|
HC LAB REF NEISSERIA GONORRHOEAE AB
|
Facility
IP
|
$89.31
|
|
|
Service Code
|
CPT 86609
|
| Hospital Charge Code |
900911592
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$16.17 |
| Max. Negotiated Rate |
$66.98 |
| Rate for Payer: Adventist Health Commercial |
$17.86
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$61.36
|
| Rate for Payer: Cash Price |
$40.19
|
| Rate for Payer: Heritage Provider Network Commercial |
$60.46
|
| Rate for Payer: Heritage Provider Network Senior |
$60.46
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$16.17
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$22.33
|
| Rate for Payer: Multiplan Commercial |
$66.98
|
|
|
HC LAB REF NEISSERIA GONORRHOEAE AB
|
Facility
OP
|
$89.31
|
|
|
Service Code
|
CPT 86609
|
| Hospital Charge Code |
900911592
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$12.88 |
| Max. Negotiated Rate |
$107.86 |
| Rate for Payer: Adventist Health Commercial |
$17.86
|
| Rate for Payer: Aetna of CA Gatekeeper |
$37.48
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$61.36
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$19.32
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$14.17
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$12.88
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$107.86
|
| Rate for Payer: Blue Shield of California Commercial |
$100.62
|
| Rate for Payer: Blue Shield of California EPN |
$78.66
|
| Rate for Payer: Cash Price |
$40.19
|
| Rate for Payer: Cash Price |
$40.19
|
| Rate for Payer: Cigna of CA HMO/PPO |
$58.05
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$19.32
|
| Rate for Payer: Dignity Health Medi-Cal |
$14.17
|
| Rate for Payer: Dignity Health Senior |
$12.88
|
| Rate for Payer: EPIC Health Plan Commercial |
$58.05
|
| Rate for Payer: EPIC Health Plan Medicare |
$12.88
|
| Rate for Payer: Heritage Provider Network Commercial |
$55.28
|
| Rate for Payer: Heritage Provider Network Senior |
$55.28
|
| Rate for Payer: Humana Medicare |
$12.88
|
| Rate for Payer: IEHP Medi-Cal |
$17.86
|
| Rate for Payer: IEHP Medicare Advantage |
$12.88
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$24.47
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$16.17
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15.20
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$22.33
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$16.23
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$16.23
|
| Rate for Payer: Multiplan Commercial |
$66.98
|
| Rate for Payer: TriValley Medical Group Commercial |
$12.88
|
| Rate for Payer: TriValley Medical Group Senior |
$12.88
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$13.91
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$13.91
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$19.32
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$14.17
|
| Rate for Payer: Vantage Medical Group Senior |
$12.88
|
|
|
HC LAB REF NEUTROPHIL OXIDATIVE BURST
|
Facility
IP
|
$42.18
|
|
|
Service Code
|
CPT 82657
|
| Hospital Charge Code |
900912536
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$7.63 |
| Max. Negotiated Rate |
$31.64 |
| Rate for Payer: Adventist Health Commercial |
$8.44
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$28.98
|
| Rate for Payer: Cash Price |
$18.98
|
| Rate for Payer: Heritage Provider Network Commercial |
$28.56
|
| Rate for Payer: Heritage Provider Network Senior |
$28.56
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$7.63
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$10.54
|
| Rate for Payer: Multiplan Commercial |
$31.64
|
|
|
HC LAB REF NEUTROPHIL OXIDATIVE BURST
|
Facility
OP
|
$42.18
|
|
|
Service Code
|
CPT 82657
|
| Hospital Charge Code |
900912536
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$7.63 |
| Max. Negotiated Rate |
$150.51 |
| Rate for Payer: Adventist Health Commercial |
$8.44
|
| Rate for Payer: Aetna of CA Gatekeeper |
$52.54
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$28.98
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$33.26
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$24.39
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$22.17
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$150.51
|
| Rate for Payer: Blue Shield of California Commercial |
$141.04
|
| Rate for Payer: Blue Shield of California EPN |
$110.26
|
| Rate for Payer: Cash Price |
$18.98
|
| Rate for Payer: Cash Price |
$18.98
|
| Rate for Payer: Cigna of CA HMO/PPO |
$27.42
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$33.26
|
| Rate for Payer: Dignity Health Medi-Cal |
$24.39
|
| Rate for Payer: Dignity Health Senior |
$22.17
|
| Rate for Payer: EPIC Health Plan Commercial |
$27.42
|
| Rate for Payer: EPIC Health Plan Medicare |
$22.17
|
| Rate for Payer: Heritage Provider Network Commercial |
$26.11
|
| Rate for Payer: Heritage Provider Network Senior |
$26.11
|
| Rate for Payer: Humana Medicare |
$22.17
|
| Rate for Payer: IEHP Medi-Cal |
$27.67
|
| Rate for Payer: IEHP Medicare Advantage |
$22.17
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$42.12
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$7.63
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$26.16
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$10.54
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$27.93
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$27.93
|
| Rate for Payer: Multiplan Commercial |
$31.64
|
| Rate for Payer: TriValley Medical Group Commercial |
$22.17
|
| Rate for Payer: TriValley Medical Group Senior |
$22.17
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$23.94
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$23.94
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$33.26
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$24.39
|
| Rate for Payer: Vantage Medical Group Senior |
$22.17
|
|
|
HC LAB REF PARAINFLUENZA AB TYPE 1
|
Facility
OP
|
$25.83
|
|
|
Service Code
|
CPT 86790
|
| Hospital Charge Code |
900911773
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$4.68 |
| Max. Negotiated Rate |
$107.86 |
| Rate for Payer: Adventist Health Commercial |
$5.17
|
| Rate for Payer: Aetna of CA Gatekeeper |
$37.48
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$17.75
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$19.32
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$14.17
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$12.88
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$107.86
|
| Rate for Payer: Blue Shield of California Commercial |
$100.62
|
| Rate for Payer: Blue Shield of California EPN |
$78.66
|
| Rate for Payer: Cash Price |
$11.62
|
| Rate for Payer: Cash Price |
$11.62
|
| Rate for Payer: Cigna of CA HMO/PPO |
$16.79
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$19.32
|
| Rate for Payer: Dignity Health Medi-Cal |
$14.17
|
| Rate for Payer: Dignity Health Senior |
$12.88
|
| Rate for Payer: EPIC Health Plan Commercial |
$16.79
|
| Rate for Payer: EPIC Health Plan Medicare |
$12.88
|
| Rate for Payer: Heritage Provider Network Commercial |
$15.99
|
| Rate for Payer: Heritage Provider Network Senior |
$15.99
|
| Rate for Payer: Humana Medicare |
$12.88
|
| Rate for Payer: IEHP Medi-Cal |
$17.86
|
| Rate for Payer: IEHP Medicare Advantage |
$12.88
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$24.47
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$4.68
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15.20
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$6.46
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$16.23
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$16.23
|
| Rate for Payer: Multiplan Commercial |
$19.37
|
| Rate for Payer: TriValley Medical Group Commercial |
$12.88
|
| Rate for Payer: TriValley Medical Group Senior |
$12.88
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$13.91
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$13.91
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$19.32
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$14.17
|
| Rate for Payer: Vantage Medical Group Senior |
$12.88
|
|
|
HC LAB REF PARAINFLUENZA AB TYPE 1
|
Facility
IP
|
$25.83
|
|
|
Service Code
|
CPT 86790
|
| Hospital Charge Code |
900911773
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$4.68 |
| Max. Negotiated Rate |
$19.37 |
| Rate for Payer: Adventist Health Commercial |
$5.17
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$17.75
|
| Rate for Payer: Cash Price |
$11.62
|
| Rate for Payer: Heritage Provider Network Commercial |
$17.49
|
| Rate for Payer: Heritage Provider Network Senior |
$17.49
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$4.68
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$6.46
|
| Rate for Payer: Multiplan Commercial |
$19.37
|
|
|
HC LAB REF PARAINFLUENZA AB TYPE 2
|
Facility
OP
|
$25.83
|
|
|
Service Code
|
CPT 86790
|
| Hospital Charge Code |
900912838
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$4.68 |
| Max. Negotiated Rate |
$107.86 |
| Rate for Payer: Adventist Health Commercial |
$5.17
|
| Rate for Payer: Aetna of CA Gatekeeper |
$37.48
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$17.75
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$19.32
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$14.17
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$12.88
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$107.86
|
| Rate for Payer: Blue Shield of California Commercial |
$100.62
|
| Rate for Payer: Blue Shield of California EPN |
$78.66
|
| Rate for Payer: Cash Price |
$11.62
|
| Rate for Payer: Cash Price |
$11.62
|
| Rate for Payer: Cigna of CA HMO/PPO |
$16.79
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$19.32
|
| Rate for Payer: Dignity Health Medi-Cal |
$14.17
|
| Rate for Payer: Dignity Health Senior |
$12.88
|
| Rate for Payer: EPIC Health Plan Commercial |
$16.79
|
| Rate for Payer: EPIC Health Plan Medicare |
$12.88
|
| Rate for Payer: Heritage Provider Network Commercial |
$15.99
|
| Rate for Payer: Heritage Provider Network Senior |
$15.99
|
| Rate for Payer: Humana Medicare |
$12.88
|
| Rate for Payer: IEHP Medi-Cal |
$17.86
|
| Rate for Payer: IEHP Medicare Advantage |
$12.88
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$24.47
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$4.68
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15.20
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$6.46
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$16.23
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$16.23
|
| Rate for Payer: Multiplan Commercial |
$19.37
|
| Rate for Payer: TriValley Medical Group Commercial |
$12.88
|
| Rate for Payer: TriValley Medical Group Senior |
$12.88
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$13.91
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$13.91
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$19.32
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$14.17
|
| Rate for Payer: Vantage Medical Group Senior |
$12.88
|
|
|
HC LAB REF PARAINFLUENZA AB TYPE 2
|
Facility
IP
|
$25.83
|
|
|
Service Code
|
CPT 86790
|
| Hospital Charge Code |
900912838
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$4.68 |
| Max. Negotiated Rate |
$19.37 |
| Rate for Payer: Adventist Health Commercial |
$5.17
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$17.75
|
| Rate for Payer: Cash Price |
$11.62
|
| Rate for Payer: Heritage Provider Network Commercial |
$17.49
|
| Rate for Payer: Heritage Provider Network Senior |
$17.49
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$4.68
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$6.46
|
| Rate for Payer: Multiplan Commercial |
$19.37
|
|
|
HC LAB REF PARAINFLUENZA AB TYPE 3
|
Facility
IP
|
$25.84
|
|
|
Service Code
|
CPT 86790
|
| Hospital Charge Code |
900912839
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$4.68 |
| Max. Negotiated Rate |
$19.38 |
| Rate for Payer: Adventist Health Commercial |
$5.17
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$17.75
|
| Rate for Payer: Cash Price |
$11.63
|
| Rate for Payer: Heritage Provider Network Commercial |
$17.49
|
| Rate for Payer: Heritage Provider Network Senior |
$17.49
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$4.68
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$6.46
|
| Rate for Payer: Multiplan Commercial |
$19.38
|
|
|
HC LAB REF PARAINFLUENZA AB TYPE 3
|
Facility
OP
|
$25.84
|
|
|
Service Code
|
CPT 86790
|
| Hospital Charge Code |
900912839
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$4.68 |
| Max. Negotiated Rate |
$107.86 |
| Rate for Payer: Adventist Health Commercial |
$5.17
|
| Rate for Payer: Aetna of CA Gatekeeper |
$37.48
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$17.75
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$19.32
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$14.17
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$12.88
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$107.86
|
| Rate for Payer: Blue Shield of California Commercial |
$100.62
|
| Rate for Payer: Blue Shield of California EPN |
$78.66
|
| Rate for Payer: Cash Price |
$11.63
|
| Rate for Payer: Cash Price |
$11.63
|
| Rate for Payer: Cigna of CA HMO/PPO |
$16.80
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$19.32
|
| Rate for Payer: Dignity Health Medi-Cal |
$14.17
|
| Rate for Payer: Dignity Health Senior |
$12.88
|
| Rate for Payer: EPIC Health Plan Commercial |
$16.80
|
| Rate for Payer: EPIC Health Plan Medicare |
$12.88
|
| Rate for Payer: Heritage Provider Network Commercial |
$15.99
|
| Rate for Payer: Heritage Provider Network Senior |
$15.99
|
| Rate for Payer: Humana Medicare |
$12.88
|
| Rate for Payer: IEHP Medi-Cal |
$17.86
|
| Rate for Payer: IEHP Medicare Advantage |
$12.88
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$24.47
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$4.68
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15.20
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$6.46
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$16.23
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$16.23
|
| Rate for Payer: Multiplan Commercial |
$19.38
|
| Rate for Payer: TriValley Medical Group Commercial |
$12.88
|
| Rate for Payer: TriValley Medical Group Senior |
$12.88
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$13.91
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$13.91
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$19.32
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$14.17
|
| Rate for Payer: Vantage Medical Group Senior |
$12.88
|
|
|
HC LAB REF PENTOBARBITAL
|
Facility
OP
|
$162.00
|
|
|
Service Code
|
CPT 80345
|
| Hospital Charge Code |
900911216
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$0.02 |
| Max. Negotiated Rate |
$137.70 |
| Rate for Payer: Adventist Health Commercial |
$32.40
|
| Rate for Payer: Aetna of CA Gatekeeper |
$0.02
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$111.29
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$137.70
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$89.10
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$121.50
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$91.96
|
| Rate for Payer: Cash Price |
$72.90
|
| Rate for Payer: Cash Price |
$72.90
|
| Rate for Payer: Cigna of CA HMO/PPO |
$105.30
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$137.70
|
| Rate for Payer: Dignity Health Medi-Cal |
$137.70
|
| Rate for Payer: Dignity Health Senior |
$137.70
|
| Rate for Payer: EPIC Health Plan Commercial |
$105.30
|
| Rate for Payer: Heritage Provider Network Commercial |
$100.28
|
| Rate for Payer: Heritage Provider Network Senior |
$100.28
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$78.08
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$29.32
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$40.50
|
| Rate for Payer: Multiplan Commercial |
$121.50
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$137.70
|
| Rate for Payer: Vantage Medical Group Senior |
$137.70
|
|
|
HC LAB REF PENTOBARBITAL
|
Facility
IP
|
$162.00
|
|
|
Service Code
|
CPT 80345
|
| Hospital Charge Code |
900911216
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$29.32 |
| Max. Negotiated Rate |
$121.50 |
| Rate for Payer: Adventist Health Commercial |
$32.40
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$111.29
|
| Rate for Payer: Cash Price |
$72.90
|
| Rate for Payer: Heritage Provider Network Commercial |
$109.67
|
| Rate for Payer: Heritage Provider Network Senior |
$109.67
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$29.32
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$40.50
|
| Rate for Payer: Multiplan Commercial |
$121.50
|
|
|
HC LAB REF PHOSPHOTIDYLSERINE IGA
|
Facility
IP
|
$44.08
|
|
|
Service Code
|
CPT 86148
|
| Hospital Charge Code |
900911381
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$7.98 |
| Max. Negotiated Rate |
$33.06 |
| Rate for Payer: Adventist Health Commercial |
$8.82
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$30.28
|
| Rate for Payer: Cash Price |
$19.84
|
| Rate for Payer: Heritage Provider Network Commercial |
$29.84
|
| Rate for Payer: Heritage Provider Network Senior |
$29.84
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$7.98
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11.02
|
| Rate for Payer: Multiplan Commercial |
$33.06
|
|
|
HC LAB REF PHOSPHOTIDYLSERINE IGA
|
Facility
OP
|
$44.08
|
|
|
Service Code
|
CPT 86148
|
| Hospital Charge Code |
900911381
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$7.98 |
| Max. Negotiated Rate |
$135.24 |
| Rate for Payer: Adventist Health Commercial |
$8.82
|
| Rate for Payer: Aetna of CA Gatekeeper |
$46.75
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$30.28
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$24.10
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$17.68
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$16.07
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$135.24
|
| Rate for Payer: Blue Shield of California Commercial |
$125.44
|
| Rate for Payer: Blue Shield of California EPN |
$98.06
|
| Rate for Payer: Cash Price |
$19.84
|
| Rate for Payer: Cash Price |
$19.84
|
| Rate for Payer: Cigna of CA HMO/PPO |
$28.65
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$24.10
|
| Rate for Payer: Dignity Health Medi-Cal |
$17.68
|
| Rate for Payer: Dignity Health Senior |
$16.07
|
| Rate for Payer: EPIC Health Plan Commercial |
$28.65
|
| Rate for Payer: EPIC Health Plan Medicare |
$16.07
|
| Rate for Payer: Heritage Provider Network Commercial |
$27.29
|
| Rate for Payer: Heritage Provider Network Senior |
$27.29
|
| Rate for Payer: Humana Medicare |
$16.07
|
| Rate for Payer: IEHP Medi-Cal |
$22.28
|
| Rate for Payer: IEHP Medicare Advantage |
$16.07
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$30.53
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$7.98
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$18.96
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11.02
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$20.25
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$20.25
|
| Rate for Payer: Multiplan Commercial |
$33.06
|
| Rate for Payer: TriValley Medical Group Commercial |
$16.07
|
| Rate for Payer: TriValley Medical Group Senior |
$16.07
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$17.35
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$17.35
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$24.10
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$17.68
|
| Rate for Payer: Vantage Medical Group Senior |
$16.07
|
|
|
HC LAB REF PHOSPHOTIDYLSERINE IGG
|
Facility
OP
|
$44.08
|
|
|
Service Code
|
CPT 86148
|
| Hospital Charge Code |
900911382
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$7.98 |
| Max. Negotiated Rate |
$135.24 |
| Rate for Payer: Adventist Health Commercial |
$8.82
|
| Rate for Payer: Aetna of CA Gatekeeper |
$46.75
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$30.28
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$24.10
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$17.68
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$16.07
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$135.24
|
| Rate for Payer: Blue Shield of California Commercial |
$125.44
|
| Rate for Payer: Blue Shield of California EPN |
$98.06
|
| Rate for Payer: Cash Price |
$19.84
|
| Rate for Payer: Cash Price |
$19.84
|
| Rate for Payer: Cigna of CA HMO/PPO |
$28.65
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$24.10
|
| Rate for Payer: Dignity Health Medi-Cal |
$17.68
|
| Rate for Payer: Dignity Health Senior |
$16.07
|
| Rate for Payer: EPIC Health Plan Commercial |
$28.65
|
| Rate for Payer: EPIC Health Plan Medicare |
$16.07
|
| Rate for Payer: Heritage Provider Network Commercial |
$27.29
|
| Rate for Payer: Heritage Provider Network Senior |
$27.29
|
| Rate for Payer: Humana Medicare |
$16.07
|
| Rate for Payer: IEHP Medi-Cal |
$22.28
|
| Rate for Payer: IEHP Medicare Advantage |
$16.07
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$30.53
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$7.98
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$18.96
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11.02
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$20.25
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$20.25
|
| Rate for Payer: Multiplan Commercial |
$33.06
|
| Rate for Payer: TriValley Medical Group Commercial |
$16.07
|
| Rate for Payer: TriValley Medical Group Senior |
$16.07
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$17.35
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$17.35
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$24.10
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$17.68
|
| Rate for Payer: Vantage Medical Group Senior |
$16.07
|
|
|
HC LAB REF PHOSPHOTIDYLSERINE IGG
|
Facility
IP
|
$44.08
|
|
|
Service Code
|
CPT 86148
|
| Hospital Charge Code |
900911382
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$7.98 |
| Max. Negotiated Rate |
$33.06 |
| Rate for Payer: Adventist Health Commercial |
$8.82
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$30.28
|
| Rate for Payer: Cash Price |
$19.84
|
| Rate for Payer: Heritage Provider Network Commercial |
$29.84
|
| Rate for Payer: Heritage Provider Network Senior |
$29.84
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$7.98
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11.02
|
| Rate for Payer: Multiplan Commercial |
$33.06
|
|
|
HC LAB REF PHOSPHOTIDYLSERINE IGM
|
Facility
OP
|
$44.09
|
|
|
Service Code
|
CPT 86148
|
| Hospital Charge Code |
900911383
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$7.98 |
| Max. Negotiated Rate |
$135.24 |
| Rate for Payer: Adventist Health Commercial |
$8.82
|
| Rate for Payer: Aetna of CA Gatekeeper |
$46.75
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$30.29
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$24.10
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$17.68
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$16.07
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$135.24
|
| Rate for Payer: Blue Shield of California Commercial |
$125.44
|
| Rate for Payer: Blue Shield of California EPN |
$98.06
|
| Rate for Payer: Cash Price |
$19.84
|
| Rate for Payer: Cash Price |
$19.84
|
| Rate for Payer: Cigna of CA HMO/PPO |
$28.66
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$24.10
|
| Rate for Payer: Dignity Health Medi-Cal |
$17.68
|
| Rate for Payer: Dignity Health Senior |
$16.07
|
| Rate for Payer: EPIC Health Plan Commercial |
$28.66
|
| Rate for Payer: EPIC Health Plan Medicare |
$16.07
|
| Rate for Payer: Heritage Provider Network Commercial |
$27.29
|
| Rate for Payer: Heritage Provider Network Senior |
$27.29
|
| Rate for Payer: Humana Medicare |
$16.07
|
| Rate for Payer: IEHP Medi-Cal |
$22.28
|
| Rate for Payer: IEHP Medicare Advantage |
$16.07
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$30.53
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$7.98
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$18.96
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11.02
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$20.25
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$20.25
|
| Rate for Payer: Multiplan Commercial |
$33.07
|
| Rate for Payer: TriValley Medical Group Commercial |
$16.07
|
| Rate for Payer: TriValley Medical Group Senior |
$16.07
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$17.35
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$17.35
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$24.10
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$17.68
|
| Rate for Payer: Vantage Medical Group Senior |
$16.07
|
|
|
HC LAB REF PHOSPHOTIDYLSERINE IGM
|
Facility
IP
|
$44.09
|
|
|
Service Code
|
CPT 86148
|
| Hospital Charge Code |
900911383
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$7.98 |
| Max. Negotiated Rate |
$33.07 |
| Rate for Payer: Adventist Health Commercial |
$8.82
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$30.29
|
| Rate for Payer: Cash Price |
$19.84
|
| Rate for Payer: Heritage Provider Network Commercial |
$29.85
|
| Rate for Payer: Heritage Provider Network Senior |
$29.85
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$7.98
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11.02
|
| Rate for Payer: Multiplan Commercial |
$33.07
|
|
|
HC LAB REF PROSTAGLANINS PGE2
|
Facility
OP
|
$360.00
|
|
|
Service Code
|
CPT 84150
|
| Hospital Charge Code |
900910778
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$41.77 |
| Max. Negotiated Rate |
$270.00 |
| Rate for Payer: Adventist Health Commercial |
$72.00
|
| Rate for Payer: Aetna of CA Gatekeeper |
$72.60
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$247.32
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$62.66
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$45.95
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$41.77
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$208.89
|
| Rate for Payer: Blue Shield of California Commercial |
$194.98
|
| Rate for Payer: Blue Shield of California EPN |
$152.43
|
| Rate for Payer: Cash Price |
$162.00
|
| Rate for Payer: Cash Price |
$162.00
|
| Rate for Payer: Cigna of CA HMO/PPO |
$234.00
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$62.66
|
| Rate for Payer: Dignity Health Medi-Cal |
$45.95
|
| Rate for Payer: Dignity Health Senior |
$41.77
|
| Rate for Payer: EPIC Health Plan Commercial |
$234.00
|
| Rate for Payer: EPIC Health Plan Medicare |
$41.77
|
| Rate for Payer: Heritage Provider Network Commercial |
$222.84
|
| Rate for Payer: Heritage Provider Network Senior |
$222.84
|
| Rate for Payer: Humana Medicare |
$41.77
|
| Rate for Payer: IEHP Medi-Cal |
$42.39
|
| Rate for Payer: IEHP Medicare Advantage |
$41.77
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$79.36
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$65.16
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$49.29
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$90.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$52.63
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$52.63
|
| Rate for Payer: Multiplan Commercial |
$270.00
|
| Rate for Payer: TriValley Medical Group Commercial |
$41.77
|
| Rate for Payer: TriValley Medical Group Senior |
$41.77
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$45.11
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$45.11
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$62.66
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$45.95
|
| Rate for Payer: Vantage Medical Group Senior |
$41.77
|
|
|
HC LAB REF PROSTAGLANINS PGE2
|
Facility
IP
|
$360.00
|
|
|
Service Code
|
CPT 84150
|
| Hospital Charge Code |
900910778
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$65.16 |
| Max. Negotiated Rate |
$270.00 |
| Rate for Payer: Adventist Health Commercial |
$72.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$247.32
|
| Rate for Payer: Cash Price |
$162.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$243.72
|
| Rate for Payer: Heritage Provider Network Senior |
$243.72
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$65.16
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$90.00
|
| Rate for Payer: Multiplan Commercial |
$270.00
|
|
|
HC LAB REF PROTEIN ELECT BODY FLUID
|
Facility
IP
|
$24.91
|
|
|
Service Code
|
CPT 84166
|
| Hospital Charge Code |
900912678
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$4.51 |
| Max. Negotiated Rate |
$18.68 |
| Rate for Payer: Adventist Health Commercial |
$4.98
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$17.11
|
| Rate for Payer: Cash Price |
$11.21
|
| Rate for Payer: Heritage Provider Network Commercial |
$16.86
|
| Rate for Payer: Heritage Provider Network Senior |
$16.86
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$4.51
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$6.23
|
| Rate for Payer: Multiplan Commercial |
$18.68
|
|
|
HC LAB REF PROTEIN ELECT BODY FLUID
|
Facility
OP
|
$24.91
|
|
|
Service Code
|
CPT 84166
|
| Hospital Charge Code |
900912678
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$4.51 |
| Max. Negotiated Rate |
$146.23 |
| Rate for Payer: Adventist Health Commercial |
$4.98
|
| Rate for Payer: Aetna of CA Gatekeeper |
$51.88
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$17.11
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$26.74
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$19.61
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$17.83
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$146.23
|
| Rate for Payer: Blue Shield of California Commercial |
$139.30
|
| Rate for Payer: Blue Shield of California EPN |
$108.90
|
| Rate for Payer: Cash Price |
$11.21
|
| Rate for Payer: Cash Price |
$11.21
|
| Rate for Payer: Cigna of CA HMO/PPO |
$16.19
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$26.74
|
| Rate for Payer: Dignity Health Medi-Cal |
$19.61
|
| Rate for Payer: Dignity Health Senior |
$17.83
|
| Rate for Payer: EPIC Health Plan Commercial |
$16.19
|
| Rate for Payer: EPIC Health Plan Medicare |
$17.83
|
| Rate for Payer: Heritage Provider Network Commercial |
$15.42
|
| Rate for Payer: Heritage Provider Network Senior |
$15.42
|
| Rate for Payer: Humana Medicare |
$17.83
|
| Rate for Payer: IEHP Medi-Cal |
$24.73
|
| Rate for Payer: IEHP Medicare Advantage |
$17.83
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$33.88
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$4.51
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$21.04
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$6.23
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$22.47
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$22.47
|
| Rate for Payer: Multiplan Commercial |
$18.68
|
| Rate for Payer: TriValley Medical Group Commercial |
$17.83
|
| Rate for Payer: TriValley Medical Group Senior |
$17.83
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$19.26
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$19.26
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$26.74
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$19.61
|
| Rate for Payer: Vantage Medical Group Senior |
$17.83
|
|
|
HC LAB REF PROTEIN TOTAL (SO)
|
Facility
OP
|
$31.73
|
|
|
Service Code
|
CPT 84155
|
| Hospital Charge Code |
900912825
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$3.67 |
| Max. Negotiated Rate |
$30.65 |
| Rate for Payer: Adventist Health Commercial |
$6.35
|
| Rate for Payer: Aetna of CA Gatekeeper |
$10.68
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$21.80
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$5.50
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$4.04
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$3.67
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$30.65
|
| Rate for Payer: Blue Shield of California Commercial |
$28.62
|
| Rate for Payer: Blue Shield of California EPN |
$22.37
|
| Rate for Payer: Cash Price |
$14.28
|
| Rate for Payer: Cash Price |
$14.28
|
| Rate for Payer: Cigna of CA HMO/PPO |
$20.62
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$5.50
|
| Rate for Payer: Dignity Health Medi-Cal |
$4.04
|
| Rate for Payer: Dignity Health Senior |
$3.67
|
| Rate for Payer: EPIC Health Plan Commercial |
$20.62
|
| Rate for Payer: EPIC Health Plan Medicare |
$3.67
|
| Rate for Payer: Heritage Provider Network Commercial |
$19.64
|
| Rate for Payer: Heritage Provider Network Senior |
$19.64
|
| Rate for Payer: Humana Medicare |
$3.67
|
| Rate for Payer: IEHP Medi-Cal |
$4.62
|
| Rate for Payer: IEHP Medicare Advantage |
$3.67
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$6.97
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$5.74
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$4.33
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$7.93
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$4.62
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$4.62
|
| Rate for Payer: Multiplan Commercial |
$23.80
|
| Rate for Payer: TriValley Medical Group Commercial |
$3.67
|
| Rate for Payer: TriValley Medical Group Senior |
$3.67
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$3.96
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$3.96
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$5.50
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$4.04
|
| Rate for Payer: Vantage Medical Group Senior |
$3.67
|
|
|
HC LAB REF PROTEIN TOTAL (SO)
|
Facility
IP
|
$31.73
|
|
|
Service Code
|
CPT 84155
|
| Hospital Charge Code |
900912825
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$5.74 |
| Max. Negotiated Rate |
$23.80 |
| Rate for Payer: Adventist Health Commercial |
$6.35
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$21.80
|
| Rate for Payer: Cash Price |
$14.28
|
| Rate for Payer: Heritage Provider Network Commercial |
$21.48
|
| Rate for Payer: Heritage Provider Network Senior |
$21.48
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$5.74
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$7.93
|
| Rate for Payer: Multiplan Commercial |
$23.80
|
|
|
HC LAB REF PROTRIPTYLINE (VIVACTYL)
|
Facility
OP
|
$52.99
|
|
|
Service Code
|
CPT 80335
|
| Hospital Charge Code |
900911246
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$0.02 |
| Max. Negotiated Rate |
$143.70 |
| Rate for Payer: Adventist Health Commercial |
$10.60
|
| Rate for Payer: Aetna of CA Gatekeeper |
$0.02
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$36.40
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$45.04
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$29.14
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$39.74
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$143.70
|
| Rate for Payer: Cash Price |
$23.85
|
| Rate for Payer: Cash Price |
$23.85
|
| Rate for Payer: Cigna of CA HMO/PPO |
$34.44
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$45.04
|
| Rate for Payer: Dignity Health Medi-Cal |
$45.04
|
| Rate for Payer: Dignity Health Senior |
$45.04
|
| Rate for Payer: EPIC Health Plan Commercial |
$34.44
|
| Rate for Payer: Heritage Provider Network Commercial |
$32.80
|
| Rate for Payer: Heritage Provider Network Senior |
$32.80
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$25.54
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$9.59
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$13.25
|
| Rate for Payer: Multiplan Commercial |
$39.74
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$45.04
|
| Rate for Payer: Vantage Medical Group Senior |
$45.04
|
|
