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Charge Type Setting Price  
Service Code HCPCS 27610
Hospital Charge Code 27610
Min. Negotiated Rate $533.12
Max. Negotiated Rate $2,239.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,194.22
Rate for Payer: Aetna of WY Medicare $627.20
Rate for Payer: Beech Street Commercial $2,127.05
Rate for Payer: Cash Price $1,567.30
Rate for Payer: Cash Price $1,567.30
Rate for Payer: ChoiceCare Network Commercial $2,171.83
Rate for Payer: Cigna of WY Commercial $2,194.22
Rate for Payer: First Choice Health Commercial $2,015.10
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,127.05
Rate for Payer: Government Employees Health Association (GEHA) Medicare $627.20
Rate for Payer: HealthUtah PPO $2,239.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,171.83
Rate for Payer: Multiplan Medicare/VA $533.12
Rate for Payer: One Health Plan of WY PPO $2,194.22
Rate for Payer: PacificSource Commercial $2,015.10
Rate for Payer: PHCS PPO $2,127.05
Rate for Payer: Three Rivers PPO $1,679.25
Rate for Payer: TriWest Veterans Administration $627.20
Rate for Payer: United Healthcare Commercial $1,947.93
Rate for Payer: United Healthcare Medicare $627.20
Rate for Payer: WINHealth Partners Commercial $1,903.15
Service Code HCPCS 27610 AS
Hospital Charge Code 27610
Min. Negotiated Rate $533.12
Max. Negotiated Rate $2,239.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,194.22
Rate for Payer: Aetna of WY Medicare $627.20
Rate for Payer: Beech Street Commercial $2,127.05
Rate for Payer: Cash Price $1,567.30
Rate for Payer: Cash Price $1,567.30
Rate for Payer: ChoiceCare Network Commercial $2,171.83
Rate for Payer: Cigna of WY Commercial $2,194.22
Rate for Payer: First Choice Health Commercial $2,015.10
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,127.05
Rate for Payer: Government Employees Health Association (GEHA) Medicare $627.20
Rate for Payer: HealthUtah PPO $2,239.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,171.83
Rate for Payer: Multiplan Medicare/VA $533.12
Rate for Payer: One Health Plan of WY PPO $2,194.22
Rate for Payer: PacificSource Commercial $2,015.10
Rate for Payer: PHCS PPO $2,127.05
Rate for Payer: Three Rivers PPO $1,679.25
Rate for Payer: TriWest Veterans Administration $627.20
Rate for Payer: United Healthcare Commercial $1,947.93
Rate for Payer: United Healthcare Medicare $627.20
Rate for Payer: WINHealth Partners Commercial $1,903.15
Service Code HCPCS 26110
Hospital Charge Code 26110
Min. Negotiated Rate $274.35
Max. Negotiated Rate $1,665.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,631.70
Rate for Payer: Aetna of WY Medicare $322.77
Rate for Payer: Beech Street Commercial $1,581.75
Rate for Payer: Cash Price $1,165.50
Rate for Payer: Cash Price $1,165.50
Rate for Payer: ChoiceCare Network Commercial $1,615.05
Rate for Payer: Cigna of WY Commercial $1,631.70
Rate for Payer: First Choice Health Commercial $1,498.50
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,581.75
Rate for Payer: Government Employees Health Association (GEHA) Medicare $322.77
Rate for Payer: HealthUtah PPO $1,665.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,615.05
Rate for Payer: Multiplan Medicare/VA $274.35
Rate for Payer: One Health Plan of WY PPO $1,631.70
Rate for Payer: PacificSource Commercial $1,498.50
Rate for Payer: PHCS PPO $1,581.75
Rate for Payer: Three Rivers PPO $1,248.75
Rate for Payer: TriWest Veterans Administration $322.77
Rate for Payer: United Healthcare Commercial $1,448.55
Rate for Payer: United Healthcare Medicare $322.77
Rate for Payer: WINHealth Partners Commercial $1,415.25
Service Code HCPCS 25107 AS
Hospital Charge Code 25107
Min. Negotiated Rate $516.13
Max. Negotiated Rate $3,174.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $3,110.52
Rate for Payer: Aetna of WY Medicare $607.21
Rate for Payer: Beech Street Commercial $3,015.30
Rate for Payer: Cash Price $2,221.80
Rate for Payer: Cash Price $2,221.80
Rate for Payer: ChoiceCare Network Commercial $3,078.78
Rate for Payer: Cigna of WY Commercial $3,110.52
Rate for Payer: First Choice Health Commercial $2,856.60
Rate for Payer: Government Employees Health Association (GEHA) Commercial $3,015.30
Rate for Payer: Government Employees Health Association (GEHA) Medicare $607.21
Rate for Payer: HealthUtah PPO $3,174.00
Rate for Payer: Idaho Integrated Healthcare Commercial $3,078.78
Rate for Payer: Multiplan Medicare/VA $516.13
Rate for Payer: One Health Plan of WY PPO $3,110.52
Rate for Payer: PacificSource Commercial $2,856.60
Rate for Payer: PHCS PPO $3,015.30
Rate for Payer: Three Rivers PPO $2,380.50
Rate for Payer: TriWest Veterans Administration $607.21
Rate for Payer: United Healthcare Commercial $2,761.38
Rate for Payer: United Healthcare Medicare $607.21
Rate for Payer: WINHealth Partners Commercial $2,697.90
Service Code HCPCS 25107
Hospital Charge Code 25107
Min. Negotiated Rate $516.13
Max. Negotiated Rate $3,174.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $3,110.52
Rate for Payer: Aetna of WY Medicare $607.21
Rate for Payer: Beech Street Commercial $3,015.30
Rate for Payer: Cash Price $2,221.80
Rate for Payer: Cash Price $2,221.80
Rate for Payer: ChoiceCare Network Commercial $3,078.78
Rate for Payer: Cigna of WY Commercial $3,110.52
Rate for Payer: First Choice Health Commercial $2,856.60
Rate for Payer: Government Employees Health Association (GEHA) Commercial $3,015.30
Rate for Payer: Government Employees Health Association (GEHA) Medicare $607.21
Rate for Payer: HealthUtah PPO $3,174.00
Rate for Payer: Idaho Integrated Healthcare Commercial $3,078.78
Rate for Payer: Multiplan Medicare/VA $516.13
Rate for Payer: One Health Plan of WY PPO $3,110.52
Rate for Payer: PacificSource Commercial $2,856.60
Rate for Payer: PHCS PPO $3,015.30
Rate for Payer: Three Rivers PPO $2,380.50
Rate for Payer: TriWest Veterans Administration $607.21
Rate for Payer: United Healthcare Commercial $2,761.38
Rate for Payer: United Healthcare Medicare $607.21
Rate for Payer: WINHealth Partners Commercial $2,697.90
Service Code HCPCS 24102
Hospital Charge Code 24102
Min. Negotiated Rate $512.75
Max. Negotiated Rate $2,153.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,109.94
Rate for Payer: Aetna of WY Medicare $603.23
Rate for Payer: Beech Street Commercial $2,045.35
Rate for Payer: Cash Price $1,507.10
Rate for Payer: Cash Price $1,507.10
Rate for Payer: ChoiceCare Network Commercial $2,088.41
Rate for Payer: Cigna of WY Commercial $2,109.94
Rate for Payer: First Choice Health Commercial $1,937.70
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,045.35
Rate for Payer: Government Employees Health Association (GEHA) Medicare $603.23
Rate for Payer: HealthUtah PPO $2,153.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,088.41
Rate for Payer: Multiplan Medicare/VA $512.75
Rate for Payer: One Health Plan of WY PPO $2,109.94
Rate for Payer: PacificSource Commercial $1,937.70
Rate for Payer: PHCS PPO $2,045.35
Rate for Payer: Three Rivers PPO $1,614.75
Rate for Payer: TriWest Veterans Administration $603.23
Rate for Payer: United Healthcare Commercial $1,873.11
Rate for Payer: United Healthcare Medicare $603.23
Rate for Payer: WINHealth Partners Commercial $1,830.05
Service Code HCPCS 24102 AS
Hospital Charge Code 24102
Min. Negotiated Rate $512.75
Max. Negotiated Rate $2,153.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,109.94
Rate for Payer: Aetna of WY Medicare $603.23
Rate for Payer: Beech Street Commercial $2,045.35
Rate for Payer: Cash Price $1,507.10
Rate for Payer: Cash Price $1,507.10
Rate for Payer: ChoiceCare Network Commercial $2,088.41
Rate for Payer: Cigna of WY Commercial $2,109.94
Rate for Payer: First Choice Health Commercial $1,937.70
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,045.35
Rate for Payer: Government Employees Health Association (GEHA) Medicare $603.23
Rate for Payer: HealthUtah PPO $2,153.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,088.41
Rate for Payer: Multiplan Medicare/VA $512.75
Rate for Payer: One Health Plan of WY PPO $2,109.94
Rate for Payer: PacificSource Commercial $1,937.70
Rate for Payer: PHCS PPO $2,045.35
Rate for Payer: Three Rivers PPO $1,614.75
Rate for Payer: TriWest Veterans Administration $603.23
Rate for Payer: United Healthcare Commercial $1,873.11
Rate for Payer: United Healthcare Medicare $603.23
Rate for Payer: WINHealth Partners Commercial $1,830.05
Service Code HCPCS 23040
Hospital Charge Code 23040
Min. Negotiated Rate $592.87
Max. Negotiated Rate $3,678.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $3,604.44
Rate for Payer: Aetna of WY Medicare $697.49
Rate for Payer: Beech Street Commercial $3,494.10
Rate for Payer: Cash Price $2,574.60
Rate for Payer: Cash Price $2,574.60
Rate for Payer: ChoiceCare Network Commercial $3,567.66
Rate for Payer: Cigna of WY Commercial $3,604.44
Rate for Payer: First Choice Health Commercial $3,310.20
Rate for Payer: Government Employees Health Association (GEHA) Commercial $3,494.10
Rate for Payer: Government Employees Health Association (GEHA) Medicare $697.49
Rate for Payer: HealthUtah PPO $3,678.00
Rate for Payer: Idaho Integrated Healthcare Commercial $3,567.66
Rate for Payer: Multiplan Medicare/VA $592.87
Rate for Payer: One Health Plan of WY PPO $3,604.44
Rate for Payer: PacificSource Commercial $3,310.20
Rate for Payer: PHCS PPO $3,494.10
Rate for Payer: Three Rivers PPO $2,758.50
Rate for Payer: TriWest Veterans Administration $697.49
Rate for Payer: United Healthcare Commercial $3,199.86
Rate for Payer: United Healthcare Medicare $697.49
Rate for Payer: WINHealth Partners Commercial $3,126.30
Service Code HCPCS 27030 AS
Hospital Charge Code 27030
Min. Negotiated Rate $767.40
Max. Negotiated Rate $4,844.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $4,747.12
Rate for Payer: Aetna of WY Medicare $902.82
Rate for Payer: Beech Street Commercial $4,601.80
Rate for Payer: Cash Price $3,390.80
Rate for Payer: Cash Price $3,390.80
Rate for Payer: ChoiceCare Network Commercial $4,698.68
Rate for Payer: Cigna of WY Commercial $4,747.12
Rate for Payer: First Choice Health Commercial $4,359.60
Rate for Payer: Government Employees Health Association (GEHA) Commercial $4,601.80
Rate for Payer: Government Employees Health Association (GEHA) Medicare $902.82
Rate for Payer: HealthUtah PPO $4,844.00
Rate for Payer: Idaho Integrated Healthcare Commercial $4,698.68
Rate for Payer: Multiplan Medicare/VA $767.40
Rate for Payer: One Health Plan of WY PPO $4,747.12
Rate for Payer: PacificSource Commercial $4,359.60
Rate for Payer: PHCS PPO $4,601.80
Rate for Payer: Three Rivers PPO $3,633.00
Rate for Payer: TriWest Veterans Administration $902.82
Rate for Payer: United Healthcare Commercial $4,214.28
Rate for Payer: United Healthcare Medicare $902.82
Rate for Payer: WINHealth Partners Commercial $4,117.40
Service Code HCPCS 27030
Hospital Charge Code 27030
Min. Negotiated Rate $767.40
Max. Negotiated Rate $4,844.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $4,747.12
Rate for Payer: Aetna of WY Medicare $902.82
Rate for Payer: Beech Street Commercial $4,601.80
Rate for Payer: Cash Price $3,390.80
Rate for Payer: Cash Price $3,390.80
Rate for Payer: ChoiceCare Network Commercial $4,698.68
Rate for Payer: Cigna of WY Commercial $4,747.12
Rate for Payer: First Choice Health Commercial $4,359.60
Rate for Payer: Government Employees Health Association (GEHA) Commercial $4,601.80
Rate for Payer: Government Employees Health Association (GEHA) Medicare $902.82
Rate for Payer: HealthUtah PPO $4,844.00
Rate for Payer: Idaho Integrated Healthcare Commercial $4,698.68
Rate for Payer: Multiplan Medicare/VA $767.40
Rate for Payer: One Health Plan of WY PPO $4,747.12
Rate for Payer: PacificSource Commercial $4,359.60
Rate for Payer: PHCS PPO $4,601.80
Rate for Payer: Three Rivers PPO $3,633.00
Rate for Payer: TriWest Veterans Administration $902.82
Rate for Payer: United Healthcare Commercial $4,214.28
Rate for Payer: United Healthcare Medicare $902.82
Rate for Payer: WINHealth Partners Commercial $4,117.40
Service Code HCPCS 27330
Hospital Charge Code 27330
Min. Negotiated Rate $354.05
Max. Negotiated Rate $6,107.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $5,984.86
Rate for Payer: Aetna of WY Medicare $416.53
Rate for Payer: Beech Street Commercial $5,801.65
Rate for Payer: Cash Price $4,274.90
Rate for Payer: Cash Price $4,274.90
Rate for Payer: ChoiceCare Network Commercial $5,923.79
Rate for Payer: Cigna of WY Commercial $5,984.86
Rate for Payer: First Choice Health Commercial $5,496.30
Rate for Payer: Government Employees Health Association (GEHA) Commercial $5,801.65
Rate for Payer: Government Employees Health Association (GEHA) Medicare $416.53
Rate for Payer: HealthUtah PPO $6,107.00
Rate for Payer: Idaho Integrated Healthcare Commercial $5,923.79
Rate for Payer: Multiplan Medicare/VA $354.05
Rate for Payer: One Health Plan of WY PPO $5,984.86
Rate for Payer: PacificSource Commercial $5,496.30
Rate for Payer: PHCS PPO $5,801.65
Rate for Payer: Three Rivers PPO $4,580.25
Rate for Payer: TriWest Veterans Administration $416.53
Rate for Payer: United Healthcare Commercial $5,313.09
Rate for Payer: United Healthcare Medicare $416.53
Rate for Payer: WINHealth Partners Commercial $5,190.95
Service Code HCPCS 27403 80
Hospital Charge Code 27403
Min. Negotiated Rate $534.96
Max. Negotiated Rate $2,246.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,201.08
Rate for Payer: Aetna of WY Medicare $629.36
Rate for Payer: Beech Street Commercial $2,133.70
Rate for Payer: Cash Price $1,572.20
Rate for Payer: Cash Price $1,572.20
Rate for Payer: ChoiceCare Network Commercial $2,178.62
Rate for Payer: Cigna of WY Commercial $2,201.08
Rate for Payer: First Choice Health Commercial $2,021.40
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,133.70
Rate for Payer: Government Employees Health Association (GEHA) Medicare $629.36
Rate for Payer: HealthUtah PPO $2,246.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,178.62
Rate for Payer: Multiplan Medicare/VA $534.96
Rate for Payer: One Health Plan of WY PPO $2,201.08
Rate for Payer: PacificSource Commercial $2,021.40
Rate for Payer: PHCS PPO $2,133.70
Rate for Payer: Three Rivers PPO $1,684.50
Rate for Payer: TriWest Veterans Administration $629.36
Rate for Payer: United Healthcare Commercial $1,954.02
Rate for Payer: United Healthcare Medicare $629.36
Rate for Payer: WINHealth Partners Commercial $1,909.10
Service Code HCPCS 27403
Hospital Charge Code 27403
Min. Negotiated Rate $534.96
Max. Negotiated Rate $2,246.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,201.08
Rate for Payer: Aetna of WY Medicare $629.36
Rate for Payer: Beech Street Commercial $2,133.70
Rate for Payer: Cash Price $1,572.20
Rate for Payer: Cash Price $1,572.20
Rate for Payer: ChoiceCare Network Commercial $2,178.62
Rate for Payer: Cigna of WY Commercial $2,201.08
Rate for Payer: First Choice Health Commercial $2,021.40
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,133.70
Rate for Payer: Government Employees Health Association (GEHA) Medicare $629.36
Rate for Payer: HealthUtah PPO $2,246.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,178.62
Rate for Payer: Multiplan Medicare/VA $534.96
Rate for Payer: One Health Plan of WY PPO $2,201.08
Rate for Payer: PacificSource Commercial $2,021.40
Rate for Payer: PHCS PPO $2,133.70
Rate for Payer: Three Rivers PPO $1,684.50
Rate for Payer: TriWest Veterans Administration $629.36
Rate for Payer: United Healthcare Commercial $1,954.02
Rate for Payer: United Healthcare Medicare $629.36
Rate for Payer: WINHealth Partners Commercial $1,909.10
Service Code HCPCS 27403 AS
Hospital Charge Code 27403
Min. Negotiated Rate $534.96
Max. Negotiated Rate $2,246.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,201.08
Rate for Payer: Aetna of WY Medicare $629.36
Rate for Payer: Beech Street Commercial $2,133.70
Rate for Payer: Cash Price $1,572.20
Rate for Payer: Cash Price $1,572.20
Rate for Payer: ChoiceCare Network Commercial $2,178.62
Rate for Payer: Cigna of WY Commercial $2,201.08
Rate for Payer: First Choice Health Commercial $2,021.40
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,133.70
Rate for Payer: Government Employees Health Association (GEHA) Medicare $629.36
Rate for Payer: HealthUtah PPO $2,246.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,178.62
Rate for Payer: Multiplan Medicare/VA $534.96
Rate for Payer: One Health Plan of WY PPO $2,201.08
Rate for Payer: PacificSource Commercial $2,021.40
Rate for Payer: PHCS PPO $2,133.70
Rate for Payer: Three Rivers PPO $1,684.50
Rate for Payer: TriWest Veterans Administration $629.36
Rate for Payer: United Healthcare Commercial $1,954.02
Rate for Payer: United Healthcare Medicare $629.36
Rate for Payer: WINHealth Partners Commercial $1,909.10
Service Code HCPCS 25100
Hospital Charge Code 25100
Min. Negotiated Rate $294.36
Max. Negotiated Rate $1,792.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,756.16
Rate for Payer: Aetna of WY Medicare $346.30
Rate for Payer: Beech Street Commercial $1,702.40
Rate for Payer: Cash Price $1,254.40
Rate for Payer: Cash Price $1,254.40
Rate for Payer: ChoiceCare Network Commercial $1,738.24
Rate for Payer: Cigna of WY Commercial $1,756.16
Rate for Payer: First Choice Health Commercial $1,612.80
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,702.40
Rate for Payer: Government Employees Health Association (GEHA) Medicare $346.30
Rate for Payer: HealthUtah PPO $1,792.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,738.24
Rate for Payer: Multiplan Medicare/VA $294.36
Rate for Payer: One Health Plan of WY PPO $1,756.16
Rate for Payer: PacificSource Commercial $1,612.80
Rate for Payer: PHCS PPO $1,702.40
Rate for Payer: Three Rivers PPO $1,344.00
Rate for Payer: TriWest Veterans Administration $346.30
Rate for Payer: United Healthcare Commercial $1,559.04
Rate for Payer: United Healthcare Medicare $346.30
Rate for Payer: WINHealth Partners Commercial $1,523.20
Service Code HCPCS 25105 AS
Hospital Charge Code 25105
Min. Negotiated Rate $407.67
Max. Negotiated Rate $2,504.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,453.92
Rate for Payer: Aetna of WY Medicare $479.61
Rate for Payer: Beech Street Commercial $2,378.80
Rate for Payer: Cash Price $1,752.80
Rate for Payer: Cash Price $1,752.80
Rate for Payer: ChoiceCare Network Commercial $2,428.88
Rate for Payer: Cigna of WY Commercial $2,453.92
Rate for Payer: First Choice Health Commercial $2,253.60
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,378.80
Rate for Payer: Government Employees Health Association (GEHA) Medicare $479.61
Rate for Payer: HealthUtah PPO $2,504.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,428.88
Rate for Payer: Multiplan Medicare/VA $407.67
Rate for Payer: One Health Plan of WY PPO $2,453.92
Rate for Payer: PacificSource Commercial $2,253.60
Rate for Payer: PHCS PPO $2,378.80
Rate for Payer: Three Rivers PPO $1,878.00
Rate for Payer: TriWest Veterans Administration $479.61
Rate for Payer: United Healthcare Commercial $2,178.48
Rate for Payer: United Healthcare Medicare $479.61
Rate for Payer: WINHealth Partners Commercial $2,128.40
Service Code HCPCS 25105
Hospital Charge Code 25105
Min. Negotiated Rate $407.67
Max. Negotiated Rate $2,504.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,453.92
Rate for Payer: Aetna of WY Medicare $479.61
Rate for Payer: Beech Street Commercial $2,378.80
Rate for Payer: Cash Price $1,752.80
Rate for Payer: Cash Price $1,752.80
Rate for Payer: ChoiceCare Network Commercial $2,428.88
Rate for Payer: Cigna of WY Commercial $2,453.92
Rate for Payer: First Choice Health Commercial $2,253.60
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,378.80
Rate for Payer: Government Employees Health Association (GEHA) Medicare $479.61
Rate for Payer: HealthUtah PPO $2,504.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,428.88
Rate for Payer: Multiplan Medicare/VA $407.67
Rate for Payer: One Health Plan of WY PPO $2,453.92
Rate for Payer: PacificSource Commercial $2,253.60
Rate for Payer: PHCS PPO $2,378.80
Rate for Payer: Three Rivers PPO $1,878.00
Rate for Payer: TriWest Veterans Administration $479.61
Rate for Payer: United Healthcare Commercial $2,178.48
Rate for Payer: United Healthcare Medicare $479.61
Rate for Payer: WINHealth Partners Commercial $2,128.40
Service Code HCPCS 27626 AS
Hospital Charge Code 27626
Min. Negotiated Rate $512.37
Max. Negotiated Rate $2,152.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,108.96
Rate for Payer: Aetna of WY Medicare $602.79
Rate for Payer: Beech Street Commercial $2,044.40
Rate for Payer: Cash Price $1,506.40
Rate for Payer: Cash Price $1,506.40
Rate for Payer: ChoiceCare Network Commercial $2,087.44
Rate for Payer: Cigna of WY Commercial $2,108.96
Rate for Payer: First Choice Health Commercial $1,936.80
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,044.40
Rate for Payer: Government Employees Health Association (GEHA) Medicare $602.79
Rate for Payer: HealthUtah PPO $2,152.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,087.44
Rate for Payer: Multiplan Medicare/VA $512.37
Rate for Payer: One Health Plan of WY PPO $2,108.96
Rate for Payer: PacificSource Commercial $1,936.80
Rate for Payer: PHCS PPO $2,044.40
Rate for Payer: Three Rivers PPO $1,614.00
Rate for Payer: TriWest Veterans Administration $602.79
Rate for Payer: United Healthcare Commercial $1,872.24
Rate for Payer: United Healthcare Medicare $602.79
Rate for Payer: WINHealth Partners Commercial $1,829.20
Service Code HCPCS 27626 80
Hospital Charge Code 27626
Min. Negotiated Rate $512.37
Max. Negotiated Rate $2,152.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,108.96
Rate for Payer: Aetna of WY Medicare $602.79
Rate for Payer: Beech Street Commercial $2,044.40
Rate for Payer: Cash Price $1,506.40
Rate for Payer: Cash Price $1,506.40
Rate for Payer: ChoiceCare Network Commercial $2,087.44
Rate for Payer: Cigna of WY Commercial $2,108.96
Rate for Payer: First Choice Health Commercial $1,936.80
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,044.40
Rate for Payer: Government Employees Health Association (GEHA) Medicare $602.79
Rate for Payer: HealthUtah PPO $2,152.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,087.44
Rate for Payer: Multiplan Medicare/VA $512.37
Rate for Payer: One Health Plan of WY PPO $2,108.96
Rate for Payer: PacificSource Commercial $1,936.80
Rate for Payer: PHCS PPO $2,044.40
Rate for Payer: Three Rivers PPO $1,614.00
Rate for Payer: TriWest Veterans Administration $602.79
Rate for Payer: United Healthcare Commercial $1,872.24
Rate for Payer: United Healthcare Medicare $602.79
Rate for Payer: WINHealth Partners Commercial $1,829.20
Service Code HCPCS 27626
Hospital Charge Code 27626
Min. Negotiated Rate $512.37
Max. Negotiated Rate $2,152.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,108.96
Rate for Payer: Aetna of WY Medicare $602.79
Rate for Payer: Beech Street Commercial $2,044.40
Rate for Payer: Cash Price $1,506.40
Rate for Payer: Cash Price $1,506.40
Rate for Payer: ChoiceCare Network Commercial $2,087.44
Rate for Payer: Cigna of WY Commercial $2,108.96
Rate for Payer: First Choice Health Commercial $1,936.80
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,044.40
Rate for Payer: Government Employees Health Association (GEHA) Medicare $602.79
Rate for Payer: HealthUtah PPO $2,152.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,087.44
Rate for Payer: Multiplan Medicare/VA $512.37
Rate for Payer: One Health Plan of WY PPO $2,108.96
Rate for Payer: PacificSource Commercial $1,936.80
Rate for Payer: PHCS PPO $2,044.40
Rate for Payer: Three Rivers PPO $1,614.00
Rate for Payer: TriWest Veterans Administration $602.79
Rate for Payer: United Healthcare Commercial $1,872.24
Rate for Payer: United Healthcare Medicare $602.79
Rate for Payer: WINHealth Partners Commercial $1,829.20
Service Code HCPCS 27334 80
Hospital Charge Code 27334
Min. Negotiated Rate $568.40
Max. Negotiated Rate $8,419.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $8,250.62
Rate for Payer: Aetna of WY Medicare $668.70
Rate for Payer: Beech Street Commercial $7,998.05
Rate for Payer: Cash Price $5,893.30
Rate for Payer: Cash Price $5,893.30
Rate for Payer: ChoiceCare Network Commercial $8,166.43
Rate for Payer: Cigna of WY Commercial $8,250.62
Rate for Payer: First Choice Health Commercial $7,577.10
Rate for Payer: Government Employees Health Association (GEHA) Commercial $7,998.05
Rate for Payer: Government Employees Health Association (GEHA) Medicare $668.70
Rate for Payer: HealthUtah PPO $8,419.00
Rate for Payer: Idaho Integrated Healthcare Commercial $8,166.43
Rate for Payer: Multiplan Medicare/VA $568.40
Rate for Payer: One Health Plan of WY PPO $8,250.62
Rate for Payer: PacificSource Commercial $7,577.10
Rate for Payer: PHCS PPO $7,998.05
Rate for Payer: Three Rivers PPO $6,314.25
Rate for Payer: TriWest Veterans Administration $668.70
Rate for Payer: United Healthcare Commercial $7,324.53
Rate for Payer: United Healthcare Medicare $668.70
Rate for Payer: WINHealth Partners Commercial $7,156.15
Service Code HCPCS 27334 AS
Hospital Charge Code 27334
Min. Negotiated Rate $568.40
Max. Negotiated Rate $8,419.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $8,250.62
Rate for Payer: Aetna of WY Medicare $668.70
Rate for Payer: Beech Street Commercial $7,998.05
Rate for Payer: Cash Price $5,893.30
Rate for Payer: Cash Price $5,893.30
Rate for Payer: ChoiceCare Network Commercial $8,166.43
Rate for Payer: Cigna of WY Commercial $8,250.62
Rate for Payer: First Choice Health Commercial $7,577.10
Rate for Payer: Government Employees Health Association (GEHA) Commercial $7,998.05
Rate for Payer: Government Employees Health Association (GEHA) Medicare $668.70
Rate for Payer: HealthUtah PPO $8,419.00
Rate for Payer: Idaho Integrated Healthcare Commercial $8,166.43
Rate for Payer: Multiplan Medicare/VA $568.40
Rate for Payer: One Health Plan of WY PPO $8,250.62
Rate for Payer: PacificSource Commercial $7,577.10
Rate for Payer: PHCS PPO $7,998.05
Rate for Payer: Three Rivers PPO $6,314.25
Rate for Payer: TriWest Veterans Administration $668.70
Rate for Payer: United Healthcare Commercial $7,324.53
Rate for Payer: United Healthcare Medicare $668.70
Rate for Payer: WINHealth Partners Commercial $7,156.15
Service Code HCPCS 27334
Hospital Charge Code 27334
Min. Negotiated Rate $568.40
Max. Negotiated Rate $8,419.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $8,250.62
Rate for Payer: Aetna of WY Medicare $668.70
Rate for Payer: Beech Street Commercial $7,998.05
Rate for Payer: Cash Price $5,893.30
Rate for Payer: Cash Price $5,893.30
Rate for Payer: ChoiceCare Network Commercial $8,166.43
Rate for Payer: Cigna of WY Commercial $8,250.62
Rate for Payer: First Choice Health Commercial $7,577.10
Rate for Payer: Government Employees Health Association (GEHA) Commercial $7,998.05
Rate for Payer: Government Employees Health Association (GEHA) Medicare $668.70
Rate for Payer: HealthUtah PPO $8,419.00
Rate for Payer: Idaho Integrated Healthcare Commercial $8,166.43
Rate for Payer: Multiplan Medicare/VA $568.40
Rate for Payer: One Health Plan of WY PPO $8,250.62
Rate for Payer: PacificSource Commercial $7,577.10
Rate for Payer: PHCS PPO $7,998.05
Rate for Payer: Three Rivers PPO $6,314.25
Rate for Payer: TriWest Veterans Administration $668.70
Rate for Payer: United Healthcare Commercial $7,324.53
Rate for Payer: United Healthcare Medicare $668.70
Rate for Payer: WINHealth Partners Commercial $7,156.15
Service Code HCPCS 27130 AS
Hospital Charge Code 27130
Min. Negotiated Rate $1,045.90
Max. Negotiated Rate $6,998.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $6,858.04
Rate for Payer: Aetna of WY Medicare $1,230.47
Rate for Payer: Beech Street Commercial $6,648.10
Rate for Payer: Cash Price $4,898.60
Rate for Payer: Cash Price $4,898.60
Rate for Payer: ChoiceCare Network Commercial $6,788.06
Rate for Payer: Cigna of WY Commercial $6,858.04
Rate for Payer: First Choice Health Commercial $6,298.20
Rate for Payer: Government Employees Health Association (GEHA) Commercial $6,648.10
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,230.47
Rate for Payer: HealthUtah PPO $6,998.00
Rate for Payer: Idaho Integrated Healthcare Commercial $6,788.06
Rate for Payer: Multiplan Medicare/VA $1,045.90
Rate for Payer: One Health Plan of WY PPO $6,858.04
Rate for Payer: PacificSource Commercial $6,298.20
Rate for Payer: PHCS PPO $6,648.10
Rate for Payer: Three Rivers PPO $5,248.50
Rate for Payer: TriWest Veterans Administration $1,230.47
Rate for Payer: United Healthcare Commercial $6,088.26
Rate for Payer: United Healthcare Medicare $1,230.47
Rate for Payer: WINHealth Partners Commercial $5,948.30
Service Code HCPCS 27130
Hospital Charge Code 27130
Min. Negotiated Rate $1,045.90
Max. Negotiated Rate $6,998.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $6,858.04
Rate for Payer: Aetna of WY Medicare $1,230.47
Rate for Payer: Beech Street Commercial $6,648.10
Rate for Payer: Cash Price $4,898.60
Rate for Payer: Cash Price $4,898.60
Rate for Payer: ChoiceCare Network Commercial $6,788.06
Rate for Payer: Cigna of WY Commercial $6,858.04
Rate for Payer: First Choice Health Commercial $6,298.20
Rate for Payer: Government Employees Health Association (GEHA) Commercial $6,648.10
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,230.47
Rate for Payer: HealthUtah PPO $6,998.00
Rate for Payer: Idaho Integrated Healthcare Commercial $6,788.06
Rate for Payer: Multiplan Medicare/VA $1,045.90
Rate for Payer: One Health Plan of WY PPO $6,858.04
Rate for Payer: PacificSource Commercial $6,298.20
Rate for Payer: PHCS PPO $6,648.10
Rate for Payer: Three Rivers PPO $5,248.50
Rate for Payer: TriWest Veterans Administration $1,230.47
Rate for Payer: United Healthcare Commercial $6,088.26
Rate for Payer: United Healthcare Medicare $1,230.47
Rate for Payer: WINHealth Partners Commercial $5,948.30