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Service Code CPT 82140
Hospital Charge Code 633648
Hospital Revenue Code 301
Min. Negotiated Rate $14.57
Max. Negotiated Rate $162.90
Rate for Payer: Aetna of AZ Commercial $162.90
Rate for Payer: Aetna of AZ Medicare $50.68
Rate for Payer: AHCCCS Medicaid $14.57
Rate for Payer: Allwell Medicaid $14.57
Rate for Payer: Allwell Medicare $27.15
Rate for Payer: Amerigroup Medicare $27.15
Rate for Payer: APIPA Medicare/Medicaid $67.60
Rate for Payer: AZCH Complete Medicaid $14.57
Rate for Payer: AZCH Complete Medicare $27.15
Rate for Payer: Banner UC Health Medicaid $14.57
Rate for Payer: Banner UC Health Medicare $27.15
Rate for Payer: Bisbee Police All Plans $47.06
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $123.08
Rate for Payer: Cash Price $144.80
Rate for Payer: Cash Price $144.80
Rate for Payer: Cigna of AZ Commercial $117.65
Rate for Payer: Copperpoint Commercial $44.80
Rate for Payer: Health Net of AZ Commercial $108.60
Rate for Payer: Health Net of AZ Medicare $50.68
Rate for Payer: Humana of AZ Medicare $27.15
Rate for Payer: Mercy Care Medicaid $14.57
Rate for Payer: Self Pay Self Pay $144.80
Rate for Payer: TriWest Medicare $27.15
Rate for Payer: UnitedHealth Group of AZ Commercial $105.52
Rate for Payer: UnitedHealth Group of AZ Medicare $32.58
Service Code CPT 82140
Hospital Charge Code 633648
Hospital Revenue Code 301
Min. Negotiated Rate $47.06
Max. Negotiated Rate $162.90
Rate for Payer: Aetna of AZ Commercial $162.90
Rate for Payer: Bisbee Police All Plans $47.06
Rate for Payer: Cash Price $144.80
Rate for Payer: Self Pay Self Pay $144.80
Hospital Charge Code 27491238
Hospital Revenue Code 270
Min. Negotiated Rate $1,110.00
Max. Negotiated Rate $6,660.00
Rate for Payer: Aetna of AZ Commercial $6,660.00
Rate for Payer: Aetna of AZ Medicare $2,072.00
Rate for Payer: Allwell Medicare $1,110.00
Rate for Payer: Amerigroup Medicare $1,110.00
Rate for Payer: APIPA Medicare/Medicaid $2,763.90
Rate for Payer: AZCH Complete Medicare $1,110.00
Rate for Payer: Banner UC Health Medicare $1,110.00
Rate for Payer: Bisbee Police All Plans $1,924.00
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $5,032.00
Rate for Payer: Cash Price $5,920.00
Rate for Payer: Cigna of AZ Commercial $5,180.00
Rate for Payer: Copperpoint Commercial $1,831.50
Rate for Payer: Health Net of AZ Commercial $4,440.00
Rate for Payer: Health Net of AZ Medicare $2,072.00
Rate for Payer: Humana of AZ Medicare $1,110.00
Rate for Payer: Self Pay Self Pay $5,920.00
Rate for Payer: TriWest Medicare $1,110.00
Rate for Payer: UnitedHealth Group of AZ Commercial $4,314.20
Rate for Payer: UnitedHealth Group of AZ Medicare $1,332.00
Hospital Charge Code 27491238
Hospital Revenue Code 270
Min. Negotiated Rate $1,924.00
Max. Negotiated Rate $6,660.00
Rate for Payer: Aetna of AZ Commercial $6,660.00
Rate for Payer: Bisbee Police All Plans $1,924.00
Rate for Payer: Cash Price $5,920.00
Rate for Payer: Self Pay Self Pay $5,920.00
Hospital Charge Code 27520626
Hospital Revenue Code 270
Min. Negotiated Rate $3,745.04
Max. Negotiated Rate $12,963.60
Rate for Payer: Aetna of AZ Commercial $12,963.60
Rate for Payer: Bisbee Police All Plans $3,745.04
Rate for Payer: Cash Price $11,523.20
Rate for Payer: Self Pay Self Pay $11,523.20
Hospital Charge Code 27520626
Hospital Revenue Code 270
Min. Negotiated Rate $2,160.60
Max. Negotiated Rate $12,963.60
Rate for Payer: Aetna of AZ Commercial $12,963.60
Rate for Payer: Aetna of AZ Medicare $4,033.12
Rate for Payer: Allwell Medicare $2,160.60
Rate for Payer: Amerigroup Medicare $2,160.60
Rate for Payer: APIPA Medicare/Medicaid $5,379.89
Rate for Payer: AZCH Complete Medicare $2,160.60
Rate for Payer: Banner UC Health Medicare $2,160.60
Rate for Payer: Bisbee Police All Plans $3,745.04
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $9,794.72
Rate for Payer: Cash Price $11,523.20
Rate for Payer: Cigna of AZ Commercial $10,082.80
Rate for Payer: Copperpoint Commercial $3,564.99
Rate for Payer: Health Net of AZ Commercial $8,642.40
Rate for Payer: Health Net of AZ Medicare $4,033.12
Rate for Payer: Humana of AZ Medicare $2,160.60
Rate for Payer: Self Pay Self Pay $11,523.20
Rate for Payer: TriWest Medicare $2,160.60
Rate for Payer: UnitedHealth Group of AZ Commercial $8,397.53
Rate for Payer: UnitedHealth Group of AZ Medicare $2,592.72
Service Code NDC 93415579
Hospital Charge Code 105910832
Hospital Revenue Code 251
Min. Negotiated Rate $0.36
Max. Negotiated Rate $1.24
Rate for Payer: Aetna of AZ Commercial $1.24
Rate for Payer: Bisbee Police All Plans $0.36
Rate for Payer: Cash Price $1.10
Rate for Payer: Self Pay Self Pay $1.10
Service Code NDC 93415579
Hospital Charge Code 105910832
Hospital Revenue Code 251
Min. Negotiated Rate $0.21
Max. Negotiated Rate $1.24
Rate for Payer: Aetna of AZ Commercial $1.24
Rate for Payer: Aetna of AZ Medicare $0.39
Rate for Payer: Allwell Medicare $0.21
Rate for Payer: Amerigroup Medicare $0.21
Rate for Payer: APIPA Medicare/Medicaid $0.52
Rate for Payer: AZCH Complete Medicare $0.21
Rate for Payer: Banner UC Health Medicare $0.21
Rate for Payer: Bisbee Police All Plans $0.36
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $0.94
Rate for Payer: Cash Price $1.10
Rate for Payer: Cigna of AZ Commercial $0.90
Rate for Payer: Copperpoint Commercial $0.34
Rate for Payer: Health Net of AZ Commercial $0.83
Rate for Payer: Health Net of AZ Medicare $0.39
Rate for Payer: Humana of AZ Medicare $0.21
Rate for Payer: Self Pay Self Pay $1.10
Rate for Payer: TriWest Medicare $0.21
Rate for Payer: UnitedHealth Group of AZ Commercial $0.80
Rate for Payer: UnitedHealth Group of AZ Medicare $0.25
Service Code NDC 65862070701
Hospital Charge Code 210809148
Hospital Revenue Code 251
Min. Negotiated Rate $0.01
Max. Negotiated Rate $0.02
Rate for Payer: Aetna of AZ Commercial $0.02
Rate for Payer: Bisbee Police All Plans $0.01
Rate for Payer: Cash Price $0.01
Rate for Payer: Self Pay Self Pay $0.02
Service Code NDC 65862070701
Hospital Charge Code 210809148
Hospital Revenue Code 251
Max. Negotiated Rate $0.02
Rate for Payer: Aetna of AZ Commercial $0.02
Rate for Payer: Aetna of AZ Medicare $0.01
Rate for Payer: Allwell Medicare $0.00
Rate for Payer: Amerigroup Medicare $0.00
Rate for Payer: APIPA Medicare/Medicaid $0.01
Rate for Payer: AZCH Complete Medicare $0.00
Rate for Payer: Banner UC Health Medicare $0.00
Rate for Payer: Bisbee Police All Plans $0.01
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $0.01
Rate for Payer: Cash Price $0.01
Rate for Payer: Cigna of AZ Commercial $0.01
Rate for Payer: Copperpoint Commercial $0.00
Rate for Payer: Health Net of AZ Commercial $0.01
Rate for Payer: Health Net of AZ Medicare $0.01
Rate for Payer: Humana of AZ Medicare $0.00
Rate for Payer: Self Pay Self Pay $0.02
Rate for Payer: TriWest Medicare $0.00
Rate for Payer: UnitedHealth Group of AZ Commercial $0.01
Rate for Payer: UnitedHealth Group of AZ Medicare $0.00
Service Code NDC 143988915
Hospital Charge Code 209124903
Hospital Revenue Code 231
Min. Negotiated Rate $0.03
Max. Negotiated Rate $0.09
Rate for Payer: Aetna of AZ Commercial $0.09
Rate for Payer: Bisbee Police All Plans $0.03
Rate for Payer: Cash Price $0.08
Rate for Payer: Self Pay Self Pay $0.08
Service Code NDC 143988915
Hospital Charge Code 209124903
Hospital Revenue Code 231
Min. Negotiated Rate $0.02
Max. Negotiated Rate $0.09
Rate for Payer: Aetna of AZ Commercial $0.09
Rate for Payer: Aetna of AZ Medicare $0.03
Rate for Payer: Allwell Medicare $0.02
Rate for Payer: Amerigroup Medicare $0.02
Rate for Payer: APIPA Medicare/Medicaid $0.04
Rate for Payer: AZCH Complete Medicare $0.02
Rate for Payer: Banner UC Health Medicare $0.02
Rate for Payer: Bisbee Police All Plans $0.03
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $0.07
Rate for Payer: Cash Price $0.08
Rate for Payer: Cigna of AZ Commercial $0.07
Rate for Payer: Copperpoint Commercial $0.02
Rate for Payer: Health Net of AZ Commercial $0.06
Rate for Payer: Health Net of AZ Medicare $0.03
Rate for Payer: Humana of AZ Medicare $0.02
Rate for Payer: Self Pay Self Pay $0.08
Rate for Payer: TriWest Medicare $0.02
Rate for Payer: UnitedHealth Group of AZ Commercial $0.06
Rate for Payer: UnitedHealth Group of AZ Medicare $0.02
Service Code NDC 16714029903
Hospital Charge Code 105910767
Hospital Revenue Code 251
Min. Negotiated Rate $0.02
Max. Negotiated Rate $0.08
Rate for Payer: Aetna of AZ Commercial $0.08
Rate for Payer: Bisbee Police All Plans $0.02
Rate for Payer: Cash Price $0.07
Rate for Payer: Self Pay Self Pay $0.07
Service Code NDC 16714029903
Hospital Charge Code 105910767
Hospital Revenue Code 251
Min. Negotiated Rate $0.01
Max. Negotiated Rate $0.08
Rate for Payer: Aetna of AZ Commercial $0.08
Rate for Payer: Aetna of AZ Medicare $0.03
Rate for Payer: Allwell Medicare $0.01
Rate for Payer: Amerigroup Medicare $0.01
Rate for Payer: APIPA Medicare/Medicaid $0.03
Rate for Payer: AZCH Complete Medicare $0.01
Rate for Payer: Banner UC Health Medicare $0.01
Rate for Payer: Bisbee Police All Plans $0.02
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $0.06
Rate for Payer: Cash Price $0.07
Rate for Payer: Cigna of AZ Commercial $0.06
Rate for Payer: Copperpoint Commercial $0.02
Rate for Payer: Health Net of AZ Commercial $0.05
Rate for Payer: Health Net of AZ Medicare $0.03
Rate for Payer: Humana of AZ Medicare $0.01
Rate for Payer: Self Pay Self Pay $0.07
Rate for Payer: TriWest Medicare $0.01
Rate for Payer: UnitedHealth Group of AZ Commercial $0.05
Rate for Payer: UnitedHealth Group of AZ Medicare $0.02
Service Code NDC 16714049401
Hospital Charge Code 105910897
Hospital Revenue Code 251
Min. Negotiated Rate $0.04
Max. Negotiated Rate $0.23
Rate for Payer: Aetna of AZ Commercial $0.23
Rate for Payer: Aetna of AZ Medicare $0.07
Rate for Payer: Allwell Medicare $0.04
Rate for Payer: Amerigroup Medicare $0.04
Rate for Payer: APIPA Medicare/Medicaid $0.09
Rate for Payer: AZCH Complete Medicare $0.04
Rate for Payer: Banner UC Health Medicare $0.04
Rate for Payer: Bisbee Police All Plans $0.07
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $0.17
Rate for Payer: Cash Price $0.20
Rate for Payer: Cigna of AZ Commercial $0.16
Rate for Payer: Copperpoint Commercial $0.06
Rate for Payer: Health Net of AZ Commercial $0.15
Rate for Payer: Health Net of AZ Medicare $0.07
Rate for Payer: Humana of AZ Medicare $0.04
Rate for Payer: Self Pay Self Pay $0.20
Rate for Payer: TriWest Medicare $0.04
Rate for Payer: UnitedHealth Group of AZ Commercial $0.15
Rate for Payer: UnitedHealth Group of AZ Medicare $0.05
Service Code NDC 16714049401
Hospital Charge Code 105910897
Hospital Revenue Code 251
Min. Negotiated Rate $0.07
Max. Negotiated Rate $0.23
Rate for Payer: Aetna of AZ Commercial $0.23
Rate for Payer: Bisbee Police All Plans $0.07
Rate for Payer: Cash Price $0.20
Rate for Payer: Self Pay Self Pay $0.20
Service Code NDC 16714029401
Hospital Charge Code 105910962
Hospital Revenue Code 251
Min. Negotiated Rate $0.47
Max. Negotiated Rate $2.81
Rate for Payer: Aetna of AZ Commercial $2.81
Rate for Payer: Aetna of AZ Medicare $0.87
Rate for Payer: Allwell Medicare $0.47
Rate for Payer: Amerigroup Medicare $0.47
Rate for Payer: APIPA Medicare/Medicaid $1.17
Rate for Payer: AZCH Complete Medicare $0.47
Rate for Payer: Banner UC Health Medicare $0.47
Rate for Payer: Bisbee Police All Plans $0.81
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $2.12
Rate for Payer: Cash Price $2.50
Rate for Payer: Cigna of AZ Commercial $2.03
Rate for Payer: Copperpoint Commercial $0.77
Rate for Payer: Health Net of AZ Commercial $1.87
Rate for Payer: Health Net of AZ Medicare $0.87
Rate for Payer: Humana of AZ Medicare $0.47
Rate for Payer: Self Pay Self Pay $2.50
Rate for Payer: TriWest Medicare $0.47
Rate for Payer: UnitedHealth Group of AZ Commercial $1.82
Rate for Payer: UnitedHealth Group of AZ Medicare $0.56
Service Code NDC 16714029401
Hospital Charge Code 105910962
Hospital Revenue Code 251
Min. Negotiated Rate $0.81
Max. Negotiated Rate $2.81
Rate for Payer: Aetna of AZ Commercial $2.81
Rate for Payer: Bisbee Police All Plans $0.81
Rate for Payer: Cash Price $2.50
Rate for Payer: Self Pay Self Pay $2.50
Service Code NDC 16714047801
Hospital Charge Code 105911029
Hospital Revenue Code 251
Min. Negotiated Rate $0.18
Max. Negotiated Rate $0.61
Rate for Payer: Aetna of AZ Commercial $0.61
Rate for Payer: Bisbee Police All Plans $0.18
Rate for Payer: Cash Price $0.55
Rate for Payer: Self Pay Self Pay $0.54
Service Code NDC 16714047801
Hospital Charge Code 105911029
Hospital Revenue Code 251
Min. Negotiated Rate $0.10
Max. Negotiated Rate $0.61
Rate for Payer: Aetna of AZ Commercial $0.61
Rate for Payer: Aetna of AZ Medicare $0.19
Rate for Payer: Allwell Medicare $0.10
Rate for Payer: Amerigroup Medicare $0.10
Rate for Payer: APIPA Medicare/Medicaid $0.25
Rate for Payer: AZCH Complete Medicare $0.10
Rate for Payer: Banner UC Health Medicare $0.10
Rate for Payer: Bisbee Police All Plans $0.18
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $0.46
Rate for Payer: Cash Price $0.55
Rate for Payer: Cigna of AZ Commercial $0.44
Rate for Payer: Copperpoint Commercial $0.17
Rate for Payer: Health Net of AZ Commercial $0.41
Rate for Payer: Health Net of AZ Medicare $0.19
Rate for Payer: Humana of AZ Medicare $0.10
Rate for Payer: Self Pay Self Pay $0.54
Rate for Payer: TriWest Medicare $0.10
Rate for Payer: UnitedHealth Group of AZ Commercial $0.40
Rate for Payer: UnitedHealth Group of AZ Medicare $0.12
Service Code CPT 82145
Hospital Charge Code 22311130
Hospital Revenue Code 301
Min. Negotiated Rate $29.10
Max. Negotiated Rate $174.60
Rate for Payer: Aetna of AZ Commercial $174.60
Rate for Payer: Aetna of AZ Medicare $54.32
Rate for Payer: Allwell Medicare $29.10
Rate for Payer: Amerigroup Medicare $29.10
Rate for Payer: APIPA Medicare/Medicaid $72.46
Rate for Payer: AZCH Complete Medicare $29.10
Rate for Payer: Banner UC Health Medicare $29.10
Rate for Payer: Bisbee Police All Plans $50.44
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $131.92
Rate for Payer: Cash Price $155.20
Rate for Payer: Cigna of AZ Commercial $126.10
Rate for Payer: Copperpoint Commercial $48.02
Rate for Payer: Health Net of AZ Commercial $116.40
Rate for Payer: Health Net of AZ Medicare $54.32
Rate for Payer: Humana of AZ Medicare $29.10
Rate for Payer: Self Pay Self Pay $155.20
Rate for Payer: TriWest Medicare $29.10
Rate for Payer: UnitedHealth Group of AZ Commercial $113.10
Rate for Payer: UnitedHealth Group of AZ Medicare $34.92
Service Code CPT 82145
Hospital Charge Code 22311130
Hospital Revenue Code 301
Min. Negotiated Rate $50.44
Max. Negotiated Rate $174.60
Rate for Payer: Aetna of AZ Commercial $174.60
Rate for Payer: Bisbee Police All Plans $50.44
Rate for Payer: Cash Price $155.20
Rate for Payer: Self Pay Self Pay $155.20
Service Code HCPCS J0290
Hospital Charge Code 105911094
Hospital Revenue Code 250
Min. Negotiated Rate $0.42
Max. Negotiated Rate $1.46
Rate for Payer: Aetna of AZ Commercial $1.46
Rate for Payer: Bisbee Police All Plans $0.42
Rate for Payer: Cash Price $1.29
Rate for Payer: Self Pay Self Pay $1.30
Service Code HCPCS J0290
Hospital Charge Code 105911094
Hospital Revenue Code 250
Min. Negotiated Rate $0.24
Max. Negotiated Rate $1.46
Rate for Payer: Aetna of AZ Commercial $1.46
Rate for Payer: Aetna of AZ Medicare $0.45
Rate for Payer: AHCCCS Medicaid $1.38
Rate for Payer: Allwell Medicaid $1.38
Rate for Payer: Allwell Medicare $0.24
Rate for Payer: Amerigroup Medicare $0.24
Rate for Payer: APIPA Medicare/Medicaid $0.61
Rate for Payer: AZCH Complete Medicaid $1.38
Rate for Payer: AZCH Complete Medicare $0.24
Rate for Payer: Banner UC Health Medicaid $1.38
Rate for Payer: Banner UC Health Medicare $0.24
Rate for Payer: Bisbee Police All Plans $0.42
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $1.10
Rate for Payer: Cash Price $1.29
Rate for Payer: Cash Price $1.29
Rate for Payer: Cigna of AZ Commercial $1.05
Rate for Payer: Copperpoint Commercial $0.40
Rate for Payer: Health Net of AZ Commercial $0.97
Rate for Payer: Health Net of AZ Medicare $0.45
Rate for Payer: Humana of AZ Medicare $0.24
Rate for Payer: Mercy Care Medicaid $1.38
Rate for Payer: Self Pay Self Pay $1.30
Rate for Payer: TriWest Medicare $0.24
Rate for Payer: UnitedHealth Group of AZ Commercial $0.94
Rate for Payer: UnitedHealth Group of AZ Medicare $0.29
Service Code HCPCS J0295
Hospital Charge Code 105911169
Hospital Revenue Code 250
Min. Negotiated Rate $0.39
Max. Negotiated Rate $1.34
Rate for Payer: Aetna of AZ Commercial $1.34
Rate for Payer: Bisbee Police All Plans $0.39
Rate for Payer: Cash Price $1.19
Rate for Payer: Self Pay Self Pay $1.19