|
DRAINAGE FINGER ABSCESS SIMPLE
|
Professional
|
Both
|
$1,203.00
|
|
|
Service Code
|
HCPCS 26010
|
| Hospital Charge Code |
26010
|
| Min. Negotiated Rate |
$117.72 |
| Max. Negotiated Rate |
$1,203.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$1,178.94
|
| Rate for Payer: Aetna of WY Medicare |
$138.49
|
| Rate for Payer: Beech Street Commercial |
$1,142.85
|
| Rate for Payer: Cash Price |
$842.10
|
| Rate for Payer: Cash Price |
$842.10
|
| Rate for Payer: ChoiceCare Network Commercial |
$1,166.91
|
| Rate for Payer: Cigna of WY Commercial |
$1,178.94
|
| Rate for Payer: First Choice Health Commercial |
$1,082.70
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$1,142.85
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$138.49
|
| Rate for Payer: HealthUtah PPO |
$1,203.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$1,166.91
|
| Rate for Payer: Multiplan Medicare/VA |
$117.72
|
| Rate for Payer: One Health Plan of WY PPO |
$1,178.94
|
| Rate for Payer: PacificSource Commercial |
$1,082.70
|
| Rate for Payer: PHCS PPO |
$1,142.85
|
| Rate for Payer: Three Rivers PPO |
$902.25
|
| Rate for Payer: TriWest Veterans Administration |
$138.49
|
| Rate for Payer: United Healthcare Commercial |
$1,046.61
|
| Rate for Payer: United Healthcare Medicare |
$138.49
|
| Rate for Payer: WINHealth Partners Commercial |
$1,022.55
|
|
|
DRAINAGE OVARIAN ABSCESS VAGINAL APPR OPEN
|
Professional
|
Both
|
$1,364.00
|
|
|
Service Code
|
HCPCS 58820
|
| Hospital Charge Code |
58820
|
| Min. Negotiated Rate |
$280.66 |
| Max. Negotiated Rate |
$1,364.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$1,336.72
|
| Rate for Payer: Aetna of WY Medicare |
$330.19
|
| Rate for Payer: Beech Street Commercial |
$1,295.80
|
| Rate for Payer: Cash Price |
$954.80
|
| Rate for Payer: Cash Price |
$954.80
|
| Rate for Payer: ChoiceCare Network Commercial |
$1,323.08
|
| Rate for Payer: Cigna of WY Commercial |
$1,336.72
|
| Rate for Payer: First Choice Health Commercial |
$1,227.60
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$1,295.80
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$330.19
|
| Rate for Payer: HealthUtah PPO |
$1,364.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$1,323.08
|
| Rate for Payer: Multiplan Medicare/VA |
$280.66
|
| Rate for Payer: One Health Plan of WY PPO |
$1,336.72
|
| Rate for Payer: PacificSource Commercial |
$1,227.60
|
| Rate for Payer: PHCS PPO |
$1,295.80
|
| Rate for Payer: Three Rivers PPO |
$1,023.00
|
| Rate for Payer: TriWest Veterans Administration |
$330.19
|
| Rate for Payer: United Healthcare Commercial |
$1,186.68
|
| Rate for Payer: United Healthcare Medicare |
$330.19
|
| Rate for Payer: WINHealth Partners Commercial |
$1,159.40
|
|
|
DRAINAGE OVARIAN CYST UNI/BI SPX ABDOMINAL
|
Professional
|
Both
|
$1,743.00
|
|
|
Service Code
|
HCPCS 58805 AS
|
| Hospital Charge Code |
58805
|
| Min. Negotiated Rate |
$353.28 |
| Max. Negotiated Rate |
$1,743.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$1,708.14
|
| Rate for Payer: Aetna of WY Medicare |
$415.62
|
| Rate for Payer: Beech Street Commercial |
$1,655.85
|
| Rate for Payer: Cash Price |
$1,220.10
|
| Rate for Payer: Cash Price |
$1,220.10
|
| Rate for Payer: ChoiceCare Network Commercial |
$1,690.71
|
| Rate for Payer: Cigna of WY Commercial |
$1,708.14
|
| Rate for Payer: First Choice Health Commercial |
$1,568.70
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$1,655.85
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$415.62
|
| Rate for Payer: HealthUtah PPO |
$1,743.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$1,690.71
|
| Rate for Payer: Multiplan Medicare/VA |
$353.28
|
| Rate for Payer: One Health Plan of WY PPO |
$1,708.14
|
| Rate for Payer: PacificSource Commercial |
$1,568.70
|
| Rate for Payer: PHCS PPO |
$1,655.85
|
| Rate for Payer: Three Rivers PPO |
$1,307.25
|
| Rate for Payer: TriWest Veterans Administration |
$415.62
|
| Rate for Payer: United Healthcare Commercial |
$1,516.41
|
| Rate for Payer: United Healthcare Medicare |
$415.62
|
| Rate for Payer: WINHealth Partners Commercial |
$1,481.55
|
|
|
DRAINAGE OVARIAN CYST UNI/BI SPX ABDOMINAL
|
Professional
|
Both
|
$1,743.00
|
|
|
Service Code
|
HCPCS 58805
|
| Hospital Charge Code |
58805
|
| Min. Negotiated Rate |
$353.28 |
| Max. Negotiated Rate |
$1,743.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$1,708.14
|
| Rate for Payer: Aetna of WY Medicare |
$415.62
|
| Rate for Payer: Beech Street Commercial |
$1,655.85
|
| Rate for Payer: Cash Price |
$1,220.10
|
| Rate for Payer: Cash Price |
$1,220.10
|
| Rate for Payer: ChoiceCare Network Commercial |
$1,690.71
|
| Rate for Payer: Cigna of WY Commercial |
$1,708.14
|
| Rate for Payer: First Choice Health Commercial |
$1,568.70
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$1,655.85
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$415.62
|
| Rate for Payer: HealthUtah PPO |
$1,743.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$1,690.71
|
| Rate for Payer: Multiplan Medicare/VA |
$353.28
|
| Rate for Payer: One Health Plan of WY PPO |
$1,708.14
|
| Rate for Payer: PacificSource Commercial |
$1,568.70
|
| Rate for Payer: PHCS PPO |
$1,655.85
|
| Rate for Payer: Three Rivers PPO |
$1,307.25
|
| Rate for Payer: TriWest Veterans Administration |
$415.62
|
| Rate for Payer: United Healthcare Commercial |
$1,516.41
|
| Rate for Payer: United Healthcare Medicare |
$415.62
|
| Rate for Payer: WINHealth Partners Commercial |
$1,481.55
|
|
|
DRAINAGE OVARIAN CYST UNI/BI SPX ABDOMINAL
|
Professional
|
Both
|
$1,743.00
|
|
|
Service Code
|
HCPCS 58805 80
|
| Hospital Charge Code |
58805
|
| Min. Negotiated Rate |
$353.28 |
| Max. Negotiated Rate |
$1,743.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$1,708.14
|
| Rate for Payer: Aetna of WY Medicare |
$415.62
|
| Rate for Payer: Beech Street Commercial |
$1,655.85
|
| Rate for Payer: Cash Price |
$1,220.10
|
| Rate for Payer: Cash Price |
$1,220.10
|
| Rate for Payer: ChoiceCare Network Commercial |
$1,690.71
|
| Rate for Payer: Cigna of WY Commercial |
$1,708.14
|
| Rate for Payer: First Choice Health Commercial |
$1,568.70
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$1,655.85
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$415.62
|
| Rate for Payer: HealthUtah PPO |
$1,743.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$1,690.71
|
| Rate for Payer: Multiplan Medicare/VA |
$353.28
|
| Rate for Payer: One Health Plan of WY PPO |
$1,708.14
|
| Rate for Payer: PacificSource Commercial |
$1,568.70
|
| Rate for Payer: PHCS PPO |
$1,655.85
|
| Rate for Payer: Three Rivers PPO |
$1,307.25
|
| Rate for Payer: TriWest Veterans Administration |
$415.62
|
| Rate for Payer: United Healthcare Commercial |
$1,516.41
|
| Rate for Payer: United Healthcare Medicare |
$415.62
|
| Rate for Payer: WINHealth Partners Commercial |
$1,481.55
|
|
|
DRAINAGE PERITON ABSCESS/LOCAL PERITONITIS OPEN
|
Professional
|
Both
|
$3,774.00
|
|
|
Service Code
|
HCPCS 49020 AS
|
| Hospital Charge Code |
49020
|
| Min. Negotiated Rate |
$1,284.35 |
| Max. Negotiated Rate |
$3,774.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$3,698.52
|
| Rate for Payer: Aetna of WY Medicare |
$1,511.00
|
| Rate for Payer: Beech Street Commercial |
$3,585.30
|
| Rate for Payer: Cash Price |
$2,641.80
|
| Rate for Payer: Cash Price |
$2,641.80
|
| Rate for Payer: ChoiceCare Network Commercial |
$3,660.78
|
| Rate for Payer: Cigna of WY Commercial |
$3,698.52
|
| Rate for Payer: First Choice Health Commercial |
$3,396.60
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$3,585.30
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$1,511.00
|
| Rate for Payer: HealthUtah PPO |
$3,774.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$3,660.78
|
| Rate for Payer: Multiplan Medicare/VA |
$1,284.35
|
| Rate for Payer: One Health Plan of WY PPO |
$3,698.52
|
| Rate for Payer: PacificSource Commercial |
$3,396.60
|
| Rate for Payer: PHCS PPO |
$3,585.30
|
| Rate for Payer: Three Rivers PPO |
$2,830.50
|
| Rate for Payer: TriWest Veterans Administration |
$1,511.00
|
| Rate for Payer: United Healthcare Commercial |
$3,283.38
|
| Rate for Payer: United Healthcare Medicare |
$1,511.00
|
| Rate for Payer: WINHealth Partners Commercial |
$3,207.90
|
|
|
DRAINAGE PERITON ABSCESS/LOCAL PERITONITIS OPEN
|
Professional
|
Both
|
$3,774.00
|
|
|
Service Code
|
HCPCS 49020 80
|
| Hospital Charge Code |
49020
|
| Min. Negotiated Rate |
$1,284.35 |
| Max. Negotiated Rate |
$3,774.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$3,698.52
|
| Rate for Payer: Aetna of WY Medicare |
$1,511.00
|
| Rate for Payer: Beech Street Commercial |
$3,585.30
|
| Rate for Payer: Cash Price |
$2,641.80
|
| Rate for Payer: Cash Price |
$2,641.80
|
| Rate for Payer: ChoiceCare Network Commercial |
$3,660.78
|
| Rate for Payer: Cigna of WY Commercial |
$3,698.52
|
| Rate for Payer: First Choice Health Commercial |
$3,396.60
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$3,585.30
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$1,511.00
|
| Rate for Payer: HealthUtah PPO |
$3,774.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$3,660.78
|
| Rate for Payer: Multiplan Medicare/VA |
$1,284.35
|
| Rate for Payer: One Health Plan of WY PPO |
$3,698.52
|
| Rate for Payer: PacificSource Commercial |
$3,396.60
|
| Rate for Payer: PHCS PPO |
$3,585.30
|
| Rate for Payer: Three Rivers PPO |
$2,830.50
|
| Rate for Payer: TriWest Veterans Administration |
$1,511.00
|
| Rate for Payer: United Healthcare Commercial |
$3,283.38
|
| Rate for Payer: United Healthcare Medicare |
$1,511.00
|
| Rate for Payer: WINHealth Partners Commercial |
$3,207.90
|
|
|
DRAINAGE PERITON ABSCESS/LOCAL PERITONITIS OPEN
|
Professional
|
Both
|
$3,774.00
|
|
|
Service Code
|
HCPCS 49020
|
| Hospital Charge Code |
49020
|
| Min. Negotiated Rate |
$1,284.35 |
| Max. Negotiated Rate |
$3,774.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$3,698.52
|
| Rate for Payer: Aetna of WY Medicare |
$1,511.00
|
| Rate for Payer: Beech Street Commercial |
$3,585.30
|
| Rate for Payer: Cash Price |
$2,641.80
|
| Rate for Payer: Cash Price |
$2,641.80
|
| Rate for Payer: ChoiceCare Network Commercial |
$3,660.78
|
| Rate for Payer: Cigna of WY Commercial |
$3,698.52
|
| Rate for Payer: First Choice Health Commercial |
$3,396.60
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$3,585.30
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$1,511.00
|
| Rate for Payer: HealthUtah PPO |
$3,774.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$3,660.78
|
| Rate for Payer: Multiplan Medicare/VA |
$1,284.35
|
| Rate for Payer: One Health Plan of WY PPO |
$3,698.52
|
| Rate for Payer: PacificSource Commercial |
$3,396.60
|
| Rate for Payer: PHCS PPO |
$3,585.30
|
| Rate for Payer: Three Rivers PPO |
$2,830.50
|
| Rate for Payer: TriWest Veterans Administration |
$1,511.00
|
| Rate for Payer: United Healthcare Commercial |
$3,283.38
|
| Rate for Payer: United Healthcare Medicare |
$1,511.00
|
| Rate for Payer: WINHealth Partners Commercial |
$3,207.90
|
|
|
DRAINAGE SUBDIAPHRAGMATIC/SUBPHREN ABSCESS OPEN
|
Professional
|
Both
|
$5,188.00
|
|
|
Service Code
|
HCPCS 49040
|
| Hospital Charge Code |
49040
|
| Min. Negotiated Rate |
$3,891.00 |
| Max. Negotiated Rate |
$5,188.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$5,084.24
|
| Rate for Payer: Beech Street Commercial |
$4,928.60
|
| Rate for Payer: Cash Price |
$3,631.60
|
| Rate for Payer: ChoiceCare Network Commercial |
$5,032.36
|
| Rate for Payer: Cigna of WY Commercial |
$5,084.24
|
| Rate for Payer: First Choice Health Commercial |
$4,669.20
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$4,928.60
|
| Rate for Payer: HealthUtah PPO |
$5,188.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$5,032.36
|
| Rate for Payer: One Health Plan of WY PPO |
$5,084.24
|
| Rate for Payer: PacificSource Commercial |
$4,669.20
|
| Rate for Payer: PHCS PPO |
$4,928.60
|
| Rate for Payer: Three Rivers PPO |
$3,891.00
|
| Rate for Payer: United Healthcare Commercial |
$4,513.56
|
| Rate for Payer: WINHealth Partners Commercial |
$4,409.80
|
|
|
DRAINAGE TENDON SHEATH DIGIT&/PALM EACH
|
Professional
|
Both
|
$1,948.00
|
|
|
Service Code
|
HCPCS 26020
|
| Hospital Charge Code |
26020
|
| Min. Negotiated Rate |
$463.91 |
| Max. Negotiated Rate |
$1,948.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$1,909.04
|
| Rate for Payer: Aetna of WY Medicare |
$545.78
|
| Rate for Payer: Beech Street Commercial |
$1,850.60
|
| Rate for Payer: Cash Price |
$1,363.60
|
| Rate for Payer: Cash Price |
$1,363.60
|
| Rate for Payer: ChoiceCare Network Commercial |
$1,889.56
|
| Rate for Payer: Cigna of WY Commercial |
$1,909.04
|
| Rate for Payer: First Choice Health Commercial |
$1,753.20
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$1,850.60
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$545.78
|
| Rate for Payer: HealthUtah PPO |
$1,948.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$1,889.56
|
| Rate for Payer: Multiplan Medicare/VA |
$463.91
|
| Rate for Payer: One Health Plan of WY PPO |
$1,909.04
|
| Rate for Payer: PacificSource Commercial |
$1,753.20
|
| Rate for Payer: PHCS PPO |
$1,850.60
|
| Rate for Payer: Three Rivers PPO |
$1,461.00
|
| Rate for Payer: TriWest Veterans Administration |
$545.78
|
| Rate for Payer: United Healthcare Commercial |
$1,694.76
|
| Rate for Payer: United Healthcare Medicare |
$545.78
|
| Rate for Payer: WINHealth Partners Commercial |
$1,655.80
|
|
|
DRAIN BLAKE 10F RND
|
Facility
|
OP
|
$45.91
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$25.30 |
| Max. Negotiated Rate |
$45.91 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$44.99
|
| Rate for Payer: Aetna of WY Medicare |
$30.30
|
| Rate for Payer: Altius Auto/Workers Compensation |
$44.07
|
| Rate for Payer: Altius Commercial |
$44.07
|
| Rate for Payer: Beech Street Commercial |
$44.99
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$37.69
|
| Rate for Payer: Cash Price |
$32.13
|
| Rate for Payer: ChoiceCare Network Commercial |
$44.53
|
| Rate for Payer: Cigna of WY Commercial |
$44.99
|
| Rate for Payer: Entrust Commercial |
$43.61
|
| Rate for Payer: First Choice Health Commercial |
$43.61
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$43.61
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$26.63
|
| Rate for Payer: HealthUtah PPO |
$45.91
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$44.53
|
| Rate for Payer: Multiplan Medicare/VA |
$25.30
|
| Rate for Payer: One Health Plan of WY PPO |
$44.99
|
| Rate for Payer: PacificSource Commercial |
$41.32
|
| Rate for Payer: PHCS PPO |
$44.99
|
| Rate for Payer: Three Rivers PPO |
$34.43
|
| Rate for Payer: TriWest Veterans Administration |
$26.63
|
| Rate for Payer: United Healthcare Commercial |
$39.94
|
| Rate for Payer: United Healthcare Medicare |
$26.63
|
| Rate for Payer: WINHealth Partners Commercial |
$44.99
|
| Rate for Payer: Wise Provider Network Commercial |
$43.61
|
|
|
DRAIN BLAKE 10F RND
|
Facility
|
IP
|
$45.91
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$28.79 |
| Max. Negotiated Rate |
$45.91 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$44.99
|
| Rate for Payer: Altius Auto/Workers Compensation |
$44.07
|
| Rate for Payer: Altius Commercial |
$44.07
|
| Rate for Payer: Beech Street Commercial |
$44.99
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$37.69
|
| Rate for Payer: Cash Price |
$32.13
|
| Rate for Payer: ChoiceCare Network Commercial |
$44.53
|
| Rate for Payer: Cigna of WY Commercial |
$44.99
|
| Rate for Payer: Entrust Commercial |
$43.61
|
| Rate for Payer: First Choice Health Commercial |
$43.61
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$43.61
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$30.30
|
| Rate for Payer: HealthUtah PPO |
$45.91
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$44.53
|
| Rate for Payer: Multiplan Medicare/VA |
$28.79
|
| Rate for Payer: One Health Plan of WY PPO |
$44.99
|
| Rate for Payer: PacificSource Commercial |
$41.32
|
| Rate for Payer: PHCS PPO |
$44.99
|
| Rate for Payer: Three Rivers PPO |
$34.43
|
| Rate for Payer: TriWest Veterans Administration |
$30.30
|
| Rate for Payer: United Healthcare Commercial |
$39.94
|
| Rate for Payer: United Healthcare Medicare |
$30.30
|
| Rate for Payer: WINHealth Partners Commercial |
$43.61
|
| Rate for Payer: Wise Provider Network Commercial |
$43.61
|
|
|
DRAIN CHANNEL 1/4" 19FR
|
Facility
|
OP
|
$44.98
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$24.78 |
| Max. Negotiated Rate |
$44.98 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$44.08
|
| Rate for Payer: Aetna of WY Medicare |
$29.69
|
| Rate for Payer: Altius Auto/Workers Compensation |
$43.18
|
| Rate for Payer: Altius Commercial |
$43.18
|
| Rate for Payer: Beech Street Commercial |
$44.08
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$36.93
|
| Rate for Payer: Cash Price |
$31.49
|
| Rate for Payer: ChoiceCare Network Commercial |
$43.63
|
| Rate for Payer: Cigna of WY Commercial |
$44.08
|
| Rate for Payer: Entrust Commercial |
$42.73
|
| Rate for Payer: First Choice Health Commercial |
$42.73
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$42.73
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$26.09
|
| Rate for Payer: HealthUtah PPO |
$44.98
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$43.63
|
| Rate for Payer: Multiplan Medicare/VA |
$24.78
|
| Rate for Payer: One Health Plan of WY PPO |
$44.08
|
| Rate for Payer: PacificSource Commercial |
$40.48
|
| Rate for Payer: PHCS PPO |
$44.08
|
| Rate for Payer: Three Rivers PPO |
$33.74
|
| Rate for Payer: TriWest Veterans Administration |
$26.09
|
| Rate for Payer: United Healthcare Commercial |
$39.13
|
| Rate for Payer: United Healthcare Medicare |
$26.09
|
| Rate for Payer: WINHealth Partners Commercial |
$44.08
|
| Rate for Payer: Wise Provider Network Commercial |
$42.73
|
|
|
DRAIN CHANNEL 1/4" 19FR
|
Facility
|
IP
|
$44.98
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$28.20 |
| Max. Negotiated Rate |
$44.98 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$44.08
|
| Rate for Payer: Altius Auto/Workers Compensation |
$43.18
|
| Rate for Payer: Altius Commercial |
$43.18
|
| Rate for Payer: Beech Street Commercial |
$44.08
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$36.93
|
| Rate for Payer: Cash Price |
$31.49
|
| Rate for Payer: ChoiceCare Network Commercial |
$43.63
|
| Rate for Payer: Cigna of WY Commercial |
$44.08
|
| Rate for Payer: Entrust Commercial |
$42.73
|
| Rate for Payer: First Choice Health Commercial |
$42.73
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$42.73
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$29.69
|
| Rate for Payer: HealthUtah PPO |
$44.98
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$43.63
|
| Rate for Payer: Multiplan Medicare/VA |
$28.20
|
| Rate for Payer: One Health Plan of WY PPO |
$44.08
|
| Rate for Payer: PacificSource Commercial |
$40.48
|
| Rate for Payer: PHCS PPO |
$44.08
|
| Rate for Payer: Three Rivers PPO |
$33.74
|
| Rate for Payer: TriWest Veterans Administration |
$29.69
|
| Rate for Payer: United Healthcare Commercial |
$39.13
|
| Rate for Payer: United Healthcare Medicare |
$29.69
|
| Rate for Payer: WINHealth Partners Commercial |
$42.73
|
| Rate for Payer: Wise Provider Network Commercial |
$42.73
|
|
|
DRAIN COOK CHEST DRAIN VALVE
|
Facility
|
OP
|
$238.88
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$131.62 |
| Max. Negotiated Rate |
$238.88 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$234.10
|
| Rate for Payer: Aetna of WY Medicare |
$157.66
|
| Rate for Payer: Altius Auto/Workers Compensation |
$229.32
|
| Rate for Payer: Altius Commercial |
$229.32
|
| Rate for Payer: Beech Street Commercial |
$234.10
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$196.12
|
| Rate for Payer: Cash Price |
$167.21
|
| Rate for Payer: ChoiceCare Network Commercial |
$231.71
|
| Rate for Payer: Cigna of WY Commercial |
$234.10
|
| Rate for Payer: Entrust Commercial |
$226.94
|
| Rate for Payer: First Choice Health Commercial |
$226.94
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$226.94
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$138.55
|
| Rate for Payer: HealthUtah PPO |
$238.88
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$231.71
|
| Rate for Payer: Multiplan Medicare/VA |
$131.62
|
| Rate for Payer: One Health Plan of WY PPO |
$234.10
|
| Rate for Payer: PacificSource Commercial |
$214.99
|
| Rate for Payer: PHCS PPO |
$234.10
|
| Rate for Payer: Three Rivers PPO |
$179.16
|
| Rate for Payer: TriWest Veterans Administration |
$138.55
|
| Rate for Payer: United Healthcare Commercial |
$207.83
|
| Rate for Payer: United Healthcare Medicare |
$138.55
|
| Rate for Payer: WINHealth Partners Commercial |
$234.10
|
| Rate for Payer: Wise Provider Network Commercial |
$226.94
|
|
|
DRAIN COOK CHEST DRAIN VALVE
|
Facility
|
IP
|
$238.88
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$149.78 |
| Max. Negotiated Rate |
$238.88 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$234.10
|
| Rate for Payer: Altius Auto/Workers Compensation |
$229.32
|
| Rate for Payer: Altius Commercial |
$229.32
|
| Rate for Payer: Beech Street Commercial |
$234.10
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$196.12
|
| Rate for Payer: Cash Price |
$167.21
|
| Rate for Payer: ChoiceCare Network Commercial |
$231.71
|
| Rate for Payer: Cigna of WY Commercial |
$234.10
|
| Rate for Payer: Entrust Commercial |
$226.94
|
| Rate for Payer: First Choice Health Commercial |
$226.94
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$226.94
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$157.66
|
| Rate for Payer: HealthUtah PPO |
$238.88
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$231.71
|
| Rate for Payer: Multiplan Medicare/VA |
$149.78
|
| Rate for Payer: One Health Plan of WY PPO |
$234.10
|
| Rate for Payer: PacificSource Commercial |
$214.99
|
| Rate for Payer: PHCS PPO |
$234.10
|
| Rate for Payer: Three Rivers PPO |
$179.16
|
| Rate for Payer: TriWest Veterans Administration |
$157.66
|
| Rate for Payer: United Healthcare Commercial |
$207.83
|
| Rate for Payer: United Healthcare Medicare |
$157.66
|
| Rate for Payer: WINHealth Partners Commercial |
$226.94
|
| Rate for Payer: Wise Provider Network Commercial |
$226.94
|
|
|
DRAIN CR BARD 10MM
|
Facility
|
OP
|
$15.52
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.55 |
| Max. Negotiated Rate |
$15.52 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$15.21
|
| Rate for Payer: Aetna of WY Medicare |
$10.24
|
| Rate for Payer: Altius Auto/Workers Compensation |
$14.90
|
| Rate for Payer: Altius Commercial |
$14.90
|
| Rate for Payer: Beech Street Commercial |
$15.21
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$12.74
|
| Rate for Payer: Cash Price |
$10.86
|
| Rate for Payer: ChoiceCare Network Commercial |
$15.05
|
| Rate for Payer: Cigna of WY Commercial |
$15.21
|
| Rate for Payer: Entrust Commercial |
$14.74
|
| Rate for Payer: First Choice Health Commercial |
$14.74
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$14.74
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$9.00
|
| Rate for Payer: HealthUtah PPO |
$15.52
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$15.05
|
| Rate for Payer: Multiplan Medicare/VA |
$8.55
|
| Rate for Payer: One Health Plan of WY PPO |
$15.21
|
| Rate for Payer: PacificSource Commercial |
$13.97
|
| Rate for Payer: PHCS PPO |
$15.21
|
| Rate for Payer: Three Rivers PPO |
$11.64
|
| Rate for Payer: TriWest Veterans Administration |
$9.00
|
| Rate for Payer: United Healthcare Commercial |
$13.50
|
| Rate for Payer: United Healthcare Medicare |
$9.00
|
| Rate for Payer: WINHealth Partners Commercial |
$15.21
|
| Rate for Payer: Wise Provider Network Commercial |
$14.74
|
|
|
DRAIN CR BARD 10MM
|
Facility
|
IP
|
$15.52
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.73 |
| Max. Negotiated Rate |
$15.52 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$15.21
|
| Rate for Payer: Altius Auto/Workers Compensation |
$14.90
|
| Rate for Payer: Altius Commercial |
$14.90
|
| Rate for Payer: Beech Street Commercial |
$15.21
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$12.74
|
| Rate for Payer: Cash Price |
$10.86
|
| Rate for Payer: ChoiceCare Network Commercial |
$15.05
|
| Rate for Payer: Cigna of WY Commercial |
$15.21
|
| Rate for Payer: Entrust Commercial |
$14.74
|
| Rate for Payer: First Choice Health Commercial |
$14.74
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$14.74
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$10.24
|
| Rate for Payer: HealthUtah PPO |
$15.52
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$15.05
|
| Rate for Payer: Multiplan Medicare/VA |
$9.73
|
| Rate for Payer: One Health Plan of WY PPO |
$15.21
|
| Rate for Payer: PacificSource Commercial |
$13.97
|
| Rate for Payer: PHCS PPO |
$15.21
|
| Rate for Payer: Three Rivers PPO |
$11.64
|
| Rate for Payer: TriWest Veterans Administration |
$10.24
|
| Rate for Payer: United Healthcare Commercial |
$13.50
|
| Rate for Payer: United Healthcare Medicare |
$10.24
|
| Rate for Payer: WINHealth Partners Commercial |
$14.74
|
| Rate for Payer: Wise Provider Network Commercial |
$14.74
|
|
|
DRAIN CR BARD 7MM
|
Facility
|
OP
|
$15.94
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.78 |
| Max. Negotiated Rate |
$15.94 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$15.62
|
| Rate for Payer: Aetna of WY Medicare |
$10.52
|
| Rate for Payer: Altius Auto/Workers Compensation |
$15.30
|
| Rate for Payer: Altius Commercial |
$15.30
|
| Rate for Payer: Beech Street Commercial |
$15.62
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$13.09
|
| Rate for Payer: Cash Price |
$11.16
|
| Rate for Payer: ChoiceCare Network Commercial |
$15.46
|
| Rate for Payer: Cigna of WY Commercial |
$15.62
|
| Rate for Payer: Entrust Commercial |
$15.14
|
| Rate for Payer: First Choice Health Commercial |
$15.14
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$15.14
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$9.25
|
| Rate for Payer: HealthUtah PPO |
$15.94
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$15.46
|
| Rate for Payer: Multiplan Medicare/VA |
$8.78
|
| Rate for Payer: One Health Plan of WY PPO |
$15.62
|
| Rate for Payer: PacificSource Commercial |
$14.35
|
| Rate for Payer: PHCS PPO |
$15.62
|
| Rate for Payer: Three Rivers PPO |
$11.96
|
| Rate for Payer: TriWest Veterans Administration |
$9.25
|
| Rate for Payer: United Healthcare Commercial |
$13.87
|
| Rate for Payer: United Healthcare Medicare |
$9.25
|
| Rate for Payer: WINHealth Partners Commercial |
$15.62
|
| Rate for Payer: Wise Provider Network Commercial |
$15.14
|
|
|
DRAIN CR BARD 7MM
|
Facility
|
IP
|
$15.94
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.99 |
| Max. Negotiated Rate |
$15.94 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$15.62
|
| Rate for Payer: Altius Auto/Workers Compensation |
$15.30
|
| Rate for Payer: Altius Commercial |
$15.30
|
| Rate for Payer: Beech Street Commercial |
$15.62
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$13.09
|
| Rate for Payer: Cash Price |
$11.16
|
| Rate for Payer: ChoiceCare Network Commercial |
$15.46
|
| Rate for Payer: Cigna of WY Commercial |
$15.62
|
| Rate for Payer: Entrust Commercial |
$15.14
|
| Rate for Payer: First Choice Health Commercial |
$15.14
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$15.14
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$10.52
|
| Rate for Payer: HealthUtah PPO |
$15.94
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$15.46
|
| Rate for Payer: Multiplan Medicare/VA |
$9.99
|
| Rate for Payer: One Health Plan of WY PPO |
$15.62
|
| Rate for Payer: PacificSource Commercial |
$14.35
|
| Rate for Payer: PHCS PPO |
$15.62
|
| Rate for Payer: Three Rivers PPO |
$11.96
|
| Rate for Payer: TriWest Veterans Administration |
$10.52
|
| Rate for Payer: United Healthcare Commercial |
$13.87
|
| Rate for Payer: United Healthcare Medicare |
$10.52
|
| Rate for Payer: WINHealth Partners Commercial |
$15.14
|
| Rate for Payer: Wise Provider Network Commercial |
$15.14
|
|
|
DRAIN HEMOVAC 1/4" BARD
|
Facility
|
OP
|
$26.70
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$14.71 |
| Max. Negotiated Rate |
$26.70 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$26.17
|
| Rate for Payer: Aetna of WY Medicare |
$17.62
|
| Rate for Payer: Altius Auto/Workers Compensation |
$25.63
|
| Rate for Payer: Altius Commercial |
$25.63
|
| Rate for Payer: Beech Street Commercial |
$26.17
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$21.92
|
| Rate for Payer: Cash Price |
$18.69
|
| Rate for Payer: ChoiceCare Network Commercial |
$25.90
|
| Rate for Payer: Cigna of WY Commercial |
$26.17
|
| Rate for Payer: Entrust Commercial |
$25.36
|
| Rate for Payer: First Choice Health Commercial |
$25.36
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$25.36
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$15.49
|
| Rate for Payer: HealthUtah PPO |
$26.70
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$25.90
|
| Rate for Payer: Multiplan Medicare/VA |
$14.71
|
| Rate for Payer: One Health Plan of WY PPO |
$26.17
|
| Rate for Payer: PacificSource Commercial |
$24.03
|
| Rate for Payer: PHCS PPO |
$26.17
|
| Rate for Payer: Three Rivers PPO |
$20.02
|
| Rate for Payer: TriWest Veterans Administration |
$15.49
|
| Rate for Payer: United Healthcare Commercial |
$23.23
|
| Rate for Payer: United Healthcare Medicare |
$15.49
|
| Rate for Payer: WINHealth Partners Commercial |
$26.17
|
| Rate for Payer: Wise Provider Network Commercial |
$25.36
|
|
|
DRAIN HEMOVAC 1/4" BARD
|
Facility
|
IP
|
$26.70
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$16.74 |
| Max. Negotiated Rate |
$26.70 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$26.17
|
| Rate for Payer: Altius Auto/Workers Compensation |
$25.63
|
| Rate for Payer: Altius Commercial |
$25.63
|
| Rate for Payer: Beech Street Commercial |
$26.17
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$21.92
|
| Rate for Payer: Cash Price |
$18.69
|
| Rate for Payer: ChoiceCare Network Commercial |
$25.90
|
| Rate for Payer: Cigna of WY Commercial |
$26.17
|
| Rate for Payer: Entrust Commercial |
$25.36
|
| Rate for Payer: First Choice Health Commercial |
$25.36
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$25.36
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$17.62
|
| Rate for Payer: HealthUtah PPO |
$26.70
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$25.90
|
| Rate for Payer: Multiplan Medicare/VA |
$16.74
|
| Rate for Payer: One Health Plan of WY PPO |
$26.17
|
| Rate for Payer: PacificSource Commercial |
$24.03
|
| Rate for Payer: PHCS PPO |
$26.17
|
| Rate for Payer: Three Rivers PPO |
$20.02
|
| Rate for Payer: TriWest Veterans Administration |
$17.62
|
| Rate for Payer: United Healthcare Commercial |
$23.23
|
| Rate for Payer: United Healthcare Medicare |
$17.62
|
| Rate for Payer: WINHealth Partners Commercial |
$25.36
|
| Rate for Payer: Wise Provider Network Commercial |
$25.36
|
|
|
DRAIN HEMOVAC 1/8" BARD
|
Facility
|
IP
|
$25.61
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$16.06 |
| Max. Negotiated Rate |
$25.61 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$25.10
|
| Rate for Payer: Altius Auto/Workers Compensation |
$24.59
|
| Rate for Payer: Altius Commercial |
$24.59
|
| Rate for Payer: Beech Street Commercial |
$25.10
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$21.03
|
| Rate for Payer: Cash Price |
$17.93
|
| Rate for Payer: ChoiceCare Network Commercial |
$24.84
|
| Rate for Payer: Cigna of WY Commercial |
$25.10
|
| Rate for Payer: Entrust Commercial |
$24.33
|
| Rate for Payer: First Choice Health Commercial |
$24.33
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$24.33
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$16.90
|
| Rate for Payer: HealthUtah PPO |
$25.61
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$24.84
|
| Rate for Payer: Multiplan Medicare/VA |
$16.06
|
| Rate for Payer: One Health Plan of WY PPO |
$25.10
|
| Rate for Payer: PacificSource Commercial |
$23.05
|
| Rate for Payer: PHCS PPO |
$25.10
|
| Rate for Payer: Three Rivers PPO |
$19.21
|
| Rate for Payer: TriWest Veterans Administration |
$16.90
|
| Rate for Payer: United Healthcare Commercial |
$22.28
|
| Rate for Payer: United Healthcare Medicare |
$16.90
|
| Rate for Payer: WINHealth Partners Commercial |
$24.33
|
| Rate for Payer: Wise Provider Network Commercial |
$24.33
|
|
|
DRAIN HEMOVAC 1/8" BARD
|
Facility
|
OP
|
$25.61
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$14.11 |
| Max. Negotiated Rate |
$25.61 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$25.10
|
| Rate for Payer: Aetna of WY Medicare |
$16.90
|
| Rate for Payer: Altius Auto/Workers Compensation |
$24.59
|
| Rate for Payer: Altius Commercial |
$24.59
|
| Rate for Payer: Beech Street Commercial |
$25.10
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$21.03
|
| Rate for Payer: Cash Price |
$17.93
|
| Rate for Payer: ChoiceCare Network Commercial |
$24.84
|
| Rate for Payer: Cigna of WY Commercial |
$25.10
|
| Rate for Payer: Entrust Commercial |
$24.33
|
| Rate for Payer: First Choice Health Commercial |
$24.33
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$24.33
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$14.85
|
| Rate for Payer: HealthUtah PPO |
$25.61
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$24.84
|
| Rate for Payer: Multiplan Medicare/VA |
$14.11
|
| Rate for Payer: One Health Plan of WY PPO |
$25.10
|
| Rate for Payer: PacificSource Commercial |
$23.05
|
| Rate for Payer: PHCS PPO |
$25.10
|
| Rate for Payer: Three Rivers PPO |
$19.21
|
| Rate for Payer: TriWest Veterans Administration |
$14.85
|
| Rate for Payer: United Healthcare Commercial |
$22.28
|
| Rate for Payer: United Healthcare Medicare |
$14.85
|
| Rate for Payer: WINHealth Partners Commercial |
$25.10
|
| Rate for Payer: Wise Provider Network Commercial |
$24.33
|
|
|
DRAIN JACKSON PRATT BULB 100CC
|
Facility
|
OP
|
$27.56
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$15.19 |
| Max. Negotiated Rate |
$27.56 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$27.01
|
| Rate for Payer: Aetna of WY Medicare |
$18.19
|
| Rate for Payer: Altius Auto/Workers Compensation |
$26.46
|
| Rate for Payer: Altius Commercial |
$26.46
|
| Rate for Payer: Beech Street Commercial |
$27.01
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$22.63
|
| Rate for Payer: Cash Price |
$19.29
|
| Rate for Payer: ChoiceCare Network Commercial |
$26.73
|
| Rate for Payer: Cigna of WY Commercial |
$27.01
|
| Rate for Payer: Entrust Commercial |
$26.18
|
| Rate for Payer: First Choice Health Commercial |
$26.18
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$26.18
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$15.98
|
| Rate for Payer: HealthUtah PPO |
$27.56
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$26.73
|
| Rate for Payer: Multiplan Medicare/VA |
$15.19
|
| Rate for Payer: One Health Plan of WY PPO |
$27.01
|
| Rate for Payer: PacificSource Commercial |
$24.80
|
| Rate for Payer: PHCS PPO |
$27.01
|
| Rate for Payer: Three Rivers PPO |
$20.67
|
| Rate for Payer: TriWest Veterans Administration |
$15.98
|
| Rate for Payer: United Healthcare Commercial |
$23.98
|
| Rate for Payer: United Healthcare Medicare |
$15.98
|
| Rate for Payer: WINHealth Partners Commercial |
$27.01
|
| Rate for Payer: Wise Provider Network Commercial |
$26.18
|
|
