|
HC TRMNT ED HEALTH EDUCATION
|
Facility
|
OP
|
$335.00
|
|
|
Service Code
|
CPT 90853
|
| Hospital Charge Code |
907804147
|
|
Hospital Revenue Code
|
942
|
| Min. Negotiated Rate |
$41.00 |
| Max. Negotiated Rate |
$251.25 |
| Rate for Payer: Aetna of CA EPO/HMO/POS/PPO |
$55.76
|
| Rate for Payer: Aetna of CA Government/Medicare |
$55.76
|
| Rate for Payer: Cash Price |
$150.75
|
| Rate for Payer: Cash Price |
$150.75
|
| Rate for Payer: Health Smart Auto/Commercial |
$201.00
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage |
$201.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$184.25
|
| Rate for Payer: Mary Free Bed Workers' Compensation |
$41.00
|
| Rate for Payer: Multiplan Beech St/Commercial/PHCS |
$251.25
|
|
|
HC TRMNT ED MENTAL HEALTH EDUCATION
|
Facility
|
IP
|
$335.00
|
|
|
Service Code
|
CPT G0177
|
| Hospital Charge Code |
907804146
|
|
Hospital Revenue Code
|
942
|
| Min. Negotiated Rate |
$184.25 |
| Max. Negotiated Rate |
$268.00 |
| Rate for Payer: Cash Price |
$150.75
|
| Rate for Payer: Cigna of CA HMO/PPO |
$268.00
|
| Rate for Payer: Health Smart Auto/Commercial |
$201.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$184.25
|
| Rate for Payer: Multiplan Beech St/Commercial/PHCS |
$251.25
|
|
|
HC TRMNT ED MENTAL HEALTH EDUCATION
|
Facility
|
IP
|
$335.00
|
|
|
Service Code
|
CPT 90853
|
| Hospital Charge Code |
907804146
|
|
Hospital Revenue Code
|
905
|
| Min. Negotiated Rate |
$184.25 |
| Max. Negotiated Rate |
$469.00 |
| Rate for Payer: Cash Price |
$150.75
|
| Rate for Payer: Cash Price |
$150.75
|
| Rate for Payer: Cigna of CA HMO/PPO |
$268.00
|
| Rate for Payer: Health Smart Auto/Commercial |
$201.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$184.25
|
| Rate for Payer: Mary Free Bed Workers' Compensation |
$469.00
|
| Rate for Payer: Multiplan Beech St/Commercial/PHCS |
$251.25
|
|
|
HC TRMNT ED MENTAL HEALTH EDUCATION
|
Facility
|
IP
|
$335.00
|
|
|
Service Code
|
CPT 90853
|
| Hospital Charge Code |
907804146
|
|
Hospital Revenue Code
|
942
|
| Min. Negotiated Rate |
$184.25 |
| Max. Negotiated Rate |
$268.00 |
| Rate for Payer: Cash Price |
$150.75
|
| Rate for Payer: Cigna of CA HMO/PPO |
$268.00
|
| Rate for Payer: Health Smart Auto/Commercial |
$201.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$184.25
|
| Rate for Payer: Multiplan Beech St/Commercial/PHCS |
$251.25
|
|
|
HC TRMNT ED MENTAL HEALTH EDUCATION
|
Facility
|
OP
|
$335.00
|
|
|
Service Code
|
CPT 90853
|
| Hospital Charge Code |
907804146
|
|
Hospital Revenue Code
|
905
|
| Min. Negotiated Rate |
$41.00 |
| Max. Negotiated Rate |
$520.00 |
| Rate for Payer: Aetna of CA EPO/HMO/POS/PPO |
$475.00
|
| Rate for Payer: Beacon Health Medi-Cal/Medicare Advantage |
$400.00
|
| Rate for Payer: Blue Shield of California Commercial |
$349.00
|
| Rate for Payer: Cash Price |
$150.75
|
| Rate for Payer: Cash Price |
$150.75
|
| Rate for Payer: Cash Price |
$150.75
|
| Rate for Payer: Cigna of CA HMO/PPO |
$316.00
|
| Rate for Payer: Health Smart Auto/Commercial |
$426.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$281.00
|
| Rate for Payer: Heritage Provider Network Senior |
$281.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal/Medicare Advantage |
$330.00
|
| Rate for Payer: Intervalley Health Plan Commercial |
$520.00
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage |
$293.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$184.25
|
| Rate for Payer: Magellan Commercial |
$406.00
|
| Rate for Payer: Managed Health Network (MHN) Commercial |
$434.00
|
| Rate for Payer: Managed Health Network (MHN) Medicare |
$111.37
|
| Rate for Payer: Mary Free Bed Workers' Compensation |
$41.00
|
| Rate for Payer: Multiplan Beech St/Commercial/PHCS |
$251.25
|
| Rate for Payer: US Behavioral Health Commercial/Medicare |
$397.33
|
|
|
HC TRMNT ED MENTAL HEALTH EDUCATION
|
Facility
|
OP
|
$335.00
|
|
|
Service Code
|
CPT G0177
|
| Hospital Charge Code |
907804146
|
|
Hospital Revenue Code
|
942
|
| Min. Negotiated Rate |
$184.25 |
| Max. Negotiated Rate |
$251.25 |
| Rate for Payer: Aetna of CA EPO/HMO/POS/PPO |
$201.00
|
| Rate for Payer: Aetna of CA Government/Medicare |
$201.00
|
| Rate for Payer: Cash Price |
$150.75
|
| Rate for Payer: Health Smart Auto/Commercial |
$201.00
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage |
$201.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$184.25
|
| Rate for Payer: Multiplan Beech St/Commercial/PHCS |
$251.25
|
|
|
HC TRMNT ED MENTAL HEALTH EDUCATION
|
Facility
|
OP
|
$335.00
|
|
|
Service Code
|
CPT 90853
|
| Hospital Charge Code |
907804146
|
|
Hospital Revenue Code
|
942
|
| Min. Negotiated Rate |
$41.00 |
| Max. Negotiated Rate |
$251.25 |
| Rate for Payer: Aetna of CA EPO/HMO/POS/PPO |
$55.76
|
| Rate for Payer: Aetna of CA Government/Medicare |
$55.76
|
| Rate for Payer: Cash Price |
$150.75
|
| Rate for Payer: Cash Price |
$150.75
|
| Rate for Payer: Health Smart Auto/Commercial |
$201.00
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage |
$201.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$184.25
|
| Rate for Payer: Mary Free Bed Workers' Compensation |
$41.00
|
| Rate for Payer: Multiplan Beech St/Commercial/PHCS |
$251.25
|
|
|
HC TRMNT ED STRESS MANAGEMENT
|
Facility
|
IP
|
$350.00
|
|
|
Service Code
|
CPT G0176
|
| Hospital Charge Code |
907804148
|
|
Hospital Revenue Code
|
904
|
| Min. Negotiated Rate |
$192.50 |
| Max. Negotiated Rate |
$280.00 |
| Rate for Payer: Cash Price |
$157.50
|
| Rate for Payer: Cigna of CA HMO/PPO |
$280.00
|
| Rate for Payer: Health Smart Auto/Commercial |
$210.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$192.50
|
| Rate for Payer: Multiplan Beech St/Commercial/PHCS |
$262.50
|
|
|
HC TRMNT ED STRESS MANAGEMENT
|
Facility
|
IP
|
$350.00
|
|
|
Service Code
|
CPT 90834
|
| Hospital Charge Code |
907804148
|
|
Hospital Revenue Code
|
905
|
| Min. Negotiated Rate |
$192.50 |
| Max. Negotiated Rate |
$469.00 |
| Rate for Payer: Cash Price |
$157.50
|
| Rate for Payer: Cash Price |
$157.50
|
| Rate for Payer: Cigna of CA HMO/PPO |
$280.00
|
| Rate for Payer: Health Smart Auto/Commercial |
$210.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$192.50
|
| Rate for Payer: Mary Free Bed Workers' Compensation |
$469.00
|
| Rate for Payer: Multiplan Beech St/Commercial/PHCS |
$262.50
|
|
|
HC TRMNT ED STRESS MANAGEMENT
|
Facility
|
OP
|
$350.00
|
|
|
Service Code
|
CPT 90834
|
| Hospital Charge Code |
907804148
|
|
Hospital Revenue Code
|
904
|
| Min. Negotiated Rate |
$149.60 |
| Max. Negotiated Rate |
$262.50 |
| Rate for Payer: Aetna of CA EPO/HMO/POS/PPO |
$149.60
|
| Rate for Payer: Aetna of CA Government/Medicare |
$149.60
|
| Rate for Payer: Cash Price |
$157.50
|
| Rate for Payer: Cash Price |
$157.50
|
| Rate for Payer: Health Smart Auto/Commercial |
$210.00
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage |
$210.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$192.50
|
| Rate for Payer: Multiplan Beech St/Commercial/PHCS |
$262.50
|
|
|
HC TRMNT ED STRESS MANAGEMENT
|
Facility
|
OP
|
$350.00
|
|
|
Service Code
|
CPT G0176
|
| Hospital Charge Code |
907804148
|
|
Hospital Revenue Code
|
904
|
| Min. Negotiated Rate |
$192.50 |
| Max. Negotiated Rate |
$262.50 |
| Rate for Payer: Aetna of CA EPO/HMO/POS/PPO |
$210.00
|
| Rate for Payer: Aetna of CA Government/Medicare |
$210.00
|
| Rate for Payer: Cash Price |
$157.50
|
| Rate for Payer: Health Smart Auto/Commercial |
$210.00
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage |
$210.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$192.50
|
| Rate for Payer: Multiplan Beech St/Commercial/PHCS |
$262.50
|
|
|
HC TRMNT ED STRESS MANAGEMENT
|
Facility
|
IP
|
$350.00
|
|
|
Service Code
|
CPT 90834
|
| Hospital Charge Code |
907804148
|
|
Hospital Revenue Code
|
904
|
| Min. Negotiated Rate |
$192.50 |
| Max. Negotiated Rate |
$280.00 |
| Rate for Payer: Cash Price |
$157.50
|
| Rate for Payer: Cigna of CA HMO/PPO |
$280.00
|
| Rate for Payer: Health Smart Auto/Commercial |
$210.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$192.50
|
| Rate for Payer: Multiplan Beech St/Commercial/PHCS |
$262.50
|
|
|
HC TRMNT ED STRESS MANAGEMENT
|
Facility
|
OP
|
$350.00
|
|
|
Service Code
|
CPT 90834
|
| Hospital Charge Code |
907804148
|
|
Hospital Revenue Code
|
905
|
| Min. Negotiated Rate |
$192.50 |
| Max. Negotiated Rate |
$520.00 |
| Rate for Payer: Aetna of CA EPO/HMO/POS/PPO |
$475.00
|
| Rate for Payer: Beacon Health Medi-Cal/Medicare Advantage |
$400.00
|
| Rate for Payer: Blue Shield of California Commercial |
$349.00
|
| Rate for Payer: Cash Price |
$157.50
|
| Rate for Payer: Cash Price |
$157.50
|
| Rate for Payer: Cash Price |
$157.50
|
| Rate for Payer: Cigna of CA HMO/PPO |
$316.00
|
| Rate for Payer: Health Smart Auto/Commercial |
$426.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$281.00
|
| Rate for Payer: Heritage Provider Network Senior |
$281.00
|
| Rate for Payer: Intervalley Health Plan Commercial |
$520.00
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage |
$293.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$192.50
|
| Rate for Payer: Magellan Commercial |
$406.00
|
| Rate for Payer: Managed Health Network (MHN) Commercial |
$434.00
|
| Rate for Payer: Managed Health Network (MHN) Medicare |
$199.21
|
| Rate for Payer: Multiplan Beech St/Commercial/PHCS |
$262.50
|
| Rate for Payer: US Behavioral Health Commercial/Medicare |
$397.33
|
|
|
HC TRMNT MENTAL HEALTH EDUCATION
|
Facility
|
OP
|
$335.00
|
|
|
Service Code
|
CPT 90853
|
| Hospital Charge Code |
907804063
|
|
Hospital Revenue Code
|
905
|
| Min. Negotiated Rate |
$41.00 |
| Max. Negotiated Rate |
$520.00 |
| Rate for Payer: Aetna of CA EPO/HMO/POS/PPO |
$475.00
|
| Rate for Payer: Beacon Health Medi-Cal/Medicare Advantage |
$400.00
|
| Rate for Payer: Blue Shield of California Commercial |
$349.00
|
| Rate for Payer: Cash Price |
$150.75
|
| Rate for Payer: Cash Price |
$150.75
|
| Rate for Payer: Cash Price |
$150.75
|
| Rate for Payer: Cigna of CA HMO/PPO |
$316.00
|
| Rate for Payer: Health Smart Auto/Commercial |
$426.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$281.00
|
| Rate for Payer: Heritage Provider Network Senior |
$281.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal/Medicare Advantage |
$330.00
|
| Rate for Payer: Intervalley Health Plan Commercial |
$520.00
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage |
$293.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$184.25
|
| Rate for Payer: Magellan Commercial |
$406.00
|
| Rate for Payer: Managed Health Network (MHN) Commercial |
$434.00
|
| Rate for Payer: Managed Health Network (MHN) Medicare |
$111.37
|
| Rate for Payer: Mary Free Bed Workers' Compensation |
$41.00
|
| Rate for Payer: Multiplan Beech St/Commercial/PHCS |
$251.25
|
| Rate for Payer: US Behavioral Health Commercial/Medicare |
$397.33
|
|
|
HC TRMNT MENTAL HEALTH EDUCATION
|
Facility
|
IP
|
$335.00
|
|
|
Service Code
|
CPT 90853
|
| Hospital Charge Code |
907804063
|
|
Hospital Revenue Code
|
905
|
| Min. Negotiated Rate |
$184.25 |
| Max. Negotiated Rate |
$469.00 |
| Rate for Payer: Cash Price |
$150.75
|
| Rate for Payer: Cash Price |
$150.75
|
| Rate for Payer: Cigna of CA HMO/PPO |
$268.00
|
| Rate for Payer: Health Smart Auto/Commercial |
$201.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$184.25
|
| Rate for Payer: Mary Free Bed Workers' Compensation |
$469.00
|
| Rate for Payer: Multiplan Beech St/Commercial/PHCS |
$251.25
|
|
|
HC TRMNT MENTAL HEALTH EDUCATION
|
Facility
|
IP
|
$335.00
|
|
|
Service Code
|
CPT 90853
|
| Hospital Charge Code |
907804063
|
|
Hospital Revenue Code
|
942
|
| Min. Negotiated Rate |
$184.25 |
| Max. Negotiated Rate |
$268.00 |
| Rate for Payer: Cash Price |
$150.75
|
| Rate for Payer: Cigna of CA HMO/PPO |
$268.00
|
| Rate for Payer: Health Smart Auto/Commercial |
$201.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$184.25
|
| Rate for Payer: Multiplan Beech St/Commercial/PHCS |
$251.25
|
|
|
HC TRMNT MENTAL HEALTH EDUCATION
|
Facility
|
IP
|
$335.00
|
|
|
Service Code
|
CPT G0177
|
| Hospital Charge Code |
907804063
|
|
Hospital Revenue Code
|
942
|
| Min. Negotiated Rate |
$184.25 |
| Max. Negotiated Rate |
$268.00 |
| Rate for Payer: Cash Price |
$150.75
|
| Rate for Payer: Cigna of CA HMO/PPO |
$268.00
|
| Rate for Payer: Health Smart Auto/Commercial |
$201.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$184.25
|
| Rate for Payer: Multiplan Beech St/Commercial/PHCS |
$251.25
|
|
|
HC TRMNT MENTAL HEALTH EDUCATION
|
Facility
|
OP
|
$335.00
|
|
|
Service Code
|
CPT 90853
|
| Hospital Charge Code |
907804063
|
|
Hospital Revenue Code
|
942
|
| Min. Negotiated Rate |
$41.00 |
| Max. Negotiated Rate |
$251.25 |
| Rate for Payer: Aetna of CA EPO/HMO/POS/PPO |
$55.76
|
| Rate for Payer: Aetna of CA Government/Medicare |
$55.76
|
| Rate for Payer: Cash Price |
$150.75
|
| Rate for Payer: Cash Price |
$150.75
|
| Rate for Payer: Health Smart Auto/Commercial |
$201.00
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage |
$201.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$184.25
|
| Rate for Payer: Mary Free Bed Workers' Compensation |
$41.00
|
| Rate for Payer: Multiplan Beech St/Commercial/PHCS |
$251.25
|
|
|
HC TRMNT MENTAL HEALTH EDUCATION
|
Facility
|
OP
|
$335.00
|
|
|
Service Code
|
CPT G0177
|
| Hospital Charge Code |
907804063
|
|
Hospital Revenue Code
|
942
|
| Min. Negotiated Rate |
$184.25 |
| Max. Negotiated Rate |
$251.25 |
| Rate for Payer: Aetna of CA EPO/HMO/POS/PPO |
$201.00
|
| Rate for Payer: Aetna of CA Government/Medicare |
$201.00
|
| Rate for Payer: Cash Price |
$150.75
|
| Rate for Payer: Health Smart Auto/Commercial |
$201.00
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage |
$201.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$184.25
|
| Rate for Payer: Multiplan Beech St/Commercial/PHCS |
$251.25
|
|
|
HC TRMNT STRESS MANAGEMENT
|
Facility
|
IP
|
$350.00
|
|
|
Service Code
|
CPT G0176
|
| Hospital Charge Code |
907804066
|
|
Hospital Revenue Code
|
904
|
| Min. Negotiated Rate |
$192.50 |
| Max. Negotiated Rate |
$280.00 |
| Rate for Payer: Cash Price |
$157.50
|
| Rate for Payer: Cigna of CA HMO/PPO |
$280.00
|
| Rate for Payer: Health Smart Auto/Commercial |
$210.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$192.50
|
| Rate for Payer: Multiplan Beech St/Commercial/PHCS |
$262.50
|
|
|
HC TRMNT STRESS MANAGEMENT
|
Facility
|
IP
|
$350.00
|
|
|
Service Code
|
CPT 90834
|
| Hospital Charge Code |
907804066
|
|
Hospital Revenue Code
|
905
|
| Min. Negotiated Rate |
$192.50 |
| Max. Negotiated Rate |
$469.00 |
| Rate for Payer: Cash Price |
$157.50
|
| Rate for Payer: Cash Price |
$157.50
|
| Rate for Payer: Cigna of CA HMO/PPO |
$280.00
|
| Rate for Payer: Health Smart Auto/Commercial |
$210.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$192.50
|
| Rate for Payer: Mary Free Bed Workers' Compensation |
$469.00
|
| Rate for Payer: Multiplan Beech St/Commercial/PHCS |
$262.50
|
|
|
HC TRMNT STRESS MANAGEMENT
|
Facility
|
IP
|
$350.00
|
|
|
Service Code
|
CPT 90834
|
| Hospital Charge Code |
907804066
|
|
Hospital Revenue Code
|
904
|
| Min. Negotiated Rate |
$192.50 |
| Max. Negotiated Rate |
$280.00 |
| Rate for Payer: Cash Price |
$157.50
|
| Rate for Payer: Cigna of CA HMO/PPO |
$280.00
|
| Rate for Payer: Health Smart Auto/Commercial |
$210.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$192.50
|
| Rate for Payer: Multiplan Beech St/Commercial/PHCS |
$262.50
|
|
|
HC TRMNT STRESS MANAGEMENT
|
Facility
|
OP
|
$350.00
|
|
|
Service Code
|
CPT 90834
|
| Hospital Charge Code |
907804066
|
|
Hospital Revenue Code
|
904
|
| Min. Negotiated Rate |
$149.60 |
| Max. Negotiated Rate |
$262.50 |
| Rate for Payer: Aetna of CA EPO/HMO/POS/PPO |
$149.60
|
| Rate for Payer: Aetna of CA Government/Medicare |
$149.60
|
| Rate for Payer: Cash Price |
$157.50
|
| Rate for Payer: Cash Price |
$157.50
|
| Rate for Payer: Health Smart Auto/Commercial |
$210.00
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage |
$210.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$192.50
|
| Rate for Payer: Multiplan Beech St/Commercial/PHCS |
$262.50
|
|
|
HC TRMNT STRESS MANAGEMENT
|
Facility
|
OP
|
$350.00
|
|
|
Service Code
|
CPT G0176
|
| Hospital Charge Code |
907804066
|
|
Hospital Revenue Code
|
904
|
| Min. Negotiated Rate |
$192.50 |
| Max. Negotiated Rate |
$262.50 |
| Rate for Payer: Aetna of CA EPO/HMO/POS/PPO |
$210.00
|
| Rate for Payer: Aetna of CA Government/Medicare |
$210.00
|
| Rate for Payer: Cash Price |
$157.50
|
| Rate for Payer: Health Smart Auto/Commercial |
$210.00
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage |
$210.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$192.50
|
| Rate for Payer: Multiplan Beech St/Commercial/PHCS |
$262.50
|
|
|
HC TRMNT STRESS MANAGEMENT
|
Facility
|
OP
|
$350.00
|
|
|
Service Code
|
CPT 90834
|
| Hospital Charge Code |
907804066
|
|
Hospital Revenue Code
|
905
|
| Min. Negotiated Rate |
$192.50 |
| Max. Negotiated Rate |
$520.00 |
| Rate for Payer: Cigna of CA HMO/PPO |
$316.00
|
| Rate for Payer: Health Smart Auto/Commercial |
$426.00
|
| Rate for Payer: Aetna of CA EPO/HMO/POS/PPO |
$475.00
|
| Rate for Payer: Beacon Health Medi-Cal/Medicare Advantage |
$400.00
|
| Rate for Payer: Blue Shield of California Commercial |
$349.00
|
| Rate for Payer: Cash Price |
$157.50
|
| Rate for Payer: Cash Price |
$157.50
|
| Rate for Payer: Cash Price |
$157.50
|
| Rate for Payer: Heritage Provider Network Commercial |
$281.00
|
| Rate for Payer: Heritage Provider Network Senior |
$281.00
|
| Rate for Payer: Intervalley Health Plan Commercial |
$520.00
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage |
$293.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$192.50
|
| Rate for Payer: Magellan Commercial |
$406.00
|
| Rate for Payer: Managed Health Network (MHN) Commercial |
$434.00
|
| Rate for Payer: Managed Health Network (MHN) Medicare |
$199.21
|
| Rate for Payer: Multiplan Beech St/Commercial/PHCS |
$262.50
|
| Rate for Payer: US Behavioral Health Commercial/Medicare |
$397.33
|
|
