|
ENDOTRACH TUBE CUFF 6.5
|
Facility
|
IP
|
$4.73
|
|
| Hospital Charge Code |
2500091
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$2.74 |
| Max. Negotiated Rate |
$4.73 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$4.64
|
| Rate for Payer: Aetna of WY Medicare |
$3.03
|
| Rate for Payer: Altius Commercial |
$4.54
|
| Rate for Payer: Beech Street Commercial |
$4.64
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$4.59
|
| Rate for Payer: Cash Price |
$3.31
|
| Rate for Payer: ChoiceCare Network Commercial |
$4.59
|
| Rate for Payer: Cigna of WY Commercial |
$4.64
|
| Rate for Payer: Entrust Commercial |
$4.49
|
| Rate for Payer: First Choice Health Commercial |
$4.49
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$4.49
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$2.89
|
| Rate for Payer: HealthUtah PPO |
$4.73
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$4.59
|
| Rate for Payer: Multiplan Medicare/VA |
$2.74
|
| Rate for Payer: One Health Plan of WY PPO |
$4.64
|
| Rate for Payer: PacificSource Commercial |
$4.26
|
| Rate for Payer: PHCS PPO |
$4.64
|
| Rate for Payer: Three Rivers PPO |
$3.55
|
| Rate for Payer: TriWest Veterans Administration |
$2.89
|
| Rate for Payer: United Healthcare Commercial |
$4.52
|
| Rate for Payer: United Healthcare Medicare |
$2.89
|
| Rate for Payer: WINHealth Partners Commercial |
$4.49
|
| Rate for Payer: Wise Provider Network Commercial |
$4.49
|
|
|
ENDOTRACH TUBE CUFF 7.0
|
Facility
|
OP
|
$4.73
|
|
| Hospital Charge Code |
2500092
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.56 |
| Max. Negotiated Rate |
$4.73 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$4.64
|
| Rate for Payer: Aetna of WY Medicare |
$3.12
|
| Rate for Payer: Altius Commercial |
$4.54
|
| Rate for Payer: Beech Street Commercial |
$4.64
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$4.59
|
| Rate for Payer: Cash Price |
$3.31
|
| Rate for Payer: ChoiceCare Network Commercial |
$4.59
|
| Rate for Payer: Cigna of WY Commercial |
$4.64
|
| Rate for Payer: Entrust Commercial |
$4.49
|
| Rate for Payer: First Choice Health Commercial |
$4.49
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$4.49
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$2.70
|
| Rate for Payer: HealthUtah PPO |
$4.73
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$4.59
|
| Rate for Payer: Multiplan Medicare/VA |
$2.56
|
| Rate for Payer: One Health Plan of WY PPO |
$4.64
|
| Rate for Payer: PacificSource Commercial |
$4.26
|
| Rate for Payer: PHCS PPO |
$4.64
|
| Rate for Payer: Three Rivers PPO |
$3.55
|
| Rate for Payer: TriWest Veterans Administration |
$2.70
|
| Rate for Payer: United Healthcare Commercial |
$4.52
|
| Rate for Payer: United Healthcare Medicare |
$2.70
|
| Rate for Payer: WINHealth Partners Commercial |
$4.64
|
| Rate for Payer: Wise Provider Network Commercial |
$4.49
|
|
|
ENDOTRACH TUBE CUFF 7.0
|
Facility
|
IP
|
$4.73
|
|
| Hospital Charge Code |
2500092
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.74 |
| Max. Negotiated Rate |
$4.73 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$4.64
|
| Rate for Payer: Aetna of WY Medicare |
$3.03
|
| Rate for Payer: Altius Commercial |
$4.54
|
| Rate for Payer: Beech Street Commercial |
$4.64
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$4.59
|
| Rate for Payer: Cash Price |
$3.31
|
| Rate for Payer: ChoiceCare Network Commercial |
$4.59
|
| Rate for Payer: Cigna of WY Commercial |
$4.64
|
| Rate for Payer: Entrust Commercial |
$4.49
|
| Rate for Payer: First Choice Health Commercial |
$4.49
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$4.49
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$2.89
|
| Rate for Payer: HealthUtah PPO |
$4.73
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$4.59
|
| Rate for Payer: Multiplan Medicare/VA |
$2.74
|
| Rate for Payer: One Health Plan of WY PPO |
$4.64
|
| Rate for Payer: PacificSource Commercial |
$4.26
|
| Rate for Payer: PHCS PPO |
$4.64
|
| Rate for Payer: Three Rivers PPO |
$3.55
|
| Rate for Payer: TriWest Veterans Administration |
$2.89
|
| Rate for Payer: United Healthcare Commercial |
$4.52
|
| Rate for Payer: United Healthcare Medicare |
$2.89
|
| Rate for Payer: WINHealth Partners Commercial |
$4.49
|
| Rate for Payer: Wise Provider Network Commercial |
$4.49
|
|
|
ENDOTRACH TUBE CUFF 7.5
|
Facility
|
IP
|
$4.73
|
|
| Hospital Charge Code |
2500093
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.74 |
| Max. Negotiated Rate |
$4.73 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$4.64
|
| Rate for Payer: Aetna of WY Medicare |
$3.03
|
| Rate for Payer: Altius Commercial |
$4.54
|
| Rate for Payer: Beech Street Commercial |
$4.64
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$4.59
|
| Rate for Payer: Cash Price |
$3.31
|
| Rate for Payer: ChoiceCare Network Commercial |
$4.59
|
| Rate for Payer: Cigna of WY Commercial |
$4.64
|
| Rate for Payer: Entrust Commercial |
$4.49
|
| Rate for Payer: First Choice Health Commercial |
$4.49
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$4.49
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$2.89
|
| Rate for Payer: HealthUtah PPO |
$4.73
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$4.59
|
| Rate for Payer: Multiplan Medicare/VA |
$2.74
|
| Rate for Payer: One Health Plan of WY PPO |
$4.64
|
| Rate for Payer: PacificSource Commercial |
$4.26
|
| Rate for Payer: PHCS PPO |
$4.64
|
| Rate for Payer: Three Rivers PPO |
$3.55
|
| Rate for Payer: TriWest Veterans Administration |
$2.89
|
| Rate for Payer: United Healthcare Commercial |
$4.52
|
| Rate for Payer: United Healthcare Medicare |
$2.89
|
| Rate for Payer: WINHealth Partners Commercial |
$4.49
|
| Rate for Payer: Wise Provider Network Commercial |
$4.49
|
|
|
ENDOTRACH TUBE CUFF 7.5
|
Facility
|
OP
|
$4.73
|
|
| Hospital Charge Code |
2500093
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.56 |
| Max. Negotiated Rate |
$4.73 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$4.64
|
| Rate for Payer: Aetna of WY Medicare |
$3.12
|
| Rate for Payer: Altius Commercial |
$4.54
|
| Rate for Payer: Beech Street Commercial |
$4.64
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$4.59
|
| Rate for Payer: Cash Price |
$3.31
|
| Rate for Payer: ChoiceCare Network Commercial |
$4.59
|
| Rate for Payer: Cigna of WY Commercial |
$4.64
|
| Rate for Payer: Entrust Commercial |
$4.49
|
| Rate for Payer: First Choice Health Commercial |
$4.49
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$4.49
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$2.70
|
| Rate for Payer: HealthUtah PPO |
$4.73
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$4.59
|
| Rate for Payer: Multiplan Medicare/VA |
$2.56
|
| Rate for Payer: One Health Plan of WY PPO |
$4.64
|
| Rate for Payer: PacificSource Commercial |
$4.26
|
| Rate for Payer: PHCS PPO |
$4.64
|
| Rate for Payer: Three Rivers PPO |
$3.55
|
| Rate for Payer: TriWest Veterans Administration |
$2.70
|
| Rate for Payer: United Healthcare Commercial |
$4.52
|
| Rate for Payer: United Healthcare Medicare |
$2.70
|
| Rate for Payer: WINHealth Partners Commercial |
$4.64
|
| Rate for Payer: Wise Provider Network Commercial |
$4.49
|
|
|
ENDOTRACH TUBE CUFF 8.0
|
Facility
|
IP
|
$4.73
|
|
| Hospital Charge Code |
2500094
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.74 |
| Max. Negotiated Rate |
$4.73 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$4.64
|
| Rate for Payer: Aetna of WY Medicare |
$3.03
|
| Rate for Payer: Altius Commercial |
$4.54
|
| Rate for Payer: Beech Street Commercial |
$4.64
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$4.59
|
| Rate for Payer: Cash Price |
$3.31
|
| Rate for Payer: ChoiceCare Network Commercial |
$4.59
|
| Rate for Payer: Cigna of WY Commercial |
$4.64
|
| Rate for Payer: Entrust Commercial |
$4.49
|
| Rate for Payer: First Choice Health Commercial |
$4.49
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$4.49
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$2.89
|
| Rate for Payer: HealthUtah PPO |
$4.73
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$4.59
|
| Rate for Payer: Multiplan Medicare/VA |
$2.74
|
| Rate for Payer: One Health Plan of WY PPO |
$4.64
|
| Rate for Payer: PacificSource Commercial |
$4.26
|
| Rate for Payer: PHCS PPO |
$4.64
|
| Rate for Payer: Three Rivers PPO |
$3.55
|
| Rate for Payer: TriWest Veterans Administration |
$2.89
|
| Rate for Payer: United Healthcare Commercial |
$4.52
|
| Rate for Payer: United Healthcare Medicare |
$2.89
|
| Rate for Payer: WINHealth Partners Commercial |
$4.49
|
| Rate for Payer: Wise Provider Network Commercial |
$4.49
|
|
|
ENDOTRACH TUBE CUFF 8.0
|
Facility
|
OP
|
$4.73
|
|
| Hospital Charge Code |
2500094
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.56 |
| Max. Negotiated Rate |
$4.73 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$4.64
|
| Rate for Payer: Aetna of WY Medicare |
$3.12
|
| Rate for Payer: Altius Commercial |
$4.54
|
| Rate for Payer: Beech Street Commercial |
$4.64
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$4.59
|
| Rate for Payer: Cash Price |
$3.31
|
| Rate for Payer: ChoiceCare Network Commercial |
$4.59
|
| Rate for Payer: Cigna of WY Commercial |
$4.64
|
| Rate for Payer: Entrust Commercial |
$4.49
|
| Rate for Payer: First Choice Health Commercial |
$4.49
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$4.49
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$2.70
|
| Rate for Payer: HealthUtah PPO |
$4.73
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$4.59
|
| Rate for Payer: Multiplan Medicare/VA |
$2.56
|
| Rate for Payer: One Health Plan of WY PPO |
$4.64
|
| Rate for Payer: PacificSource Commercial |
$4.26
|
| Rate for Payer: PHCS PPO |
$4.64
|
| Rate for Payer: Three Rivers PPO |
$3.55
|
| Rate for Payer: TriWest Veterans Administration |
$2.70
|
| Rate for Payer: United Healthcare Commercial |
$4.52
|
| Rate for Payer: United Healthcare Medicare |
$2.70
|
| Rate for Payer: WINHealth Partners Commercial |
$4.64
|
| Rate for Payer: Wise Provider Network Commercial |
$4.49
|
|
|
ENDOTRACH TUBE CUFF 8.5
|
Facility
|
OP
|
$4.80
|
|
| Hospital Charge Code |
2500095
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$2.60 |
| Max. Negotiated Rate |
$4.80 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$4.70
|
| Rate for Payer: Aetna of WY Medicare |
$3.17
|
| Rate for Payer: Altius Commercial |
$4.61
|
| Rate for Payer: Beech Street Commercial |
$4.70
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$4.66
|
| Rate for Payer: Cash Price |
$3.36
|
| Rate for Payer: ChoiceCare Network Commercial |
$4.66
|
| Rate for Payer: Cigna of WY Commercial |
$4.70
|
| Rate for Payer: Entrust Commercial |
$4.56
|
| Rate for Payer: First Choice Health Commercial |
$4.56
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$4.56
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$2.74
|
| Rate for Payer: HealthUtah PPO |
$4.80
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$4.66
|
| Rate for Payer: Multiplan Medicare/VA |
$2.60
|
| Rate for Payer: One Health Plan of WY PPO |
$4.70
|
| Rate for Payer: PacificSource Commercial |
$4.32
|
| Rate for Payer: PHCS PPO |
$4.70
|
| Rate for Payer: Three Rivers PPO |
$3.60
|
| Rate for Payer: TriWest Veterans Administration |
$2.74
|
| Rate for Payer: United Healthcare Commercial |
$4.58
|
| Rate for Payer: United Healthcare Medicare |
$2.74
|
| Rate for Payer: WINHealth Partners Commercial |
$4.70
|
| Rate for Payer: Wise Provider Network Commercial |
$4.56
|
|
|
ENDOTRACH TUBE CUFF 8.5
|
Facility
|
IP
|
$4.80
|
|
| Hospital Charge Code |
2500095
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$2.78 |
| Max. Negotiated Rate |
$4.80 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$4.70
|
| Rate for Payer: Aetna of WY Medicare |
$3.07
|
| Rate for Payer: Altius Commercial |
$4.61
|
| Rate for Payer: Beech Street Commercial |
$4.70
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$4.66
|
| Rate for Payer: Cash Price |
$3.36
|
| Rate for Payer: ChoiceCare Network Commercial |
$4.66
|
| Rate for Payer: Cigna of WY Commercial |
$4.70
|
| Rate for Payer: Entrust Commercial |
$4.56
|
| Rate for Payer: First Choice Health Commercial |
$4.56
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$4.56
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$2.93
|
| Rate for Payer: HealthUtah PPO |
$4.80
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$4.66
|
| Rate for Payer: Multiplan Medicare/VA |
$2.78
|
| Rate for Payer: One Health Plan of WY PPO |
$4.70
|
| Rate for Payer: PacificSource Commercial |
$4.32
|
| Rate for Payer: PHCS PPO |
$4.70
|
| Rate for Payer: Three Rivers PPO |
$3.60
|
| Rate for Payer: TriWest Veterans Administration |
$2.93
|
| Rate for Payer: United Healthcare Commercial |
$4.58
|
| Rate for Payer: United Healthcare Medicare |
$2.93
|
| Rate for Payer: WINHealth Partners Commercial |
$4.56
|
| Rate for Payer: Wise Provider Network Commercial |
$4.56
|
|
|
ENDOTRACH TUBE CUFF 9.0
|
Facility
|
IP
|
$4.74
|
|
| Hospital Charge Code |
2500096
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$2.75 |
| Max. Negotiated Rate |
$4.74 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$4.65
|
| Rate for Payer: Aetna of WY Medicare |
$3.03
|
| Rate for Payer: Altius Commercial |
$4.55
|
| Rate for Payer: Beech Street Commercial |
$4.65
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$4.60
|
| Rate for Payer: Cash Price |
$3.31
|
| Rate for Payer: ChoiceCare Network Commercial |
$4.60
|
| Rate for Payer: Cigna of WY Commercial |
$4.65
|
| Rate for Payer: Entrust Commercial |
$4.50
|
| Rate for Payer: First Choice Health Commercial |
$4.50
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$4.50
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$2.89
|
| Rate for Payer: HealthUtah PPO |
$4.74
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$4.60
|
| Rate for Payer: Multiplan Medicare/VA |
$2.75
|
| Rate for Payer: One Health Plan of WY PPO |
$4.65
|
| Rate for Payer: PacificSource Commercial |
$4.27
|
| Rate for Payer: PHCS PPO |
$4.65
|
| Rate for Payer: Three Rivers PPO |
$3.56
|
| Rate for Payer: TriWest Veterans Administration |
$2.89
|
| Rate for Payer: United Healthcare Commercial |
$4.53
|
| Rate for Payer: United Healthcare Medicare |
$2.89
|
| Rate for Payer: WINHealth Partners Commercial |
$4.50
|
| Rate for Payer: Wise Provider Network Commercial |
$4.50
|
|
|
ENDOTRACH TUBE CUFF 9.0
|
Facility
|
OP
|
$4.74
|
|
| Hospital Charge Code |
2500096
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$2.57 |
| Max. Negotiated Rate |
$4.74 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$4.65
|
| Rate for Payer: Aetna of WY Medicare |
$3.13
|
| Rate for Payer: Altius Commercial |
$4.55
|
| Rate for Payer: Beech Street Commercial |
$4.65
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$4.60
|
| Rate for Payer: Cash Price |
$3.31
|
| Rate for Payer: ChoiceCare Network Commercial |
$4.60
|
| Rate for Payer: Cigna of WY Commercial |
$4.65
|
| Rate for Payer: Entrust Commercial |
$4.50
|
| Rate for Payer: First Choice Health Commercial |
$4.50
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$4.50
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$2.70
|
| Rate for Payer: HealthUtah PPO |
$4.74
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$4.60
|
| Rate for Payer: Multiplan Medicare/VA |
$2.57
|
| Rate for Payer: One Health Plan of WY PPO |
$4.65
|
| Rate for Payer: PacificSource Commercial |
$4.27
|
| Rate for Payer: PHCS PPO |
$4.65
|
| Rate for Payer: Three Rivers PPO |
$3.56
|
| Rate for Payer: TriWest Veterans Administration |
$2.70
|
| Rate for Payer: United Healthcare Commercial |
$4.53
|
| Rate for Payer: United Healthcare Medicare |
$2.70
|
| Rate for Payer: WINHealth Partners Commercial |
$4.65
|
| Rate for Payer: Wise Provider Network Commercial |
$4.50
|
|
|
ENDOTRACH TUBE NASAL RAE 6.0
|
Facility
|
IP
|
$13.71
|
|
| Hospital Charge Code |
2500074
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.94 |
| Max. Negotiated Rate |
$13.71 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$13.44
|
| Rate for Payer: Aetna of WY Medicare |
$8.77
|
| Rate for Payer: Altius Commercial |
$13.16
|
| Rate for Payer: Beech Street Commercial |
$13.44
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$13.30
|
| Rate for Payer: Cash Price |
$9.60
|
| Rate for Payer: ChoiceCare Network Commercial |
$13.30
|
| Rate for Payer: Cigna of WY Commercial |
$13.44
|
| Rate for Payer: Entrust Commercial |
$13.02
|
| Rate for Payer: First Choice Health Commercial |
$13.02
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$13.02
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$8.36
|
| Rate for Payer: HealthUtah PPO |
$13.71
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$13.30
|
| Rate for Payer: Multiplan Medicare/VA |
$7.94
|
| Rate for Payer: One Health Plan of WY PPO |
$13.44
|
| Rate for Payer: PacificSource Commercial |
$12.34
|
| Rate for Payer: PHCS PPO |
$13.44
|
| Rate for Payer: Three Rivers PPO |
$10.28
|
| Rate for Payer: TriWest Veterans Administration |
$8.36
|
| Rate for Payer: United Healthcare Commercial |
$13.09
|
| Rate for Payer: United Healthcare Medicare |
$8.36
|
| Rate for Payer: WINHealth Partners Commercial |
$13.02
|
| Rate for Payer: Wise Provider Network Commercial |
$13.02
|
|
|
ENDOTRACH TUBE NASAL RAE 6.0
|
Facility
|
OP
|
$13.71
|
|
| Hospital Charge Code |
2500074
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.42 |
| Max. Negotiated Rate |
$13.71 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$13.44
|
| Rate for Payer: Aetna of WY Medicare |
$9.05
|
| Rate for Payer: Altius Commercial |
$13.16
|
| Rate for Payer: Beech Street Commercial |
$13.44
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$13.30
|
| Rate for Payer: Cash Price |
$9.60
|
| Rate for Payer: ChoiceCare Network Commercial |
$13.30
|
| Rate for Payer: Cigna of WY Commercial |
$13.44
|
| Rate for Payer: Entrust Commercial |
$13.02
|
| Rate for Payer: First Choice Health Commercial |
$13.02
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$13.02
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$7.81
|
| Rate for Payer: HealthUtah PPO |
$13.71
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$13.30
|
| Rate for Payer: Multiplan Medicare/VA |
$7.42
|
| Rate for Payer: One Health Plan of WY PPO |
$13.44
|
| Rate for Payer: PacificSource Commercial |
$12.34
|
| Rate for Payer: PHCS PPO |
$13.44
|
| Rate for Payer: Three Rivers PPO |
$10.28
|
| Rate for Payer: TriWest Veterans Administration |
$7.81
|
| Rate for Payer: United Healthcare Commercial |
$13.09
|
| Rate for Payer: United Healthcare Medicare |
$7.81
|
| Rate for Payer: WINHealth Partners Commercial |
$13.44
|
| Rate for Payer: Wise Provider Network Commercial |
$13.02
|
|
|
ENDOTRACH TUBE NASAL RAE 6.5
|
Facility
|
IP
|
$13.71
|
|
| Hospital Charge Code |
2500075
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.94 |
| Max. Negotiated Rate |
$13.71 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$13.44
|
| Rate for Payer: Aetna of WY Medicare |
$8.77
|
| Rate for Payer: Altius Commercial |
$13.16
|
| Rate for Payer: Beech Street Commercial |
$13.44
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$13.30
|
| Rate for Payer: Cash Price |
$9.60
|
| Rate for Payer: ChoiceCare Network Commercial |
$13.30
|
| Rate for Payer: Cigna of WY Commercial |
$13.44
|
| Rate for Payer: Entrust Commercial |
$13.02
|
| Rate for Payer: First Choice Health Commercial |
$13.02
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$13.02
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$8.36
|
| Rate for Payer: HealthUtah PPO |
$13.71
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$13.30
|
| Rate for Payer: Multiplan Medicare/VA |
$7.94
|
| Rate for Payer: One Health Plan of WY PPO |
$13.44
|
| Rate for Payer: PacificSource Commercial |
$12.34
|
| Rate for Payer: PHCS PPO |
$13.44
|
| Rate for Payer: Three Rivers PPO |
$10.28
|
| Rate for Payer: TriWest Veterans Administration |
$8.36
|
| Rate for Payer: United Healthcare Commercial |
$13.09
|
| Rate for Payer: United Healthcare Medicare |
$8.36
|
| Rate for Payer: WINHealth Partners Commercial |
$13.02
|
| Rate for Payer: Wise Provider Network Commercial |
$13.02
|
|
|
ENDOTRACH TUBE NASAL RAE 6.5
|
Facility
|
OP
|
$13.71
|
|
| Hospital Charge Code |
2500075
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.42 |
| Max. Negotiated Rate |
$13.71 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$13.44
|
| Rate for Payer: Aetna of WY Medicare |
$9.05
|
| Rate for Payer: Altius Commercial |
$13.16
|
| Rate for Payer: Beech Street Commercial |
$13.44
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$13.30
|
| Rate for Payer: Cash Price |
$9.60
|
| Rate for Payer: ChoiceCare Network Commercial |
$13.30
|
| Rate for Payer: Cigna of WY Commercial |
$13.44
|
| Rate for Payer: Entrust Commercial |
$13.02
|
| Rate for Payer: First Choice Health Commercial |
$13.02
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$13.02
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$7.81
|
| Rate for Payer: HealthUtah PPO |
$13.71
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$13.30
|
| Rate for Payer: Multiplan Medicare/VA |
$7.42
|
| Rate for Payer: One Health Plan of WY PPO |
$13.44
|
| Rate for Payer: PacificSource Commercial |
$12.34
|
| Rate for Payer: PHCS PPO |
$13.44
|
| Rate for Payer: Three Rivers PPO |
$10.28
|
| Rate for Payer: TriWest Veterans Administration |
$7.81
|
| Rate for Payer: United Healthcare Commercial |
$13.09
|
| Rate for Payer: United Healthcare Medicare |
$7.81
|
| Rate for Payer: WINHealth Partners Commercial |
$13.44
|
| Rate for Payer: Wise Provider Network Commercial |
$13.02
|
|
|
ENDOTRACH TUBE ORAL RAE 8.0
|
Facility
|
IP
|
$13.71
|
|
| Hospital Charge Code |
2500078
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$7.94 |
| Max. Negotiated Rate |
$13.71 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$13.44
|
| Rate for Payer: Aetna of WY Medicare |
$8.77
|
| Rate for Payer: Altius Commercial |
$13.16
|
| Rate for Payer: Beech Street Commercial |
$13.44
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$13.30
|
| Rate for Payer: Cash Price |
$9.60
|
| Rate for Payer: ChoiceCare Network Commercial |
$13.30
|
| Rate for Payer: Cigna of WY Commercial |
$13.44
|
| Rate for Payer: Entrust Commercial |
$13.02
|
| Rate for Payer: First Choice Health Commercial |
$13.02
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$13.02
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$8.36
|
| Rate for Payer: HealthUtah PPO |
$13.71
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$13.30
|
| Rate for Payer: Multiplan Medicare/VA |
$7.94
|
| Rate for Payer: One Health Plan of WY PPO |
$13.44
|
| Rate for Payer: PacificSource Commercial |
$12.34
|
| Rate for Payer: PHCS PPO |
$13.44
|
| Rate for Payer: Three Rivers PPO |
$10.28
|
| Rate for Payer: TriWest Veterans Administration |
$8.36
|
| Rate for Payer: United Healthcare Commercial |
$13.09
|
| Rate for Payer: United Healthcare Medicare |
$8.36
|
| Rate for Payer: WINHealth Partners Commercial |
$13.02
|
| Rate for Payer: Wise Provider Network Commercial |
$13.02
|
|
|
ENDOTRACH TUBE ORAL RAE 8.0
|
Facility
|
OP
|
$13.71
|
|
| Hospital Charge Code |
2500078
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$7.42 |
| Max. Negotiated Rate |
$13.71 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$13.44
|
| Rate for Payer: Aetna of WY Medicare |
$9.05
|
| Rate for Payer: Altius Commercial |
$13.16
|
| Rate for Payer: Beech Street Commercial |
$13.44
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$13.30
|
| Rate for Payer: Cash Price |
$9.60
|
| Rate for Payer: ChoiceCare Network Commercial |
$13.30
|
| Rate for Payer: Cigna of WY Commercial |
$13.44
|
| Rate for Payer: Entrust Commercial |
$13.02
|
| Rate for Payer: First Choice Health Commercial |
$13.02
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$13.02
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$7.81
|
| Rate for Payer: HealthUtah PPO |
$13.71
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$13.30
|
| Rate for Payer: Multiplan Medicare/VA |
$7.42
|
| Rate for Payer: One Health Plan of WY PPO |
$13.44
|
| Rate for Payer: PacificSource Commercial |
$12.34
|
| Rate for Payer: PHCS PPO |
$13.44
|
| Rate for Payer: Three Rivers PPO |
$10.28
|
| Rate for Payer: TriWest Veterans Administration |
$7.81
|
| Rate for Payer: United Healthcare Commercial |
$13.09
|
| Rate for Payer: United Healthcare Medicare |
$7.81
|
| Rate for Payer: WINHealth Partners Commercial |
$13.44
|
| Rate for Payer: Wise Provider Network Commercial |
$13.02
|
|
|
ENDOTRACH TUBE RAE 7.5
|
Facility
|
OP
|
$13.71
|
|
| Hospital Charge Code |
2500077
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.42 |
| Max. Negotiated Rate |
$13.71 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$13.44
|
| Rate for Payer: Aetna of WY Medicare |
$9.05
|
| Rate for Payer: Altius Commercial |
$13.16
|
| Rate for Payer: Beech Street Commercial |
$13.44
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$13.30
|
| Rate for Payer: Cash Price |
$9.60
|
| Rate for Payer: ChoiceCare Network Commercial |
$13.30
|
| Rate for Payer: Cigna of WY Commercial |
$13.44
|
| Rate for Payer: Entrust Commercial |
$13.02
|
| Rate for Payer: First Choice Health Commercial |
$13.02
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$13.02
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$7.81
|
| Rate for Payer: HealthUtah PPO |
$13.71
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$13.30
|
| Rate for Payer: Multiplan Medicare/VA |
$7.42
|
| Rate for Payer: One Health Plan of WY PPO |
$13.44
|
| Rate for Payer: PacificSource Commercial |
$12.34
|
| Rate for Payer: PHCS PPO |
$13.44
|
| Rate for Payer: Three Rivers PPO |
$10.28
|
| Rate for Payer: TriWest Veterans Administration |
$7.81
|
| Rate for Payer: United Healthcare Commercial |
$13.09
|
| Rate for Payer: United Healthcare Medicare |
$7.81
|
| Rate for Payer: WINHealth Partners Commercial |
$13.44
|
| Rate for Payer: Wise Provider Network Commercial |
$13.02
|
|
|
ENDOTRACH TUBE RAE 7.5
|
Facility
|
IP
|
$13.71
|
|
| Hospital Charge Code |
2500077
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.94 |
| Max. Negotiated Rate |
$13.71 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$13.44
|
| Rate for Payer: Aetna of WY Medicare |
$8.77
|
| Rate for Payer: Altius Commercial |
$13.16
|
| Rate for Payer: Beech Street Commercial |
$13.44
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$13.30
|
| Rate for Payer: Cash Price |
$9.60
|
| Rate for Payer: ChoiceCare Network Commercial |
$13.30
|
| Rate for Payer: Cigna of WY Commercial |
$13.44
|
| Rate for Payer: Entrust Commercial |
$13.02
|
| Rate for Payer: First Choice Health Commercial |
$13.02
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$13.02
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$8.36
|
| Rate for Payer: HealthUtah PPO |
$13.71
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$13.30
|
| Rate for Payer: Multiplan Medicare/VA |
$7.94
|
| Rate for Payer: One Health Plan of WY PPO |
$13.44
|
| Rate for Payer: PacificSource Commercial |
$12.34
|
| Rate for Payer: PHCS PPO |
$13.44
|
| Rate for Payer: Three Rivers PPO |
$10.28
|
| Rate for Payer: TriWest Veterans Administration |
$8.36
|
| Rate for Payer: United Healthcare Commercial |
$13.09
|
| Rate for Payer: United Healthcare Medicare |
$8.36
|
| Rate for Payer: WINHealth Partners Commercial |
$13.02
|
| Rate for Payer: Wise Provider Network Commercial |
$13.02
|
|
|
ENDOTRACH TUBE RAE 8.5
|
Facility
|
OP
|
$14.36
|
|
| Hospital Charge Code |
2500079
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$7.78 |
| Max. Negotiated Rate |
$14.36 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$14.07
|
| Rate for Payer: Aetna of WY Medicare |
$9.48
|
| Rate for Payer: Altius Commercial |
$13.79
|
| Rate for Payer: Beech Street Commercial |
$14.07
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$13.93
|
| Rate for Payer: Cash Price |
$10.05
|
| Rate for Payer: ChoiceCare Network Commercial |
$13.93
|
| Rate for Payer: Cigna of WY Commercial |
$14.07
|
| Rate for Payer: Entrust Commercial |
$13.64
|
| Rate for Payer: First Choice Health Commercial |
$13.64
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$13.64
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$8.19
|
| Rate for Payer: HealthUtah PPO |
$14.36
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$13.93
|
| Rate for Payer: Multiplan Medicare/VA |
$7.78
|
| Rate for Payer: One Health Plan of WY PPO |
$14.07
|
| Rate for Payer: PacificSource Commercial |
$12.92
|
| Rate for Payer: PHCS PPO |
$14.07
|
| Rate for Payer: Three Rivers PPO |
$10.77
|
| Rate for Payer: TriWest Veterans Administration |
$8.19
|
| Rate for Payer: United Healthcare Commercial |
$13.71
|
| Rate for Payer: United Healthcare Medicare |
$8.19
|
| Rate for Payer: WINHealth Partners Commercial |
$14.07
|
| Rate for Payer: Wise Provider Network Commercial |
$13.64
|
|
|
ENDOTRACH TUBE RAE 8.5
|
Facility
|
IP
|
$14.36
|
|
| Hospital Charge Code |
2500079
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$8.32 |
| Max. Negotiated Rate |
$14.36 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$14.07
|
| Rate for Payer: Aetna of WY Medicare |
$9.19
|
| Rate for Payer: Altius Commercial |
$13.79
|
| Rate for Payer: Beech Street Commercial |
$14.07
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$13.93
|
| Rate for Payer: Cash Price |
$10.05
|
| Rate for Payer: ChoiceCare Network Commercial |
$13.93
|
| Rate for Payer: Cigna of WY Commercial |
$14.07
|
| Rate for Payer: Entrust Commercial |
$13.64
|
| Rate for Payer: First Choice Health Commercial |
$13.64
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$13.64
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$8.76
|
| Rate for Payer: HealthUtah PPO |
$14.36
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$13.93
|
| Rate for Payer: Multiplan Medicare/VA |
$8.32
|
| Rate for Payer: One Health Plan of WY PPO |
$14.07
|
| Rate for Payer: PacificSource Commercial |
$12.92
|
| Rate for Payer: PHCS PPO |
$14.07
|
| Rate for Payer: Three Rivers PPO |
$10.77
|
| Rate for Payer: TriWest Veterans Administration |
$8.76
|
| Rate for Payer: United Healthcare Commercial |
$13.71
|
| Rate for Payer: United Healthcare Medicare |
$8.76
|
| Rate for Payer: WINHealth Partners Commercial |
$13.64
|
| Rate for Payer: Wise Provider Network Commercial |
$13.64
|
|
|
ENDOTRACH TUBE RAE C 5.0
|
Facility
|
OP
|
$13.71
|
|
| Hospital Charge Code |
2500072
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$7.42 |
| Max. Negotiated Rate |
$13.71 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$13.44
|
| Rate for Payer: Aetna of WY Medicare |
$9.05
|
| Rate for Payer: Altius Commercial |
$13.16
|
| Rate for Payer: Beech Street Commercial |
$13.44
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$13.30
|
| Rate for Payer: Cash Price |
$9.60
|
| Rate for Payer: ChoiceCare Network Commercial |
$13.30
|
| Rate for Payer: Cigna of WY Commercial |
$13.44
|
| Rate for Payer: Entrust Commercial |
$13.02
|
| Rate for Payer: First Choice Health Commercial |
$13.02
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$13.02
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$7.81
|
| Rate for Payer: HealthUtah PPO |
$13.71
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$13.30
|
| Rate for Payer: Multiplan Medicare/VA |
$7.42
|
| Rate for Payer: One Health Plan of WY PPO |
$13.44
|
| Rate for Payer: PacificSource Commercial |
$12.34
|
| Rate for Payer: PHCS PPO |
$13.44
|
| Rate for Payer: Three Rivers PPO |
$10.28
|
| Rate for Payer: TriWest Veterans Administration |
$7.81
|
| Rate for Payer: United Healthcare Commercial |
$13.09
|
| Rate for Payer: United Healthcare Medicare |
$7.81
|
| Rate for Payer: WINHealth Partners Commercial |
$13.44
|
| Rate for Payer: Wise Provider Network Commercial |
$13.02
|
|
|
ENDOTRACH TUBE RAE C 5.0
|
Facility
|
IP
|
$13.71
|
|
| Hospital Charge Code |
2500072
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$7.94 |
| Max. Negotiated Rate |
$13.71 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$13.44
|
| Rate for Payer: Aetna of WY Medicare |
$8.77
|
| Rate for Payer: Altius Commercial |
$13.16
|
| Rate for Payer: Beech Street Commercial |
$13.44
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$13.30
|
| Rate for Payer: Cash Price |
$9.60
|
| Rate for Payer: ChoiceCare Network Commercial |
$13.30
|
| Rate for Payer: Cigna of WY Commercial |
$13.44
|
| Rate for Payer: Entrust Commercial |
$13.02
|
| Rate for Payer: First Choice Health Commercial |
$13.02
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$13.02
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$8.36
|
| Rate for Payer: HealthUtah PPO |
$13.71
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$13.30
|
| Rate for Payer: Multiplan Medicare/VA |
$7.94
|
| Rate for Payer: One Health Plan of WY PPO |
$13.44
|
| Rate for Payer: PacificSource Commercial |
$12.34
|
| Rate for Payer: PHCS PPO |
$13.44
|
| Rate for Payer: Three Rivers PPO |
$10.28
|
| Rate for Payer: TriWest Veterans Administration |
$8.36
|
| Rate for Payer: United Healthcare Commercial |
$13.09
|
| Rate for Payer: United Healthcare Medicare |
$8.36
|
| Rate for Payer: WINHealth Partners Commercial |
$13.02
|
| Rate for Payer: Wise Provider Network Commercial |
$13.02
|
|
|
ENDOTRACH TUBE RAE UC 3.0
|
Facility
|
IP
|
$8.05
|
|
| Hospital Charge Code |
2500147
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$4.66 |
| Max. Negotiated Rate |
$8.05 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$7.89
|
| Rate for Payer: Aetna of WY Medicare |
$5.15
|
| Rate for Payer: Altius Commercial |
$7.73
|
| Rate for Payer: Beech Street Commercial |
$7.89
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$7.81
|
| Rate for Payer: Cash Price |
$5.63
|
| Rate for Payer: ChoiceCare Network Commercial |
$7.81
|
| Rate for Payer: Cigna of WY Commercial |
$7.89
|
| Rate for Payer: Entrust Commercial |
$7.65
|
| Rate for Payer: First Choice Health Commercial |
$7.65
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$7.65
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$4.91
|
| Rate for Payer: HealthUtah PPO |
$8.05
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$7.81
|
| Rate for Payer: Multiplan Medicare/VA |
$4.66
|
| Rate for Payer: One Health Plan of WY PPO |
$7.89
|
| Rate for Payer: PacificSource Commercial |
$7.24
|
| Rate for Payer: PHCS PPO |
$7.89
|
| Rate for Payer: Three Rivers PPO |
$6.04
|
| Rate for Payer: TriWest Veterans Administration |
$4.91
|
| Rate for Payer: United Healthcare Commercial |
$7.69
|
| Rate for Payer: United Healthcare Medicare |
$4.91
|
| Rate for Payer: WINHealth Partners Commercial |
$7.65
|
| Rate for Payer: Wise Provider Network Commercial |
$7.65
|
|
|
ENDOTRACH TUBE RAE UC 3.0
|
Facility
|
OP
|
$8.05
|
|
| Hospital Charge Code |
2500147
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$4.36 |
| Max. Negotiated Rate |
$8.05 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$7.89
|
| Rate for Payer: Aetna of WY Medicare |
$5.31
|
| Rate for Payer: Altius Commercial |
$7.73
|
| Rate for Payer: Beech Street Commercial |
$7.89
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$7.81
|
| Rate for Payer: Cash Price |
$5.63
|
| Rate for Payer: ChoiceCare Network Commercial |
$7.81
|
| Rate for Payer: Cigna of WY Commercial |
$7.89
|
| Rate for Payer: Entrust Commercial |
$7.65
|
| Rate for Payer: First Choice Health Commercial |
$7.65
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$7.65
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$4.59
|
| Rate for Payer: HealthUtah PPO |
$8.05
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$7.81
|
| Rate for Payer: Multiplan Medicare/VA |
$4.36
|
| Rate for Payer: One Health Plan of WY PPO |
$7.89
|
| Rate for Payer: PacificSource Commercial |
$7.24
|
| Rate for Payer: PHCS PPO |
$7.89
|
| Rate for Payer: Three Rivers PPO |
$6.04
|
| Rate for Payer: TriWest Veterans Administration |
$4.59
|
| Rate for Payer: United Healthcare Commercial |
$7.69
|
| Rate for Payer: United Healthcare Medicare |
$4.59
|
| Rate for Payer: WINHealth Partners Commercial |
$7.89
|
| Rate for Payer: Wise Provider Network Commercial |
$7.65
|
|
