|
HC Z SCREW VPC 3.4X32
|
Facility
OP
|
$1,694.90
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604573
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$1,576.26 |
| Rate for Payer: Aetna Commercial |
$1,430.50
|
| Rate for Payer: Aetna Medicare |
$559.32
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$559.32
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$973.38
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,059.48
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$643.21
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$615.25
|
| Rate for Payer: Cash Price |
$1,050.84
|
| Rate for Payer: Cash Price |
$1,050.84
|
| Rate for Payer: Centivo All Commercial |
$864.40
|
| Rate for Payer: Cigna All Commercial |
$1,462.70
|
| Rate for Payer: CORVEL All Commercial |
$1,576.26
|
| Rate for Payer: Coventry All Commercial |
$1,491.51
|
| Rate for Payer: Encore All Commercial |
$1,560.16
|
| Rate for Payer: Frontpath All Commercial |
$1,559.31
|
| Rate for Payer: Humana ChoiceCare |
$1,463.89
|
| Rate for Payer: Humana Medicare |
$864.40
|
| Rate for Payer: Lucent All Commercial |
$864.40
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,525.41
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,271.18
|
| Rate for Payer: PHP All Commercial |
$1,285.41
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$661.01
|
| Rate for Payer: Sagamore Health Network All Products |
$1,308.46
|
| Rate for Payer: Signature Care EPO |
$1,406.77
|
| Rate for Payer: Signature Care PPO |
$1,491.51
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,440.66
|
| Rate for Payer: United Healthcare Commercial |
$1,335.58
|
| Rate for Payer: United Healthcare Medicare |
$559.32
|
|
|
HC Z SCREW VPC 3.4X32
|
Facility
IP
|
$1,694.90
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604573
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,271.18 |
| Max. Negotiated Rate |
$1,576.26 |
| Rate for Payer: Aetna Commercial |
$1,464.39
|
| Rate for Payer: Cash Price |
$1,050.84
|
| Rate for Payer: Cigna All Commercial |
$1,462.70
|
| Rate for Payer: CORVEL All Commercial |
$1,576.26
|
| Rate for Payer: Coventry All Commercial |
$1,491.51
|
| Rate for Payer: Encore All Commercial |
$1,560.16
|
| Rate for Payer: Frontpath All Commercial |
$1,559.31
|
| Rate for Payer: Humana ChoiceCare |
$1,463.89
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,525.41
|
| Rate for Payer: PHCS All Commercial |
$1,271.18
|
| Rate for Payer: PHP All Commercial |
$1,285.41
|
| Rate for Payer: Sagamore Health Network All Products |
$1,308.46
|
| Rate for Payer: Signature Care EPO |
$1,406.77
|
| Rate for Payer: Signature Care PPO |
$1,491.51
|
| Rate for Payer: United Healthcare Commercial |
$1,335.58
|
|
|
HC Z SCREW VPC 3.4X34
|
Facility
IP
|
$1,694.90
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604574
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,271.18 |
| Max. Negotiated Rate |
$1,576.26 |
| Rate for Payer: Aetna Commercial |
$1,464.39
|
| Rate for Payer: Cash Price |
$1,050.84
|
| Rate for Payer: Cigna All Commercial |
$1,462.70
|
| Rate for Payer: CORVEL All Commercial |
$1,576.26
|
| Rate for Payer: Coventry All Commercial |
$1,491.51
|
| Rate for Payer: Encore All Commercial |
$1,560.16
|
| Rate for Payer: Frontpath All Commercial |
$1,559.31
|
| Rate for Payer: Humana ChoiceCare |
$1,463.89
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,525.41
|
| Rate for Payer: PHCS All Commercial |
$1,271.18
|
| Rate for Payer: PHP All Commercial |
$1,285.41
|
| Rate for Payer: Sagamore Health Network All Products |
$1,308.46
|
| Rate for Payer: Signature Care EPO |
$1,406.77
|
| Rate for Payer: Signature Care PPO |
$1,491.51
|
| Rate for Payer: United Healthcare Commercial |
$1,335.58
|
|
|
HC Z SCREW VPC 3.4X34
|
Facility
OP
|
$1,694.90
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604574
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$1,576.26 |
| Rate for Payer: Aetna Commercial |
$1,430.50
|
| Rate for Payer: Aetna Medicare |
$559.32
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$559.32
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$973.38
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,059.48
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$643.21
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$615.25
|
| Rate for Payer: Cash Price |
$1,050.84
|
| Rate for Payer: Cash Price |
$1,050.84
|
| Rate for Payer: Centivo All Commercial |
$864.40
|
| Rate for Payer: Cigna All Commercial |
$1,462.70
|
| Rate for Payer: CORVEL All Commercial |
$1,576.26
|
| Rate for Payer: Coventry All Commercial |
$1,491.51
|
| Rate for Payer: Encore All Commercial |
$1,560.16
|
| Rate for Payer: Frontpath All Commercial |
$1,559.31
|
| Rate for Payer: Humana ChoiceCare |
$1,463.89
|
| Rate for Payer: Humana Medicare |
$864.40
|
| Rate for Payer: Lucent All Commercial |
$864.40
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,525.41
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,271.18
|
| Rate for Payer: PHP All Commercial |
$1,285.41
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$661.01
|
| Rate for Payer: Sagamore Health Network All Products |
$1,308.46
|
| Rate for Payer: Signature Care EPO |
$1,406.77
|
| Rate for Payer: Signature Care PPO |
$1,491.51
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,440.66
|
| Rate for Payer: United Healthcare Commercial |
$1,335.58
|
| Rate for Payer: United Healthcare Medicare |
$559.32
|
|
|
HC Z SCREW VPC 4.0X16
|
Facility
IP
|
$1,694.90
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604575
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,271.18 |
| Max. Negotiated Rate |
$1,576.26 |
| Rate for Payer: Aetna Commercial |
$1,464.39
|
| Rate for Payer: Cash Price |
$1,050.84
|
| Rate for Payer: Cigna All Commercial |
$1,462.70
|
| Rate for Payer: CORVEL All Commercial |
$1,576.26
|
| Rate for Payer: Coventry All Commercial |
$1,491.51
|
| Rate for Payer: Encore All Commercial |
$1,560.16
|
| Rate for Payer: Frontpath All Commercial |
$1,559.31
|
| Rate for Payer: Humana ChoiceCare |
$1,463.89
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,525.41
|
| Rate for Payer: PHCS All Commercial |
$1,271.18
|
| Rate for Payer: PHP All Commercial |
$1,285.41
|
| Rate for Payer: Sagamore Health Network All Products |
$1,308.46
|
| Rate for Payer: Signature Care EPO |
$1,406.77
|
| Rate for Payer: Signature Care PPO |
$1,491.51
|
| Rate for Payer: United Healthcare Commercial |
$1,335.58
|
|
|
HC Z SCREW VPC 4.0X16
|
Facility
OP
|
$1,694.90
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604575
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$1,576.26 |
| Rate for Payer: Aetna Commercial |
$1,430.50
|
| Rate for Payer: Aetna Medicare |
$559.32
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$559.32
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$973.38
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,059.48
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$643.21
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$615.25
|
| Rate for Payer: Cash Price |
$1,050.84
|
| Rate for Payer: Cash Price |
$1,050.84
|
| Rate for Payer: Centivo All Commercial |
$864.40
|
| Rate for Payer: Cigna All Commercial |
$1,462.70
|
| Rate for Payer: CORVEL All Commercial |
$1,576.26
|
| Rate for Payer: Coventry All Commercial |
$1,491.51
|
| Rate for Payer: Encore All Commercial |
$1,560.16
|
| Rate for Payer: Frontpath All Commercial |
$1,559.31
|
| Rate for Payer: Humana ChoiceCare |
$1,463.89
|
| Rate for Payer: Humana Medicare |
$864.40
|
| Rate for Payer: Lucent All Commercial |
$864.40
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,525.41
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,271.18
|
| Rate for Payer: PHP All Commercial |
$1,285.41
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$661.01
|
| Rate for Payer: Sagamore Health Network All Products |
$1,308.46
|
| Rate for Payer: Signature Care EPO |
$1,406.77
|
| Rate for Payer: Signature Care PPO |
$1,491.51
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,440.66
|
| Rate for Payer: United Healthcare Commercial |
$1,335.58
|
| Rate for Payer: United Healthcare Medicare |
$559.32
|
|
|
HC Z SCREW VPC 4.0X18
|
Facility
OP
|
$1,694.90
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604576
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$1,576.26 |
| Rate for Payer: Aetna Commercial |
$1,430.50
|
| Rate for Payer: Aetna Medicare |
$559.32
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$559.32
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$973.38
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,059.48
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$643.21
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$615.25
|
| Rate for Payer: Cash Price |
$1,050.84
|
| Rate for Payer: Cash Price |
$1,050.84
|
| Rate for Payer: Centivo All Commercial |
$864.40
|
| Rate for Payer: Cigna All Commercial |
$1,462.70
|
| Rate for Payer: CORVEL All Commercial |
$1,576.26
|
| Rate for Payer: Coventry All Commercial |
$1,491.51
|
| Rate for Payer: Encore All Commercial |
$1,560.16
|
| Rate for Payer: Frontpath All Commercial |
$1,559.31
|
| Rate for Payer: Humana ChoiceCare |
$1,463.89
|
| Rate for Payer: Humana Medicare |
$864.40
|
| Rate for Payer: Lucent All Commercial |
$864.40
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,525.41
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,271.18
|
| Rate for Payer: PHP All Commercial |
$1,285.41
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$661.01
|
| Rate for Payer: Sagamore Health Network All Products |
$1,308.46
|
| Rate for Payer: Signature Care EPO |
$1,406.77
|
| Rate for Payer: Signature Care PPO |
$1,491.51
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,440.66
|
| Rate for Payer: United Healthcare Commercial |
$1,335.58
|
| Rate for Payer: United Healthcare Medicare |
$559.32
|
|
|
HC Z SCREW VPC 4.0X18
|
Facility
IP
|
$1,694.90
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604576
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,271.18 |
| Max. Negotiated Rate |
$1,576.26 |
| Rate for Payer: Aetna Commercial |
$1,464.39
|
| Rate for Payer: Cash Price |
$1,050.84
|
| Rate for Payer: Cigna All Commercial |
$1,462.70
|
| Rate for Payer: CORVEL All Commercial |
$1,576.26
|
| Rate for Payer: Coventry All Commercial |
$1,491.51
|
| Rate for Payer: Encore All Commercial |
$1,560.16
|
| Rate for Payer: Frontpath All Commercial |
$1,559.31
|
| Rate for Payer: Humana ChoiceCare |
$1,463.89
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,525.41
|
| Rate for Payer: PHCS All Commercial |
$1,271.18
|
| Rate for Payer: PHP All Commercial |
$1,285.41
|
| Rate for Payer: Sagamore Health Network All Products |
$1,308.46
|
| Rate for Payer: Signature Care EPO |
$1,406.77
|
| Rate for Payer: Signature Care PPO |
$1,491.51
|
| Rate for Payer: United Healthcare Commercial |
$1,335.58
|
|
|
HC Z SCREW VPC 4.0X20
|
Facility
IP
|
$1,694.90
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604577
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,271.18 |
| Max. Negotiated Rate |
$1,576.26 |
| Rate for Payer: Aetna Commercial |
$1,464.39
|
| Rate for Payer: Cash Price |
$1,050.84
|
| Rate for Payer: Cigna All Commercial |
$1,462.70
|
| Rate for Payer: CORVEL All Commercial |
$1,576.26
|
| Rate for Payer: Coventry All Commercial |
$1,491.51
|
| Rate for Payer: Encore All Commercial |
$1,560.16
|
| Rate for Payer: Frontpath All Commercial |
$1,559.31
|
| Rate for Payer: Humana ChoiceCare |
$1,463.89
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,525.41
|
| Rate for Payer: PHCS All Commercial |
$1,271.18
|
| Rate for Payer: PHP All Commercial |
$1,285.41
|
| Rate for Payer: Sagamore Health Network All Products |
$1,308.46
|
| Rate for Payer: Signature Care EPO |
$1,406.77
|
| Rate for Payer: Signature Care PPO |
$1,491.51
|
| Rate for Payer: United Healthcare Commercial |
$1,335.58
|
|
|
HC Z SCREW VPC 4.0X20
|
Facility
OP
|
$1,694.90
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604577
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$1,576.26 |
| Rate for Payer: Aetna Commercial |
$1,430.50
|
| Rate for Payer: Aetna Medicare |
$559.32
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$559.32
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$973.38
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,059.48
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$643.21
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$615.25
|
| Rate for Payer: Cash Price |
$1,050.84
|
| Rate for Payer: Cash Price |
$1,050.84
|
| Rate for Payer: Centivo All Commercial |
$864.40
|
| Rate for Payer: Cigna All Commercial |
$1,462.70
|
| Rate for Payer: CORVEL All Commercial |
$1,576.26
|
| Rate for Payer: Coventry All Commercial |
$1,491.51
|
| Rate for Payer: Encore All Commercial |
$1,560.16
|
| Rate for Payer: Frontpath All Commercial |
$1,559.31
|
| Rate for Payer: Humana ChoiceCare |
$1,463.89
|
| Rate for Payer: Humana Medicare |
$864.40
|
| Rate for Payer: Lucent All Commercial |
$864.40
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,525.41
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,271.18
|
| Rate for Payer: PHP All Commercial |
$1,285.41
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$661.01
|
| Rate for Payer: Sagamore Health Network All Products |
$1,308.46
|
| Rate for Payer: Signature Care EPO |
$1,406.77
|
| Rate for Payer: Signature Care PPO |
$1,491.51
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,440.66
|
| Rate for Payer: United Healthcare Commercial |
$1,335.58
|
| Rate for Payer: United Healthcare Medicare |
$559.32
|
|
|
HC Z SCREW VPC 4.0X22
|
Facility
OP
|
$1,694.90
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604578
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$1,576.26 |
| Rate for Payer: Aetna Commercial |
$1,430.50
|
| Rate for Payer: Aetna Medicare |
$559.32
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$559.32
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$973.38
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,059.48
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$643.21
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$615.25
|
| Rate for Payer: Cash Price |
$1,050.84
|
| Rate for Payer: Cash Price |
$1,050.84
|
| Rate for Payer: Centivo All Commercial |
$864.40
|
| Rate for Payer: Cigna All Commercial |
$1,462.70
|
| Rate for Payer: CORVEL All Commercial |
$1,576.26
|
| Rate for Payer: Coventry All Commercial |
$1,491.51
|
| Rate for Payer: Encore All Commercial |
$1,560.16
|
| Rate for Payer: Frontpath All Commercial |
$1,559.31
|
| Rate for Payer: Humana ChoiceCare |
$1,463.89
|
| Rate for Payer: Humana Medicare |
$864.40
|
| Rate for Payer: Lucent All Commercial |
$864.40
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,525.41
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,271.18
|
| Rate for Payer: PHP All Commercial |
$1,285.41
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$661.01
|
| Rate for Payer: Sagamore Health Network All Products |
$1,308.46
|
| Rate for Payer: Signature Care EPO |
$1,406.77
|
| Rate for Payer: Signature Care PPO |
$1,491.51
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,440.66
|
| Rate for Payer: United Healthcare Commercial |
$1,335.58
|
| Rate for Payer: United Healthcare Medicare |
$559.32
|
|
|
HC Z SCREW VPC 4.0X22
|
Facility
IP
|
$1,694.90
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604578
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,271.18 |
| Max. Negotiated Rate |
$1,576.26 |
| Rate for Payer: Aetna Commercial |
$1,464.39
|
| Rate for Payer: Cash Price |
$1,050.84
|
| Rate for Payer: Cigna All Commercial |
$1,462.70
|
| Rate for Payer: CORVEL All Commercial |
$1,576.26
|
| Rate for Payer: Coventry All Commercial |
$1,491.51
|
| Rate for Payer: Encore All Commercial |
$1,560.16
|
| Rate for Payer: Frontpath All Commercial |
$1,559.31
|
| Rate for Payer: Humana ChoiceCare |
$1,463.89
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,525.41
|
| Rate for Payer: PHCS All Commercial |
$1,271.18
|
| Rate for Payer: PHP All Commercial |
$1,285.41
|
| Rate for Payer: Sagamore Health Network All Products |
$1,308.46
|
| Rate for Payer: Signature Care EPO |
$1,406.77
|
| Rate for Payer: Signature Care PPO |
$1,491.51
|
| Rate for Payer: United Healthcare Commercial |
$1,335.58
|
|
|
HC Z SCREW VPC 4.0X24
|
Facility
IP
|
$1,694.90
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604579
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,271.18 |
| Max. Negotiated Rate |
$1,576.26 |
| Rate for Payer: Aetna Commercial |
$1,464.39
|
| Rate for Payer: Cash Price |
$1,050.84
|
| Rate for Payer: Cigna All Commercial |
$1,462.70
|
| Rate for Payer: CORVEL All Commercial |
$1,576.26
|
| Rate for Payer: Coventry All Commercial |
$1,491.51
|
| Rate for Payer: Encore All Commercial |
$1,560.16
|
| Rate for Payer: Frontpath All Commercial |
$1,559.31
|
| Rate for Payer: Humana ChoiceCare |
$1,463.89
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,525.41
|
| Rate for Payer: PHCS All Commercial |
$1,271.18
|
| Rate for Payer: PHP All Commercial |
$1,285.41
|
| Rate for Payer: Sagamore Health Network All Products |
$1,308.46
|
| Rate for Payer: Signature Care EPO |
$1,406.77
|
| Rate for Payer: Signature Care PPO |
$1,491.51
|
| Rate for Payer: United Healthcare Commercial |
$1,335.58
|
|
|
HC Z SCREW VPC 4.0X24
|
Facility
OP
|
$1,694.90
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604579
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$1,576.26 |
| Rate for Payer: Aetna Commercial |
$1,430.50
|
| Rate for Payer: Aetna Medicare |
$559.32
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$559.32
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$973.38
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,059.48
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$643.21
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$615.25
|
| Rate for Payer: Cash Price |
$1,050.84
|
| Rate for Payer: Cash Price |
$1,050.84
|
| Rate for Payer: Centivo All Commercial |
$864.40
|
| Rate for Payer: Cigna All Commercial |
$1,462.70
|
| Rate for Payer: CORVEL All Commercial |
$1,576.26
|
| Rate for Payer: Coventry All Commercial |
$1,491.51
|
| Rate for Payer: Encore All Commercial |
$1,560.16
|
| Rate for Payer: Frontpath All Commercial |
$1,559.31
|
| Rate for Payer: Humana ChoiceCare |
$1,463.89
|
| Rate for Payer: Humana Medicare |
$864.40
|
| Rate for Payer: Lucent All Commercial |
$864.40
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,525.41
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,271.18
|
| Rate for Payer: PHP All Commercial |
$1,285.41
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$661.01
|
| Rate for Payer: Sagamore Health Network All Products |
$1,308.46
|
| Rate for Payer: Signature Care EPO |
$1,406.77
|
| Rate for Payer: Signature Care PPO |
$1,491.51
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,440.66
|
| Rate for Payer: United Healthcare Commercial |
$1,335.58
|
| Rate for Payer: United Healthcare Medicare |
$559.32
|
|
|
HC Z SCREW VPC 4.0X26
|
Facility
OP
|
$1,694.90
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604580
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$1,576.26 |
| Rate for Payer: Aetna Commercial |
$1,430.50
|
| Rate for Payer: Aetna Medicare |
$559.32
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$559.32
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$973.38
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,059.48
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$643.21
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$615.25
|
| Rate for Payer: Cash Price |
$1,050.84
|
| Rate for Payer: Cash Price |
$1,050.84
|
| Rate for Payer: Centivo All Commercial |
$864.40
|
| Rate for Payer: Cigna All Commercial |
$1,462.70
|
| Rate for Payer: CORVEL All Commercial |
$1,576.26
|
| Rate for Payer: Coventry All Commercial |
$1,491.51
|
| Rate for Payer: Encore All Commercial |
$1,560.16
|
| Rate for Payer: Frontpath All Commercial |
$1,559.31
|
| Rate for Payer: Humana ChoiceCare |
$1,463.89
|
| Rate for Payer: Humana Medicare |
$864.40
|
| Rate for Payer: Lucent All Commercial |
$864.40
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,525.41
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,271.18
|
| Rate for Payer: PHP All Commercial |
$1,285.41
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$661.01
|
| Rate for Payer: Sagamore Health Network All Products |
$1,308.46
|
| Rate for Payer: Signature Care EPO |
$1,406.77
|
| Rate for Payer: Signature Care PPO |
$1,491.51
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,440.66
|
| Rate for Payer: United Healthcare Commercial |
$1,335.58
|
| Rate for Payer: United Healthcare Medicare |
$559.32
|
|
|
HC Z SCREW VPC 4.0X26
|
Facility
IP
|
$1,694.90
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604580
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,271.18 |
| Max. Negotiated Rate |
$1,576.26 |
| Rate for Payer: Aetna Commercial |
$1,464.39
|
| Rate for Payer: Cash Price |
$1,050.84
|
| Rate for Payer: Cigna All Commercial |
$1,462.70
|
| Rate for Payer: CORVEL All Commercial |
$1,576.26
|
| Rate for Payer: Coventry All Commercial |
$1,491.51
|
| Rate for Payer: Encore All Commercial |
$1,560.16
|
| Rate for Payer: Frontpath All Commercial |
$1,559.31
|
| Rate for Payer: Humana ChoiceCare |
$1,463.89
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,525.41
|
| Rate for Payer: PHCS All Commercial |
$1,271.18
|
| Rate for Payer: PHP All Commercial |
$1,285.41
|
| Rate for Payer: Sagamore Health Network All Products |
$1,308.46
|
| Rate for Payer: Signature Care EPO |
$1,406.77
|
| Rate for Payer: Signature Care PPO |
$1,491.51
|
| Rate for Payer: United Healthcare Commercial |
$1,335.58
|
|
|
HC Z SCREW VPC 4.0X28
|
Facility
IP
|
$1,694.90
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604581
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,271.18 |
| Max. Negotiated Rate |
$1,576.26 |
| Rate for Payer: Aetna Commercial |
$1,464.39
|
| Rate for Payer: Cash Price |
$1,050.84
|
| Rate for Payer: Cigna All Commercial |
$1,462.70
|
| Rate for Payer: CORVEL All Commercial |
$1,576.26
|
| Rate for Payer: Coventry All Commercial |
$1,491.51
|
| Rate for Payer: Encore All Commercial |
$1,560.16
|
| Rate for Payer: Frontpath All Commercial |
$1,559.31
|
| Rate for Payer: Humana ChoiceCare |
$1,463.89
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,525.41
|
| Rate for Payer: PHCS All Commercial |
$1,271.18
|
| Rate for Payer: PHP All Commercial |
$1,285.41
|
| Rate for Payer: Sagamore Health Network All Products |
$1,308.46
|
| Rate for Payer: Signature Care EPO |
$1,406.77
|
| Rate for Payer: Signature Care PPO |
$1,491.51
|
| Rate for Payer: United Healthcare Commercial |
$1,335.58
|
|
|
HC Z SCREW VPC 4.0X28
|
Facility
OP
|
$1,694.90
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604581
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$1,576.26 |
| Rate for Payer: Aetna Commercial |
$1,430.50
|
| Rate for Payer: Aetna Medicare |
$559.32
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$559.32
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$973.38
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,059.48
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$643.21
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$615.25
|
| Rate for Payer: Cash Price |
$1,050.84
|
| Rate for Payer: Cash Price |
$1,050.84
|
| Rate for Payer: Centivo All Commercial |
$864.40
|
| Rate for Payer: Cigna All Commercial |
$1,462.70
|
| Rate for Payer: CORVEL All Commercial |
$1,576.26
|
| Rate for Payer: Coventry All Commercial |
$1,491.51
|
| Rate for Payer: Encore All Commercial |
$1,560.16
|
| Rate for Payer: Frontpath All Commercial |
$1,559.31
|
| Rate for Payer: Humana ChoiceCare |
$1,463.89
|
| Rate for Payer: Humana Medicare |
$864.40
|
| Rate for Payer: Lucent All Commercial |
$864.40
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,525.41
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,271.18
|
| Rate for Payer: PHP All Commercial |
$1,285.41
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$661.01
|
| Rate for Payer: Sagamore Health Network All Products |
$1,308.46
|
| Rate for Payer: Signature Care EPO |
$1,406.77
|
| Rate for Payer: Signature Care PPO |
$1,491.51
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,440.66
|
| Rate for Payer: United Healthcare Commercial |
$1,335.58
|
| Rate for Payer: United Healthcare Medicare |
$559.32
|
|
|
HC Z SCREW VPC 4.0X30
|
Facility
OP
|
$1,694.90
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604582
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$1,576.26 |
| Rate for Payer: Aetna Commercial |
$1,430.50
|
| Rate for Payer: Aetna Medicare |
$559.32
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$559.32
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$973.38
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,059.48
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$643.21
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$615.25
|
| Rate for Payer: Cash Price |
$1,050.84
|
| Rate for Payer: Cash Price |
$1,050.84
|
| Rate for Payer: Centivo All Commercial |
$864.40
|
| Rate for Payer: Cigna All Commercial |
$1,462.70
|
| Rate for Payer: CORVEL All Commercial |
$1,576.26
|
| Rate for Payer: Coventry All Commercial |
$1,491.51
|
| Rate for Payer: Encore All Commercial |
$1,560.16
|
| Rate for Payer: Frontpath All Commercial |
$1,559.31
|
| Rate for Payer: Humana ChoiceCare |
$1,463.89
|
| Rate for Payer: Humana Medicare |
$864.40
|
| Rate for Payer: Lucent All Commercial |
$864.40
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,525.41
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,271.18
|
| Rate for Payer: PHP All Commercial |
$1,285.41
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$661.01
|
| Rate for Payer: Sagamore Health Network All Products |
$1,308.46
|
| Rate for Payer: Signature Care EPO |
$1,406.77
|
| Rate for Payer: Signature Care PPO |
$1,491.51
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,440.66
|
| Rate for Payer: United Healthcare Commercial |
$1,335.58
|
| Rate for Payer: United Healthcare Medicare |
$559.32
|
|
|
HC Z SCREW VPC 4.0X30
|
Facility
IP
|
$1,694.90
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604582
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,271.18 |
| Max. Negotiated Rate |
$1,576.26 |
| Rate for Payer: Aetna Commercial |
$1,464.39
|
| Rate for Payer: Cash Price |
$1,050.84
|
| Rate for Payer: Cigna All Commercial |
$1,462.70
|
| Rate for Payer: CORVEL All Commercial |
$1,576.26
|
| Rate for Payer: Coventry All Commercial |
$1,491.51
|
| Rate for Payer: Encore All Commercial |
$1,560.16
|
| Rate for Payer: Frontpath All Commercial |
$1,559.31
|
| Rate for Payer: Humana ChoiceCare |
$1,463.89
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,525.41
|
| Rate for Payer: PHCS All Commercial |
$1,271.18
|
| Rate for Payer: PHP All Commercial |
$1,285.41
|
| Rate for Payer: Sagamore Health Network All Products |
$1,308.46
|
| Rate for Payer: Signature Care EPO |
$1,406.77
|
| Rate for Payer: Signature Care PPO |
$1,491.51
|
| Rate for Payer: United Healthcare Commercial |
$1,335.58
|
|
|
HC Z SCREW VPC 4.0X32
|
Facility
OP
|
$1,694.90
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604583
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$1,576.26 |
| Rate for Payer: Aetna Commercial |
$1,430.50
|
| Rate for Payer: Aetna Medicare |
$559.32
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$559.32
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$973.38
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,059.48
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$643.21
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$615.25
|
| Rate for Payer: Cash Price |
$1,050.84
|
| Rate for Payer: Cash Price |
$1,050.84
|
| Rate for Payer: Centivo All Commercial |
$864.40
|
| Rate for Payer: Cigna All Commercial |
$1,462.70
|
| Rate for Payer: CORVEL All Commercial |
$1,576.26
|
| Rate for Payer: Coventry All Commercial |
$1,491.51
|
| Rate for Payer: Encore All Commercial |
$1,560.16
|
| Rate for Payer: Frontpath All Commercial |
$1,559.31
|
| Rate for Payer: Humana ChoiceCare |
$1,463.89
|
| Rate for Payer: Humana Medicare |
$864.40
|
| Rate for Payer: Lucent All Commercial |
$864.40
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,525.41
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,271.18
|
| Rate for Payer: PHP All Commercial |
$1,285.41
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$661.01
|
| Rate for Payer: Sagamore Health Network All Products |
$1,308.46
|
| Rate for Payer: Signature Care EPO |
$1,406.77
|
| Rate for Payer: Signature Care PPO |
$1,491.51
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,440.66
|
| Rate for Payer: United Healthcare Commercial |
$1,335.58
|
| Rate for Payer: United Healthcare Medicare |
$559.32
|
|
|
HC Z SCREW VPC 4.0X32
|
Facility
IP
|
$1,694.90
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604583
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,271.18 |
| Max. Negotiated Rate |
$1,576.26 |
| Rate for Payer: Aetna Commercial |
$1,464.39
|
| Rate for Payer: Cash Price |
$1,050.84
|
| Rate for Payer: Cigna All Commercial |
$1,462.70
|
| Rate for Payer: CORVEL All Commercial |
$1,576.26
|
| Rate for Payer: Coventry All Commercial |
$1,491.51
|
| Rate for Payer: Encore All Commercial |
$1,560.16
|
| Rate for Payer: Frontpath All Commercial |
$1,559.31
|
| Rate for Payer: Humana ChoiceCare |
$1,463.89
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,525.41
|
| Rate for Payer: PHCS All Commercial |
$1,271.18
|
| Rate for Payer: PHP All Commercial |
$1,285.41
|
| Rate for Payer: Sagamore Health Network All Products |
$1,308.46
|
| Rate for Payer: Signature Care EPO |
$1,406.77
|
| Rate for Payer: Signature Care PPO |
$1,491.51
|
| Rate for Payer: United Healthcare Commercial |
$1,335.58
|
|
|
HC Z SCREW VPC 4.0X34
|
Facility
OP
|
$1,694.90
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604584
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$1,576.26 |
| Rate for Payer: Aetna Commercial |
$1,430.50
|
| Rate for Payer: Aetna Medicare |
$559.32
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$559.32
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$973.38
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,059.48
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$643.21
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$615.25
|
| Rate for Payer: Cash Price |
$1,050.84
|
| Rate for Payer: Cash Price |
$1,050.84
|
| Rate for Payer: Centivo All Commercial |
$864.40
|
| Rate for Payer: Cigna All Commercial |
$1,462.70
|
| Rate for Payer: CORVEL All Commercial |
$1,576.26
|
| Rate for Payer: Coventry All Commercial |
$1,491.51
|
| Rate for Payer: Encore All Commercial |
$1,560.16
|
| Rate for Payer: Frontpath All Commercial |
$1,559.31
|
| Rate for Payer: Humana ChoiceCare |
$1,463.89
|
| Rate for Payer: Humana Medicare |
$864.40
|
| Rate for Payer: Lucent All Commercial |
$864.40
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,525.41
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,271.18
|
| Rate for Payer: PHP All Commercial |
$1,285.41
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$661.01
|
| Rate for Payer: Sagamore Health Network All Products |
$1,308.46
|
| Rate for Payer: Signature Care EPO |
$1,406.77
|
| Rate for Payer: Signature Care PPO |
$1,491.51
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,440.66
|
| Rate for Payer: United Healthcare Commercial |
$1,335.58
|
| Rate for Payer: United Healthcare Medicare |
$559.32
|
|
|
HC Z SCREW VPC 4.0X34
|
Facility
IP
|
$1,694.90
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604584
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,271.18 |
| Max. Negotiated Rate |
$1,576.26 |
| Rate for Payer: Aetna Commercial |
$1,464.39
|
| Rate for Payer: Cash Price |
$1,050.84
|
| Rate for Payer: Cigna All Commercial |
$1,462.70
|
| Rate for Payer: CORVEL All Commercial |
$1,576.26
|
| Rate for Payer: Coventry All Commercial |
$1,491.51
|
| Rate for Payer: Encore All Commercial |
$1,560.16
|
| Rate for Payer: Frontpath All Commercial |
$1,559.31
|
| Rate for Payer: Humana ChoiceCare |
$1,463.89
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,525.41
|
| Rate for Payer: PHCS All Commercial |
$1,271.18
|
| Rate for Payer: PHP All Commercial |
$1,285.41
|
| Rate for Payer: Sagamore Health Network All Products |
$1,308.46
|
| Rate for Payer: Signature Care EPO |
$1,406.77
|
| Rate for Payer: Signature Care PPO |
$1,491.51
|
| Rate for Payer: United Healthcare Commercial |
$1,335.58
|
|
|
HC Z SCREW VPC 4.0X36
|
Facility
OP
|
$1,694.90
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604585
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$1,576.26 |
| Rate for Payer: Aetna Commercial |
$1,430.50
|
| Rate for Payer: Aetna Medicare |
$559.32
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$559.32
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$973.38
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,059.48
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$643.21
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$615.25
|
| Rate for Payer: Cash Price |
$1,050.84
|
| Rate for Payer: Cash Price |
$1,050.84
|
| Rate for Payer: Centivo All Commercial |
$864.40
|
| Rate for Payer: Cigna All Commercial |
$1,462.70
|
| Rate for Payer: CORVEL All Commercial |
$1,576.26
|
| Rate for Payer: Coventry All Commercial |
$1,491.51
|
| Rate for Payer: Encore All Commercial |
$1,560.16
|
| Rate for Payer: Frontpath All Commercial |
$1,559.31
|
| Rate for Payer: Humana ChoiceCare |
$1,463.89
|
| Rate for Payer: Humana Medicare |
$864.40
|
| Rate for Payer: Lucent All Commercial |
$864.40
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,525.41
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,271.18
|
| Rate for Payer: PHP All Commercial |
$1,285.41
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$661.01
|
| Rate for Payer: Sagamore Health Network All Products |
$1,308.46
|
| Rate for Payer: Signature Care EPO |
$1,406.77
|
| Rate for Payer: Signature Care PPO |
$1,491.51
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,440.66
|
| Rate for Payer: United Healthcare Commercial |
$1,335.58
|
| Rate for Payer: United Healthcare Medicare |
$559.32
|
|
