|
HC Z PLATE VOLAR RIM L ST
|
Facility
IP
|
$3,159.68
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606419
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,369.76 |
| Max. Negotiated Rate |
$2,938.50 |
| Rate for Payer: Aetna Commercial |
$2,729.96
|
| Rate for Payer: Cash Price |
$1,959.00
|
| Rate for Payer: Cigna All Commercial |
$2,726.80
|
| Rate for Payer: CORVEL All Commercial |
$2,938.50
|
| Rate for Payer: Coventry All Commercial |
$2,780.52
|
| Rate for Payer: Encore All Commercial |
$2,908.49
|
| Rate for Payer: Frontpath All Commercial |
$2,906.91
|
| Rate for Payer: Humana ChoiceCare |
$2,729.02
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,843.71
|
| Rate for Payer: PHCS All Commercial |
$2,369.76
|
| Rate for Payer: PHP All Commercial |
$2,396.30
|
| Rate for Payer: Sagamore Health Network All Products |
$2,439.27
|
| Rate for Payer: Signature Care EPO |
$2,622.53
|
| Rate for Payer: Signature Care PPO |
$2,780.52
|
| Rate for Payer: United Healthcare Commercial |
$2,489.83
|
|
|
HC Z PLATE VOLAR RIM NRW L
|
Facility
OP
|
$3,297.85
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606420
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$3,067.00 |
| Rate for Payer: Aetna Commercial |
$2,783.39
|
| Rate for Payer: Aetna Medicare |
$1,088.29
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,088.29
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,893.96
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$2,061.49
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,251.53
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,197.12
|
| Rate for Payer: Cash Price |
$2,044.67
|
| Rate for Payer: Cash Price |
$2,044.67
|
| Rate for Payer: Centivo All Commercial |
$1,681.90
|
| Rate for Payer: Cigna All Commercial |
$2,846.04
|
| Rate for Payer: CORVEL All Commercial |
$3,067.00
|
| Rate for Payer: Coventry All Commercial |
$2,902.11
|
| Rate for Payer: Encore All Commercial |
$3,035.67
|
| Rate for Payer: Frontpath All Commercial |
$3,034.02
|
| Rate for Payer: Humana ChoiceCare |
$2,848.35
|
| Rate for Payer: Humana Medicare |
$1,681.90
|
| Rate for Payer: Lucent All Commercial |
$1,681.90
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,968.06
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$2,473.39
|
| Rate for Payer: PHP All Commercial |
$2,501.09
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$1,286.16
|
| Rate for Payer: Sagamore Health Network All Products |
$2,545.94
|
| Rate for Payer: Signature Care EPO |
$2,737.22
|
| Rate for Payer: Signature Care PPO |
$2,902.11
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$2,803.17
|
| Rate for Payer: United Healthcare Commercial |
$2,598.71
|
| Rate for Payer: United Healthcare Medicare |
$1,088.29
|
|
|
HC Z PLATE VOLAR RIM NRW L
|
Facility
IP
|
$3,297.85
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606420
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,473.39 |
| Max. Negotiated Rate |
$3,067.00 |
| Rate for Payer: Aetna Commercial |
$2,849.34
|
| Rate for Payer: Cash Price |
$2,044.67
|
| Rate for Payer: Cigna All Commercial |
$2,846.04
|
| Rate for Payer: CORVEL All Commercial |
$3,067.00
|
| Rate for Payer: Coventry All Commercial |
$2,902.11
|
| Rate for Payer: Encore All Commercial |
$3,035.67
|
| Rate for Payer: Frontpath All Commercial |
$3,034.02
|
| Rate for Payer: Humana ChoiceCare |
$2,848.35
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,968.06
|
| Rate for Payer: PHCS All Commercial |
$2,473.39
|
| Rate for Payer: PHP All Commercial |
$2,501.09
|
| Rate for Payer: Sagamore Health Network All Products |
$2,545.94
|
| Rate for Payer: Signature Care EPO |
$2,737.22
|
| Rate for Payer: Signature Care PPO |
$2,902.11
|
| Rate for Payer: United Healthcare Commercial |
$2,598.71
|
|
|
HC Z PLATE VOLAR RIM NRW L ST
|
Facility
IP
|
$3,159.68
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606421
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,369.76 |
| Max. Negotiated Rate |
$2,938.50 |
| Rate for Payer: Aetna Commercial |
$2,729.96
|
| Rate for Payer: Cash Price |
$1,959.00
|
| Rate for Payer: Cigna All Commercial |
$2,726.80
|
| Rate for Payer: CORVEL All Commercial |
$2,938.50
|
| Rate for Payer: Coventry All Commercial |
$2,780.52
|
| Rate for Payer: Encore All Commercial |
$2,908.49
|
| Rate for Payer: Frontpath All Commercial |
$2,906.91
|
| Rate for Payer: Humana ChoiceCare |
$2,729.02
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,843.71
|
| Rate for Payer: PHCS All Commercial |
$2,369.76
|
| Rate for Payer: PHP All Commercial |
$2,396.30
|
| Rate for Payer: Sagamore Health Network All Products |
$2,439.27
|
| Rate for Payer: Signature Care EPO |
$2,622.53
|
| Rate for Payer: Signature Care PPO |
$2,780.52
|
| Rate for Payer: United Healthcare Commercial |
$2,489.83
|
|
|
HC Z PLATE VOLAR RIM NRW L ST
|
Facility
OP
|
$3,159.68
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606421
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$2,938.50 |
| Rate for Payer: Aetna Commercial |
$2,666.77
|
| Rate for Payer: Aetna Medicare |
$1,042.69
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,042.69
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,814.60
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,975.12
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,199.10
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,146.96
|
| Rate for Payer: Cash Price |
$1,959.00
|
| Rate for Payer: Cash Price |
$1,959.00
|
| Rate for Payer: Centivo All Commercial |
$1,611.44
|
| Rate for Payer: Cigna All Commercial |
$2,726.80
|
| Rate for Payer: CORVEL All Commercial |
$2,938.50
|
| Rate for Payer: Coventry All Commercial |
$2,780.52
|
| Rate for Payer: Encore All Commercial |
$2,908.49
|
| Rate for Payer: Frontpath All Commercial |
$2,906.91
|
| Rate for Payer: Humana ChoiceCare |
$2,729.02
|
| Rate for Payer: Humana Medicare |
$1,611.44
|
| Rate for Payer: Lucent All Commercial |
$1,611.44
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,843.71
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$2,369.76
|
| Rate for Payer: PHP All Commercial |
$2,396.30
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$1,232.28
|
| Rate for Payer: Sagamore Health Network All Products |
$2,439.27
|
| Rate for Payer: Signature Care EPO |
$2,622.53
|
| Rate for Payer: Signature Care PPO |
$2,780.52
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$2,685.73
|
| Rate for Payer: United Healthcare Commercial |
$2,489.83
|
| Rate for Payer: United Healthcare Medicare |
$1,042.69
|
|
|
HC Z PLATE VOLAR RIM NRW R
|
Facility
IP
|
$3,297.85
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606398
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,473.39 |
| Max. Negotiated Rate |
$3,067.00 |
| Rate for Payer: Aetna Commercial |
$2,849.34
|
| Rate for Payer: Cash Price |
$2,044.67
|
| Rate for Payer: Cigna All Commercial |
$2,846.04
|
| Rate for Payer: CORVEL All Commercial |
$3,067.00
|
| Rate for Payer: Coventry All Commercial |
$2,902.11
|
| Rate for Payer: Encore All Commercial |
$3,035.67
|
| Rate for Payer: Frontpath All Commercial |
$3,034.02
|
| Rate for Payer: Humana ChoiceCare |
$2,848.35
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,968.06
|
| Rate for Payer: PHCS All Commercial |
$2,473.39
|
| Rate for Payer: PHP All Commercial |
$2,501.09
|
| Rate for Payer: Sagamore Health Network All Products |
$2,545.94
|
| Rate for Payer: Signature Care EPO |
$2,737.22
|
| Rate for Payer: Signature Care PPO |
$2,902.11
|
| Rate for Payer: United Healthcare Commercial |
$2,598.71
|
|
|
HC Z PLATE VOLAR RIM NRW R
|
Facility
OP
|
$3,297.85
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606398
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$3,067.00 |
| Rate for Payer: Aetna Commercial |
$2,783.39
|
| Rate for Payer: Aetna Medicare |
$1,088.29
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,088.29
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,893.96
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$2,061.49
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,251.53
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,197.12
|
| Rate for Payer: Cash Price |
$2,044.67
|
| Rate for Payer: Cash Price |
$2,044.67
|
| Rate for Payer: Centivo All Commercial |
$1,681.90
|
| Rate for Payer: Cigna All Commercial |
$2,846.04
|
| Rate for Payer: CORVEL All Commercial |
$3,067.00
|
| Rate for Payer: Coventry All Commercial |
$2,902.11
|
| Rate for Payer: Encore All Commercial |
$3,035.67
|
| Rate for Payer: Frontpath All Commercial |
$3,034.02
|
| Rate for Payer: Humana ChoiceCare |
$2,848.35
|
| Rate for Payer: Humana Medicare |
$1,681.90
|
| Rate for Payer: Lucent All Commercial |
$1,681.90
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,968.06
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$2,473.39
|
| Rate for Payer: PHP All Commercial |
$2,501.09
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$1,286.16
|
| Rate for Payer: Sagamore Health Network All Products |
$2,545.94
|
| Rate for Payer: Signature Care EPO |
$2,737.22
|
| Rate for Payer: Signature Care PPO |
$2,902.11
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$2,803.17
|
| Rate for Payer: United Healthcare Commercial |
$2,598.71
|
| Rate for Payer: United Healthcare Medicare |
$1,088.29
|
|
|
HC Z PLATE VOLAR RIM NRW R ST
|
Facility
OP
|
$3,159.68
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606399
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$2,938.50 |
| Rate for Payer: Aetna Commercial |
$2,666.77
|
| Rate for Payer: Aetna Medicare |
$1,042.69
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,042.69
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,814.60
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,975.12
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,199.10
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,146.96
|
| Rate for Payer: Cash Price |
$1,959.00
|
| Rate for Payer: Cash Price |
$1,959.00
|
| Rate for Payer: Centivo All Commercial |
$1,611.44
|
| Rate for Payer: Cigna All Commercial |
$2,726.80
|
| Rate for Payer: CORVEL All Commercial |
$2,938.50
|
| Rate for Payer: Coventry All Commercial |
$2,780.52
|
| Rate for Payer: Encore All Commercial |
$2,908.49
|
| Rate for Payer: Frontpath All Commercial |
$2,906.91
|
| Rate for Payer: Humana ChoiceCare |
$2,729.02
|
| Rate for Payer: Humana Medicare |
$1,611.44
|
| Rate for Payer: Lucent All Commercial |
$1,611.44
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,843.71
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$2,369.76
|
| Rate for Payer: PHP All Commercial |
$2,396.30
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$1,232.28
|
| Rate for Payer: Sagamore Health Network All Products |
$2,439.27
|
| Rate for Payer: Signature Care EPO |
$2,622.53
|
| Rate for Payer: Signature Care PPO |
$2,780.52
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$2,685.73
|
| Rate for Payer: United Healthcare Commercial |
$2,489.83
|
| Rate for Payer: United Healthcare Medicare |
$1,042.69
|
|
|
HC Z PLATE VOLAR RIM NRW R ST
|
Facility
IP
|
$3,159.68
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606399
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,369.76 |
| Max. Negotiated Rate |
$2,938.50 |
| Rate for Payer: Aetna Commercial |
$2,729.96
|
| Rate for Payer: Cash Price |
$1,959.00
|
| Rate for Payer: Cigna All Commercial |
$2,726.80
|
| Rate for Payer: CORVEL All Commercial |
$2,938.50
|
| Rate for Payer: Coventry All Commercial |
$2,780.52
|
| Rate for Payer: Encore All Commercial |
$2,908.49
|
| Rate for Payer: Frontpath All Commercial |
$2,906.91
|
| Rate for Payer: Humana ChoiceCare |
$2,729.02
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,843.71
|
| Rate for Payer: PHCS All Commercial |
$2,369.76
|
| Rate for Payer: PHP All Commercial |
$2,396.30
|
| Rate for Payer: Sagamore Health Network All Products |
$2,439.27
|
| Rate for Payer: Signature Care EPO |
$2,622.53
|
| Rate for Payer: Signature Care PPO |
$2,780.52
|
| Rate for Payer: United Healthcare Commercial |
$2,489.83
|
|
|
HC Z PLATE VOLAR RIM R
|
Facility
OP
|
$3,297.85
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606396
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$3,067.00 |
| Rate for Payer: Aetna Commercial |
$2,783.39
|
| Rate for Payer: Aetna Medicare |
$1,088.29
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,088.29
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,893.96
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$2,061.49
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,251.53
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,197.12
|
| Rate for Payer: Cash Price |
$2,044.67
|
| Rate for Payer: Cash Price |
$2,044.67
|
| Rate for Payer: Centivo All Commercial |
$1,681.90
|
| Rate for Payer: Cigna All Commercial |
$2,846.04
|
| Rate for Payer: CORVEL All Commercial |
$3,067.00
|
| Rate for Payer: Coventry All Commercial |
$2,902.11
|
| Rate for Payer: Encore All Commercial |
$3,035.67
|
| Rate for Payer: Frontpath All Commercial |
$3,034.02
|
| Rate for Payer: Humana ChoiceCare |
$2,848.35
|
| Rate for Payer: Humana Medicare |
$1,681.90
|
| Rate for Payer: Lucent All Commercial |
$1,681.90
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,968.06
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$2,473.39
|
| Rate for Payer: PHP All Commercial |
$2,501.09
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$1,286.16
|
| Rate for Payer: Sagamore Health Network All Products |
$2,545.94
|
| Rate for Payer: Signature Care EPO |
$2,737.22
|
| Rate for Payer: Signature Care PPO |
$2,902.11
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$2,803.17
|
| Rate for Payer: United Healthcare Commercial |
$2,598.71
|
| Rate for Payer: United Healthcare Medicare |
$1,088.29
|
|
|
HC Z PLATE VOLAR RIM R
|
Facility
IP
|
$3,297.85
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606396
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,473.39 |
| Max. Negotiated Rate |
$3,067.00 |
| Rate for Payer: Aetna Commercial |
$2,849.34
|
| Rate for Payer: Cash Price |
$2,044.67
|
| Rate for Payer: Cigna All Commercial |
$2,846.04
|
| Rate for Payer: CORVEL All Commercial |
$3,067.00
|
| Rate for Payer: Coventry All Commercial |
$2,902.11
|
| Rate for Payer: Encore All Commercial |
$3,035.67
|
| Rate for Payer: Frontpath All Commercial |
$3,034.02
|
| Rate for Payer: Humana ChoiceCare |
$2,848.35
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,968.06
|
| Rate for Payer: PHCS All Commercial |
$2,473.39
|
| Rate for Payer: PHP All Commercial |
$2,501.09
|
| Rate for Payer: Sagamore Health Network All Products |
$2,545.94
|
| Rate for Payer: Signature Care EPO |
$2,737.22
|
| Rate for Payer: Signature Care PPO |
$2,902.11
|
| Rate for Payer: United Healthcare Commercial |
$2,598.71
|
|
|
HC Z PLATE VOLAR RIM R ST
|
Facility
OP
|
$3,159.68
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606397
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$2,938.50 |
| Rate for Payer: Aetna Commercial |
$2,666.77
|
| Rate for Payer: Aetna Medicare |
$1,042.69
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,042.69
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,814.60
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,975.12
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,199.10
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,146.96
|
| Rate for Payer: Cash Price |
$1,959.00
|
| Rate for Payer: Cash Price |
$1,959.00
|
| Rate for Payer: Centivo All Commercial |
$1,611.44
|
| Rate for Payer: Cigna All Commercial |
$2,726.80
|
| Rate for Payer: CORVEL All Commercial |
$2,938.50
|
| Rate for Payer: Coventry All Commercial |
$2,780.52
|
| Rate for Payer: Encore All Commercial |
$2,908.49
|
| Rate for Payer: Frontpath All Commercial |
$2,906.91
|
| Rate for Payer: Humana ChoiceCare |
$2,729.02
|
| Rate for Payer: Humana Medicare |
$1,611.44
|
| Rate for Payer: Lucent All Commercial |
$1,611.44
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,843.71
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$2,369.76
|
| Rate for Payer: PHP All Commercial |
$2,396.30
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$1,232.28
|
| Rate for Payer: Sagamore Health Network All Products |
$2,439.27
|
| Rate for Payer: Signature Care EPO |
$2,622.53
|
| Rate for Payer: Signature Care PPO |
$2,780.52
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$2,685.73
|
| Rate for Payer: United Healthcare Commercial |
$2,489.83
|
| Rate for Payer: United Healthcare Medicare |
$1,042.69
|
|
|
HC Z PLATE VOLAR RIM R ST
|
Facility
IP
|
$3,159.68
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606397
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,369.76 |
| Max. Negotiated Rate |
$2,938.50 |
| Rate for Payer: Aetna Commercial |
$2,729.96
|
| Rate for Payer: Cash Price |
$1,959.00
|
| Rate for Payer: Cigna All Commercial |
$2,726.80
|
| Rate for Payer: CORVEL All Commercial |
$2,938.50
|
| Rate for Payer: Coventry All Commercial |
$2,780.52
|
| Rate for Payer: Encore All Commercial |
$2,908.49
|
| Rate for Payer: Frontpath All Commercial |
$2,906.91
|
| Rate for Payer: Humana ChoiceCare |
$2,729.02
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,843.71
|
| Rate for Payer: PHCS All Commercial |
$2,369.76
|
| Rate for Payer: PHP All Commercial |
$2,396.30
|
| Rate for Payer: Sagamore Health Network All Products |
$2,439.27
|
| Rate for Payer: Signature Care EPO |
$2,622.53
|
| Rate for Payer: Signature Care PPO |
$2,780.52
|
| Rate for Payer: United Healthcare Commercial |
$2,489.83
|
|
|
HC Z PLATE VOLAR STND 3-H L
|
Facility
OP
|
$2,756.38
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603976
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$2,563.43 |
| Rate for Payer: Aetna Commercial |
$2,326.38
|
| Rate for Payer: Aetna Medicare |
$909.61
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$909.61
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,582.99
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,723.01
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,046.05
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,000.57
|
| Rate for Payer: Cash Price |
$1,708.96
|
| Rate for Payer: Cash Price |
$1,708.96
|
| Rate for Payer: Centivo All Commercial |
$1,405.75
|
| Rate for Payer: Cigna All Commercial |
$2,378.76
|
| Rate for Payer: CORVEL All Commercial |
$2,563.43
|
| Rate for Payer: Coventry All Commercial |
$2,425.61
|
| Rate for Payer: Encore All Commercial |
$2,537.25
|
| Rate for Payer: Frontpath All Commercial |
$2,535.87
|
| Rate for Payer: Humana ChoiceCare |
$2,380.69
|
| Rate for Payer: Humana Medicare |
$1,405.75
|
| Rate for Payer: Lucent All Commercial |
$1,405.75
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,480.74
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$2,067.28
|
| Rate for Payer: PHP All Commercial |
$2,090.44
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$1,074.99
|
| Rate for Payer: Sagamore Health Network All Products |
$2,127.93
|
| Rate for Payer: Signature Care EPO |
$2,287.80
|
| Rate for Payer: Signature Care PPO |
$2,425.61
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$2,342.92
|
| Rate for Payer: United Healthcare Commercial |
$2,172.03
|
| Rate for Payer: United Healthcare Medicare |
$909.61
|
|
|
HC Z PLATE VOLAR STND 3-H L
|
Facility
IP
|
$2,756.38
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603976
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,067.28 |
| Max. Negotiated Rate |
$2,563.43 |
| Rate for Payer: Aetna Commercial |
$2,381.51
|
| Rate for Payer: Cash Price |
$1,708.96
|
| Rate for Payer: Cigna All Commercial |
$2,378.76
|
| Rate for Payer: CORVEL All Commercial |
$2,563.43
|
| Rate for Payer: Coventry All Commercial |
$2,425.61
|
| Rate for Payer: Encore All Commercial |
$2,537.25
|
| Rate for Payer: Frontpath All Commercial |
$2,535.87
|
| Rate for Payer: Humana ChoiceCare |
$2,380.69
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,480.74
|
| Rate for Payer: PHCS All Commercial |
$2,067.28
|
| Rate for Payer: PHP All Commercial |
$2,090.44
|
| Rate for Payer: Sagamore Health Network All Products |
$2,127.93
|
| Rate for Payer: Signature Care EPO |
$2,287.80
|
| Rate for Payer: Signature Care PPO |
$2,425.61
|
| Rate for Payer: United Healthcare Commercial |
$2,172.03
|
|
|
HC Z PLATE VOLAR STND 3-H R
|
Facility
IP
|
$2,756.38
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603726
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,067.28 |
| Max. Negotiated Rate |
$2,563.43 |
| Rate for Payer: Aetna Commercial |
$2,381.51
|
| Rate for Payer: Cash Price |
$1,708.96
|
| Rate for Payer: Cigna All Commercial |
$2,378.76
|
| Rate for Payer: CORVEL All Commercial |
$2,563.43
|
| Rate for Payer: Coventry All Commercial |
$2,425.61
|
| Rate for Payer: Encore All Commercial |
$2,537.25
|
| Rate for Payer: Frontpath All Commercial |
$2,535.87
|
| Rate for Payer: Humana ChoiceCare |
$2,380.69
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,480.74
|
| Rate for Payer: PHCS All Commercial |
$2,067.28
|
| Rate for Payer: PHP All Commercial |
$2,090.44
|
| Rate for Payer: Sagamore Health Network All Products |
$2,127.93
|
| Rate for Payer: Signature Care EPO |
$2,287.80
|
| Rate for Payer: Signature Care PPO |
$2,425.61
|
| Rate for Payer: United Healthcare Commercial |
$2,172.03
|
|
|
HC Z PLATE VOLAR STND 3-H R
|
Facility
OP
|
$2,756.38
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603726
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$2,563.43 |
| Rate for Payer: Aetna Commercial |
$2,326.38
|
| Rate for Payer: Aetna Medicare |
$909.61
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$909.61
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,582.99
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,723.01
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,046.05
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,000.57
|
| Rate for Payer: Cash Price |
$1,708.96
|
| Rate for Payer: Cash Price |
$1,708.96
|
| Rate for Payer: Centivo All Commercial |
$1,405.75
|
| Rate for Payer: Cigna All Commercial |
$2,378.76
|
| Rate for Payer: CORVEL All Commercial |
$2,563.43
|
| Rate for Payer: Coventry All Commercial |
$2,425.61
|
| Rate for Payer: Encore All Commercial |
$2,537.25
|
| Rate for Payer: Frontpath All Commercial |
$2,535.87
|
| Rate for Payer: Humana ChoiceCare |
$2,380.69
|
| Rate for Payer: Humana Medicare |
$1,405.75
|
| Rate for Payer: Lucent All Commercial |
$1,405.75
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,480.74
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$2,067.28
|
| Rate for Payer: PHP All Commercial |
$2,090.44
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$1,074.99
|
| Rate for Payer: Sagamore Health Network All Products |
$2,127.93
|
| Rate for Payer: Signature Care EPO |
$2,287.80
|
| Rate for Payer: Signature Care PPO |
$2,425.61
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$2,342.92
|
| Rate for Payer: United Healthcare Commercial |
$2,172.03
|
| Rate for Payer: United Healthcare Medicare |
$909.61
|
|
|
HC Z PLATE VOLAR STND 5-H
|
Facility
IP
|
$2,996.06
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604298
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,247.04 |
| Max. Negotiated Rate |
$2,786.34 |
| Rate for Payer: Aetna Commercial |
$2,588.60
|
| Rate for Payer: Cash Price |
$1,857.56
|
| Rate for Payer: Cigna All Commercial |
$2,585.60
|
| Rate for Payer: CORVEL All Commercial |
$2,786.34
|
| Rate for Payer: Coventry All Commercial |
$2,636.53
|
| Rate for Payer: Encore All Commercial |
$2,757.87
|
| Rate for Payer: Frontpath All Commercial |
$2,756.38
|
| Rate for Payer: Humana ChoiceCare |
$2,587.70
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,696.45
|
| Rate for Payer: PHCS All Commercial |
$2,247.04
|
| Rate for Payer: PHP All Commercial |
$2,272.21
|
| Rate for Payer: Sagamore Health Network All Products |
$2,312.96
|
| Rate for Payer: Signature Care EPO |
$2,486.73
|
| Rate for Payer: Signature Care PPO |
$2,636.53
|
| Rate for Payer: United Healthcare Commercial |
$2,360.90
|
|
|
HC Z PLATE VOLAR STND 5-H
|
Facility
IP
|
$2,996.06
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604297
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,247.04 |
| Max. Negotiated Rate |
$2,786.34 |
| Rate for Payer: Aetna Commercial |
$2,588.60
|
| Rate for Payer: Cash Price |
$1,857.56
|
| Rate for Payer: Cigna All Commercial |
$2,585.60
|
| Rate for Payer: CORVEL All Commercial |
$2,786.34
|
| Rate for Payer: Coventry All Commercial |
$2,636.53
|
| Rate for Payer: Encore All Commercial |
$2,757.87
|
| Rate for Payer: Frontpath All Commercial |
$2,756.38
|
| Rate for Payer: Humana ChoiceCare |
$2,587.70
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,696.45
|
| Rate for Payer: PHCS All Commercial |
$2,247.04
|
| Rate for Payer: PHP All Commercial |
$2,272.21
|
| Rate for Payer: Sagamore Health Network All Products |
$2,312.96
|
| Rate for Payer: Signature Care EPO |
$2,486.73
|
| Rate for Payer: Signature Care PPO |
$2,636.53
|
| Rate for Payer: United Healthcare Commercial |
$2,360.90
|
|
|
HC Z PLATE VOLAR STND 5-H
|
Facility
OP
|
$2,996.06
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604297
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$2,786.34 |
| Rate for Payer: Aetna Commercial |
$2,528.67
|
| Rate for Payer: Aetna Medicare |
$988.70
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$988.70
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,720.64
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,872.84
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,137.00
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,087.57
|
| Rate for Payer: Cash Price |
$1,857.56
|
| Rate for Payer: Cash Price |
$1,857.56
|
| Rate for Payer: Centivo All Commercial |
$1,527.99
|
| Rate for Payer: Cigna All Commercial |
$2,585.60
|
| Rate for Payer: CORVEL All Commercial |
$2,786.34
|
| Rate for Payer: Coventry All Commercial |
$2,636.53
|
| Rate for Payer: Encore All Commercial |
$2,757.87
|
| Rate for Payer: Frontpath All Commercial |
$2,756.38
|
| Rate for Payer: Humana ChoiceCare |
$2,587.70
|
| Rate for Payer: Humana Medicare |
$1,527.99
|
| Rate for Payer: Lucent All Commercial |
$1,527.99
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,696.45
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$2,247.04
|
| Rate for Payer: PHP All Commercial |
$2,272.21
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$1,168.46
|
| Rate for Payer: Sagamore Health Network All Products |
$2,312.96
|
| Rate for Payer: Signature Care EPO |
$2,486.73
|
| Rate for Payer: Signature Care PPO |
$2,636.53
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$2,546.65
|
| Rate for Payer: United Healthcare Commercial |
$2,360.90
|
| Rate for Payer: United Healthcare Medicare |
$988.70
|
|
|
HC Z PLATE VOLAR STND 5-H
|
Facility
OP
|
$2,996.06
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604298
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$2,786.34 |
| Rate for Payer: Aetna Commercial |
$2,528.67
|
| Rate for Payer: Aetna Medicare |
$988.70
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$988.70
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,720.64
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,872.84
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,137.00
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,087.57
|
| Rate for Payer: Cash Price |
$1,857.56
|
| Rate for Payer: Cash Price |
$1,857.56
|
| Rate for Payer: Centivo All Commercial |
$1,527.99
|
| Rate for Payer: Cigna All Commercial |
$2,585.60
|
| Rate for Payer: CORVEL All Commercial |
$2,786.34
|
| Rate for Payer: Coventry All Commercial |
$2,636.53
|
| Rate for Payer: Encore All Commercial |
$2,757.87
|
| Rate for Payer: Frontpath All Commercial |
$2,756.38
|
| Rate for Payer: Humana ChoiceCare |
$2,587.70
|
| Rate for Payer: Humana Medicare |
$1,527.99
|
| Rate for Payer: Lucent All Commercial |
$1,527.99
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,696.45
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$2,247.04
|
| Rate for Payer: PHP All Commercial |
$2,272.21
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$1,168.46
|
| Rate for Payer: Sagamore Health Network All Products |
$2,312.96
|
| Rate for Payer: Signature Care EPO |
$2,486.73
|
| Rate for Payer: Signature Care PPO |
$2,636.53
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$2,546.65
|
| Rate for Payer: United Healthcare Commercial |
$2,360.90
|
| Rate for Payer: United Healthcare Medicare |
$988.70
|
|
|
HC Z PLATE VOLAR WIDE 5-H
|
Facility
OP
|
$2,996.06
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604300
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$2,786.34 |
| Rate for Payer: Aetna Commercial |
$2,528.67
|
| Rate for Payer: Aetna Medicare |
$988.70
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$988.70
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,720.64
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,872.84
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,137.00
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,087.57
|
| Rate for Payer: Cash Price |
$1,857.56
|
| Rate for Payer: Cash Price |
$1,857.56
|
| Rate for Payer: Centivo All Commercial |
$1,527.99
|
| Rate for Payer: Cigna All Commercial |
$2,585.60
|
| Rate for Payer: CORVEL All Commercial |
$2,786.34
|
| Rate for Payer: Coventry All Commercial |
$2,636.53
|
| Rate for Payer: Encore All Commercial |
$2,757.87
|
| Rate for Payer: Frontpath All Commercial |
$2,756.38
|
| Rate for Payer: Humana ChoiceCare |
$2,587.70
|
| Rate for Payer: Humana Medicare |
$1,527.99
|
| Rate for Payer: Lucent All Commercial |
$1,527.99
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,696.45
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$2,247.04
|
| Rate for Payer: PHP All Commercial |
$2,272.21
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$1,168.46
|
| Rate for Payer: Sagamore Health Network All Products |
$2,312.96
|
| Rate for Payer: Signature Care EPO |
$2,486.73
|
| Rate for Payer: Signature Care PPO |
$2,636.53
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$2,546.65
|
| Rate for Payer: United Healthcare Commercial |
$2,360.90
|
| Rate for Payer: United Healthcare Medicare |
$988.70
|
|
|
HC Z PLATE VOLAR WIDE 5-H
|
Facility
OP
|
$2,996.06
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604299
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$2,786.34 |
| Rate for Payer: Aetna Commercial |
$2,528.67
|
| Rate for Payer: Aetna Medicare |
$988.70
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$988.70
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,720.64
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,872.84
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,137.00
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,087.57
|
| Rate for Payer: Cash Price |
$1,857.56
|
| Rate for Payer: Cash Price |
$1,857.56
|
| Rate for Payer: Centivo All Commercial |
$1,527.99
|
| Rate for Payer: Cigna All Commercial |
$2,585.60
|
| Rate for Payer: CORVEL All Commercial |
$2,786.34
|
| Rate for Payer: Coventry All Commercial |
$2,636.53
|
| Rate for Payer: Encore All Commercial |
$2,757.87
|
| Rate for Payer: Frontpath All Commercial |
$2,756.38
|
| Rate for Payer: Humana ChoiceCare |
$2,587.70
|
| Rate for Payer: Humana Medicare |
$1,527.99
|
| Rate for Payer: Lucent All Commercial |
$1,527.99
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,696.45
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$2,247.04
|
| Rate for Payer: PHP All Commercial |
$2,272.21
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$1,168.46
|
| Rate for Payer: Sagamore Health Network All Products |
$2,312.96
|
| Rate for Payer: Signature Care EPO |
$2,486.73
|
| Rate for Payer: Signature Care PPO |
$2,636.53
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$2,546.65
|
| Rate for Payer: United Healthcare Commercial |
$2,360.90
|
| Rate for Payer: United Healthcare Medicare |
$988.70
|
|
|
HC Z PLATE VOLAR WIDE 5-H
|
Facility
IP
|
$2,996.06
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604299
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,247.04 |
| Max. Negotiated Rate |
$2,786.34 |
| Rate for Payer: Aetna Commercial |
$2,588.60
|
| Rate for Payer: Cash Price |
$1,857.56
|
| Rate for Payer: Cigna All Commercial |
$2,585.60
|
| Rate for Payer: CORVEL All Commercial |
$2,786.34
|
| Rate for Payer: Coventry All Commercial |
$2,636.53
|
| Rate for Payer: Encore All Commercial |
$2,757.87
|
| Rate for Payer: Frontpath All Commercial |
$2,756.38
|
| Rate for Payer: Humana ChoiceCare |
$2,587.70
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,696.45
|
| Rate for Payer: PHCS All Commercial |
$2,247.04
|
| Rate for Payer: PHP All Commercial |
$2,272.21
|
| Rate for Payer: Sagamore Health Network All Products |
$2,312.96
|
| Rate for Payer: Signature Care EPO |
$2,486.73
|
| Rate for Payer: Signature Care PPO |
$2,636.53
|
| Rate for Payer: United Healthcare Commercial |
$2,360.90
|
|
|
HC Z PLATE VOLAR WIDE 5-H
|
Facility
IP
|
$2,996.06
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604300
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,247.04 |
| Max. Negotiated Rate |
$2,786.34 |
| Rate for Payer: Aetna Commercial |
$2,588.60
|
| Rate for Payer: Cash Price |
$1,857.56
|
| Rate for Payer: Cigna All Commercial |
$2,585.60
|
| Rate for Payer: CORVEL All Commercial |
$2,786.34
|
| Rate for Payer: Coventry All Commercial |
$2,636.53
|
| Rate for Payer: Encore All Commercial |
$2,757.87
|
| Rate for Payer: Frontpath All Commercial |
$2,756.38
|
| Rate for Payer: Humana ChoiceCare |
$2,587.70
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,696.45
|
| Rate for Payer: PHCS All Commercial |
$2,247.04
|
| Rate for Payer: PHP All Commercial |
$2,272.21
|
| Rate for Payer: Sagamore Health Network All Products |
$2,312.96
|
| Rate for Payer: Signature Care EPO |
$2,486.73
|
| Rate for Payer: Signature Care PPO |
$2,636.53
|
| Rate for Payer: United Healthcare Commercial |
$2,360.90
|
|
