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Service Code CPT C1771
Hospital Charge Code 22354151
Hospital Revenue Code 270
Min. Negotiated Rate $639.84
Max. Negotiated Rate $3,599.10
Rate for Payer: Aetna of AZ Commercial $3,599.10
Rate for Payer: Aetna of AZ Medicare $1,119.72
Rate for Payer: Allwell Medicare $639.84
Rate for Payer: Amerigroup Medicare $639.84
Rate for Payer: APIPA Medicare/Medicaid $1,493.63
Rate for Payer: AZCH Complete Medicare $639.84
Rate for Payer: Banner UC Health Medicare $639.84
Rate for Payer: Bisbee Police All Plans $1,039.74
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $2,719.32
Rate for Payer: Cash Price $3,199.20
Rate for Payer: Cigna of AZ Commercial $2,799.30
Rate for Payer: Copperpoint Commercial $989.75
Rate for Payer: Health Net of AZ Commercial $2,399.40
Rate for Payer: Health Net of AZ Medicare $1,119.72
Rate for Payer: Humana of AZ Medicare $639.84
Rate for Payer: Self Pay Self Pay $3,199.20
Rate for Payer: TriWest Medicare $639.84
Rate for Payer: UnitedHealth Group of AZ Commercial $2,331.42
Rate for Payer: UnitedHealth Group of AZ Medicare $719.82
Service Code CPT C1771
Hospital Charge Code 22354147
Hospital Revenue Code 270
Min. Negotiated Rate $639.84
Max. Negotiated Rate $3,599.10
Rate for Payer: Aetna of AZ Commercial $3,599.10
Rate for Payer: Aetna of AZ Medicare $1,119.72
Rate for Payer: Allwell Medicare $639.84
Rate for Payer: Amerigroup Medicare $639.84
Rate for Payer: APIPA Medicare/Medicaid $1,493.63
Rate for Payer: AZCH Complete Medicare $639.84
Rate for Payer: Banner UC Health Medicare $639.84
Rate for Payer: Bisbee Police All Plans $1,039.74
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $2,719.32
Rate for Payer: Cash Price $3,199.20
Rate for Payer: Cigna of AZ Commercial $2,799.30
Rate for Payer: Copperpoint Commercial $989.75
Rate for Payer: Health Net of AZ Commercial $2,399.40
Rate for Payer: Health Net of AZ Medicare $1,119.72
Rate for Payer: Humana of AZ Medicare $639.84
Rate for Payer: Self Pay Self Pay $3,199.20
Rate for Payer: TriWest Medicare $639.84
Rate for Payer: UnitedHealth Group of AZ Commercial $2,331.42
Rate for Payer: UnitedHealth Group of AZ Medicare $719.82
Service Code CPT C1771
Hospital Charge Code 22354147
Hospital Revenue Code 270
Min. Negotiated Rate $1,039.74
Max. Negotiated Rate $3,599.10
Rate for Payer: Aetna of AZ Commercial $3,599.10
Rate for Payer: Bisbee Police All Plans $1,039.74
Rate for Payer: Cash Price $3,199.20
Rate for Payer: Self Pay Self Pay $3,199.20
Hospital Charge Code 22354152
Hospital Revenue Code 270
Min. Negotiated Rate $816.48
Max. Negotiated Rate $4,592.70
Rate for Payer: Aetna of AZ Commercial $4,592.70
Rate for Payer: Aetna of AZ Medicare $1,428.84
Rate for Payer: Allwell Medicare $816.48
Rate for Payer: Amerigroup Medicare $816.48
Rate for Payer: APIPA Medicare/Medicaid $1,905.97
Rate for Payer: AZCH Complete Medicare $816.48
Rate for Payer: Banner UC Health Medicare $816.48
Rate for Payer: Bisbee Police All Plans $1,326.78
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $3,470.04
Rate for Payer: Cash Price $4,082.40
Rate for Payer: Cigna of AZ Commercial $3,572.10
Rate for Payer: Copperpoint Commercial $1,262.99
Rate for Payer: Health Net of AZ Commercial $3,061.80
Rate for Payer: Health Net of AZ Medicare $1,428.84
Rate for Payer: Humana of AZ Medicare $816.48
Rate for Payer: Self Pay Self Pay $4,082.40
Rate for Payer: TriWest Medicare $816.48
Rate for Payer: UnitedHealth Group of AZ Commercial $2,975.05
Rate for Payer: UnitedHealth Group of AZ Medicare $918.54
Hospital Charge Code 22354152
Hospital Revenue Code 270
Min. Negotiated Rate $1,326.78
Max. Negotiated Rate $4,592.70
Rate for Payer: Aetna of AZ Commercial $4,592.70
Rate for Payer: Bisbee Police All Plans $1,326.78
Rate for Payer: Cash Price $4,082.40
Rate for Payer: Self Pay Self Pay $4,082.40
Service Code CPT 57287
Hospital Charge Code 27267790
Hospital Revenue Code 360
Min. Negotiated Rate $989.30
Max. Negotiated Rate $3,424.50
Rate for Payer: Aetna of AZ Commercial $3,424.50
Rate for Payer: Bisbee Police All Plans $989.30
Rate for Payer: Cash Price $3,044.00
Rate for Payer: Self Pay Self Pay $3,044.00
Service Code CPT 57287
Hospital Charge Code 27267790
Hospital Revenue Code 360
Min. Negotiated Rate $608.80
Max. Negotiated Rate $3,424.50
Rate for Payer: Aetna of AZ Commercial $3,424.50
Rate for Payer: Aetna of AZ Medicare $1,065.40
Rate for Payer: AHCCCS Medicaid $1,901.83
Rate for Payer: Allwell Medicaid $1,901.83
Rate for Payer: Allwell Medicare $608.80
Rate for Payer: Amerigroup Medicare $608.80
Rate for Payer: APIPA Medicare/Medicaid $1,421.17
Rate for Payer: AZCH Complete Medicaid $1,901.83
Rate for Payer: AZCH Complete Medicare $608.80
Rate for Payer: Banner UC Health Medicaid $1,901.83
Rate for Payer: Banner UC Health Medicare $608.80
Rate for Payer: Bisbee Police All Plans $989.30
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $2,587.40
Rate for Payer: Cash Price $3,044.00
Rate for Payer: Cash Price $3,044.00
Rate for Payer: Cigna of AZ Commercial $1,902.50
Rate for Payer: Copperpoint Commercial $941.74
Rate for Payer: Health Net of AZ Commercial $2,283.00
Rate for Payer: Health Net of AZ Medicare $1,065.40
Rate for Payer: Humana of AZ Medicare $608.80
Rate for Payer: Mercy Care Medicaid $1,901.83
Rate for Payer: Self Pay Self Pay $3,044.00
Rate for Payer: TriWest Medicare $608.80
Rate for Payer: UnitedHealth Group of AZ Commercial $2,218.32
Rate for Payer: UnitedHealth Group of AZ Medicare $684.90
Hospital Charge Code 22354161
Hospital Revenue Code 270
Min. Negotiated Rate $419.04
Max. Negotiated Rate $2,357.10
Rate for Payer: Aetna of AZ Commercial $2,357.10
Rate for Payer: Aetna of AZ Medicare $733.32
Rate for Payer: Allwell Medicare $419.04
Rate for Payer: Amerigroup Medicare $419.04
Rate for Payer: APIPA Medicare/Medicaid $978.20
Rate for Payer: AZCH Complete Medicare $419.04
Rate for Payer: Banner UC Health Medicare $419.04
Rate for Payer: Bisbee Police All Plans $680.94
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $1,780.92
Rate for Payer: Cash Price $2,095.20
Rate for Payer: Cigna of AZ Commercial $1,833.30
Rate for Payer: Copperpoint Commercial $648.20
Rate for Payer: Health Net of AZ Commercial $1,571.40
Rate for Payer: Health Net of AZ Medicare $733.32
Rate for Payer: Humana of AZ Medicare $419.04
Rate for Payer: Self Pay Self Pay $2,095.20
Rate for Payer: TriWest Medicare $419.04
Rate for Payer: UnitedHealth Group of AZ Commercial $1,526.88
Rate for Payer: UnitedHealth Group of AZ Medicare $471.42
Hospital Charge Code 22354161
Hospital Revenue Code 270
Min. Negotiated Rate $680.94
Max. Negotiated Rate $2,357.10
Rate for Payer: Aetna of AZ Commercial $2,357.10
Rate for Payer: Bisbee Police All Plans $680.94
Rate for Payer: Cash Price $2,095.20
Rate for Payer: Self Pay Self Pay $2,095.20
Hospital Charge Code 22354186
Hospital Revenue Code 270
Min. Negotiated Rate $16.38
Max. Negotiated Rate $56.70
Rate for Payer: Aetna of AZ Commercial $56.70
Rate for Payer: Bisbee Police All Plans $16.38
Rate for Payer: Cash Price $50.40
Rate for Payer: Self Pay Self Pay $50.40
Hospital Charge Code 22354186
Hospital Revenue Code 270
Min. Negotiated Rate $10.08
Max. Negotiated Rate $56.70
Rate for Payer: Aetna of AZ Commercial $56.70
Rate for Payer: Aetna of AZ Medicare $17.64
Rate for Payer: Allwell Medicare $10.08
Rate for Payer: Amerigroup Medicare $10.08
Rate for Payer: APIPA Medicare/Medicaid $23.53
Rate for Payer: AZCH Complete Medicare $10.08
Rate for Payer: Banner UC Health Medicare $10.08
Rate for Payer: Bisbee Police All Plans $16.38
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $42.84
Rate for Payer: Cash Price $50.40
Rate for Payer: Cigna of AZ Commercial $44.10
Rate for Payer: Copperpoint Commercial $15.59
Rate for Payer: Health Net of AZ Commercial $37.80
Rate for Payer: Health Net of AZ Medicare $17.64
Rate for Payer: Humana of AZ Medicare $10.08
Rate for Payer: Self Pay Self Pay $50.40
Rate for Payer: TriWest Medicare $10.08
Rate for Payer: UnitedHealth Group of AZ Commercial $36.73
Rate for Payer: UnitedHealth Group of AZ Medicare $11.34
Hospital Charge Code 22354242
Hospital Revenue Code 270
Min. Negotiated Rate $16.80
Max. Negotiated Rate $94.50
Rate for Payer: Aetna of AZ Commercial $94.50
Rate for Payer: Aetna of AZ Medicare $29.40
Rate for Payer: Allwell Medicare $16.80
Rate for Payer: Amerigroup Medicare $16.80
Rate for Payer: APIPA Medicare/Medicaid $39.22
Rate for Payer: AZCH Complete Medicare $16.80
Rate for Payer: Banner UC Health Medicare $16.80
Rate for Payer: Bisbee Police All Plans $27.30
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $71.40
Rate for Payer: Cash Price $84.00
Rate for Payer: Cigna of AZ Commercial $73.50
Rate for Payer: Copperpoint Commercial $25.99
Rate for Payer: Health Net of AZ Commercial $63.00
Rate for Payer: Health Net of AZ Medicare $29.40
Rate for Payer: Humana of AZ Medicare $16.80
Rate for Payer: Self Pay Self Pay $84.00
Rate for Payer: TriWest Medicare $16.80
Rate for Payer: UnitedHealth Group of AZ Commercial $61.22
Rate for Payer: UnitedHealth Group of AZ Medicare $18.90
Hospital Charge Code 22354242
Hospital Revenue Code 270
Min. Negotiated Rate $27.30
Max. Negotiated Rate $94.50
Rate for Payer: Aetna of AZ Commercial $94.50
Rate for Payer: Bisbee Police All Plans $27.30
Rate for Payer: Cash Price $84.00
Rate for Payer: Self Pay Self Pay $84.00
Hospital Charge Code 22355542
Hospital Revenue Code 270
Min. Negotiated Rate $0.96
Max. Negotiated Rate $5.40
Rate for Payer: Aetna of AZ Commercial $5.40
Rate for Payer: Aetna of AZ Medicare $1.68
Rate for Payer: Allwell Medicare $0.96
Rate for Payer: Amerigroup Medicare $0.96
Rate for Payer: APIPA Medicare/Medicaid $2.24
Rate for Payer: AZCH Complete Medicare $0.96
Rate for Payer: Banner UC Health Medicare $0.96
Rate for Payer: Bisbee Police All Plans $1.56
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $4.08
Rate for Payer: Cash Price $4.80
Rate for Payer: Cigna of AZ Commercial $4.20
Rate for Payer: Copperpoint Commercial $1.49
Rate for Payer: Health Net of AZ Commercial $3.60
Rate for Payer: Health Net of AZ Medicare $1.68
Rate for Payer: Humana of AZ Medicare $0.96
Rate for Payer: Self Pay Self Pay $4.80
Rate for Payer: TriWest Medicare $0.96
Rate for Payer: UnitedHealth Group of AZ Commercial $3.50
Rate for Payer: UnitedHealth Group of AZ Medicare $1.08
Hospital Charge Code 22355542
Hospital Revenue Code 270
Min. Negotiated Rate $1.56
Max. Negotiated Rate $5.40
Rate for Payer: Aetna of AZ Commercial $5.40
Rate for Payer: Bisbee Police All Plans $1.56
Rate for Payer: Cash Price $4.80
Rate for Payer: Self Pay Self Pay $4.80
Hospital Charge Code 27519891
Hospital Revenue Code 270
Min. Negotiated Rate $3,110.90
Max. Negotiated Rate $10,768.50
Rate for Payer: Aetna of AZ Commercial $10,768.50
Rate for Payer: Bisbee Police All Plans $3,110.90
Rate for Payer: Cash Price $9,572.00
Rate for Payer: Self Pay Self Pay $9,572.00
Hospital Charge Code 27519891
Hospital Revenue Code 270
Min. Negotiated Rate $1,914.40
Max. Negotiated Rate $10,768.50
Rate for Payer: Aetna of AZ Commercial $10,768.50
Rate for Payer: Aetna of AZ Medicare $3,350.20
Rate for Payer: Allwell Medicare $1,914.40
Rate for Payer: Amerigroup Medicare $1,914.40
Rate for Payer: APIPA Medicare/Medicaid $4,468.93
Rate for Payer: AZCH Complete Medicare $1,914.40
Rate for Payer: Banner UC Health Medicare $1,914.40
Rate for Payer: Bisbee Police All Plans $3,110.90
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $8,136.20
Rate for Payer: Cash Price $9,572.00
Rate for Payer: Cigna of AZ Commercial $8,375.50
Rate for Payer: Copperpoint Commercial $2,961.34
Rate for Payer: Health Net of AZ Commercial $7,179.00
Rate for Payer: Health Net of AZ Medicare $3,350.20
Rate for Payer: Humana of AZ Medicare $1,914.40
Rate for Payer: Self Pay Self Pay $9,572.00
Rate for Payer: TriWest Medicare $1,914.40
Rate for Payer: UnitedHealth Group of AZ Commercial $6,975.60
Rate for Payer: UnitedHealth Group of AZ Medicare $2,153.70
Service Code CPT 99406
Hospital Charge Code 853513
Hospital Revenue Code 942
Min. Negotiated Rate $14.04
Max. Negotiated Rate $48.60
Rate for Payer: Aetna of AZ Commercial $48.60
Rate for Payer: Bisbee Police All Plans $14.04
Rate for Payer: Cash Price $43.20
Rate for Payer: Self Pay Self Pay $43.20
Service Code CPT 99406
Hospital Charge Code 853513
Hospital Revenue Code 942
Min. Negotiated Rate $8.64
Max. Negotiated Rate $48.60
Rate for Payer: Aetna of AZ Commercial $48.60
Rate for Payer: Aetna of AZ Medicare $15.12
Rate for Payer: Allwell Medicare $8.64
Rate for Payer: Amerigroup Medicare $8.64
Rate for Payer: APIPA Medicare/Medicaid $20.17
Rate for Payer: AZCH Complete Medicare $8.64
Rate for Payer: Banner UC Health Medicare $8.64
Rate for Payer: Bisbee Police All Plans $14.04
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $36.72
Rate for Payer: Cash Price $43.20
Rate for Payer: Cigna of AZ Commercial $37.80
Rate for Payer: Copperpoint Commercial $13.37
Rate for Payer: Health Net of AZ Commercial $32.40
Rate for Payer: Health Net of AZ Medicare $15.12
Rate for Payer: Humana of AZ Medicare $8.64
Rate for Payer: Self Pay Self Pay $43.20
Rate for Payer: TriWest Medicare $8.64
Rate for Payer: UnitedHealth Group of AZ Commercial $31.48
Rate for Payer: UnitedHealth Group of AZ Medicare $9.72
Hospital Charge Code 22355019
Hospital Revenue Code 270
Min. Negotiated Rate $107.36
Max. Negotiated Rate $603.90
Rate for Payer: Aetna of AZ Commercial $603.90
Rate for Payer: Aetna of AZ Medicare $187.88
Rate for Payer: Allwell Medicare $107.36
Rate for Payer: Amerigroup Medicare $107.36
Rate for Payer: APIPA Medicare/Medicaid $250.62
Rate for Payer: AZCH Complete Medicare $107.36
Rate for Payer: Banner UC Health Medicare $107.36
Rate for Payer: Bisbee Police All Plans $174.46
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $456.28
Rate for Payer: Cash Price $536.80
Rate for Payer: Cigna of AZ Commercial $469.70
Rate for Payer: Copperpoint Commercial $166.07
Rate for Payer: Health Net of AZ Commercial $402.60
Rate for Payer: Health Net of AZ Medicare $187.88
Rate for Payer: Humana of AZ Medicare $107.36
Rate for Payer: Self Pay Self Pay $536.80
Rate for Payer: TriWest Medicare $107.36
Rate for Payer: UnitedHealth Group of AZ Commercial $391.19
Rate for Payer: UnitedHealth Group of AZ Medicare $120.78
Hospital Charge Code 22355019
Hospital Revenue Code 270
Min. Negotiated Rate $174.46
Max. Negotiated Rate $603.90
Rate for Payer: Aetna of AZ Commercial $603.90
Rate for Payer: Bisbee Police All Plans $174.46
Rate for Payer: Cash Price $536.80
Rate for Payer: Self Pay Self Pay $536.80
Hospital Charge Code 22355018
Hospital Revenue Code 270
Min. Negotiated Rate $54.60
Max. Negotiated Rate $189.00
Rate for Payer: Aetna of AZ Commercial $189.00
Rate for Payer: Bisbee Police All Plans $54.60
Rate for Payer: Cash Price $168.00
Rate for Payer: Self Pay Self Pay $168.00
Hospital Charge Code 22355018
Hospital Revenue Code 270
Min. Negotiated Rate $33.60
Max. Negotiated Rate $189.00
Rate for Payer: Aetna of AZ Commercial $189.00
Rate for Payer: Aetna of AZ Medicare $58.80
Rate for Payer: Allwell Medicare $33.60
Rate for Payer: Amerigroup Medicare $33.60
Rate for Payer: APIPA Medicare/Medicaid $78.44
Rate for Payer: AZCH Complete Medicare $33.60
Rate for Payer: Banner UC Health Medicare $33.60
Rate for Payer: Bisbee Police All Plans $54.60
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $142.80
Rate for Payer: Cash Price $168.00
Rate for Payer: Cigna of AZ Commercial $147.00
Rate for Payer: Copperpoint Commercial $51.98
Rate for Payer: Health Net of AZ Commercial $126.00
Rate for Payer: Health Net of AZ Medicare $58.80
Rate for Payer: Humana of AZ Medicare $33.60
Rate for Payer: Self Pay Self Pay $168.00
Rate for Payer: TriWest Medicare $33.60
Rate for Payer: UnitedHealth Group of AZ Commercial $122.43
Rate for Payer: UnitedHealth Group of AZ Medicare $37.80
Hospital Charge Code 23589498
Hospital Revenue Code 272
Min. Negotiated Rate $31.46
Max. Negotiated Rate $108.90
Rate for Payer: Aetna of AZ Commercial $108.90
Rate for Payer: Bisbee Police All Plans $31.46
Rate for Payer: Cash Price $96.80
Rate for Payer: Self Pay Self Pay $96.80
Hospital Charge Code 23589498
Hospital Revenue Code 272
Min. Negotiated Rate $19.36
Max. Negotiated Rate $108.90
Rate for Payer: Aetna of AZ Commercial $108.90
Rate for Payer: Aetna of AZ Medicare $33.88
Rate for Payer: Allwell Medicare $19.36
Rate for Payer: Amerigroup Medicare $19.36
Rate for Payer: APIPA Medicare/Medicaid $45.19
Rate for Payer: AZCH Complete Medicare $19.36
Rate for Payer: Banner UC Health Medicare $19.36
Rate for Payer: Bisbee Police All Plans $31.46
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $82.28
Rate for Payer: Cash Price $96.80
Rate for Payer: Cigna of AZ Commercial $84.70
Rate for Payer: Copperpoint Commercial $29.95
Rate for Payer: Health Net of AZ Commercial $72.60
Rate for Payer: Health Net of AZ Medicare $33.88
Rate for Payer: Humana of AZ Medicare $19.36
Rate for Payer: Self Pay Self Pay $96.80
Rate for Payer: TriWest Medicare $19.36
Rate for Payer: UnitedHealth Group of AZ Commercial $70.54
Rate for Payer: UnitedHealth Group of AZ Medicare $21.78