APR-DRG 41.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$10,768.48
|
|
Service Code
|
APR-DRG 5411
|
Min. Negotiated Rate |
$6,801.14 |
Max. Negotiated Rate |
$10,768.48 |
Rate for Payer: Adventist Health Medi-Cal |
$6,801.14
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$8,104.70
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$10,768.48
|
|
APR-DRG 41.00: VENTRICULAR SHUNT PROCEDURES
|
Facility
|
IP
|
$22,331.78
|
|
Service Code
|
APR-DRG 0221
|
Min. Negotiated Rate |
$14,104.28 |
Max. Negotiated Rate |
$22,331.78 |
Rate for Payer: Adventist Health Medi-Cal |
$14,104.28
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$16,807.61
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$22,331.78
|
|
APR-DRG 41.00: VENTRICULAR SHUNT PROCEDURES
|
Facility
|
IP
|
$25,771.98
|
|
Service Code
|
APR-DRG 0222
|
Min. Negotiated Rate |
$16,277.04 |
Max. Negotiated Rate |
$25,771.98 |
Rate for Payer: Adventist Health Medi-Cal |
$16,277.04
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$19,396.81
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$25,771.98
|
|
APR-DRG 41.00: VENTRICULAR SHUNT PROCEDURES
|
Facility
|
IP
|
$67,234.96
|
|
Service Code
|
APR-DRG 0224
|
Min. Negotiated Rate |
$42,464.18 |
Max. Negotiated Rate |
$67,234.96 |
Rate for Payer: Adventist Health Medi-Cal |
$42,464.18
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$50,603.15
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$67,234.96
|
|
APR-DRG 41.00: VENTRICULAR SHUNT PROCEDURES
|
Facility
|
IP
|
$35,837.72
|
|
Service Code
|
APR-DRG 0223
|
Min. Negotiated Rate |
$22,634.35 |
Max. Negotiated Rate |
$35,837.72 |
Rate for Payer: Adventist Health Medi-Cal |
$22,634.35
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$26,972.60
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$35,837.72
|
|
APR-DRG 41.00: VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES
|
Facility
|
IP
|
$24,952.34
|
|
Service Code
|
APR-DRG 3102
|
Min. Negotiated Rate |
$15,759.37 |
Max. Negotiated Rate |
$24,952.34 |
Rate for Payer: Adventist Health Medi-Cal |
$15,759.37
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$18,779.92
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$24,952.34
|
|
APR-DRG 41.00: VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES
|
Facility
|
IP
|
$34,164.22
|
|
Service Code
|
APR-DRG 3103
|
Min. Negotiated Rate |
$21,577.40 |
Max. Negotiated Rate |
$34,164.22 |
Rate for Payer: Adventist Health Medi-Cal |
$21,577.40
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$25,713.07
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$34,164.22
|
|
APR-DRG 41.00: VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES
|
Facility
|
IP
|
$63,596.99
|
|
Service Code
|
APR-DRG 3104
|
Min. Negotiated Rate |
$40,166.52 |
Max. Negotiated Rate |
$63,596.99 |
Rate for Payer: Adventist Health Medi-Cal |
$40,166.52
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$47,865.10
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$63,596.99
|
|
APR-DRG 41.00: VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES
|
Facility
|
IP
|
$18,688.10
|
|
Service Code
|
APR-DRG 3101
|
Min. Negotiated Rate |
$11,803.01 |
Max. Negotiated Rate |
$18,688.10 |
Rate for Payer: Adventist Health Medi-Cal |
$11,803.01
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$14,065.25
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$18,688.10
|
|
APR-DRG 41.00: VERTIGO AND OTHER LABYRINTH DISORDERS
|
Facility
|
IP
|
$26,390.03
|
|
Service Code
|
APR-DRG 1114
|
Min. Negotiated Rate |
$16,667.39 |
Max. Negotiated Rate |
$26,390.03 |
Rate for Payer: Adventist Health Medi-Cal |
$16,667.39
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$19,861.97
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$26,390.03
|
|
APR-DRG 41.00: VERTIGO AND OTHER LABYRINTH DISORDERS
|
Facility
|
IP
|
$9,137.71
|
|
Service Code
|
APR-DRG 1111
|
Min. Negotiated Rate |
$5,771.18 |
Max. Negotiated Rate |
$9,137.71 |
Rate for Payer: Adventist Health Medi-Cal |
$5,771.18
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$6,877.33
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$9,137.71
|
|
APR-DRG 41.00: VERTIGO AND OTHER LABYRINTH DISORDERS
|
Facility
|
IP
|
$12,716.74
|
|
Service Code
|
APR-DRG 1113
|
Min. Negotiated Rate |
$8,031.62 |
Max. Negotiated Rate |
$12,716.74 |
Rate for Payer: Adventist Health Medi-Cal |
$8,031.62
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$9,571.02
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$12,716.74
|
|
APR-DRG 41.00: VERTIGO AND OTHER LABYRINTH DISORDERS
|
Facility
|
IP
|
$10,476.52
|
|
Service Code
|
APR-DRG 1112
|
Min. Negotiated Rate |
$6,616.75 |
Max. Negotiated Rate |
$10,476.52 |
Rate for Payer: Adventist Health Medi-Cal |
$6,616.75
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$7,884.96
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$10,476.52
|
|
APR-DRG 41.00: VIRAL ILLNESS
|
Facility
|
IP
|
$27,053.72
|
|
Service Code
|
APR-DRG 7234
|
Min. Negotiated Rate |
$17,086.56 |
Max. Negotiated Rate |
$27,053.72 |
Rate for Payer: Adventist Health Medi-Cal |
$17,086.56
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$20,361.48
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$27,053.72
|
|
APR-DRG 41.00: VIRAL ILLNESS
|
Facility
|
IP
|
$12,982.97
|
|
Service Code
|
APR-DRG 7233
|
Min. Negotiated Rate |
$8,199.77 |
Max. Negotiated Rate |
$12,982.97 |
Rate for Payer: Adventist Health Medi-Cal |
$8,199.77
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$9,771.39
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$12,982.97
|
|
APR-DRG 41.00: VIRAL ILLNESS
|
Facility
|
IP
|
$6,098.79
|
|
Service Code
|
APR-DRG 7231
|
Min. Negotiated Rate |
$3,851.87 |
Max. Negotiated Rate |
$6,098.79 |
Rate for Payer: Adventist Health Medi-Cal |
$3,851.87
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$4,590.14
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$6,098.79
|
|
APR-DRG 41.00: VIRAL ILLNESS
|
Facility
|
IP
|
$8,489.24
|
|
Service Code
|
APR-DRG 7232
|
Min. Negotiated Rate |
$5,361.62 |
Max. Negotiated Rate |
$8,489.24 |
Rate for Payer: Adventist Health Medi-Cal |
$5,361.62
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$6,389.27
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$8,489.24
|
|
APR-DRG 41.00: VIRAL MENINGITIS
|
Facility
|
IP
|
$36,891.27
|
|
Service Code
|
APR-DRG 0514
|
Min. Negotiated Rate |
$23,299.75 |
Max. Negotiated Rate |
$36,891.27 |
Rate for Payer: Adventist Health Medi-Cal |
$23,299.75
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$27,765.54
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$36,891.27
|
|
APR-DRG 41.00: VIRAL MENINGITIS
|
Facility
|
IP
|
$20,177.15
|
|
Service Code
|
APR-DRG 0513
|
Min. Negotiated Rate |
$12,743.46 |
Max. Negotiated Rate |
$20,177.15 |
Rate for Payer: Adventist Health Medi-Cal |
$12,743.46
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$15,185.96
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$20,177.15
|
|
APR-DRG 41.00: VIRAL MENINGITIS
|
Facility
|
IP
|
$11,935.14
|
|
Service Code
|
APR-DRG 0512
|
Min. Negotiated Rate |
$7,537.98 |
Max. Negotiated Rate |
$11,935.14 |
Rate for Payer: Adventist Health Medi-Cal |
$7,537.98
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$8,982.76
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$11,935.14
|
|
APR-DRG 41.00: VIRAL MENINGITIS
|
Facility
|
IP
|
$8,036.62
|
|
Service Code
|
APR-DRG 0511
|
Min. Negotiated Rate |
$5,075.76 |
Max. Negotiated Rate |
$8,036.62 |
Rate for Payer: Adventist Health Medi-Cal |
$5,075.76
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$6,048.61
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$8,036.62
|
|
APREPITANT 130 MG/18 ML (7.2 MG/ML) INTRAVENOUS EMULSION [220348]
|
Facility
|
OP
|
$30.30
|
|
Service Code
|
HCPCS J0185
|
Hospital Charge Code |
901700025
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$1.71 |
Max. Negotiated Rate |
$27.27 |
Rate for Payer: Adventist Health Commercial |
$6.06
|
Rate for Payer: Adventist Health Medi-Cal |
$1.77
|
Rate for Payer: Aetna of CA HMO/PPO |
$18.40
|
Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2.22
|
Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1.95
|
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1.95
|
Rate for Payer: Anthem Blue Cross of CA Exchange |
$7.53
|
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$2.31
|
Rate for Payer: Blue Shield of California Commercial |
$4.43
|
Rate for Payer: Blue Shield of California EPN |
$4.03
|
Rate for Payer: Cash Price |
$16.67
|
Rate for Payer: Cash Price |
$16.67
|
Rate for Payer: Central Health Plan Commercial |
$24.24
|
Rate for Payer: Cigna of CA HMO |
$21.21
|
Rate for Payer: Cigna of CA PPO |
$21.21
|
Rate for Payer: Dignity Health Commercial/Exchange |
$2.22
|
Rate for Payer: Dignity Health Medi-Cal |
$1.95
|
Rate for Payer: Dignity Health Medicare Advantage |
$1.95
|
Rate for Payer: EPIC Health Plan Commercial |
$2.39
|
Rate for Payer: EPIC Health Plan Senior |
$1.77
|
Rate for Payer: Galaxy Health WC |
$25.75
|
Rate for Payer: Global Benefits Group Commercial |
$18.18
|
Rate for Payer: Health Management Network EPO/PPO |
$27.27
|
Rate for Payer: Heritage Provider Network Commercial/Senior |
$2.91
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$1.71
|
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1.77
|
Rate for Payer: InnovAge PACE Commercial |
$2.66
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$20.21
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$11.70
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1.77
|
Rate for Payer: LLUH Dept of Risk Management WC |
$6.06
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$2.38
|
Rate for Payer: Molina Healthcare of CA Medicare |
$2.38
|
Rate for Payer: Multiplan Commercial |
$22.73
|
Rate for Payer: Networks By Design Commercial |
$15.15
|
Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1.77
|
Rate for Payer: Prime Health Services Commercial |
$25.75
|
Rate for Payer: Prime Health Services Medicare |
$1.88
|
Rate for Payer: Riverside University Health System MISP |
$1.95
|
Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$18.18
|
Rate for Payer: TriValley Medical Group Commercial/Senior |
$18.18
|
Rate for Payer: United Healthcare All Other Commercial |
$11.37
|
Rate for Payer: United Healthcare All Other HMO |
$11.07
|
Rate for Payer: United Healthcare HMO Rider |
$10.83
|
Rate for Payer: United Healthcare Select/Navigate/Core |
$9.92
|
Rate for Payer: Upland Medical Group Pediatric |
$1.77
|
Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2.22
|
Rate for Payer: Vantage Medical Group Medi-Cal |
$1.95
|
Rate for Payer: Vantage Medical Group Senior |
$1.95
|
|
APREPITANT 130 MG/18 ML (7.2 MG/ML) INTRAVENOUS EMULSION [220348]
|
Facility
|
IP
|
$30.30
|
|
Service Code
|
HCPCS J0185
|
Hospital Charge Code |
901700025
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$6.06 |
Max. Negotiated Rate |
$27.27 |
Rate for Payer: Adventist Health Commercial |
$6.06
|
Rate for Payer: Blue Shield of California Commercial |
$23.42
|
Rate for Payer: Blue Shield of California EPN |
$15.27
|
Rate for Payer: Cash Price |
$16.67
|
Rate for Payer: Central Health Plan Commercial |
$24.24
|
Rate for Payer: Cigna of CA HMO |
$21.21
|
Rate for Payer: Cigna of CA PPO |
$21.21
|
Rate for Payer: EPIC Health Plan Commercial |
$12.12
|
Rate for Payer: EPIC Health Plan Senior |
$12.12
|
Rate for Payer: Galaxy Health WC |
$25.75
|
Rate for Payer: Global Benefits Group Commercial |
$18.18
|
Rate for Payer: Health Management Network EPO/PPO |
$27.27
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$20.21
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$11.54
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$18.76
|
Rate for Payer: LLUH Dept of Risk Management WC |
$6.06
|
Rate for Payer: Multiplan Commercial |
$22.73
|
Rate for Payer: Networks By Design Commercial |
$15.15
|
Rate for Payer: Prime Health Services Commercial |
$25.75
|
Rate for Payer: United Healthcare All Other Commercial |
$11.37
|
Rate for Payer: United Healthcare All Other HMO |
$11.07
|
Rate for Payer: United Healthcare HMO Rider |
$10.83
|
Rate for Payer: United Healthcare Select/Navigate/Core |
$9.92
|
|
ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION [77581]
|
Facility
|
OP
|
$11.82
|
|
Service Code
|
NDC 63402-911-01
|
Hospital Charge Code |
901700029
|
Hospital Revenue Code
|
259
|
Min. Negotiated Rate |
$2.36 |
Max. Negotiated Rate |
$10.64 |
Rate for Payer: Adventist Health Commercial |
$2.36
|
Rate for Payer: Aetna of CA HMO/PPO |
$7.18
|
Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$10.05
|
Rate for Payer: Alpha Care Medical Group Medi-Cal |
$6.50
|
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$8.87
|
Rate for Payer: Anthem Blue Cross of CA Exchange |
$5.72
|
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6.94
|
Rate for Payer: Blue Shield of California Commercial |
$7.22
|
Rate for Payer: Blue Shield of California EPN |
$4.72
|
Rate for Payer: Cash Price |
$6.50
|
Rate for Payer: Central Health Plan Commercial |
$9.46
|
Rate for Payer: Cigna of CA HMO |
$8.27
|
Rate for Payer: Cigna of CA PPO |
$8.27
|
Rate for Payer: Dignity Health Commercial/Exchange |
$10.05
|
Rate for Payer: Dignity Health Medi-Cal |
$10.05
|
Rate for Payer: Dignity Health Medicare Advantage |
$10.05
|
Rate for Payer: EPIC Health Plan Commercial |
$4.73
|
Rate for Payer: EPIC Health Plan Senior |
$4.73
|
Rate for Payer: Galaxy Health WC |
$10.05
|
Rate for Payer: Global Benefits Group Commercial |
$7.09
|
Rate for Payer: Health Management Network EPO/PPO |
$10.64
|
Rate for Payer: InnovAge PACE Commercial |
$5.91
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$7.88
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$4.50
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7.32
|
Rate for Payer: LLUH Dept of Risk Management WC |
$2.36
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$8.27
|
Rate for Payer: Molina Healthcare of CA Medicare |
$8.27
|
Rate for Payer: Multiplan Commercial |
$8.87
|
Rate for Payer: Networks By Design Commercial |
$7.68
|
Rate for Payer: Prime Health Services Commercial |
$10.05
|
Rate for Payer: Riverside University Health System MISP |
$4.73
|
Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$7.09
|
Rate for Payer: TriValley Medical Group Commercial/Senior |
$7.09
|
Rate for Payer: United Healthcare All Other Commercial |
$5.91
|
Rate for Payer: United Healthcare All Other HMO |
$5.91
|
Rate for Payer: United Healthcare HMO Rider |
$5.91
|
Rate for Payer: United Healthcare Select/Navigate/Core |
$5.91
|
Rate for Payer: Vantage Medical Group Commercial/Exchange |
$10.05
|
Rate for Payer: Vantage Medical Group Medi-Cal |
$10.05
|
Rate for Payer: Vantage Medical Group Senior |
$10.05
|
|
ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION [77581]
|
Facility
|
OP
|
$3.85
|
|
Service Code
|
NDC 0093-5955-56
|
Hospital Charge Code |
901700029
|
Hospital Revenue Code
|
259
|
Min. Negotiated Rate |
$0.77 |
Max. Negotiated Rate |
$3.46 |
Rate for Payer: Adventist Health Commercial |
$0.77
|
Rate for Payer: Aetna of CA HMO/PPO |
$2.34
|
Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$3.27
|
Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2.12
|
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$2.89
|
Rate for Payer: Anthem Blue Cross of CA Exchange |
$1.86
|
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$2.26
|
Rate for Payer: Blue Shield of California Commercial |
$2.35
|
Rate for Payer: Blue Shield of California EPN |
$1.54
|
Rate for Payer: Cash Price |
$2.12
|
Rate for Payer: Central Health Plan Commercial |
$3.08
|
Rate for Payer: Cigna of CA HMO |
$2.69
|
Rate for Payer: Cigna of CA PPO |
$2.69
|
Rate for Payer: Dignity Health Commercial/Exchange |
$3.27
|
Rate for Payer: Dignity Health Medi-Cal |
$3.27
|
Rate for Payer: Dignity Health Medicare Advantage |
$3.27
|
Rate for Payer: EPIC Health Plan Commercial |
$1.54
|
Rate for Payer: EPIC Health Plan Senior |
$1.54
|
Rate for Payer: Galaxy Health WC |
$3.27
|
Rate for Payer: Global Benefits Group Commercial |
$2.31
|
Rate for Payer: Health Management Network EPO/PPO |
$3.46
|
Rate for Payer: InnovAge PACE Commercial |
$1.93
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2.57
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1.47
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2.38
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.77
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$2.69
|
Rate for Payer: Molina Healthcare of CA Medicare |
$2.69
|
Rate for Payer: Multiplan Commercial |
$2.89
|
Rate for Payer: Networks By Design Commercial |
$2.50
|
Rate for Payer: Prime Health Services Commercial |
$3.27
|
Rate for Payer: Riverside University Health System MISP |
$1.54
|
Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2.31
|
Rate for Payer: TriValley Medical Group Commercial/Senior |
$2.31
|
Rate for Payer: United Healthcare All Other Commercial |
$1.93
|
Rate for Payer: United Healthcare All Other HMO |
$1.93
|
Rate for Payer: United Healthcare HMO Rider |
$1.93
|
Rate for Payer: United Healthcare Select/Navigate/Core |
$1.93
|
Rate for Payer: Vantage Medical Group Commercial/Exchange |
$3.27
|
Rate for Payer: Vantage Medical Group Medi-Cal |
$3.27
|
Rate for Payer: Vantage Medical Group Senior |
$3.27
|
|