|
ALBUTEROL SULFATE CONCENTRATE 2.5 MG/0.5 ML SOLUTION FOR NEBULIZATION [116907]
|
Facility
IP
|
$4.32
|
|
|
Service Code
|
NDC 0487-9901-30
|
| Hospital Charge Code |
1781093
|
|
Hospital Revenue Code
|
259
|
| Min. Negotiated Rate |
$0.78 |
| Max. Negotiated Rate |
$3.24 |
| Rate for Payer: Adventist Health Commercial |
$0.86
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$2.97
|
| Rate for Payer: Cash Price |
$1.94
|
| Rate for Payer: EPIC Health Plan Commercial |
$2.33
|
| Rate for Payer: Heritage Provider Network Commercial |
$2.92
|
| Rate for Payer: Heritage Provider Network Senior |
$2.92
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.78
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1.08
|
| Rate for Payer: Multiplan Commercial |
$3.24
|
|
|
ALBUTEROL SULFATE CONCENTRATE 5 MG/ML (0.5%) SOLN FOR NEBULIZATION FOR STATUS ASTHMATICUS [4081888]
|
Facility
IP
|
$2.90
|
|
|
Service Code
|
NDC 50383-741-20
|
| Hospital Charge Code |
1744054
|
|
Hospital Revenue Code
|
259
|
| Min. Negotiated Rate |
$0.52 |
| Max. Negotiated Rate |
$2.18 |
| Rate for Payer: Adventist Health Commercial |
$0.58
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$1.99
|
| Rate for Payer: Cash Price |
$1.31
|
| Rate for Payer: EPIC Health Plan Commercial |
$1.57
|
| Rate for Payer: Heritage Provider Network Commercial |
$1.96
|
| Rate for Payer: Heritage Provider Network Senior |
$1.96
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.52
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$0.73
|
| Rate for Payer: Multiplan Commercial |
$2.18
|
|
|
ALBUTEROL SULFATE CONCENTRATE 5 MG/ML (0.5%) SOLN FOR NEBULIZATION FOR STATUS ASTHMATICUS [4081888]
|
Facility
OP
|
$2.90
|
|
|
Service Code
|
NDC 50383-741-20
|
| Hospital Charge Code |
1744054
|
|
Hospital Revenue Code
|
259
|
| Min. Negotiated Rate |
$0.52 |
| Max. Negotiated Rate |
$2.46 |
| Rate for Payer: Adventist Health Commercial |
$0.58
|
| Rate for Payer: Aetna of CA Gatekeeper |
$1.55
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$1.99
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$2.46
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$1.60
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$2.18
|
| Rate for Payer: Blue Shield of California Commercial |
$1.80
|
| Rate for Payer: Blue Shield of California EPN |
$1.70
|
| Rate for Payer: Cash Price |
$1.31
|
| Rate for Payer: Cigna of CA HMO/PPO |
$1.88
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2.46
|
| Rate for Payer: Dignity Health Medi-Cal |
$2.46
|
| Rate for Payer: Dignity Health Senior |
$2.46
|
| Rate for Payer: EPIC Health Plan Commercial |
$1.86
|
| Rate for Payer: Heritage Provider Network Commercial |
$1.80
|
| Rate for Payer: Heritage Provider Network Senior |
$1.80
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$1.40
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.52
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$0.73
|
| Rate for Payer: Multiplan Commercial |
$2.18
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2.46
|
| Rate for Payer: Vantage Medical Group Senior |
$2.46
|
|
|
ALBUTEROL SULFATE CONCENTRATE 5 MG/ML(0.5 %) SOLUTION FOR NEBULIZATION [251]
|
Facility
OP
|
$3.00
|
|
|
Service Code
|
NDC 73177-146-33
|
| Hospital Charge Code |
1744054
|
|
Hospital Revenue Code
|
259
|
| Min. Negotiated Rate |
$0.54 |
| Max. Negotiated Rate |
$2.55 |
| Rate for Payer: Adventist Health Commercial |
$0.60
|
| Rate for Payer: Aetna of CA Gatekeeper |
$1.60
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$2.06
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$2.55
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$1.65
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$2.25
|
| Rate for Payer: Blue Shield of California Commercial |
$1.86
|
| Rate for Payer: Blue Shield of California EPN |
$1.76
|
| Rate for Payer: Cash Price |
$1.35
|
| Rate for Payer: Cigna of CA HMO/PPO |
$1.95
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2.55
|
| Rate for Payer: Dignity Health Medi-Cal |
$2.55
|
| Rate for Payer: Dignity Health Senior |
$2.55
|
| Rate for Payer: EPIC Health Plan Commercial |
$1.92
|
| Rate for Payer: Heritage Provider Network Commercial |
$1.86
|
| Rate for Payer: Heritage Provider Network Senior |
$1.86
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$1.45
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.54
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$0.75
|
| Rate for Payer: Multiplan Commercial |
$2.25
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2.55
|
| Rate for Payer: Vantage Medical Group Senior |
$2.55
|
|
|
ALBUTEROL SULFATE CONCENTRATE 5 MG/ML(0.5 %) SOLUTION FOR NEBULIZATION [251]
|
Facility
IP
|
$3.00
|
|
|
Service Code
|
NDC 73177-146-33
|
| Hospital Charge Code |
1744054
|
|
Hospital Revenue Code
|
259
|
| Min. Negotiated Rate |
$0.54 |
| Max. Negotiated Rate |
$2.25 |
| Rate for Payer: Adventist Health Commercial |
$0.60
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$2.06
|
| Rate for Payer: Cash Price |
$1.35
|
| Rate for Payer: EPIC Health Plan Commercial |
$1.62
|
| Rate for Payer: Heritage Provider Network Commercial |
$2.03
|
| Rate for Payer: Heritage Provider Network Senior |
$2.03
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.54
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$0.75
|
| Rate for Payer: Multiplan Commercial |
$2.25
|
|
|
ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER [17837]
|
Facility
OP
|
$5.08
|
|
|
Service Code
|
NDC 68180-963-01
|
| Hospital Charge Code |
1744112
|
|
Hospital Revenue Code
|
259
|
| Min. Negotiated Rate |
$0.92 |
| Max. Negotiated Rate |
$4.32 |
| Rate for Payer: Adventist Health Commercial |
$1.02
|
| Rate for Payer: Aetna of CA Gatekeeper |
$2.72
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$3.49
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$4.32
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$2.79
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$3.81
|
| Rate for Payer: Blue Shield of California Commercial |
$3.15
|
| Rate for Payer: Blue Shield of California EPN |
$2.98
|
| Rate for Payer: Cash Price |
$2.29
|
| Rate for Payer: Cigna of CA HMO/PPO |
$3.30
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$4.32
|
| Rate for Payer: Dignity Health Medi-Cal |
$4.32
|
| Rate for Payer: Dignity Health Senior |
$4.32
|
| Rate for Payer: EPIC Health Plan Commercial |
$3.25
|
| Rate for Payer: Heritage Provider Network Commercial |
$3.14
|
| Rate for Payer: Heritage Provider Network Senior |
$3.14
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$2.45
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.92
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1.27
|
| Rate for Payer: Multiplan Commercial |
$3.81
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$4.32
|
| Rate for Payer: Vantage Medical Group Senior |
$4.32
|
|
|
ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER [17837]
|
Facility
IP
|
$5.08
|
|
|
Service Code
|
NDC 68180-963-01
|
| Hospital Charge Code |
1744112
|
|
Hospital Revenue Code
|
259
|
| Min. Negotiated Rate |
$0.92 |
| Max. Negotiated Rate |
$3.81 |
| Rate for Payer: Adventist Health Commercial |
$1.02
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$3.49
|
| Rate for Payer: Cash Price |
$2.29
|
| Rate for Payer: EPIC Health Plan Commercial |
$2.74
|
| Rate for Payer: Heritage Provider Network Commercial |
$3.44
|
| Rate for Payer: Heritage Provider Network Senior |
$3.44
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.92
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1.27
|
| Rate for Payer: Multiplan Commercial |
$3.81
|
|
|
ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER [17837]
|
Facility
OP
|
$3.41
|
|
|
Service Code
|
NDC 0173-0682-24
|
| Hospital Charge Code |
1744126
|
|
Hospital Revenue Code
|
259
|
| Min. Negotiated Rate |
$0.62 |
| Max. Negotiated Rate |
$2.90 |
| Rate for Payer: Adventist Health Commercial |
$0.68
|
| Rate for Payer: Aetna of CA Gatekeeper |
$1.82
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$2.34
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$2.90
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$1.88
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$2.56
|
| Rate for Payer: Blue Shield of California Commercial |
$2.12
|
| Rate for Payer: Blue Shield of California EPN |
$2.00
|
| Rate for Payer: Cash Price |
$1.53
|
| Rate for Payer: Cigna of CA HMO/PPO |
$2.22
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2.90
|
| Rate for Payer: Dignity Health Medi-Cal |
$2.90
|
| Rate for Payer: Dignity Health Senior |
$2.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$2.18
|
| Rate for Payer: Heritage Provider Network Commercial |
$2.11
|
| Rate for Payer: Heritage Provider Network Senior |
$2.11
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$1.64
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.62
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$0.85
|
| Rate for Payer: Multiplan Commercial |
$2.56
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2.90
|
| Rate for Payer: Vantage Medical Group Senior |
$2.90
|
|
|
ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER [17837]
|
Facility
IP
|
$3.41
|
|
|
Service Code
|
NDC 0173-0682-24
|
| Hospital Charge Code |
1744126
|
|
Hospital Revenue Code
|
259
|
| Min. Negotiated Rate |
$0.62 |
| Max. Negotiated Rate |
$2.56 |
| Rate for Payer: Adventist Health Commercial |
$0.68
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$2.34
|
| Rate for Payer: Cash Price |
$1.53
|
| Rate for Payer: EPIC Health Plan Commercial |
$1.84
|
| Rate for Payer: Heritage Provider Network Commercial |
$2.31
|
| Rate for Payer: Heritage Provider Network Senior |
$2.31
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.62
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$0.85
|
| Rate for Payer: Multiplan Commercial |
$2.56
|
|
|
ALCOHOL ABUSE AND DEPENDENCE
|
Facility
IP
|
$7,753.22
|
|
|
Service Code
|
APR-DRG 7753
|
| Min. Negotiated Rate |
$7,753.22 |
| Max. Negotiated Rate |
$7,753.22 |
| Rate for Payer: IEHP Medi-Cal |
$7,753.22
|
|
|
ALCOHOL ABUSE AND DEPENDENCE
|
Facility
IP
|
$17,173.89
|
|
|
Service Code
|
APR-DRG 7754
|
| Min. Negotiated Rate |
$17,173.89 |
| Max. Negotiated Rate |
$17,173.89 |
| Rate for Payer: IEHP Medi-Cal |
$17,173.89
|
|
|
ALCOHOL ABUSE AND DEPENDENCE
|
Facility
IP
|
$4,555.62
|
|
|
Service Code
|
APR-DRG 7752
|
| Min. Negotiated Rate |
$4,555.62 |
| Max. Negotiated Rate |
$4,555.62 |
| Rate for Payer: IEHP Medi-Cal |
$4,555.62
|
|
|
ALCOHOL ABUSE AND DEPENDENCE
|
Facility
IP
|
$3,325.94
|
|
|
Service Code
|
APR-DRG 7751
|
| Min. Negotiated Rate |
$3,325.94 |
| Max. Negotiated Rate |
$3,325.94 |
| Rate for Payer: IEHP Medi-Cal |
$3,325.94
|
|
|
ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY
|
Facility
IP
|
$16,099.41
|
|
|
Service Code
|
APR-DRG 7724
|
| Min. Negotiated Rate |
$16,099.41 |
| Max. Negotiated Rate |
$16,099.41 |
| Rate for Payer: IEHP Medi-Cal |
$16,099.41
|
|
|
ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY
|
Facility
IP
|
$6,097.71
|
|
|
Service Code
|
APR-DRG 7723
|
| Min. Negotiated Rate |
$6,097.71 |
| Max. Negotiated Rate |
$6,097.71 |
| Rate for Payer: IEHP Medi-Cal |
$6,097.71
|
|
|
ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY
|
Facility
IP
|
$4,050.23
|
|
|
Service Code
|
APR-DRG 7721
|
| Min. Negotiated Rate |
$4,050.23 |
| Max. Negotiated Rate |
$4,050.23 |
| Rate for Payer: IEHP Medi-Cal |
$4,050.23
|
|
|
ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY
|
Facility
IP
|
$4,979.46
|
|
|
Service Code
|
APR-DRG 7722
|
| Min. Negotiated Rate |
$4,979.46 |
| Max. Negotiated Rate |
$4,979.46 |
| Rate for Payer: IEHP Medi-Cal |
$4,979.46
|
|
|
ALCOHOLIC LIVER DISEASE
|
Facility
IP
|
$4,532.75
|
|
|
Service Code
|
APR-DRG 2801
|
| Min. Negotiated Rate |
$4,532.75 |
| Max. Negotiated Rate |
$4,532.75 |
| Rate for Payer: IEHP Medi-Cal |
$4,532.75
|
|
|
ALCOHOLIC LIVER DISEASE
|
Facility
IP
|
$18,729.91
|
|
|
Service Code
|
APR-DRG 2804
|
| Min. Negotiated Rate |
$18,729.91 |
| Max. Negotiated Rate |
$18,729.91 |
| Rate for Payer: IEHP Medi-Cal |
$18,729.91
|
|
|
ALCOHOLIC LIVER DISEASE
|
Facility
IP
|
$5,848.99
|
|
|
Service Code
|
APR-DRG 2802
|
| Min. Negotiated Rate |
$5,848.99 |
| Max. Negotiated Rate |
$5,848.99 |
| Rate for Payer: IEHP Medi-Cal |
$5,848.99
|
|
|
ALCOHOLIC LIVER DISEASE
|
Facility
IP
|
$8,905.31
|
|
|
Service Code
|
APR-DRG 2803
|
| Min. Negotiated Rate |
$8,905.31 |
| Max. Negotiated Rate |
$8,905.31 |
| Rate for Payer: IEHP Medi-Cal |
$8,905.31
|
|
|
ALECTINIB 150 MG CAPSULE [212384]
|
Facility
IP
|
$87.45
|
|
|
Service Code
|
NDC 50242-130-01
|
| Hospital Charge Code |
ERX212384
|
|
Hospital Revenue Code
|
259
|
| Min. Negotiated Rate |
$15.83 |
| Max. Negotiated Rate |
$65.59 |
| Rate for Payer: Adventist Health Commercial |
$17.49
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$60.08
|
| Rate for Payer: Cash Price |
$39.35
|
| Rate for Payer: EPIC Health Plan Commercial |
$47.22
|
| Rate for Payer: Heritage Provider Network Commercial |
$59.20
|
| Rate for Payer: Heritage Provider Network Senior |
$59.20
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$15.83
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$21.86
|
| Rate for Payer: Multiplan Commercial |
$65.59
|
|
|
ALECTINIB 150 MG CAPSULE [212384]
|
Facility
OP
|
$87.45
|
|
|
Service Code
|
NDC 50242-130-01
|
| Hospital Charge Code |
ERX212384
|
|
Hospital Revenue Code
|
259
|
| Min. Negotiated Rate |
$15.83 |
| Max. Negotiated Rate |
$74.33 |
| Rate for Payer: Adventist Health Commercial |
$17.49
|
| Rate for Payer: Aetna of CA Gatekeeper |
$46.74
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$60.08
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$74.33
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$48.10
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$65.59
|
| Rate for Payer: Blue Shield of California Commercial |
$54.31
|
| Rate for Payer: Blue Shield of California EPN |
$51.33
|
| Rate for Payer: Cash Price |
$39.35
|
| Rate for Payer: Cigna of CA HMO/PPO |
$56.84
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$74.33
|
| Rate for Payer: Dignity Health Medi-Cal |
$74.33
|
| Rate for Payer: Dignity Health Senior |
$74.33
|
| Rate for Payer: EPIC Health Plan Commercial |
$55.97
|
| Rate for Payer: Heritage Provider Network Commercial |
$54.13
|
| Rate for Payer: Heritage Provider Network Senior |
$54.13
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$42.15
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$15.83
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$21.86
|
| Rate for Payer: Multiplan Commercial |
$65.59
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$74.33
|
| Rate for Payer: Vantage Medical Group Senior |
$74.33
|
|
|
ALEMTUZUMAB 12 MG/1.2 ML INTRAVENOUS SOLUTION [208005]
|
Facility
IP
|
$28,798.18
|
|
|
Service Code
|
CPT J0202
|
| Hospital Charge Code |
NDG208005
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$5,212.47 |
| Max. Negotiated Rate |
$21,598.64 |
| Rate for Payer: Adventist Health Commercial |
$5,759.64
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$19,784.35
|
| Rate for Payer: Cash Price |
$12,959.18
|
| Rate for Payer: Cigna of CA HMO/PPO |
$13,247.16
|
| Rate for Payer: EPIC Health Plan Commercial |
$15,551.02
|
| Rate for Payer: Heritage Provider Network Commercial |
$19,496.37
|
| Rate for Payer: Heritage Provider Network Senior |
$19,496.37
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$5,212.47
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$7,199.54
|
| Rate for Payer: Multiplan Commercial |
$21,598.64
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$10,499.82
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$9,621.47
|
|
|
ALEMTUZUMAB 12 MG/1.2 ML INTRAVENOUS SOLUTION [208005]
|
Facility
OP
|
$28,798.18
|
|
|
Service Code
|
CPT J0202
|
| Hospital Charge Code |
NDG208005
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$2,301.13 |
| Max. Negotiated Rate |
$21,598.64 |
| Rate for Payer: Adventist Health Commercial |
$5,759.64
|
| Rate for Payer: Aetna of CA Gatekeeper |
$5,710.04
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$19,784.35
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$2,905.43
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$2,556.78
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$2,556.78
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$3,517.34
|
| Rate for Payer: Blue Shield of California Commercial |
$2,301.13
|
| Rate for Payer: Blue Shield of California EPN |
$2,301.13
|
| Rate for Payer: Cash Price |
$12,959.18
|
| Rate for Payer: Cash Price |
$12,959.18
|
| Rate for Payer: Cigna of CA HMO/PPO |
$13,247.16
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3,486.52
|
| Rate for Payer: Dignity Health Medi-Cal |
$2,556.78
|
| Rate for Payer: Dignity Health Senior |
$2,556.78
|
| Rate for Payer: EPIC Health Plan Commercial |
$18,430.84
|
| Rate for Payer: EPIC Health Plan Medicare |
$2,324.34
|
| Rate for Payer: Heritage Provider Network Commercial |
$13,333.56
|
| Rate for Payer: Heritage Provider Network Senior |
$13,333.56
|
| Rate for Payer: Humana Medicare |
$2,324.34
|
| Rate for Payer: IEHP Medi-Cal |
$3,632.93
|
| Rate for Payer: IEHP Medicare Advantage |
$2,324.34
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$4,416.25
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$5,212.47
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,742.73
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$7,199.54
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$2,928.67
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$2,928.67
|
| Rate for Payer: Multiplan Commercial |
$21,598.64
|
| Rate for Payer: TriValley Medical Group Commercial |
$2,556.78
|
| Rate for Payer: TriValley Medical Group Senior |
$2,324.34
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$10,499.82
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$9,621.47
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$3,486.52
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,556.78
|
| Rate for Payer: Vantage Medical Group Senior |
$2,324.34
|
|
