|
ZACURATE FINGER PULSE OX
|
Facility
OP
|
$66.96
|
|
| Hospital Charge Code |
24335303
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$11.38 |
| Max. Negotiated Rate |
$60.26 |
| Rate for Payer: Aetna POS, PPO, HMO |
$60.26
|
| Rate for Payer: Aetna Medicare |
$18.75
|
| Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage |
$11.38
|
| Rate for Payer: Amerigroup Medicare |
$11.38
|
| Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid |
$25.01
|
| Rate for Payer: Arizona Complete Care Health Medicare Advantage |
$11.38
|
| Rate for Payer: Banner University Care Advantage Health Maintenance Organization |
$11.38
|
| Rate for Payer: City of Bisbee Police Bisbee Police |
$17.41
|
| Rate for Payer: Cigna All Products |
$46.87
|
| Rate for Payer: Copperpoint |
$18.78
|
| Rate for Payer: HealthNet Commercial |
$40.18
|
| Rate for Payer: HealthNet Medicare |
$18.75
|
| Rate for Payer: Humana Medicare |
$11.38
|
| Rate for Payer: SELF PAY |
$53.57
|
| Rate for Payer: Veterans (Triwest) |
$11.38
|
| Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) |
$39.04
|
| Rate for Payer: United Healthcare Medicare |
$12.05
|
|
|
ZACURATE FINGER PULSE OX
|
Facility
IP
|
$66.96
|
|
| Hospital Charge Code |
24335303
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$11.38 |
| Max. Negotiated Rate |
$60.26 |
| Rate for Payer: Aetna POS, PPO, HMO |
$60.26
|
| Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage |
$11.38
|
| Rate for Payer: Amerigroup Medicare |
$11.38
|
| Rate for Payer: Arizona Complete Care Health Medicare Advantage |
$11.38
|
| Rate for Payer: Banner University Care Advantage Health Maintenance Organization |
$11.38
|
| Rate for Payer: City of Bisbee Police Bisbee Police |
$17.41
|
| Rate for Payer: Copperpoint |
$18.78
|
| Rate for Payer: Humana Medicare |
$11.38
|
| Rate for Payer: SELF PAY |
$53.57
|
| Rate for Payer: Veterans (Triwest) |
$11.38
|
|
|
ZEROWET SUPER SHIELD
|
Facility
OP
|
$11.00
|
|
| Hospital Charge Code |
22355773
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1.87 |
| Max. Negotiated Rate |
$9.90 |
| Rate for Payer: Aetna POS, PPO, HMO |
$9.90
|
| Rate for Payer: Aetna Medicare |
$3.08
|
| Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage |
$1.87
|
| Rate for Payer: Amerigroup Medicare |
$1.87
|
| Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid |
$4.11
|
| Rate for Payer: Arizona Complete Care Health Medicare Advantage |
$1.87
|
| Rate for Payer: Banner University Care Advantage Health Maintenance Organization |
$1.87
|
| Rate for Payer: City of Bisbee Police Bisbee Police |
$2.86
|
| Rate for Payer: Cigna All Products |
$7.70
|
| Rate for Payer: Copperpoint |
$3.09
|
| Rate for Payer: HealthNet Commercial |
$6.60
|
| Rate for Payer: HealthNet Medicare |
$3.08
|
| Rate for Payer: Humana Medicare |
$1.87
|
| Rate for Payer: SELF PAY |
$8.80
|
| Rate for Payer: Veterans (Triwest) |
$1.87
|
| Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) |
$6.41
|
| Rate for Payer: United Healthcare Medicare |
$1.98
|
|
|
ZEROWET SUPER SHIELD
|
Facility
IP
|
$11.00
|
|
| Hospital Charge Code |
22355773
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1.87 |
| Max. Negotiated Rate |
$9.90 |
| Rate for Payer: Aetna POS, PPO, HMO |
$9.90
|
| Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage |
$1.87
|
| Rate for Payer: Amerigroup Medicare |
$1.87
|
| Rate for Payer: Arizona Complete Care Health Medicare Advantage |
$1.87
|
| Rate for Payer: Banner University Care Advantage Health Maintenance Organization |
$1.87
|
| Rate for Payer: City of Bisbee Police Bisbee Police |
$2.86
|
| Rate for Payer: Copperpoint |
$3.09
|
| Rate for Payer: Humana Medicare |
$1.87
|
| Rate for Payer: SELF PAY |
$8.80
|
| Rate for Payer: Veterans (Triwest) |
$1.87
|
|
|
Zika Test
|
Facility
IP
|
$159.00
|
|
|
Service Code
|
CPT 86790
|
| Hospital Charge Code |
22875060
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$27.03 |
| Max. Negotiated Rate |
$143.10 |
| Rate for Payer: Aetna POS, PPO, HMO |
$143.10
|
| Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage |
$27.03
|
| Rate for Payer: Amerigroup Medicare |
$27.03
|
| Rate for Payer: Arizona Complete Care Health Medicare Advantage |
$27.03
|
| Rate for Payer: Banner University Care Advantage Health Maintenance Organization |
$27.03
|
| Rate for Payer: City of Bisbee Police Bisbee Police |
$41.34
|
| Rate for Payer: Copperpoint |
$44.60
|
| Rate for Payer: Humana Medicare |
$27.03
|
| Rate for Payer: SELF PAY |
$127.20
|
| Rate for Payer: Veterans (Triwest) |
$27.03
|
|
|
Zika Test
|
Facility
OP
|
$159.00
|
|
|
Service Code
|
CPT 86790
|
| Hospital Charge Code |
22875060
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$12.88 |
| Max. Negotiated Rate |
$143.10 |
| Rate for Payer: Aetna POS, PPO, HMO |
$143.10
|
| Rate for Payer: Aetna Medicare |
$44.52
|
| Rate for Payer: AHCCCS Medicaid |
$12.88
|
| Rate for Payer: Allwell from Arizona Medicaid by Arizona Complete Health Medicaid |
$12.88
|
| Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage |
$27.03
|
| Rate for Payer: Amerigroup Medicare |
$27.03
|
| Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid |
$59.39
|
| Rate for Payer: Arizona Complete Care Health Medicaid |
$12.88
|
| Rate for Payer: Arizona Complete Care Health Medicare Advantage |
$27.03
|
| Rate for Payer: Banner University Care Advantage Health Maintenance Organization |
$27.03
|
| Rate for Payer: Banner University Family Care Medicaid |
$12.88
|
| Rate for Payer: City of Bisbee Police Bisbee Police |
$41.34
|
| Rate for Payer: Cigna All Products |
$103.35
|
| Rate for Payer: Copperpoint |
$44.60
|
| Rate for Payer: HealthNet Commercial |
$95.40
|
| Rate for Payer: HealthNet Medicare |
$44.52
|
| Rate for Payer: Humana Medicare |
$27.03
|
| Rate for Payer: Mercy Care Medicaid |
$12.88
|
| Rate for Payer: SELF PAY |
$127.20
|
| Rate for Payer: Veterans (Triwest) |
$27.03
|
| Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) |
$92.70
|
| Rate for Payer: United Healthcare Medicare |
$28.62
|
|
|
Zika Viru NAA
|
Facility
OP
|
$901.00
|
|
|
Service Code
|
CPT 87798
|
| Hospital Charge Code |
22929297
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$35.09 |
| Max. Negotiated Rate |
$810.90 |
| Rate for Payer: Aetna POS, PPO, HMO |
$810.90
|
| Rate for Payer: Aetna Medicare |
$252.28
|
| Rate for Payer: AHCCCS Medicaid |
$35.09
|
| Rate for Payer: Allwell from Arizona Medicaid by Arizona Complete Health Medicaid |
$35.09
|
| Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage |
$153.17
|
| Rate for Payer: Amerigroup Medicare |
$153.17
|
| Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid |
$336.52
|
| Rate for Payer: Arizona Complete Care Health Medicaid |
$35.09
|
| Rate for Payer: Arizona Complete Care Health Medicare Advantage |
$153.17
|
| Rate for Payer: Banner University Care Advantage Health Maintenance Organization |
$153.17
|
| Rate for Payer: Banner University Family Care Medicaid |
$35.09
|
| Rate for Payer: City of Bisbee Police Bisbee Police |
$234.26
|
| Rate for Payer: Cigna All Products |
$585.65
|
| Rate for Payer: Copperpoint |
$252.73
|
| Rate for Payer: HealthNet Commercial |
$540.60
|
| Rate for Payer: HealthNet Medicare |
$252.28
|
| Rate for Payer: Humana Medicare |
$153.17
|
| Rate for Payer: Mercy Care Medicaid |
$35.09
|
| Rate for Payer: SELF PAY |
$720.80
|
| Rate for Payer: Veterans (Triwest) |
$153.17
|
| Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) |
$525.28
|
| Rate for Payer: United Healthcare Medicare |
$162.18
|
|
|
Zika Viru NAA
|
Facility
IP
|
$901.00
|
|
|
Service Code
|
CPT 87798
|
| Hospital Charge Code |
22929297
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$153.17 |
| Max. Negotiated Rate |
$810.90 |
| Rate for Payer: Aetna POS, PPO, HMO |
$810.90
|
| Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage |
$153.17
|
| Rate for Payer: Amerigroup Medicare |
$153.17
|
| Rate for Payer: Arizona Complete Care Health Medicare Advantage |
$153.17
|
| Rate for Payer: Banner University Care Advantage Health Maintenance Organization |
$153.17
|
| Rate for Payer: City of Bisbee Police Bisbee Police |
$234.26
|
| Rate for Payer: Copperpoint |
$252.73
|
| Rate for Payer: Humana Medicare |
$153.17
|
| Rate for Payer: SELF PAY |
$720.80
|
| Rate for Payer: Veterans (Triwest) |
$153.17
|
|
|
Zinc, Plasma or Serum LC
|
Facility
IP
|
$262.00
|
|
|
Service Code
|
CPT 84630
|
| Hospital Charge Code |
1285555
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$44.54 |
| Max. Negotiated Rate |
$235.80 |
| Rate for Payer: Aetna POS, PPO, HMO |
$235.80
|
| Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage |
$44.54
|
| Rate for Payer: Amerigroup Medicare |
$44.54
|
| Rate for Payer: Arizona Complete Care Health Medicare Advantage |
$44.54
|
| Rate for Payer: Banner University Care Advantage Health Maintenance Organization |
$44.54
|
| Rate for Payer: City of Bisbee Police Bisbee Police |
$68.12
|
| Rate for Payer: Copperpoint |
$73.49
|
| Rate for Payer: Humana Medicare |
$44.54
|
| Rate for Payer: SELF PAY |
$209.60
|
| Rate for Payer: Veterans (Triwest) |
$44.54
|
|
|
Zinc, Plasma or Serum LC
|
Facility
OP
|
$262.00
|
|
|
Service Code
|
CPT 84630
|
| Hospital Charge Code |
1285555
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$11.39 |
| Max. Negotiated Rate |
$235.80 |
| Rate for Payer: Aetna POS, PPO, HMO |
$235.80
|
| Rate for Payer: Aetna Medicare |
$73.36
|
| Rate for Payer: AHCCCS Medicaid |
$11.39
|
| Rate for Payer: Allwell from Arizona Medicaid by Arizona Complete Health Medicaid |
$11.39
|
| Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage |
$44.54
|
| Rate for Payer: Amerigroup Medicare |
$44.54
|
| Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid |
$97.86
|
| Rate for Payer: Arizona Complete Care Health Medicaid |
$11.39
|
| Rate for Payer: Arizona Complete Care Health Medicare Advantage |
$44.54
|
| Rate for Payer: Banner University Care Advantage Health Maintenance Organization |
$44.54
|
| Rate for Payer: Banner University Family Care Medicaid |
$11.39
|
| Rate for Payer: City of Bisbee Police Bisbee Police |
$68.12
|
| Rate for Payer: Cigna All Products |
$170.30
|
| Rate for Payer: Copperpoint |
$73.49
|
| Rate for Payer: HealthNet Commercial |
$157.20
|
| Rate for Payer: HealthNet Medicare |
$73.36
|
| Rate for Payer: Humana Medicare |
$44.54
|
| Rate for Payer: Mercy Care Medicaid |
$11.39
|
| Rate for Payer: SELF PAY |
$209.60
|
| Rate for Payer: Veterans (Triwest) |
$44.54
|
| Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) |
$152.75
|
| Rate for Payer: United Healthcare Medicare |
$47.16
|
|
|
Zinc, Whole Blood LC
|
Facility
OP
|
$149.00
|
|
|
Service Code
|
CPT 84630
|
| Hospital Charge Code |
22242095
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$11.39 |
| Max. Negotiated Rate |
$134.10 |
| Rate for Payer: Aetna POS, PPO, HMO |
$134.10
|
| Rate for Payer: Aetna Medicare |
$41.72
|
| Rate for Payer: AHCCCS Medicaid |
$11.39
|
| Rate for Payer: Allwell from Arizona Medicaid by Arizona Complete Health Medicaid |
$11.39
|
| Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage |
$25.33
|
| Rate for Payer: Amerigroup Medicare |
$25.33
|
| Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid |
$55.65
|
| Rate for Payer: Arizona Complete Care Health Medicaid |
$11.39
|
| Rate for Payer: Arizona Complete Care Health Medicare Advantage |
$25.33
|
| Rate for Payer: Banner University Care Advantage Health Maintenance Organization |
$25.33
|
| Rate for Payer: Banner University Family Care Medicaid |
$11.39
|
| Rate for Payer: City of Bisbee Police Bisbee Police |
$38.74
|
| Rate for Payer: Cigna All Products |
$96.85
|
| Rate for Payer: Copperpoint |
$41.79
|
| Rate for Payer: HealthNet Commercial |
$89.40
|
| Rate for Payer: HealthNet Medicare |
$41.72
|
| Rate for Payer: Humana Medicare |
$25.33
|
| Rate for Payer: Mercy Care Medicaid |
$11.39
|
| Rate for Payer: SELF PAY |
$119.20
|
| Rate for Payer: Veterans (Triwest) |
$25.33
|
| Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) |
$86.87
|
| Rate for Payer: United Healthcare Medicare |
$26.82
|
|
|
Zinc, Whole Blood LC
|
Facility
IP
|
$149.00
|
|
|
Service Code
|
CPT 84630
|
| Hospital Charge Code |
22242095
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$25.33 |
| Max. Negotiated Rate |
$134.10 |
| Rate for Payer: Aetna POS, PPO, HMO |
$134.10
|
| Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage |
$25.33
|
| Rate for Payer: Amerigroup Medicare |
$25.33
|
| Rate for Payer: Arizona Complete Care Health Medicare Advantage |
$25.33
|
| Rate for Payer: Banner University Care Advantage Health Maintenance Organization |
$25.33
|
| Rate for Payer: City of Bisbee Police Bisbee Police |
$38.74
|
| Rate for Payer: Copperpoint |
$41.79
|
| Rate for Payer: Humana Medicare |
$25.33
|
| Rate for Payer: SELF PAY |
$119.20
|
| Rate for Payer: Veterans (Triwest) |
$25.33
|
|
|
Zonisamide(Zonegran), Serum LC
|
Facility
OP
|
$343.00
|
|
|
Service Code
|
CPT 82542
|
| Hospital Charge Code |
1285611
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$24.09 |
| Max. Negotiated Rate |
$308.70 |
| Rate for Payer: Aetna POS, PPO, HMO |
$308.70
|
| Rate for Payer: Aetna Medicare |
$96.04
|
| Rate for Payer: AHCCCS Medicaid |
$24.09
|
| Rate for Payer: Allwell from Arizona Medicaid by Arizona Complete Health Medicaid |
$24.09
|
| Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage |
$58.31
|
| Rate for Payer: Amerigroup Medicare |
$58.31
|
| Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid |
$128.11
|
| Rate for Payer: Arizona Complete Care Health Medicaid |
$24.09
|
| Rate for Payer: Arizona Complete Care Health Medicare Advantage |
$58.31
|
| Rate for Payer: Banner University Care Advantage Health Maintenance Organization |
$58.31
|
| Rate for Payer: Banner University Family Care Medicaid |
$24.09
|
| Rate for Payer: City of Bisbee Police Bisbee Police |
$89.18
|
| Rate for Payer: Cigna All Products |
$222.95
|
| Rate for Payer: Copperpoint |
$96.21
|
| Rate for Payer: HealthNet Commercial |
$205.80
|
| Rate for Payer: HealthNet Medicare |
$96.04
|
| Rate for Payer: Humana Medicare |
$58.31
|
| Rate for Payer: Mercy Care Medicaid |
$24.09
|
| Rate for Payer: SELF PAY |
$274.40
|
| Rate for Payer: Veterans (Triwest) |
$58.31
|
| Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) |
$199.97
|
| Rate for Payer: United Healthcare Medicare |
$61.74
|
|
|
Zonisamide(Zonegran), Serum LC
|
Facility
IP
|
$343.00
|
|
|
Service Code
|
CPT 82542
|
| Hospital Charge Code |
1285611
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$58.31 |
| Max. Negotiated Rate |
$308.70 |
| Rate for Payer: Aetna POS, PPO, HMO |
$308.70
|
| Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage |
$58.31
|
| Rate for Payer: Amerigroup Medicare |
$58.31
|
| Rate for Payer: Arizona Complete Care Health Medicare Advantage |
$58.31
|
| Rate for Payer: Banner University Care Advantage Health Maintenance Organization |
$58.31
|
| Rate for Payer: City of Bisbee Police Bisbee Police |
$89.18
|
| Rate for Payer: Copperpoint |
$96.21
|
| Rate for Payer: Humana Medicare |
$58.31
|
| Rate for Payer: SELF PAY |
$274.40
|
| Rate for Payer: Veterans (Triwest) |
$58.31
|
|