|
HC Amino Acids 1 Quantitative Each Specimen
|
Facility
|
OP
|
$302.40
|
|
|
Service Code
|
CPT 82131
|
| Hospital Charge Code |
Px03018213103
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$21.80 |
| Max. Negotiated Rate |
$241.92 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$213.19
|
| Rate for Payer: Aetna Workers' Compensation |
$213.19
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$209.56
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$209.56
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$238.29
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$238.29
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$238.29
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$232.85
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$238.29
|
| Rate for Payer: Cash Price |
$302.40
|
| Rate for Payer: Cash Price |
$302.40
|
| Rate for Payer: Cigna Commercial |
$158.46
|
| Rate for Payer: Cigna Medicare Advantage |
$172.37
|
| Rate for Payer: Family Health Partners Medicaid |
$28.95
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$190.51
|
| Rate for Payer: Healthy Blue Medicaid |
$31.27
|
| Rate for Payer: Home State Health Plan Exchange |
$172.37
|
| Rate for Payer: Home State Health Plan Medicaid |
$28.95
|
| Rate for Payer: Humana Medicare |
$226.80
|
| Rate for Payer: Mercy CarePlus Medicaid |
$28.95
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$226.80
|
| Rate for Payer: Provider Network of America Commercial |
$241.92
|
| Rate for Payer: UnitedHealthcare Commercial |
$199.58
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$22.98
|
| Rate for Payer: UnitedHealthcare Medicaid |
$21.80
|
|
|
HC Amino Acids, Single Quantitation - Cystine Urine Quantitative
|
Facility
|
IP
|
$302.40
|
|
|
Service Code
|
CPT 82131
|
| Hospital Charge Code |
Px03018213101
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$226.80 |
| Max. Negotiated Rate |
$6,053.00 |
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$875.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$900.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$950.00
|
| Rate for Payer: Cash Price |
$302.40
|
| Rate for Payer: Cash Price |
$302.40
|
| Rate for Payer: Cigna Medicare Advantage |
$6,053.00
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$1,826.00
|
| Rate for Payer: Home State Health Plan Exchange |
$6,053.00
|
| Rate for Payer: Humana Medicare |
$1,185.00
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$226.80
|
| Rate for Payer: Provider Network of America Commercial |
$241.92
|
|
|
HC Amino Acids, Single Quantitation - Cystine Urine Quantitative
|
Facility
|
OP
|
$302.40
|
|
|
Service Code
|
CPT 82131
|
| Hospital Charge Code |
Px03018213101
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$21.80 |
| Max. Negotiated Rate |
$241.92 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$213.19
|
| Rate for Payer: Aetna Workers' Compensation |
$213.19
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$209.56
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$209.56
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$238.29
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$238.29
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$238.29
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$232.85
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$238.29
|
| Rate for Payer: Cash Price |
$302.40
|
| Rate for Payer: Cash Price |
$302.40
|
| Rate for Payer: Cigna Commercial |
$158.46
|
| Rate for Payer: Cigna Medicare Advantage |
$172.37
|
| Rate for Payer: Family Health Partners Medicaid |
$28.95
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$190.51
|
| Rate for Payer: Healthy Blue Medicaid |
$31.27
|
| Rate for Payer: Home State Health Plan Exchange |
$172.37
|
| Rate for Payer: Home State Health Plan Medicaid |
$28.95
|
| Rate for Payer: Humana Medicare |
$226.80
|
| Rate for Payer: Mercy CarePlus Medicaid |
$28.95
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$226.80
|
| Rate for Payer: Provider Network of America Commercial |
$241.92
|
| Rate for Payer: UnitedHealthcare Commercial |
$199.58
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$22.98
|
| Rate for Payer: UnitedHealthcare Medicaid |
$21.80
|
|
|
HC Amino Acids, Single Quantitation - Tryptophan Plasma
|
Facility
|
IP
|
$302.40
|
|
|
Service Code
|
CPT 82131
|
| Hospital Charge Code |
Px03018213102
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$226.80 |
| Max. Negotiated Rate |
$6,053.00 |
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$875.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$900.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$950.00
|
| Rate for Payer: Cash Price |
$302.40
|
| Rate for Payer: Cash Price |
$302.40
|
| Rate for Payer: Cigna Medicare Advantage |
$6,053.00
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$1,826.00
|
| Rate for Payer: Home State Health Plan Exchange |
$6,053.00
|
| Rate for Payer: Humana Medicare |
$1,185.00
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$226.80
|
| Rate for Payer: Provider Network of America Commercial |
$241.92
|
|
|
HC Amino Acids, Single Quantitation - Tryptophan Plasma
|
Facility
|
OP
|
$302.40
|
|
|
Service Code
|
CPT 82131
|
| Hospital Charge Code |
Px03018213102
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$21.80 |
| Max. Negotiated Rate |
$241.92 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$213.19
|
| Rate for Payer: Aetna Workers' Compensation |
$213.19
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$209.56
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$209.56
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$238.29
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$238.29
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$238.29
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$232.85
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$238.29
|
| Rate for Payer: Cash Price |
$302.40
|
| Rate for Payer: Cash Price |
$302.40
|
| Rate for Payer: Cigna Commercial |
$158.46
|
| Rate for Payer: Cigna Medicare Advantage |
$172.37
|
| Rate for Payer: Family Health Partners Medicaid |
$28.95
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$190.51
|
| Rate for Payer: Healthy Blue Medicaid |
$31.27
|
| Rate for Payer: Home State Health Plan Exchange |
$172.37
|
| Rate for Payer: Home State Health Plan Medicaid |
$28.95
|
| Rate for Payer: Humana Medicare |
$226.80
|
| Rate for Payer: Mercy CarePlus Medicaid |
$28.95
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$226.80
|
| Rate for Payer: Provider Network of America Commercial |
$241.92
|
| Rate for Payer: UnitedHealthcare Commercial |
$199.58
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$22.98
|
| Rate for Payer: UnitedHealthcare Medicaid |
$21.80
|
|
|
HC Amputation Metatarsal W/Toe Single
|
Facility
|
IP
|
$6,604.87
|
|
|
Service Code
|
CPT 28810
|
| Hospital Charge Code |
Px03612881001
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$875.00 |
| Max. Negotiated Rate |
$6,053.00 |
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$875.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$900.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$950.00
|
| Rate for Payer: Cash Price |
$6,604.87
|
| Rate for Payer: Cash Price |
$6,604.87
|
| Rate for Payer: Cigna Medicare Advantage |
$6,053.00
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$1,826.00
|
| Rate for Payer: Home State Health Plan Exchange |
$6,053.00
|
| Rate for Payer: Humana Medicare |
$1,185.00
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$4,953.65
|
| Rate for Payer: Provider Network of America Commercial |
$5,283.90
|
|
|
HC Amputation Metatarsal W/Toe Single
|
Facility
|
OP
|
$6,604.87
|
|
|
Service Code
|
CPT 28810
|
| Hospital Charge Code |
Px03612881001
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,108.82 |
| Max. Negotiated Rate |
$6,604.87 |
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$4,577.17
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$4,577.17
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$5,204.64
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$5,204.64
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$5,204.64
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$5,085.75
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$5,204.64
|
| Rate for Payer: Cash Price |
$6,604.87
|
| Rate for Payer: Cash Price |
$6,604.87
|
| Rate for Payer: Cigna Commercial |
$4,379.03
|
| Rate for Payer: Cigna Medicare Advantage |
$3,764.78
|
| Rate for Payer: Family Health Partners Medicaid |
$4,129.36
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$4,161.07
|
| Rate for Payer: Healthy Blue Medicaid |
$4,459.70
|
| Rate for Payer: Home State Health Plan Exchange |
$3,764.78
|
| Rate for Payer: Home State Health Plan Medicaid |
$4,129.36
|
| Rate for Payer: Humana Medicare |
$4,953.65
|
| Rate for Payer: Mercy CarePlus Medicaid |
$4,129.36
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$4,953.65
|
| Rate for Payer: Provider Network of America Commercial |
$5,283.90
|
| Rate for Payer: UnitedHealthcare Commercial |
$4,359.21
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$6,604.87
|
| Rate for Payer: UnitedHealthcare Medicaid |
$3,108.82
|
|
|
HC Amputation of Toe
|
Facility
|
IP
|
$9,110.85
|
|
|
Service Code
|
CPT 28820
|
| Hospital Charge Code |
Px03602882001
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$875.00 |
| Max. Negotiated Rate |
$7,288.68 |
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$875.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$900.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$950.00
|
| Rate for Payer: Cash Price |
$9,110.85
|
| Rate for Payer: Cash Price |
$9,110.85
|
| Rate for Payer: Cigna Medicare Advantage |
$6,053.00
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$1,826.00
|
| Rate for Payer: Home State Health Plan Exchange |
$6,053.00
|
| Rate for Payer: Humana Medicare |
$1,185.00
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$6,833.14
|
| Rate for Payer: Provider Network of America Commercial |
$7,288.68
|
|
|
HC Amputation of Toe
|
Facility
|
OP
|
$9,110.85
|
|
|
Service Code
|
CPT 28820
|
| Hospital Charge Code |
Px03602882001
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$3,108.82 |
| Max. Negotiated Rate |
$9,110.85 |
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$6,313.82
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$6,313.82
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$7,179.35
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$7,179.35
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$7,179.35
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$7,015.35
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$7,179.35
|
| Rate for Payer: Cash Price |
$9,110.85
|
| Rate for Payer: Cash Price |
$9,110.85
|
| Rate for Payer: Cigna Commercial |
$6,040.49
|
| Rate for Payer: Cigna Medicare Advantage |
$5,193.18
|
| Rate for Payer: Family Health Partners Medicaid |
$4,129.36
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$5,739.84
|
| Rate for Payer: Healthy Blue Medicaid |
$4,459.70
|
| Rate for Payer: Home State Health Plan Exchange |
$5,193.18
|
| Rate for Payer: Home State Health Plan Medicaid |
$4,129.36
|
| Rate for Payer: Humana Medicare |
$6,833.14
|
| Rate for Payer: Mercy CarePlus Medicaid |
$4,129.36
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$6,833.14
|
| Rate for Payer: Provider Network of America Commercial |
$7,288.68
|
| Rate for Payer: UnitedHealthcare Commercial |
$6,013.16
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$9,110.85
|
| Rate for Payer: UnitedHealthcare Medicaid |
$3,108.82
|
|
|
HC Amputation Toe Interphalangeal Joint
|
Facility
|
OP
|
$6,835.50
|
|
|
Service Code
|
CPT 28825
|
| Hospital Charge Code |
Px03612882501
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,108.82 |
| Max. Negotiated Rate |
$6,835.50 |
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$4,737.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$4,737.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$5,386.37
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$5,386.37
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$5,386.37
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$5,263.34
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$5,386.37
|
| Rate for Payer: Cash Price |
$6,835.50
|
| Rate for Payer: Cash Price |
$6,835.50
|
| Rate for Payer: Cigna Commercial |
$4,531.94
|
| Rate for Payer: Cigna Medicare Advantage |
$3,896.24
|
| Rate for Payer: Family Health Partners Medicaid |
$4,129.36
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$4,306.36
|
| Rate for Payer: Healthy Blue Medicaid |
$4,459.70
|
| Rate for Payer: Home State Health Plan Exchange |
$3,896.24
|
| Rate for Payer: Home State Health Plan Medicaid |
$4,129.36
|
| Rate for Payer: Humana Medicare |
$5,126.62
|
| Rate for Payer: Mercy CarePlus Medicaid |
$4,129.36
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$5,126.62
|
| Rate for Payer: Provider Network of America Commercial |
$5,468.40
|
| Rate for Payer: UnitedHealthcare Commercial |
$4,511.43
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$6,835.50
|
| Rate for Payer: UnitedHealthcare Medicaid |
$3,108.82
|
|
|
HC Amputation Toe Interphalangeal Joint
|
Facility
|
IP
|
$6,835.50
|
|
|
Service Code
|
CPT 28825
|
| Hospital Charge Code |
Px03612882501
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$875.00 |
| Max. Negotiated Rate |
$6,053.00 |
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$875.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$900.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$950.00
|
| Rate for Payer: Cash Price |
$6,835.50
|
| Rate for Payer: Cash Price |
$6,835.50
|
| Rate for Payer: Cigna Medicare Advantage |
$6,053.00
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$1,826.00
|
| Rate for Payer: Home State Health Plan Exchange |
$6,053.00
|
| Rate for Payer: Humana Medicare |
$1,185.00
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$5,126.62
|
| Rate for Payer: Provider Network of America Commercial |
$5,468.40
|
|
|
HC Anaerob Org ID / Maldi-Tof Arup
|
Facility
|
IP
|
$116.55
|
|
|
Service Code
|
CPT 87076
|
| Hospital Charge Code |
Px03098707601
|
|
Hospital Revenue Code
|
309
|
| Min. Negotiated Rate |
$87.41 |
| Max. Negotiated Rate |
$6,053.00 |
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$875.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$900.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$950.00
|
| Rate for Payer: Cash Price |
$116.55
|
| Rate for Payer: Cash Price |
$116.55
|
| Rate for Payer: Cigna Medicare Advantage |
$6,053.00
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$1,826.00
|
| Rate for Payer: Home State Health Plan Exchange |
$6,053.00
|
| Rate for Payer: Humana Medicare |
$1,185.00
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$87.41
|
| Rate for Payer: Provider Network of America Commercial |
$93.24
|
|
|
HC Anaerob Org ID / Maldi-Tof Arup
|
Facility
|
OP
|
$116.55
|
|
|
Service Code
|
CPT 87076
|
| Hospital Charge Code |
Px03098707601
|
|
Hospital Revenue Code
|
309
|
| Min. Negotiated Rate |
$7.66 |
| Max. Negotiated Rate |
$93.24 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$82.17
|
| Rate for Payer: Aetna Workers' Compensation |
$82.17
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$80.77
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$80.77
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$91.84
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$91.84
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$91.84
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$89.74
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$91.84
|
| Rate for Payer: Cash Price |
$116.55
|
| Rate for Payer: Cash Price |
$116.55
|
| Rate for Payer: Cigna Commercial |
$61.07
|
| Rate for Payer: Cigna Medicare Advantage |
$66.43
|
| Rate for Payer: Family Health Partners Medicaid |
$10.18
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$73.43
|
| Rate for Payer: Healthy Blue Medicaid |
$10.99
|
| Rate for Payer: Home State Health Plan Exchange |
$66.43
|
| Rate for Payer: Home State Health Plan Medicaid |
$10.18
|
| Rate for Payer: Humana Medicare |
$87.41
|
| Rate for Payer: Mercy CarePlus Medicaid |
$10.18
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$87.41
|
| Rate for Payer: Provider Network of America Commercial |
$93.24
|
| Rate for Payer: UnitedHealthcare Commercial |
$76.92
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$8.08
|
| Rate for Payer: UnitedHealthcare Medicaid |
$7.66
|
|
|
HC Anca
|
Facility
|
OP
|
$359.10
|
|
|
Service Code
|
CPT 86255
|
| Hospital Charge Code |
Px03028625512
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$11.44 |
| Max. Negotiated Rate |
$287.28 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$253.17
|
| Rate for Payer: Aetna Workers' Compensation |
$253.17
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$248.86
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$248.86
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$282.97
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$282.97
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$282.97
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$276.51
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$282.97
|
| Rate for Payer: Cash Price |
$359.10
|
| Rate for Payer: Cash Price |
$359.10
|
| Rate for Payer: Cigna Commercial |
$188.17
|
| Rate for Payer: Cigna Medicare Advantage |
$204.69
|
| Rate for Payer: Family Health Partners Medicaid |
$15.19
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$226.23
|
| Rate for Payer: Healthy Blue Medicaid |
$16.41
|
| Rate for Payer: Home State Health Plan Exchange |
$204.69
|
| Rate for Payer: Home State Health Plan Medicaid |
$15.19
|
| Rate for Payer: Humana Medicare |
$269.32
|
| Rate for Payer: Mercy CarePlus Medicaid |
$15.19
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$269.32
|
| Rate for Payer: Provider Network of America Commercial |
$287.28
|
| Rate for Payer: UnitedHealthcare Commercial |
$237.01
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$12.05
|
| Rate for Payer: UnitedHealthcare Medicaid |
$11.44
|
|
|
HC Anca
|
Facility
|
IP
|
$359.10
|
|
|
Service Code
|
CPT 86255
|
| Hospital Charge Code |
Px03028625512
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$269.32 |
| Max. Negotiated Rate |
$6,053.00 |
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$875.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$900.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$950.00
|
| Rate for Payer: Cash Price |
$359.10
|
| Rate for Payer: Cash Price |
$359.10
|
| Rate for Payer: Cigna Medicare Advantage |
$6,053.00
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$1,826.00
|
| Rate for Payer: Home State Health Plan Exchange |
$6,053.00
|
| Rate for Payer: Humana Medicare |
$1,185.00
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$269.32
|
| Rate for Payer: Provider Network of America Commercial |
$287.28
|
|
|
HC Anesthesia General Set Up
|
Facility
|
OP
|
$231.00
|
|
| Hospital Charge Code |
Px03700000001
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$131.67 |
| Max. Negotiated Rate |
$231.00 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$162.85
|
| Rate for Payer: Aetna Workers' Compensation |
$162.85
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$160.08
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$160.08
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$182.03
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$182.03
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$182.03
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$177.87
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$182.03
|
| Rate for Payer: Cash Price |
$231.00
|
| Rate for Payer: Cigna Commercial |
$141.37
|
| Rate for Payer: Cigna Medicare Advantage |
$131.67
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$145.53
|
| Rate for Payer: Home State Health Plan Exchange |
$131.67
|
| Rate for Payer: Humana Medicare |
$173.25
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$173.25
|
| Rate for Payer: Provider Network of America Commercial |
$184.80
|
| Rate for Payer: UnitedHealthcare Commercial |
$152.46
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$231.00
|
|
|
HC Anesthesia General Set Up
|
Facility
|
IP
|
$231.00
|
|
| Hospital Charge Code |
Px03700000001
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$173.25 |
| Max. Negotiated Rate |
$6,053.00 |
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$875.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$900.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$950.00
|
| Rate for Payer: Cash Price |
$231.00
|
| Rate for Payer: Cash Price |
$231.00
|
| Rate for Payer: Cigna Medicare Advantage |
$6,053.00
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$1,826.00
|
| Rate for Payer: Home State Health Plan Exchange |
$6,053.00
|
| Rate for Payer: Humana Medicare |
$1,185.00
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$173.25
|
| Rate for Payer: Provider Network of America Commercial |
$184.80
|
|
|
HC Angiotensin I Enzyme Test - Angiotensin Convert Enzyme CSF
|
Facility
|
IP
|
$154.35
|
|
|
Service Code
|
CPT 82164
|
| Hospital Charge Code |
Px03018216402
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$115.76 |
| Max. Negotiated Rate |
$6,053.00 |
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$875.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$900.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$950.00
|
| Rate for Payer: Cash Price |
$154.35
|
| Rate for Payer: Cash Price |
$154.35
|
| Rate for Payer: Cigna Medicare Advantage |
$6,053.00
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$1,826.00
|
| Rate for Payer: Home State Health Plan Exchange |
$6,053.00
|
| Rate for Payer: Humana Medicare |
$1,185.00
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$115.76
|
| Rate for Payer: Provider Network of America Commercial |
$123.48
|
|
|
HC Angiotensin I Enzyme Test - Angiotensin Convert Enzyme CSF
|
Facility
|
OP
|
$154.35
|
|
|
Service Code
|
CPT 82164
|
| Hospital Charge Code |
Px03018216402
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$13.85 |
| Max. Negotiated Rate |
$123.48 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$108.82
|
| Rate for Payer: Aetna Workers' Compensation |
$108.82
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$106.96
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$106.96
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$121.63
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$121.63
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$121.63
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$118.85
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$121.63
|
| Rate for Payer: Cash Price |
$154.35
|
| Rate for Payer: Cash Price |
$154.35
|
| Rate for Payer: Cigna Commercial |
$80.88
|
| Rate for Payer: Cigna Medicare Advantage |
$87.98
|
| Rate for Payer: Family Health Partners Medicaid |
$18.40
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$97.24
|
| Rate for Payer: Healthy Blue Medicaid |
$19.87
|
| Rate for Payer: Home State Health Plan Exchange |
$87.98
|
| Rate for Payer: Home State Health Plan Medicaid |
$18.40
|
| Rate for Payer: Humana Medicare |
$115.76
|
| Rate for Payer: Mercy CarePlus Medicaid |
$18.40
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$115.76
|
| Rate for Payer: Provider Network of America Commercial |
$123.48
|
| Rate for Payer: UnitedHealthcare Commercial |
$101.87
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$14.60
|
| Rate for Payer: UnitedHealthcare Medicaid |
$13.85
|
|
|
HC Angiotensin I Enzyme Test - Angiotensin Converting Enzyme
|
Facility
|
IP
|
$154.35
|
|
|
Service Code
|
CPT 82164
|
| Hospital Charge Code |
Px03018216401
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$115.76 |
| Max. Negotiated Rate |
$6,053.00 |
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$875.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$900.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$950.00
|
| Rate for Payer: Cash Price |
$154.35
|
| Rate for Payer: Cash Price |
$154.35
|
| Rate for Payer: Cigna Medicare Advantage |
$6,053.00
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$1,826.00
|
| Rate for Payer: Home State Health Plan Exchange |
$6,053.00
|
| Rate for Payer: Humana Medicare |
$1,185.00
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$115.76
|
| Rate for Payer: Provider Network of America Commercial |
$123.48
|
|
|
HC Angiotensin I Enzyme Test - Angiotensin Converting Enzyme
|
Facility
|
OP
|
$154.35
|
|
|
Service Code
|
CPT 82164
|
| Hospital Charge Code |
Px03018216401
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$13.85 |
| Max. Negotiated Rate |
$123.48 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$108.82
|
| Rate for Payer: Aetna Workers' Compensation |
$108.82
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$106.96
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$106.96
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$121.63
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$121.63
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$121.63
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$118.85
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$121.63
|
| Rate for Payer: Cash Price |
$154.35
|
| Rate for Payer: Cash Price |
$154.35
|
| Rate for Payer: Cigna Commercial |
$80.88
|
| Rate for Payer: Cigna Medicare Advantage |
$87.98
|
| Rate for Payer: Family Health Partners Medicaid |
$18.40
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$97.24
|
| Rate for Payer: Healthy Blue Medicaid |
$19.87
|
| Rate for Payer: Home State Health Plan Exchange |
$87.98
|
| Rate for Payer: Home State Health Plan Medicaid |
$18.40
|
| Rate for Payer: Humana Medicare |
$115.76
|
| Rate for Payer: Mercy CarePlus Medicaid |
$18.40
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$115.76
|
| Rate for Payer: Provider Network of America Commercial |
$123.48
|
| Rate for Payer: UnitedHealthcare Commercial |
$101.87
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$14.60
|
| Rate for Payer: UnitedHealthcare Medicaid |
$13.85
|
|
|
HC Ankel Brace Left Aircast
|
Facility
|
OP
|
$43.65
|
|
| Hospital Charge Code |
Px02700001792
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$24.88 |
| Max. Negotiated Rate |
$43.65 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$30.77
|
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$29.53
|
| Rate for Payer: Aetna Workers' Compensation |
$29.53
|
| Rate for Payer: Aetna Workers' Compensation |
$30.77
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$29.03
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$30.25
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$29.03
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$30.25
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$34.40
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$33.01
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$33.01
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$34.40
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$34.40
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$33.01
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$33.61
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$32.26
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$33.01
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$34.40
|
| Rate for Payer: Cash Price |
$43.65
|
| Rate for Payer: Cash Price |
$41.89
|
| Rate for Payer: Cigna Commercial |
$25.64
|
| Rate for Payer: Cigna Commercial |
$26.71
|
| Rate for Payer: Cigna Medicare Advantage |
$24.88
|
| Rate for Payer: Cigna Medicare Advantage |
$23.88
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$27.50
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$26.39
|
| Rate for Payer: Home State Health Plan Exchange |
$23.88
|
| Rate for Payer: Home State Health Plan Exchange |
$24.88
|
| Rate for Payer: Humana Medicare |
$32.74
|
| Rate for Payer: Humana Medicare |
$31.42
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$31.42
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$32.74
|
| Rate for Payer: Provider Network of America Commercial |
$34.92
|
| Rate for Payer: Provider Network of America Commercial |
$33.51
|
| Rate for Payer: UnitedHealthcare Commercial |
$27.65
|
| Rate for Payer: UnitedHealthcare Commercial |
$28.81
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$41.89
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$43.65
|
|
|
HC Ankel Brace Left Aircast
|
Facility
|
IP
|
$43.65
|
|
| Hospital Charge Code |
Px02700001792
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$32.74 |
| Max. Negotiated Rate |
$6,053.00 |
| Rate for Payer: Humana Medicare |
$1,185.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$875.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$875.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$900.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$900.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$950.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$950.00
|
| Rate for Payer: Cash Price |
$43.65
|
| Rate for Payer: Cash Price |
$41.89
|
| Rate for Payer: Cash Price |
$43.65
|
| Rate for Payer: Cash Price |
$41.89
|
| Rate for Payer: Cigna Medicare Advantage |
$6,053.00
|
| Rate for Payer: Cigna Medicare Advantage |
$6,053.00
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$1,826.00
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$1,826.00
|
| Rate for Payer: Home State Health Plan Exchange |
$6,053.00
|
| Rate for Payer: Home State Health Plan Exchange |
$6,053.00
|
| Rate for Payer: Humana Medicare |
$1,185.00
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$32.74
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$31.42
|
| Rate for Payer: Provider Network of America Commercial |
$34.92
|
| Rate for Payer: Provider Network of America Commercial |
$33.51
|
|
|
HC Ankle Brace Aircast
|
Facility
|
IP
|
$40.95
|
|
| Hospital Charge Code |
Px02700001210
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$30.71 |
| Max. Negotiated Rate |
$6,053.00 |
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$875.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$875.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$900.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$900.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$950.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$950.00
|
| Rate for Payer: Cash Price |
$40.95
|
| Rate for Payer: Cash Price |
$39.00
|
| Rate for Payer: Cash Price |
$40.95
|
| Rate for Payer: Cash Price |
$39.00
|
| Rate for Payer: Cigna Medicare Advantage |
$6,053.00
|
| Rate for Payer: Cigna Medicare Advantage |
$6,053.00
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$1,826.00
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$1,826.00
|
| Rate for Payer: Home State Health Plan Exchange |
$6,053.00
|
| Rate for Payer: Home State Health Plan Exchange |
$6,053.00
|
| Rate for Payer: Humana Medicare |
$1,185.00
|
| Rate for Payer: Humana Medicare |
$1,185.00
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$30.71
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$29.25
|
| Rate for Payer: Provider Network of America Commercial |
$32.76
|
| Rate for Payer: Provider Network of America Commercial |
$31.20
|
|
|
HC Ankle Brace Aircast
|
Facility
|
OP
|
$40.95
|
|
| Hospital Charge Code |
Px02700001210
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$23.34 |
| Max. Negotiated Rate |
$40.95 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$28.87
|
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$27.50
|
| Rate for Payer: Aetna Workers' Compensation |
$27.50
|
| Rate for Payer: Aetna Workers' Compensation |
$28.87
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$27.03
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$28.38
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$27.03
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$28.38
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$32.27
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$30.73
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$30.73
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$32.27
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$32.27
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$30.73
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$31.53
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$30.03
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$30.73
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$32.27
|
| Rate for Payer: Cash Price |
$40.95
|
| Rate for Payer: Cash Price |
$39.00
|
| Rate for Payer: Cigna Commercial |
$23.87
|
| Rate for Payer: Cigna Commercial |
$25.06
|
| Rate for Payer: Cigna Medicare Advantage |
$23.34
|
| Rate for Payer: Cigna Medicare Advantage |
$22.23
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$25.80
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$24.57
|
| Rate for Payer: Home State Health Plan Exchange |
$22.23
|
| Rate for Payer: Home State Health Plan Exchange |
$23.34
|
| Rate for Payer: Humana Medicare |
$30.71
|
| Rate for Payer: Humana Medicare |
$29.25
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$29.25
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$30.71
|
| Rate for Payer: Provider Network of America Commercial |
$32.76
|
| Rate for Payer: Provider Network of America Commercial |
$31.20
|
| Rate for Payer: UnitedHealthcare Commercial |
$25.74
|
| Rate for Payer: UnitedHealthcare Commercial |
$27.03
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$39.00
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$40.95
|
|
