rate for Payer: United Healthcare Commercial |
$4,438.49
|
|
|
HC Z NAIL TIB UNIV 10X34
|
Facility
OP
|
$5,632.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603903
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$5,238.32 |
| Rate for Payer: Aetna Commercial |
$4,753.91
|
| Rate for Payer: Aetna Medicare |
$1,858.76
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,858.76
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$3,234.80
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$3,520.94
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$2,137.57
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$2,044.63
|
| Rate for Payer: Cash Price |
$3,492.21
|
| Rate for Payer: Cash Price |
$3,492.21
|
| Rate for Payer: Centivo All Commercial |
$2,872.63
|
| Rate for Payer: Cigna All Commercial |
$4,860.93
|
| Rate for Payer: CORVEL All Commercial |
$5,238.32
|
| Rate for Payer: Coventry All Commercial |
$4,956.69
|
| Rate for Payer: Encore All Commercial |
$5,184.81
|
| Rate for Payer: Frontpath All Commercial |
$5,181.99
|
| Rate for Payer: Humana ChoiceCare |
$4,864.88
|
| Rate for Payer: Humana Medicare |
$2,872.63
|
| Rate for Payer: Lucent All Commercial |
$2,872.63
|
| Rate for Payer: Lutheran Preferred All Commercial |
$5,069.34
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$4,224.45
|
| Rate for Payer: PHP All Commercial |
$4,271.76
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$2,196.71
|
| Rate for Payer: Sagamore Health Network All Products |
$4,348.37
|
| Rate for Payer: Signature Care EPO |
$4,675.06
|
| Rate for Payer: Signature Care PPO |
$4,956.69
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$4,787.71
|
| Rate for Payer: United Healthcare Commercial |
$4,438.49
|
| Rate for Payer: United Healthcare Medicare |
$1,858.76
|
|
|
HC Z NAIL TIB UNIV 12X36
|
Facility
IP
|
$5,632.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41608028
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$4,224.45 |
| Max. Negotiated Rate |
$5,238.32 |
| Rate for Payer: Aetna Commercial |
$4,866.57
|
| Rate for Payer: Cash Price |
$3,492.21
|
| Rate for Payer: Cigna All Commercial |
$4,860.93
|
| Rate for Payer: CORVEL All Commercial |
$5,238.32
|
| Rate for Payer: Coventry All Commercial |
$4,956.69
|
| Rate for Payer: Encore All Commercial |
$5,184.81
|
| Rate for Payer: Frontpath All Commercial |
$5,181.99
|
| Rate for Payer: Humana ChoiceCare |
$4,864.88
|
| Rate for Payer: Lutheran Preferred All Commercial |
$5,069.34
|
| Rate for Payer: PHCS All Commercial |
$4,224.45
|
| Rate for Payer: PHP All Commercial |
$4,271.76
|
| Rate for Payer: Sagamore Health Network All Products |
$4,348.37
|
| Rate for Payer: Signature Care EPO |
$4,675.06
|
| Rate for Payer: Signature Care PPO |
$4,956.69
|
| Rate for Payer: United Healthcare Commercial |
$4,438.49
|
|
|
HC Z NAIL TIB UNIV 12X36
|
Facility
OP
|
$5,632.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41608028
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$5,238.32 |
| Rate for Payer: Aetna Commercial |
$4,753.91
|
| Rate for Payer: Aetna Medicare |
$1,858.76
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,858.76
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$3,234.80
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$3,520.94
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$2,137.57
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$2,044.63
|
| Rate for Payer: Cash Price |
$3,492.21
|
| Rate for Payer: Cash Price |
$3,492.21
|
| Rate for Payer: Centivo All Commercial |
$2,872.63
|
| Rate for Payer: Cigna All Commercial |
$4,860.93
|
| Rate for Payer: CORVEL All Commercial |
$5,238.32
|
| Rate for Payer: Coventry All Commercial |
$4,956.69
|
| Rate for Payer: Encore All Commercial |
$5,184.81
|
| Rate for Payer: Frontpath All Commercial |
$5,181.99
|
| Rate for Payer: Humana ChoiceCare |
$4,864.88
|
| Rate for Payer: Humana Medicare |
$2,872.63
|
| Rate for Payer: Lucent All Commercial |
$2,872.63
|
| Rate for Payer: Lutheran Preferred All Commercial |
$5,069.34
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$4,224.45
|
| Rate for Payer: PHP All Commercial |
$4,271.76
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$2,196.71
|
| Rate for Payer: Sagamore Health Network All Products |
$4,348.37
|
| Rate for Payer: Signature Care EPO |
$4,675.06
|
| Rate for Payer: Signature Care PPO |
$4,956.69
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$4,787.71
|
| Rate for Payer: United Healthcare Commercial |
$4,438.49
|
| Rate for Payer: United Healthcare Medicare |
$1,858.76
|
|
|
HC Z NAIL TIB UNIV 8.3X34
|
Facility
IP
|
$5,632.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603896
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$4,224.45 |
| Max. Negotiated Rate |
$5,238.32 |
| Rate for Payer: Aetna Commercial |
$4,866.57
|
| Rate for Payer: Cash Price |
$3,492.21
|
| Rate for Payer: Cigna All Commercial |
$4,860.93
|
| Rate for Payer: CORVEL All Commercial |
$5,238.32
|
| Rate for Payer: Coventry All Commercial |
$4,956.69
|
| Rate for Payer: Encore All Commercial |
$5,184.81
|
| Rate for Payer: Frontpath All Commercial |
$5,181.99
|
| Rate for Payer: Humana ChoiceCare |
$4,864.88
|
| Rate for Payer: Lutheran Preferred All Commercial |
$5,069.34
|
| Rate for Payer: PHCS All Commercial |
$4,224.45
|
| Rate for Payer: PHP All Commercial |
$4,271.76
|
| Rate for Payer: Sagamore Health Network All Products |
$4,348.37
|
| Rate for Payer: Signature Care EPO |
$4,675.06
|
| Rate for Payer: Signature Care PPO |
$4,956.69
|
| Rate for Payer: United Healthcare Commercial |
$4,438.49
|
|
|
HC Z NAIL TIB UNIV 8.3X34
|
Facility
OP
|
$5,632.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603896
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$5,238.32 |
| Rate for Payer: Aetna Commercial |
$4,753.91
|
| Rate for Payer: Aetna Medicare |
$1,858.76
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,858.76
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$3,234.80
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$3,520.94
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$2,137.57
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$2,044.63
|
| Rate for Payer: Cash Price |
$3,492.21
|
| Rate for Payer: Cash Price |
$3,492.21
|
| Rate for Payer: Centivo All Commercial |
$2,872.63
|
| Rate for Payer: Cigna All Commercial |
$4,860.93
|
| Rate for Payer: CORVEL All Commercial |
$5,238.32
|
| Rate for Payer: Coventry All Commercial |
$4,956.69
|
| Rate for Payer: Encore All Commercial |
$5,184.81
|
| Rate for Payer: Frontpath All Commercial |
$5,181.99
|
| Rate for Payer: Humana ChoiceCare |
$4,864.88
|
| Rate for Payer: Humana Medicare |
$2,872.63
|
| Rate for Payer: Lucent All Commercial |
$2,872.63
|
| Rate for Payer: Lutheran Preferred All Commercial |
$5,069.34
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$4,224.45
|
| Rate for Payer: PHP All Commercial |
$4,271.76
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$2,196.71
|
| Rate for Payer: Sagamore Health Network All Products |
$4,348.37
|
| Rate for Payer: Signature Care EPO |
$4,675.06
|
| Rate for Payer: Signature Care PPO |
$4,956.69
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$4,787.71
|
| Rate for Payer: United Healthcare Commercial |
$4,438.49
|
| Rate for Payer: United Healthcare Medicare |
$1,858.76
|
|
|
HC Z NAIL TIB UNIV 9.3X32
|
Facility
OP
|
$5,632.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606654
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$5,238.32 |
| Rate for Payer: Aetna Commercial |
$4,753.91
|
| Rate for Payer: Aetna Medicare |
$1,858.76
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,858.76
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$3,234.80
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$3,520.94
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$2,137.57
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$2,044.63
|
| Rate for Payer: Cash Price |
$3,492.21
|
| Rate for Payer: Cash Price |
$3,492.21
|
| Rate for Payer: Centivo All Commercial |
$2,872.63
|
| Rate for Payer: Cigna All Commercial |
$4,860.93
|
| Rate for Payer: CORVEL All Commercial |
$5,238.32
|
| Rate for Payer: Coventry All Commercial |
$4,956.69
|
| Rate for Payer: Encore All Commercial |
$5,184.81
|
| Rate for Payer: Frontpath All Commercial |
$5,181.99
|
| Rate for Payer: Humana ChoiceCare |
$4,864.88
|
| Rate for Payer: Humana Medicare |
$2,872.63
|
| Rate for Payer: Lucent All Commercial |
$2,872.63
|
| Rate for Payer: Lutheran Preferred All Commercial |
$5,069.34
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$4,224.45
|
| Rate for Payer: PHP All Commercial |
$4,271.76
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$2,196.71
|
| Rate for Payer: Sagamore Health Network All Products |
$4,348.37
|
| Rate for Payer: Signature Care EPO |
$4,675.06
|
| Rate for Payer: Signature Care PPO |
$4,956.69
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$4,787.71
|
| Rate for Payer: United Healthcare Commercial |
$4,438.49
|
| Rate for Payer: United Healthcare Medicare |
$1,858.76
|
|
|
HC Z NAIL TIB UNIV 9.3X32
|
Facility
IP
|
$5,632.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606654
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$4,224.45 |
| Max. Negotiated Rate |
$5,238.32 |
| Rate for Payer: Aetna Commercial |
$4,866.57
|
| Rate for Payer: Cash Price |
$3,492.21
|
| Rate for Payer: Cigna All Commercial |
$4,860.93
|
| Rate for Payer: CORVEL All Commercial |
$5,238.32
|
| Rate for Payer: Coventry All Commercial |
$4,956.69
|
| Rate for Payer: Encore All Commercial |
$5,184.81
|
| Rate for Payer: Frontpath All Commercial |
$5,181.99
|
| Rate for Payer: Humana ChoiceCare |
$4,864.88
|
| Rate for Payer: Lutheran Preferred All Commercial |
$5,069.34
|
| Rate for Payer: PHCS All Commercial |
$4,224.45
|
| Rate for Payer: PHP All Commercial |
$4,271.76
|
| Rate for Payer: Sagamore Health Network All Products |
$4,348.37
|
| Rate for Payer: Signature Care EPO |
$4,675.06
|
| Rate for Payer: Signature Care PPO |
$4,956.69
|
| Rate for Payer: United Healthcare Commercial |
$4,438.49
|
|
|
HC Z NAIL TIB UNIV 9.3X34
|
Facility
OP
|
$5,632.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603904
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$5,238.32 |
| Rate for Payer: Aetna Commercial |
$4,753.91
|
| Rate for Payer: Aetna Medicare |
$1,858.76
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,858.76
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$3,234.80
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$3,520.94
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$2,137.57
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$2,044.63
|
| Rate for Payer: Cash Price |
$3,492.21
|
| Rate for Payer: Cash Price |
$3,492.21
|
| Rate for Payer: Centivo All Commercial |
$2,872.63
|
| Rate for Payer: Cigna All Commercial |
$4,860.93
|
| Rate for Payer: CORVEL All Commercial |
$5,238.32
|
| Rate for Payer: Coventry All Commercial |
$4,956.69
|
| Rate for Payer: Encore All Commercial |
$5,184.81
|
| Rate for Payer: Frontpath All Commercial |
$5,181.99
|
| Rate for Payer: Humana ChoiceCare |
$4,864.88
|
| Rate for Payer: Humana Medicare |
$2,872.63
|
| Rate for Payer: Lucent All Commercial |
$2,872.63
|
| Rate for Payer: Lutheran Preferred All Commercial |
$5,069.34
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$4,224.45
|
| Rate for Payer: PHP All Commercial |
$4,271.76
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$2,196.71
|
| Rate for Payer: Sagamore Health Network All Products |
$4,348.37
|
| Rate for Payer: Signature Care EPO |
$4,675.06
|
| Rate for Payer: Signature Care PPO |
$4,956.69
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$4,787.71
|
| Rate for Payer: United Healthcare Commercial |
$4,438.49
|
| Rate for Payer: United Healthcare Medicare |
$1,858.76
|
|
|
HC Z NAIL TIB UNIV 9.3X34
|
Facility
IP
|
$5,632.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603904
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$4,224.45 |
| Max. Negotiated Rate |
$5,238.32 |
| Rate for Payer: Aetna Commercial |
$4,866.57
|
| Rate for Payer: Cash Price |
$3,492.21
|
| Rate for Payer: Cigna All Commercial |
$4,860.93
|
| Rate for Payer: CORVEL All Commercial |
$5,238.32
|
| Rate for Payer: Coventry All Commercial |
$4,956.69
|
| Rate for Payer: Encore All Commercial |
$5,184.81
|
| Rate for Payer: Frontpath All Commercial |
$5,181.99
|
| Rate for Payer: Humana ChoiceCare |
$4,864.88
|
| Rate for Payer: Lutheran Preferred All Commercial |
$5,069.34
|
| Rate for Payer: PHCS All Commercial |
$4,224.45
|
| Rate for Payer: PHP All Commercial |
$4,271.76
|
| Rate for Payer: Sagamore Health Network All Products |
$4,348.37
|
| Rate for Payer: Signature Care EPO |
$4,675.06
|
| Rate for Payer: Signature Care PPO |
$4,956.69
|
| Rate for Payer: United Healthcare Commercial |
$4,438.49
|
|
|
HC Z NAIL UNIV 10MMX36CM RF
|
Facility
OP
|
$7,310.41
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603457
|
|
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 UNIV 10MMX36CM RF
|
Facility
IP
|
$7,310.41
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603457
|
|
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 UNIV 10X34 RF
|
Facility
IP
|
$7,310.41
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606197
|
|
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 UNIV 10X34 RF
|
Facility
OP
|
$7,310.41
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606197
|
|
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 UNIV 13X38 RF
|
Facility
IP
|
$7,310.41
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606502
|
|
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 UNIV 13X38 RF
|
Facility
OP
|
$7,310.41
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606502
|
|
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 NEXGEN 14MM EF 5-6 GREEN
|
Facility
OP
|
$8,303.18
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606101
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$7,721.96 |
| Rate for Payer: Aetna Commercial |
$7,007.88
|
| Rate for Payer: Aetna Medicare |
$2,740.05
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$2,740.05
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$4,768.52
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$5,190.32
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$3,151.06
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$3,014.05
|
| Rate for Payer: Cash Price |
$5,147.97
|
| Rate for Payer: Cash Price |
$5,147.97
|
| Rate for Payer: Centivo All Commercial |
$4,234.62
|
| Rate for Payer: Cigna All Commercial |
$7,165.64
|
| Rate for Payer: CORVEL All Commercial |
$7,721.96
|
| Rate for Payer: Coventry All Commercial |
$7,306.80
|
| Rate for Payer: Encore All Commercial |
$7,643.08
|
| Rate for Payer: Frontpath All Commercial |
$7,638.93
|
| Rate for Payer: Humana ChoiceCare |
$7,171.46
|
| Rate for Payer: Humana Medicare |
$4,234.62
|
| Rate for Payer: Lucent All Commercial |
$4,234.62
|
| Rate for Payer: Lutheran Preferred All Commercial |
$7,472.86
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$6,227.38
|
| Rate for Payer: PHP All Commercial |
$6,297.13
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$3,238.24
|
| Rate for Payer: Sagamore Health Network All Products |
$6,410.05
|
| Rate for Payer: Signature Care EPO |
$6,891.64
|
| Rate for Payer: Signature Care PPO |
$7,306.80
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$7,057.70
|
| Rate for Payer: United Healthcare Commercial |
$6,542.91
|
| Rate for Payer: United Healthcare Medicare |
$2,740.05
|
|
|
HC Z NEXGEN 14MM EF 5-6 GREEN
|
Facility
IP
|
$8,303.18
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606101
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$6,227.38 |
| Max. Negotiated Rate |
$7,721.96 |
| Rate for Payer: Aetna Commercial |
$7,173.95
|
| Rate for Payer: Cash Price |
$5,147.97
|
| Rate for Payer: Cigna All Commercial |
$7,165.64
|
| Rate for Payer: CORVEL All Commercial |
$7,721.96
|
| Rate for Payer: Coventry All Commercial |
$7,306.80
|
| Rate for Payer: Encore All Commercial |
$7,643.08
|
| Rate for Payer: Frontpath All Commercial |
$7,638.93
|
| Rate for Payer: Humana ChoiceCare |
$7,171.46
|
| Rate for Payer: Lutheran Preferred All Commercial |
$7,472.86
|
| Rate for Payer: PHCS All Commercial |
$6,227.38
|
| Rate for Payer: PHP All Commercial |
$6,297.13
|
| Rate for Payer: Sagamore Health Network All Products |
$6,410.05
|
| Rate for Payer: Signature Care EPO |
$6,891.64
|
| Rate for Payer: Signature Care PPO |
$7,306.80
|
| Rate for Payer: United Healthcare Commercial |
$6,542.91
|
|
|
HC Z NEXGEN 17MM EF 5-6 GREEN
|
Facility
OP
|
$8,303.18
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606100
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$7,721.96 |
| Rate for Payer: Aetna Commercial |
$7,007.88
|
| Rate for Payer: Aetna Medicare |
$2,740.05
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$2,740.05
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$4,768.52
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$5,190.32
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$3,151.06
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$3,014.05
|
| Rate for Payer: Cash Price |
$5,147.97
|
| Rate for Payer: Cash Price |
$5,147.97
|
| Rate for Payer: Centivo All Commercial |
$4,234.62
|
| Rate for Payer: Cigna All Commercial |
$7,165.64
|
| Rate for Payer: CORVEL All Commercial |
$7,721.96
|
| Rate for Payer: Coventry All Commercial |
$7,306.80
|
| Rate for Payer: Encore All Commercial |
$7,643.08
|
| Rate for Payer: Frontpath All Commercial |
$7,638.93
|
| Rate for Payer: Humana ChoiceCare |
$7,171.46
|
| Rate for Payer: Humana Medicare |
$4,234.62
|
| Rate for Payer: Lucent All Commercial |
$4,234.62
|
| Rate for Payer: Lutheran Preferred All Commercial |
$7,472.86
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$6,227.38
|
| Rate for Payer: PHP All Commercial |
$6,297.13
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$3,238.24
|
| Rate for Payer: Sagamore Health Network All Products |
$6,410.05
|
| Rate for Payer: Signature Care EPO |
$6,891.64
|
| Rate for Payer: Signature Care PPO |
$7,306.80
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$7,057.70
|
| Rate for Payer: United Healthcare Commercial |
$6,542.91
|
| Rate for Payer: United Healthcare Medicare |
$2,740.05
|
|
|
HC Z NEXGEN 17MM EF 5-6 GREEN
|
Facility
IP
|
$8,303.18
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606100
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$6,227.38 |
| Max. Negotiated Rate |
$7,721.96 |
| Rate for Payer: Aetna Commercial |
$7,173.95
|
| Rate for Payer: Cash Price |
$5,147.97
|
| Rate for Payer: Cigna All Commercial |
$7,165.64
|
| Rate for Payer: CORVEL All Commercial |
$7,721.96
|
| Rate for Payer: Coventry All Commercial |
$7,306.80
|
| Rate for Payer: Encore All Commercial |
$7,643.08
|
| Rate for Payer: Frontpath All Commercial |
$7,638.93
|
| Rate for Payer: Humana ChoiceCare |
$7,171.46
|
| Rate for Payer: Lutheran Preferred All Commercial |
$7,472.86
|
| Rate for Payer: PHCS All Commercial |
$6,227.38
|
| Rate for Payer: PHP All Commercial |
$6,297.13
|
| Rate for Payer: Sagamore Health Network All Products |
$6,410.05
|
| Rate for Payer: Signature Care EPO |
$6,891.64
|
| Rate for Payer: Signature Care PPO |
$7,306.80
|
| Rate for Payer: United Healthcare Commercial |
$6,542.91
|
|
|
HC Z NEXGEN 5MM REVERSE CURETTE
|
Facility
IP
|
$2,335.00
|
|
| Hospital Charge Code |
41606106
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,751.25 |
| Max. Negotiated Rate |
$2,171.55 |
| Rate for Payer: Aetna Commercial |
$2,017.44
|
| Rate for Payer: Cash Price |
$1,447.70
|
| Rate for Payer: Cigna All Commercial |
$2,015.10
|
| Rate for Payer: CORVEL All Commercial |
$2,171.55
|
| Rate for Payer: Coventry All Commercial |
$2,054.80
|
| Rate for Payer: Encore All Commercial |
$2,149.37
|
| Rate for Payer: Frontpath All Commercial |
$2,148.20
|
| Rate for Payer: Humana ChoiceCare |
$2,016.74
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,101.50
|
| Rate for Payer: PHCS All Commercial |
$1,751.25
|
| Rate for Payer: PHP All Commercial |
$1,770.86
|
| Rate for Payer: Sagamore Health Network All Products |
$1,802.62
|
| Rate for Payer: Signature Care EPO |
$1,938.05
|
| Rate for Payer: Signature Care PPO |
$2,054.80
|
| Rate for Payer: United Healthcare Commercial |
$1,839.98
|
|
|
HC Z NEXGEN 5MM REVERSE CURETTE
|
Facility
OP
|
$2,335.00
|
|
| Hospital Charge Code |
41606106
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$2,171.55 |
| Rate for Payer: Aetna Commercial |
$1,970.74
|
| Rate for Payer: Aetna Medicare |
$770.55
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$770.55
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,340.99
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,459.61
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$886.13
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$847.60
|
| Rate for Payer: Cash Price |
$1,447.70
|
| Rate for Payer: Cash Price |
$1,447.70
|
| Rate for Payer: Centivo All Commercial |
$1,190.85
|
| Rate for Payer: Cigna All Commercial |
$2,015.10
|
| Rate for Payer: CORVEL All Commercial |
$2,171.55
|
| Rate for Payer: Coventry All Commercial |
$2,054.80
|
| Rate for Payer: Encore All Commercial |
$2,149.37
|
| Rate for Payer: Frontpath All Commercial |
$2,148.20
|
| Rate for Payer: Humana ChoiceCare |
$2,016.74
|
| Rate for Payer: Humana Medicare |
$1,190.85
|
| Rate for Payer: Lucent All Commercial |
$1,190.85
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,101.50
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$1,751.25
|
| Rate for Payer: PHP All Commercial |
$1,770.86
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$910.65
|
| Rate for Payer: Sagamore Health Network All Products |
$1,802.62
|
| Rate for Payer: Signature Care EPO |
$1,938.05
|
| Rate for Payer: Signature Care PPO |
$2,054.80
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,984.75
|
| Rate for Payer: United Healthcare Commercial |
$1,839.98
|
| Rate for Payer: United Healthcare Medicare |
$770.55
|
|
|
HC Z NEXGEN 60MM TIP EXTENDER
|
Facility
IP
|
$2,335.00
|
|
| Hospital Charge Code |
41606105
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,751.25 |
| Max. Negotiated Rate |
$2,171.55 |
| Rate for Payer: Aetna Commercial |
$2,017.44
|
| Rate for Payer: Cash Price |
$1,447.70
|
| Rate for Payer: Cigna All Commercial |
$2,015.10
|
| Rate for Payer: CORVEL All Commercial |
$2,171.55
|
| Rate for Payer: Coventry All Commercial |
$2,054.80
|
| Rate for Payer: Encore All Commercial |
$2,149.37
|
| Rate for Payer: Frontpath All Commercial |
$2,148.20
|
| Rate for Payer: Humana ChoiceCare |
$2,016.74
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,101.50
|
| Rate for Payer: PHCS All Commercial |
$1,751.25
|
| Rate for Payer: PHP All Commercial |
$1,770.86
|
| Rate for Payer: Sagamore Health Network All Products |
$1,802.62
|
| Rate for Payer: Signature Care EPO |
$1,938.05
|
| Rate for Payer: Signature Care PPO |
$2,054.80
|
| Rate for Payer: United Healthcare Commercial |
$1,839.98
|
|
