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Service Code CPT 01810
Hospital Charge Code 22406188
Hospital Revenue Code 370
Min. Negotiated Rate $2.34
Max. Negotiated Rate $8.10
Rate for Payer: Aetna of AZ Commercial $8.10
Rate for Payer: Bisbee Police All Plans $2.34
Rate for Payer: Cash Price $7.20
Rate for Payer: Self Pay Self Pay $7.20
Service Code CPT 01810
Hospital Charge Code 22406188
Hospital Revenue Code 370
Min. Negotiated Rate $0.13
Max. Negotiated Rate $8.10
Rate for Payer: Aetna of AZ Commercial $8.10
Rate for Payer: Aetna of AZ Medicare $2.52
Rate for Payer: AHCCCS Medicaid $0.13
Rate for Payer: Allwell Medicaid $0.13
Rate for Payer: Allwell Medicare $1.35
Rate for Payer: Amerigroup Medicare $1.35
Rate for Payer: APIPA Medicare/Medicaid $3.36
Rate for Payer: AZCH Complete Medicaid $0.13
Rate for Payer: AZCH Complete Medicare $1.35
Rate for Payer: Banner UC Health Medicaid $0.13
Rate for Payer: Banner UC Health Medicare $1.35
Rate for Payer: Bisbee Police All Plans $2.34
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $6.12
Rate for Payer: Cash Price $7.20
Rate for Payer: Cash Price $7.20
Rate for Payer: Cigna of AZ Commercial $5.85
Rate for Payer: Copperpoint Commercial $2.23
Rate for Payer: Health Net of AZ Commercial $5.40
Rate for Payer: Health Net of AZ Medicare $2.52
Rate for Payer: Humana of AZ Medicare $1.35
Rate for Payer: Mercy Care Medicaid $0.13
Rate for Payer: Self Pay Self Pay $7.20
Rate for Payer: TriWest Medicare $1.35
Rate for Payer: UnitedHealth Group of AZ Commercial $5.25
Rate for Payer: UnitedHealth Group of AZ Medicare $1.62
Service Code CPT 01810
Hospital Charge Code 22406189
Hospital Revenue Code 370
Min. Negotiated Rate $77.48
Max. Negotiated Rate $268.20
Rate for Payer: Aetna of AZ Commercial $268.20
Rate for Payer: Bisbee Police All Plans $77.48
Rate for Payer: Cash Price $238.40
Rate for Payer: Self Pay Self Pay $238.40
Service Code CPT 01810
Hospital Charge Code 22406189
Hospital Revenue Code 370
Min. Negotiated Rate $0.13
Max. Negotiated Rate $268.20
Rate for Payer: Aetna of AZ Commercial $268.20
Rate for Payer: Aetna of AZ Medicare $83.44
Rate for Payer: AHCCCS Medicaid $0.13
Rate for Payer: Allwell Medicaid $0.13
Rate for Payer: Allwell Medicare $44.70
Rate for Payer: Amerigroup Medicare $44.70
Rate for Payer: APIPA Medicare/Medicaid $111.30
Rate for Payer: AZCH Complete Medicaid $0.13
Rate for Payer: AZCH Complete Medicare $44.70
Rate for Payer: Banner UC Health Medicaid $0.13
Rate for Payer: Banner UC Health Medicare $44.70
Rate for Payer: Bisbee Police All Plans $77.48
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $202.64
Rate for Payer: Cash Price $238.40
Rate for Payer: Cash Price $238.40
Rate for Payer: Cigna of AZ Commercial $193.70
Rate for Payer: Copperpoint Commercial $73.76
Rate for Payer: Health Net of AZ Commercial $178.80
Rate for Payer: Health Net of AZ Medicare $83.44
Rate for Payer: Humana of AZ Medicare $44.70
Rate for Payer: Mercy Care Medicaid $0.13
Rate for Payer: Self Pay Self Pay $238.40
Rate for Payer: TriWest Medicare $44.70
Rate for Payer: UnitedHealth Group of AZ Commercial $173.73
Rate for Payer: UnitedHealth Group of AZ Medicare $53.64
Service Code CPT 01922
Hospital Charge Code 22406191
Hospital Revenue Code 370
Min. Negotiated Rate $0.13
Max. Negotiated Rate $8.10
Rate for Payer: Aetna of AZ Commercial $8.10
Rate for Payer: Aetna of AZ Medicare $2.52
Rate for Payer: AHCCCS Medicaid $0.13
Rate for Payer: Allwell Medicaid $0.13
Rate for Payer: Allwell Medicare $1.35
Rate for Payer: Amerigroup Medicare $1.35
Rate for Payer: APIPA Medicare/Medicaid $3.36
Rate for Payer: AZCH Complete Medicaid $0.13
Rate for Payer: AZCH Complete Medicare $1.35
Rate for Payer: Banner UC Health Medicaid $0.13
Rate for Payer: Banner UC Health Medicare $1.35
Rate for Payer: Bisbee Police All Plans $2.34
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $6.12
Rate for Payer: Cash Price $7.20
Rate for Payer: Cash Price $7.20
Rate for Payer: Cigna of AZ Commercial $5.85
Rate for Payer: Copperpoint Commercial $2.23
Rate for Payer: Health Net of AZ Commercial $5.40
Rate for Payer: Health Net of AZ Medicare $2.52
Rate for Payer: Humana of AZ Medicare $1.35
Rate for Payer: Mercy Care Medicaid $0.13
Rate for Payer: Self Pay Self Pay $7.20
Rate for Payer: TriWest Medicare $1.35
Rate for Payer: UnitedHealth Group of AZ Commercial $5.25
Rate for Payer: UnitedHealth Group of AZ Medicare $1.62
Service Code CPT 01922
Hospital Charge Code 22406191
Hospital Revenue Code 370
Min. Negotiated Rate $2.34
Max. Negotiated Rate $8.10
Rate for Payer: Aetna of AZ Commercial $8.10
Rate for Payer: Bisbee Police All Plans $2.34
Rate for Payer: Cash Price $7.20
Rate for Payer: Self Pay Self Pay $7.20
Service Code CPT 01922
Hospital Charge Code 22406192
Hospital Revenue Code 370
Min. Negotiated Rate $77.48
Max. Negotiated Rate $268.20
Rate for Payer: Aetna of AZ Commercial $268.20
Rate for Payer: Bisbee Police All Plans $77.48
Rate for Payer: Cash Price $238.40
Rate for Payer: Self Pay Self Pay $238.40
Service Code CPT 01922
Hospital Charge Code 22406192
Hospital Revenue Code 370
Min. Negotiated Rate $0.13
Max. Negotiated Rate $268.20
Rate for Payer: Aetna of AZ Commercial $268.20
Rate for Payer: Aetna of AZ Medicare $83.44
Rate for Payer: AHCCCS Medicaid $0.13
Rate for Payer: Allwell Medicaid $0.13
Rate for Payer: Allwell Medicare $44.70
Rate for Payer: Amerigroup Medicare $44.70
Rate for Payer: APIPA Medicare/Medicaid $111.30
Rate for Payer: AZCH Complete Medicaid $0.13
Rate for Payer: AZCH Complete Medicare $44.70
Rate for Payer: Banner UC Health Medicaid $0.13
Rate for Payer: Banner UC Health Medicare $44.70
Rate for Payer: Bisbee Police All Plans $77.48
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $202.64
Rate for Payer: Cash Price $238.40
Rate for Payer: Cash Price $238.40
Rate for Payer: Cigna of AZ Commercial $193.70
Rate for Payer: Copperpoint Commercial $73.76
Rate for Payer: Health Net of AZ Commercial $178.80
Rate for Payer: Health Net of AZ Medicare $83.44
Rate for Payer: Humana of AZ Medicare $44.70
Rate for Payer: Mercy Care Medicaid $0.13
Rate for Payer: Self Pay Self Pay $238.40
Rate for Payer: TriWest Medicare $44.70
Rate for Payer: UnitedHealth Group of AZ Commercial $173.73
Rate for Payer: UnitedHealth Group of AZ Medicare $53.64
Service Code CPT 01999
Hospital Charge Code 22406197
Hospital Revenue Code 370
Min. Negotiated Rate $0.13
Max. Negotiated Rate $535.50
Rate for Payer: Aetna of AZ Commercial $535.50
Rate for Payer: Aetna of AZ Medicare $166.60
Rate for Payer: AHCCCS Medicaid $0.13
Rate for Payer: Allwell Medicaid $0.13
Rate for Payer: Allwell Medicare $89.25
Rate for Payer: Amerigroup Medicare $89.25
Rate for Payer: APIPA Medicare/Medicaid $222.23
Rate for Payer: AZCH Complete Medicaid $0.13
Rate for Payer: AZCH Complete Medicare $89.25
Rate for Payer: Banner UC Health Medicaid $0.13
Rate for Payer: Banner UC Health Medicare $89.25
Rate for Payer: Bisbee Police All Plans $154.70
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $404.60
Rate for Payer: Cash Price $476.00
Rate for Payer: Cash Price $476.00
Rate for Payer: Cigna of AZ Commercial $386.75
Rate for Payer: Copperpoint Commercial $147.26
Rate for Payer: Health Net of AZ Commercial $357.00
Rate for Payer: Health Net of AZ Medicare $166.60
Rate for Payer: Humana of AZ Medicare $89.25
Rate for Payer: Mercy Care Medicaid $0.13
Rate for Payer: Self Pay Self Pay $476.00
Rate for Payer: TriWest Medicare $89.25
Rate for Payer: UnitedHealth Group of AZ Commercial $346.88
Rate for Payer: UnitedHealth Group of AZ Medicare $107.10
Service Code CPT 01999
Hospital Charge Code 22406197
Hospital Revenue Code 370
Min. Negotiated Rate $154.70
Max. Negotiated Rate $535.50
Rate for Payer: Aetna of AZ Commercial $535.50
Rate for Payer: Bisbee Police All Plans $154.70
Rate for Payer: Cash Price $476.00
Rate for Payer: Self Pay Self Pay $476.00
Service Code CPT 01999
Hospital Charge Code 22406194
Hospital Revenue Code 370
Min. Negotiated Rate $0.13
Max. Negotiated Rate $8.10
Rate for Payer: Aetna of AZ Commercial $8.10
Rate for Payer: Aetna of AZ Medicare $2.52
Rate for Payer: AHCCCS Medicaid $0.13
Rate for Payer: Allwell Medicaid $0.13
Rate for Payer: Allwell Medicare $1.35
Rate for Payer: Amerigroup Medicare $1.35
Rate for Payer: APIPA Medicare/Medicaid $3.36
Rate for Payer: AZCH Complete Medicaid $0.13
Rate for Payer: AZCH Complete Medicare $1.35
Rate for Payer: Banner UC Health Medicaid $0.13
Rate for Payer: Banner UC Health Medicare $1.35
Rate for Payer: Bisbee Police All Plans $2.34
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $6.12
Rate for Payer: Cash Price $7.20
Rate for Payer: Cash Price $7.20
Rate for Payer: Cigna of AZ Commercial $5.85
Rate for Payer: Copperpoint Commercial $2.23
Rate for Payer: Health Net of AZ Commercial $5.40
Rate for Payer: Health Net of AZ Medicare $2.52
Rate for Payer: Humana of AZ Medicare $1.35
Rate for Payer: Mercy Care Medicaid $0.13
Rate for Payer: Self Pay Self Pay $7.20
Rate for Payer: TriWest Medicare $1.35
Rate for Payer: UnitedHealth Group of AZ Commercial $5.25
Rate for Payer: UnitedHealth Group of AZ Medicare $1.62
Service Code CPT 01999
Hospital Charge Code 22406194
Hospital Revenue Code 370
Min. Negotiated Rate $2.34
Max. Negotiated Rate $8.10
Rate for Payer: Aetna of AZ Commercial $8.10
Rate for Payer: Bisbee Police All Plans $2.34
Rate for Payer: Cash Price $7.20
Rate for Payer: Self Pay Self Pay $7.20
Service Code CPT 01999
Hospital Charge Code 22406193
Hospital Revenue Code 964
Min. Negotiated Rate $127.40
Max. Negotiated Rate $441.00
Rate for Payer: Aetna of AZ Commercial $441.00
Rate for Payer: Bisbee Police All Plans $127.40
Rate for Payer: Cash Price $392.00
Rate for Payer: Self Pay Self Pay $392.00
Service Code CPT 01999
Hospital Charge Code 22406193
Hospital Revenue Code 964
Min. Negotiated Rate $0.13
Max. Negotiated Rate $441.00
Rate for Payer: Aetna of AZ Commercial $441.00
Rate for Payer: Aetna of AZ Medicare $137.20
Rate for Payer: AHCCCS Medicaid $0.13
Rate for Payer: Allwell Medicaid $0.13
Rate for Payer: Allwell Medicare $73.50
Rate for Payer: Amerigroup Medicare $73.50
Rate for Payer: APIPA Medicare/Medicaid $183.02
Rate for Payer: AZCH Complete Medicaid $0.13
Rate for Payer: AZCH Complete Medicare $73.50
Rate for Payer: Banner UC Health Medicaid $0.13
Rate for Payer: Banner UC Health Medicare $73.50
Rate for Payer: Bisbee Police All Plans $127.40
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $333.20
Rate for Payer: Cash Price $392.00
Rate for Payer: Cash Price $392.00
Rate for Payer: Cigna of AZ Commercial $343.00
Rate for Payer: Copperpoint Commercial $121.28
Rate for Payer: Health Net of AZ Commercial $294.00
Rate for Payer: Health Net of AZ Medicare $137.20
Rate for Payer: Humana of AZ Medicare $73.50
Rate for Payer: Mercy Care Medicaid $0.13
Rate for Payer: Self Pay Self Pay $392.00
Rate for Payer: TriWest Medicare $73.50
Rate for Payer: UnitedHealth Group of AZ Commercial $285.67
Rate for Payer: UnitedHealth Group of AZ Medicare $88.20
Hospital Charge Code 22926434
Hospital Revenue Code 272
Min. Negotiated Rate $22.10
Max. Negotiated Rate $76.50
Rate for Payer: Aetna of AZ Commercial $76.50
Rate for Payer: Bisbee Police All Plans $22.10
Rate for Payer: Cash Price $68.00
Rate for Payer: Self Pay Self Pay $68.00
Hospital Charge Code 22926434
Hospital Revenue Code 272
Min. Negotiated Rate $12.75
Max. Negotiated Rate $76.50
Rate for Payer: Aetna of AZ Commercial $76.50
Rate for Payer: Aetna of AZ Medicare $23.80
Rate for Payer: Allwell Medicare $12.75
Rate for Payer: Amerigroup Medicare $12.75
Rate for Payer: APIPA Medicare/Medicaid $31.75
Rate for Payer: AZCH Complete Medicare $12.75
Rate for Payer: Banner UC Health Medicare $12.75
Rate for Payer: Bisbee Police All Plans $22.10
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $57.80
Rate for Payer: Cash Price $68.00
Rate for Payer: Cigna of AZ Commercial $59.50
Rate for Payer: Copperpoint Commercial $21.04
Rate for Payer: Health Net of AZ Commercial $51.00
Rate for Payer: Health Net of AZ Medicare $23.80
Rate for Payer: Humana of AZ Medicare $12.75
Rate for Payer: Self Pay Self Pay $68.00
Rate for Payer: TriWest Medicare $12.75
Rate for Payer: UnitedHealth Group of AZ Commercial $49.56
Rate for Payer: UnitedHealth Group of AZ Medicare $15.30
Hospital Charge Code 22926436
Hospital Revenue Code 272
Min. Negotiated Rate $4.68
Max. Negotiated Rate $16.20
Rate for Payer: Aetna of AZ Commercial $16.20
Rate for Payer: Bisbee Police All Plans $4.68
Rate for Payer: Cash Price $14.40
Rate for Payer: Self Pay Self Pay $14.40
Hospital Charge Code 22926436
Hospital Revenue Code 272
Min. Negotiated Rate $2.70
Max. Negotiated Rate $16.20
Rate for Payer: Aetna of AZ Commercial $16.20
Rate for Payer: Aetna of AZ Medicare $5.04
Rate for Payer: Allwell Medicare $2.70
Rate for Payer: Amerigroup Medicare $2.70
Rate for Payer: APIPA Medicare/Medicaid $6.72
Rate for Payer: AZCH Complete Medicare $2.70
Rate for Payer: Banner UC Health Medicare $2.70
Rate for Payer: Bisbee Police All Plans $4.68
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $12.24
Rate for Payer: Cash Price $14.40
Rate for Payer: Cigna of AZ Commercial $12.60
Rate for Payer: Copperpoint Commercial $4.46
Rate for Payer: Health Net of AZ Commercial $10.80
Rate for Payer: Health Net of AZ Medicare $5.04
Rate for Payer: Humana of AZ Medicare $2.70
Rate for Payer: Self Pay Self Pay $14.40
Rate for Payer: TriWest Medicare $2.70
Rate for Payer: UnitedHealth Group of AZ Commercial $10.49
Rate for Payer: UnitedHealth Group of AZ Medicare $3.24
Hospital Charge Code 22926443
Hospital Revenue Code 272
Min. Negotiated Rate $9.36
Max. Negotiated Rate $32.40
Rate for Payer: Aetna of AZ Commercial $32.40
Rate for Payer: Bisbee Police All Plans $9.36
Rate for Payer: Cash Price $28.80
Rate for Payer: Self Pay Self Pay $28.80
Hospital Charge Code 22926443
Hospital Revenue Code 272
Min. Negotiated Rate $5.40
Max. Negotiated Rate $32.40
Rate for Payer: Aetna of AZ Commercial $32.40
Rate for Payer: Aetna of AZ Medicare $10.08
Rate for Payer: Allwell Medicare $5.40
Rate for Payer: Amerigroup Medicare $5.40
Rate for Payer: APIPA Medicare/Medicaid $13.45
Rate for Payer: AZCH Complete Medicare $5.40
Rate for Payer: Banner UC Health Medicare $5.40
Rate for Payer: Bisbee Police All Plans $9.36
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $24.48
Rate for Payer: Cash Price $28.80
Rate for Payer: Cigna of AZ Commercial $25.20
Rate for Payer: Copperpoint Commercial $8.91
Rate for Payer: Health Net of AZ Commercial $21.60
Rate for Payer: Health Net of AZ Medicare $10.08
Rate for Payer: Humana of AZ Medicare $5.40
Rate for Payer: Self Pay Self Pay $28.80
Rate for Payer: TriWest Medicare $5.40
Rate for Payer: UnitedHealth Group of AZ Commercial $20.99
Rate for Payer: UnitedHealth Group of AZ Medicare $6.48
Service Code CPT 10060
Hospital Charge Code 22273442
Hospital Revenue Code 450
Min. Negotiated Rate $112.58
Max. Negotiated Rate $389.70
Rate for Payer: Aetna of AZ Commercial $389.70
Rate for Payer: Bisbee Police All Plans $112.58
Rate for Payer: Cash Price $346.40
Rate for Payer: Self Pay Self Pay $346.40
Service Code CPT 10060
Hospital Charge Code 22273442
Hospital Revenue Code 450
Min. Negotiated Rate $64.95
Max. Negotiated Rate $2,161.00
Rate for Payer: Aetna of AZ Commercial $389.70
Rate for Payer: Aetna of AZ Medicare $121.24
Rate for Payer: AHCCCS Medicaid $260.34
Rate for Payer: Allwell Medicaid $260.34
Rate for Payer: Allwell Medicare $64.95
Rate for Payer: Amerigroup Medicare $64.95
Rate for Payer: APIPA Medicare/Medicaid $161.73
Rate for Payer: AZCH Complete Medicaid $260.34
Rate for Payer: AZCH Complete Medicare $64.95
Rate for Payer: Banner UC Health Medicaid $260.34
Rate for Payer: Banner UC Health Medicare $64.95
Rate for Payer: Bisbee Police All Plans $112.58
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $294.44
Rate for Payer: Cash Price $346.40
Rate for Payer: Cash Price $346.40
Rate for Payer: Cigna of AZ Commercial $303.10
Rate for Payer: Copperpoint Commercial $107.17
Rate for Payer: Health Net of AZ Commercial $259.80
Rate for Payer: Health Net of AZ Medicare $121.24
Rate for Payer: Humana of AZ Medicare $64.95
Rate for Payer: Mercy Care Medicaid $260.34
Rate for Payer: Self Pay Self Pay $346.40
Rate for Payer: TriWest Medicare $64.95
Rate for Payer: UnitedHealth Group of AZ Commercial $2,161.00
Rate for Payer: UnitedHealth Group of AZ Medicare $77.94
Service Code CPT 10120
Hospital Charge Code 22282760
Hospital Revenue Code 450
Min. Negotiated Rate $112.06
Max. Negotiated Rate $387.90
Rate for Payer: Aetna of AZ Commercial $387.90
Rate for Payer: Bisbee Police All Plans $112.06
Rate for Payer: Cash Price $344.80
Rate for Payer: Self Pay Self Pay $344.80
Service Code CPT 10120
Hospital Charge Code 22282760
Hospital Revenue Code 450
Min. Negotiated Rate $64.65
Max. Negotiated Rate $2,161.00
Rate for Payer: Aetna of AZ Commercial $387.90
Rate for Payer: Aetna of AZ Medicare $120.68
Rate for Payer: AHCCCS Medicaid $501.46
Rate for Payer: Allwell Medicaid $501.46
Rate for Payer: Allwell Medicare $64.65
Rate for Payer: Amerigroup Medicare $64.65
Rate for Payer: APIPA Medicare/Medicaid $160.98
Rate for Payer: AZCH Complete Medicaid $501.46
Rate for Payer: AZCH Complete Medicare $64.65
Rate for Payer: Banner UC Health Medicaid $501.46
Rate for Payer: Banner UC Health Medicare $64.65
Rate for Payer: Bisbee Police All Plans $112.06
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $293.08
Rate for Payer: Cash Price $344.80
Rate for Payer: Cash Price $344.80
Rate for Payer: Cigna of AZ Commercial $301.70
Rate for Payer: Copperpoint Commercial $106.67
Rate for Payer: Health Net of AZ Commercial $258.60
Rate for Payer: Health Net of AZ Medicare $120.68
Rate for Payer: Humana of AZ Medicare $64.65
Rate for Payer: Mercy Care Medicaid $501.46
Rate for Payer: Self Pay Self Pay $344.80
Rate for Payer: TriWest Medicare $64.65
Rate for Payer: UnitedHealth Group of AZ Commercial $2,161.00
Rate for Payer: UnitedHealth Group of AZ Medicare $77.58
Service Code CPT 10140
Hospital Charge Code 22282761
Hospital Revenue Code 450
Min. Negotiated Rate $112.06
Max. Negotiated Rate $387.90
Rate for Payer: Aetna of AZ Commercial $387.90
Rate for Payer: Bisbee Police All Plans $112.06
Rate for Payer: Cash Price $344.80
Rate for Payer: Self Pay Self Pay $344.80