|
HC Z TAP 3.5 CANN QC
|
Facility
OP
|
$2,197.15
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604536
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$2,043.35 |
| Rate for Payer: Aetna Commercial |
$1,854.39
|
| Rate for Payer: Aetna Medicare |
$725.06
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$725.06
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,261.82
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,373.44
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$833.82
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$797.57
|
| Rate for Payer: Cash Price |
$1,362.23
|
| Rate for Payer: Cash Price |
$1,362.23
|
| Rate for Payer: Centivo All Commercial |
$1,120.55
|
| Rate for Payer: Cigna All Commercial |
$1,896.14
|
| Rate for Payer: CORVEL All Commercial |
$2,043.35
|
| Rate for Payer: Coventry All Commercial |
$1,933.49
|
| Rate for Payer: Encore All Commercial |
$2,022.48
|
| Rate for Payer: Frontpath All Commercial |
$2,021.38
|
| Rate for Payer: Humana ChoiceCare |
$1,897.68
|
| Rate for Payer: Humana Medicare |
$1,120.55
|
| Rate for Payer: Lucent All Commercial |
$1,120.55
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,977.44
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$1,647.86
|
| Rate for Payer: PHP All Commercial |
$1,666.32
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$856.89
|
| Rate for Payer: Sagamore Health Network All Products |
$1,696.20
|
| Rate for Payer: Signature Care EPO |
$1,823.63
|
| Rate for Payer: Signature Care PPO |
$1,933.49
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,867.58
|
| Rate for Payer: United Healthcare Commercial |
$1,731.35
|
| Rate for Payer: United Healthcare Medicare |
$725.06
|
|
|
HC Z TAP 3.5 LOCK QC
|
Facility
IP
|
$832.25
|
|
| Hospital Charge Code |
41604258
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$624.19 |
| Max. Negotiated Rate |
$773.99 |
| Rate for Payer: Aetna Commercial |
$719.06
|
| Rate for Payer: Cash Price |
$516.00
|
| Rate for Payer: Cigna All Commercial |
$718.23
|
| Rate for Payer: CORVEL All Commercial |
$773.99
|
| Rate for Payer: Coventry All Commercial |
$732.38
|
| Rate for Payer: Encore All Commercial |
$766.09
|
| Rate for Payer: Frontpath All Commercial |
$765.67
|
| Rate for Payer: Humana ChoiceCare |
$718.81
|
| Rate for Payer: Lutheran Preferred All Commercial |
$749.02
|
| Rate for Payer: PHCS All Commercial |
$624.19
|
| Rate for Payer: PHP All Commercial |
$631.18
|
| Rate for Payer: Sagamore Health Network All Products |
$642.50
|
| Rate for Payer: Signature Care EPO |
$690.77
|
| Rate for Payer: Signature Care PPO |
$732.38
|
| Rate for Payer: United Healthcare Commercial |
$655.81
|
|
|
HC Z TAP 3.5 LOCK QC
|
Facility
OP
|
$832.25
|
|
| Hospital Charge Code |
41604258
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$773.99 |
| Rate for Payer: Aetna Commercial |
$702.42
|
| Rate for Payer: Aetna Medicare |
$274.64
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$274.64
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$477.96
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$520.24
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$315.84
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$302.11
|
| Rate for Payer: Cash Price |
$516.00
|
| Rate for Payer: Cash Price |
$516.00
|
| Rate for Payer: Centivo All Commercial |
$424.45
|
| Rate for Payer: Cigna All Commercial |
$718.23
|
| Rate for Payer: CORVEL All Commercial |
$773.99
|
| Rate for Payer: Coventry All Commercial |
$732.38
|
| Rate for Payer: Encore All Commercial |
$766.09
|
| Rate for Payer: Frontpath All Commercial |
$765.67
|
| Rate for Payer: Humana ChoiceCare |
$718.81
|
| Rate for Payer: Humana Medicare |
$424.45
|
| Rate for Payer: Lucent All Commercial |
$424.45
|
| Rate for Payer: Lutheran Preferred All Commercial |
$749.02
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$624.19
|
| Rate for Payer: PHP All Commercial |
$631.18
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$324.58
|
| Rate for Payer: Sagamore Health Network All Products |
$642.50
|
| Rate for Payer: Signature Care EPO |
$690.77
|
| Rate for Payer: Signature Care PPO |
$732.38
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$707.41
|
| Rate for Payer: United Healthcare Commercial |
$655.81
|
| Rate for Payer: United Healthcare Medicare |
$274.64
|
|
|
HC Z TAP 4.0 CANN QC
|
Facility
IP
|
$2,197.15
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604537
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,647.86 |
| Max. Negotiated Rate |
$2,043.35 |
| Rate for Payer: Aetna Commercial |
$1,898.34
|
| Rate for Payer: Cash Price |
$1,362.23
|
| Rate for Payer: Cigna All Commercial |
$1,896.14
|
| Rate for Payer: CORVEL All Commercial |
$2,043.35
|
| Rate for Payer: Coventry All Commercial |
$1,933.49
|
| Rate for Payer: Encore All Commercial |
$2,022.48
|
| Rate for Payer: Frontpath All Commercial |
$2,021.38
|
| Rate for Payer: Humana ChoiceCare |
$1,897.68
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,977.44
|
| Rate for Payer: PHCS All Commercial |
$1,647.86
|
| Rate for Payer: PHP All Commercial |
$1,666.32
|
| Rate for Payer: Sagamore Health Network All Products |
$1,696.20
|
| Rate for Payer: Signature Care EPO |
$1,823.63
|
| Rate for Payer: Signature Care PPO |
$1,933.49
|
| Rate for Payer: United Healthcare Commercial |
$1,731.35
|
|
|
HC Z TAP 4.0 CANN QC
|
Facility
OP
|
$2,197.15
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604537
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$2,043.35 |
| Rate for Payer: Aetna Commercial |
$1,854.39
|
| Rate for Payer: Aetna Medicare |
$725.06
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$725.06
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,261.82
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,373.44
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$833.82
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$797.57
|
| Rate for Payer: Cash Price |
$1,362.23
|
| Rate for Payer: Cash Price |
$1,362.23
|
| Rate for Payer: Centivo All Commercial |
$1,120.55
|
| Rate for Payer: Cigna All Commercial |
$1,896.14
|
| Rate for Payer: CORVEL All Commercial |
$2,043.35
|
| Rate for Payer: Coventry All Commercial |
$1,933.49
|
| Rate for Payer: Encore All Commercial |
$2,022.48
|
| Rate for Payer: Frontpath All Commercial |
$2,021.38
|
| Rate for Payer: Humana ChoiceCare |
$1,897.68
|
| Rate for Payer: Humana Medicare |
$1,120.55
|
| Rate for Payer: Lucent All Commercial |
$1,120.55
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,977.44
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$1,647.86
|
| Rate for Payer: PHP All Commercial |
$1,666.32
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$856.89
|
| Rate for Payer: Sagamore Health Network All Products |
$1,696.20
|
| Rate for Payer: Signature Care EPO |
$1,823.63
|
| Rate for Payer: Signature Care PPO |
$1,933.49
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,867.58
|
| Rate for Payer: United Healthcare Commercial |
$1,731.35
|
| Rate for Payer: United Healthcare Medicare |
$725.06
|
|
|
HC Z TAP 6.5 CANC
|
Facility
IP
|
$944.35
|
|
| Hospital Charge Code |
41607866
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$708.26 |
| Max. Negotiated Rate |
$878.25 |
| Rate for Payer: Aetna Commercial |
$815.92
|
| Rate for Payer: Cash Price |
$585.50
|
| Rate for Payer: Cigna All Commercial |
$814.97
|
| Rate for Payer: CORVEL All Commercial |
$878.25
|
| Rate for Payer: Coventry All Commercial |
$831.03
|
| Rate for Payer: Encore All Commercial |
$869.27
|
| Rate for Payer: Frontpath All Commercial |
$868.80
|
| Rate for Payer: Humana ChoiceCare |
$815.64
|
| Rate for Payer: Lutheran Preferred All Commercial |
$849.92
|
| Rate for Payer: PHCS All Commercial |
$708.26
|
| Rate for Payer: PHP All Commercial |
$716.20
|
| Rate for Payer: Sagamore Health Network All Products |
$729.04
|
| Rate for Payer: Signature Care EPO |
$783.81
|
| Rate for Payer: Signature Care PPO |
$831.03
|
| Rate for Payer: United Healthcare Commercial |
$744.15
|
|
|
HC Z TAP 6.5 CANC
|
Facility
OP
|
$944.35
|
|
| Hospital Charge Code |
41607866
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$878.25 |
| Rate for Payer: Aetna Commercial |
$797.03
|
| Rate for Payer: Aetna Medicare |
$311.64
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$311.64
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$542.34
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$590.31
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$358.38
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$342.80
|
| Rate for Payer: Cash Price |
$585.50
|
| Rate for Payer: Cash Price |
$585.50
|
| Rate for Payer: Centivo All Commercial |
$481.62
|
| Rate for Payer: Cigna All Commercial |
$814.97
|
| Rate for Payer: CORVEL All Commercial |
$878.25
|
| Rate for Payer: Coventry All Commercial |
$831.03
|
| Rate for Payer: Encore All Commercial |
$869.27
|
| Rate for Payer: Frontpath All Commercial |
$868.80
|
| Rate for Payer: Humana ChoiceCare |
$815.64
|
| Rate for Payer: Humana Medicare |
$481.62
|
| Rate for Payer: Lucent All Commercial |
$481.62
|
| Rate for Payer: Lutheran Preferred All Commercial |
$849.92
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$708.26
|
| Rate for Payer: PHP All Commercial |
$716.20
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$368.30
|
| Rate for Payer: Sagamore Health Network All Products |
$729.04
|
| Rate for Payer: Signature Care EPO |
$783.81
|
| Rate for Payer: Signature Care PPO |
$831.03
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$802.70
|
| Rate for Payer: United Healthcare Commercial |
$744.15
|
| Rate for Payer: United Healthcare Medicare |
$311.64
|
|
|
HC Z TAP 7.0 CANN QC
|
Facility
OP
|
$2,197.15
|
|
| Hospital Charge Code |
41604087
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$2,043.35 |
| Rate for Payer: Aetna Commercial |
$1,854.39
|
| Rate for Payer: Aetna Medicare |
$725.06
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$725.06
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,261.82
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,373.44
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$833.82
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$797.57
|
| Rate for Payer: Cash Price |
$1,362.23
|
| Rate for Payer: Cash Price |
$1,362.23
|
| Rate for Payer: Centivo All Commercial |
$1,120.55
|
| Rate for Payer: Cigna All Commercial |
$1,896.14
|
| Rate for Payer: CORVEL All Commercial |
$2,043.35
|
| Rate for Payer: Coventry All Commercial |
$1,933.49
|
| Rate for Payer: Encore All Commercial |
$2,022.48
|
| Rate for Payer: Frontpath All Commercial |
$2,021.38
|
| Rate for Payer: Humana ChoiceCare |
$1,897.68
|
| Rate for Payer: Humana Medicare |
$1,120.55
|
| Rate for Payer: Lucent All Commercial |
$1,120.55
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,977.44
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$1,647.86
|
| Rate for Payer: PHP All Commercial |
$1,666.32
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$856.89
|
| Rate for Payer: Sagamore Health Network All Products |
$1,696.20
|
| Rate for Payer: Signature Care EPO |
$1,823.63
|
| Rate for Payer: Signature Care PPO |
$1,933.49
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,867.58
|
| Rate for Payer: United Healthcare Commercial |
$1,731.35
|
| Rate for Payer: United Healthcare Medicare |
$725.06
|
|
|
HC Z TAP 7.0 CANN QC
|
Facility
IP
|
$2,197.15
|
|
| Hospital Charge Code |
41604087
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,647.86 |
| Max. Negotiated Rate |
$2,043.35 |
| Rate for Payer: Aetna Commercial |
$1,898.34
|
| Rate for Payer: Cash Price |
$1,362.23
|
| Rate for Payer: Cigna All Commercial |
$1,896.14
|
| Rate for Payer: CORVEL All Commercial |
$2,043.35
|
| Rate for Payer: Coventry All Commercial |
$1,933.49
|
| Rate for Payer: Encore All Commercial |
$2,022.48
|
| Rate for Payer: Frontpath All Commercial |
$2,021.38
|
| Rate for Payer: Humana ChoiceCare |
$1,897.68
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,977.44
|
| Rate for Payer: PHCS All Commercial |
$1,647.86
|
| Rate for Payer: PHP All Commercial |
$1,666.32
|
| Rate for Payer: Sagamore Health Network All Products |
$1,696.20
|
| Rate for Payer: Signature Care EPO |
$1,823.63
|
| Rate for Payer: Signature Care PPO |
$1,933.49
|
| Rate for Payer: United Healthcare Commercial |
$1,731.35
|
|
|
HC Z TAPE BRDBAND 2PK
|
Facility
OP
|
$735.00
|
|
| Hospital Charge Code |
41608011
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$683.55 |
| Rate for Payer: Aetna Commercial |
$620.34
|
| Rate for Payer: Aetna Medicare |
$242.55
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$242.55
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$422.11
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$459.45
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$278.93
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$266.80
|
| Rate for Payer: Cash Price |
$455.70
|
| Rate for Payer: Cash Price |
$455.70
|
| Rate for Payer: Centivo All Commercial |
$374.85
|
| Rate for Payer: Cigna All Commercial |
$634.30
|
| Rate for Payer: CORVEL All Commercial |
$683.55
|
| Rate for Payer: Coventry All Commercial |
$646.80
|
| Rate for Payer: Encore All Commercial |
$676.57
|
| Rate for Payer: Frontpath All Commercial |
$676.20
|
| Rate for Payer: Humana ChoiceCare |
$634.82
|
| Rate for Payer: Humana Medicare |
$374.85
|
| Rate for Payer: Lucent All Commercial |
$374.85
|
| Rate for Payer: Lutheran Preferred All Commercial |
$661.50
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$551.25
|
| Rate for Payer: PHP All Commercial |
$557.42
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$286.65
|
| Rate for Payer: Sagamore Health Network All Products |
$567.42
|
| Rate for Payer: Signature Care EPO |
$610.05
|
| Rate for Payer: Signature Care PPO |
$646.80
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$624.75
|
| Rate for Payer: United Healthcare Commercial |
$579.18
|
| Rate for Payer: United Healthcare Medicare |
$242.55
|
|
|
HC Z TAPE BRDBAND 2PK
|
Facility
IP
|
$735.00
|
|
| Hospital Charge Code |
41608011
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$551.25 |
| Max. Negotiated Rate |
$683.55 |
| Rate for Payer: Aetna Commercial |
$635.04
|
| Rate for Payer: Cash Price |
$455.70
|
| Rate for Payer: Cigna All Commercial |
$634.30
|
| Rate for Payer: CORVEL All Commercial |
$683.55
|
| Rate for Payer: Coventry All Commercial |
$646.80
|
| Rate for Payer: Encore All Commercial |
$676.57
|
| Rate for Payer: Frontpath All Commercial |
$676.20
|
| Rate for Payer: Humana ChoiceCare |
$634.82
|
| Rate for Payer: Lutheran Preferred All Commercial |
$661.50
|
| Rate for Payer: PHCS All Commercial |
$551.25
|
| Rate for Payer: PHP All Commercial |
$557.42
|
| Rate for Payer: Sagamore Health Network All Products |
$567.42
|
| Rate for Payer: Signature Care EPO |
$610.05
|
| Rate for Payer: Signature Care PPO |
$646.80
|
| Rate for Payer: United Healthcare Commercial |
$579.18
|
|
|
HC Z TAPER ADAPTER -3 NECK
|
Facility
IP
|
$966.00
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41606572
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$724.50 |
| Max. Negotiated Rate |
$898.38 |
| Rate for Payer: Aetna Commercial |
$834.62
|
| Rate for Payer: Cash Price |
$598.92
|
| Rate for Payer: Cigna All Commercial |
$833.66
|
| Rate for Payer: CORVEL All Commercial |
$898.38
|
| Rate for Payer: Coventry All Commercial |
$850.08
|
| Rate for Payer: Encore All Commercial |
$889.20
|
| Rate for Payer: Frontpath All Commercial |
$888.72
|
| Rate for Payer: Humana ChoiceCare |
$834.33
|
| Rate for Payer: Lutheran Preferred All Commercial |
$869.40
|
| Rate for Payer: PHCS All Commercial |
$724.50
|
| Rate for Payer: PHP All Commercial |
$732.61
|
| Rate for Payer: Sagamore Health Network All Products |
$745.75
|
| Rate for Payer: Signature Care EPO |
$801.78
|
| Rate for Payer: Signature Care PPO |
$850.08
|
| Rate for Payer: United Healthcare Commercial |
$761.21
|
|
|
HC Z TAPER ADAPTER -3 NECK
|
Facility
OP
|
$966.00
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41606572
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$318.78 |
| Max. Negotiated Rate |
$898.38 |
| Rate for Payer: Aetna Commercial |
$815.30
|
| Rate for Payer: Aetna Medicare |
$318.78
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$318.78
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$554.77
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$603.85
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$366.60
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$350.66
|
| Rate for Payer: Cash Price |
$598.92
|
| Rate for Payer: Cash Price |
$598.92
|
| Rate for Payer: Centivo All Commercial |
$492.66
|
| Rate for Payer: Cigna All Commercial |
$833.66
|
| Rate for Payer: CORVEL All Commercial |
$898.38
|
| Rate for Payer: Coventry All Commercial |
$850.08
|
| Rate for Payer: Encore All Commercial |
$889.20
|
| Rate for Payer: Frontpath All Commercial |
$888.72
|
| Rate for Payer: Humana ChoiceCare |
$834.33
|
| Rate for Payer: Humana Medicare |
$492.66
|
| Rate for Payer: Lucent All Commercial |
$492.66
|
| Rate for Payer: Lutheran Preferred All Commercial |
$869.40
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$724.50
|
| Rate for Payer: PHP All Commercial |
$732.61
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$376.74
|
| Rate for Payer: Sagamore Health Network All Products |
$745.75
|
| Rate for Payer: Signature Care EPO |
$801.78
|
| Rate for Payer: Signature Care PPO |
$850.08
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$821.10
|
| Rate for Payer: United Healthcare Commercial |
$761.21
|
| Rate for Payer: United Healthcare Medicare |
$318.78
|
|
|
HC Z TAPER ADAPTER TYPE 1 0MM
|
Facility
OP
|
$966.00
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41606551
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$318.78 |
| Max. Negotiated Rate |
$898.38 |
| Rate for Payer: Aetna Commercial |
$815.30
|
| Rate for Payer: Aetna Medicare |
$318.78
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$318.78
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$554.77
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$603.85
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$366.60
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$350.66
|
| Rate for Payer: Cash Price |
$598.92
|
| Rate for Payer: Cash Price |
$598.92
|
| Rate for Payer: Centivo All Commercial |
$492.66
|
| Rate for Payer: Cigna All Commercial |
$833.66
|
| Rate for Payer: CORVEL All Commercial |
$898.38
|
| Rate for Payer: Coventry All Commercial |
$850.08
|
| Rate for Payer: Encore All Commercial |
$889.20
|
| Rate for Payer: Frontpath All Commercial |
$888.72
|
| Rate for Payer: Humana ChoiceCare |
$834.33
|
| Rate for Payer: Humana Medicare |
$492.66
|
| Rate for Payer: Lucent All Commercial |
$492.66
|
| Rate for Payer: Lutheran Preferred All Commercial |
$869.40
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$724.50
|
| Rate for Payer: PHP All Commercial |
$732.61
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$376.74
|
| Rate for Payer: Sagamore Health Network All Products |
$745.75
|
| Rate for Payer: Signature Care EPO |
$801.78
|
| Rate for Payer: Signature Care PPO |
$850.08
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$821.10
|
| Rate for Payer: United Healthcare Commercial |
$761.21
|
| Rate for Payer: United Healthcare Medicare |
$318.78
|
|
|
HC Z TAPER ADAPTER TYPE 1 0MM
|
Facility
IP
|
$966.00
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41606551
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$724.50 |
| Max. Negotiated Rate |
$898.38 |
| Rate for Payer: Aetna Commercial |
$834.62
|
| Rate for Payer: Cash Price |
$598.92
|
| Rate for Payer: Cigna All Commercial |
$833.66
|
| Rate for Payer: CORVEL All Commercial |
$898.38
|
| Rate for Payer: Coventry All Commercial |
$850.08
|
| Rate for Payer: Encore All Commercial |
$889.20
|
| Rate for Payer: Frontpath All Commercial |
$888.72
|
| Rate for Payer: Humana ChoiceCare |
$834.33
|
| Rate for Payer: Lutheran Preferred All Commercial |
$869.40
|
| Rate for Payer: PHCS All Commercial |
$724.50
|
| Rate for Payer: PHP All Commercial |
$732.61
|
| Rate for Payer: Sagamore Health Network All Products |
$745.75
|
| Rate for Payer: Signature Care EPO |
$801.78
|
| Rate for Payer: Signature Care PPO |
$850.08
|
| Rate for Payer: United Healthcare Commercial |
$761.21
|
|
|
HC Z TAPER ADAPTOR 25
|
Facility
OP
|
$986.70
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41605638
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$325.61 |
| Max. Negotiated Rate |
$917.63 |
| Rate for Payer: Aetna Commercial |
$832.77
|
| Rate for Payer: Aetna Medicare |
$325.61
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$325.61
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$566.66
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$616.79
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$374.45
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$358.17
|
| Rate for Payer: Cash Price |
$611.75
|
| Rate for Payer: Cash Price |
$611.75
|
| Rate for Payer: Centivo All Commercial |
$503.22
|
| Rate for Payer: Cigna All Commercial |
$851.52
|
| Rate for Payer: CORVEL All Commercial |
$917.63
|
| Rate for Payer: Coventry All Commercial |
$868.30
|
| Rate for Payer: Encore All Commercial |
$908.26
|
| Rate for Payer: Frontpath All Commercial |
$907.76
|
| Rate for Payer: Humana ChoiceCare |
$852.21
|
| Rate for Payer: Humana Medicare |
$503.22
|
| Rate for Payer: Lucent All Commercial |
$503.22
|
| Rate for Payer: Lutheran Preferred All Commercial |
$888.03
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$740.02
|
| Rate for Payer: PHP All Commercial |
$748.31
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$384.81
|
| Rate for Payer: Sagamore Health Network All Products |
$761.73
|
| Rate for Payer: Signature Care EPO |
$818.96
|
| Rate for Payer: Signature Care PPO |
$868.30
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$838.70
|
| Rate for Payer: United Healthcare Commercial |
$777.52
|
| Rate for Payer: United Healthcare Medicare |
$325.61
|
|
|
HC Z TAPER ADAPTOR 25
|
Facility
IP
|
$986.70
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41605638
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$740.02 |
| Max. Negotiated Rate |
$917.63 |
| Rate for Payer: Aetna Commercial |
$852.51
|
| Rate for Payer: Cash Price |
$611.75
|
| Rate for Payer: Cigna All Commercial |
$851.52
|
| Rate for Payer: CORVEL All Commercial |
$917.63
|
| Rate for Payer: Coventry All Commercial |
$868.30
|
| Rate for Payer: Encore All Commercial |
$908.26
|
| Rate for Payer: Frontpath All Commercial |
$907.76
|
| Rate for Payer: Humana ChoiceCare |
$852.21
|
| Rate for Payer: Lutheran Preferred All Commercial |
$888.03
|
| Rate for Payer: PHCS All Commercial |
$740.02
|
| Rate for Payer: PHP All Commercial |
$748.31
|
| Rate for Payer: Sagamore Health Network All Products |
$761.73
|
| Rate for Payer: Signature Care EPO |
$818.96
|
| Rate for Payer: Signature Care PPO |
$868.30
|
| Rate for Payer: United Healthcare Commercial |
$777.52
|
|
|
HC Z TIBIAL NAIL 11MMX34CM
|
Facility
IP
|
$5,632.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605863
|
|
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 TIBIAL NAIL 11MMX34CM
|
Facility
OP
|
$5,632.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605863
|
|
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 TIB POST GRAFT
|
Facility
OP
|
$6,840.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604950
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$6,361.20 |
| Rate for Payer: Aetna Commercial |
$5,772.96
|
| Rate for Payer: Aetna Medicare |
$2,257.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$2,257.20
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$3,928.21
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$4,275.68
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$2,595.78
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$2,482.92
|
| Rate for Payer: Cash Price |
$4,240.80
|
| Rate for Payer: Cash Price |
$4,240.80
|
| Rate for Payer: Centivo All Commercial |
$3,488.40
|
| Rate for Payer: Cigna All Commercial |
$5,902.92
|
| Rate for Payer: CORVEL All Commercial |
$6,361.20
|
| Rate for Payer: Coventry All Commercial |
$6,019.20
|
| Rate for Payer: Encore All Commercial |
$6,296.22
|
| Rate for Payer: Frontpath All Commercial |
$6,292.80
|
| Rate for Payer: Humana ChoiceCare |
$5,907.71
|
| Rate for Payer: Humana Medicare |
$3,488.40
|
| Rate for Payer: Lucent All Commercial |
$3,488.40
|
| Rate for Payer: Lutheran Preferred All Commercial |
$6,156.00
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$5,130.00
|
| Rate for Payer: PHP All Commercial |
$5,187.46
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$2,667.60
|
| Rate for Payer: Sagamore Health Network All Products |
$5,280.48
|
| Rate for Payer: Signature Care EPO |
$5,677.20
|
| Rate for Payer: Signature Care PPO |
$6,019.20
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$5,814.00
|
| Rate for Payer: United Healthcare Commercial |
$5,389.92
|
| Rate for Payer: United Healthcare Medicare |
$2,257.20
|
|
|
HC Z TIB POST GRAFT
|
Facility
IP
|
$6,840.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604950
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$5,130.00 |
| Max. Negotiated Rate |
$6,361.20 |
| Rate for Payer: Aetna Commercial |
$5,909.76
|
| Rate for Payer: Cash Price |
$4,240.80
|
| Rate for Payer: Cigna All Commercial |
$5,902.92
|
| Rate for Payer: CORVEL All Commercial |
$6,361.20
|
| Rate for Payer: Coventry All Commercial |
$6,019.20
|
| Rate for Payer: Encore All Commercial |
$6,296.22
|
| Rate for Payer: Frontpath All Commercial |
$6,292.80
|
| Rate for Payer: Humana ChoiceCare |
$5,907.71
|
| Rate for Payer: Lutheran Preferred All Commercial |
$6,156.00
|
| Rate for Payer: PHCS All Commercial |
$5,130.00
|
| Rate for Payer: PHP All Commercial |
$5,187.46
|
| Rate for Payer: Sagamore Health Network All Products |
$5,280.48
|
| Rate for Payer: Signature Care EPO |
$5,677.20
|
| Rate for Payer: Signature Care PPO |
$6,019.20
|
| Rate for Payer: United Healthcare Commercial |
$5,389.92
|
|
|
HC Z TIB STM 5 DEG A L
|
Facility
OP
|
$5,961.60
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41605235
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$5,544.29 |
| Rate for Payer: Aetna Commercial |
$5,031.59
|
| Rate for Payer: Aetna Medicare |
$1,967.33
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,967.33
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$3,423.75
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$3,726.60
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$2,262.43
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$2,164.06
|
| Rate for Payer: Cash Price |
$3,696.19
|
| Rate for Payer: Cash Price |
$3,696.19
|
| Rate for Payer: Centivo All Commercial |
$3,040.42
|
| Rate for Payer: Cigna All Commercial |
$5,144.86
|
| Rate for Payer: CORVEL All Commercial |
$5,544.29
|
| Rate for Payer: Coventry All Commercial |
$5,246.21
|
| Rate for Payer: Encore All Commercial |
$5,487.65
|
| Rate for Payer: Frontpath All Commercial |
$5,484.67
|
| Rate for Payer: Humana ChoiceCare |
$5,149.03
|
| Rate for Payer: Humana Medicare |
$3,040.42
|
| Rate for Payer: Lucent All Commercial |
$3,040.42
|
| Rate for Payer: Lutheran Preferred All Commercial |
$5,365.44
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$4,471.20
|
| Rate for Payer: PHP All Commercial |
$4,521.28
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$2,325.02
|
| Rate for Payer: Sagamore Health Network All Products |
$4,602.36
|
| Rate for Payer: Signature Care EPO |
$4,948.13
|
| Rate for Payer: Signature Care PPO |
$5,246.21
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$5,067.36
|
| Rate for Payer: United Healthcare Commercial |
$4,697.74
|
| Rate for Payer: United Healthcare Medicare |
$1,967.33
|
|
|
HC Z TIB STM 5 DEG A L
|
Facility
IP
|
$5,961.60
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41605235
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$4,471.20 |
| Max. Negotiated Rate |
$5,544.29 |
| Rate for Payer: Aetna Commercial |
$5,150.82
|
| Rate for Payer: Cash Price |
$3,696.19
|
| Rate for Payer: Cigna All Commercial |
$5,144.86
|
| Rate for Payer: CORVEL All Commercial |
$5,544.29
|
| Rate for Payer: Coventry All Commercial |
$5,246.21
|
| Rate for Payer: Encore All Commercial |
$5,487.65
|
| Rate for Payer: Frontpath All Commercial |
$5,484.67
|
| Rate for Payer: Humana ChoiceCare |
$5,149.03
|
| Rate for Payer: Lutheran Preferred All Commercial |
$5,365.44
|
| Rate for Payer: PHCS All Commercial |
$4,471.20
|
| Rate for Payer: PHP All Commercial |
$4,521.28
|
| Rate for Payer: Sagamore Health Network All Products |
$4,602.36
|
| Rate for Payer: Signature Care EPO |
$4,948.13
|
| Rate for Payer: Signature Care PPO |
$5,246.21
|
| Rate for Payer: United Healthcare Commercial |
$4,697.74
|
|
|
HC Z TIB STM 5 DEG A R
|
Facility
OP
|
$5,961.60
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41605236
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$5,544.29 |
| Rate for Payer: Aetna Commercial |
$5,031.59
|
| Rate for Payer: Aetna Medicare |
$1,967.33
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,967.33
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$3,423.75
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$3,726.60
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$2,262.43
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$2,164.06
|
| Rate for Payer: Cash Price |
$3,696.19
|
| Rate for Payer: Cash Price |
$3,696.19
|
| Rate for Payer: Centivo All Commercial |
$3,040.42
|
| Rate for Payer: Cigna All Commercial |
$5,144.86
|
| Rate for Payer: CORVEL All Commercial |
$5,544.29
|
| Rate for Payer: Coventry All Commercial |
$5,246.21
|
| Rate for Payer: Encore All Commercial |
$5,487.65
|
| Rate for Payer: Frontpath All Commercial |
$5,484.67
|
| Rate for Payer: Humana ChoiceCare |
$5,149.03
|
| Rate for Payer: Humana Medicare |
$3,040.42
|
| Rate for Payer: Lucent All Commercial |
$3,040.42
|
| Rate for Payer: Lutheran Preferred All Commercial |
$5,365.44
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$4,471.20
|
| Rate for Payer: PHP All Commercial |
$4,521.28
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$2,325.02
|
| Rate for Payer: Sagamore Health Network All Products |
$4,602.36
|
| Rate for Payer: Signature Care EPO |
$4,948.13
|
| Rate for Payer: Signature Care PPO |
$5,246.21
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$5,067.36
|
| Rate for Payer: United Healthcare Commercial |
$4,697.74
|
| Rate for Payer: United Healthcare Medicare |
$1,967.33
|
|
|
HC Z TIB STM 5 DEG A R
|
Facility
IP
|
$5,961.60
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41605236
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$4,471.20 |
| Max. Negotiated Rate |
$5,544.29 |
| Rate for Payer: Aetna Commercial |
$5,150.82
|
| Rate for Payer: Cash Price |
$3,696.19
|
| Rate for Payer: Cigna All Commercial |
$5,144.86
|
| Rate for Payer: CORVEL All Commercial |
$5,544.29
|
| Rate for Payer: Coventry All Commercial |
$5,246.21
|
| Rate for Payer: Encore All Commercial |
$5,487.65
|
| Rate for Payer: Frontpath All Commercial |
$5,484.67
|
| Rate for Payer: Humana ChoiceCare |
$5,149.03
|
| Rate for Payer: Lutheran Preferred All Commercial |
$5,365.44
|
| Rate for Payer: PHCS All Commercial |
$4,471.20
|
| Rate for Payer: PHP All Commercial |
$4,521.28
|
| Rate for Payer: Sagamore Health Network All Products |
$4,602.36
|
| Rate for Payer: Signature Care EPO |
$4,948.13
|
| Rate for Payer: Signature Care PPO |
$5,246.21
|
| Rate for Payer: United Healthcare Commercial |
$4,697.74
|
|
