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Charge Type Setting Price  
Service Code HCPCS 32666
Min. Negotiated Rate $2,903.25
Max. Negotiated Rate $2,903.25
Rate for Payer: Cash Price $1,033.33
Rate for Payer: SOMOS CHP/HARP/Medicaid $2,903.25
Rate for Payer: SOMOS Essential $2,903.25
Service Code HCPCS 32664
Min. Negotiated Rate $2,833.30
Max. Negotiated Rate $2,833.30
Rate for Payer: Cash Price $1,008.06
Rate for Payer: SOMOS CHP/HARP/Medicaid $2,833.30
Rate for Payer: SOMOS Essential $2,833.30
Service Code HCPCS 32036
Min. Negotiated Rate $2,643.01
Max. Negotiated Rate $2,643.01
Rate for Payer: Cash Price $942.25
Rate for Payer: SOMOS CHP/HARP/Medicaid $2,643.01
Rate for Payer: SOMOS Essential $2,643.01
Service Code HCPCS 32035
Min. Negotiated Rate $2,453.30
Max. Negotiated Rate $2,453.30
Rate for Payer: Cash Price $876.12
Rate for Payer: SOMOS CHP/HARP/Medicaid $2,453.30
Rate for Payer: SOMOS Essential $2,453.30
Service Code HCPCS 32124
Min. Negotiated Rate $3,068.97
Max. Negotiated Rate $3,068.97
Rate for Payer: Cash Price $1,092.45
Rate for Payer: SOMOS CHP/HARP/Medicaid $3,068.97
Rate for Payer: SOMOS Essential $3,068.97
Service Code HCPCS 32120
Min. Negotiated Rate $2,908.74
Max. Negotiated Rate $2,908.74
Rate for Payer: SOMOS CHP/HARP/Medicaid $2,908.74
Rate for Payer: SOMOS Essential $2,908.74
Service Code HCPCS 32098
Min. Negotiated Rate $2,536.06
Max. Negotiated Rate $2,536.06
Rate for Payer: Cash Price $897.79
Rate for Payer: SOMOS CHP/HARP/Medicaid $2,536.06
Rate for Payer: SOMOS Essential $2,536.06
Service Code HCPCS 32160
Min. Negotiated Rate $2,656.64
Max. Negotiated Rate $2,656.64
Rate for Payer: Cash Price $945.29
Rate for Payer: SOMOS CHP/HARP/Medicaid $2,656.64
Rate for Payer: SOMOS Essential $2,656.64
Service Code HCPCS 32507
Min. Negotiated Rate $522.27
Max. Negotiated Rate $522.27
Rate for Payer: Cash Price $183.30
Rate for Payer: SOMOS CHP/HARP/Medicaid $522.27
Rate for Payer: SOMOS Essential $522.27
Service Code HCPCS 32100
Min. Negotiated Rate $2,695.24
Max. Negotiated Rate $2,695.24
Rate for Payer: Cash Price $961.13
Rate for Payer: SOMOS CHP/HARP/Medicaid $2,695.24
Rate for Payer: SOMOS Essential $2,695.24
Service Code HCPCS 32141
Min. Negotiated Rate $5,078.14
Max. Negotiated Rate $5,078.14
Rate for Payer: Cash Price $1,796.92
Rate for Payer: SOMOS CHP/HARP/Medicaid $5,078.14
Rate for Payer: SOMOS Essential $5,078.14
Service Code HCPCS 32505
Min. Negotiated Rate $3,106.35
Max. Negotiated Rate $3,106.35
Rate for Payer: Cash Price $1,104.43
Rate for Payer: SOMOS CHP/HARP/Medicaid $3,106.35
Rate for Payer: SOMOS Essential $3,106.35
Service Code HCPCS 32506
Min. Negotiated Rate $522.27
Max. Negotiated Rate $522.27
Rate for Payer: Cash Price $183.70
Rate for Payer: SOMOS CHP/HARP/Medicaid $522.27
Rate for Payer: SOMOS Essential $522.27
Service Code HCPCS 32096
Min. Negotiated Rate $2,664.85
Max. Negotiated Rate $2,664.85
Rate for Payer: Cash Price $948.78
Rate for Payer: SOMOS CHP/HARP/Medicaid $2,664.85
Rate for Payer: SOMOS Essential $2,664.85
Service Code HCPCS 32097
Min. Negotiated Rate $2,670.34
Max. Negotiated Rate $2,670.34
Rate for Payer: Cash Price $950.35
Rate for Payer: SOMOS CHP/HARP/Medicaid $2,670.34
Rate for Payer: SOMOS Essential $2,670.34
Service Code HCPCS 32701
Min. Negotiated Rate $686.20
Max. Negotiated Rate $686.20
Rate for Payer: Cash Price $241.96
Rate for Payer: SOMOS CHP/HARP/Medicaid $686.20
Rate for Payer: SOMOS Essential $686.20
Service Code HCPCS 32110
Min. Negotiated Rate $4,910.17
Max. Negotiated Rate $4,910.17
Rate for Payer: Cash Price $1,750.30
Rate for Payer: SOMOS CHP/HARP/Medicaid $4,910.17
Rate for Payer: SOMOS Essential $4,910.17
Service Code HCPCS 38746
Min. Negotiated Rate $712.22
Max. Negotiated Rate $712.22
Rate for Payer: Cash Price $252.45
Rate for Payer: SOMOS CHP/HARP/Medicaid $712.22
Rate for Payer: SOMOS Essential $712.22
Service Code HCPCS 32140
Min. Negotiated Rate $3,307.64
Max. Negotiated Rate $3,307.64
Rate for Payer: Cash Price $1,177.65
Rate for Payer: SOMOS CHP/HARP/Medicaid $3,307.64
Rate for Payer: SOMOS Essential $3,307.64
Service Code HCPCS 32150
Min. Negotiated Rate $3,371.58
Max. Negotiated Rate $3,371.58
Rate for Payer: Cash Price $1,207.60
Rate for Payer: SOMOS CHP/HARP/Medicaid $3,371.58
Rate for Payer: SOMOS Essential $3,371.58
Service Code HCPCS 32151
Min. Negotiated Rate $3,356.90
Max. Negotiated Rate $3,356.90
Rate for Payer: Cash Price $1,194.94
Rate for Payer: SOMOS CHP/HARP/Medicaid $3,356.90
Rate for Payer: SOMOS Essential $3,356.90
Service Code HCPCS 32674
Min. Negotiated Rate $714.26
Max. Negotiated Rate $714.26
Rate for Payer: Cash Price $253.71
Rate for Payer: SOMOS CHP/HARP/Medicaid $714.26
Rate for Payer: SOMOS Essential $714.26
Service Code HCPCS 32601
Min. Negotiated Rate $1,023.96
Max. Negotiated Rate $1,023.96
Rate for Payer: Cash Price $363.59
Rate for Payer: SOMOS CHP/HARP/Medicaid $1,023.96
Rate for Payer: SOMOS Essential $1,023.96
Service Code HCPCS 35875
Min. Negotiated Rate $1,969.96
Max. Negotiated Rate $1,969.96
Rate for Payer: Cash Price $696.83
Rate for Payer: SOMOS CHP/HARP/Medicaid $1,969.96
Rate for Payer: SOMOS Essential $1,969.96
Service Code HCPCS 35876
Min. Negotiated Rate $3,133.67
Max. Negotiated Rate $3,133.67
Rate for Payer: Cash Price $1,108.08
Rate for Payer: SOMOS CHP/HARP/Medicaid $3,133.67
Rate for Payer: SOMOS Essential $3,133.67