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Service Code HCPCS 70487
Hospital Charge Code 3517048701
Hospital Revenue Code 351
Min. Negotiated Rate $845.28
Max. Negotiated Rate $1,561.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,529.78
Rate for Payer: Aetna of WY Medicare $1,030.26
Rate for Payer: Altius Commercial $1,498.56
Rate for Payer: Beech Street Commercial $1,529.78
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,514.17
Rate for Payer: Cash Price $1,092.70
Rate for Payer: ChoiceCare Network Commercial $1,514.17
Rate for Payer: Cigna of WY Commercial $1,529.78
Rate for Payer: Entrust Commercial $1,482.95
Rate for Payer: First Choice Health Commercial $1,482.95
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,482.95
Rate for Payer: Government Employees Health Association (GEHA) Medicare $889.77
Rate for Payer: HealthUtah PPO $1,561.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,514.17
Rate for Payer: Multiplan Medicare/VA $845.28
Rate for Payer: One Health Plan of WY PPO $1,529.78
Rate for Payer: PacificSource Commercial $1,404.90
Rate for Payer: PHCS PPO $1,529.78
Rate for Payer: Three Rivers PPO $1,170.75
Rate for Payer: TriWest Veterans Administration $889.77
Rate for Payer: United Healthcare Commercial $1,490.76
Rate for Payer: United Healthcare Medicare $889.77
Rate for Payer: WINHealth Partners Commercial $1,529.78
Rate for Payer: Wise Provider Network Commercial $1,482.95
Service Code HCPCS 70450
Hospital Charge Code 3517045001
Hospital Revenue Code 351
Min. Negotiated Rate $1,177.76
Max. Negotiated Rate $2,175.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,131.50
Rate for Payer: Aetna of WY Medicare $1,435.50
Rate for Payer: Altius Commercial $2,088.00
Rate for Payer: Beech Street Commercial $2,131.50
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $2,109.75
Rate for Payer: Cash Price $1,522.50
Rate for Payer: ChoiceCare Network Commercial $2,109.75
Rate for Payer: Cigna of WY Commercial $2,131.50
Rate for Payer: Entrust Commercial $2,066.25
Rate for Payer: First Choice Health Commercial $2,066.25
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,066.25
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,239.75
Rate for Payer: HealthUtah PPO $2,175.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,109.75
Rate for Payer: Multiplan Medicare/VA $1,177.76
Rate for Payer: One Health Plan of WY PPO $2,131.50
Rate for Payer: PacificSource Commercial $1,957.50
Rate for Payer: PHCS PPO $2,131.50
Rate for Payer: Three Rivers PPO $1,631.25
Rate for Payer: TriWest Veterans Administration $1,239.75
Rate for Payer: United Healthcare Commercial $2,077.12
Rate for Payer: United Healthcare Medicare $1,239.75
Rate for Payer: WINHealth Partners Commercial $2,131.50
Rate for Payer: Wise Provider Network Commercial $2,066.25
Service Code HCPCS 70450
Hospital Charge Code 3517045001
Hospital Revenue Code 351
Min. Negotiated Rate $1,260.41
Max. Negotiated Rate $2,175.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,131.50
Rate for Payer: Aetna of WY Medicare $1,392.00
Rate for Payer: Altius Commercial $2,088.00
Rate for Payer: Beech Street Commercial $2,131.50
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $2,109.75
Rate for Payer: Cash Price $1,522.50
Rate for Payer: ChoiceCare Network Commercial $2,109.75
Rate for Payer: Cigna of WY Commercial $2,131.50
Rate for Payer: Entrust Commercial $2,066.25
Rate for Payer: First Choice Health Commercial $2,066.25
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,066.25
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,326.75
Rate for Payer: HealthUtah PPO $2,175.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,109.75
Rate for Payer: Multiplan Medicare/VA $1,260.41
Rate for Payer: One Health Plan of WY PPO $2,131.50
Rate for Payer: PacificSource Commercial $1,957.50
Rate for Payer: PHCS PPO $2,131.50
Rate for Payer: Three Rivers PPO $1,631.25
Rate for Payer: TriWest Veterans Administration $1,326.75
Rate for Payer: United Healthcare Commercial $2,077.12
Rate for Payer: United Healthcare Medicare $1,326.75
Rate for Payer: WINHealth Partners Commercial $2,066.25
Rate for Payer: Wise Provider Network Commercial $2,066.25
Service Code HCPCS 70470
Hospital Charge Code 3517047001
Hospital Revenue Code 351
Min. Negotiated Rate $1,259.25
Max. Negotiated Rate $2,173.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,129.54
Rate for Payer: Aetna of WY Medicare $1,390.72
Rate for Payer: Altius Commercial $2,086.08
Rate for Payer: Beech Street Commercial $2,129.54
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $2,107.81
Rate for Payer: Cash Price $1,521.10
Rate for Payer: ChoiceCare Network Commercial $2,107.81
Rate for Payer: Cigna of WY Commercial $2,129.54
Rate for Payer: Entrust Commercial $2,064.35
Rate for Payer: First Choice Health Commercial $2,064.35
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,064.35
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,325.53
Rate for Payer: HealthUtah PPO $2,173.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,107.81
Rate for Payer: Multiplan Medicare/VA $1,259.25
Rate for Payer: One Health Plan of WY PPO $2,129.54
Rate for Payer: PacificSource Commercial $1,955.70
Rate for Payer: PHCS PPO $2,129.54
Rate for Payer: Three Rivers PPO $1,629.75
Rate for Payer: TriWest Veterans Administration $1,325.53
Rate for Payer: United Healthcare Commercial $2,075.22
Rate for Payer: United Healthcare Medicare $1,325.53
Rate for Payer: WINHealth Partners Commercial $2,064.35
Rate for Payer: Wise Provider Network Commercial $2,064.35
Service Code HCPCS 70470
Hospital Charge Code 3517047001
Hospital Revenue Code 351
Min. Negotiated Rate $1,176.68
Max. Negotiated Rate $2,173.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,129.54
Rate for Payer: Aetna of WY Medicare $1,434.18
Rate for Payer: Altius Commercial $2,086.08
Rate for Payer: Beech Street Commercial $2,129.54
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $2,107.81
Rate for Payer: Cash Price $1,521.10
Rate for Payer: ChoiceCare Network Commercial $2,107.81
Rate for Payer: Cigna of WY Commercial $2,129.54
Rate for Payer: Entrust Commercial $2,064.35
Rate for Payer: First Choice Health Commercial $2,064.35
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,064.35
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,238.61
Rate for Payer: HealthUtah PPO $2,173.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,107.81
Rate for Payer: Multiplan Medicare/VA $1,176.68
Rate for Payer: One Health Plan of WY PPO $2,129.54
Rate for Payer: PacificSource Commercial $1,955.70
Rate for Payer: PHCS PPO $2,129.54
Rate for Payer: Three Rivers PPO $1,629.75
Rate for Payer: TriWest Veterans Administration $1,238.61
Rate for Payer: United Healthcare Commercial $2,075.22
Rate for Payer: United Healthcare Medicare $1,238.61
Rate for Payer: WINHealth Partners Commercial $2,129.54
Rate for Payer: Wise Provider Network Commercial $2,064.35
Service Code HCPCS 70460
Hospital Charge Code 3517046001
Hospital Revenue Code 351
Min. Negotiated Rate $881.56
Max. Negotiated Rate $1,628.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,595.44
Rate for Payer: Aetna of WY Medicare $1,074.48
Rate for Payer: Altius Commercial $1,562.88
Rate for Payer: Beech Street Commercial $1,595.44
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,579.16
Rate for Payer: Cash Price $1,139.60
Rate for Payer: ChoiceCare Network Commercial $1,579.16
Rate for Payer: Cigna of WY Commercial $1,595.44
Rate for Payer: Entrust Commercial $1,546.60
Rate for Payer: First Choice Health Commercial $1,546.60
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,546.60
Rate for Payer: Government Employees Health Association (GEHA) Medicare $927.96
Rate for Payer: HealthUtah PPO $1,628.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,579.16
Rate for Payer: Multiplan Medicare/VA $881.56
Rate for Payer: One Health Plan of WY PPO $1,595.44
Rate for Payer: PacificSource Commercial $1,465.20
Rate for Payer: PHCS PPO $1,595.44
Rate for Payer: Three Rivers PPO $1,221.00
Rate for Payer: TriWest Veterans Administration $927.96
Rate for Payer: United Healthcare Commercial $1,554.74
Rate for Payer: United Healthcare Medicare $927.96
Rate for Payer: WINHealth Partners Commercial $1,595.44
Rate for Payer: Wise Provider Network Commercial $1,546.60
Service Code HCPCS 70460
Hospital Charge Code 3517046001
Hospital Revenue Code 351
Min. Negotiated Rate $943.43
Max. Negotiated Rate $1,628.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,595.44
Rate for Payer: Aetna of WY Medicare $1,041.92
Rate for Payer: Altius Commercial $1,562.88
Rate for Payer: Beech Street Commercial $1,595.44
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,579.16
Rate for Payer: Cash Price $1,139.60
Rate for Payer: ChoiceCare Network Commercial $1,579.16
Rate for Payer: Cigna of WY Commercial $1,595.44
Rate for Payer: Entrust Commercial $1,546.60
Rate for Payer: First Choice Health Commercial $1,546.60
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,546.60
Rate for Payer: Government Employees Health Association (GEHA) Medicare $993.08
Rate for Payer: HealthUtah PPO $1,628.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,579.16
Rate for Payer: Multiplan Medicare/VA $943.43
Rate for Payer: One Health Plan of WY PPO $1,595.44
Rate for Payer: PacificSource Commercial $1,465.20
Rate for Payer: PHCS PPO $1,595.44
Rate for Payer: Three Rivers PPO $1,221.00
Rate for Payer: TriWest Veterans Administration $993.08
Rate for Payer: United Healthcare Commercial $1,554.74
Rate for Payer: United Healthcare Medicare $993.08
Rate for Payer: WINHealth Partners Commercial $1,546.60
Rate for Payer: Wise Provider Network Commercial $1,546.60
Service Code HCPCS 76380
Hospital Charge Code 3507638001
Hospital Revenue Code 350
Min. Negotiated Rate $474.61
Max. Negotiated Rate $819.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $802.62
Rate for Payer: Aetna of WY Medicare $524.16
Rate for Payer: Altius Commercial $786.24
Rate for Payer: Beech Street Commercial $802.62
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $794.43
Rate for Payer: Cash Price $573.30
Rate for Payer: ChoiceCare Network Commercial $794.43
Rate for Payer: Cigna of WY Commercial $802.62
Rate for Payer: Entrust Commercial $778.05
Rate for Payer: First Choice Health Commercial $778.05
Rate for Payer: Government Employees Health Association (GEHA) Commercial $778.05
Rate for Payer: Government Employees Health Association (GEHA) Medicare $499.59
Rate for Payer: HealthUtah PPO $819.00
Rate for Payer: Idaho Integrated Healthcare Commercial $794.43
Rate for Payer: Multiplan Medicare/VA $474.61
Rate for Payer: One Health Plan of WY PPO $802.62
Rate for Payer: PacificSource Commercial $737.10
Rate for Payer: PHCS PPO $802.62
Rate for Payer: Three Rivers PPO $614.25
Rate for Payer: TriWest Veterans Administration $499.59
Rate for Payer: United Healthcare Commercial $782.14
Rate for Payer: United Healthcare Medicare $499.59
Rate for Payer: WINHealth Partners Commercial $778.05
Rate for Payer: Wise Provider Network Commercial $778.05
Service Code HCPCS 76380
Hospital Charge Code 3507638001
Hospital Revenue Code 350
Min. Negotiated Rate $443.49
Max. Negotiated Rate $819.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $802.62
Rate for Payer: Aetna of WY Medicare $540.54
Rate for Payer: Altius Commercial $786.24
Rate for Payer: Beech Street Commercial $802.62
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $794.43
Rate for Payer: Cash Price $573.30
Rate for Payer: ChoiceCare Network Commercial $794.43
Rate for Payer: Cigna of WY Commercial $802.62
Rate for Payer: Entrust Commercial $778.05
Rate for Payer: First Choice Health Commercial $778.05
Rate for Payer: Government Employees Health Association (GEHA) Commercial $778.05
Rate for Payer: Government Employees Health Association (GEHA) Medicare $466.83
Rate for Payer: HealthUtah PPO $819.00
Rate for Payer: Idaho Integrated Healthcare Commercial $794.43
Rate for Payer: Multiplan Medicare/VA $443.49
Rate for Payer: One Health Plan of WY PPO $802.62
Rate for Payer: PacificSource Commercial $737.10
Rate for Payer: PHCS PPO $802.62
Rate for Payer: Three Rivers PPO $614.25
Rate for Payer: TriWest Veterans Administration $466.83
Rate for Payer: United Healthcare Commercial $782.14
Rate for Payer: United Healthcare Medicare $466.83
Rate for Payer: WINHealth Partners Commercial $802.62
Rate for Payer: Wise Provider Network Commercial $778.05
Service Code HCPCS 73700
Hospital Charge Code 3527370009
Hospital Revenue Code 352
Min. Negotiated Rate $1,060.26
Max. Negotiated Rate $1,958.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,918.84
Rate for Payer: Aetna of WY Medicare $1,292.28
Rate for Payer: Altius Commercial $1,879.68
Rate for Payer: Beech Street Commercial $1,918.84
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,899.26
Rate for Payer: Cash Price $1,370.60
Rate for Payer: ChoiceCare Network Commercial $1,899.26
Rate for Payer: Cigna of WY Commercial $1,918.84
Rate for Payer: Entrust Commercial $1,860.10
Rate for Payer: First Choice Health Commercial $1,860.10
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,860.10
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,116.06
Rate for Payer: HealthUtah PPO $1,958.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,899.26
Rate for Payer: Multiplan Medicare/VA $1,060.26
Rate for Payer: One Health Plan of WY PPO $1,918.84
Rate for Payer: PacificSource Commercial $1,762.20
Rate for Payer: PHCS PPO $1,918.84
Rate for Payer: Three Rivers PPO $1,468.50
Rate for Payer: TriWest Veterans Administration $1,116.06
Rate for Payer: United Healthcare Commercial $1,869.89
Rate for Payer: United Healthcare Medicare $1,116.06
Rate for Payer: WINHealth Partners Commercial $1,918.84
Rate for Payer: Wise Provider Network Commercial $1,860.10
Service Code HCPCS 73700
Hospital Charge Code 3527370009
Hospital Revenue Code 352
Min. Negotiated Rate $1,134.66
Max. Negotiated Rate $1,958.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,918.84
Rate for Payer: Aetna of WY Medicare $1,253.12
Rate for Payer: Altius Commercial $1,879.68
Rate for Payer: Beech Street Commercial $1,918.84
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,899.26
Rate for Payer: Cash Price $1,370.60
Rate for Payer: ChoiceCare Network Commercial $1,899.26
Rate for Payer: Cigna of WY Commercial $1,918.84
Rate for Payer: Entrust Commercial $1,860.10
Rate for Payer: First Choice Health Commercial $1,860.10
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,860.10
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,194.38
Rate for Payer: HealthUtah PPO $1,958.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,899.26
Rate for Payer: Multiplan Medicare/VA $1,134.66
Rate for Payer: One Health Plan of WY PPO $1,918.84
Rate for Payer: PacificSource Commercial $1,762.20
Rate for Payer: PHCS PPO $1,918.84
Rate for Payer: Three Rivers PPO $1,468.50
Rate for Payer: TriWest Veterans Administration $1,194.38
Rate for Payer: United Healthcare Commercial $1,869.89
Rate for Payer: United Healthcare Medicare $1,194.38
Rate for Payer: WINHealth Partners Commercial $1,860.10
Rate for Payer: Wise Provider Network Commercial $1,860.10
Service Code HCPCS 73700
Hospital Charge Code 3527370010
Hospital Revenue Code 352
Min. Negotiated Rate $1,060.26
Max. Negotiated Rate $1,958.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,918.84
Rate for Payer: Aetna of WY Medicare $1,292.28
Rate for Payer: Altius Commercial $1,879.68
Rate for Payer: Beech Street Commercial $1,918.84
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,899.26
Rate for Payer: Cash Price $1,370.60
Rate for Payer: ChoiceCare Network Commercial $1,899.26
Rate for Payer: Cigna of WY Commercial $1,918.84
Rate for Payer: Entrust Commercial $1,860.10
Rate for Payer: First Choice Health Commercial $1,860.10
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,860.10
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,116.06
Rate for Payer: HealthUtah PPO $1,958.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,899.26
Rate for Payer: Multiplan Medicare/VA $1,060.26
Rate for Payer: One Health Plan of WY PPO $1,918.84
Rate for Payer: PacificSource Commercial $1,762.20
Rate for Payer: PHCS PPO $1,918.84
Rate for Payer: Three Rivers PPO $1,468.50
Rate for Payer: TriWest Veterans Administration $1,116.06
Rate for Payer: United Healthcare Commercial $1,869.89
Rate for Payer: United Healthcare Medicare $1,116.06
Rate for Payer: WINHealth Partners Commercial $1,918.84
Rate for Payer: Wise Provider Network Commercial $1,860.10
Service Code HCPCS 73700
Hospital Charge Code 3527370010
Hospital Revenue Code 352
Min. Negotiated Rate $1,134.66
Max. Negotiated Rate $1,958.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,918.84
Rate for Payer: Aetna of WY Medicare $1,253.12
Rate for Payer: Altius Commercial $1,879.68
Rate for Payer: Beech Street Commercial $1,918.84
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,899.26
Rate for Payer: Cash Price $1,370.60
Rate for Payer: ChoiceCare Network Commercial $1,899.26
Rate for Payer: Cigna of WY Commercial $1,918.84
Rate for Payer: Entrust Commercial $1,860.10
Rate for Payer: First Choice Health Commercial $1,860.10
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,860.10
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,194.38
Rate for Payer: HealthUtah PPO $1,958.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,899.26
Rate for Payer: Multiplan Medicare/VA $1,134.66
Rate for Payer: One Health Plan of WY PPO $1,918.84
Rate for Payer: PacificSource Commercial $1,762.20
Rate for Payer: PHCS PPO $1,918.84
Rate for Payer: Three Rivers PPO $1,468.50
Rate for Payer: TriWest Veterans Administration $1,194.38
Rate for Payer: United Healthcare Commercial $1,869.89
Rate for Payer: United Healthcare Medicare $1,194.38
Rate for Payer: WINHealth Partners Commercial $1,860.10
Rate for Payer: Wise Provider Network Commercial $1,860.10
Service Code HCPCS 73700
Hospital Charge Code 3527370003
Hospital Revenue Code 352
Min. Negotiated Rate $1,134.66
Max. Negotiated Rate $1,958.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,918.84
Rate for Payer: Aetna of WY Medicare $1,253.12
Rate for Payer: Altius Commercial $1,879.68
Rate for Payer: Beech Street Commercial $1,918.84
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,899.26
Rate for Payer: Cash Price $1,370.60
Rate for Payer: ChoiceCare Network Commercial $1,899.26
Rate for Payer: Cigna of WY Commercial $1,918.84
Rate for Payer: Entrust Commercial $1,860.10
Rate for Payer: First Choice Health Commercial $1,860.10
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,860.10
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,194.38
Rate for Payer: HealthUtah PPO $1,958.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,899.26
Rate for Payer: Multiplan Medicare/VA $1,134.66
Rate for Payer: One Health Plan of WY PPO $1,918.84
Rate for Payer: PacificSource Commercial $1,762.20
Rate for Payer: PHCS PPO $1,918.84
Rate for Payer: Three Rivers PPO $1,468.50
Rate for Payer: TriWest Veterans Administration $1,194.38
Rate for Payer: United Healthcare Commercial $1,869.89
Rate for Payer: United Healthcare Medicare $1,194.38
Rate for Payer: WINHealth Partners Commercial $1,860.10
Rate for Payer: Wise Provider Network Commercial $1,860.10
Service Code HCPCS 73700
Hospital Charge Code 3527370003
Hospital Revenue Code 352
Min. Negotiated Rate $1,060.26
Max. Negotiated Rate $1,958.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,918.84
Rate for Payer: Aetna of WY Medicare $1,292.28
Rate for Payer: Altius Commercial $1,879.68
Rate for Payer: Beech Street Commercial $1,918.84
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,899.26
Rate for Payer: Cash Price $1,370.60
Rate for Payer: ChoiceCare Network Commercial $1,899.26
Rate for Payer: Cigna of WY Commercial $1,918.84
Rate for Payer: Entrust Commercial $1,860.10
Rate for Payer: First Choice Health Commercial $1,860.10
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,860.10
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,116.06
Rate for Payer: HealthUtah PPO $1,958.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,899.26
Rate for Payer: Multiplan Medicare/VA $1,060.26
Rate for Payer: One Health Plan of WY PPO $1,918.84
Rate for Payer: PacificSource Commercial $1,762.20
Rate for Payer: PHCS PPO $1,918.84
Rate for Payer: Three Rivers PPO $1,468.50
Rate for Payer: TriWest Veterans Administration $1,116.06
Rate for Payer: United Healthcare Commercial $1,869.89
Rate for Payer: United Healthcare Medicare $1,116.06
Rate for Payer: WINHealth Partners Commercial $1,918.84
Rate for Payer: Wise Provider Network Commercial $1,860.10
Service Code HCPCS 73700
Hospital Charge Code 3527370004
Hospital Revenue Code 352
Min. Negotiated Rate $1,060.26
Max. Negotiated Rate $1,958.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,918.84
Rate for Payer: Aetna of WY Medicare $1,292.28
Rate for Payer: Altius Commercial $1,879.68
Rate for Payer: Beech Street Commercial $1,918.84
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,899.26
Rate for Payer: Cash Price $1,370.60
Rate for Payer: ChoiceCare Network Commercial $1,899.26
Rate for Payer: Cigna of WY Commercial $1,918.84
Rate for Payer: Entrust Commercial $1,860.10
Rate for Payer: First Choice Health Commercial $1,860.10
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,860.10
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,116.06
Rate for Payer: HealthUtah PPO $1,958.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,899.26
Rate for Payer: Multiplan Medicare/VA $1,060.26
Rate for Payer: One Health Plan of WY PPO $1,918.84
Rate for Payer: PacificSource Commercial $1,762.20
Rate for Payer: PHCS PPO $1,918.84
Rate for Payer: Three Rivers PPO $1,468.50
Rate for Payer: TriWest Veterans Administration $1,116.06
Rate for Payer: United Healthcare Commercial $1,869.89
Rate for Payer: United Healthcare Medicare $1,116.06
Rate for Payer: WINHealth Partners Commercial $1,918.84
Rate for Payer: Wise Provider Network Commercial $1,860.10
Service Code HCPCS 73700
Hospital Charge Code 3527370004
Hospital Revenue Code 352
Min. Negotiated Rate $1,134.66
Max. Negotiated Rate $1,958.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,918.84
Rate for Payer: Aetna of WY Medicare $1,253.12
Rate for Payer: Altius Commercial $1,879.68
Rate for Payer: Beech Street Commercial $1,918.84
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,899.26
Rate for Payer: Cash Price $1,370.60
Rate for Payer: ChoiceCare Network Commercial $1,899.26
Rate for Payer: Cigna of WY Commercial $1,918.84
Rate for Payer: Entrust Commercial $1,860.10
Rate for Payer: First Choice Health Commercial $1,860.10
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,860.10
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,194.38
Rate for Payer: HealthUtah PPO $1,958.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,899.26
Rate for Payer: Multiplan Medicare/VA $1,134.66
Rate for Payer: One Health Plan of WY PPO $1,918.84
Rate for Payer: PacificSource Commercial $1,762.20
Rate for Payer: PHCS PPO $1,918.84
Rate for Payer: Three Rivers PPO $1,468.50
Rate for Payer: TriWest Veterans Administration $1,194.38
Rate for Payer: United Healthcare Commercial $1,869.89
Rate for Payer: United Healthcare Medicare $1,194.38
Rate for Payer: WINHealth Partners Commercial $1,860.10
Rate for Payer: Wise Provider Network Commercial $1,860.10
Service Code HCPCS 73700
Hospital Charge Code 3527370007
Hospital Revenue Code 352
Min. Negotiated Rate $1,060.26
Max. Negotiated Rate $1,958.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,918.84
Rate for Payer: Aetna of WY Medicare $1,292.28
Rate for Payer: Altius Commercial $1,879.68
Rate for Payer: Beech Street Commercial $1,918.84
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,899.26
Rate for Payer: Cash Price $1,370.60
Rate for Payer: ChoiceCare Network Commercial $1,899.26
Rate for Payer: Cigna of WY Commercial $1,918.84
Rate for Payer: Entrust Commercial $1,860.10
Rate for Payer: First Choice Health Commercial $1,860.10
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,860.10
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,116.06
Rate for Payer: HealthUtah PPO $1,958.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,899.26
Rate for Payer: Multiplan Medicare/VA $1,060.26
Rate for Payer: One Health Plan of WY PPO $1,918.84
Rate for Payer: PacificSource Commercial $1,762.20
Rate for Payer: PHCS PPO $1,918.84
Rate for Payer: Three Rivers PPO $1,468.50
Rate for Payer: TriWest Veterans Administration $1,116.06
Rate for Payer: United Healthcare Commercial $1,869.89
Rate for Payer: United Healthcare Medicare $1,116.06
Rate for Payer: WINHealth Partners Commercial $1,918.84
Rate for Payer: Wise Provider Network Commercial $1,860.10
Service Code HCPCS 73700
Hospital Charge Code 3527370007
Hospital Revenue Code 352
Min. Negotiated Rate $1,134.66
Max. Negotiated Rate $1,958.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,918.84
Rate for Payer: Aetna of WY Medicare $1,253.12
Rate for Payer: Altius Commercial $1,879.68
Rate for Payer: Beech Street Commercial $1,918.84
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,899.26
Rate for Payer: Cash Price $1,370.60
Rate for Payer: ChoiceCare Network Commercial $1,899.26
Rate for Payer: Cigna of WY Commercial $1,918.84
Rate for Payer: Entrust Commercial $1,860.10
Rate for Payer: First Choice Health Commercial $1,860.10
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,860.10
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,194.38
Rate for Payer: HealthUtah PPO $1,958.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,899.26
Rate for Payer: Multiplan Medicare/VA $1,134.66
Rate for Payer: One Health Plan of WY PPO $1,918.84
Rate for Payer: PacificSource Commercial $1,762.20
Rate for Payer: PHCS PPO $1,918.84
Rate for Payer: Three Rivers PPO $1,468.50
Rate for Payer: TriWest Veterans Administration $1,194.38
Rate for Payer: United Healthcare Commercial $1,869.89
Rate for Payer: United Healthcare Medicare $1,194.38
Rate for Payer: WINHealth Partners Commercial $1,860.10
Rate for Payer: Wise Provider Network Commercial $1,860.10
Service Code HCPCS 73700
Hospital Charge Code 3527370008
Hospital Revenue Code 352
Min. Negotiated Rate $1,060.26
Max. Negotiated Rate $1,958.00
Rate for Payer: United Healthcare Commercial $1,869.89
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,918.84
Rate for Payer: Aetna of WY Medicare $1,292.28
Rate for Payer: Altius Commercial $1,879.68
Rate for Payer: Beech Street Commercial $1,918.84
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,899.26
Rate for Payer: Cash Price $1,370.60
Rate for Payer: ChoiceCare Network Commercial $1,899.26
Rate for Payer: Cigna of WY Commercial $1,918.84
Rate for Payer: Entrust Commercial $1,860.10
Rate for Payer: First Choice Health Commercial $1,860.10
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,860.10
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,116.06
Rate for Payer: HealthUtah PPO $1,958.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,899.26
Rate for Payer: Multiplan Medicare/VA $1,060.26
Rate for Payer: One Health Plan of WY PPO $1,918.84
Rate for Payer: PacificSource Commercial $1,762.20
Rate for Payer: PHCS PPO $1,918.84
Rate for Payer: Three Rivers PPO $1,468.50
Rate for Payer: TriWest Veterans Administration $1,116.06
Rate for Payer: United Healthcare Medicare $1,116.06
Rate for Payer: WINHealth Partners Commercial $1,918.84
Rate for Payer: Wise Provider Network Commercial $1,860.10
Service Code HCPCS 73700
Hospital Charge Code 3527370008
Hospital Revenue Code 352
Min. Negotiated Rate $1,134.66
Max. Negotiated Rate $1,958.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,918.84
Rate for Payer: Aetna of WY Medicare $1,253.12
Rate for Payer: Altius Commercial $1,879.68
Rate for Payer: Beech Street Commercial $1,918.84
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,899.26
Rate for Payer: Cash Price $1,370.60
Rate for Payer: ChoiceCare Network Commercial $1,899.26
Rate for Payer: Cigna of WY Commercial $1,918.84
Rate for Payer: Entrust Commercial $1,860.10
Rate for Payer: First Choice Health Commercial $1,860.10
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,860.10
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,194.38
Rate for Payer: HealthUtah PPO $1,958.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,899.26
Rate for Payer: Multiplan Medicare/VA $1,134.66
Rate for Payer: One Health Plan of WY PPO $1,918.84
Rate for Payer: PacificSource Commercial $1,762.20
Rate for Payer: PHCS PPO $1,918.84
Rate for Payer: Three Rivers PPO $1,468.50
Rate for Payer: TriWest Veterans Administration $1,194.38
Rate for Payer: United Healthcare Commercial $1,869.89
Rate for Payer: United Healthcare Medicare $1,194.38
Rate for Payer: WINHealth Partners Commercial $1,860.10
Rate for Payer: Wise Provider Network Commercial $1,860.10
Service Code HCPCS 73700
Hospital Charge Code 3527370001
Hospital Revenue Code 352
Min. Negotiated Rate $1,134.66
Max. Negotiated Rate $1,958.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,918.84
Rate for Payer: Aetna of WY Medicare $1,253.12
Rate for Payer: Altius Commercial $1,879.68
Rate for Payer: Beech Street Commercial $1,918.84
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,899.26
Rate for Payer: Cash Price $1,370.60
Rate for Payer: ChoiceCare Network Commercial $1,899.26
Rate for Payer: Cigna of WY Commercial $1,918.84
Rate for Payer: Entrust Commercial $1,860.10
Rate for Payer: First Choice Health Commercial $1,860.10
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,860.10
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,194.38
Rate for Payer: HealthUtah PPO $1,958.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,899.26
Rate for Payer: Multiplan Medicare/VA $1,134.66
Rate for Payer: One Health Plan of WY PPO $1,918.84
Rate for Payer: PacificSource Commercial $1,762.20
Rate for Payer: PHCS PPO $1,918.84
Rate for Payer: Three Rivers PPO $1,468.50
Rate for Payer: TriWest Veterans Administration $1,194.38
Rate for Payer: United Healthcare Commercial $1,869.89
Rate for Payer: United Healthcare Medicare $1,194.38
Rate for Payer: WINHealth Partners Commercial $1,860.10
Rate for Payer: Wise Provider Network Commercial $1,860.10
Service Code HCPCS 73700
Hospital Charge Code 3527370001
Hospital Revenue Code 352
Min. Negotiated Rate $1,060.26
Max. Negotiated Rate $1,958.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,918.84
Rate for Payer: Aetna of WY Medicare $1,292.28
Rate for Payer: Altius Commercial $1,879.68
Rate for Payer: Beech Street Commercial $1,918.84
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,899.26
Rate for Payer: Cash Price $1,370.60
Rate for Payer: ChoiceCare Network Commercial $1,899.26
Rate for Payer: Cigna of WY Commercial $1,918.84
Rate for Payer: Entrust Commercial $1,860.10
Rate for Payer: First Choice Health Commercial $1,860.10
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,860.10
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,116.06
Rate for Payer: HealthUtah PPO $1,958.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,899.26
Rate for Payer: Multiplan Medicare/VA $1,060.26
Rate for Payer: One Health Plan of WY PPO $1,918.84
Rate for Payer: PacificSource Commercial $1,762.20
Rate for Payer: PHCS PPO $1,918.84
Rate for Payer: Three Rivers PPO $1,468.50
Rate for Payer: TriWest Veterans Administration $1,116.06
Rate for Payer: United Healthcare Commercial $1,869.89
Rate for Payer: United Healthcare Medicare $1,116.06
Rate for Payer: WINHealth Partners Commercial $1,918.84
Rate for Payer: Wise Provider Network Commercial $1,860.10
Service Code HCPCS 73700
Hospital Charge Code 3527370002
Hospital Revenue Code 352
Min. Negotiated Rate $1,060.26
Max. Negotiated Rate $1,958.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,918.84
Rate for Payer: Aetna of WY Medicare $1,292.28
Rate for Payer: Altius Commercial $1,879.68
Rate for Payer: Beech Street Commercial $1,918.84
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,899.26
Rate for Payer: Cash Price $1,370.60
Rate for Payer: ChoiceCare Network Commercial $1,899.26
Rate for Payer: Cigna of WY Commercial $1,918.84
Rate for Payer: Entrust Commercial $1,860.10
Rate for Payer: First Choice Health Commercial $1,860.10
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,860.10
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,116.06
Rate for Payer: HealthUtah PPO $1,958.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,899.26
Rate for Payer: Multiplan Medicare/VA $1,060.26
Rate for Payer: One Health Plan of WY PPO $1,918.84
Rate for Payer: PacificSource Commercial $1,762.20
Rate for Payer: PHCS PPO $1,918.84
Rate for Payer: Three Rivers PPO $1,468.50
Rate for Payer: TriWest Veterans Administration $1,116.06
Rate for Payer: United Healthcare Commercial $1,869.89
Rate for Payer: United Healthcare Medicare $1,116.06
Rate for Payer: WINHealth Partners Commercial $1,918.84
Rate for Payer: Wise Provider Network Commercial $1,860.10
Service Code HCPCS 73700
Hospital Charge Code 3527370002
Hospital Revenue Code 352
Min. Negotiated Rate $1,134.66
Max. Negotiated Rate $1,958.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,918.84
Rate for Payer: Aetna of WY Medicare $1,253.12
Rate for Payer: Altius Commercial $1,879.68
Rate for Payer: Beech Street Commercial $1,918.84
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,899.26
Rate for Payer: Cash Price $1,370.60
Rate for Payer: ChoiceCare Network Commercial $1,899.26
Rate for Payer: Cigna of WY Commercial $1,918.84
Rate for Payer: Entrust Commercial $1,860.10
Rate for Payer: First Choice Health Commercial $1,860.10
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,860.10
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,194.38
Rate for Payer: HealthUtah PPO $1,958.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,899.26
Rate for Payer: Multiplan Medicare/VA $1,134.66
Rate for Payer: One Health Plan of WY PPO $1,918.84
Rate for Payer: PacificSource Commercial $1,762.20
Rate for Payer: PHCS PPO $1,918.84
Rate for Payer: Three Rivers PPO $1,468.50
Rate for Payer: TriWest Veterans Administration $1,194.38
Rate for Payer: United Healthcare Commercial $1,869.89
Rate for Payer: United Healthcare Medicare $1,194.38
Rate for Payer: WINHealth Partners Commercial $1,860.10
Rate for Payer: Wise Provider Network Commercial $1,860.10