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Service Code CPT 82652
Hospital Charge Code 20221105
Hospital Revenue Code 301
Min. Negotiated Rate $58.80
Max. Negotiated Rate $84.00
Rate for Payer: AETNA Commercial $79.80
Rate for Payer: AETNA Medicare $75.60
Rate for Payer: BCBS CLOSED PLAN NETWORK $79.80
Rate for Payer: BCBS Healthlink $75.60
Rate for Payer: BCBS HMK CHIP $75.60
Rate for Payer: BCBS MCR ADVANTAGE Medicare Part A $75.60
Rate for Payer: BCBS POS $79.80
Rate for Payer: BCBS Traditional $84.00
Rate for Payer: CASH_PRICE $67.20
Rate for Payer: CIGNA Commercial $79.80
Rate for Payer: CIGNA Medicare $75.60
Rate for Payer: HUMANA Commercial $75.60
Rate for Payer: MEDICAID Medicaid $77.28
Rate for Payer: MEDICARE Medicare $58.80
Rate for Payer: MONIDA - ALLEGIANCE Commercial $79.80
Rate for Payer: MONIDA - FIRST CHOICE HEALTH Commercial $81.48
Rate for Payer: MONIDA - MONTANA HEALTH COOP Commercial $79.80
Rate for Payer: MONIDA - PACIFICSOURCE Commercial $79.80
Rate for Payer: UNITED HEALTHCARE Commercial $71.40
Rate for Payer: UNITED HEALTHCARE MCD ADVANTAGE Medicaid $67.20
Rate for Payer: UNITED HEALTHCARE MCR ADVANTAGE RHC Medicare $67.20
Service Code CPT 82652
Hospital Charge Code 20221105
Hospital Revenue Code 301
Min. Negotiated Rate $58.80
Max. Negotiated Rate $84.00
Rate for Payer: BCBS HMK CHIP $75.60
Rate for Payer: AETNA Commercial $79.80
Rate for Payer: AETNA Medicare $75.60
Rate for Payer: BCBS CLOSED PLAN NETWORK $79.80
Rate for Payer: BCBS Healthlink $75.60
Rate for Payer: BCBS MCR ADVANTAGE Medicare Part A $75.60
Rate for Payer: BCBS POS $79.80
Rate for Payer: BCBS Traditional $84.00
Rate for Payer: CASH_PRICE $67.20
Rate for Payer: CIGNA Commercial $79.80
Rate for Payer: CIGNA Medicare $75.60
Rate for Payer: HUMANA Commercial $75.60
Rate for Payer: MEDICAID Medicaid $77.28
Rate for Payer: MEDICARE Medicare $58.80
Rate for Payer: MONIDA - ALLEGIANCE Commercial $79.80
Rate for Payer: MONIDA - FIRST CHOICE HEALTH Commercial $81.48
Rate for Payer: MONIDA - MONTANA HEALTH COOP Commercial $79.80
Rate for Payer: MONIDA - PACIFICSOURCE Commercial $79.80
Rate for Payer: UNITED HEALTHCARE Commercial $71.40
Rate for Payer: UNITED HEALTHCARE MCD ADVANTAGE Medicaid $67.20
Rate for Payer: UNITED HEALTHCARE MCR ADVANTAGE RHC Medicare $67.20
Service Code CPT 83498
Hospital Charge Code 20221105
Hospital Revenue Code 300
Min. Negotiated Rate $91.70
Max. Negotiated Rate $131.00
Rate for Payer: AETNA Commercial $124.45
Rate for Payer: AETNA Medicare $117.90
Rate for Payer: BCBS CLOSED PLAN NETWORK $124.45
Rate for Payer: BCBS Healthlink $117.90
Rate for Payer: BCBS HMK CHIP $117.90
Rate for Payer: BCBS MCR ADVANTAGE Medicare Part A $117.90
Rate for Payer: BCBS POS $124.45
Rate for Payer: BCBS Traditional $131.00
Rate for Payer: CASH_PRICE $104.80
Rate for Payer: CIGNA Commercial $124.45
Rate for Payer: CIGNA Medicare $117.90
Rate for Payer: HUMANA Commercial $117.90
Rate for Payer: MEDICAID Medicaid $120.52
Rate for Payer: MEDICARE Medicare $91.70
Rate for Payer: MONIDA - ALLEGIANCE Commercial $124.45
Rate for Payer: MONIDA - FIRST CHOICE HEALTH Commercial $127.07
Rate for Payer: MONIDA - MONTANA HEALTH COOP Commercial $124.45
Rate for Payer: MONIDA - PACIFICSOURCE Commercial $124.45
Rate for Payer: UNITED HEALTHCARE Commercial $111.35
Rate for Payer: UNITED HEALTHCARE MCD ADVANTAGE Medicaid $104.80
Rate for Payer: UNITED HEALTHCARE MCR ADVANTAGE RHC Medicare $104.80
Service Code CPT 83498
Hospital Charge Code 20221105
Hospital Revenue Code 300
Min. Negotiated Rate $91.70
Max. Negotiated Rate $131.00
Rate for Payer: AETNA Commercial $124.45
Rate for Payer: AETNA Medicare $117.90
Rate for Payer: BCBS CLOSED PLAN NETWORK $124.45
Rate for Payer: BCBS Healthlink $117.90
Rate for Payer: BCBS HMK CHIP $117.90
Rate for Payer: BCBS MCR ADVANTAGE Medicare Part A $117.90
Rate for Payer: BCBS POS $124.45
Rate for Payer: BCBS Traditional $131.00
Rate for Payer: CASH_PRICE $104.80
Rate for Payer: CIGNA Commercial $124.45
Rate for Payer: CIGNA Medicare $117.90
Rate for Payer: HUMANA Commercial $117.90
Rate for Payer: MEDICAID Medicaid $120.52
Rate for Payer: MEDICARE Medicare $91.70
Rate for Payer: MONIDA - ALLEGIANCE Commercial $124.45
Rate for Payer: MONIDA - FIRST CHOICE HEALTH Commercial $127.07
Rate for Payer: MONIDA - MONTANA HEALTH COOP Commercial $124.45
Rate for Payer: MONIDA - PACIFICSOURCE Commercial $124.45
Rate for Payer: UNITED HEALTHCARE Commercial $111.35
Rate for Payer: UNITED HEALTHCARE MCD ADVANTAGE Medicaid $104.80
Rate for Payer: UNITED HEALTHCARE MCR ADVANTAGE RHC Medicare $104.80
Service Code CPT 82306
Hospital Charge Code 20221105
Hospital Revenue Code 300
Min. Negotiated Rate $55.30
Max. Negotiated Rate $79.00
Rate for Payer: BCBS HMK CHIP $71.10
Rate for Payer: AETNA Commercial $75.05
Rate for Payer: AETNA Medicare $71.10
Rate for Payer: BCBS CLOSED PLAN NETWORK $75.05
Rate for Payer: BCBS Healthlink $71.10
Rate for Payer: BCBS MCR ADVANTAGE Medicare Part A $71.10
Rate for Payer: BCBS POS $75.05
Rate for Payer: BCBS Traditional $79.00
Rate for Payer: CASH_PRICE $63.20
Rate for Payer: CIGNA Commercial $75.05
Rate for Payer: CIGNA Medicare $71.10
Rate for Payer: HUMANA Commercial $71.10
Rate for Payer: MEDICAID Medicaid $72.68
Rate for Payer: MEDICARE Medicare $55.30
Rate for Payer: MONIDA - ALLEGIANCE Commercial $75.05
Rate for Payer: MONIDA - FIRST CHOICE HEALTH Commercial $76.63
Rate for Payer: MONIDA - MONTANA HEALTH COOP Commercial $75.05
Rate for Payer: MONIDA - PACIFICSOURCE Commercial $75.05
Rate for Payer: UNITED HEALTHCARE Commercial $67.15
Rate for Payer: UNITED HEALTHCARE MCD ADVANTAGE Medicaid $63.20
Rate for Payer: UNITED HEALTHCARE MCR ADVANTAGE RHC Medicare $63.20
Service Code CPT 82306
Hospital Charge Code 20221105
Hospital Revenue Code 300
Min. Negotiated Rate $55.30
Max. Negotiated Rate $79.00
Rate for Payer: AETNA Commercial $75.05
Rate for Payer: AETNA Medicare $71.10
Rate for Payer: BCBS CLOSED PLAN NETWORK $75.05
Rate for Payer: BCBS Healthlink $71.10
Rate for Payer: BCBS HMK CHIP $71.10
Rate for Payer: BCBS MCR ADVANTAGE Medicare Part A $71.10
Rate for Payer: BCBS POS $75.05
Rate for Payer: BCBS Traditional $79.00
Rate for Payer: CASH_PRICE $63.20
Rate for Payer: CIGNA Commercial $75.05
Rate for Payer: CIGNA Medicare $71.10
Rate for Payer: HUMANA Commercial $71.10
Rate for Payer: MEDICAID Medicaid $72.68
Rate for Payer: MEDICARE Medicare $55.30
Rate for Payer: MONIDA - ALLEGIANCE Commercial $75.05
Rate for Payer: MONIDA - FIRST CHOICE HEALTH Commercial $76.63
Rate for Payer: MONIDA - MONTANA HEALTH COOP Commercial $75.05
Rate for Payer: MONIDA - PACIFICSOURCE Commercial $75.05
Rate for Payer: UNITED HEALTHCARE Commercial $67.15
Rate for Payer: UNITED HEALTHCARE MCD ADVANTAGE Medicaid $63.20
Rate for Payer: UNITED HEALTHCARE MCR ADVANTAGE RHC Medicare $63.20
Service Code CPT 83497
Hospital Charge Code 20221105
Hospital Revenue Code 300
Min. Negotiated Rate $20.30
Max. Negotiated Rate $29.00
Rate for Payer: AETNA Commercial $27.55
Rate for Payer: AETNA Medicare $26.10
Rate for Payer: BCBS CLOSED PLAN NETWORK $27.55
Rate for Payer: BCBS Healthlink $26.10
Rate for Payer: BCBS HMK CHIP $26.10
Rate for Payer: BCBS MCR ADVANTAGE Medicare Part A $26.10
Rate for Payer: BCBS POS $27.55
Rate for Payer: BCBS Traditional $29.00
Rate for Payer: CASH_PRICE $23.20
Rate for Payer: CIGNA Commercial $27.55
Rate for Payer: CIGNA Medicare $26.10
Rate for Payer: HUMANA Commercial $26.10
Rate for Payer: MEDICAID Medicaid $26.68
Rate for Payer: MEDICARE Medicare $20.30
Rate for Payer: MONIDA - ALLEGIANCE Commercial $27.55
Rate for Payer: MONIDA - FIRST CHOICE HEALTH Commercial $28.13
Rate for Payer: MONIDA - MONTANA HEALTH COOP Commercial $27.55
Rate for Payer: MONIDA - PACIFICSOURCE Commercial $27.55
Rate for Payer: UNITED HEALTHCARE Commercial $24.65
Rate for Payer: UNITED HEALTHCARE MCD ADVANTAGE Medicaid $23.20
Rate for Payer: UNITED HEALTHCARE MCR ADVANTAGE RHC Medicare $23.20
Service Code CPT 83497
Hospital Charge Code 20221105
Hospital Revenue Code 300
Min. Negotiated Rate $20.30
Max. Negotiated Rate $29.00
Rate for Payer: AETNA Commercial $27.55
Rate for Payer: AETNA Medicare $26.10
Rate for Payer: BCBS CLOSED PLAN NETWORK $27.55
Rate for Payer: BCBS Healthlink $26.10
Rate for Payer: BCBS HMK CHIP $26.10
Rate for Payer: BCBS MCR ADVANTAGE Medicare Part A $26.10
Rate for Payer: BCBS POS $27.55
Rate for Payer: BCBS Traditional $29.00
Rate for Payer: CASH_PRICE $23.20
Rate for Payer: CIGNA Commercial $27.55
Rate for Payer: CIGNA Medicare $26.10
Rate for Payer: HUMANA Commercial $26.10
Rate for Payer: MEDICAID Medicaid $26.68
Rate for Payer: MEDICARE Medicare $20.30
Rate for Payer: MONIDA - ALLEGIANCE Commercial $27.55
Rate for Payer: MONIDA - FIRST CHOICE HEALTH Commercial $28.13
Rate for Payer: MONIDA - MONTANA HEALTH COOP Commercial $27.55
Rate for Payer: MONIDA - PACIFICSOURCE Commercial $27.55
Rate for Payer: UNITED HEALTHCARE Commercial $24.65
Rate for Payer: UNITED HEALTHCARE MCD ADVANTAGE Medicaid $23.20
Rate for Payer: UNITED HEALTHCARE MCR ADVANTAGE RHC Medicare $23.20
Hospital Charge Code 20221105
Hospital Revenue Code 270
Min. Negotiated Rate $35.70
Max. Negotiated Rate $51.00
Rate for Payer: AETNA Commercial $48.45
Rate for Payer: AETNA Medicare $45.90
Rate for Payer: BCBS CLOSED PLAN NETWORK $48.45
Rate for Payer: BCBS Healthlink $45.90
Rate for Payer: BCBS HMK CHIP $45.90
Rate for Payer: BCBS MCR ADVANTAGE Medicare Part A $45.90
Rate for Payer: BCBS POS $48.45
Rate for Payer: BCBS Traditional $51.00
Rate for Payer: CASH_PRICE $40.80
Rate for Payer: CIGNA Commercial $48.45
Rate for Payer: CIGNA Medicare $45.90
Rate for Payer: HUMANA Commercial $45.90
Rate for Payer: MEDICAID Medicaid $46.92
Rate for Payer: MEDICARE Medicare $35.70
Rate for Payer: MONIDA - ALLEGIANCE Commercial $48.45
Rate for Payer: MONIDA - FIRST CHOICE HEALTH Commercial $49.47
Rate for Payer: MONIDA - MONTANA HEALTH COOP Commercial $48.45
Rate for Payer: MONIDA - PACIFICSOURCE Commercial $48.45
Rate for Payer: UNITED HEALTHCARE Commercial $43.35
Rate for Payer: UNITED HEALTHCARE MCD ADVANTAGE Medicaid $40.80
Rate for Payer: UNITED HEALTHCARE MCR ADVANTAGE RHC Medicare $40.80
Hospital Charge Code 20221105
Hospital Revenue Code 270
Min. Negotiated Rate $35.70
Max. Negotiated Rate $51.00
Rate for Payer: AETNA Commercial $48.45
Rate for Payer: AETNA Medicare $45.90
Rate for Payer: BCBS CLOSED PLAN NETWORK $48.45
Rate for Payer: BCBS Healthlink $45.90
Rate for Payer: BCBS HMK CHIP $45.90
Rate for Payer: BCBS MCR ADVANTAGE Medicare Part A $45.90
Rate for Payer: BCBS POS $48.45
Rate for Payer: BCBS Traditional $51.00
Rate for Payer: CASH_PRICE $40.80
Rate for Payer: CIGNA Commercial $48.45
Rate for Payer: CIGNA Medicare $45.90
Rate for Payer: HUMANA Commercial $45.90
Rate for Payer: MEDICAID Medicaid $46.92
Rate for Payer: MEDICARE Medicare $35.70
Rate for Payer: MONIDA - ALLEGIANCE Commercial $48.45
Rate for Payer: MONIDA - FIRST CHOICE HEALTH Commercial $49.47
Rate for Payer: MONIDA - MONTANA HEALTH COOP Commercial $48.45
Rate for Payer: MONIDA - PACIFICSOURCE Commercial $48.45
Rate for Payer: UNITED HEALTHCARE Commercial $43.35
Rate for Payer: UNITED HEALTHCARE MCD ADVANTAGE Medicaid $40.80
Rate for Payer: UNITED HEALTHCARE MCR ADVANTAGE RHC Medicare $40.80
Hospital Charge Code 20221105
Hospital Revenue Code 290
Min. Negotiated Rate $28.70
Max. Negotiated Rate $41.00
Rate for Payer: BCBS HMK CHIP $36.90
Rate for Payer: AETNA Commercial $38.95
Rate for Payer: AETNA Medicare $36.90
Rate for Payer: BCBS CLOSED PLAN NETWORK $38.95
Rate for Payer: BCBS Healthlink $36.90
Rate for Payer: BCBS MCR ADVANTAGE Medicare Part A $36.90
Rate for Payer: BCBS POS $38.95
Rate for Payer: BCBS Traditional $41.00
Rate for Payer: CASH_PRICE $32.80
Rate for Payer: CIGNA Commercial $38.95
Rate for Payer: CIGNA Medicare $36.90
Rate for Payer: HUMANA Commercial $36.90
Rate for Payer: MEDICAID Medicaid $37.72
Rate for Payer: MEDICARE Medicare $28.70
Rate for Payer: MONIDA - ALLEGIANCE Commercial $38.95
Rate for Payer: MONIDA - FIRST CHOICE HEALTH Commercial $39.77
Rate for Payer: MONIDA - MONTANA HEALTH COOP Commercial $38.95
Rate for Payer: MONIDA - PACIFICSOURCE Commercial $38.95
Rate for Payer: UNITED HEALTHCARE Commercial $34.85
Rate for Payer: UNITED HEALTHCARE MCD ADVANTAGE Medicaid $32.80
Rate for Payer: UNITED HEALTHCARE MCR ADVANTAGE RHC Medicare $32.80
Hospital Charge Code 20221105
Hospital Revenue Code 290
Min. Negotiated Rate $28.70
Max. Negotiated Rate $41.00
Rate for Payer: AETNA Commercial $38.95
Rate for Payer: AETNA Medicare $36.90
Rate for Payer: BCBS CLOSED PLAN NETWORK $38.95
Rate for Payer: BCBS Healthlink $36.90
Rate for Payer: BCBS HMK CHIP $36.90
Rate for Payer: BCBS MCR ADVANTAGE Medicare Part A $36.90
Rate for Payer: BCBS POS $38.95
Rate for Payer: BCBS Traditional $41.00
Rate for Payer: CASH_PRICE $32.80
Rate for Payer: CIGNA Commercial $38.95
Rate for Payer: CIGNA Medicare $36.90
Rate for Payer: HUMANA Commercial $36.90
Rate for Payer: MEDICAID Medicaid $37.72
Rate for Payer: MEDICARE Medicare $28.70
Rate for Payer: MONIDA - ALLEGIANCE Commercial $38.95
Rate for Payer: MONIDA - FIRST CHOICE HEALTH Commercial $39.77
Rate for Payer: MONIDA - MONTANA HEALTH COOP Commercial $38.95
Rate for Payer: MONIDA - PACIFICSOURCE Commercial $38.95
Rate for Payer: UNITED HEALTHCARE Commercial $34.85
Rate for Payer: UNITED HEALTHCARE MCD ADVANTAGE Medicaid $32.80
Rate for Payer: UNITED HEALTHCARE MCR ADVANTAGE RHC Medicare $32.80
Service Code CPT 86900
Hospital Charge Code 20221105
Hospital Revenue Code 300
Min. Negotiated Rate $76.30
Max. Negotiated Rate $109.00
Rate for Payer: AETNA Commercial $103.55
Rate for Payer: AETNA Medicare $98.10
Rate for Payer: BCBS CLOSED PLAN NETWORK $103.55
Rate for Payer: BCBS Healthlink $98.10
Rate for Payer: BCBS HMK CHIP $98.10
Rate for Payer: BCBS MCR ADVANTAGE Medicare Part A $98.10
Rate for Payer: BCBS POS $103.55
Rate for Payer: BCBS Traditional $109.00
Rate for Payer: CASH_PRICE $87.20
Rate for Payer: CIGNA Commercial $103.55
Rate for Payer: CIGNA Medicare $98.10
Rate for Payer: HUMANA Commercial $98.10
Rate for Payer: MEDICAID Medicaid $100.28
Rate for Payer: MEDICARE Medicare $76.30
Rate for Payer: MONIDA - ALLEGIANCE Commercial $103.55
Rate for Payer: MONIDA - FIRST CHOICE HEALTH Commercial $105.73
Rate for Payer: MONIDA - MONTANA HEALTH COOP Commercial $103.55
Rate for Payer: MONIDA - PACIFICSOURCE Commercial $103.55
Rate for Payer: UNITED HEALTHCARE Commercial $92.65
Rate for Payer: UNITED HEALTHCARE MCD ADVANTAGE Medicaid $87.20
Rate for Payer: UNITED HEALTHCARE MCR ADVANTAGE RHC Medicare $87.20
Service Code CPT 86900
Hospital Charge Code 20221105
Hospital Revenue Code 300
Min. Negotiated Rate $76.30
Max. Negotiated Rate $109.00
Rate for Payer: AETNA Commercial $103.55
Rate for Payer: AETNA Medicare $98.10
Rate for Payer: BCBS CLOSED PLAN NETWORK $103.55
Rate for Payer: BCBS Healthlink $98.10
Rate for Payer: BCBS HMK CHIP $98.10
Rate for Payer: BCBS MCR ADVANTAGE Medicare Part A $98.10
Rate for Payer: BCBS POS $103.55
Rate for Payer: BCBS Traditional $109.00
Rate for Payer: CASH_PRICE $87.20
Rate for Payer: CIGNA Commercial $103.55
Rate for Payer: CIGNA Medicare $98.10
Rate for Payer: HUMANA Commercial $98.10
Rate for Payer: MEDICAID Medicaid $100.28
Rate for Payer: MEDICARE Medicare $76.30
Rate for Payer: MONIDA - ALLEGIANCE Commercial $103.55
Rate for Payer: MONIDA - FIRST CHOICE HEALTH Commercial $105.73
Rate for Payer: MONIDA - MONTANA HEALTH COOP Commercial $103.55
Rate for Payer: MONIDA - PACIFICSOURCE Commercial $103.55
Rate for Payer: UNITED HEALTHCARE Commercial $92.65
Rate for Payer: UNITED HEALTHCARE MCD ADVANTAGE Medicaid $87.20
Rate for Payer: UNITED HEALTHCARE MCR ADVANTAGE RHC Medicare $87.20
Service Code CPT 86360
Hospital Charge Code 20221105
Hospital Revenue Code 302
Min. Negotiated Rate $91.70
Max. Negotiated Rate $131.00
Rate for Payer: AETNA Commercial $124.45
Rate for Payer: AETNA Medicare $117.90
Rate for Payer: BCBS CLOSED PLAN NETWORK $124.45
Rate for Payer: BCBS Healthlink $117.90
Rate for Payer: BCBS HMK CHIP $117.90
Rate for Payer: BCBS MCR ADVANTAGE Medicare Part A $117.90
Rate for Payer: BCBS POS $124.45
Rate for Payer: BCBS Traditional $131.00
Rate for Payer: CASH_PRICE $104.80
Rate for Payer: CIGNA Commercial $124.45
Rate for Payer: CIGNA Medicare $117.90
Rate for Payer: HUMANA Commercial $117.90
Rate for Payer: MEDICAID Medicaid $120.52
Rate for Payer: MEDICARE Medicare $91.70
Rate for Payer: MONIDA - ALLEGIANCE Commercial $124.45
Rate for Payer: MONIDA - FIRST CHOICE HEALTH Commercial $127.07
Rate for Payer: MONIDA - MONTANA HEALTH COOP Commercial $124.45
Rate for Payer: MONIDA - PACIFICSOURCE Commercial $124.45
Rate for Payer: UNITED HEALTHCARE Commercial $111.35
Rate for Payer: UNITED HEALTHCARE MCD ADVANTAGE Medicaid $104.80
Rate for Payer: UNITED HEALTHCARE MCR ADVANTAGE RHC Medicare $104.80
Service Code CPT 86360
Hospital Charge Code 20221105
Hospital Revenue Code 302
Min. Negotiated Rate $91.70
Max. Negotiated Rate $131.00
Rate for Payer: BCBS HMK CHIP $117.90
Rate for Payer: AETNA Commercial $124.45
Rate for Payer: AETNA Medicare $117.90
Rate for Payer: BCBS CLOSED PLAN NETWORK $124.45
Rate for Payer: BCBS Healthlink $117.90
Rate for Payer: BCBS MCR ADVANTAGE Medicare Part A $117.90
Rate for Payer: BCBS POS $124.45
Rate for Payer: BCBS Traditional $131.00
Rate for Payer: CASH_PRICE $104.80
Rate for Payer: CIGNA Commercial $124.45
Rate for Payer: CIGNA Medicare $117.90
Rate for Payer: HUMANA Commercial $117.90
Rate for Payer: MEDICAID Medicaid $120.52
Rate for Payer: MEDICARE Medicare $91.70
Rate for Payer: MONIDA - ALLEGIANCE Commercial $124.45
Rate for Payer: MONIDA - FIRST CHOICE HEALTH Commercial $127.07
Rate for Payer: MONIDA - MONTANA HEALTH COOP Commercial $124.45
Rate for Payer: MONIDA - PACIFICSOURCE Commercial $124.45
Rate for Payer: UNITED HEALTHCARE Commercial $111.35
Rate for Payer: UNITED HEALTHCARE MCD ADVANTAGE Medicaid $104.80
Rate for Payer: UNITED HEALTHCARE MCR ADVANTAGE RHC Medicare $104.80
Service Code CPT A6448
Hospital Charge Code 20221105
Hospital Revenue Code 290
Min. Negotiated Rate $3.50
Max. Negotiated Rate $5.00
Rate for Payer: AETNA Commercial $4.75
Rate for Payer: AETNA Medicare $4.50
Rate for Payer: BCBS CLOSED PLAN NETWORK $4.75
Rate for Payer: BCBS Healthlink $4.50
Rate for Payer: BCBS HMK CHIP $4.50
Rate for Payer: BCBS MCR ADVANTAGE Medicare Part A $4.50
Rate for Payer: BCBS POS $4.75
Rate for Payer: BCBS Traditional $5.00
Rate for Payer: CASH_PRICE $4.00
Rate for Payer: CIGNA Commercial $4.75
Rate for Payer: CIGNA Medicare $4.50
Rate for Payer: HUMANA Commercial $4.50
Rate for Payer: MEDICAID Medicaid $4.60
Rate for Payer: MEDICARE Medicare $3.50
Rate for Payer: MONIDA - ALLEGIANCE Commercial $4.75
Rate for Payer: MONIDA - FIRST CHOICE HEALTH Commercial $4.85
Rate for Payer: MONIDA - MONTANA HEALTH COOP Commercial $4.75
Rate for Payer: MONIDA - PACIFICSOURCE Commercial $4.75
Rate for Payer: UNITED HEALTHCARE Commercial $4.25
Rate for Payer: UNITED HEALTHCARE MCD ADVANTAGE Medicaid $4.00
Rate for Payer: UNITED HEALTHCARE MCR ADVANTAGE RHC Medicare $4.00
Service Code CPT A6448
Hospital Charge Code 20221105
Hospital Revenue Code 290
Min. Negotiated Rate $3.50
Max. Negotiated Rate $5.00
Rate for Payer: AETNA Commercial $4.75
Rate for Payer: AETNA Medicare $4.50
Rate for Payer: BCBS CLOSED PLAN NETWORK $4.75
Rate for Payer: BCBS Healthlink $4.50
Rate for Payer: BCBS HMK CHIP $4.50
Rate for Payer: BCBS MCR ADVANTAGE Medicare Part A $4.50
Rate for Payer: BCBS POS $4.75
Rate for Payer: BCBS Traditional $5.00
Rate for Payer: CASH_PRICE $4.00
Rate for Payer: CIGNA Commercial $4.75
Rate for Payer: CIGNA Medicare $4.50
Rate for Payer: HUMANA Commercial $4.50
Rate for Payer: MEDICAID Medicaid $4.60
Rate for Payer: MEDICARE Medicare $3.50
Rate for Payer: MONIDA - ALLEGIANCE Commercial $4.75
Rate for Payer: MONIDA - FIRST CHOICE HEALTH Commercial $4.85
Rate for Payer: MONIDA - MONTANA HEALTH COOP Commercial $4.75
Rate for Payer: MONIDA - PACIFICSOURCE Commercial $4.75
Rate for Payer: UNITED HEALTHCARE Commercial $4.25
Rate for Payer: UNITED HEALTHCARE MCD ADVANTAGE Medicaid $4.00
Rate for Payer: UNITED HEALTHCARE MCR ADVANTAGE RHC Medicare $4.00
Service Code CPT A6449
Hospital Charge Code 20221105
Hospital Revenue Code 290
Min. Negotiated Rate $3.50
Max. Negotiated Rate $5.00
Rate for Payer: AETNA Commercial $4.75
Rate for Payer: AETNA Medicare $4.50
Rate for Payer: BCBS CLOSED PLAN NETWORK $4.75
Rate for Payer: BCBS Healthlink $4.50
Rate for Payer: BCBS HMK CHIP $4.50
Rate for Payer: BCBS MCR ADVANTAGE Medicare Part A $4.50
Rate for Payer: BCBS POS $4.75
Rate for Payer: BCBS Traditional $5.00
Rate for Payer: CASH_PRICE $4.00
Rate for Payer: CIGNA Commercial $4.75
Rate for Payer: CIGNA Medicare $4.50
Rate for Payer: HUMANA Commercial $4.50
Rate for Payer: MEDICAID Medicaid $4.60
Rate for Payer: MEDICARE Medicare $3.50
Rate for Payer: MONIDA - ALLEGIANCE Commercial $4.75
Rate for Payer: MONIDA - FIRST CHOICE HEALTH Commercial $4.85
Rate for Payer: MONIDA - MONTANA HEALTH COOP Commercial $4.75
Rate for Payer: MONIDA - PACIFICSOURCE Commercial $4.75
Rate for Payer: UNITED HEALTHCARE Commercial $4.25
Rate for Payer: UNITED HEALTHCARE MCD ADVANTAGE Medicaid $4.00
Rate for Payer: UNITED HEALTHCARE MCR ADVANTAGE RHC Medicare $4.00
Service Code CPT A6449
Hospital Charge Code 20221105
Hospital Revenue Code 290
Min. Negotiated Rate $3.50
Max. Negotiated Rate $5.00
Rate for Payer: AETNA Commercial $4.75
Rate for Payer: AETNA Medicare $4.50
Rate for Payer: BCBS CLOSED PLAN NETWORK $4.75
Rate for Payer: BCBS Healthlink $4.50
Rate for Payer: BCBS HMK CHIP $4.50
Rate for Payer: BCBS MCR ADVANTAGE Medicare Part A $4.50
Rate for Payer: BCBS POS $4.75
Rate for Payer: BCBS Traditional $5.00
Rate for Payer: CASH_PRICE $4.00
Rate for Payer: CIGNA Commercial $4.75
Rate for Payer: CIGNA Medicare $4.50
Rate for Payer: HUMANA Commercial $4.50
Rate for Payer: MEDICAID Medicaid $4.60
Rate for Payer: MEDICARE Medicare $3.50
Rate for Payer: MONIDA - ALLEGIANCE Commercial $4.75
Rate for Payer: MONIDA - FIRST CHOICE HEALTH Commercial $4.85
Rate for Payer: MONIDA - MONTANA HEALTH COOP Commercial $4.75
Rate for Payer: MONIDA - PACIFICSOURCE Commercial $4.75
Rate for Payer: UNITED HEALTHCARE Commercial $4.25
Rate for Payer: UNITED HEALTHCARE MCD ADVANTAGE Medicaid $4.00
Rate for Payer: UNITED HEALTHCARE MCR ADVANTAGE RHC Medicare $4.00
Service Code CPT A4590
Hospital Charge Code 20221105
Hospital Revenue Code 270
Min. Negotiated Rate $0.70
Max. Negotiated Rate $1.00
Rate for Payer: AETNA Commercial $0.95
Rate for Payer: AETNA Medicare $0.90
Rate for Payer: BCBS CLOSED PLAN NETWORK $0.95
Rate for Payer: BCBS Healthlink $0.90
Rate for Payer: BCBS HMK CHIP $0.90
Rate for Payer: BCBS MCR ADVANTAGE Medicare Part A $0.90
Rate for Payer: BCBS POS $0.95
Rate for Payer: BCBS Traditional $1.00
Rate for Payer: CASH_PRICE $0.80
Rate for Payer: CIGNA Commercial $0.95
Rate for Payer: CIGNA Medicare $0.90
Rate for Payer: HUMANA Commercial $0.90
Rate for Payer: MEDICAID Medicaid $0.92
Rate for Payer: MEDICARE Medicare $0.70
Rate for Payer: MONIDA - ALLEGIANCE Commercial $0.95
Rate for Payer: MONIDA - FIRST CHOICE HEALTH Commercial $0.97
Rate for Payer: MONIDA - MONTANA HEALTH COOP Commercial $0.95
Rate for Payer: MONIDA - PACIFICSOURCE Commercial $0.95
Rate for Payer: UNITED HEALTHCARE Commercial $0.85
Rate for Payer: UNITED HEALTHCARE MCD ADVANTAGE Medicaid $0.80
Rate for Payer: UNITED HEALTHCARE MCR ADVANTAGE RHC Medicare $0.80
Service Code CPT A4590
Hospital Charge Code 20221105
Hospital Revenue Code 270
Min. Negotiated Rate $0.70
Max. Negotiated Rate $1.00
Rate for Payer: BCBS HMK CHIP $0.90
Rate for Payer: AETNA Commercial $0.95
Rate for Payer: AETNA Medicare $0.90
Rate for Payer: BCBS CLOSED PLAN NETWORK $0.95
Rate for Payer: BCBS Healthlink $0.90
Rate for Payer: BCBS MCR ADVANTAGE Medicare Part A $0.90
Rate for Payer: BCBS POS $0.95
Rate for Payer: BCBS Traditional $1.00
Rate for Payer: CASH_PRICE $0.80
Rate for Payer: CIGNA Commercial $0.95
Rate for Payer: CIGNA Medicare $0.90
Rate for Payer: HUMANA Commercial $0.90
Rate for Payer: MEDICAID Medicaid $0.92
Rate for Payer: MEDICARE Medicare $0.70
Rate for Payer: MONIDA - ALLEGIANCE Commercial $0.95
Rate for Payer: MONIDA - FIRST CHOICE HEALTH Commercial $0.97
Rate for Payer: MONIDA - MONTANA HEALTH COOP Commercial $0.95
Rate for Payer: MONIDA - PACIFICSOURCE Commercial $0.95
Rate for Payer: UNITED HEALTHCARE Commercial $0.85
Rate for Payer: UNITED HEALTHCARE MCD ADVANTAGE Medicaid $0.80
Rate for Payer: UNITED HEALTHCARE MCR ADVANTAGE RHC Medicare $0.80
Service Code CPT A4590
Hospital Charge Code 20221105
Hospital Revenue Code 270
Min. Negotiated Rate $0.70
Max. Negotiated Rate $1.00
Rate for Payer: AETNA Commercial $0.95
Rate for Payer: AETNA Medicare $0.90
Rate for Payer: BCBS CLOSED PLAN NETWORK $0.95
Rate for Payer: BCBS Healthlink $0.90
Rate for Payer: BCBS HMK CHIP $0.90
Rate for Payer: BCBS MCR ADVANTAGE Medicare Part A $0.90
Rate for Payer: BCBS POS $0.95
Rate for Payer: BCBS Traditional $1.00
Rate for Payer: CASH_PRICE $0.80
Rate for Payer: CIGNA Commercial $0.95
Rate for Payer: CIGNA Medicare $0.90
Rate for Payer: HUMANA Commercial $0.90
Rate for Payer: MEDICAID Medicaid $0.92
Rate for Payer: MEDICARE Medicare $0.70
Rate for Payer: MONIDA - ALLEGIANCE Commercial $0.95
Rate for Payer: MONIDA - FIRST CHOICE HEALTH Commercial $0.97
Rate for Payer: MONIDA - MONTANA HEALTH COOP Commercial $0.95
Rate for Payer: MONIDA - PACIFICSOURCE Commercial $0.95
Rate for Payer: UNITED HEALTHCARE Commercial $0.85
Rate for Payer: UNITED HEALTHCARE MCD ADVANTAGE Medicaid $0.80
Rate for Payer: UNITED HEALTHCARE MCR ADVANTAGE RHC Medicare $0.80
Service Code CPT A4590
Hospital Charge Code 20221105
Hospital Revenue Code 270
Min. Negotiated Rate $0.70
Max. Negotiated Rate $1.00
Rate for Payer: BCBS HMK CHIP $0.90
Rate for Payer: AETNA Commercial $0.95
Rate for Payer: AETNA Medicare $0.90
Rate for Payer: BCBS CLOSED PLAN NETWORK $0.95
Rate for Payer: BCBS Healthlink $0.90
Rate for Payer: BCBS MCR ADVANTAGE Medicare Part A $0.90
Rate for Payer: BCBS POS $0.95
Rate for Payer: BCBS Traditional $1.00
Rate for Payer: CASH_PRICE $0.80
Rate for Payer: CIGNA Commercial $0.95
Rate for Payer: CIGNA Medicare $0.90
Rate for Payer: HUMANA Commercial $0.90
Rate for Payer: MEDICAID Medicaid $0.92
Rate for Payer: MEDICARE Medicare $0.70
Rate for Payer: MONIDA - ALLEGIANCE Commercial $0.95
Rate for Payer: MONIDA - FIRST CHOICE HEALTH Commercial $0.97
Rate for Payer: MONIDA - MONTANA HEALTH COOP Commercial $0.95
Rate for Payer: MONIDA - PACIFICSOURCE Commercial $0.95
Rate for Payer: UNITED HEALTHCARE Commercial $0.85
Rate for Payer: UNITED HEALTHCARE MCD ADVANTAGE Medicaid $0.80
Rate for Payer: UNITED HEALTHCARE MCR ADVANTAGE RHC Medicare $0.80
Service Code CPT A4590
Hospital Charge Code 20221105
Hospital Revenue Code 270
Min. Negotiated Rate $4.20
Max. Negotiated Rate $6.00
Rate for Payer: AETNA Commercial $5.70
Rate for Payer: AETNA Medicare $5.40
Rate for Payer: BCBS CLOSED PLAN NETWORK $5.70
Rate for Payer: BCBS Healthlink $5.40
Rate for Payer: BCBS HMK CHIP $5.40
Rate for Payer: BCBS MCR ADVANTAGE Medicare Part A $5.40
Rate for Payer: BCBS POS $5.70
Rate for Payer: BCBS Traditional $6.00
Rate for Payer: CASH_PRICE $4.80
Rate for Payer: CIGNA Commercial $5.70
Rate for Payer: CIGNA Medicare $5.40
Rate for Payer: HUMANA Commercial $5.40
Rate for Payer: MEDICAID Medicaid $5.52
Rate for Payer: MEDICARE Medicare $4.20
Rate for Payer: MONIDA - ALLEGIANCE Commercial $5.70
Rate for Payer: MONIDA - FIRST CHOICE HEALTH Commercial $5.82
Rate for Payer: MONIDA - MONTANA HEALTH COOP Commercial $5.70
Rate for Payer: MONIDA - PACIFICSOURCE Commercial $5.70
Rate for Payer: UNITED HEALTHCARE Commercial $5.10
Rate for Payer: UNITED HEALTHCARE MCD ADVANTAGE Medicaid $4.80
Rate for Payer: UNITED HEALTHCARE MCR ADVANTAGE RHC Medicare $4.80