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Charge Type Setting Price  
Service Code HCPCS 74018
Min. Negotiated Rate $96.47
Max. Negotiated Rate $96.47
Rate for Payer: Cash Price $35.43
Rate for Payer: SOMOS CHP/HARP/Medicaid $96.47
Rate for Payer: SOMOS Essential $96.47
Service Code HCPCS 74018 26
Min. Negotiated Rate $26.51
Max. Negotiated Rate $26.51
Rate for Payer: Cash Price $9.65
Rate for Payer: SOMOS CHP/HARP/Medicaid $26.51
Rate for Payer: SOMOS Essential $26.51
Service Code HCPCS 74018 TC
Min. Negotiated Rate $69.98
Max. Negotiated Rate $69.98
Rate for Payer: Cash Price $25.77
Rate for Payer: SOMOS CHP/HARP/Medicaid $69.98
Rate for Payer: SOMOS Essential $69.98
Service Code HCPCS 74019 TC
Min. Negotiated Rate $85.08
Max. Negotiated Rate $85.08
Rate for Payer: Cash Price $30.88
Rate for Payer: SOMOS CHP/HARP/Medicaid $85.08
Rate for Payer: SOMOS Essential $85.08
Service Code HCPCS 74019 26
Min. Negotiated Rate $33.37
Max. Negotiated Rate $33.37
Rate for Payer: Cash Price $11.79
Rate for Payer: SOMOS CHP/HARP/Medicaid $33.37
Rate for Payer: SOMOS Essential $33.37
Service Code HCPCS 74019
Min. Negotiated Rate $118.44
Max. Negotiated Rate $118.44
Rate for Payer: Cash Price $42.67
Rate for Payer: SOMOS CHP/HARP/Medicaid $118.44
Rate for Payer: SOMOS Essential $118.44
Service Code HCPCS 74021
Min. Negotiated Rate $137.29
Max. Negotiated Rate $137.29
Rate for Payer: Cash Price $49.96
Rate for Payer: SOMOS CHP/HARP/Medicaid $137.29
Rate for Payer: SOMOS Essential $137.29
Service Code HCPCS 74021 26
Min. Negotiated Rate $38.20
Max. Negotiated Rate $38.20
Rate for Payer: Cash Price $13.97
Rate for Payer: SOMOS CHP/HARP/Medicaid $38.20
Rate for Payer: SOMOS Essential $38.20
Service Code HCPCS 74021 TC
Min. Negotiated Rate $99.10
Max. Negotiated Rate $99.10
Rate for Payer: Cash Price $35.99
Rate for Payer: SOMOS CHP/HARP/Medicaid $99.10
Rate for Payer: SOMOS Essential $99.10
Service Code HCPCS 73565 26
Min. Negotiated Rate $25.70
Max. Negotiated Rate $25.70
Rate for Payer: Cash Price $8.96
Rate for Payer: SOMOS CHP/HARP/Medicaid $25.70
Rate for Payer: SOMOS Essential $25.70
Service Code HCPCS 73565 TC
Min. Negotiated Rate $103.40
Max. Negotiated Rate $103.40
Rate for Payer: Cash Price $37.95
Rate for Payer: SOMOS CHP/HARP/Medicaid $103.40
Rate for Payer: SOMOS Essential $103.40
Service Code HCPCS 73565
Min. Negotiated Rate $129.10
Max. Negotiated Rate $129.10
Rate for Payer: Cash Price $46.91
Rate for Payer: SOMOS CHP/HARP/Medicaid $129.10
Rate for Payer: SOMOS Essential $129.10
Service Code HCPCS 71046
Min. Negotiated Rate $107.78
Max. Negotiated Rate $107.78
Rate for Payer: Cash Price $39.18
Rate for Payer: SOMOS CHP/HARP/Medicaid $107.78
Rate for Payer: SOMOS Essential $107.78
Service Code HCPCS 71046 TC
Min. Negotiated Rate $76.44
Max. Negotiated Rate $76.44
Rate for Payer: Cash Price $27.74
Rate for Payer: SOMOS CHP/HARP/Medicaid $76.44
Rate for Payer: SOMOS Essential $76.44
Service Code HCPCS 71046 26
Min. Negotiated Rate $31.34
Max. Negotiated Rate $31.34
Rate for Payer: Cash Price $11.44
Rate for Payer: SOMOS CHP/HARP/Medicaid $31.34
Rate for Payer: SOMOS Essential $31.34
Service Code HCPCS 71047
Min. Negotiated Rate $135.14
Max. Negotiated Rate $135.14
Rate for Payer: Cash Price $49.17
Rate for Payer: SOMOS CHP/HARP/Medicaid $135.14
Rate for Payer: SOMOS Essential $135.14
Service Code HCPCS 71047 TC
Min. Negotiated Rate $95.84
Max. Negotiated Rate $95.84
Rate for Payer: Cash Price $34.81
Rate for Payer: SOMOS CHP/HARP/Medicaid $95.84
Rate for Payer: SOMOS Essential $95.84
Service Code HCPCS 71047 26
Min. Negotiated Rate $39.27
Max. Negotiated Rate $39.27
Rate for Payer: Cash Price $14.36
Rate for Payer: SOMOS CHP/HARP/Medicaid $39.27
Rate for Payer: SOMOS Essential $39.27
Service Code HCPCS 71048 TC
Min. Negotiated Rate $103.40
Max. Negotiated Rate $103.40
Rate for Payer: Cash Price $37.17
Rate for Payer: SOMOS CHP/HARP/Medicaid $103.40
Rate for Payer: SOMOS Essential $103.40
Service Code HCPCS 71048 26
Min. Negotiated Rate $44.10
Max. Negotiated Rate $44.10
Rate for Payer: Cash Price $15.76
Rate for Payer: SOMOS CHP/HARP/Medicaid $44.10
Rate for Payer: SOMOS Essential $44.10
Service Code HCPCS 71048
Min. Negotiated Rate $147.50
Max. Negotiated Rate $147.50
Rate for Payer: Cash Price $52.93
Rate for Payer: SOMOS CHP/HARP/Medicaid $147.50
Rate for Payer: SOMOS Essential $147.50
Service Code HCPCS 71045 26
Min. Negotiated Rate $26.51
Max. Negotiated Rate $26.51
Rate for Payer: Cash Price $9.26
Rate for Payer: SOMOS CHP/HARP/Medicaid $26.51
Rate for Payer: SOMOS Essential $26.51
Service Code HCPCS 71045
Min. Negotiated Rate $83.56
Max. Negotiated Rate $83.56
Rate for Payer: Cash Price $29.93
Rate for Payer: SOMOS CHP/HARP/Medicaid $83.56
Rate for Payer: SOMOS Essential $83.56
Service Code HCPCS 71045 TC
Min. Negotiated Rate $57.04
Max. Negotiated Rate $57.04
Rate for Payer: Cash Price $20.67
Rate for Payer: SOMOS CHP/HARP/Medicaid $57.04
Rate for Payer: SOMOS Essential $57.04
Service Code HCPCS 74280 26
Min. Negotiated Rate $181.23
Max. Negotiated Rate $181.23
Rate for Payer: Cash Price $65.61
Rate for Payer: SOMOS CHP/HARP/Medicaid $181.23
Rate for Payer: SOMOS Essential $181.23