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Service Code CPT 10140
Hospital Charge Code 22282761
Hospital Revenue Code 450
Min. Negotiated Rate $64.65
Max. Negotiated Rate $2,909.00
Rate for Payer: Aetna of AZ Commercial $387.90
Rate for Payer: Aetna of AZ Medicare $120.68
Rate for Payer: AHCCCS Medicaid $2,040.16
Rate for Payer: Allwell Medicaid $2,040.16
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 $2,040.16
Rate for Payer: AZCH Complete Medicare $64.65
Rate for Payer: Banner UC Health Medicaid $2,040.16
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 $2,040.16
Rate for Payer: Self Pay Self Pay $344.80
Rate for Payer: TriWest Medicare $64.65
Rate for Payer: UnitedHealth Group of AZ Commercial $2,909.00
Rate for Payer: UnitedHealth Group of AZ Medicare $77.58
Hospital Charge Code 22561229
Hospital Revenue Code 272
Min. Negotiated Rate $206.96
Max. Negotiated Rate $716.40
Rate for Payer: Aetna of AZ Commercial $716.40
Rate for Payer: Bisbee Police All Plans $206.96
Rate for Payer: Cash Price $636.80
Rate for Payer: Self Pay Self Pay $636.80
Hospital Charge Code 22561229
Hospital Revenue Code 272
Min. Negotiated Rate $119.40
Max. Negotiated Rate $716.40
Rate for Payer: Aetna of AZ Commercial $716.40
Rate for Payer: Aetna of AZ Medicare $222.88
Rate for Payer: Allwell Medicare $119.40
Rate for Payer: Amerigroup Medicare $119.40
Rate for Payer: APIPA Medicare/Medicaid $297.31
Rate for Payer: AZCH Complete Medicare $119.40
Rate for Payer: Banner UC Health Medicare $119.40
Rate for Payer: Bisbee Police All Plans $206.96
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $541.28
Rate for Payer: Cash Price $636.80
Rate for Payer: Cigna of AZ Commercial $557.20
Rate for Payer: Copperpoint Commercial $197.01
Rate for Payer: Health Net of AZ Commercial $477.60
Rate for Payer: Health Net of AZ Medicare $222.88
Rate for Payer: Humana of AZ Medicare $119.40
Rate for Payer: Self Pay Self Pay $636.80
Rate for Payer: TriWest Medicare $119.40
Rate for Payer: UnitedHealth Group of AZ Commercial $464.07
Rate for Payer: UnitedHealth Group of AZ Medicare $143.28
Service Code CPT 11000
Hospital Charge Code 22282762
Hospital Revenue Code 450
Min. Negotiated Rate $45.50
Max. Negotiated Rate $157.50
Rate for Payer: Aetna of AZ Commercial $157.50
Rate for Payer: Bisbee Police All Plans $45.50
Rate for Payer: Cash Price $140.00
Rate for Payer: Self Pay Self Pay $140.00
Service Code CPT 11000
Hospital Charge Code 22282762
Hospital Revenue Code 450
Min. Negotiated Rate $26.25
Max. Negotiated Rate $2,161.00
Rate for Payer: Aetna of AZ Commercial $157.50
Rate for Payer: Aetna of AZ Medicare $49.00
Rate for Payer: AHCCCS Medicaid $760.04
Rate for Payer: Allwell Medicaid $760.04
Rate for Payer: Allwell Medicare $26.25
Rate for Payer: Amerigroup Medicare $26.25
Rate for Payer: APIPA Medicare/Medicaid $65.36
Rate for Payer: AZCH Complete Medicaid $760.04
Rate for Payer: AZCH Complete Medicare $26.25
Rate for Payer: Banner UC Health Medicaid $760.04
Rate for Payer: Banner UC Health Medicare $26.25
Rate for Payer: Bisbee Police All Plans $45.50
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $119.00
Rate for Payer: Cash Price $140.00
Rate for Payer: Cash Price $140.00
Rate for Payer: Cigna of AZ Commercial $122.50
Rate for Payer: Copperpoint Commercial $43.31
Rate for Payer: Health Net of AZ Commercial $105.00
Rate for Payer: Health Net of AZ Medicare $49.00
Rate for Payer: Humana of AZ Medicare $26.25
Rate for Payer: Mercy Care Medicaid $760.04
Rate for Payer: Self Pay Self Pay $140.00
Rate for Payer: TriWest Medicare $26.25
Rate for Payer: UnitedHealth Group of AZ Commercial $2,161.00
Rate for Payer: UnitedHealth Group of AZ Medicare $31.50
Service Code CPT 11730
Hospital Charge Code 22282763
Hospital Revenue Code 450
Min. Negotiated Rate $37.50
Max. Negotiated Rate $2,161.00
Rate for Payer: Aetna of AZ Commercial $225.00
Rate for Payer: Aetna of AZ Medicare $70.00
Rate for Payer: AHCCCS Medicaid $260.34
Rate for Payer: Allwell Medicaid $260.34
Rate for Payer: Allwell Medicare $37.50
Rate for Payer: Amerigroup Medicare $37.50
Rate for Payer: APIPA Medicare/Medicaid $93.38
Rate for Payer: AZCH Complete Medicaid $260.34
Rate for Payer: AZCH Complete Medicare $37.50
Rate for Payer: Banner UC Health Medicaid $260.34
Rate for Payer: Banner UC Health Medicare $37.50
Rate for Payer: Bisbee Police All Plans $65.00
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $170.00
Rate for Payer: Cash Price $200.00
Rate for Payer: Cash Price $200.00
Rate for Payer: Cigna of AZ Commercial $175.00
Rate for Payer: Copperpoint Commercial $61.88
Rate for Payer: Health Net of AZ Commercial $150.00
Rate for Payer: Health Net of AZ Medicare $70.00
Rate for Payer: Humana of AZ Medicare $37.50
Rate for Payer: Mercy Care Medicaid $260.34
Rate for Payer: Self Pay Self Pay $200.00
Rate for Payer: TriWest Medicare $37.50
Rate for Payer: UnitedHealth Group of AZ Commercial $2,161.00
Rate for Payer: UnitedHealth Group of AZ Medicare $45.00
Service Code CPT 11730
Hospital Charge Code 22282763
Hospital Revenue Code 450
Min. Negotiated Rate $65.00
Max. Negotiated Rate $225.00
Rate for Payer: Aetna of AZ Commercial $225.00
Rate for Payer: Bisbee Police All Plans $65.00
Rate for Payer: Cash Price $200.00
Rate for Payer: Self Pay Self Pay $200.00
Service Code CPT 11732
Hospital Charge Code 22282764
Hospital Revenue Code 450
Min. Negotiated Rate $24.60
Max. Negotiated Rate $2,161.00
Rate for Payer: Aetna of AZ Commercial $147.60
Rate for Payer: Aetna of AZ Medicare $45.92
Rate for Payer: AHCCCS Medicaid $137.98
Rate for Payer: Allwell Medicaid $137.98
Rate for Payer: Allwell Medicare $24.60
Rate for Payer: Amerigroup Medicare $24.60
Rate for Payer: APIPA Medicare/Medicaid $61.25
Rate for Payer: AZCH Complete Medicaid $137.98
Rate for Payer: AZCH Complete Medicare $24.60
Rate for Payer: Banner UC Health Medicaid $137.98
Rate for Payer: Banner UC Health Medicare $24.60
Rate for Payer: Bisbee Police All Plans $42.64
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $111.52
Rate for Payer: Cash Price $131.20
Rate for Payer: Cash Price $131.20
Rate for Payer: Cigna of AZ Commercial $114.80
Rate for Payer: Copperpoint Commercial $40.59
Rate for Payer: Health Net of AZ Commercial $98.40
Rate for Payer: Health Net of AZ Medicare $45.92
Rate for Payer: Humana of AZ Medicare $24.60
Rate for Payer: Mercy Care Medicaid $137.98
Rate for Payer: Self Pay Self Pay $131.20
Rate for Payer: TriWest Medicare $24.60
Rate for Payer: UnitedHealth Group of AZ Commercial $2,161.00
Rate for Payer: UnitedHealth Group of AZ Medicare $29.52
Service Code CPT 11732
Hospital Charge Code 22282764
Hospital Revenue Code 450
Min. Negotiated Rate $42.64
Max. Negotiated Rate $147.60
Rate for Payer: Aetna of AZ Commercial $147.60
Rate for Payer: Bisbee Police All Plans $42.64
Rate for Payer: Cash Price $131.20
Rate for Payer: Self Pay Self Pay $131.20
Service Code CPT 11740
Hospital Charge Code 22282765
Hospital Revenue Code 450
Min. Negotiated Rate $18.90
Max. Negotiated Rate $2,161.00
Rate for Payer: Aetna of AZ Commercial $113.40
Rate for Payer: Aetna of AZ Medicare $35.28
Rate for Payer: AHCCCS Medicaid $162.32
Rate for Payer: Allwell Medicaid $162.32
Rate for Payer: Allwell Medicare $18.90
Rate for Payer: Amerigroup Medicare $18.90
Rate for Payer: APIPA Medicare/Medicaid $47.06
Rate for Payer: AZCH Complete Medicaid $162.32
Rate for Payer: AZCH Complete Medicare $18.90
Rate for Payer: Banner UC Health Medicaid $162.32
Rate for Payer: Banner UC Health Medicare $18.90
Rate for Payer: Bisbee Police All Plans $32.76
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $85.68
Rate for Payer: Cash Price $100.80
Rate for Payer: Cash Price $100.80
Rate for Payer: Cigna of AZ Commercial $88.20
Rate for Payer: Copperpoint Commercial $31.18
Rate for Payer: Health Net of AZ Commercial $75.60
Rate for Payer: Health Net of AZ Medicare $35.28
Rate for Payer: Humana of AZ Medicare $18.90
Rate for Payer: Mercy Care Medicaid $162.32
Rate for Payer: Self Pay Self Pay $100.80
Rate for Payer: TriWest Medicare $18.90
Rate for Payer: UnitedHealth Group of AZ Commercial $2,161.00
Rate for Payer: UnitedHealth Group of AZ Medicare $22.68
Service Code CPT 11740
Hospital Charge Code 22282765
Hospital Revenue Code 450
Min. Negotiated Rate $32.76
Max. Negotiated Rate $113.40
Rate for Payer: Aetna of AZ Commercial $113.40
Rate for Payer: Bisbee Police All Plans $32.76
Rate for Payer: Cash Price $100.80
Rate for Payer: Self Pay Self Pay $100.80
Service Code CPT 11760
Hospital Charge Code 22282766
Hospital Revenue Code 450
Min. Negotiated Rate $129.22
Max. Negotiated Rate $447.30
Rate for Payer: Aetna of AZ Commercial $447.30
Rate for Payer: Bisbee Police All Plans $129.22
Rate for Payer: Cash Price $397.60
Rate for Payer: Self Pay Self Pay $397.60
Service Code CPT 11760
Hospital Charge Code 22282766
Hospital Revenue Code 450
Min. Negotiated Rate $74.55
Max. Negotiated Rate $2,161.00
Rate for Payer: Aetna of AZ Commercial $447.30
Rate for Payer: Aetna of AZ Medicare $139.16
Rate for Payer: AHCCCS Medicaid $760.04
Rate for Payer: Allwell Medicaid $760.04
Rate for Payer: Allwell Medicare $74.55
Rate for Payer: Amerigroup Medicare $74.55
Rate for Payer: APIPA Medicare/Medicaid $185.63
Rate for Payer: AZCH Complete Medicaid $760.04
Rate for Payer: AZCH Complete Medicare $74.55
Rate for Payer: Banner UC Health Medicaid $760.04
Rate for Payer: Banner UC Health Medicare $74.55
Rate for Payer: Bisbee Police All Plans $129.22
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $337.96
Rate for Payer: Cash Price $397.60
Rate for Payer: Cash Price $397.60
Rate for Payer: Cigna of AZ Commercial $347.90
Rate for Payer: Copperpoint Commercial $123.01
Rate for Payer: Health Net of AZ Commercial $298.20
Rate for Payer: Health Net of AZ Medicare $139.16
Rate for Payer: Humana of AZ Medicare $74.55
Rate for Payer: Mercy Care Medicaid $760.04
Rate for Payer: Self Pay Self Pay $397.60
Rate for Payer: TriWest Medicare $74.55
Rate for Payer: UnitedHealth Group of AZ Commercial $2,161.00
Rate for Payer: UnitedHealth Group of AZ Medicare $89.46
Service Code CPT 12001
Hospital Charge Code 22282767
Hospital Revenue Code 450
Min. Negotiated Rate $114.66
Max. Negotiated Rate $396.90
Rate for Payer: Aetna of AZ Commercial $396.90
Rate for Payer: Bisbee Police All Plans $114.66
Rate for Payer: Cash Price $352.80
Rate for Payer: Self Pay Self Pay $352.80
Service Code CPT 12001
Hospital Charge Code 22282767
Hospital Revenue Code 450
Min. Negotiated Rate $66.15
Max. Negotiated Rate $2,161.00
Rate for Payer: Aetna of AZ Commercial $396.90
Rate for Payer: Aetna of AZ Medicare $123.48
Rate for Payer: AHCCCS Medicaid $260.34
Rate for Payer: Allwell Medicaid $260.34
Rate for Payer: Allwell Medicare $66.15
Rate for Payer: Amerigroup Medicare $66.15
Rate for Payer: APIPA Medicare/Medicaid $164.71
Rate for Payer: AZCH Complete Medicaid $260.34
Rate for Payer: AZCH Complete Medicare $66.15
Rate for Payer: Banner UC Health Medicaid $260.34
Rate for Payer: Banner UC Health Medicare $66.15
Rate for Payer: Bisbee Police All Plans $114.66
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $299.88
Rate for Payer: Cash Price $352.80
Rate for Payer: Cash Price $352.80
Rate for Payer: Cigna of AZ Commercial $308.70
Rate for Payer: Copperpoint Commercial $109.15
Rate for Payer: Health Net of AZ Commercial $264.60
Rate for Payer: Health Net of AZ Medicare $123.48
Rate for Payer: Humana of AZ Medicare $66.15
Rate for Payer: Mercy Care Medicaid $260.34
Rate for Payer: Self Pay Self Pay $352.80
Rate for Payer: TriWest Medicare $66.15
Rate for Payer: UnitedHealth Group of AZ Commercial $2,161.00
Rate for Payer: UnitedHealth Group of AZ Medicare $79.38
Service Code CPT 12002
Hospital Charge Code 22282768
Hospital Revenue Code 450
Min. Negotiated Rate $148.98
Max. Negotiated Rate $515.70
Rate for Payer: Aetna of AZ Commercial $515.70
Rate for Payer: Bisbee Police All Plans $148.98
Rate for Payer: Cash Price $458.40
Rate for Payer: Self Pay Self Pay $458.40
Service Code CPT 12002
Hospital Charge Code 22282768
Hospital Revenue Code 450
Min. Negotiated Rate $85.95
Max. Negotiated Rate $2,161.00
Rate for Payer: Aetna of AZ Commercial $515.70
Rate for Payer: Aetna of AZ Medicare $160.44
Rate for Payer: AHCCCS Medicaid $260.34
Rate for Payer: Allwell Medicaid $260.34
Rate for Payer: Allwell Medicare $85.95
Rate for Payer: Amerigroup Medicare $85.95
Rate for Payer: APIPA Medicare/Medicaid $214.02
Rate for Payer: AZCH Complete Medicaid $260.34
Rate for Payer: AZCH Complete Medicare $85.95
Rate for Payer: Banner UC Health Medicaid $260.34
Rate for Payer: Banner UC Health Medicare $85.95
Rate for Payer: Bisbee Police All Plans $148.98
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $389.64
Rate for Payer: Cash Price $458.40
Rate for Payer: Cash Price $458.40
Rate for Payer: Cigna of AZ Commercial $401.10
Rate for Payer: Copperpoint Commercial $141.82
Rate for Payer: Health Net of AZ Commercial $343.80
Rate for Payer: Health Net of AZ Medicare $160.44
Rate for Payer: Humana of AZ Medicare $85.95
Rate for Payer: Mercy Care Medicaid $260.34
Rate for Payer: Self Pay Self Pay $458.40
Rate for Payer: TriWest Medicare $85.95
Rate for Payer: UnitedHealth Group of AZ Commercial $2,161.00
Rate for Payer: UnitedHealth Group of AZ Medicare $103.14
Service Code CPT 12004
Hospital Charge Code 22282769
Hospital Revenue Code 450
Min. Negotiated Rate $183.56
Max. Negotiated Rate $635.40
Rate for Payer: Aetna of AZ Commercial $635.40
Rate for Payer: Bisbee Police All Plans $183.56
Rate for Payer: Cash Price $564.80
Rate for Payer: Self Pay Self Pay $564.80
Service Code CPT 12004
Hospital Charge Code 22282769
Hospital Revenue Code 450
Min. Negotiated Rate $105.90
Max. Negotiated Rate $2,161.00
Rate for Payer: Aetna of AZ Commercial $635.40
Rate for Payer: Aetna of AZ Medicare $197.68
Rate for Payer: AHCCCS Medicaid $260.34
Rate for Payer: Allwell Medicaid $260.34
Rate for Payer: Allwell Medicare $105.90
Rate for Payer: Amerigroup Medicare $105.90
Rate for Payer: APIPA Medicare/Medicaid $263.69
Rate for Payer: AZCH Complete Medicaid $260.34
Rate for Payer: AZCH Complete Medicare $105.90
Rate for Payer: Banner UC Health Medicaid $260.34
Rate for Payer: Banner UC Health Medicare $105.90
Rate for Payer: Bisbee Police All Plans $183.56
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $480.08
Rate for Payer: Cash Price $564.80
Rate for Payer: Cash Price $564.80
Rate for Payer: Cigna of AZ Commercial $494.20
Rate for Payer: Copperpoint Commercial $174.74
Rate for Payer: Health Net of AZ Commercial $423.60
Rate for Payer: Health Net of AZ Medicare $197.68
Rate for Payer: Humana of AZ Medicare $105.90
Rate for Payer: Mercy Care Medicaid $260.34
Rate for Payer: Self Pay Self Pay $564.80
Rate for Payer: TriWest Medicare $105.90
Rate for Payer: UnitedHealth Group of AZ Commercial $2,161.00
Rate for Payer: UnitedHealth Group of AZ Medicare $127.08
Service Code CPT 12005
Hospital Charge Code 22282770
Hospital Revenue Code 450
Min. Negotiated Rate $150.30
Max. Negotiated Rate $2,161.00
Rate for Payer: Aetna of AZ Commercial $901.80
Rate for Payer: Aetna of AZ Medicare $280.56
Rate for Payer: AHCCCS Medicaid $501.46
Rate for Payer: Allwell Medicaid $501.46
Rate for Payer: Allwell Medicare $150.30
Rate for Payer: Amerigroup Medicare $150.30
Rate for Payer: APIPA Medicare/Medicaid $374.25
Rate for Payer: AZCH Complete Medicaid $501.46
Rate for Payer: AZCH Complete Medicare $150.30
Rate for Payer: Banner UC Health Medicaid $501.46
Rate for Payer: Banner UC Health Medicare $150.30
Rate for Payer: Bisbee Police All Plans $260.52
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $681.36
Rate for Payer: Cash Price $801.60
Rate for Payer: Cash Price $801.60
Rate for Payer: Cigna of AZ Commercial $701.40
Rate for Payer: Copperpoint Commercial $248.00
Rate for Payer: Health Net of AZ Commercial $601.20
Rate for Payer: Health Net of AZ Medicare $280.56
Rate for Payer: Humana of AZ Medicare $150.30
Rate for Payer: Mercy Care Medicaid $501.46
Rate for Payer: Self Pay Self Pay $801.60
Rate for Payer: TriWest Medicare $150.30
Rate for Payer: UnitedHealth Group of AZ Commercial $2,161.00
Rate for Payer: UnitedHealth Group of AZ Medicare $180.36
Service Code CPT 12005
Hospital Charge Code 22282770
Hospital Revenue Code 450
Min. Negotiated Rate $260.52
Max. Negotiated Rate $901.80
Rate for Payer: Aetna of AZ Commercial $901.80
Rate for Payer: Bisbee Police All Plans $260.52
Rate for Payer: Cash Price $801.60
Rate for Payer: Self Pay Self Pay $801.60
Service Code CPT 12006
Hospital Charge Code 22282771
Hospital Revenue Code 450
Min. Negotiated Rate $174.00
Max. Negotiated Rate $2,161.00
Rate for Payer: Aetna of AZ Commercial $1,044.00
Rate for Payer: Aetna of AZ Medicare $324.80
Rate for Payer: AHCCCS Medicaid $501.46
Rate for Payer: Allwell Medicaid $501.46
Rate for Payer: Allwell Medicare $174.00
Rate for Payer: Amerigroup Medicare $174.00
Rate for Payer: APIPA Medicare/Medicaid $433.26
Rate for Payer: AZCH Complete Medicaid $501.46
Rate for Payer: AZCH Complete Medicare $174.00
Rate for Payer: Banner UC Health Medicaid $501.46
Rate for Payer: Banner UC Health Medicare $174.00
Rate for Payer: Bisbee Police All Plans $301.60
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $788.80
Rate for Payer: Cash Price $928.00
Rate for Payer: Cash Price $928.00
Rate for Payer: Cigna of AZ Commercial $812.00
Rate for Payer: Copperpoint Commercial $287.10
Rate for Payer: Health Net of AZ Commercial $696.00
Rate for Payer: Health Net of AZ Medicare $324.80
Rate for Payer: Humana of AZ Medicare $174.00
Rate for Payer: Mercy Care Medicaid $501.46
Rate for Payer: Self Pay Self Pay $928.00
Rate for Payer: TriWest Medicare $174.00
Rate for Payer: UnitedHealth Group of AZ Commercial $2,161.00
Rate for Payer: UnitedHealth Group of AZ Medicare $208.80
Service Code CPT 12006
Hospital Charge Code 22282771
Hospital Revenue Code 450
Min. Negotiated Rate $301.60
Max. Negotiated Rate $1,044.00
Rate for Payer: Aetna of AZ Commercial $1,044.00
Rate for Payer: Bisbee Police All Plans $301.60
Rate for Payer: Cash Price $928.00
Rate for Payer: Self Pay Self Pay $928.00
Service Code CPT 12007
Hospital Charge Code 22282772
Hospital Revenue Code 450
Min. Negotiated Rate $192.30
Max. Negotiated Rate $2,161.00
Rate for Payer: Aetna of AZ Commercial $1,153.80
Rate for Payer: Aetna of AZ Medicare $358.96
Rate for Payer: AHCCCS Medicaid $260.34
Rate for Payer: Allwell Medicaid $260.34
Rate for Payer: Allwell Medicare $192.30
Rate for Payer: Amerigroup Medicare $192.30
Rate for Payer: APIPA Medicare/Medicaid $478.83
Rate for Payer: AZCH Complete Medicaid $260.34
Rate for Payer: AZCH Complete Medicare $192.30
Rate for Payer: Banner UC Health Medicaid $260.34
Rate for Payer: Banner UC Health Medicare $192.30
Rate for Payer: Bisbee Police All Plans $333.32
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $871.76
Rate for Payer: Cash Price $1,025.60
Rate for Payer: Cash Price $1,025.60
Rate for Payer: Cigna of AZ Commercial $897.40
Rate for Payer: Copperpoint Commercial $317.30
Rate for Payer: Health Net of AZ Commercial $769.20
Rate for Payer: Health Net of AZ Medicare $358.96
Rate for Payer: Humana of AZ Medicare $192.30
Rate for Payer: Mercy Care Medicaid $260.34
Rate for Payer: Self Pay Self Pay $1,025.60
Rate for Payer: TriWest Medicare $192.30
Rate for Payer: UnitedHealth Group of AZ Commercial $2,161.00
Rate for Payer: UnitedHealth Group of AZ Medicare $230.76
Service Code CPT 12007
Hospital Charge Code 22282772
Hospital Revenue Code 450
Min. Negotiated Rate $333.32
Max. Negotiated Rate $1,153.80
Rate for Payer: Aetna of AZ Commercial $1,153.80
Rate for Payer: Bisbee Police All Plans $333.32
Rate for Payer: Cash Price $1,025.60
Rate for Payer: Self Pay Self Pay $1,025.60