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Charge Type Setting Price  
Service Code HCPCS 32905
Min. Negotiated Rate $4,456.07
Max. Negotiated Rate $4,456.07
Rate for Payer: Cash Price $1,582.20
Rate for Payer: SOMOS CHP/HARP/Medicaid $4,456.07
Rate for Payer: SOMOS Essential $4,456.07
Service Code HCPCS 32906
Min. Negotiated Rate $5,501.35
Max. Negotiated Rate $5,501.35
Rate for Payer: Cash Price $1,951.11
Rate for Payer: SOMOS CHP/HARP/Medicaid $5,501.35
Rate for Payer: SOMOS Essential $5,501.35
Service Code HCPCS 32654
Min. Negotiated Rate $3,903.22
Max. Negotiated Rate $3,903.22
Rate for Payer: Cash Price $1,395.06
Rate for Payer: SOMOS CHP/HARP/Medicaid $3,903.22
Rate for Payer: SOMOS Essential $3,903.22
Service Code HCPCS 32606
Min. Negotiated Rate $1,537.07
Max. Negotiated Rate $1,537.07
Rate for Payer: Cash Price $544.86
Rate for Payer: SOMOS CHP/HARP/Medicaid $1,537.07
Rate for Payer: SOMOS Essential $1,537.07
Service Code HCPCS 32604
Min. Negotiated Rate $1,596.52
Max. Negotiated Rate $1,596.52
Rate for Payer: Cash Price $566.18
Rate for Payer: SOMOS CHP/HARP/Medicaid $1,596.52
Rate for Payer: SOMOS Essential $1,596.52
Service Code HCPCS 32673
Min. Negotiated Rate $4,054.92
Max. Negotiated Rate $4,054.92
Rate for Payer: Cash Price $1,439.62
Rate for Payer: SOMOS CHP/HARP/Medicaid $4,054.92
Rate for Payer: SOMOS Essential $4,054.92
Service Code HCPCS 32653
Min. Negotiated Rate $3,520.60
Max. Negotiated Rate $3,520.60
Rate for Payer: Cash Price $1,249.84
Rate for Payer: SOMOS CHP/HARP/Medicaid $3,520.60
Rate for Payer: SOMOS Essential $3,520.60
Service Code HCPCS 32670
Min. Negotiated Rate $5,350.04
Max. Negotiated Rate $5,350.04
Rate for Payer: Cash Price $1,890.06
Rate for Payer: SOMOS CHP/HARP/Medicaid $5,350.04
Rate for Payer: SOMOS Essential $5,350.04
Service Code HCPCS 32607
Min. Negotiated Rate $1,024.94
Max. Negotiated Rate $1,024.94
Rate for Payer: Cash Price $362.81
Rate for Payer: SOMOS CHP/HARP/Medicaid $1,024.94
Rate for Payer: SOMOS Essential $1,024.94
Service Code HCPCS 32608
Min. Negotiated Rate $1,259.58
Max. Negotiated Rate $1,259.58
Rate for Payer: Cash Price $446.99
Rate for Payer: SOMOS CHP/HARP/Medicaid $1,259.58
Rate for Payer: SOMOS Essential $1,259.58
Service Code HCPCS 32668
Min. Negotiated Rate $522.27
Max. Negotiated Rate $522.27
Rate for Payer: Cash Price $184.32
Rate for Payer: SOMOS CHP/HARP/Medicaid $522.27
Rate for Payer: SOMOS Essential $522.27
Service Code HCPCS 32665
Min. Negotiated Rate $4,113.88
Max. Negotiated Rate $4,113.88
Rate for Payer: Cash Price $1,458.72
Rate for Payer: SOMOS CHP/HARP/Medicaid $4,113.88
Rate for Payer: SOMOS Essential $4,113.88
Service Code HCPCS 32662
Min. Negotiated Rate $2,982.63
Max. Negotiated Rate $2,982.63
Rate for Payer: Cash Price $1,062.09
Rate for Payer: SOMOS CHP/HARP/Medicaid $2,982.63
Rate for Payer: SOMOS Essential $2,982.63
Service Code HCPCS 32661
Min. Negotiated Rate $2,669.81
Max. Negotiated Rate $2,669.81
Rate for Payer: Cash Price $949.93
Rate for Payer: SOMOS CHP/HARP/Medicaid $2,669.81
Rate for Payer: SOMOS Essential $2,669.81
Service Code HCPCS 32609
Min. Negotiated Rate $840.61
Max. Negotiated Rate $840.61
Rate for Payer: Cash Price $299.47
Rate for Payer: SOMOS CHP/HARP/Medicaid $840.61
Rate for Payer: SOMOS Essential $840.61
Service Code HCPCS 32663
Min. Negotiated Rate $4,665.99
Max. Negotiated Rate $4,665.99
Rate for Payer: Cash Price $1,654.34
Rate for Payer: SOMOS CHP/HARP/Medicaid $4,665.99
Rate for Payer: SOMOS Essential $4,665.99
Service Code HCPCS 32656
Min. Negotiated Rate $2,683.15
Max. Negotiated Rate $2,683.15
Rate for Payer: Cash Price $954.11
Rate for Payer: SOMOS CHP/HARP/Medicaid $2,683.15
Rate for Payer: SOMOS Essential $2,683.15
Service Code HCPCS 32651
Min. Negotiated Rate $3,651.74
Max. Negotiated Rate $3,651.74
Rate for Payer: Cash Price $1,297.65
Rate for Payer: SOMOS CHP/HARP/Medicaid $3,651.74
Rate for Payer: SOMOS Essential $3,651.74
Service Code HCPCS 32650
Min. Negotiated Rate $2,219.28
Max. Negotiated Rate $2,219.28
Rate for Payer: Cash Price $793.73
Rate for Payer: SOMOS CHP/HARP/Medicaid $2,219.28
Rate for Payer: SOMOS Essential $2,219.28
Service Code HCPCS 32671
Min. Negotiated Rate $5,920.84
Max. Negotiated Rate $5,920.84
Rate for Payer: Cash Price $2,095.65
Rate for Payer: SOMOS CHP/HARP/Medicaid $5,920.84
Rate for Payer: SOMOS Essential $5,920.84
Service Code HCPCS 32655
Min. Negotiated Rate $3,196.10
Max. Negotiated Rate $3,196.10
Rate for Payer: Cash Price $1,135.23
Rate for Payer: SOMOS CHP/HARP/Medicaid $3,196.10
Rate for Payer: SOMOS Essential $3,196.10
Service Code HCPCS 32672
Min. Negotiated Rate $5,052.10
Max. Negotiated Rate $5,052.10
Rate for Payer: Cash Price $1,795.80
Rate for Payer: SOMOS CHP/HARP/Medicaid $5,052.10
Rate for Payer: SOMOS Essential $5,052.10
Service Code HCPCS 32658
Min. Negotiated Rate $2,390.14
Max. Negotiated Rate $2,390.14
Rate for Payer: Cash Price $850.26
Rate for Payer: SOMOS CHP/HARP/Medicaid $2,390.14
Rate for Payer: SOMOS Essential $2,390.14
Service Code HCPCS 32669
Min. Negotiated Rate $4,478.20
Max. Negotiated Rate $4,478.20
Rate for Payer: Cash Price $1,588.75
Rate for Payer: SOMOS CHP/HARP/Medicaid $4,478.20
Rate for Payer: SOMOS Essential $4,478.20
Service Code HCPCS 32667
Min. Negotiated Rate $522.27
Max. Negotiated Rate $522.27
Rate for Payer: Cash Price $184.32
Rate for Payer: SOMOS CHP/HARP/Medicaid $522.27
Rate for Payer: SOMOS Essential $522.27