|
TREAT HUMERUS FRACTURE
|
Facility
|
OP
|
$2,924.00
|
|
|
Service Code
|
HCPCS 23605
|
| Hospital Charge Code |
76100479
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,005.56 |
| Max. Negotiated Rate |
$2,807.04 |
| Rate for Payer: Aetna Commercial |
$2,251.48
|
| Rate for Payer: Anthem Medicaid |
$1,005.56
|
| Rate for Payer: Anthem Medicare Advantage/PPO |
$1,478.75
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,280.72
|
| Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$2,070.25
|
| Rate for Payer: CareSource Just4Me Medicare |
$1,996.31
|
| Rate for Payer: Cash Price |
$1,462.00
|
| Rate for Payer: Cash Price |
$1,462.00
|
| Rate for Payer: Cigna Commercial |
$2,426.92
|
| Rate for Payer: First Health Commercial |
$2,777.80
|
| Rate for Payer: Humana Commercial |
$2,485.40
|
| Rate for Payer: Humana KY Medicaid |
$1,005.56
|
| Rate for Payer: Humana Medicare Advantage |
$1,478.75
|
| Rate for Payer: Kentucky WC Medicaid |
$1,015.80
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,397.68
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,157.91
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,774.50
|
| Rate for Payer: Molina Healthcare Medicaid |
$1,025.74
|
| Rate for Payer: Ohio Health Choice Commercial |
$2,573.12
|
| Rate for Payer: Ohio Health Group HMO |
$2,193.00
|
| Rate for Payer: Ohio Health Group PPO Differential |
$2,339.20
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$2,543.88
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$2,017.56
|
| Rate for Payer: PHCS Commercial |
$2,807.04
|
| Rate for Payer: United Healthcare All Payer |
$2,573.12
|
|
|
TREAT HUMERUS FRACTURE
|
Facility
|
OP
|
$2,024.00
|
|
|
Service Code
|
HCPCS 23605
|
| Hospital Charge Code |
45000111
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$696.05 |
| Max. Negotiated Rate |
$2,070.25 |
| Rate for Payer: Aetna Commercial |
$1,558.48
|
| Rate for Payer: Anthem Medicaid |
$696.05
|
| Rate for Payer: Anthem Medicare Advantage/PPO |
$1,478.75
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,578.72
|
| Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$2,070.25
|
| Rate for Payer: CareSource Just4Me Medicare |
$1,996.31
|
| Rate for Payer: Cash Price |
$1,012.00
|
| Rate for Payer: Cash Price |
$1,012.00
|
| Rate for Payer: Cigna Commercial |
$1,679.92
|
| Rate for Payer: First Health Commercial |
$1,922.80
|
| Rate for Payer: Humana Commercial |
$1,720.40
|
| Rate for Payer: Humana KY Medicaid |
$696.05
|
| Rate for Payer: Humana Medicare Advantage |
$1,478.75
|
| Rate for Payer: Kentucky WC Medicaid |
$703.14
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,659.68
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,493.71
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,774.50
|
| Rate for Payer: Molina Healthcare Medicaid |
$710.02
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,781.12
|
| Rate for Payer: Ohio Health Group HMO |
$1,518.00
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,619.20
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,760.88
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,396.56
|
| Rate for Payer: PHCS Commercial |
$1,943.04
|
| Rate for Payer: United Healthcare All Payer |
$1,781.12
|
|
|
TREAT HUMERUS FRACTURE
|
Professional
|
Both
|
$2,924.00
|
|
|
Service Code
|
HCPCS 23605
|
| Hospital Charge Code |
76100479
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$267.44 |
| Max. Negotiated Rate |
$1,754.40 |
| Rate for Payer: Aetna Commercial |
$599.73
|
| Rate for Payer: Ambetter Exchange |
$412.02
|
| Rate for Payer: Anthem HMO/Medicare Advantage/POS/PPO/Pathway Tiered Hospital/Pathway X Tiered Hospital/Traditional |
$267.44
|
| Rate for Payer: Anthem Medicaid |
$279.95
|
| Rate for Payer: Buckeye Individual/Medicaid |
$412.02
|
| Rate for Payer: Buckeye Medicare Advantage |
$412.02
|
| Rate for Payer: CareSource Just4Me Medicare |
$494.42
|
| Rate for Payer: Cash Price |
$1,462.00
|
| Rate for Payer: Cash Price |
$1,462.00
|
| Rate for Payer: Cigna Commercial |
$661.21
|
| Rate for Payer: Healthspan PPO |
$583.94
|
| Rate for Payer: Humana Medicaid |
$279.95
|
| Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation |
$516.64
|
| Rate for Payer: Medical Mutual Of Ohio Medicare Advantage |
$412.02
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$412.02
|
| Rate for Payer: Molina Healthcare CHIP/Medicaid |
$285.55
|
| Rate for Payer: Molina Healthcare Passport |
$279.95
|
| Rate for Payer: Multiplan PHCS |
$1,754.40
|
| Rate for Payer: Ohio Health Choice Preferred Health Choice |
$535.63
|
| Rate for Payer: UHCCP Medicaid |
$280.81
|
| Rate for Payer: Wellcare CHIP/Medicaid |
$282.75
|
| Rate for Payer: Wellcare Medicare Advantage |
$412.02
|
|
|
TREAT HUMERUS FRACTURE
|
Facility
|
OP
|
$3,335.00
|
|
|
Service Code
|
HCPCS 24505
|
| Hospital Charge Code |
76100533
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,146.91 |
| Max. Negotiated Rate |
$3,201.60 |
| Rate for Payer: Aetna Commercial |
$2,567.95
|
| Rate for Payer: Anthem Medicaid |
$1,146.91
|
| Rate for Payer: Anthem Medicare Advantage/PPO |
$1,478.75
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,601.30
|
| Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$2,070.25
|
| Rate for Payer: CareSource Just4Me Medicare |
$1,996.31
|
| Rate for Payer: Cash Price |
$1,667.50
|
| Rate for Payer: Cash Price |
$1,667.50
|
| Rate for Payer: Cigna Commercial |
$2,768.05
|
| Rate for Payer: First Health Commercial |
$3,168.25
|
| Rate for Payer: Humana Commercial |
$2,834.75
|
| Rate for Payer: Humana KY Medicaid |
$1,146.91
|
| Rate for Payer: Humana Medicare Advantage |
$1,478.75
|
| Rate for Payer: Kentucky WC Medicaid |
$1,158.58
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,734.70
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,461.23
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,774.50
|
| Rate for Payer: Molina Healthcare Medicaid |
$1,169.92
|
| Rate for Payer: Ohio Health Choice Commercial |
$2,934.80
|
| Rate for Payer: Ohio Health Group HMO |
$2,501.25
|
| Rate for Payer: Ohio Health Group PPO Differential |
$2,668.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$2,901.45
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$2,301.15
|
| Rate for Payer: PHCS Commercial |
$3,201.60
|
| Rate for Payer: United Healthcare All Payer |
$2,934.80
|
|
|
TREAT HUMERUS FRACTURE
|
Professional
|
Both
|
$3,335.00
|
|
|
Service Code
|
HCPCS 24505
|
| Hospital Charge Code |
76100533
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$279.68 |
| Max. Negotiated Rate |
$2,001.00 |
| Rate for Payer: Aetna Commercial |
$636.17
|
| Rate for Payer: Ambetter Exchange |
$435.94
|
| Rate for Payer: Anthem HMO/Medicare Advantage/POS/PPO/Pathway Tiered Hospital/Pathway X Tiered Hospital/Traditional |
$284.52
|
| Rate for Payer: Anthem Medicaid |
$279.68
|
| Rate for Payer: Buckeye Individual/Medicaid |
$435.94
|
| Rate for Payer: Buckeye Medicare Advantage |
$435.94
|
| Rate for Payer: CareSource Just4Me Medicare |
$523.13
|
| Rate for Payer: Cash Price |
$1,667.50
|
| Rate for Payer: Cash Price |
$1,667.50
|
| Rate for Payer: Cigna Commercial |
$700.55
|
| Rate for Payer: Healthspan PPO |
$624.72
|
| Rate for Payer: Humana Medicaid |
$279.68
|
| Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation |
$548.96
|
| Rate for Payer: Medical Mutual Of Ohio Medicare Advantage |
$435.94
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$435.94
|
| Rate for Payer: Molina Healthcare CHIP/Medicaid |
$285.27
|
| Rate for Payer: Molina Healthcare Passport |
$279.68
|
| Rate for Payer: Multiplan PHCS |
$2,001.00
|
| Rate for Payer: Ohio Health Choice Preferred Health Choice |
$566.72
|
| Rate for Payer: UHCCP Medicaid |
$298.75
|
| Rate for Payer: Wellcare CHIP/Medicaid |
$282.48
|
| Rate for Payer: Wellcare Medicare Advantage |
$435.94
|
|
|
TREAT HUMERUS FRACTURE(P
|
Professional
|
Both
|
$900.00
|
|
|
Service Code
|
HCPCS 23605
|
| Hospital Charge Code |
761P0479
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$267.44 |
| Max. Negotiated Rate |
$661.21 |
| Rate for Payer: Aetna Commercial |
$599.73
|
| Rate for Payer: Ambetter Exchange |
$412.02
|
| Rate for Payer: Anthem HMO/Medicare Advantage/POS/PPO/Pathway Tiered Hospital/Pathway X Tiered Hospital/Traditional |
$267.44
|
| Rate for Payer: Anthem Medicaid |
$279.95
|
| Rate for Payer: Buckeye Individual/Medicaid |
$412.02
|
| Rate for Payer: Buckeye Medicare Advantage |
$412.02
|
| Rate for Payer: CareSource Just4Me Medicare |
$494.42
|
| Rate for Payer: Cash Price |
$450.00
|
| Rate for Payer: Cash Price |
$450.00
|
| Rate for Payer: Cigna Commercial |
$661.21
|
| Rate for Payer: Healthspan PPO |
$583.94
|
| Rate for Payer: Humana Medicaid |
$279.95
|
| Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation |
$516.64
|
| Rate for Payer: Medical Mutual Of Ohio Medicare Advantage |
$412.02
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$412.02
|
| Rate for Payer: Molina Healthcare CHIP/Medicaid |
$285.55
|
| Rate for Payer: Molina Healthcare Passport |
$279.95
|
| Rate for Payer: Multiplan PHCS |
$540.00
|
| Rate for Payer: Ohio Health Choice Preferred Health Choice |
$535.63
|
| Rate for Payer: UHCCP Medicaid |
$280.81
|
| Rate for Payer: Wellcare CHIP/Medicaid |
$282.75
|
| Rate for Payer: Wellcare Medicare Advantage |
$412.02
|
|
|
TREAT HUMERUS FRACTURE(P
|
Professional
|
Both
|
$1,215.00
|
|
|
Service Code
|
HCPCS 24505
|
| Hospital Charge Code |
761P0533
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$279.68 |
| Max. Negotiated Rate |
$729.00 |
| Rate for Payer: Aetna Commercial |
$636.17
|
| Rate for Payer: Ambetter Exchange |
$435.94
|
| Rate for Payer: Anthem HMO/Medicare Advantage/POS/PPO/Pathway Tiered Hospital/Pathway X Tiered Hospital/Traditional |
$284.52
|
| Rate for Payer: Anthem Medicaid |
$279.68
|
| Rate for Payer: Buckeye Individual/Medicaid |
$435.94
|
| Rate for Payer: Buckeye Medicare Advantage |
$435.94
|
| Rate for Payer: CareSource Just4Me Medicare |
$523.13
|
| Rate for Payer: Cash Price |
$607.50
|
| Rate for Payer: Cash Price |
$607.50
|
| Rate for Payer: Cigna Commercial |
$700.55
|
| Rate for Payer: Healthspan PPO |
$624.72
|
| Rate for Payer: Humana Medicaid |
$279.68
|
| Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation |
$548.96
|
| Rate for Payer: Medical Mutual Of Ohio Medicare Advantage |
$435.94
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$435.94
|
| Rate for Payer: Molina Healthcare CHIP/Medicaid |
$285.27
|
| Rate for Payer: Molina Healthcare Passport |
$279.68
|
| Rate for Payer: Multiplan PHCS |
$729.00
|
| Rate for Payer: Ohio Health Choice Preferred Health Choice |
$566.72
|
| Rate for Payer: UHCCP Medicaid |
$298.75
|
| Rate for Payer: Wellcare CHIP/Medicaid |
$282.48
|
| Rate for Payer: Wellcare Medicare Advantage |
$435.94
|
|
|
TREAT HUMERUS FRACTURE(T
|
Facility
|
IP
|
$2,120.00
|
|
|
Service Code
|
HCPCS 24505
|
| Hospital Charge Code |
761T0533
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$636.00 |
| Max. Negotiated Rate |
$2,035.20 |
| Rate for Payer: Aetna Commercial |
$1,632.40
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,653.60
|
| Rate for Payer: Cash Price |
$1,060.00
|
| Rate for Payer: Cigna Commercial |
$1,759.60
|
| Rate for Payer: First Health Commercial |
$2,014.00
|
| Rate for Payer: Humana Commercial |
$1,802.00
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,738.40
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,564.56
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$636.00
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,865.60
|
| Rate for Payer: Ohio Health Group HMO |
$1,590.00
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,696.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,844.40
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,462.80
|
| Rate for Payer: PHCS Commercial |
$2,035.20
|
| Rate for Payer: United Healthcare All Payer |
$1,865.60
|
|
|
TREAT HUMERUS FRACTURE(T
|
Facility
|
OP
|
$2,120.00
|
|
|
Service Code
|
HCPCS 24505
|
| Hospital Charge Code |
761T0533
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$729.07 |
| Max. Negotiated Rate |
$2,070.25 |
| Rate for Payer: Aetna Commercial |
$1,632.40
|
| Rate for Payer: Anthem Medicaid |
$729.07
|
| Rate for Payer: Anthem Medicare Advantage/PPO |
$1,478.75
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,653.60
|
| Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$2,070.25
|
| Rate for Payer: CareSource Just4Me Medicare |
$1,996.31
|
| Rate for Payer: Cash Price |
$1,060.00
|
| Rate for Payer: Cash Price |
$1,060.00
|
| Rate for Payer: Cigna Commercial |
$1,759.60
|
| Rate for Payer: First Health Commercial |
$2,014.00
|
| Rate for Payer: Humana Commercial |
$1,802.00
|
| Rate for Payer: Humana KY Medicaid |
$729.07
|
| Rate for Payer: Humana Medicare Advantage |
$1,478.75
|
| Rate for Payer: Kentucky WC Medicaid |
$736.49
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,738.40
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,564.56
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,774.50
|
| Rate for Payer: Molina Healthcare Medicaid |
$743.70
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,865.60
|
| Rate for Payer: Ohio Health Group HMO |
$1,590.00
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,696.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,844.40
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,462.80
|
| Rate for Payer: PHCS Commercial |
$2,035.20
|
| Rate for Payer: United Healthcare All Payer |
$1,865.60
|
|
|
TREAT HUMERUS FRACTURE(T
|
Facility
|
IP
|
$2,024.00
|
|
|
Service Code
|
HCPCS 23605
|
| Hospital Charge Code |
761T0479
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$607.20 |
| Max. Negotiated Rate |
$1,943.04 |
| Rate for Payer: Aetna Commercial |
$1,558.48
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,578.72
|
| Rate for Payer: Cash Price |
$1,012.00
|
| Rate for Payer: Cigna Commercial |
$1,679.92
|
| Rate for Payer: First Health Commercial |
$1,922.80
|
| Rate for Payer: Humana Commercial |
$1,720.40
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,659.68
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,493.71
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$607.20
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,781.12
|
| Rate for Payer: Ohio Health Group HMO |
$1,518.00
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,619.20
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,760.88
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,396.56
|
| Rate for Payer: PHCS Commercial |
$1,943.04
|
| Rate for Payer: United Healthcare All Payer |
$1,781.12
|
|
|
TREAT HUMERUS FRACTURE(T
|
Facility
|
OP
|
$2,024.00
|
|
|
Service Code
|
HCPCS 23605
|
| Hospital Charge Code |
761T0479
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$696.05 |
| Max. Negotiated Rate |
$2,070.25 |
| Rate for Payer: Aetna Commercial |
$1,558.48
|
| Rate for Payer: Anthem Medicaid |
$696.05
|
| Rate for Payer: Anthem Medicare Advantage/PPO |
$1,478.75
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,578.72
|
| Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$2,070.25
|
| Rate for Payer: CareSource Just4Me Medicare |
$1,996.31
|
| Rate for Payer: Cash Price |
$1,012.00
|
| Rate for Payer: Cash Price |
$1,012.00
|
| Rate for Payer: Cigna Commercial |
$1,679.92
|
| Rate for Payer: First Health Commercial |
$1,922.80
|
| Rate for Payer: Humana Commercial |
$1,720.40
|
| Rate for Payer: Humana KY Medicaid |
$696.05
|
| Rate for Payer: Humana Medicare Advantage |
$1,478.75
|
| Rate for Payer: Kentucky WC Medicaid |
$703.14
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,659.68
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,493.71
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,774.50
|
| Rate for Payer: Molina Healthcare Medicaid |
$710.02
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,781.12
|
| Rate for Payer: Ohio Health Group HMO |
$1,518.00
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,619.20
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,760.88
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,396.56
|
| Rate for Payer: PHCS Commercial |
$1,943.04
|
| Rate for Payer: United Healthcare All Payer |
$1,781.12
|
|
|
TREAT KNEECAP DISLOCATION
|
Professional
|
Both
|
$515.00
|
|
|
Service Code
|
HCPCS 27562
|
| Hospital Charge Code |
76102756
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$180.25 |
| Max. Negotiated Rate |
$704.31 |
| Rate for Payer: Aetna Commercial |
$664.77
|
| Rate for Payer: Ambetter Exchange |
$472.04
|
| Rate for Payer: Anthem Medicaid |
$318.21
|
| Rate for Payer: Buckeye Individual/Medicaid |
$472.04
|
| Rate for Payer: Buckeye Medicare Advantage |
$472.04
|
| Rate for Payer: CareSource Just4Me Medicare |
$566.45
|
| Rate for Payer: Cash Price |
$257.50
|
| Rate for Payer: Cash Price |
$257.50
|
| Rate for Payer: Cigna Commercial |
$704.31
|
| Rate for Payer: Healthspan PPO |
$602.14
|
| Rate for Payer: Humana Medicaid |
$318.21
|
| Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation |
$581.16
|
| Rate for Payer: Medical Mutual Of Ohio Medicare Advantage |
$472.04
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$472.04
|
| Rate for Payer: Molina Healthcare CHIP/Medicaid |
$324.57
|
| Rate for Payer: Molina Healthcare Passport |
$318.21
|
| Rate for Payer: Multiplan PHCS |
$309.00
|
| Rate for Payer: Ohio Health Choice Preferred Health Choice |
$613.65
|
| Rate for Payer: UHCCP Medicaid |
$180.25
|
| Rate for Payer: Wellcare CHIP/Medicaid |
$321.39
|
| Rate for Payer: Wellcare Medicare Advantage |
$472.04
|
|
|
TREAT KNEECAP FRACTURE
|
Facility
|
IP
|
$1,222.00
|
|
|
Service Code
|
HCPCS 27520
|
| Hospital Charge Code |
76100866
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$366.60 |
| Max. Negotiated Rate |
$1,173.12 |
| Rate for Payer: Aetna Commercial |
$940.94
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$953.16
|
| Rate for Payer: Cash Price |
$611.00
|
| Rate for Payer: Cigna Commercial |
$1,014.26
|
| Rate for Payer: First Health Commercial |
$1,160.90
|
| Rate for Payer: Humana Commercial |
$1,038.70
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,002.04
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$901.84
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$366.60
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,075.36
|
| Rate for Payer: Ohio Health Group HMO |
$916.50
|
| Rate for Payer: Ohio Health Group PPO Differential |
$977.60
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,063.14
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$843.18
|
| Rate for Payer: PHCS Commercial |
$1,173.12
|
| Rate for Payer: United Healthcare All Payer |
$1,075.36
|
|
|
TREAT KNEECAP FRACTURE
|
Facility
|
OP
|
$1,222.00
|
|
|
Service Code
|
HCPCS 27520
|
| Hospital Charge Code |
76100866
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$221.64 |
| Max. Negotiated Rate |
$1,173.12 |
| Rate for Payer: Aetna Commercial |
$940.94
|
| Rate for Payer: Anthem Medicaid |
$420.25
|
| Rate for Payer: Anthem Medicare Advantage/PPO |
$221.64
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$953.16
|
| Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$310.30
|
| Rate for Payer: CareSource Just4Me Medicare |
$299.21
|
| Rate for Payer: Cash Price |
$611.00
|
| Rate for Payer: Cash Price |
$611.00
|
| Rate for Payer: Cigna Commercial |
$1,014.26
|
| Rate for Payer: First Health Commercial |
$1,160.90
|
| Rate for Payer: Humana Commercial |
$1,038.70
|
| Rate for Payer: Humana KY Medicaid |
$420.25
|
| Rate for Payer: Humana Medicare Advantage |
$221.64
|
| Rate for Payer: Kentucky WC Medicaid |
$424.52
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,002.04
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$901.84
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$265.97
|
| Rate for Payer: Molina Healthcare Medicaid |
$428.68
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,075.36
|
| Rate for Payer: Ohio Health Group HMO |
$916.50
|
| Rate for Payer: Ohio Health Group PPO Differential |
$977.60
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,063.14
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$843.18
|
| Rate for Payer: PHCS Commercial |
$1,173.12
|
| Rate for Payer: United Healthcare All Payer |
$1,075.36
|
|
|
TREAT KNEECAP FRACTURE
|
Professional
|
Both
|
$1,222.00
|
|
|
Service Code
|
HCPCS 27520
|
| Hospital Charge Code |
76100866
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$171.11 |
| Max. Negotiated Rate |
$733.20 |
| Rate for Payer: Aetna Commercial |
$390.46
|
| Rate for Payer: Ambetter Exchange |
$291.95
|
| Rate for Payer: Anthem HMO/Medicare Advantage/POS/PPO/Pathway Tiered Hospital/Pathway X Tiered Hospital/Traditional |
$173.38
|
| Rate for Payer: Anthem Medicaid |
$171.11
|
| Rate for Payer: Buckeye Individual/Medicaid |
$291.95
|
| Rate for Payer: Buckeye Medicare Advantage |
$291.95
|
| Rate for Payer: CareSource Just4Me Medicare |
$350.34
|
| Rate for Payer: Cash Price |
$611.00
|
| Rate for Payer: Cash Price |
$611.00
|
| Rate for Payer: Cigna Commercial |
$482.45
|
| Rate for Payer: Healthspan PPO |
$387.61
|
| Rate for Payer: Humana Medicaid |
$171.11
|
| Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation |
$347.90
|
| Rate for Payer: Medical Mutual Of Ohio Medicare Advantage |
$291.95
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$291.95
|
| Rate for Payer: Molina Healthcare CHIP/Medicaid |
$174.53
|
| Rate for Payer: Molina Healthcare Passport |
$171.11
|
| Rate for Payer: Multiplan PHCS |
$733.20
|
| Rate for Payer: Ohio Health Choice Preferred Health Choice |
$379.54
|
| Rate for Payer: UHCCP Medicaid |
$182.05
|
| Rate for Payer: Wellcare CHIP/Medicaid |
$172.82
|
| Rate for Payer: Wellcare Medicare Advantage |
$291.95
|
|
|
TREAT KNEECAP FRACTURE(P
|
Professional
|
Both
|
$684.00
|
|
|
Service Code
|
HCPCS 27520
|
| Hospital Charge Code |
761P0866
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$171.11 |
| Max. Negotiated Rate |
$482.45 |
| Rate for Payer: Aetna Commercial |
$390.46
|
| Rate for Payer: Ambetter Exchange |
$291.95
|
| Rate for Payer: Anthem HMO/Medicare Advantage/POS/PPO/Pathway Tiered Hospital/Pathway X Tiered Hospital/Traditional |
$173.38
|
| Rate for Payer: Anthem Medicaid |
$171.11
|
| Rate for Payer: Buckeye Individual/Medicaid |
$291.95
|
| Rate for Payer: Buckeye Medicare Advantage |
$291.95
|
| Rate for Payer: CareSource Just4Me Medicare |
$350.34
|
| Rate for Payer: Cash Price |
$342.00
|
| Rate for Payer: Cash Price |
$342.00
|
| Rate for Payer: Cigna Commercial |
$482.45
|
| Rate for Payer: Healthspan PPO |
$387.61
|
| Rate for Payer: Humana Medicaid |
$171.11
|
| Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation |
$347.90
|
| Rate for Payer: Medical Mutual Of Ohio Medicare Advantage |
$291.95
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$291.95
|
| Rate for Payer: Molina Healthcare CHIP/Medicaid |
$174.53
|
| Rate for Payer: Molina Healthcare Passport |
$171.11
|
| Rate for Payer: Multiplan PHCS |
$410.40
|
| Rate for Payer: Ohio Health Choice Preferred Health Choice |
$379.54
|
| Rate for Payer: UHCCP Medicaid |
$182.05
|
| Rate for Payer: Wellcare CHIP/Medicaid |
$172.82
|
| Rate for Payer: Wellcare Medicare Advantage |
$291.95
|
|
|
TREAT KNEECAP FRACTURE(T
|
Facility
|
IP
|
$538.00
|
|
|
Service Code
|
HCPCS 27520
|
| Hospital Charge Code |
761T0866
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$161.40 |
| Max. Negotiated Rate |
$516.48 |
| Rate for Payer: Aetna Commercial |
$414.26
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$419.64
|
| Rate for Payer: Cash Price |
$269.00
|
| Rate for Payer: Cigna Commercial |
$446.54
|
| Rate for Payer: First Health Commercial |
$511.10
|
| Rate for Payer: Humana Commercial |
$457.30
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$441.16
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$397.04
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$161.40
|
| Rate for Payer: Ohio Health Choice Commercial |
$473.44
|
| Rate for Payer: Ohio Health Group HMO |
$403.50
|
| Rate for Payer: Ohio Health Group PPO Differential |
$430.40
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$468.06
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$371.22
|
| Rate for Payer: PHCS Commercial |
$516.48
|
| Rate for Payer: United Healthcare All Payer |
$473.44
|
|
|
TREAT KNEECAP FRACTURE(T
|
Facility
|
OP
|
$538.00
|
|
|
Service Code
|
HCPCS 27520
|
| Hospital Charge Code |
761T0866
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$185.02 |
| Max. Negotiated Rate |
$516.48 |
| Rate for Payer: Aetna Commercial |
$414.26
|
| Rate for Payer: Anthem Medicaid |
$185.02
|
| Rate for Payer: Anthem Medicare Advantage/PPO |
$221.64
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$419.64
|
| Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$310.30
|
| Rate for Payer: CareSource Just4Me Medicare |
$299.21
|
| Rate for Payer: Cash Price |
$269.00
|
| Rate for Payer: Cash Price |
$269.00
|
| Rate for Payer: Cigna Commercial |
$446.54
|
| Rate for Payer: First Health Commercial |
$511.10
|
| Rate for Payer: Humana Commercial |
$457.30
|
| Rate for Payer: Humana KY Medicaid |
$185.02
|
| Rate for Payer: Humana Medicare Advantage |
$221.64
|
| Rate for Payer: Kentucky WC Medicaid |
$186.90
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$441.16
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$397.04
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$265.97
|
| Rate for Payer: Molina Healthcare Medicaid |
$188.73
|
| Rate for Payer: Ohio Health Choice Commercial |
$473.44
|
| Rate for Payer: Ohio Health Group HMO |
$403.50
|
| Rate for Payer: Ohio Health Group PPO Differential |
$430.40
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$468.06
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$371.22
|
| Rate for Payer: PHCS Commercial |
$516.48
|
| Rate for Payer: United Healthcare All Payer |
$473.44
|
|
|
TREAT KNEE DISLOCATIN WANESTH
|
Professional
|
Both
|
$1,020.00
|
|
|
Service Code
|
HCPCS 27552
|
| Hospital Charge Code |
761P0875
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$321.73 |
| Max. Negotiated Rate |
$990.44 |
| Rate for Payer: Aetna Commercial |
$904.54
|
| Rate for Payer: Ambetter Exchange |
$607.04
|
| Rate for Payer: Anthem Medicaid |
$321.73
|
| Rate for Payer: Buckeye Individual/Medicaid |
$607.04
|
| Rate for Payer: Buckeye Medicare Advantage |
$607.04
|
| Rate for Payer: CareSource Just4Me Medicare |
$728.45
|
| Rate for Payer: Cash Price |
$510.00
|
| Rate for Payer: Cash Price |
$510.00
|
| Rate for Payer: Cigna Commercial |
$990.44
|
| Rate for Payer: Healthspan PPO |
$819.32
|
| Rate for Payer: Humana Medicaid |
$321.73
|
| Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation |
$770.21
|
| Rate for Payer: Medical Mutual Of Ohio Medicare Advantage |
$607.04
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$607.04
|
| Rate for Payer: Molina Healthcare CHIP/Medicaid |
$328.16
|
| Rate for Payer: Molina Healthcare Passport |
$321.73
|
| Rate for Payer: Multiplan PHCS |
$612.00
|
| Rate for Payer: Ohio Health Choice Preferred Health Choice |
$789.15
|
| Rate for Payer: UHCCP Medicaid |
$357.00
|
| Rate for Payer: Wellcare CHIP/Medicaid |
$324.95
|
| Rate for Payer: Wellcare Medicare Advantage |
$607.04
|
|
|
TREAT KNEE DISLOCATIN WANESTH
|
Professional
|
Both
|
$1,020.00
|
|
|
Service Code
|
HCPCS 27552
|
| Hospital Charge Code |
76100875
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$321.73 |
| Max. Negotiated Rate |
$990.44 |
| Rate for Payer: Aetna Commercial |
$904.54
|
| Rate for Payer: Ambetter Exchange |
$607.04
|
| Rate for Payer: Anthem Medicaid |
$321.73
|
| Rate for Payer: Buckeye Individual/Medicaid |
$607.04
|
| Rate for Payer: Buckeye Medicare Advantage |
$607.04
|
| Rate for Payer: CareSource Just4Me Medicare |
$728.45
|
| Rate for Payer: Cash Price |
$510.00
|
| Rate for Payer: Cash Price |
$510.00
|
| Rate for Payer: Cigna Commercial |
$990.44
|
| Rate for Payer: Healthspan PPO |
$819.32
|
| Rate for Payer: Humana Medicaid |
$321.73
|
| Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation |
$770.21
|
| Rate for Payer: Medical Mutual Of Ohio Medicare Advantage |
$607.04
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$607.04
|
| Rate for Payer: Molina Healthcare CHIP/Medicaid |
$328.16
|
| Rate for Payer: Molina Healthcare Passport |
$321.73
|
| Rate for Payer: Multiplan PHCS |
$612.00
|
| Rate for Payer: Ohio Health Choice Preferred Health Choice |
$789.15
|
| Rate for Payer: UHCCP Medicaid |
$357.00
|
| Rate for Payer: Wellcare CHIP/Medicaid |
$324.95
|
| Rate for Payer: Wellcare Medicare Advantage |
$607.04
|
|
|
TREAT KNEE DISLOCATIN WANESTH
|
Facility
|
IP
|
$2,172.00
|
|
|
Service Code
|
HCPCS 27552
|
| Hospital Charge Code |
45000161
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$651.60 |
| Max. Negotiated Rate |
$2,085.12 |
| Rate for Payer: Aetna Commercial |
$1,672.44
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,694.16
|
| Rate for Payer: Cash Price |
$1,086.00
|
| Rate for Payer: Cigna Commercial |
$1,802.76
|
| Rate for Payer: First Health Commercial |
$2,063.40
|
| Rate for Payer: Humana Commercial |
$1,846.20
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,781.04
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,602.94
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$651.60
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,911.36
|
| Rate for Payer: Ohio Health Group HMO |
$1,629.00
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,737.60
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,889.64
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,498.68
|
| Rate for Payer: PHCS Commercial |
$2,085.12
|
| Rate for Payer: United Healthcare All Payer |
$1,911.36
|
|
|
TREAT KNEE DISLOCATIN WANESTH
|
Facility
|
IP
|
$1,020.00
|
|
|
Service Code
|
HCPCS 27552
|
| Hospital Charge Code |
76100875
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$306.00 |
| Max. Negotiated Rate |
$979.20 |
| Rate for Payer: Aetna Commercial |
$785.40
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$795.60
|
| Rate for Payer: Cash Price |
$510.00
|
| Rate for Payer: Cigna Commercial |
$846.60
|
| Rate for Payer: First Health Commercial |
$969.00
|
| Rate for Payer: Humana Commercial |
$867.00
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$836.40
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$752.76
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$306.00
|
| Rate for Payer: Ohio Health Choice Commercial |
$897.60
|
| Rate for Payer: Ohio Health Group HMO |
$765.00
|
| Rate for Payer: Ohio Health Group PPO Differential |
$816.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$887.40
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$703.80
|
| Rate for Payer: PHCS Commercial |
$979.20
|
| Rate for Payer: United Healthcare All Payer |
$897.60
|
|
|
TREAT KNEE DISLOCATIN WANESTH
|
Facility
|
OP
|
$1,020.00
|
|
|
Service Code
|
HCPCS 27552
|
| Hospital Charge Code |
76100875
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$350.78 |
| Max. Negotiated Rate |
$2,070.25 |
| Rate for Payer: Aetna Commercial |
$785.40
|
| Rate for Payer: Anthem Medicaid |
$350.78
|
| Rate for Payer: Anthem Medicare Advantage/PPO |
$1,478.75
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$795.60
|
| Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$2,070.25
|
| Rate for Payer: CareSource Just4Me Medicare |
$1,996.31
|
| Rate for Payer: Cash Price |
$510.00
|
| Rate for Payer: Cash Price |
$510.00
|
| Rate for Payer: Cigna Commercial |
$846.60
|
| Rate for Payer: First Health Commercial |
$969.00
|
| Rate for Payer: Humana Commercial |
$867.00
|
| Rate for Payer: Humana KY Medicaid |
$350.78
|
| Rate for Payer: Humana Medicare Advantage |
$1,478.75
|
| Rate for Payer: Kentucky WC Medicaid |
$354.35
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$836.40
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$752.76
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,774.50
|
| Rate for Payer: Molina Healthcare Medicaid |
$357.82
|
| Rate for Payer: Ohio Health Choice Commercial |
$897.60
|
| Rate for Payer: Ohio Health Group HMO |
$765.00
|
| Rate for Payer: Ohio Health Group PPO Differential |
$816.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$887.40
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$703.80
|
| Rate for Payer: PHCS Commercial |
$979.20
|
| Rate for Payer: United Healthcare All Payer |
$897.60
|
|
|
TREAT KNEE DISLOCATIN WANESTH
|
Facility
|
OP
|
$2,172.00
|
|
|
Service Code
|
HCPCS 27552
|
| Hospital Charge Code |
45000161
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$746.95 |
| Max. Negotiated Rate |
$2,085.12 |
| Rate for Payer: Aetna Commercial |
$1,672.44
|
| Rate for Payer: Anthem Medicaid |
$746.95
|
| Rate for Payer: Anthem Medicare Advantage/PPO |
$1,478.75
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,694.16
|
| Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$2,070.25
|
| Rate for Payer: CareSource Just4Me Medicare |
$1,996.31
|
| Rate for Payer: Cash Price |
$1,086.00
|
| Rate for Payer: Cash Price |
$1,086.00
|
| Rate for Payer: Cigna Commercial |
$1,802.76
|
| Rate for Payer: First Health Commercial |
$2,063.40
|
| Rate for Payer: Humana Commercial |
$1,846.20
|
| Rate for Payer: Humana KY Medicaid |
$746.95
|
| Rate for Payer: Humana Medicare Advantage |
$1,478.75
|
| Rate for Payer: Kentucky WC Medicaid |
$754.55
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,781.04
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,602.94
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,774.50
|
| Rate for Payer: Molina Healthcare Medicaid |
$761.94
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,911.36
|
| Rate for Payer: Ohio Health Group HMO |
$1,629.00
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,737.60
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,889.64
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,498.68
|
| Rate for Payer: PHCS Commercial |
$2,085.12
|
| Rate for Payer: United Healthcare All Payer |
$1,911.36
|
|
|
TREAT KNUCKLE DISLOCATION
|
Facility
|
IP
|
$925.00
|
|
|
Service Code
|
HCPCS 26715
|
| Hospital Charge Code |
76100735
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$277.50 |
| Max. Negotiated Rate |
$888.00 |
| Rate for Payer: Aetna Commercial |
$712.25
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$721.50
|
| Rate for Payer: Cash Price |
$462.50
|
| Rate for Payer: Cigna Commercial |
$767.75
|
| Rate for Payer: First Health Commercial |
$878.75
|
| Rate for Payer: Humana Commercial |
$786.25
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$758.50
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$682.65
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$277.50
|
| Rate for Payer: Ohio Health Choice Commercial |
$814.00
|
| Rate for Payer: Ohio Health Group HMO |
$693.75
|
| Rate for Payer: Ohio Health Group PPO Differential |
$740.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$804.75
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$638.25
|
| Rate for Payer: PHCS Commercial |
$888.00
|
| Rate for Payer: United Healthcare All Payer |
$814.00
|
|
