|
CHEST TUBE THORACIC 20FR
|
Facility
|
OP
|
$23.20
|
|
| Hospital Charge Code |
2600046
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$12.56 |
| Max. Negotiated Rate |
$23.20 |
| Rate for Payer: United Healthcare Commercial |
$22.16
|
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$22.74
|
| Rate for Payer: Aetna of WY Medicare |
$15.31
|
| Rate for Payer: Altius Commercial |
$22.27
|
| Rate for Payer: Beech Street Commercial |
$22.74
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$22.50
|
| Rate for Payer: Cash Price |
$16.24
|
| Rate for Payer: ChoiceCare Network Commercial |
$22.50
|
| Rate for Payer: Cigna of WY Commercial |
$22.74
|
| Rate for Payer: Entrust Commercial |
$22.04
|
| Rate for Payer: First Choice Health Commercial |
$22.04
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$22.04
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$13.22
|
| Rate for Payer: HealthUtah PPO |
$23.20
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$22.50
|
| Rate for Payer: Multiplan Medicare/VA |
$12.56
|
| Rate for Payer: One Health Plan of WY PPO |
$22.74
|
| Rate for Payer: PacificSource Commercial |
$20.88
|
| Rate for Payer: PHCS PPO |
$22.74
|
| Rate for Payer: Three Rivers PPO |
$17.40
|
| Rate for Payer: TriWest Veterans Administration |
$13.22
|
| Rate for Payer: United Healthcare Medicare |
$13.22
|
| Rate for Payer: WINHealth Partners Commercial |
$22.74
|
| Rate for Payer: Wise Provider Network Commercial |
$22.04
|
|
|
CHEST TUBE THORACIC 20FR
|
Facility
|
IP
|
$23.20
|
|
| Hospital Charge Code |
2600046
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$13.44 |
| Max. Negotiated Rate |
$23.20 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$22.74
|
| Rate for Payer: Aetna of WY Medicare |
$14.85
|
| Rate for Payer: Altius Commercial |
$22.27
|
| Rate for Payer: Beech Street Commercial |
$22.74
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$22.50
|
| Rate for Payer: Cash Price |
$16.24
|
| Rate for Payer: ChoiceCare Network Commercial |
$22.50
|
| Rate for Payer: Cigna of WY Commercial |
$22.74
|
| Rate for Payer: Entrust Commercial |
$22.04
|
| Rate for Payer: First Choice Health Commercial |
$22.04
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$22.04
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$14.15
|
| Rate for Payer: HealthUtah PPO |
$23.20
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$22.50
|
| Rate for Payer: Multiplan Medicare/VA |
$13.44
|
| Rate for Payer: One Health Plan of WY PPO |
$22.74
|
| Rate for Payer: PacificSource Commercial |
$20.88
|
| Rate for Payer: PHCS PPO |
$22.74
|
| Rate for Payer: Three Rivers PPO |
$17.40
|
| Rate for Payer: TriWest Veterans Administration |
$14.15
|
| Rate for Payer: United Healthcare Commercial |
$22.16
|
| Rate for Payer: United Healthcare Medicare |
$14.15
|
| Rate for Payer: WINHealth Partners Commercial |
$22.04
|
| Rate for Payer: Wise Provider Network Commercial |
$22.04
|
|
|
CHEST TUBE THORACIC 24FR
|
Facility
|
IP
|
$23.48
|
|
| Hospital Charge Code |
2600047
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$13.61 |
| Max. Negotiated Rate |
$23.48 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$23.01
|
| Rate for Payer: Aetna of WY Medicare |
$15.03
|
| Rate for Payer: Altius Commercial |
$22.54
|
| Rate for Payer: Beech Street Commercial |
$23.01
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$22.78
|
| Rate for Payer: Cash Price |
$16.44
|
| Rate for Payer: ChoiceCare Network Commercial |
$22.78
|
| Rate for Payer: Cigna of WY Commercial |
$23.01
|
| Rate for Payer: Entrust Commercial |
$22.31
|
| Rate for Payer: First Choice Health Commercial |
$22.31
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$22.31
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$14.32
|
| Rate for Payer: HealthUtah PPO |
$23.48
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$22.78
|
| Rate for Payer: Multiplan Medicare/VA |
$13.61
|
| Rate for Payer: One Health Plan of WY PPO |
$23.01
|
| Rate for Payer: PacificSource Commercial |
$21.13
|
| Rate for Payer: PHCS PPO |
$23.01
|
| Rate for Payer: Three Rivers PPO |
$17.61
|
| Rate for Payer: TriWest Veterans Administration |
$14.32
|
| Rate for Payer: United Healthcare Commercial |
$22.42
|
| Rate for Payer: United Healthcare Medicare |
$14.32
|
| Rate for Payer: WINHealth Partners Commercial |
$22.31
|
| Rate for Payer: Wise Provider Network Commercial |
$22.31
|
|
|
CHEST TUBE THORACIC 24FR
|
Facility
|
OP
|
$23.48
|
|
| Hospital Charge Code |
2600047
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$12.71 |
| Max. Negotiated Rate |
$23.48 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$23.01
|
| Rate for Payer: Aetna of WY Medicare |
$15.50
|
| Rate for Payer: Altius Commercial |
$22.54
|
| Rate for Payer: Beech Street Commercial |
$23.01
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$22.78
|
| Rate for Payer: Cash Price |
$16.44
|
| Rate for Payer: ChoiceCare Network Commercial |
$22.78
|
| Rate for Payer: Cigna of WY Commercial |
$23.01
|
| Rate for Payer: Entrust Commercial |
$22.31
|
| Rate for Payer: First Choice Health Commercial |
$22.31
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$22.31
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$13.38
|
| Rate for Payer: HealthUtah PPO |
$23.48
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$22.78
|
| Rate for Payer: Multiplan Medicare/VA |
$12.71
|
| Rate for Payer: One Health Plan of WY PPO |
$23.01
|
| Rate for Payer: PacificSource Commercial |
$21.13
|
| Rate for Payer: PHCS PPO |
$23.01
|
| Rate for Payer: Three Rivers PPO |
$17.61
|
| Rate for Payer: TriWest Veterans Administration |
$13.38
|
| Rate for Payer: United Healthcare Commercial |
$22.42
|
| Rate for Payer: United Healthcare Medicare |
$13.38
|
| Rate for Payer: WINHealth Partners Commercial |
$23.01
|
| Rate for Payer: Wise Provider Network Commercial |
$22.31
|
|
|
CHEST TUBE THORACIC 32FR
|
Facility
|
OP
|
$18.76
|
|
| Hospital Charge Code |
2600012
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.16 |
| Max. Negotiated Rate |
$18.76 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$18.38
|
| Rate for Payer: Aetna of WY Medicare |
$12.38
|
| Rate for Payer: Altius Commercial |
$18.01
|
| Rate for Payer: Beech Street Commercial |
$18.38
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$18.20
|
| Rate for Payer: Cash Price |
$13.13
|
| Rate for Payer: ChoiceCare Network Commercial |
$18.20
|
| Rate for Payer: Cigna of WY Commercial |
$18.38
|
| Rate for Payer: Entrust Commercial |
$17.82
|
| Rate for Payer: First Choice Health Commercial |
$17.82
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$17.82
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$10.69
|
| Rate for Payer: HealthUtah PPO |
$18.76
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$18.20
|
| Rate for Payer: Multiplan Medicare/VA |
$10.16
|
| Rate for Payer: One Health Plan of WY PPO |
$18.38
|
| Rate for Payer: PacificSource Commercial |
$16.88
|
| Rate for Payer: PHCS PPO |
$18.38
|
| Rate for Payer: Three Rivers PPO |
$14.07
|
| Rate for Payer: TriWest Veterans Administration |
$10.69
|
| Rate for Payer: United Healthcare Commercial |
$17.92
|
| Rate for Payer: United Healthcare Medicare |
$10.69
|
| Rate for Payer: WINHealth Partners Commercial |
$18.38
|
| Rate for Payer: Wise Provider Network Commercial |
$17.82
|
|
|
CHEST TUBE THORACIC 32FR
|
Facility
|
IP
|
$18.76
|
|
| Hospital Charge Code |
2600012
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.87 |
| Max. Negotiated Rate |
$18.76 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$18.38
|
| Rate for Payer: Aetna of WY Medicare |
$12.01
|
| Rate for Payer: Altius Commercial |
$18.01
|
| Rate for Payer: Beech Street Commercial |
$18.38
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$18.20
|
| Rate for Payer: Cash Price |
$13.13
|
| Rate for Payer: ChoiceCare Network Commercial |
$18.20
|
| Rate for Payer: Cigna of WY Commercial |
$18.38
|
| Rate for Payer: Entrust Commercial |
$17.82
|
| Rate for Payer: First Choice Health Commercial |
$17.82
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$17.82
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$11.44
|
| Rate for Payer: HealthUtah PPO |
$18.76
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$18.20
|
| Rate for Payer: Multiplan Medicare/VA |
$10.87
|
| Rate for Payer: One Health Plan of WY PPO |
$18.38
|
| Rate for Payer: PacificSource Commercial |
$16.88
|
| Rate for Payer: PHCS PPO |
$18.38
|
| Rate for Payer: Three Rivers PPO |
$14.07
|
| Rate for Payer: TriWest Veterans Administration |
$11.44
|
| Rate for Payer: United Healthcare Commercial |
$17.92
|
| Rate for Payer: United Healthcare Medicare |
$11.44
|
| Rate for Payer: WINHealth Partners Commercial |
$17.82
|
| Rate for Payer: Wise Provider Network Commercial |
$17.82
|
|
|
CHEST TUBE THORACIC 36FR
|
Facility
|
IP
|
$18.76
|
|
| Hospital Charge Code |
2650019
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.87 |
| Max. Negotiated Rate |
$18.76 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$18.38
|
| Rate for Payer: Aetna of WY Medicare |
$12.01
|
| Rate for Payer: Altius Commercial |
$18.01
|
| Rate for Payer: Beech Street Commercial |
$18.38
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$18.20
|
| Rate for Payer: Cash Price |
$13.13
|
| Rate for Payer: ChoiceCare Network Commercial |
$18.20
|
| Rate for Payer: Cigna of WY Commercial |
$18.38
|
| Rate for Payer: Entrust Commercial |
$17.82
|
| Rate for Payer: First Choice Health Commercial |
$17.82
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$17.82
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$11.44
|
| Rate for Payer: HealthUtah PPO |
$18.76
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$18.20
|
| Rate for Payer: Multiplan Medicare/VA |
$10.87
|
| Rate for Payer: One Health Plan of WY PPO |
$18.38
|
| Rate for Payer: PacificSource Commercial |
$16.88
|
| Rate for Payer: PHCS PPO |
$18.38
|
| Rate for Payer: Three Rivers PPO |
$14.07
|
| Rate for Payer: TriWest Veterans Administration |
$11.44
|
| Rate for Payer: United Healthcare Commercial |
$17.92
|
| Rate for Payer: United Healthcare Medicare |
$11.44
|
| Rate for Payer: WINHealth Partners Commercial |
$17.82
|
| Rate for Payer: Wise Provider Network Commercial |
$17.82
|
|
|
CHEST TUBE THORACIC 36FR
|
Facility
|
OP
|
$18.76
|
|
| Hospital Charge Code |
2650019
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.16 |
| Max. Negotiated Rate |
$18.76 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$18.38
|
| Rate for Payer: Aetna of WY Medicare |
$12.38
|
| Rate for Payer: Altius Commercial |
$18.01
|
| Rate for Payer: Beech Street Commercial |
$18.38
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$18.20
|
| Rate for Payer: Cash Price |
$13.13
|
| Rate for Payer: ChoiceCare Network Commercial |
$18.20
|
| Rate for Payer: Cigna of WY Commercial |
$18.38
|
| Rate for Payer: Entrust Commercial |
$17.82
|
| Rate for Payer: First Choice Health Commercial |
$17.82
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$17.82
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$10.69
|
| Rate for Payer: HealthUtah PPO |
$18.76
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$18.20
|
| Rate for Payer: Multiplan Medicare/VA |
$10.16
|
| Rate for Payer: One Health Plan of WY PPO |
$18.38
|
| Rate for Payer: PacificSource Commercial |
$16.88
|
| Rate for Payer: PHCS PPO |
$18.38
|
| Rate for Payer: Three Rivers PPO |
$14.07
|
| Rate for Payer: TriWest Veterans Administration |
$10.69
|
| Rate for Payer: United Healthcare Commercial |
$17.92
|
| Rate for Payer: United Healthcare Medicare |
$10.69
|
| Rate for Payer: WINHealth Partners Commercial |
$18.38
|
| Rate for Payer: Wise Provider Network Commercial |
$17.82
|
|
|
CHEST TUBE THORACIC 40F
|
Facility
|
IP
|
$28.80
|
|
| Hospital Charge Code |
2600048
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$16.69 |
| Max. Negotiated Rate |
$28.80 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$28.22
|
| Rate for Payer: Aetna of WY Medicare |
$18.43
|
| Rate for Payer: Altius Commercial |
$27.65
|
| Rate for Payer: Beech Street Commercial |
$28.22
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$27.94
|
| Rate for Payer: Cash Price |
$20.16
|
| Rate for Payer: ChoiceCare Network Commercial |
$27.94
|
| Rate for Payer: Cigna of WY Commercial |
$28.22
|
| Rate for Payer: Entrust Commercial |
$27.36
|
| Rate for Payer: First Choice Health Commercial |
$27.36
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$27.36
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$17.57
|
| Rate for Payer: HealthUtah PPO |
$28.80
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$27.94
|
| Rate for Payer: Multiplan Medicare/VA |
$16.69
|
| Rate for Payer: One Health Plan of WY PPO |
$28.22
|
| Rate for Payer: PacificSource Commercial |
$25.92
|
| Rate for Payer: PHCS PPO |
$28.22
|
| Rate for Payer: Three Rivers PPO |
$21.60
|
| Rate for Payer: TriWest Veterans Administration |
$17.57
|
| Rate for Payer: United Healthcare Commercial |
$27.50
|
| Rate for Payer: United Healthcare Medicare |
$17.57
|
| Rate for Payer: WINHealth Partners Commercial |
$27.36
|
| Rate for Payer: Wise Provider Network Commercial |
$27.36
|
|
|
CHEST TUBE THORACIC 40F
|
Facility
|
OP
|
$28.80
|
|
| Hospital Charge Code |
2600048
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$15.60 |
| Max. Negotiated Rate |
$28.80 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$28.22
|
| Rate for Payer: Aetna of WY Medicare |
$19.01
|
| Rate for Payer: Altius Commercial |
$27.65
|
| Rate for Payer: Beech Street Commercial |
$28.22
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$27.94
|
| Rate for Payer: Cash Price |
$20.16
|
| Rate for Payer: ChoiceCare Network Commercial |
$27.94
|
| Rate for Payer: Cigna of WY Commercial |
$28.22
|
| Rate for Payer: Entrust Commercial |
$27.36
|
| Rate for Payer: First Choice Health Commercial |
$27.36
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$27.36
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$16.42
|
| Rate for Payer: HealthUtah PPO |
$28.80
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$27.94
|
| Rate for Payer: Multiplan Medicare/VA |
$15.60
|
| Rate for Payer: One Health Plan of WY PPO |
$28.22
|
| Rate for Payer: PacificSource Commercial |
$25.92
|
| Rate for Payer: PHCS PPO |
$28.22
|
| Rate for Payer: Three Rivers PPO |
$21.60
|
| Rate for Payer: TriWest Veterans Administration |
$16.42
|
| Rate for Payer: United Healthcare Commercial |
$27.50
|
| Rate for Payer: United Healthcare Medicare |
$16.42
|
| Rate for Payer: WINHealth Partners Commercial |
$28.22
|
| Rate for Payer: Wise Provider Network Commercial |
$27.36
|
|
|
CHEST X-RAY 1 VW
|
Professional
|
Both
|
$185.00
|
|
|
Service Code
|
HCPCS 71010
|
| Min. Negotiated Rate |
$138.75 |
| Max. Negotiated Rate |
$185.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$181.30
|
| Rate for Payer: Beech Street Commercial |
$175.75
|
| Rate for Payer: Cash Price |
$129.50
|
| Rate for Payer: ChoiceCare Network Commercial |
$179.45
|
| Rate for Payer: Cigna of WY Commercial |
$181.30
|
| Rate for Payer: First Choice Health Commercial |
$166.50
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$175.75
|
| Rate for Payer: HealthUtah PPO |
$185.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$179.45
|
| Rate for Payer: One Health Plan of WY PPO |
$181.30
|
| Rate for Payer: PacificSource Commercial |
$166.50
|
| Rate for Payer: PHCS PPO |
$175.75
|
| Rate for Payer: Three Rivers PPO |
$138.75
|
| Rate for Payer: United Healthcare Commercial |
$175.75
|
| Rate for Payer: WINHealth Partners Commercial |
$175.75
|
|
|
CHEST X-RAY 2 VW
|
Professional
|
Both
|
$252.00
|
|
|
Service Code
|
HCPCS 71020
|
| Min. Negotiated Rate |
$189.00 |
| Max. Negotiated Rate |
$252.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$246.96
|
| Rate for Payer: Beech Street Commercial |
$239.40
|
| Rate for Payer: Cash Price |
$176.40
|
| Rate for Payer: ChoiceCare Network Commercial |
$244.44
|
| Rate for Payer: Cigna of WY Commercial |
$246.96
|
| Rate for Payer: First Choice Health Commercial |
$226.80
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$239.40
|
| Rate for Payer: HealthUtah PPO |
$252.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$244.44
|
| Rate for Payer: One Health Plan of WY PPO |
$246.96
|
| Rate for Payer: PacificSource Commercial |
$226.80
|
| Rate for Payer: PHCS PPO |
$239.40
|
| Rate for Payer: Three Rivers PPO |
$189.00
|
| Rate for Payer: United Healthcare Commercial |
$239.40
|
| Rate for Payer: WINHealth Partners Commercial |
$239.40
|
|
|
CHLORAPREP 10.5ML TINT 930715
|
Facility
|
IP
|
$12.40
|
|
| Hospital Charge Code |
4400234
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.19 |
| Max. Negotiated Rate |
$12.40 |
| Rate for Payer: United Healthcare Commercial |
$11.84
|
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$12.15
|
| Rate for Payer: Aetna of WY Medicare |
$7.94
|
| Rate for Payer: Altius Commercial |
$11.90
|
| Rate for Payer: Beech Street Commercial |
$12.15
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$12.03
|
| Rate for Payer: Cash Price |
$8.68
|
| Rate for Payer: ChoiceCare Network Commercial |
$12.03
|
| Rate for Payer: Cigna of WY Commercial |
$12.15
|
| Rate for Payer: Entrust Commercial |
$11.78
|
| Rate for Payer: First Choice Health Commercial |
$11.78
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$11.78
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$7.56
|
| Rate for Payer: HealthUtah PPO |
$12.40
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$12.03
|
| Rate for Payer: Multiplan Medicare/VA |
$7.19
|
| Rate for Payer: One Health Plan of WY PPO |
$12.15
|
| Rate for Payer: PacificSource Commercial |
$11.16
|
| Rate for Payer: PHCS PPO |
$12.15
|
| Rate for Payer: Three Rivers PPO |
$9.30
|
| Rate for Payer: TriWest Veterans Administration |
$7.56
|
| Rate for Payer: United Healthcare Medicare |
$7.56
|
| Rate for Payer: WINHealth Partners Commercial |
$11.78
|
| Rate for Payer: Wise Provider Network Commercial |
$11.78
|
|
|
CHLORAPREP 10.5ML TINT 930715
|
Facility
|
OP
|
$12.40
|
|
| Hospital Charge Code |
4400234
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.71 |
| Max. Negotiated Rate |
$12.40 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$12.15
|
| Rate for Payer: Aetna of WY Medicare |
$8.18
|
| Rate for Payer: Altius Commercial |
$11.90
|
| Rate for Payer: Beech Street Commercial |
$12.15
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$12.03
|
| Rate for Payer: Cash Price |
$8.68
|
| Rate for Payer: ChoiceCare Network Commercial |
$12.03
|
| Rate for Payer: Cigna of WY Commercial |
$12.15
|
| Rate for Payer: Entrust Commercial |
$11.78
|
| Rate for Payer: First Choice Health Commercial |
$11.78
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$11.78
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$7.07
|
| Rate for Payer: HealthUtah PPO |
$12.40
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$12.03
|
| Rate for Payer: Multiplan Medicare/VA |
$6.71
|
| Rate for Payer: One Health Plan of WY PPO |
$12.15
|
| Rate for Payer: PacificSource Commercial |
$11.16
|
| Rate for Payer: PHCS PPO |
$12.15
|
| Rate for Payer: Three Rivers PPO |
$9.30
|
| Rate for Payer: TriWest Veterans Administration |
$7.07
|
| Rate for Payer: United Healthcare Commercial |
$11.84
|
| Rate for Payer: United Healthcare Medicare |
$7.07
|
| Rate for Payer: WINHealth Partners Commercial |
$12.15
|
| Rate for Payer: Wise Provider Network Commercial |
$11.78
|
|
|
CHLORAPREP 26ML TINT 930815
|
Facility
|
OP
|
$20.20
|
|
| Hospital Charge Code |
2650443
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.94 |
| Max. Negotiated Rate |
$20.20 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$19.80
|
| Rate for Payer: Aetna of WY Medicare |
$13.33
|
| Rate for Payer: Altius Commercial |
$19.39
|
| Rate for Payer: Beech Street Commercial |
$19.80
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$19.59
|
| Rate for Payer: Cash Price |
$14.14
|
| Rate for Payer: ChoiceCare Network Commercial |
$19.59
|
| Rate for Payer: Cigna of WY Commercial |
$19.80
|
| Rate for Payer: Entrust Commercial |
$19.19
|
| Rate for Payer: First Choice Health Commercial |
$19.19
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$19.19
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$11.51
|
| Rate for Payer: HealthUtah PPO |
$20.20
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$19.59
|
| Rate for Payer: Multiplan Medicare/VA |
$10.94
|
| Rate for Payer: One Health Plan of WY PPO |
$19.80
|
| Rate for Payer: PacificSource Commercial |
$18.18
|
| Rate for Payer: PHCS PPO |
$19.80
|
| Rate for Payer: Three Rivers PPO |
$15.15
|
| Rate for Payer: TriWest Veterans Administration |
$11.51
|
| Rate for Payer: United Healthcare Commercial |
$19.29
|
| Rate for Payer: United Healthcare Medicare |
$11.51
|
| Rate for Payer: WINHealth Partners Commercial |
$19.80
|
| Rate for Payer: Wise Provider Network Commercial |
$19.19
|
|
|
CHLORAPREP 26ML TINT 930815
|
Facility
|
IP
|
$20.20
|
|
| Hospital Charge Code |
2650443
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$11.71 |
| Max. Negotiated Rate |
$20.20 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$19.80
|
| Rate for Payer: Aetna of WY Medicare |
$12.93
|
| Rate for Payer: Altius Commercial |
$19.39
|
| Rate for Payer: Beech Street Commercial |
$19.80
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$19.59
|
| Rate for Payer: Cash Price |
$14.14
|
| Rate for Payer: ChoiceCare Network Commercial |
$19.59
|
| Rate for Payer: Cigna of WY Commercial |
$19.80
|
| Rate for Payer: Entrust Commercial |
$19.19
|
| Rate for Payer: First Choice Health Commercial |
$19.19
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$19.19
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$12.32
|
| Rate for Payer: HealthUtah PPO |
$20.20
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$19.59
|
| Rate for Payer: Multiplan Medicare/VA |
$11.71
|
| Rate for Payer: One Health Plan of WY PPO |
$19.80
|
| Rate for Payer: PacificSource Commercial |
$18.18
|
| Rate for Payer: PHCS PPO |
$19.80
|
| Rate for Payer: Three Rivers PPO |
$15.15
|
| Rate for Payer: TriWest Veterans Administration |
$12.32
|
| Rate for Payer: United Healthcare Commercial |
$19.29
|
| Rate for Payer: United Healthcare Medicare |
$12.32
|
| Rate for Payer: WINHealth Partners Commercial |
$19.19
|
| Rate for Payer: Wise Provider Network Commercial |
$19.19
|
|
|
CHLORDIAZEPOXIDE 25 MG CAPSULE [10717]
|
Facility
|
OP
|
$17.12
|
|
|
Service Code
|
NDC 5107914120
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$9.27 |
| Max. Negotiated Rate |
$17.12 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$16.78
|
| Rate for Payer: Aetna of WY Medicare |
$11.30
|
| Rate for Payer: Altius Commercial |
$16.44
|
| Rate for Payer: Beech Street Commercial |
$16.78
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$16.61
|
| Rate for Payer: Cash Price |
$11.99
|
| Rate for Payer: ChoiceCare Network Commercial |
$16.61
|
| Rate for Payer: Cigna of WY Commercial |
$16.78
|
| Rate for Payer: Entrust Commercial |
$16.26
|
| Rate for Payer: First Choice Health Commercial |
$16.26
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$16.26
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$9.76
|
| Rate for Payer: HealthUtah PPO |
$17.12
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$16.61
|
| Rate for Payer: Multiplan Medicare/VA |
$9.27
|
| Rate for Payer: One Health Plan of WY PPO |
$16.78
|
| Rate for Payer: PacificSource Commercial |
$15.41
|
| Rate for Payer: PHCS PPO |
$16.78
|
| Rate for Payer: Three Rivers PPO |
$12.84
|
| Rate for Payer: TriWest Veterans Administration |
$9.76
|
| Rate for Payer: United Healthcare Commercial |
$16.35
|
| Rate for Payer: United Healthcare Medicare |
$9.76
|
| Rate for Payer: WINHealth Partners Commercial |
$16.78
|
| Rate for Payer: Wise Provider Network Commercial |
$16.26
|
|
|
CHLORDIAZEPOXIDE 25 MG CAPSULE [10717]
|
Facility
|
OP
|
$15.66
|
|
|
Service Code
|
NDC 0555015902
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$8.48 |
| Max. Negotiated Rate |
$15.66 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$15.35
|
| Rate for Payer: Aetna of WY Medicare |
$10.34
|
| Rate for Payer: Altius Commercial |
$15.03
|
| Rate for Payer: Beech Street Commercial |
$15.35
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$15.19
|
| Rate for Payer: Cash Price |
$10.97
|
| Rate for Payer: ChoiceCare Network Commercial |
$15.19
|
| Rate for Payer: Cigna of WY Commercial |
$15.35
|
| Rate for Payer: Entrust Commercial |
$14.88
|
| Rate for Payer: First Choice Health Commercial |
$14.88
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$14.88
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$8.93
|
| Rate for Payer: HealthUtah PPO |
$15.66
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$15.19
|
| Rate for Payer: Multiplan Medicare/VA |
$8.48
|
| Rate for Payer: One Health Plan of WY PPO |
$15.35
|
| Rate for Payer: PacificSource Commercial |
$14.09
|
| Rate for Payer: PHCS PPO |
$15.35
|
| Rate for Payer: Three Rivers PPO |
$11.74
|
| Rate for Payer: TriWest Veterans Administration |
$8.93
|
| Rate for Payer: United Healthcare Commercial |
$14.96
|
| Rate for Payer: United Healthcare Medicare |
$8.93
|
| Rate for Payer: WINHealth Partners Commercial |
$15.35
|
| Rate for Payer: Wise Provider Network Commercial |
$14.88
|
|
|
CHLORDIAZEPOXIDE 25 MG CAPSULE [10717]
|
Facility
|
IP
|
$15.66
|
|
|
Service Code
|
NDC 0555015902
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$9.07 |
| Max. Negotiated Rate |
$15.66 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$15.35
|
| Rate for Payer: Aetna of WY Medicare |
$10.02
|
| Rate for Payer: Altius Commercial |
$15.03
|
| Rate for Payer: Beech Street Commercial |
$15.35
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$15.19
|
| Rate for Payer: Cash Price |
$10.97
|
| Rate for Payer: ChoiceCare Network Commercial |
$15.19
|
| Rate for Payer: Cigna of WY Commercial |
$15.35
|
| Rate for Payer: Entrust Commercial |
$14.88
|
| Rate for Payer: First Choice Health Commercial |
$14.88
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$14.88
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$9.55
|
| Rate for Payer: HealthUtah PPO |
$15.66
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$15.19
|
| Rate for Payer: Multiplan Medicare/VA |
$9.07
|
| Rate for Payer: One Health Plan of WY PPO |
$15.35
|
| Rate for Payer: PacificSource Commercial |
$14.09
|
| Rate for Payer: PHCS PPO |
$15.35
|
| Rate for Payer: Three Rivers PPO |
$11.74
|
| Rate for Payer: TriWest Veterans Administration |
$9.55
|
| Rate for Payer: United Healthcare Commercial |
$14.96
|
| Rate for Payer: United Healthcare Medicare |
$9.55
|
| Rate for Payer: WINHealth Partners Commercial |
$14.88
|
| Rate for Payer: Wise Provider Network Commercial |
$14.88
|
|
|
CHLORDIAZEPOXIDE 25 MG CAPSULE [10717]
|
Facility
|
IP
|
$17.12
|
|
|
Service Code
|
NDC 5107914120
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$9.92 |
| Max. Negotiated Rate |
$17.12 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$16.78
|
| Rate for Payer: Aetna of WY Medicare |
$10.96
|
| Rate for Payer: Altius Commercial |
$16.44
|
| Rate for Payer: Beech Street Commercial |
$16.78
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$16.61
|
| Rate for Payer: Cash Price |
$11.99
|
| Rate for Payer: ChoiceCare Network Commercial |
$16.61
|
| Rate for Payer: Cigna of WY Commercial |
$16.78
|
| Rate for Payer: Entrust Commercial |
$16.26
|
| Rate for Payer: First Choice Health Commercial |
$16.26
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$16.26
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$10.44
|
| Rate for Payer: HealthUtah PPO |
$17.12
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$16.61
|
| Rate for Payer: Multiplan Medicare/VA |
$9.92
|
| Rate for Payer: One Health Plan of WY PPO |
$16.78
|
| Rate for Payer: PacificSource Commercial |
$15.41
|
| Rate for Payer: PHCS PPO |
$16.78
|
| Rate for Payer: Three Rivers PPO |
$12.84
|
| Rate for Payer: TriWest Veterans Administration |
$10.44
|
| Rate for Payer: United Healthcare Commercial |
$16.35
|
| Rate for Payer: United Healthcare Medicare |
$10.44
|
| Rate for Payer: WINHealth Partners Commercial |
$16.26
|
| Rate for Payer: Wise Provider Network Commercial |
$16.26
|
|
|
CHLORDIAZEPOXIDE 25 MG CAPSULE [10717]
|
Facility
|
IP
|
$17.12
|
|
|
Service Code
|
NDC 5107914101
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$9.92 |
| Max. Negotiated Rate |
$17.12 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$16.78
|
| Rate for Payer: Aetna of WY Medicare |
$10.96
|
| Rate for Payer: Altius Commercial |
$16.44
|
| Rate for Payer: Beech Street Commercial |
$16.78
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$16.61
|
| Rate for Payer: Cash Price |
$11.99
|
| Rate for Payer: ChoiceCare Network Commercial |
$16.61
|
| Rate for Payer: Cigna of WY Commercial |
$16.78
|
| Rate for Payer: Entrust Commercial |
$16.26
|
| Rate for Payer: First Choice Health Commercial |
$16.26
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$16.26
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$10.44
|
| Rate for Payer: HealthUtah PPO |
$17.12
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$16.61
|
| Rate for Payer: Multiplan Medicare/VA |
$9.92
|
| Rate for Payer: One Health Plan of WY PPO |
$16.78
|
| Rate for Payer: PacificSource Commercial |
$15.41
|
| Rate for Payer: PHCS PPO |
$16.78
|
| Rate for Payer: Three Rivers PPO |
$12.84
|
| Rate for Payer: TriWest Veterans Administration |
$10.44
|
| Rate for Payer: United Healthcare Commercial |
$16.35
|
| Rate for Payer: United Healthcare Medicare |
$10.44
|
| Rate for Payer: WINHealth Partners Commercial |
$16.26
|
| Rate for Payer: Wise Provider Network Commercial |
$16.26
|
|
|
CHLORDIAZEPOXIDE 25 MG CAPSULE [10717]
|
Facility
|
OP
|
$17.12
|
|
|
Service Code
|
NDC 5107914101
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$9.27 |
| Max. Negotiated Rate |
$17.12 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$16.78
|
| Rate for Payer: Aetna of WY Medicare |
$11.30
|
| Rate for Payer: Altius Commercial |
$16.44
|
| Rate for Payer: Beech Street Commercial |
$16.78
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$16.61
|
| Rate for Payer: Cash Price |
$11.99
|
| Rate for Payer: ChoiceCare Network Commercial |
$16.61
|
| Rate for Payer: Cigna of WY Commercial |
$16.78
|
| Rate for Payer: Entrust Commercial |
$16.26
|
| Rate for Payer: First Choice Health Commercial |
$16.26
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$16.26
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$9.76
|
| Rate for Payer: HealthUtah PPO |
$17.12
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$16.61
|
| Rate for Payer: Multiplan Medicare/VA |
$9.27
|
| Rate for Payer: One Health Plan of WY PPO |
$16.78
|
| Rate for Payer: PacificSource Commercial |
$15.41
|
| Rate for Payer: PHCS PPO |
$16.78
|
| Rate for Payer: Three Rivers PPO |
$12.84
|
| Rate for Payer: TriWest Veterans Administration |
$9.76
|
| Rate for Payer: United Healthcare Commercial |
$16.35
|
| Rate for Payer: United Healthcare Medicare |
$9.76
|
| Rate for Payer: WINHealth Partners Commercial |
$16.78
|
| Rate for Payer: Wise Provider Network Commercial |
$16.26
|
|
|
CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH [39510]
|
Facility
|
IP
|
$15.48
|
|
|
Service Code
|
NDC 6068761644
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$8.97 |
| Max. Negotiated Rate |
$15.48 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$15.17
|
| Rate for Payer: Aetna of WY Medicare |
$9.91
|
| Rate for Payer: Altius Commercial |
$14.86
|
| Rate for Payer: Beech Street Commercial |
$15.17
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$15.02
|
| Rate for Payer: Cash Price |
$10.84
|
| Rate for Payer: ChoiceCare Network Commercial |
$15.02
|
| Rate for Payer: Cigna of WY Commercial |
$15.17
|
| Rate for Payer: Entrust Commercial |
$14.71
|
| Rate for Payer: First Choice Health Commercial |
$14.71
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$14.71
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$9.44
|
| Rate for Payer: HealthUtah PPO |
$15.48
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$15.02
|
| Rate for Payer: Multiplan Medicare/VA |
$8.97
|
| Rate for Payer: One Health Plan of WY PPO |
$15.17
|
| Rate for Payer: PacificSource Commercial |
$13.93
|
| Rate for Payer: PHCS PPO |
$15.17
|
| Rate for Payer: Three Rivers PPO |
$11.61
|
| Rate for Payer: TriWest Veterans Administration |
$9.44
|
| Rate for Payer: United Healthcare Commercial |
$14.78
|
| Rate for Payer: United Healthcare Medicare |
$9.44
|
| Rate for Payer: WINHealth Partners Commercial |
$14.71
|
| Rate for Payer: Wise Provider Network Commercial |
$14.71
|
|
|
CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH [39510]
|
Facility
|
OP
|
$15.48
|
|
|
Service Code
|
NDC 6068761644
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$8.38 |
| Max. Negotiated Rate |
$15.48 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$15.17
|
| Rate for Payer: Aetna of WY Medicare |
$10.22
|
| Rate for Payer: Altius Commercial |
$14.86
|
| Rate for Payer: Beech Street Commercial |
$15.17
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$15.02
|
| Rate for Payer: Cash Price |
$10.84
|
| Rate for Payer: ChoiceCare Network Commercial |
$15.02
|
| Rate for Payer: Cigna of WY Commercial |
$15.17
|
| Rate for Payer: Entrust Commercial |
$14.71
|
| Rate for Payer: First Choice Health Commercial |
$14.71
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$14.71
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$8.82
|
| Rate for Payer: HealthUtah PPO |
$15.48
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$15.02
|
| Rate for Payer: Multiplan Medicare/VA |
$8.38
|
| Rate for Payer: One Health Plan of WY PPO |
$15.17
|
| Rate for Payer: PacificSource Commercial |
$13.93
|
| Rate for Payer: PHCS PPO |
$15.17
|
| Rate for Payer: Three Rivers PPO |
$11.61
|
| Rate for Payer: TriWest Veterans Administration |
$8.82
|
| Rate for Payer: United Healthcare Commercial |
$14.78
|
| Rate for Payer: United Healthcare Medicare |
$8.82
|
| Rate for Payer: WINHealth Partners Commercial |
$15.17
|
| Rate for Payer: Wise Provider Network Commercial |
$14.71
|
|
|
CHLORPROMAZINE 25 MG TABLET [12483]
|
Facility
|
IP
|
$23.95
|
|
|
Service Code
|
NDC 5026816311
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$13.88 |
| Max. Negotiated Rate |
$23.95 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$23.47
|
| Rate for Payer: Aetna of WY Medicare |
$15.33
|
| Rate for Payer: Altius Commercial |
$22.99
|
| Rate for Payer: Beech Street Commercial |
$23.47
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$23.23
|
| Rate for Payer: Cash Price |
$16.76
|
| Rate for Payer: ChoiceCare Network Commercial |
$23.23
|
| Rate for Payer: Cigna of WY Commercial |
$23.47
|
| Rate for Payer: Entrust Commercial |
$22.75
|
| Rate for Payer: First Choice Health Commercial |
$22.75
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$22.75
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$14.61
|
| Rate for Payer: HealthUtah PPO |
$23.95
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$23.23
|
| Rate for Payer: Multiplan Medicare/VA |
$13.88
|
| Rate for Payer: One Health Plan of WY PPO |
$23.47
|
| Rate for Payer: PacificSource Commercial |
$21.56
|
| Rate for Payer: PHCS PPO |
$23.47
|
| Rate for Payer: Three Rivers PPO |
$17.96
|
| Rate for Payer: TriWest Veterans Administration |
$14.61
|
| Rate for Payer: United Healthcare Commercial |
$22.87
|
| Rate for Payer: United Healthcare Medicare |
$14.61
|
| Rate for Payer: WINHealth Partners Commercial |
$22.75
|
| Rate for Payer: Wise Provider Network Commercial |
$22.75
|
|
