|
HC ASSAY OF BLOOD LIPOPROTEIN,HDL CHOLEST - HDL CHOLESTEROL
|
Facility
|
OP
|
$168.00
|
|
|
Service Code
|
HCPCS 83718
|
| Hospital Charge Code |
3018371801
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$90.97 |
| Max. Negotiated Rate |
$168.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$164.64
|
| Rate for Payer: Aetna of WY Medicare |
$110.88
|
| Rate for Payer: Altius Commercial |
$161.28
|
| Rate for Payer: Beech Street Commercial |
$164.64
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$162.96
|
| Rate for Payer: Cash Price |
$117.60
|
| Rate for Payer: ChoiceCare Network Commercial |
$162.96
|
| Rate for Payer: Cigna of WY Commercial |
$164.64
|
| Rate for Payer: Entrust Commercial |
$159.60
|
| Rate for Payer: First Choice Health Commercial |
$159.60
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$159.60
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$95.76
|
| Rate for Payer: HealthUtah PPO |
$168.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$162.96
|
| Rate for Payer: Multiplan Medicare/VA |
$90.97
|
| Rate for Payer: One Health Plan of WY PPO |
$164.64
|
| Rate for Payer: PacificSource Commercial |
$151.20
|
| Rate for Payer: PHCS PPO |
$164.64
|
| Rate for Payer: Three Rivers PPO |
$126.00
|
| Rate for Payer: TriWest Veterans Administration |
$95.76
|
| Rate for Payer: United Healthcare Commercial |
$160.44
|
| Rate for Payer: United Healthcare Medicare |
$95.76
|
| Rate for Payer: WINHealth Partners Commercial |
$164.64
|
| Rate for Payer: Wise Provider Network Commercial |
$159.60
|
|
|
HC ASSAY OF BLOOD LIPOPROTEIN,LDL CHOLEST - LDL CHOLESTEROL DIRECT
|
Facility
|
IP
|
$66.00
|
|
|
Service Code
|
HCPCS 83721
|
| Hospital Charge Code |
3018372101
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$38.25 |
| Max. Negotiated Rate |
$66.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$64.68
|
| Rate for Payer: Aetna of WY Medicare |
$42.24
|
| Rate for Payer: Altius Commercial |
$63.36
|
| Rate for Payer: Beech Street Commercial |
$64.68
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$64.02
|
| Rate for Payer: Cash Price |
$46.20
|
| Rate for Payer: ChoiceCare Network Commercial |
$64.02
|
| Rate for Payer: Cigna of WY Commercial |
$64.68
|
| Rate for Payer: Entrust Commercial |
$62.70
|
| Rate for Payer: First Choice Health Commercial |
$62.70
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$62.70
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$40.26
|
| Rate for Payer: HealthUtah PPO |
$66.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$64.02
|
| Rate for Payer: Multiplan Medicare/VA |
$38.25
|
| Rate for Payer: One Health Plan of WY PPO |
$64.68
|
| Rate for Payer: PacificSource Commercial |
$59.40
|
| Rate for Payer: PHCS PPO |
$64.68
|
| Rate for Payer: Three Rivers PPO |
$49.50
|
| Rate for Payer: TriWest Veterans Administration |
$40.26
|
| Rate for Payer: United Healthcare Commercial |
$63.03
|
| Rate for Payer: United Healthcare Medicare |
$40.26
|
| Rate for Payer: WINHealth Partners Commercial |
$62.70
|
| Rate for Payer: Wise Provider Network Commercial |
$62.70
|
|
|
HC ASSAY OF BLOOD LIPOPROTEIN,LDL CHOLEST - LDL CHOLESTEROL DIRECT
|
Facility
|
OP
|
$66.00
|
|
|
Service Code
|
HCPCS 83721
|
| Hospital Charge Code |
3018372101
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$35.74 |
| Max. Negotiated Rate |
$66.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$64.68
|
| Rate for Payer: Aetna of WY Medicare |
$43.56
|
| Rate for Payer: Altius Commercial |
$63.36
|
| Rate for Payer: Beech Street Commercial |
$64.68
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$64.02
|
| Rate for Payer: Cash Price |
$46.20
|
| Rate for Payer: ChoiceCare Network Commercial |
$64.02
|
| Rate for Payer: Cigna of WY Commercial |
$64.68
|
| Rate for Payer: Entrust Commercial |
$62.70
|
| Rate for Payer: First Choice Health Commercial |
$62.70
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$62.70
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$37.62
|
| Rate for Payer: HealthUtah PPO |
$66.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$64.02
|
| Rate for Payer: Multiplan Medicare/VA |
$35.74
|
| Rate for Payer: One Health Plan of WY PPO |
$64.68
|
| Rate for Payer: PacificSource Commercial |
$59.40
|
| Rate for Payer: PHCS PPO |
$64.68
|
| Rate for Payer: Three Rivers PPO |
$49.50
|
| Rate for Payer: TriWest Veterans Administration |
$37.62
|
| Rate for Payer: United Healthcare Commercial |
$63.03
|
| Rate for Payer: United Healthcare Medicare |
$37.62
|
| Rate for Payer: WINHealth Partners Commercial |
$64.68
|
| Rate for Payer: Wise Provider Network Commercial |
$62.70
|
|
|
HC ASSAY OF BLOOD OSMOLALITY - OSMOLALITY
|
Facility
|
OP
|
$93.00
|
|
|
Service Code
|
HCPCS 83930
|
| Hospital Charge Code |
3018393001
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$50.36 |
| Max. Negotiated Rate |
$93.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$91.14
|
| Rate for Payer: Aetna of WY Medicare |
$61.38
|
| Rate for Payer: Altius Commercial |
$89.28
|
| Rate for Payer: Beech Street Commercial |
$91.14
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$90.21
|
| Rate for Payer: Cash Price |
$65.10
|
| Rate for Payer: ChoiceCare Network Commercial |
$90.21
|
| Rate for Payer: Cigna of WY Commercial |
$91.14
|
| Rate for Payer: Entrust Commercial |
$88.35
|
| Rate for Payer: First Choice Health Commercial |
$88.35
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$88.35
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$53.01
|
| Rate for Payer: HealthUtah PPO |
$93.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$90.21
|
| Rate for Payer: Multiplan Medicare/VA |
$50.36
|
| Rate for Payer: One Health Plan of WY PPO |
$91.14
|
| Rate for Payer: PacificSource Commercial |
$83.70
|
| Rate for Payer: PHCS PPO |
$91.14
|
| Rate for Payer: Three Rivers PPO |
$69.75
|
| Rate for Payer: TriWest Veterans Administration |
$53.01
|
| Rate for Payer: United Healthcare Commercial |
$88.82
|
| Rate for Payer: United Healthcare Medicare |
$53.01
|
| Rate for Payer: WINHealth Partners Commercial |
$91.14
|
| Rate for Payer: Wise Provider Network Commercial |
$88.35
|
|
|
HC ASSAY OF BLOOD OSMOLALITY - OSMOLALITY
|
Facility
|
IP
|
$93.00
|
|
|
Service Code
|
HCPCS 83930
|
| Hospital Charge Code |
3018393001
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$53.89 |
| Max. Negotiated Rate |
$93.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$91.14
|
| Rate for Payer: Aetna of WY Medicare |
$59.52
|
| Rate for Payer: Altius Commercial |
$89.28
|
| Rate for Payer: Beech Street Commercial |
$91.14
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$90.21
|
| Rate for Payer: Cash Price |
$65.10
|
| Rate for Payer: ChoiceCare Network Commercial |
$90.21
|
| Rate for Payer: Cigna of WY Commercial |
$91.14
|
| Rate for Payer: Entrust Commercial |
$88.35
|
| Rate for Payer: First Choice Health Commercial |
$88.35
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$88.35
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$56.73
|
| Rate for Payer: HealthUtah PPO |
$93.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$90.21
|
| Rate for Payer: Multiplan Medicare/VA |
$53.89
|
| Rate for Payer: One Health Plan of WY PPO |
$91.14
|
| Rate for Payer: PacificSource Commercial |
$83.70
|
| Rate for Payer: PHCS PPO |
$91.14
|
| Rate for Payer: Three Rivers PPO |
$69.75
|
| Rate for Payer: TriWest Veterans Administration |
$56.73
|
| Rate for Payer: United Healthcare Commercial |
$88.82
|
| Rate for Payer: United Healthcare Medicare |
$56.73
|
| Rate for Payer: WINHealth Partners Commercial |
$88.35
|
| Rate for Payer: Wise Provider Network Commercial |
$88.35
|
|
|
HC ASSAY OF BLOOD PKU - PHENYLALANINE
|
Facility
|
IP
|
$52.00
|
|
|
Service Code
|
HCPCS 84030
|
| Hospital Charge Code |
3018403001
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$30.13 |
| Max. Negotiated Rate |
$52.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$50.96
|
| Rate for Payer: Aetna of WY Medicare |
$33.28
|
| Rate for Payer: Altius Commercial |
$49.92
|
| Rate for Payer: Beech Street Commercial |
$50.96
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$50.44
|
| Rate for Payer: Cash Price |
$36.40
|
| Rate for Payer: ChoiceCare Network Commercial |
$50.44
|
| Rate for Payer: Cigna of WY Commercial |
$50.96
|
| Rate for Payer: Entrust Commercial |
$49.40
|
| Rate for Payer: First Choice Health Commercial |
$49.40
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$49.40
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$31.72
|
| Rate for Payer: HealthUtah PPO |
$52.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$50.44
|
| Rate for Payer: Multiplan Medicare/VA |
$30.13
|
| Rate for Payer: One Health Plan of WY PPO |
$50.96
|
| Rate for Payer: PacificSource Commercial |
$46.80
|
| Rate for Payer: PHCS PPO |
$50.96
|
| Rate for Payer: Three Rivers PPO |
$39.00
|
| Rate for Payer: TriWest Veterans Administration |
$31.72
|
| Rate for Payer: United Healthcare Commercial |
$49.66
|
| Rate for Payer: United Healthcare Medicare |
$31.72
|
| Rate for Payer: WINHealth Partners Commercial |
$49.40
|
| Rate for Payer: Wise Provider Network Commercial |
$49.40
|
|
|
HC ASSAY OF BLOOD PKU - PHENYLALANINE
|
Facility
|
OP
|
$52.00
|
|
|
Service Code
|
HCPCS 84030
|
| Hospital Charge Code |
3018403001
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$28.16 |
| Max. Negotiated Rate |
$52.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$50.96
|
| Rate for Payer: Aetna of WY Medicare |
$34.32
|
| Rate for Payer: Altius Commercial |
$49.92
|
| Rate for Payer: Beech Street Commercial |
$50.96
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$50.44
|
| Rate for Payer: Cash Price |
$36.40
|
| Rate for Payer: ChoiceCare Network Commercial |
$50.44
|
| Rate for Payer: Cigna of WY Commercial |
$50.96
|
| Rate for Payer: Entrust Commercial |
$49.40
|
| Rate for Payer: First Choice Health Commercial |
$49.40
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$49.40
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$29.64
|
| Rate for Payer: HealthUtah PPO |
$52.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$50.44
|
| Rate for Payer: Multiplan Medicare/VA |
$28.16
|
| Rate for Payer: One Health Plan of WY PPO |
$50.96
|
| Rate for Payer: PacificSource Commercial |
$46.80
|
| Rate for Payer: PHCS PPO |
$50.96
|
| Rate for Payer: Three Rivers PPO |
$39.00
|
| Rate for Payer: TriWest Veterans Administration |
$29.64
|
| Rate for Payer: United Healthcare Commercial |
$49.66
|
| Rate for Payer: United Healthcare Medicare |
$29.64
|
| Rate for Payer: WINHealth Partners Commercial |
$50.96
|
| Rate for Payer: Wise Provider Network Commercial |
$49.40
|
|
|
HC ASSAY OF BUPRENORPHINE
|
Facility
|
OP
|
$532.00
|
|
|
Service Code
|
HCPCS 80348
|
| Hospital Charge Code |
3018034801
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$288.08 |
| Max. Negotiated Rate |
$532.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$521.36
|
| Rate for Payer: Aetna of WY Medicare |
$351.12
|
| Rate for Payer: Altius Commercial |
$510.72
|
| Rate for Payer: Beech Street Commercial |
$521.36
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$516.04
|
| Rate for Payer: Cash Price |
$372.40
|
| Rate for Payer: ChoiceCare Network Commercial |
$516.04
|
| Rate for Payer: Cigna of WY Commercial |
$521.36
|
| Rate for Payer: Entrust Commercial |
$505.40
|
| Rate for Payer: First Choice Health Commercial |
$505.40
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$505.40
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$303.24
|
| Rate for Payer: HealthUtah PPO |
$532.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$516.04
|
| Rate for Payer: Multiplan Medicare/VA |
$288.08
|
| Rate for Payer: One Health Plan of WY PPO |
$521.36
|
| Rate for Payer: PacificSource Commercial |
$478.80
|
| Rate for Payer: PHCS PPO |
$521.36
|
| Rate for Payer: Three Rivers PPO |
$399.00
|
| Rate for Payer: TriWest Veterans Administration |
$303.24
|
| Rate for Payer: United Healthcare Commercial |
$508.06
|
| Rate for Payer: United Healthcare Medicare |
$303.24
|
| Rate for Payer: WINHealth Partners Commercial |
$521.36
|
| Rate for Payer: Wise Provider Network Commercial |
$505.40
|
|
|
HC ASSAY OF BUPRENORPHINE
|
Facility
|
IP
|
$532.00
|
|
|
Service Code
|
HCPCS 80348
|
| Hospital Charge Code |
3018034801
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$308.29 |
| Max. Negotiated Rate |
$532.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$521.36
|
| Rate for Payer: Aetna of WY Medicare |
$340.48
|
| Rate for Payer: Altius Commercial |
$510.72
|
| Rate for Payer: Beech Street Commercial |
$521.36
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$516.04
|
| Rate for Payer: Cash Price |
$372.40
|
| Rate for Payer: ChoiceCare Network Commercial |
$516.04
|
| Rate for Payer: Cigna of WY Commercial |
$521.36
|
| Rate for Payer: Entrust Commercial |
$505.40
|
| Rate for Payer: First Choice Health Commercial |
$505.40
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$505.40
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$324.52
|
| Rate for Payer: HealthUtah PPO |
$532.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$516.04
|
| Rate for Payer: Multiplan Medicare/VA |
$308.29
|
| Rate for Payer: One Health Plan of WY PPO |
$521.36
|
| Rate for Payer: PacificSource Commercial |
$478.80
|
| Rate for Payer: PHCS PPO |
$521.36
|
| Rate for Payer: Three Rivers PPO |
$399.00
|
| Rate for Payer: TriWest Veterans Administration |
$324.52
|
| Rate for Payer: United Healthcare Commercial |
$508.06
|
| Rate for Payer: United Healthcare Medicare |
$324.52
|
| Rate for Payer: WINHealth Partners Commercial |
$505.40
|
| Rate for Payer: Wise Provider Network Commercial |
$505.40
|
|
|
HC ASSAY OF BUPROPION
|
Facility
|
IP
|
$298.00
|
|
|
Service Code
|
HCPCS 80338
|
| Hospital Charge Code |
3018033801
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$172.69 |
| Max. Negotiated Rate |
$298.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$292.04
|
| Rate for Payer: Aetna of WY Medicare |
$190.72
|
| Rate for Payer: Altius Commercial |
$286.08
|
| Rate for Payer: Beech Street Commercial |
$292.04
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$289.06
|
| Rate for Payer: Cash Price |
$208.60
|
| Rate for Payer: ChoiceCare Network Commercial |
$289.06
|
| Rate for Payer: Cigna of WY Commercial |
$292.04
|
| Rate for Payer: Entrust Commercial |
$283.10
|
| Rate for Payer: First Choice Health Commercial |
$283.10
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$283.10
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$181.78
|
| Rate for Payer: HealthUtah PPO |
$298.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$289.06
|
| Rate for Payer: Multiplan Medicare/VA |
$172.69
|
| Rate for Payer: One Health Plan of WY PPO |
$292.04
|
| Rate for Payer: PacificSource Commercial |
$268.20
|
| Rate for Payer: PHCS PPO |
$292.04
|
| Rate for Payer: Three Rivers PPO |
$223.50
|
| Rate for Payer: TriWest Veterans Administration |
$181.78
|
| Rate for Payer: United Healthcare Commercial |
$284.59
|
| Rate for Payer: United Healthcare Medicare |
$181.78
|
| Rate for Payer: WINHealth Partners Commercial |
$283.10
|
| Rate for Payer: Wise Provider Network Commercial |
$283.10
|
|
|
HC ASSAY OF BUPROPION
|
Facility
|
OP
|
$298.00
|
|
|
Service Code
|
HCPCS 80338
|
| Hospital Charge Code |
3018033801
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$161.37 |
| Max. Negotiated Rate |
$298.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$292.04
|
| Rate for Payer: Aetna of WY Medicare |
$196.68
|
| Rate for Payer: Altius Commercial |
$286.08
|
| Rate for Payer: Beech Street Commercial |
$292.04
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$289.06
|
| Rate for Payer: Cash Price |
$208.60
|
| Rate for Payer: ChoiceCare Network Commercial |
$289.06
|
| Rate for Payer: Cigna of WY Commercial |
$292.04
|
| Rate for Payer: Entrust Commercial |
$283.10
|
| Rate for Payer: First Choice Health Commercial |
$283.10
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$283.10
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$169.86
|
| Rate for Payer: HealthUtah PPO |
$298.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$289.06
|
| Rate for Payer: Multiplan Medicare/VA |
$161.37
|
| Rate for Payer: One Health Plan of WY PPO |
$292.04
|
| Rate for Payer: PacificSource Commercial |
$268.20
|
| Rate for Payer: PHCS PPO |
$292.04
|
| Rate for Payer: Three Rivers PPO |
$223.50
|
| Rate for Payer: TriWest Veterans Administration |
$169.86
|
| Rate for Payer: United Healthcare Commercial |
$284.59
|
| Rate for Payer: United Healthcare Medicare |
$169.86
|
| Rate for Payer: WINHealth Partners Commercial |
$292.04
|
| Rate for Payer: Wise Provider Network Commercial |
$283.10
|
|
|
HC ASSAY OF CADMIUM - CADMIUM PLASMA
|
Facility
|
IP
|
$134.00
|
|
|
Service Code
|
HCPCS 82300
|
| Hospital Charge Code |
3018230003
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$77.65 |
| Max. Negotiated Rate |
$134.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$131.32
|
| Rate for Payer: Aetna of WY Medicare |
$85.76
|
| Rate for Payer: Altius Commercial |
$128.64
|
| Rate for Payer: Beech Street Commercial |
$131.32
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$129.98
|
| Rate for Payer: Cash Price |
$93.80
|
| Rate for Payer: ChoiceCare Network Commercial |
$129.98
|
| Rate for Payer: Cigna of WY Commercial |
$131.32
|
| Rate for Payer: Entrust Commercial |
$127.30
|
| Rate for Payer: First Choice Health Commercial |
$127.30
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$127.30
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$81.74
|
| Rate for Payer: HealthUtah PPO |
$134.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$129.98
|
| Rate for Payer: Multiplan Medicare/VA |
$77.65
|
| Rate for Payer: One Health Plan of WY PPO |
$131.32
|
| Rate for Payer: PacificSource Commercial |
$120.60
|
| Rate for Payer: PHCS PPO |
$131.32
|
| Rate for Payer: Three Rivers PPO |
$100.50
|
| Rate for Payer: TriWest Veterans Administration |
$81.74
|
| Rate for Payer: United Healthcare Commercial |
$127.97
|
| Rate for Payer: United Healthcare Medicare |
$81.74
|
| Rate for Payer: WINHealth Partners Commercial |
$127.30
|
| Rate for Payer: Wise Provider Network Commercial |
$127.30
|
|
|
HC ASSAY OF CADMIUM - CADMIUM PLASMA
|
Facility
|
OP
|
$134.00
|
|
|
Service Code
|
HCPCS 82300
|
| Hospital Charge Code |
3018230003
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$72.56 |
| Max. Negotiated Rate |
$134.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$131.32
|
| Rate for Payer: Aetna of WY Medicare |
$88.44
|
| Rate for Payer: Altius Commercial |
$128.64
|
| Rate for Payer: Beech Street Commercial |
$131.32
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$129.98
|
| Rate for Payer: Cash Price |
$93.80
|
| Rate for Payer: ChoiceCare Network Commercial |
$129.98
|
| Rate for Payer: Cigna of WY Commercial |
$131.32
|
| Rate for Payer: Entrust Commercial |
$127.30
|
| Rate for Payer: First Choice Health Commercial |
$127.30
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$127.30
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$76.38
|
| Rate for Payer: HealthUtah PPO |
$134.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$129.98
|
| Rate for Payer: Multiplan Medicare/VA |
$72.56
|
| Rate for Payer: One Health Plan of WY PPO |
$131.32
|
| Rate for Payer: PacificSource Commercial |
$120.60
|
| Rate for Payer: PHCS PPO |
$131.32
|
| Rate for Payer: Three Rivers PPO |
$100.50
|
| Rate for Payer: TriWest Veterans Administration |
$76.38
|
| Rate for Payer: United Healthcare Commercial |
$127.97
|
| Rate for Payer: United Healthcare Medicare |
$76.38
|
| Rate for Payer: WINHealth Partners Commercial |
$131.32
|
| Rate for Payer: Wise Provider Network Commercial |
$127.30
|
|
|
HC ASSAY OF CADMIUM - CADMIUM RANDOM URINE
|
Facility
|
OP
|
$134.00
|
|
|
Service Code
|
HCPCS 82300
|
| Hospital Charge Code |
3018230002
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$72.56 |
| Max. Negotiated Rate |
$134.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$131.32
|
| Rate for Payer: Aetna of WY Medicare |
$88.44
|
| Rate for Payer: Altius Commercial |
$128.64
|
| Rate for Payer: Beech Street Commercial |
$131.32
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$129.98
|
| Rate for Payer: Cash Price |
$93.80
|
| Rate for Payer: ChoiceCare Network Commercial |
$129.98
|
| Rate for Payer: Cigna of WY Commercial |
$131.32
|
| Rate for Payer: Entrust Commercial |
$127.30
|
| Rate for Payer: First Choice Health Commercial |
$127.30
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$127.30
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$76.38
|
| Rate for Payer: HealthUtah PPO |
$134.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$129.98
|
| Rate for Payer: Multiplan Medicare/VA |
$72.56
|
| Rate for Payer: One Health Plan of WY PPO |
$131.32
|
| Rate for Payer: PacificSource Commercial |
$120.60
|
| Rate for Payer: PHCS PPO |
$131.32
|
| Rate for Payer: Three Rivers PPO |
$100.50
|
| Rate for Payer: TriWest Veterans Administration |
$76.38
|
| Rate for Payer: United Healthcare Commercial |
$127.97
|
| Rate for Payer: United Healthcare Medicare |
$76.38
|
| Rate for Payer: WINHealth Partners Commercial |
$131.32
|
| Rate for Payer: Wise Provider Network Commercial |
$127.30
|
|
|
HC ASSAY OF CADMIUM - CADMIUM RANDOM URINE
|
Facility
|
IP
|
$134.00
|
|
|
Service Code
|
HCPCS 82300
|
| Hospital Charge Code |
3018230002
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$77.65 |
| Max. Negotiated Rate |
$134.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$131.32
|
| Rate for Payer: Aetna of WY Medicare |
$85.76
|
| Rate for Payer: Altius Commercial |
$128.64
|
| Rate for Payer: Beech Street Commercial |
$131.32
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$129.98
|
| Rate for Payer: Cash Price |
$93.80
|
| Rate for Payer: ChoiceCare Network Commercial |
$129.98
|
| Rate for Payer: Cigna of WY Commercial |
$131.32
|
| Rate for Payer: Entrust Commercial |
$127.30
|
| Rate for Payer: First Choice Health Commercial |
$127.30
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$127.30
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$81.74
|
| Rate for Payer: HealthUtah PPO |
$134.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$129.98
|
| Rate for Payer: Multiplan Medicare/VA |
$77.65
|
| Rate for Payer: One Health Plan of WY PPO |
$131.32
|
| Rate for Payer: PacificSource Commercial |
$120.60
|
| Rate for Payer: PHCS PPO |
$131.32
|
| Rate for Payer: Three Rivers PPO |
$100.50
|
| Rate for Payer: TriWest Veterans Administration |
$81.74
|
| Rate for Payer: United Healthcare Commercial |
$127.97
|
| Rate for Payer: United Healthcare Medicare |
$81.74
|
| Rate for Payer: WINHealth Partners Commercial |
$127.30
|
| Rate for Payer: Wise Provider Network Commercial |
$127.30
|
|
|
HC ASSAY OF CALCITONIN - CALCITONIN
|
Facility
|
OP
|
$169.00
|
|
|
Service Code
|
HCPCS 82308
|
| Hospital Charge Code |
3018230801
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$91.51 |
| Max. Negotiated Rate |
$169.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$165.62
|
| Rate for Payer: Aetna of WY Medicare |
$111.54
|
| Rate for Payer: Altius Commercial |
$162.24
|
| Rate for Payer: Beech Street Commercial |
$165.62
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$163.93
|
| Rate for Payer: Cash Price |
$118.30
|
| Rate for Payer: ChoiceCare Network Commercial |
$163.93
|
| Rate for Payer: Cigna of WY Commercial |
$165.62
|
| Rate for Payer: Entrust Commercial |
$160.55
|
| Rate for Payer: First Choice Health Commercial |
$160.55
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$160.55
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$96.33
|
| Rate for Payer: HealthUtah PPO |
$169.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$163.93
|
| Rate for Payer: Multiplan Medicare/VA |
$91.51
|
| Rate for Payer: One Health Plan of WY PPO |
$165.62
|
| Rate for Payer: PacificSource Commercial |
$152.10
|
| Rate for Payer: PHCS PPO |
$165.62
|
| Rate for Payer: Three Rivers PPO |
$126.75
|
| Rate for Payer: TriWest Veterans Administration |
$96.33
|
| Rate for Payer: United Healthcare Commercial |
$161.40
|
| Rate for Payer: United Healthcare Medicare |
$96.33
|
| Rate for Payer: WINHealth Partners Commercial |
$165.62
|
| Rate for Payer: Wise Provider Network Commercial |
$160.55
|
|
|
HC ASSAY OF CALCITONIN - CALCITONIN
|
Facility
|
IP
|
$169.00
|
|
|
Service Code
|
HCPCS 82308
|
| Hospital Charge Code |
3018230801
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$97.94 |
| Max. Negotiated Rate |
$169.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$165.62
|
| Rate for Payer: Aetna of WY Medicare |
$108.16
|
| Rate for Payer: Altius Commercial |
$162.24
|
| Rate for Payer: Beech Street Commercial |
$165.62
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$163.93
|
| Rate for Payer: Cash Price |
$118.30
|
| Rate for Payer: ChoiceCare Network Commercial |
$163.93
|
| Rate for Payer: Cigna of WY Commercial |
$165.62
|
| Rate for Payer: Entrust Commercial |
$160.55
|
| Rate for Payer: First Choice Health Commercial |
$160.55
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$160.55
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$103.09
|
| Rate for Payer: HealthUtah PPO |
$169.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$163.93
|
| Rate for Payer: Multiplan Medicare/VA |
$97.94
|
| Rate for Payer: One Health Plan of WY PPO |
$165.62
|
| Rate for Payer: PacificSource Commercial |
$152.10
|
| Rate for Payer: PHCS PPO |
$165.62
|
| Rate for Payer: Three Rivers PPO |
$126.75
|
| Rate for Payer: TriWest Veterans Administration |
$103.09
|
| Rate for Payer: United Healthcare Commercial |
$161.40
|
| Rate for Payer: United Healthcare Medicare |
$103.09
|
| Rate for Payer: WINHealth Partners Commercial |
$160.55
|
| Rate for Payer: Wise Provider Network Commercial |
$160.55
|
|
|
HC ASSAY OF CALCIUM IN URINE - CALCIUM RANDOM URINE
|
Facility
|
OP
|
$76.00
|
|
|
Service Code
|
HCPCS 82340
|
| Hospital Charge Code |
3018234001
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$41.15 |
| Max. Negotiated Rate |
$76.00 |
| Rate for Payer: United Healthcare Commercial |
$72.58
|
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$74.48
|
| Rate for Payer: Aetna of WY Medicare |
$50.16
|
| Rate for Payer: Altius Commercial |
$72.96
|
| Rate for Payer: Beech Street Commercial |
$74.48
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$73.72
|
| Rate for Payer: Cash Price |
$53.20
|
| Rate for Payer: ChoiceCare Network Commercial |
$73.72
|
| Rate for Payer: Cigna of WY Commercial |
$74.48
|
| Rate for Payer: Entrust Commercial |
$72.20
|
| Rate for Payer: First Choice Health Commercial |
$72.20
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$72.20
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$43.32
|
| Rate for Payer: HealthUtah PPO |
$76.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$73.72
|
| Rate for Payer: Multiplan Medicare/VA |
$41.15
|
| Rate for Payer: One Health Plan of WY PPO |
$74.48
|
| Rate for Payer: PacificSource Commercial |
$68.40
|
| Rate for Payer: PHCS PPO |
$74.48
|
| Rate for Payer: Three Rivers PPO |
$57.00
|
| Rate for Payer: TriWest Veterans Administration |
$43.32
|
| Rate for Payer: United Healthcare Medicare |
$43.32
|
| Rate for Payer: WINHealth Partners Commercial |
$74.48
|
| Rate for Payer: Wise Provider Network Commercial |
$72.20
|
|
|
HC ASSAY OF CALCIUM IN URINE - CALCIUM RANDOM URINE
|
Facility
|
IP
|
$76.00
|
|
|
Service Code
|
HCPCS 82340
|
| Hospital Charge Code |
3018234001
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$44.04 |
| Max. Negotiated Rate |
$76.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$74.48
|
| Rate for Payer: Aetna of WY Medicare |
$48.64
|
| Rate for Payer: Altius Commercial |
$72.96
|
| Rate for Payer: Beech Street Commercial |
$74.48
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$73.72
|
| Rate for Payer: Cash Price |
$53.20
|
| Rate for Payer: ChoiceCare Network Commercial |
$73.72
|
| Rate for Payer: Cigna of WY Commercial |
$74.48
|
| Rate for Payer: Entrust Commercial |
$72.20
|
| Rate for Payer: First Choice Health Commercial |
$72.20
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$72.20
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$46.36
|
| Rate for Payer: HealthUtah PPO |
$76.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$73.72
|
| Rate for Payer: Multiplan Medicare/VA |
$44.04
|
| Rate for Payer: One Health Plan of WY PPO |
$74.48
|
| Rate for Payer: PacificSource Commercial |
$68.40
|
| Rate for Payer: PHCS PPO |
$74.48
|
| Rate for Payer: Three Rivers PPO |
$57.00
|
| Rate for Payer: TriWest Veterans Administration |
$46.36
|
| Rate for Payer: United Healthcare Commercial |
$72.58
|
| Rate for Payer: United Healthcare Medicare |
$46.36
|
| Rate for Payer: WINHealth Partners Commercial |
$72.20
|
| Rate for Payer: Wise Provider Network Commercial |
$72.20
|
|
|
HC ASSAY OF CALCIUM IN URINE - CALCIUM TIMED URINE
|
Facility
|
OP
|
$76.00
|
|
|
Service Code
|
HCPCS 82340
|
| Hospital Charge Code |
3018234002
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$41.15 |
| Max. Negotiated Rate |
$76.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$74.48
|
| Rate for Payer: Aetna of WY Medicare |
$50.16
|
| Rate for Payer: Altius Commercial |
$72.96
|
| Rate for Payer: Beech Street Commercial |
$74.48
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$73.72
|
| Rate for Payer: Cash Price |
$53.20
|
| Rate for Payer: ChoiceCare Network Commercial |
$73.72
|
| Rate for Payer: Cigna of WY Commercial |
$74.48
|
| Rate for Payer: Entrust Commercial |
$72.20
|
| Rate for Payer: First Choice Health Commercial |
$72.20
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$72.20
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$43.32
|
| Rate for Payer: HealthUtah PPO |
$76.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$73.72
|
| Rate for Payer: Multiplan Medicare/VA |
$41.15
|
| Rate for Payer: One Health Plan of WY PPO |
$74.48
|
| Rate for Payer: PacificSource Commercial |
$68.40
|
| Rate for Payer: PHCS PPO |
$74.48
|
| Rate for Payer: Three Rivers PPO |
$57.00
|
| Rate for Payer: TriWest Veterans Administration |
$43.32
|
| Rate for Payer: United Healthcare Commercial |
$72.58
|
| Rate for Payer: United Healthcare Medicare |
$43.32
|
| Rate for Payer: WINHealth Partners Commercial |
$74.48
|
| Rate for Payer: Wise Provider Network Commercial |
$72.20
|
|
|
HC ASSAY OF CALCIUM IN URINE - CALCIUM TIMED URINE
|
Facility
|
IP
|
$76.00
|
|
|
Service Code
|
HCPCS 82340
|
| Hospital Charge Code |
3018234002
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$44.04 |
| Max. Negotiated Rate |
$76.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$74.48
|
| Rate for Payer: Aetna of WY Medicare |
$48.64
|
| Rate for Payer: Altius Commercial |
$72.96
|
| Rate for Payer: Beech Street Commercial |
$74.48
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$73.72
|
| Rate for Payer: Cash Price |
$53.20
|
| Rate for Payer: ChoiceCare Network Commercial |
$73.72
|
| Rate for Payer: Cigna of WY Commercial |
$74.48
|
| Rate for Payer: Entrust Commercial |
$72.20
|
| Rate for Payer: First Choice Health Commercial |
$72.20
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$72.20
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$46.36
|
| Rate for Payer: HealthUtah PPO |
$76.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$73.72
|
| Rate for Payer: Multiplan Medicare/VA |
$44.04
|
| Rate for Payer: One Health Plan of WY PPO |
$74.48
|
| Rate for Payer: PacificSource Commercial |
$68.40
|
| Rate for Payer: PHCS PPO |
$74.48
|
| Rate for Payer: Three Rivers PPO |
$57.00
|
| Rate for Payer: TriWest Veterans Administration |
$46.36
|
| Rate for Payer: United Healthcare Commercial |
$72.58
|
| Rate for Payer: United Healthcare Medicare |
$46.36
|
| Rate for Payer: WINHealth Partners Commercial |
$72.20
|
| Rate for Payer: Wise Provider Network Commercial |
$72.20
|
|
|
HC ASSAY OF CALCIUM, IONIZED - CALCIUM IONIZED
|
Facility
|
IP
|
$130.00
|
|
|
Service Code
|
HCPCS 82330
|
| Hospital Charge Code |
3018233001
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$75.34 |
| Max. Negotiated Rate |
$130.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$127.40
|
| Rate for Payer: Aetna of WY Medicare |
$83.20
|
| Rate for Payer: Altius Commercial |
$124.80
|
| Rate for Payer: Beech Street Commercial |
$127.40
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$126.10
|
| Rate for Payer: Cash Price |
$91.00
|
| Rate for Payer: ChoiceCare Network Commercial |
$126.10
|
| Rate for Payer: Cigna of WY Commercial |
$127.40
|
| Rate for Payer: Entrust Commercial |
$123.50
|
| Rate for Payer: First Choice Health Commercial |
$123.50
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$123.50
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$79.30
|
| Rate for Payer: HealthUtah PPO |
$130.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$126.10
|
| Rate for Payer: Multiplan Medicare/VA |
$75.34
|
| Rate for Payer: One Health Plan of WY PPO |
$127.40
|
| Rate for Payer: PacificSource Commercial |
$117.00
|
| Rate for Payer: PHCS PPO |
$127.40
|
| Rate for Payer: Three Rivers PPO |
$97.50
|
| Rate for Payer: TriWest Veterans Administration |
$79.30
|
| Rate for Payer: United Healthcare Commercial |
$124.15
|
| Rate for Payer: United Healthcare Medicare |
$79.30
|
| Rate for Payer: WINHealth Partners Commercial |
$123.50
|
| Rate for Payer: Wise Provider Network Commercial |
$123.50
|
|
|
HC ASSAY OF CALCIUM, IONIZED - CALCIUM IONIZED
|
Facility
|
OP
|
$130.00
|
|
|
Service Code
|
HCPCS 82330
|
| Hospital Charge Code |
3018233001
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$70.40 |
| Max. Negotiated Rate |
$130.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$127.40
|
| Rate for Payer: Aetna of WY Medicare |
$85.80
|
| Rate for Payer: Altius Commercial |
$124.80
|
| Rate for Payer: Beech Street Commercial |
$127.40
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$126.10
|
| Rate for Payer: Cash Price |
$91.00
|
| Rate for Payer: ChoiceCare Network Commercial |
$126.10
|
| Rate for Payer: Cigna of WY Commercial |
$127.40
|
| Rate for Payer: Entrust Commercial |
$123.50
|
| Rate for Payer: First Choice Health Commercial |
$123.50
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$123.50
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$74.10
|
| Rate for Payer: HealthUtah PPO |
$130.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$126.10
|
| Rate for Payer: Multiplan Medicare/VA |
$70.40
|
| Rate for Payer: One Health Plan of WY PPO |
$127.40
|
| Rate for Payer: PacificSource Commercial |
$117.00
|
| Rate for Payer: PHCS PPO |
$127.40
|
| Rate for Payer: Three Rivers PPO |
$97.50
|
| Rate for Payer: TriWest Veterans Administration |
$74.10
|
| Rate for Payer: United Healthcare Commercial |
$124.15
|
| Rate for Payer: United Healthcare Medicare |
$74.10
|
| Rate for Payer: WINHealth Partners Commercial |
$127.40
|
| Rate for Payer: Wise Provider Network Commercial |
$123.50
|
|
|
HC ASSAY OF CALCIUM, TOTAL - CALCIUM
|
Facility
|
OP
|
$89.00
|
|
|
Service Code
|
HCPCS 82310
|
| Hospital Charge Code |
3018231001
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$48.19 |
| Max. Negotiated Rate |
$89.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$87.22
|
| Rate for Payer: Aetna of WY Medicare |
$58.74
|
| Rate for Payer: Altius Commercial |
$85.44
|
| Rate for Payer: Beech Street Commercial |
$87.22
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$86.33
|
| Rate for Payer: Cash Price |
$62.30
|
| Rate for Payer: ChoiceCare Network Commercial |
$86.33
|
| Rate for Payer: Cigna of WY Commercial |
$87.22
|
| Rate for Payer: Entrust Commercial |
$84.55
|
| Rate for Payer: First Choice Health Commercial |
$84.55
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$84.55
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$50.73
|
| Rate for Payer: HealthUtah PPO |
$89.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$86.33
|
| Rate for Payer: Multiplan Medicare/VA |
$48.19
|
| Rate for Payer: One Health Plan of WY PPO |
$87.22
|
| Rate for Payer: PacificSource Commercial |
$80.10
|
| Rate for Payer: PHCS PPO |
$87.22
|
| Rate for Payer: Three Rivers PPO |
$66.75
|
| Rate for Payer: TriWest Veterans Administration |
$50.73
|
| Rate for Payer: United Healthcare Commercial |
$85.00
|
| Rate for Payer: United Healthcare Medicare |
$50.73
|
| Rate for Payer: WINHealth Partners Commercial |
$87.22
|
| Rate for Payer: Wise Provider Network Commercial |
$84.55
|
|
|
HC ASSAY OF CALCIUM, TOTAL - CALCIUM
|
Facility
|
IP
|
$89.00
|
|
|
Service Code
|
HCPCS 82310
|
| Hospital Charge Code |
3018231001
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$51.58 |
| Max. Negotiated Rate |
$89.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$87.22
|
| Rate for Payer: Aetna of WY Medicare |
$56.96
|
| Rate for Payer: Altius Commercial |
$85.44
|
| Rate for Payer: Beech Street Commercial |
$87.22
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$86.33
|
| Rate for Payer: Cash Price |
$62.30
|
| Rate for Payer: ChoiceCare Network Commercial |
$86.33
|
| Rate for Payer: Cigna of WY Commercial |
$87.22
|
| Rate for Payer: Entrust Commercial |
$84.55
|
| Rate for Payer: First Choice Health Commercial |
$84.55
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$84.55
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$54.29
|
| Rate for Payer: HealthUtah PPO |
$89.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$86.33
|
| Rate for Payer: Multiplan Medicare/VA |
$51.58
|
| Rate for Payer: One Health Plan of WY PPO |
$87.22
|
| Rate for Payer: PacificSource Commercial |
$80.10
|
| Rate for Payer: PHCS PPO |
$87.22
|
| Rate for Payer: Three Rivers PPO |
$66.75
|
| Rate for Payer: TriWest Veterans Administration |
$54.29
|
| Rate for Payer: United Healthcare Commercial |
$85.00
|
| Rate for Payer: United Healthcare Medicare |
$54.29
|
| Rate for Payer: WINHealth Partners Commercial |
$84.55
|
| Rate for Payer: Wise Provider Network Commercial |
$84.55
|
|
