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Service Code NDC 60687041365
Hospital Charge Code 3800832
Hospital Revenue Code 250
Min. Negotiated Rate $7.19
Max. Negotiated Rate $1,200.00
Rate for Payer: Aetna Commercial $7.19
Rate for Payer: UnitedHealthcare Commercial $7.59
Rate for Payer: WPPA Medicare Advantage $1,200.00
Service Code NDC 60687041365
Hospital Charge Code 3800832
Hospital Revenue Code 250
Min. Negotiated Rate $3.20
Max. Negotiated Rate $7.59
Rate for Payer: Aetna Commercial $7.19
Rate for Payer: Humana Medicare Advantage $3.36
Rate for Payer: UnitedHealthcare Commercial $7.59
Rate for Payer: UnitedHealthcare Medicaid $3.20
Rate for Payer: WPPA Medicare Advantage $4.79
Service Code NDC 60687041301
Hospital Charge Code 3800832
Hospital Revenue Code 250
Min. Negotiated Rate $4.01
Max. Negotiated Rate $9.52
Rate for Payer: Aetna Commercial $9.02
Rate for Payer: Humana Medicare Advantage $4.21
Rate for Payer: UnitedHealthcare Commercial $9.52
Rate for Payer: UnitedHealthcare Medicaid $4.01
Rate for Payer: WPPA Medicare Advantage $6.01
Service Code NDC 00904632461
Hospital Charge Code 3800832
Hospital Revenue Code 250
Min. Negotiated Rate $4.24
Max. Negotiated Rate $10.06
Rate for Payer: Aetna Commercial $9.53
Rate for Payer: Humana Medicare Advantage $4.45
Rate for Payer: UnitedHealthcare Commercial $10.06
Rate for Payer: UnitedHealthcare Medicaid $4.24
Rate for Payer: WPPA Medicare Advantage $6.35
Service Code NDC 45963067711
Hospital Charge Code 3800832
Hospital Revenue Code 250
Min. Negotiated Rate $3.90
Max. Negotiated Rate $9.26
Rate for Payer: Aetna Commercial $8.78
Rate for Payer: Humana Medicare Advantage $4.09
Rate for Payer: UnitedHealthcare Commercial $9.26
Rate for Payer: UnitedHealthcare Medicaid $3.90
Rate for Payer: WPPA Medicare Advantage $5.85
Service Code NDC 70436020201
Hospital Charge Code 3809551
Hospital Revenue Code 250
Min. Negotiated Rate $3.51
Max. Negotiated Rate $8.34
Rate for Payer: Aetna Commercial $7.90
Rate for Payer: Humana Medicare Advantage $3.69
Rate for Payer: UnitedHealthcare Commercial $8.34
Rate for Payer: UnitedHealthcare Medicaid $3.51
Rate for Payer: WPPA Medicare Advantage $5.27
Service Code NDC 00904632261
Hospital Charge Code 3809551
Hospital Revenue Code 250
Min. Negotiated Rate $3.49
Max. Negotiated Rate $8.28
Rate for Payer: Aetna Commercial $7.85
Rate for Payer: Humana Medicare Advantage $3.66
Rate for Payer: UnitedHealthcare Commercial $8.28
Rate for Payer: UnitedHealthcare Medicaid $3.49
Rate for Payer: WPPA Medicare Advantage $5.23
Service Code NDC 70436020201
Hospital Charge Code 3809551
Hospital Revenue Code 250
Min. Negotiated Rate $7.90
Max. Negotiated Rate $1,200.00
Rate for Payer: Aetna Commercial $7.90
Rate for Payer: UnitedHealthcare Commercial $8.34
Rate for Payer: WPPA Medicare Advantage $1,200.00
Service Code NDC 00904632206
Hospital Charge Code 3809551
Hospital Revenue Code 250
Min. Negotiated Rate $2.78
Max. Negotiated Rate $6.61
Rate for Payer: Aetna Commercial $6.26
Rate for Payer: Humana Medicare Advantage $2.92
Rate for Payer: UnitedHealthcare Commercial $6.61
Rate for Payer: UnitedHealthcare Medicaid $2.78
Rate for Payer: WPPA Medicare Advantage $4.18
Service Code NDC 00904632206
Hospital Charge Code 3809551
Hospital Revenue Code 250
Min. Negotiated Rate $6.26
Max. Negotiated Rate $1,200.00
Rate for Payer: Aetna Commercial $6.26
Rate for Payer: UnitedHealthcare Commercial $6.61
Rate for Payer: WPPA Medicare Advantage $1,200.00
Service Code NDC 00527260037
Hospital Charge Code 3809551
Hospital Revenue Code 250
Min. Negotiated Rate $7.34
Max. Negotiated Rate $1,200.00
Rate for Payer: Aetna Commercial $7.34
Rate for Payer: UnitedHealthcare Commercial $7.75
Rate for Payer: WPPA Medicare Advantage $1,200.00
Service Code NDC 60687039065
Hospital Charge Code 3809551
Hospital Revenue Code 250
Min. Negotiated Rate $6.57
Max. Negotiated Rate $1,200.00
Rate for Payer: Aetna Commercial $6.57
Rate for Payer: UnitedHealthcare Commercial $6.93
Rate for Payer: WPPA Medicare Advantage $1,200.00
Service Code NDC 70436020202
Hospital Charge Code 3809551
Hospital Revenue Code 250
Min. Negotiated Rate $3.46
Max. Negotiated Rate $8.23
Rate for Payer: Aetna Commercial $7.79
Rate for Payer: Humana Medicare Advantage $3.64
Rate for Payer: UnitedHealthcare Commercial $8.23
Rate for Payer: UnitedHealthcare Medicaid $3.46
Rate for Payer: WPPA Medicare Advantage $5.20
Service Code NDC 00904632261
Hospital Charge Code 3809551
Hospital Revenue Code 250
Min. Negotiated Rate $7.85
Max. Negotiated Rate $1,200.00
Rate for Payer: Aetna Commercial $7.85
Rate for Payer: UnitedHealthcare Commercial $8.28
Rate for Payer: WPPA Medicare Advantage $1,200.00
Service Code NDC 00527260037
Hospital Charge Code 3809551
Hospital Revenue Code 250
Min. Negotiated Rate $3.26
Max. Negotiated Rate $7.75
Rate for Payer: Aetna Commercial $7.34
Rate for Payer: Humana Medicare Advantage $3.43
Rate for Payer: UnitedHealthcare Commercial $7.75
Rate for Payer: UnitedHealthcare Medicaid $3.26
Rate for Payer: WPPA Medicare Advantage $4.90
Service Code NDC 60687039065
Hospital Charge Code 3809551
Hospital Revenue Code 250
Min. Negotiated Rate $2.92
Max. Negotiated Rate $6.93
Rate for Payer: Aetna Commercial $6.57
Rate for Payer: Humana Medicare Advantage $3.07
Rate for Payer: UnitedHealthcare Commercial $6.93
Rate for Payer: UnitedHealthcare Medicaid $2.92
Rate for Payer: WPPA Medicare Advantage $4.38
Service Code NDC 70436020202
Hospital Charge Code 3809551
Hospital Revenue Code 250
Min. Negotiated Rate $7.79
Max. Negotiated Rate $1,200.00
Rate for Payer: Aetna Commercial $7.79
Rate for Payer: UnitedHealthcare Commercial $8.23
Rate for Payer: WPPA Medicare Advantage $1,200.00
Service Code NDC 36000003310
Hospital Charge Code 3806243
Hospital Revenue Code 250
Min. Negotiated Rate $25.31
Max. Negotiated Rate $1,200.00
Rate for Payer: Aetna Commercial $25.31
Rate for Payer: UnitedHealthcare Commercial $26.71
Rate for Payer: WPPA Medicare Advantage $1,200.00
Service Code NDC 70860030005
Hospital Charge Code 3806243
Hospital Revenue Code 250
Min. Negotiated Rate $12.32
Max. Negotiated Rate $29.26
Rate for Payer: Aetna Commercial $27.72
Rate for Payer: Humana Medicare Advantage $12.94
Rate for Payer: UnitedHealthcare Commercial $29.26
Rate for Payer: UnitedHealthcare Medicaid $12.32
Rate for Payer: WPPA Medicare Advantage $18.48
Service Code NDC 72611074010
Hospital Charge Code 3806243
Hospital Revenue Code 250
Min. Negotiated Rate $23.29
Max. Negotiated Rate $1,200.00
Rate for Payer: Aetna Commercial $23.29
Rate for Payer: UnitedHealthcare Commercial $24.59
Rate for Payer: WPPA Medicare Advantage $1,200.00
Service Code NDC 00409201610
Hospital Charge Code 3806243
Hospital Revenue Code 250
Min. Negotiated Rate $10.68
Max. Negotiated Rate $25.37
Rate for Payer: Aetna Commercial $24.04
Rate for Payer: Humana Medicare Advantage $11.22
Rate for Payer: UnitedHealthcare Commercial $25.37
Rate for Payer: UnitedHealthcare Medicaid $10.68
Rate for Payer: WPPA Medicare Advantage $16.03
Service Code NDC 72611074010
Hospital Charge Code 3806243
Hospital Revenue Code 250
Min. Negotiated Rate $10.35
Max. Negotiated Rate $24.59
Rate for Payer: Aetna Commercial $23.29
Rate for Payer: Humana Medicare Advantage $10.87
Rate for Payer: UnitedHealthcare Commercial $24.59
Rate for Payer: UnitedHealthcare Medicaid $10.35
Rate for Payer: WPPA Medicare Advantage $15.53
Service Code NDC 36000003310
Hospital Charge Code 3806243
Hospital Revenue Code 250
Min. Negotiated Rate $11.25
Max. Negotiated Rate $26.71
Rate for Payer: Aetna Commercial $25.31
Rate for Payer: Humana Medicare Advantage $11.81
Rate for Payer: UnitedHealthcare Commercial $26.71
Rate for Payer: UnitedHealthcare Medicaid $11.25
Rate for Payer: WPPA Medicare Advantage $16.87
Service Code NDC 00409201610
Hospital Charge Code 3806243
Hospital Revenue Code 250
Min. Negotiated Rate $24.04
Max. Negotiated Rate $1,200.00
Rate for Payer: Aetna Commercial $24.04
Rate for Payer: UnitedHealthcare Commercial $25.37
Rate for Payer: WPPA Medicare Advantage $1,200.00
Service Code NDC 70860030005
Hospital Charge Code 3806243
Hospital Revenue Code 250
Min. Negotiated Rate $27.72
Max. Negotiated Rate $1,200.00
Rate for Payer: Aetna Commercial $27.72
Rate for Payer: UnitedHealthcare Commercial $29.26
Rate for Payer: WPPA Medicare Advantage $1,200.00