|
HC Biopsy Soft Tissue Neck/Chest
|
Facility
|
IP
|
$3,281.54
|
|
|
Service Code
|
CPT 21550
|
| Hospital Charge Code |
Px03612155001
|
|
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 |
$3,281.54
|
| Rate for Payer: Cash Price |
$3,281.54
|
| 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 |
$2,461.16
|
| Rate for Payer: Provider Network of America Commercial |
$2,625.23
|
|
|
HC Biopsy Soft Tissue Neck/Chest
|
Facility
|
OP
|
$3,281.54
|
|
|
Service Code
|
CPT 21550
|
| Hospital Charge Code |
Px07612155001
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,569.23 |
| Max. Negotiated Rate |
$3,281.54 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$2,313.49
|
| Rate for Payer: Aetna Workers' Compensation |
$2,313.49
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$2,274.11
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$2,274.11
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$2,585.85
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$2,585.85
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$2,585.85
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$2,526.79
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$2,585.85
|
| Rate for Payer: Cash Price |
$3,281.54
|
| Rate for Payer: Cash Price |
$3,281.54
|
| Rate for Payer: Cigna Commercial |
$2,008.30
|
| Rate for Payer: Cigna Medicare Advantage |
$1,870.48
|
| Rate for Payer: Family Health Partners Medicaid |
$2,084.36
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$2,067.37
|
| Rate for Payer: Healthy Blue Medicaid |
$2,251.11
|
| Rate for Payer: Home State Health Plan Exchange |
$1,870.48
|
| Rate for Payer: Home State Health Plan Medicaid |
$2,084.36
|
| Rate for Payer: Humana Medicare |
$2,461.16
|
| Rate for Payer: Mercy CarePlus Medicaid |
$2,084.36
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$2,461.16
|
| Rate for Payer: Provider Network of America Commercial |
$2,625.23
|
| Rate for Payer: UnitedHealthcare Commercial |
$2,165.82
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$3,281.54
|
| Rate for Payer: UnitedHealthcare Medicaid |
$1,569.23
|
|
|
HC Biopsy Soft Tissue Neck/Chest
|
Facility
|
OP
|
$3,281.54
|
|
|
Service Code
|
CPT 21550
|
| Hospital Charge Code |
Px03612155001
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,569.23 |
| Max. Negotiated Rate |
$3,281.54 |
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$2,274.11
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$2,274.11
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$2,585.85
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$2,585.85
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$2,585.85
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$2,526.79
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$2,585.85
|
| Rate for Payer: Cash Price |
$3,281.54
|
| Rate for Payer: Cash Price |
$3,281.54
|
| Rate for Payer: Cigna Commercial |
$2,175.66
|
| Rate for Payer: Cigna Medicare Advantage |
$1,870.48
|
| Rate for Payer: Family Health Partners Medicaid |
$2,084.36
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$2,067.37
|
| Rate for Payer: Healthy Blue Medicaid |
$2,251.11
|
| Rate for Payer: Home State Health Plan Exchange |
$1,870.48
|
| Rate for Payer: Home State Health Plan Medicaid |
$2,084.36
|
| Rate for Payer: Humana Medicare |
$2,461.16
|
| Rate for Payer: Mercy CarePlus Medicaid |
$2,084.36
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$2,461.16
|
| Rate for Payer: Provider Network of America Commercial |
$2,625.23
|
| Rate for Payer: UnitedHealthcare Commercial |
$2,165.82
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$3,281.54
|
| Rate for Payer: UnitedHealthcare Medicaid |
$1,569.23
|
|
|
HC Biopsy Soft Tissue Neck/Chest
|
Facility
|
IP
|
$3,281.54
|
|
|
Service Code
|
CPT 21550
|
| Hospital Charge Code |
Px07612155001
|
|
Hospital Revenue Code
|
761
|
| 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 |
$3,281.54
|
| Rate for Payer: Cash Price |
$3,281.54
|
| 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 |
$2,461.16
|
| Rate for Payer: Provider Network of America Commercial |
$2,625.23
|
|
|
HC Biopsy Vulva/Perineum,One Lesn
|
Facility
|
IP
|
$1,575.00
|
|
|
Service Code
|
CPT 56605
|
| Hospital Charge Code |
Px05105660501
|
|
Hospital Revenue Code
|
510
|
| 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 |
$1,575.00
|
| Rate for Payer: Cash Price |
$1,575.00
|
| 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: Provider Network of America Commercial |
$1,260.00
|
|
|
HC Biopsy Vulva/Perineum,One Lesn
|
Facility
|
OP
|
$1,575.00
|
|
|
Service Code
|
CPT 56605
|
| Hospital Charge Code |
Px05105660501
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$875.12 |
| Max. Negotiated Rate |
$1,575.00 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$1,110.38
|
| Rate for Payer: Aetna Workers' Compensation |
$1,110.38
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$1,091.47
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$1,091.47
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$1,241.10
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$1,241.10
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$1,241.10
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$1,212.75
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$1,241.10
|
| Rate for Payer: Cash Price |
$1,575.00
|
| Rate for Payer: Cash Price |
$1,575.00
|
| Rate for Payer: Cigna Medicare Advantage |
$897.75
|
| Rate for Payer: Family Health Partners Medicaid |
$1,162.39
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$992.25
|
| Rate for Payer: Healthy Blue Medicaid |
$1,255.38
|
| Rate for Payer: Home State Health Plan Exchange |
$897.75
|
| Rate for Payer: Home State Health Plan Medicaid |
$1,162.39
|
| Rate for Payer: Humana Medicare |
$1,181.25
|
| Rate for Payer: Mercy CarePlus Medicaid |
$1,162.39
|
| Rate for Payer: Provider Network of America Commercial |
$1,260.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,039.50
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$1,575.00
|
| Rate for Payer: UnitedHealthcare Medicaid |
$875.12
|
|
|
HC Bite Block
|
Facility
|
OP
|
$138.13
|
|
| Hospital Charge Code |
Px02700002413
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$78.73 |
| Max. Negotiated Rate |
$138.13 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$97.38
|
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$102.25
|
| Rate for Payer: Aetna Workers' Compensation |
$97.38
|
| Rate for Payer: Aetna Workers' Compensation |
$102.25
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$95.72
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$100.51
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$95.72
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$100.51
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$114.28
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$108.85
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$114.28
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$108.85
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$108.85
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$114.28
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$106.36
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$111.67
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$114.28
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$108.85
|
| Rate for Payer: Cash Price |
$145.03
|
| Rate for Payer: Cash Price |
$138.13
|
| Rate for Payer: Cigna Commercial |
$84.54
|
| Rate for Payer: Cigna Commercial |
$88.76
|
| Rate for Payer: Cigna Medicare Advantage |
$78.73
|
| Rate for Payer: Cigna Medicare Advantage |
$82.67
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$87.02
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$91.37
|
| Rate for Payer: Home State Health Plan Exchange |
$78.73
|
| Rate for Payer: Home State Health Plan Exchange |
$82.67
|
| Rate for Payer: Humana Medicare |
$103.60
|
| Rate for Payer: Humana Medicare |
$108.77
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$103.60
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$108.77
|
| Rate for Payer: Provider Network of America Commercial |
$110.50
|
| Rate for Payer: Provider Network of America Commercial |
$116.02
|
| Rate for Payer: UnitedHealthcare Commercial |
$91.17
|
| Rate for Payer: UnitedHealthcare Commercial |
$95.72
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$138.13
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$145.03
|
|
|
HC Bite Block
|
Facility
|
IP
|
$138.13
|
|
| Hospital Charge Code |
Px02700002413
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$103.60 |
| 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 |
$145.03
|
| Rate for Payer: Cash Price |
$145.03
|
| Rate for Payer: Cash Price |
$138.13
|
| Rate for Payer: Cash Price |
$138.13
|
| 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 |
$108.77
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$103.60
|
| Rate for Payer: Provider Network of America Commercial |
$110.50
|
| Rate for Payer: Provider Network of America Commercial |
$116.02
|
|
|
HC Bladder Irrigation
|
Facility
|
IP
|
$656.32
|
|
|
Service Code
|
CPT 51700
|
| Hospital Charge Code |
Px07615170001
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$492.24 |
| 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 |
$591.06
|
| Rate for Payer: Cash Price |
$656.32
|
| Rate for Payer: Cash Price |
$656.32
|
| Rate for Payer: Cash Price |
$591.06
|
| 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 |
$492.24
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$443.30
|
| Rate for Payer: Provider Network of America Commercial |
$525.06
|
| Rate for Payer: Provider Network of America Commercial |
$472.85
|
|
|
HC Bladder Irrigation
|
Facility
|
OP
|
$656.32
|
|
|
Service Code
|
CPT 51700
|
| Hospital Charge Code |
Px07615170001
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$237.38 |
| Max. Negotiated Rate |
$656.32 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$462.71
|
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$416.70
|
| Rate for Payer: Aetna Workers' Compensation |
$462.71
|
| Rate for Payer: Aetna Workers' Compensation |
$416.70
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$454.83
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$409.60
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$454.83
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$409.60
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$517.18
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$465.76
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$517.18
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$465.76
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$465.76
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$517.18
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$455.12
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$505.37
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$517.18
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$465.76
|
| Rate for Payer: Cash Price |
$656.32
|
| Rate for Payer: Cash Price |
$656.32
|
| Rate for Payer: Cash Price |
$591.06
|
| Rate for Payer: Cash Price |
$591.06
|
| Rate for Payer: Cigna Commercial |
$401.67
|
| Rate for Payer: Cigna Commercial |
$361.73
|
| Rate for Payer: Cigna Medicare Advantage |
$336.90
|
| Rate for Payer: Cigna Medicare Advantage |
$374.10
|
| Rate for Payer: Family Health Partners Medicaid |
$315.31
|
| Rate for Payer: Family Health Partners Medicaid |
$315.31
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$413.48
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$372.37
|
| Rate for Payer: Healthy Blue Medicaid |
$340.53
|
| Rate for Payer: Healthy Blue Medicaid |
$340.53
|
| Rate for Payer: Home State Health Plan Exchange |
$374.10
|
| Rate for Payer: Home State Health Plan Exchange |
$336.90
|
| Rate for Payer: Home State Health Plan Medicaid |
$315.31
|
| Rate for Payer: Home State Health Plan Medicaid |
$315.31
|
| Rate for Payer: Humana Medicare |
$443.30
|
| Rate for Payer: Humana Medicare |
$492.24
|
| Rate for Payer: Mercy CarePlus Medicaid |
$315.31
|
| Rate for Payer: Mercy CarePlus Medicaid |
$315.31
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$443.30
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$492.24
|
| Rate for Payer: Provider Network of America Commercial |
$472.85
|
| Rate for Payer: Provider Network of America Commercial |
$525.06
|
| Rate for Payer: UnitedHealthcare Commercial |
$390.10
|
| Rate for Payer: UnitedHealthcare Commercial |
$433.17
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$591.06
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$656.32
|
| Rate for Payer: UnitedHealthcare Medicaid |
$237.38
|
| Rate for Payer: UnitedHealthcare Medicaid |
$237.38
|
|
|
HC Blanket Lower Body Warming
|
Facility
|
OP
|
$24.38
|
|
| Hospital Charge Code |
Px02720000311
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$13.90 |
| Max. Negotiated Rate |
$24.38 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$17.19
|
| Rate for Payer: Aetna Workers' Compensation |
$17.19
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$16.90
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$16.90
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$19.21
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$19.21
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$19.21
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$18.77
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$19.21
|
| Rate for Payer: Cash Price |
$24.38
|
| Rate for Payer: Cigna Commercial |
$14.92
|
| Rate for Payer: Cigna Medicare Advantage |
$13.90
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$15.36
|
| Rate for Payer: Home State Health Plan Exchange |
$13.90
|
| Rate for Payer: Humana Medicare |
$18.29
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$18.29
|
| Rate for Payer: Provider Network of America Commercial |
$19.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$16.09
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$24.38
|
|
|
HC Blanket Lower Body Warming
|
Facility
|
IP
|
$24.38
|
|
| Hospital Charge Code |
Px02720000311
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$18.29 |
| 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 |
$24.38
|
| Rate for Payer: Cash Price |
$24.38
|
| 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 |
$18.29
|
| Rate for Payer: Provider Network of America Commercial |
$19.50
|
|
|
HC Blanket Upper Body Warming
|
Facility
|
IP
|
$19.50
|
|
| Hospital Charge Code |
Px02720000401
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$14.62 |
| 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 |
$19.50
|
| Rate for Payer: Cash Price |
$19.50
|
| 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 |
$14.62
|
| Rate for Payer: Provider Network of America Commercial |
$15.60
|
|
|
HC Blanket Upper Body Warming
|
Facility
|
OP
|
$19.50
|
|
| Hospital Charge Code |
Px02720000401
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$11.12 |
| Max. Negotiated Rate |
$19.50 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$13.75
|
| Rate for Payer: Aetna Workers' Compensation |
$13.75
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$13.51
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$13.51
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$15.37
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$15.37
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$15.37
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$15.02
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$15.37
|
| Rate for Payer: Cash Price |
$19.50
|
| Rate for Payer: Cigna Commercial |
$11.93
|
| Rate for Payer: Cigna Medicare Advantage |
$11.12
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$12.29
|
| Rate for Payer: Home State Health Plan Exchange |
$11.12
|
| Rate for Payer: Humana Medicare |
$14.62
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$14.62
|
| Rate for Payer: Provider Network of America Commercial |
$15.60
|
| Rate for Payer: UnitedHealthcare Commercial |
$12.87
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$19.50
|
|
|
HC Blastomyces, Antibody - Blastomyces Antibodies
|
Facility
|
OP
|
$112.35
|
|
|
Service Code
|
CPT 86612
|
| Hospital Charge Code |
Px03028661201
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$12.24 |
| Max. Negotiated Rate |
$89.88 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$79.21
|
| Rate for Payer: Aetna Workers' Compensation |
$79.21
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$77.86
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$77.86
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$88.53
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$88.53
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$88.53
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$86.51
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$88.53
|
| Rate for Payer: Cash Price |
$112.35
|
| Rate for Payer: Cash Price |
$112.35
|
| Rate for Payer: Cigna Commercial |
$58.87
|
| Rate for Payer: Cigna Medicare Advantage |
$64.04
|
| Rate for Payer: Family Health Partners Medicaid |
$16.25
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$70.78
|
| Rate for Payer: Healthy Blue Medicaid |
$17.55
|
| Rate for Payer: Home State Health Plan Exchange |
$64.04
|
| Rate for Payer: Home State Health Plan Medicaid |
$16.25
|
| Rate for Payer: Humana Medicare |
$84.26
|
| Rate for Payer: Mercy CarePlus Medicaid |
$16.25
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$84.26
|
| Rate for Payer: Provider Network of America Commercial |
$89.88
|
| Rate for Payer: UnitedHealthcare Commercial |
$74.15
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$12.90
|
| Rate for Payer: UnitedHealthcare Medicaid |
$12.24
|
|
|
HC Blastomyces, Antibody - Blastomyces Antibodies
|
Facility
|
IP
|
$112.35
|
|
|
Service Code
|
CPT 86612
|
| Hospital Charge Code |
Px03028661201
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$84.26 |
| 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 |
$112.35
|
| Rate for Payer: Cash Price |
$112.35
|
| 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 |
$84.26
|
| Rate for Payer: Provider Network of America Commercial |
$89.88
|
|
|
HC Bleeding Time Test - Bleeding Time
|
Facility
|
IP
|
$130.20
|
|
|
Service Code
|
CPT 85002
|
| Hospital Charge Code |
Px03058500201
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$97.65 |
| 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 |
$130.20
|
| Rate for Payer: Cash Price |
$130.20
|
| 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 |
$97.65
|
| Rate for Payer: Provider Network of America Commercial |
$104.16
|
|
|
HC Bleeding Time Test - Bleeding Time
|
Facility
|
OP
|
$130.20
|
|
|
Service Code
|
CPT 85002
|
| Hospital Charge Code |
Px03058500201
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$4.57 |
| Max. Negotiated Rate |
$104.16 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$91.79
|
| Rate for Payer: Aetna Workers' Compensation |
$91.79
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$90.23
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$90.23
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$102.60
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$102.60
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$102.60
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$100.25
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$102.60
|
| Rate for Payer: Cash Price |
$130.20
|
| Rate for Payer: Cash Price |
$130.20
|
| Rate for Payer: Cigna Commercial |
$68.22
|
| Rate for Payer: Cigna Medicare Advantage |
$74.21
|
| Rate for Payer: Family Health Partners Medicaid |
$6.08
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$82.03
|
| Rate for Payer: Healthy Blue Medicaid |
$6.56
|
| Rate for Payer: Home State Health Plan Exchange |
$74.21
|
| Rate for Payer: Home State Health Plan Medicaid |
$6.08
|
| Rate for Payer: Humana Medicare |
$97.65
|
| Rate for Payer: Mercy CarePlus Medicaid |
$6.08
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$97.65
|
| Rate for Payer: Provider Network of America Commercial |
$104.16
|
| Rate for Payer: UnitedHealthcare Commercial |
$85.93
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$4.82
|
| Rate for Payer: UnitedHealthcare Medicaid |
$4.57
|
|
|
HC Blood Culture for Bacteria
|
Facility
|
IP
|
$252.00
|
|
|
Service Code
|
CPT 87040
|
| Hospital Charge Code |
Px03068704001
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$189.00 |
| 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 |
$252.00
|
| Rate for Payer: Cash Price |
$252.00
|
| 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 |
$189.00
|
| Rate for Payer: Provider Network of America Commercial |
$201.60
|
|
|
HC Blood Culture for Bacteria
|
Facility
|
OP
|
$252.00
|
|
|
Service Code
|
CPT 87040
|
| Hospital Charge Code |
Px03068704001
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$9.79 |
| Max. Negotiated Rate |
$201.60 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$177.66
|
| Rate for Payer: Aetna Workers' Compensation |
$177.66
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$174.64
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$174.64
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$198.58
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$198.58
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$198.58
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$194.04
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$198.58
|
| Rate for Payer: Cash Price |
$252.00
|
| Rate for Payer: Cash Price |
$252.00
|
| Rate for Payer: Cigna Commercial |
$132.05
|
| Rate for Payer: Cigna Medicare Advantage |
$143.64
|
| Rate for Payer: Family Health Partners Medicaid |
$13.01
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$158.76
|
| Rate for Payer: Healthy Blue Medicaid |
$14.05
|
| Rate for Payer: Home State Health Plan Exchange |
$143.64
|
| Rate for Payer: Home State Health Plan Medicaid |
$13.01
|
| Rate for Payer: Humana Medicare |
$189.00
|
| Rate for Payer: Mercy CarePlus Medicaid |
$13.01
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$189.00
|
| Rate for Payer: Provider Network of America Commercial |
$201.60
|
| Rate for Payer: UnitedHealthcare Commercial |
$166.32
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$10.32
|
| Rate for Payer: UnitedHealthcare Medicaid |
$9.79
|
|
|
HC Blood Folic Acid Serum - Folate
|
Facility
|
IP
|
$176.40
|
|
|
Service Code
|
CPT 82746
|
| Hospital Charge Code |
Px03018274601
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$132.30 |
| 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 |
$176.40
|
| Rate for Payer: Cash Price |
$176.40
|
| 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 |
$132.30
|
| Rate for Payer: Provider Network of America Commercial |
$141.12
|
|
|
HC Blood Folic Acid Serum - Folate
|
Facility
|
OP
|
$176.40
|
|
|
Service Code
|
CPT 82746
|
| Hospital Charge Code |
Px03018274601
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$13.94 |
| Max. Negotiated Rate |
$141.12 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$124.36
|
| Rate for Payer: Aetna Workers' Compensation |
$124.36
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$122.25
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$122.25
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$139.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$139.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$139.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$135.83
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$139.00
|
| Rate for Payer: Cash Price |
$176.40
|
| Rate for Payer: Cash Price |
$176.40
|
| Rate for Payer: Cigna Commercial |
$92.43
|
| Rate for Payer: Cigna Medicare Advantage |
$100.55
|
| Rate for Payer: Family Health Partners Medicaid |
$18.52
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$111.13
|
| Rate for Payer: Healthy Blue Medicaid |
$20.00
|
| Rate for Payer: Home State Health Plan Exchange |
$100.55
|
| Rate for Payer: Home State Health Plan Medicaid |
$18.52
|
| Rate for Payer: Humana Medicare |
$132.30
|
| Rate for Payer: Mercy CarePlus Medicaid |
$18.52
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$132.30
|
| Rate for Payer: Provider Network of America Commercial |
$141.12
|
| Rate for Payer: UnitedHealthcare Commercial |
$116.42
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$14.70
|
| Rate for Payer: UnitedHealthcare Medicaid |
$13.94
|
|
|
HC Blood Gases: Ph, Po2 & Pco2 - Blood Gas Venous
|
Facility
|
OP
|
$347.55
|
|
|
Service Code
|
CPT 82803
|
| Hospital Charge Code |
Px03018280304
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$24.73 |
| Max. Negotiated Rate |
$278.04 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$245.02
|
| Rate for Payer: Aetna Workers' Compensation |
$245.02
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$240.85
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$240.85
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$273.87
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$273.87
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$273.87
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$267.61
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$273.87
|
| Rate for Payer: Cash Price |
$347.55
|
| Rate for Payer: Cash Price |
$347.55
|
| Rate for Payer: Cigna Commercial |
$182.12
|
| Rate for Payer: Cigna Medicare Advantage |
$198.10
|
| Rate for Payer: Family Health Partners Medicaid |
$32.84
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$218.96
|
| Rate for Payer: Healthy Blue Medicaid |
$35.47
|
| Rate for Payer: Home State Health Plan Exchange |
$198.10
|
| Rate for Payer: Home State Health Plan Medicaid |
$32.84
|
| Rate for Payer: Humana Medicare |
$260.66
|
| Rate for Payer: Mercy CarePlus Medicaid |
$32.84
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$260.66
|
| Rate for Payer: Provider Network of America Commercial |
$278.04
|
| Rate for Payer: UnitedHealthcare Commercial |
$229.38
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$26.07
|
| Rate for Payer: UnitedHealthcare Medicaid |
$24.73
|
|
|
HC Blood Gases: Ph, Po2 & Pco2 - Blood Gas Venous
|
Facility
|
IP
|
$347.55
|
|
|
Service Code
|
CPT 82803
|
| Hospital Charge Code |
Px03018280304
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$260.66 |
| 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 |
$347.55
|
| Rate for Payer: Cash Price |
$347.55
|
| 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 |
$260.66
|
| Rate for Payer: Provider Network of America Commercial |
$278.04
|
|
|
HC Blood Methemoglobin, Quant - Methemoglobin
|
Facility
|
IP
|
$81.90
|
|
|
Service Code
|
CPT 83050
|
| Hospital Charge Code |
Px03018305001
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$61.42 |
| 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 |
$81.90
|
| Rate for Payer: Cash Price |
$81.90
|
| 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 |
$61.42
|
| Rate for Payer: Provider Network of America Commercial |
$65.52
|
|
