|
HC BETA-2 PROTEIN - BETA 2 MICROGLOBULIN
|
Facility
|
OP
|
$166.00
|
|
|
Service Code
|
HCPCS 82232
|
| Hospital Charge Code |
3018223202
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$89.89 |
| Max. Negotiated Rate |
$166.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$162.68
|
| Rate for Payer: Aetna of WY Medicare |
$109.56
|
| Rate for Payer: Altius Commercial |
$159.36
|
| Rate for Payer: Beech Street Commercial |
$162.68
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$161.02
|
| Rate for Payer: Cash Price |
$116.20
|
| Rate for Payer: ChoiceCare Network Commercial |
$161.02
|
| Rate for Payer: Cigna of WY Commercial |
$162.68
|
| Rate for Payer: Entrust Commercial |
$157.70
|
| Rate for Payer: First Choice Health Commercial |
$157.70
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$157.70
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$94.62
|
| Rate for Payer: HealthUtah PPO |
$166.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$161.02
|
| Rate for Payer: Multiplan Medicare/VA |
$89.89
|
| Rate for Payer: One Health Plan of WY PPO |
$162.68
|
| Rate for Payer: PacificSource Commercial |
$149.40
|
| Rate for Payer: PHCS PPO |
$162.68
|
| Rate for Payer: Three Rivers PPO |
$124.50
|
| Rate for Payer: TriWest Veterans Administration |
$94.62
|
| Rate for Payer: United Healthcare Commercial |
$158.53
|
| Rate for Payer: United Healthcare Medicare |
$94.62
|
| Rate for Payer: WINHealth Partners Commercial |
$162.68
|
| Rate for Payer: Wise Provider Network Commercial |
$157.70
|
|
|
HC BETA-2 PROTEIN - BETA 2 MICROGLOBULIN URINE
|
Facility
|
OP
|
$91.00
|
|
|
Service Code
|
HCPCS 82232
|
| Hospital Charge Code |
3018223203
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$49.28 |
| Max. Negotiated Rate |
$91.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$89.18
|
| Rate for Payer: Aetna of WY Medicare |
$60.06
|
| Rate for Payer: Altius Commercial |
$87.36
|
| Rate for Payer: Beech Street Commercial |
$89.18
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$88.27
|
| Rate for Payer: Cash Price |
$63.70
|
| Rate for Payer: ChoiceCare Network Commercial |
$88.27
|
| Rate for Payer: Cigna of WY Commercial |
$89.18
|
| Rate for Payer: Entrust Commercial |
$86.45
|
| Rate for Payer: First Choice Health Commercial |
$86.45
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$86.45
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$51.87
|
| Rate for Payer: HealthUtah PPO |
$91.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$88.27
|
| Rate for Payer: Multiplan Medicare/VA |
$49.28
|
| Rate for Payer: One Health Plan of WY PPO |
$89.18
|
| Rate for Payer: PacificSource Commercial |
$81.90
|
| Rate for Payer: PHCS PPO |
$89.18
|
| Rate for Payer: Three Rivers PPO |
$68.25
|
| Rate for Payer: TriWest Veterans Administration |
$51.87
|
| Rate for Payer: United Healthcare Commercial |
$86.90
|
| Rate for Payer: United Healthcare Medicare |
$51.87
|
| Rate for Payer: WINHealth Partners Commercial |
$89.18
|
| Rate for Payer: Wise Provider Network Commercial |
$86.45
|
|
|
HC BETA-2 PROTEIN - BETA 2 MICROGLOBULIN URINE
|
Facility
|
IP
|
$91.00
|
|
|
Service Code
|
HCPCS 82232
|
| Hospital Charge Code |
3018223203
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$52.73 |
| Max. Negotiated Rate |
$91.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$89.18
|
| Rate for Payer: Aetna of WY Medicare |
$58.24
|
| Rate for Payer: Altius Commercial |
$87.36
|
| Rate for Payer: Beech Street Commercial |
$89.18
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$88.27
|
| Rate for Payer: Cash Price |
$63.70
|
| Rate for Payer: ChoiceCare Network Commercial |
$88.27
|
| Rate for Payer: Cigna of WY Commercial |
$89.18
|
| Rate for Payer: Entrust Commercial |
$86.45
|
| Rate for Payer: First Choice Health Commercial |
$86.45
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$86.45
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$55.51
|
| Rate for Payer: HealthUtah PPO |
$91.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$88.27
|
| Rate for Payer: Multiplan Medicare/VA |
$52.73
|
| Rate for Payer: One Health Plan of WY PPO |
$89.18
|
| Rate for Payer: PacificSource Commercial |
$81.90
|
| Rate for Payer: PHCS PPO |
$89.18
|
| Rate for Payer: Three Rivers PPO |
$68.25
|
| Rate for Payer: TriWest Veterans Administration |
$55.51
|
| Rate for Payer: United Healthcare Commercial |
$86.90
|
| Rate for Payer: United Healthcare Medicare |
$55.51
|
| Rate for Payer: WINHealth Partners Commercial |
$86.45
|
| Rate for Payer: Wise Provider Network Commercial |
$86.45
|
|
|
HC BILE ACIDS, TOTAL - BILE ACIDS, TOTAL
|
Facility
|
IP
|
$119.00
|
|
|
Service Code
|
HCPCS 82239
|
| Hospital Charge Code |
3018223901
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$68.96 |
| Max. Negotiated Rate |
$119.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$116.62
|
| Rate for Payer: Aetna of WY Medicare |
$76.16
|
| Rate for Payer: Altius Commercial |
$114.24
|
| Rate for Payer: Beech Street Commercial |
$116.62
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$115.43
|
| Rate for Payer: Cash Price |
$83.30
|
| Rate for Payer: ChoiceCare Network Commercial |
$115.43
|
| Rate for Payer: Cigna of WY Commercial |
$116.62
|
| Rate for Payer: Entrust Commercial |
$113.05
|
| Rate for Payer: First Choice Health Commercial |
$113.05
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$113.05
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$72.59
|
| Rate for Payer: HealthUtah PPO |
$119.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$115.43
|
| Rate for Payer: Multiplan Medicare/VA |
$68.96
|
| Rate for Payer: One Health Plan of WY PPO |
$116.62
|
| Rate for Payer: PacificSource Commercial |
$107.10
|
| Rate for Payer: PHCS PPO |
$116.62
|
| Rate for Payer: Three Rivers PPO |
$89.25
|
| Rate for Payer: TriWest Veterans Administration |
$72.59
|
| Rate for Payer: United Healthcare Commercial |
$113.64
|
| Rate for Payer: United Healthcare Medicare |
$72.59
|
| Rate for Payer: WINHealth Partners Commercial |
$113.05
|
| Rate for Payer: Wise Provider Network Commercial |
$113.05
|
|
|
HC BILE ACIDS, TOTAL - BILE ACIDS, TOTAL
|
Facility
|
OP
|
$119.00
|
|
|
Service Code
|
HCPCS 82239
|
| Hospital Charge Code |
3018223901
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$64.44 |
| Max. Negotiated Rate |
$119.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$116.62
|
| Rate for Payer: Aetna of WY Medicare |
$78.54
|
| Rate for Payer: Altius Commercial |
$114.24
|
| Rate for Payer: Beech Street Commercial |
$116.62
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$115.43
|
| Rate for Payer: Cash Price |
$83.30
|
| Rate for Payer: ChoiceCare Network Commercial |
$115.43
|
| Rate for Payer: Cigna of WY Commercial |
$116.62
|
| Rate for Payer: Entrust Commercial |
$113.05
|
| Rate for Payer: First Choice Health Commercial |
$113.05
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$113.05
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$67.83
|
| Rate for Payer: HealthUtah PPO |
$119.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$115.43
|
| Rate for Payer: Multiplan Medicare/VA |
$64.44
|
| Rate for Payer: One Health Plan of WY PPO |
$116.62
|
| Rate for Payer: PacificSource Commercial |
$107.10
|
| Rate for Payer: PHCS PPO |
$116.62
|
| Rate for Payer: Three Rivers PPO |
$89.25
|
| Rate for Payer: TriWest Veterans Administration |
$67.83
|
| Rate for Payer: United Healthcare Commercial |
$113.64
|
| Rate for Payer: United Healthcare Medicare |
$67.83
|
| Rate for Payer: WINHealth Partners Commercial |
$116.62
|
| Rate for Payer: Wise Provider Network Commercial |
$113.05
|
|
|
HC BILIRUBIN DIRECT - BILIRUBIN DIRECT
|
Facility
|
OP
|
$117.00
|
|
|
Service Code
|
HCPCS 82248
|
| Hospital Charge Code |
3018224801
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$63.36 |
| Max. Negotiated Rate |
$117.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$114.66
|
| Rate for Payer: Aetna of WY Medicare |
$77.22
|
| Rate for Payer: Altius Commercial |
$112.32
|
| Rate for Payer: Beech Street Commercial |
$114.66
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$113.49
|
| Rate for Payer: Cash Price |
$81.90
|
| Rate for Payer: ChoiceCare Network Commercial |
$113.49
|
| Rate for Payer: Cigna of WY Commercial |
$114.66
|
| Rate for Payer: Entrust Commercial |
$111.15
|
| Rate for Payer: First Choice Health Commercial |
$111.15
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$111.15
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$66.69
|
| Rate for Payer: HealthUtah PPO |
$117.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$113.49
|
| Rate for Payer: Multiplan Medicare/VA |
$63.36
|
| Rate for Payer: One Health Plan of WY PPO |
$114.66
|
| Rate for Payer: PacificSource Commercial |
$105.30
|
| Rate for Payer: PHCS PPO |
$114.66
|
| Rate for Payer: Three Rivers PPO |
$87.75
|
| Rate for Payer: TriWest Veterans Administration |
$66.69
|
| Rate for Payer: United Healthcare Commercial |
$111.74
|
| Rate for Payer: United Healthcare Medicare |
$66.69
|
| Rate for Payer: WINHealth Partners Commercial |
$114.66
|
| Rate for Payer: Wise Provider Network Commercial |
$111.15
|
|
|
HC BILIRUBIN DIRECT - BILIRUBIN DIRECT
|
Facility
|
IP
|
$117.00
|
|
|
Service Code
|
HCPCS 82248
|
| Hospital Charge Code |
3018224801
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$67.80 |
| Max. Negotiated Rate |
$117.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$114.66
|
| Rate for Payer: Aetna of WY Medicare |
$74.88
|
| Rate for Payer: Altius Commercial |
$112.32
|
| Rate for Payer: Beech Street Commercial |
$114.66
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$113.49
|
| Rate for Payer: Cash Price |
$81.90
|
| Rate for Payer: ChoiceCare Network Commercial |
$113.49
|
| Rate for Payer: Cigna of WY Commercial |
$114.66
|
| Rate for Payer: Entrust Commercial |
$111.15
|
| Rate for Payer: First Choice Health Commercial |
$111.15
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$111.15
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$71.37
|
| Rate for Payer: HealthUtah PPO |
$117.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$113.49
|
| Rate for Payer: Multiplan Medicare/VA |
$67.80
|
| Rate for Payer: One Health Plan of WY PPO |
$114.66
|
| Rate for Payer: PacificSource Commercial |
$105.30
|
| Rate for Payer: PHCS PPO |
$114.66
|
| Rate for Payer: Three Rivers PPO |
$87.75
|
| Rate for Payer: TriWest Veterans Administration |
$71.37
|
| Rate for Payer: United Healthcare Commercial |
$111.74
|
| Rate for Payer: United Healthcare Medicare |
$71.37
|
| Rate for Payer: WINHealth Partners Commercial |
$111.15
|
| Rate for Payer: Wise Provider Network Commercial |
$111.15
|
|
|
HC BILIRUBIN TOTAL - BILIRUBIN TOTAL
|
Facility
|
OP
|
$59.00
|
|
|
Service Code
|
HCPCS 82247
|
| Hospital Charge Code |
3018224703
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$31.95 |
| Max. Negotiated Rate |
$59.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$57.82
|
| Rate for Payer: Aetna of WY Medicare |
$38.94
|
| Rate for Payer: Altius Commercial |
$56.64
|
| Rate for Payer: Beech Street Commercial |
$57.82
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$57.23
|
| Rate for Payer: Cash Price |
$41.30
|
| Rate for Payer: ChoiceCare Network Commercial |
$57.23
|
| Rate for Payer: Cigna of WY Commercial |
$57.82
|
| Rate for Payer: Entrust Commercial |
$56.05
|
| Rate for Payer: First Choice Health Commercial |
$56.05
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$56.05
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$33.63
|
| Rate for Payer: HealthUtah PPO |
$59.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$57.23
|
| Rate for Payer: Multiplan Medicare/VA |
$31.95
|
| Rate for Payer: One Health Plan of WY PPO |
$57.82
|
| Rate for Payer: PacificSource Commercial |
$53.10
|
| Rate for Payer: PHCS PPO |
$57.82
|
| Rate for Payer: Three Rivers PPO |
$44.25
|
| Rate for Payer: TriWest Veterans Administration |
$33.63
|
| Rate for Payer: United Healthcare Commercial |
$56.34
|
| Rate for Payer: United Healthcare Medicare |
$33.63
|
| Rate for Payer: WINHealth Partners Commercial |
$57.82
|
| Rate for Payer: Wise Provider Network Commercial |
$56.05
|
|
|
HC BILIRUBIN TOTAL - BILIRUBIN TOTAL
|
Facility
|
IP
|
$59.00
|
|
|
Service Code
|
HCPCS 82247
|
| Hospital Charge Code |
3018224703
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$34.19 |
| Max. Negotiated Rate |
$59.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$57.82
|
| Rate for Payer: Aetna of WY Medicare |
$37.76
|
| Rate for Payer: Altius Commercial |
$56.64
|
| Rate for Payer: Beech Street Commercial |
$57.82
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$57.23
|
| Rate for Payer: Cash Price |
$41.30
|
| Rate for Payer: ChoiceCare Network Commercial |
$57.23
|
| Rate for Payer: Cigna of WY Commercial |
$57.82
|
| Rate for Payer: Entrust Commercial |
$56.05
|
| Rate for Payer: First Choice Health Commercial |
$56.05
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$56.05
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$35.99
|
| Rate for Payer: HealthUtah PPO |
$59.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$57.23
|
| Rate for Payer: Multiplan Medicare/VA |
$34.19
|
| Rate for Payer: One Health Plan of WY PPO |
$57.82
|
| Rate for Payer: PacificSource Commercial |
$53.10
|
| Rate for Payer: PHCS PPO |
$57.82
|
| Rate for Payer: Three Rivers PPO |
$44.25
|
| Rate for Payer: TriWest Veterans Administration |
$35.99
|
| Rate for Payer: United Healthcare Commercial |
$56.34
|
| Rate for Payer: United Healthcare Medicare |
$35.99
|
| Rate for Payer: WINHealth Partners Commercial |
$56.05
|
| Rate for Payer: Wise Provider Network Commercial |
$56.05
|
|
|
HC BILIRUBIN TOTAL - BILIRUBIN TOTAL AND DIRECT
|
Facility
|
IP
|
$155.00
|
|
|
Service Code
|
HCPCS 82247
|
| Hospital Charge Code |
3018224701
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$89.82 |
| Max. Negotiated Rate |
$155.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$151.90
|
| Rate for Payer: Aetna of WY Medicare |
$99.20
|
| Rate for Payer: Altius Commercial |
$148.80
|
| Rate for Payer: Beech Street Commercial |
$151.90
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$150.35
|
| Rate for Payer: Cash Price |
$108.50
|
| Rate for Payer: ChoiceCare Network Commercial |
$150.35
|
| Rate for Payer: Cigna of WY Commercial |
$151.90
|
| Rate for Payer: Entrust Commercial |
$147.25
|
| Rate for Payer: First Choice Health Commercial |
$147.25
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$147.25
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$94.55
|
| Rate for Payer: HealthUtah PPO |
$155.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$150.35
|
| Rate for Payer: Multiplan Medicare/VA |
$89.82
|
| Rate for Payer: One Health Plan of WY PPO |
$151.90
|
| Rate for Payer: PacificSource Commercial |
$139.50
|
| Rate for Payer: PHCS PPO |
$151.90
|
| Rate for Payer: Three Rivers PPO |
$116.25
|
| Rate for Payer: TriWest Veterans Administration |
$94.55
|
| Rate for Payer: United Healthcare Commercial |
$148.02
|
| Rate for Payer: United Healthcare Medicare |
$94.55
|
| Rate for Payer: WINHealth Partners Commercial |
$147.25
|
| Rate for Payer: Wise Provider Network Commercial |
$147.25
|
|
|
HC BILIRUBIN TOTAL - BILIRUBIN TOTAL AND DIRECT
|
Facility
|
OP
|
$155.00
|
|
|
Service Code
|
HCPCS 82247
|
| Hospital Charge Code |
3018224701
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$83.93 |
| Max. Negotiated Rate |
$155.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$151.90
|
| Rate for Payer: Aetna of WY Medicare |
$102.30
|
| Rate for Payer: Altius Commercial |
$148.80
|
| Rate for Payer: Beech Street Commercial |
$151.90
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$150.35
|
| Rate for Payer: Cash Price |
$108.50
|
| Rate for Payer: ChoiceCare Network Commercial |
$150.35
|
| Rate for Payer: Cigna of WY Commercial |
$151.90
|
| Rate for Payer: Entrust Commercial |
$147.25
|
| Rate for Payer: First Choice Health Commercial |
$147.25
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$147.25
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$88.35
|
| Rate for Payer: HealthUtah PPO |
$155.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$150.35
|
| Rate for Payer: Multiplan Medicare/VA |
$83.93
|
| Rate for Payer: One Health Plan of WY PPO |
$151.90
|
| Rate for Payer: PacificSource Commercial |
$139.50
|
| Rate for Payer: PHCS PPO |
$151.90
|
| Rate for Payer: Three Rivers PPO |
$116.25
|
| Rate for Payer: TriWest Veterans Administration |
$88.35
|
| Rate for Payer: United Healthcare Commercial |
$148.02
|
| Rate for Payer: United Healthcare Medicare |
$88.35
|
| Rate for Payer: WINHealth Partners Commercial |
$151.90
|
| Rate for Payer: Wise Provider Network Commercial |
$147.25
|
|
|
HC BIOPSY, EACH ADDED LESION
|
Facility
|
IP
|
$22.00
|
|
|
Service Code
|
HCPCS 11101
|
| Hospital Charge Code |
5101110101
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$12.75 |
| Max. Negotiated Rate |
$22.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$21.56
|
| Rate for Payer: Aetna of WY Medicare |
$14.08
|
| Rate for Payer: Altius Commercial |
$21.12
|
| Rate for Payer: Beech Street Commercial |
$21.56
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$21.34
|
| Rate for Payer: Cash Price |
$15.40
|
| Rate for Payer: ChoiceCare Network Commercial |
$21.34
|
| Rate for Payer: Cigna of WY Commercial |
$21.56
|
| Rate for Payer: Entrust Commercial |
$20.90
|
| Rate for Payer: First Choice Health Commercial |
$20.90
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$20.90
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$13.42
|
| Rate for Payer: HealthUtah PPO |
$22.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$21.34
|
| Rate for Payer: Multiplan Medicare/VA |
$12.75
|
| Rate for Payer: One Health Plan of WY PPO |
$21.56
|
| Rate for Payer: PacificSource Commercial |
$19.80
|
| Rate for Payer: PHCS PPO |
$21.56
|
| Rate for Payer: Three Rivers PPO |
$16.50
|
| Rate for Payer: TriWest Veterans Administration |
$13.42
|
| Rate for Payer: United Healthcare Commercial |
$21.01
|
| Rate for Payer: United Healthcare Medicare |
$13.42
|
| Rate for Payer: WINHealth Partners Commercial |
$20.90
|
| Rate for Payer: Wise Provider Network Commercial |
$20.90
|
|
|
HC BIOPSY, EACH ADDED LESION
|
Facility
|
OP
|
$22.00
|
|
|
Service Code
|
HCPCS 11101
|
| Hospital Charge Code |
5101110101
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$11.91 |
| Max. Negotiated Rate |
$22.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$21.56
|
| Rate for Payer: Aetna of WY Medicare |
$14.52
|
| Rate for Payer: Altius Commercial |
$21.12
|
| Rate for Payer: Beech Street Commercial |
$21.56
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$21.34
|
| Rate for Payer: Cash Price |
$15.40
|
| Rate for Payer: ChoiceCare Network Commercial |
$21.34
|
| Rate for Payer: Cigna of WY Commercial |
$21.56
|
| Rate for Payer: Entrust Commercial |
$20.90
|
| Rate for Payer: First Choice Health Commercial |
$20.90
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$20.90
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$12.54
|
| Rate for Payer: HealthUtah PPO |
$22.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$21.34
|
| Rate for Payer: Multiplan Medicare/VA |
$11.91
|
| Rate for Payer: One Health Plan of WY PPO |
$21.56
|
| Rate for Payer: PacificSource Commercial |
$19.80
|
| Rate for Payer: PHCS PPO |
$21.56
|
| Rate for Payer: Three Rivers PPO |
$16.50
|
| Rate for Payer: TriWest Veterans Administration |
$12.54
|
| Rate for Payer: United Healthcare Commercial |
$21.01
|
| Rate for Payer: United Healthcare Medicare |
$12.54
|
| Rate for Payer: WINHealth Partners Commercial |
$21.56
|
| Rate for Payer: Wise Provider Network Commercial |
$20.90
|
|
|
HC BIOPSY OF KIDNEY,PERCUTANEOUS
|
Facility
|
OP
|
$6,649.00
|
|
|
Service Code
|
HCPCS 50200
|
| Hospital Charge Code |
3205020001
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$3,600.43 |
| Max. Negotiated Rate |
$6,649.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$6,516.02
|
| Rate for Payer: Aetna of WY Medicare |
$4,388.34
|
| Rate for Payer: Altius Commercial |
$6,383.04
|
| Rate for Payer: Beech Street Commercial |
$6,516.02
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$6,449.53
|
| Rate for Payer: Cash Price |
$4,654.30
|
| Rate for Payer: ChoiceCare Network Commercial |
$6,449.53
|
| Rate for Payer: Cigna of WY Commercial |
$6,516.02
|
| Rate for Payer: Entrust Commercial |
$6,316.55
|
| Rate for Payer: First Choice Health Commercial |
$6,316.55
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$6,316.55
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$3,789.93
|
| Rate for Payer: HealthUtah PPO |
$6,649.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$6,449.53
|
| Rate for Payer: Multiplan Medicare/VA |
$3,600.43
|
| Rate for Payer: One Health Plan of WY PPO |
$6,516.02
|
| Rate for Payer: PacificSource Commercial |
$5,984.10
|
| Rate for Payer: PHCS PPO |
$6,516.02
|
| Rate for Payer: Three Rivers PPO |
$4,986.75
|
| Rate for Payer: TriWest Veterans Administration |
$3,789.93
|
| Rate for Payer: United Healthcare Commercial |
$6,349.80
|
| Rate for Payer: United Healthcare Medicare |
$3,789.93
|
| Rate for Payer: WINHealth Partners Commercial |
$6,516.02
|
| Rate for Payer: Wise Provider Network Commercial |
$6,316.55
|
|
|
HC BIOPSY OF KIDNEY,PERCUTANEOUS
|
Facility
|
IP
|
$6,649.00
|
|
|
Service Code
|
HCPCS 50200
|
| Hospital Charge Code |
3205020001
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$3,853.10 |
| Max. Negotiated Rate |
$6,649.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$6,516.02
|
| Rate for Payer: Aetna of WY Medicare |
$4,255.36
|
| Rate for Payer: Altius Commercial |
$6,383.04
|
| Rate for Payer: Beech Street Commercial |
$6,516.02
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$6,449.53
|
| Rate for Payer: Cash Price |
$4,654.30
|
| Rate for Payer: ChoiceCare Network Commercial |
$6,449.53
|
| Rate for Payer: Cigna of WY Commercial |
$6,516.02
|
| Rate for Payer: Entrust Commercial |
$6,316.55
|
| Rate for Payer: First Choice Health Commercial |
$6,316.55
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$6,316.55
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$4,055.89
|
| Rate for Payer: HealthUtah PPO |
$6,649.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$6,449.53
|
| Rate for Payer: Multiplan Medicare/VA |
$3,853.10
|
| Rate for Payer: One Health Plan of WY PPO |
$6,516.02
|
| Rate for Payer: PacificSource Commercial |
$5,984.10
|
| Rate for Payer: PHCS PPO |
$6,516.02
|
| Rate for Payer: Three Rivers PPO |
$4,986.75
|
| Rate for Payer: TriWest Veterans Administration |
$4,055.89
|
| Rate for Payer: United Healthcare Commercial |
$6,349.80
|
| Rate for Payer: United Healthcare Medicare |
$4,055.89
|
| Rate for Payer: WINHealth Partners Commercial |
$6,316.55
|
| Rate for Payer: Wise Provider Network Commercial |
$6,316.55
|
|
|
HC BIOPSY OF SKIN LESION
|
Facility
|
OP
|
$23.00
|
|
|
Service Code
|
HCPCS 11100
|
| Hospital Charge Code |
5101110001
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$12.45 |
| Max. Negotiated Rate |
$23.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$22.54
|
| Rate for Payer: Aetna of WY Medicare |
$15.18
|
| Rate for Payer: Altius Commercial |
$22.08
|
| Rate for Payer: Beech Street Commercial |
$22.54
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$22.31
|
| Rate for Payer: Cash Price |
$16.10
|
| Rate for Payer: ChoiceCare Network Commercial |
$22.31
|
| Rate for Payer: Cigna of WY Commercial |
$22.54
|
| Rate for Payer: Entrust Commercial |
$21.85
|
| Rate for Payer: First Choice Health Commercial |
$21.85
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$21.85
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$13.11
|
| Rate for Payer: HealthUtah PPO |
$23.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$22.31
|
| Rate for Payer: Multiplan Medicare/VA |
$12.45
|
| Rate for Payer: One Health Plan of WY PPO |
$22.54
|
| Rate for Payer: PacificSource Commercial |
$20.70
|
| Rate for Payer: PHCS PPO |
$22.54
|
| Rate for Payer: Three Rivers PPO |
$17.25
|
| Rate for Payer: TriWest Veterans Administration |
$13.11
|
| Rate for Payer: United Healthcare Commercial |
$21.96
|
| Rate for Payer: United Healthcare Medicare |
$13.11
|
| Rate for Payer: WINHealth Partners Commercial |
$22.54
|
| Rate for Payer: Wise Provider Network Commercial |
$21.85
|
|
|
HC BIOPSY OF SKIN LESION
|
Facility
|
IP
|
$23.00
|
|
|
Service Code
|
HCPCS 11100
|
| Hospital Charge Code |
5101110001
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$13.33 |
| Max. Negotiated Rate |
$23.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$22.54
|
| Rate for Payer: Aetna of WY Medicare |
$14.72
|
| Rate for Payer: Altius Commercial |
$22.08
|
| Rate for Payer: Beech Street Commercial |
$22.54
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$22.31
|
| Rate for Payer: Cash Price |
$16.10
|
| Rate for Payer: ChoiceCare Network Commercial |
$22.31
|
| Rate for Payer: Cigna of WY Commercial |
$22.54
|
| Rate for Payer: Entrust Commercial |
$21.85
|
| Rate for Payer: First Choice Health Commercial |
$21.85
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$21.85
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$14.03
|
| Rate for Payer: HealthUtah PPO |
$23.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$22.31
|
| Rate for Payer: Multiplan Medicare/VA |
$13.33
|
| Rate for Payer: One Health Plan of WY PPO |
$22.54
|
| Rate for Payer: PacificSource Commercial |
$20.70
|
| Rate for Payer: PHCS PPO |
$22.54
|
| Rate for Payer: Three Rivers PPO |
$17.25
|
| Rate for Payer: TriWest Veterans Administration |
$14.03
|
| Rate for Payer: United Healthcare Commercial |
$21.96
|
| Rate for Payer: United Healthcare Medicare |
$14.03
|
| Rate for Payer: WINHealth Partners Commercial |
$21.85
|
| Rate for Payer: Wise Provider Network Commercial |
$21.85
|
|
|
HC BIOPSY OF SKIN LESION
|
Facility
|
IP
|
$130.00
|
|
|
Service Code
|
HCPCS 11100
|
| Hospital Charge Code |
7611110001
|
|
Hospital Revenue Code
|
761
|
| 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 BIOPSY OF SKIN LESION
|
Facility
|
OP
|
$130.00
|
|
|
Service Code
|
HCPCS 11100
|
| Hospital Charge Code |
7611110001
|
|
Hospital Revenue Code
|
761
|
| 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 BIOPSY SOFT TISSUE NECK/CHEST
|
Facility
|
OP
|
$9,118.00
|
|
|
Service Code
|
HCPCS 21550
|
| Hospital Charge Code |
4022155001
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$4,937.40 |
| Max. Negotiated Rate |
$9,118.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$8,935.64
|
| Rate for Payer: Aetna of WY Medicare |
$6,017.88
|
| Rate for Payer: Altius Commercial |
$8,753.28
|
| Rate for Payer: Beech Street Commercial |
$8,935.64
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$8,844.46
|
| Rate for Payer: Cash Price |
$6,382.60
|
| Rate for Payer: ChoiceCare Network Commercial |
$8,844.46
|
| Rate for Payer: Cigna of WY Commercial |
$8,935.64
|
| Rate for Payer: Entrust Commercial |
$8,662.10
|
| Rate for Payer: First Choice Health Commercial |
$8,662.10
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$8,662.10
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$5,197.26
|
| Rate for Payer: HealthUtah PPO |
$9,118.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$8,844.46
|
| Rate for Payer: Multiplan Medicare/VA |
$4,937.40
|
| Rate for Payer: One Health Plan of WY PPO |
$8,935.64
|
| Rate for Payer: PacificSource Commercial |
$8,206.20
|
| Rate for Payer: PHCS PPO |
$8,935.64
|
| Rate for Payer: Three Rivers PPO |
$6,838.50
|
| Rate for Payer: TriWest Veterans Administration |
$5,197.26
|
| Rate for Payer: United Healthcare Commercial |
$8,707.69
|
| Rate for Payer: United Healthcare Medicare |
$5,197.26
|
| Rate for Payer: WINHealth Partners Commercial |
$8,935.64
|
| Rate for Payer: Wise Provider Network Commercial |
$8,662.10
|
|
|
HC BIOPSY SOFT TISSUE NECK/CHEST
|
Facility
|
IP
|
$14,247.00
|
|
|
Service Code
|
HCPCS 21550
|
| Hospital Charge Code |
3502155001
|
|
Hospital Revenue Code
|
350
|
| Min. Negotiated Rate |
$8,256.14 |
| Max. Negotiated Rate |
$14,247.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$13,962.06
|
| Rate for Payer: Aetna of WY Medicare |
$9,118.08
|
| Rate for Payer: Altius Commercial |
$13,677.12
|
| Rate for Payer: Beech Street Commercial |
$13,962.06
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$13,819.59
|
| Rate for Payer: Cash Price |
$9,972.90
|
| Rate for Payer: ChoiceCare Network Commercial |
$13,819.59
|
| Rate for Payer: Cigna of WY Commercial |
$13,962.06
|
| Rate for Payer: Entrust Commercial |
$13,534.65
|
| Rate for Payer: First Choice Health Commercial |
$13,534.65
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$13,534.65
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$8,690.67
|
| Rate for Payer: HealthUtah PPO |
$14,247.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$13,819.59
|
| Rate for Payer: Multiplan Medicare/VA |
$8,256.14
|
| Rate for Payer: One Health Plan of WY PPO |
$13,962.06
|
| Rate for Payer: PacificSource Commercial |
$12,822.30
|
| Rate for Payer: PHCS PPO |
$13,962.06
|
| Rate for Payer: Three Rivers PPO |
$10,685.25
|
| Rate for Payer: TriWest Veterans Administration |
$8,690.67
|
| Rate for Payer: United Healthcare Commercial |
$13,605.88
|
| Rate for Payer: United Healthcare Medicare |
$8,690.67
|
| Rate for Payer: WINHealth Partners Commercial |
$13,534.65
|
| Rate for Payer: Wise Provider Network Commercial |
$13,534.65
|
|
|
HC BIOPSY SOFT TISSUE NECK/CHEST
|
Facility
|
IP
|
$9,118.00
|
|
|
Service Code
|
HCPCS 21550
|
| Hospital Charge Code |
4022155001
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$5,283.88 |
| Max. Negotiated Rate |
$9,118.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$8,935.64
|
| Rate for Payer: Aetna of WY Medicare |
$5,835.52
|
| Rate for Payer: Altius Commercial |
$8,753.28
|
| Rate for Payer: Beech Street Commercial |
$8,935.64
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$8,844.46
|
| Rate for Payer: Cash Price |
$6,382.60
|
| Rate for Payer: ChoiceCare Network Commercial |
$8,844.46
|
| Rate for Payer: Cigna of WY Commercial |
$8,935.64
|
| Rate for Payer: Entrust Commercial |
$8,662.10
|
| Rate for Payer: First Choice Health Commercial |
$8,662.10
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$8,662.10
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$5,561.98
|
| Rate for Payer: HealthUtah PPO |
$9,118.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$8,844.46
|
| Rate for Payer: Multiplan Medicare/VA |
$5,283.88
|
| Rate for Payer: One Health Plan of WY PPO |
$8,935.64
|
| Rate for Payer: PacificSource Commercial |
$8,206.20
|
| Rate for Payer: PHCS PPO |
$8,935.64
|
| Rate for Payer: Three Rivers PPO |
$6,838.50
|
| Rate for Payer: TriWest Veterans Administration |
$5,561.98
|
| Rate for Payer: United Healthcare Commercial |
$8,707.69
|
| Rate for Payer: United Healthcare Medicare |
$5,561.98
|
| Rate for Payer: WINHealth Partners Commercial |
$8,662.10
|
| Rate for Payer: Wise Provider Network Commercial |
$8,662.10
|
|
|
HC BIOPSY SOFT TISSUE NECK/CHEST
|
Facility
|
OP
|
$14,247.00
|
|
|
Service Code
|
HCPCS 21550
|
| Hospital Charge Code |
3502155001
|
|
Hospital Revenue Code
|
350
|
| Min. Negotiated Rate |
$7,714.75 |
| Max. Negotiated Rate |
$14,247.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$13,962.06
|
| Rate for Payer: Aetna of WY Medicare |
$9,403.02
|
| Rate for Payer: Altius Commercial |
$13,677.12
|
| Rate for Payer: Beech Street Commercial |
$13,962.06
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$13,819.59
|
| Rate for Payer: Cash Price |
$9,972.90
|
| Rate for Payer: ChoiceCare Network Commercial |
$13,819.59
|
| Rate for Payer: Cigna of WY Commercial |
$13,962.06
|
| Rate for Payer: Entrust Commercial |
$13,534.65
|
| Rate for Payer: First Choice Health Commercial |
$13,534.65
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$13,534.65
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$8,120.79
|
| Rate for Payer: HealthUtah PPO |
$14,247.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$13,819.59
|
| Rate for Payer: Multiplan Medicare/VA |
$7,714.75
|
| Rate for Payer: One Health Plan of WY PPO |
$13,962.06
|
| Rate for Payer: PacificSource Commercial |
$12,822.30
|
| Rate for Payer: PHCS PPO |
$13,962.06
|
| Rate for Payer: Three Rivers PPO |
$10,685.25
|
| Rate for Payer: TriWest Veterans Administration |
$8,120.79
|
| Rate for Payer: United Healthcare Commercial |
$13,605.88
|
| Rate for Payer: United Healthcare Medicare |
$8,120.79
|
| Rate for Payer: WINHealth Partners Commercial |
$13,962.06
|
| Rate for Payer: Wise Provider Network Commercial |
$13,534.65
|
|
|
HC BIOPSY VULVA/PERINEUM,ONE LESN
|
Facility
|
IP
|
$111.00
|
|
|
Service Code
|
HCPCS 56605
|
| Hospital Charge Code |
5105660501
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$64.32 |
| Max. Negotiated Rate |
$111.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$108.78
|
| Rate for Payer: Aetna of WY Medicare |
$71.04
|
| Rate for Payer: Altius Commercial |
$106.56
|
| Rate for Payer: Beech Street Commercial |
$108.78
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$107.67
|
| Rate for Payer: Cash Price |
$77.70
|
| Rate for Payer: ChoiceCare Network Commercial |
$107.67
|
| Rate for Payer: Cigna of WY Commercial |
$108.78
|
| Rate for Payer: Entrust Commercial |
$105.45
|
| Rate for Payer: First Choice Health Commercial |
$105.45
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$105.45
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$67.71
|
| Rate for Payer: HealthUtah PPO |
$111.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$107.67
|
| Rate for Payer: Multiplan Medicare/VA |
$64.32
|
| Rate for Payer: One Health Plan of WY PPO |
$108.78
|
| Rate for Payer: PacificSource Commercial |
$99.90
|
| Rate for Payer: PHCS PPO |
$108.78
|
| Rate for Payer: Three Rivers PPO |
$83.25
|
| Rate for Payer: TriWest Veterans Administration |
$67.71
|
| Rate for Payer: United Healthcare Commercial |
$106.00
|
| Rate for Payer: United Healthcare Medicare |
$67.71
|
| Rate for Payer: WINHealth Partners Commercial |
$105.45
|
| Rate for Payer: Wise Provider Network Commercial |
$105.45
|
|
|
HC BIOPSY VULVA/PERINEUM,ONE LESN
|
Facility
|
OP
|
$111.00
|
|
|
Service Code
|
HCPCS 56605
|
| Hospital Charge Code |
5105660501
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$60.11 |
| Max. Negotiated Rate |
$111.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$108.78
|
| Rate for Payer: Aetna of WY Medicare |
$73.26
|
| Rate for Payer: Altius Commercial |
$106.56
|
| Rate for Payer: Beech Street Commercial |
$108.78
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$107.67
|
| Rate for Payer: Cash Price |
$77.70
|
| Rate for Payer: ChoiceCare Network Commercial |
$107.67
|
| Rate for Payer: Cigna of WY Commercial |
$108.78
|
| Rate for Payer: Entrust Commercial |
$105.45
|
| Rate for Payer: First Choice Health Commercial |
$105.45
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$105.45
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$63.27
|
| Rate for Payer: HealthUtah PPO |
$111.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$107.67
|
| Rate for Payer: Multiplan Medicare/VA |
$60.11
|
| Rate for Payer: One Health Plan of WY PPO |
$108.78
|
| Rate for Payer: PacificSource Commercial |
$99.90
|
| Rate for Payer: PHCS PPO |
$108.78
|
| Rate for Payer: Three Rivers PPO |
$83.25
|
| Rate for Payer: TriWest Veterans Administration |
$63.27
|
| Rate for Payer: United Healthcare Commercial |
$106.00
|
| Rate for Payer: United Healthcare Medicare |
$63.27
|
| Rate for Payer: WINHealth Partners Commercial |
$108.78
|
| Rate for Payer: Wise Provider Network Commercial |
$105.45
|
|
