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Service Code HCPCS 99156
Hospital Charge Code 3709915601
Hospital Revenue Code 370
Min. Negotiated Rate $140.50
Max. Negotiated Rate $255.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $249.90
Rate for Payer: Aetna of WY Commercial/Medical Rental $220.50
Rate for Payer: Aetna of WY Medicare $168.30
Rate for Payer: Aetna of WY Medicare $148.50
Rate for Payer: Altius Auto/Workers Compensation $216.00
Rate for Payer: Altius Auto/Workers Compensation $244.80
Rate for Payer: Altius Commercial $244.80
Rate for Payer: Altius Commercial $216.00
Rate for Payer: Beech Street Commercial $220.50
Rate for Payer: Beech Street Commercial $249.90
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $209.36
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $184.72
Rate for Payer: Cash Price $157.50
Rate for Payer: Cash Price $178.50
Rate for Payer: ChoiceCare Network Commercial $247.35
Rate for Payer: ChoiceCare Network Commercial $218.25
Rate for Payer: Cigna of WY Commercial $220.50
Rate for Payer: Cigna of WY Commercial $249.90
Rate for Payer: Entrust Commercial $242.25
Rate for Payer: Entrust Commercial $213.75
Rate for Payer: First Choice Health Commercial $213.75
Rate for Payer: First Choice Health Commercial $242.25
Rate for Payer: Government Employees Health Association (GEHA) Commercial $213.75
Rate for Payer: Government Employees Health Association (GEHA) Commercial $242.25
Rate for Payer: Government Employees Health Association (GEHA) Medicare $147.90
Rate for Payer: Government Employees Health Association (GEHA) Medicare $130.50
Rate for Payer: HealthUtah PPO $225.00
Rate for Payer: HealthUtah PPO $255.00
Rate for Payer: Idaho Integrated Healthcare Commercial $218.25
Rate for Payer: Idaho Integrated Healthcare Commercial $247.35
Rate for Payer: Multiplan Medicare/VA $140.50
Rate for Payer: Multiplan Medicare/VA $123.98
Rate for Payer: One Health Plan of WY PPO $220.50
Rate for Payer: One Health Plan of WY PPO $249.90
Rate for Payer: PacificSource Commercial $229.50
Rate for Payer: PacificSource Commercial $202.50
Rate for Payer: PHCS PPO $220.50
Rate for Payer: PHCS PPO $249.90
Rate for Payer: Three Rivers PPO $168.75
Rate for Payer: Three Rivers PPO $191.25
Rate for Payer: TriWest Veterans Administration $147.90
Rate for Payer: TriWest Veterans Administration $130.50
Rate for Payer: United Healthcare Commercial $195.75
Rate for Payer: United Healthcare Commercial $221.85
Rate for Payer: United Healthcare Medicare $147.90
Rate for Payer: United Healthcare Medicare $130.50
Rate for Payer: WINHealth Partners Commercial $220.50
Rate for Payer: WINHealth Partners Commercial $249.90
Rate for Payer: Wise Provider Network Commercial $213.75
Rate for Payer: Wise Provider Network Commercial $242.25
Service Code HCPCS 99151
Hospital Charge Code 3709915101
Hospital Revenue Code 370
Min. Negotiated Rate $140.50
Max. Negotiated Rate $255.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $249.90
Rate for Payer: Aetna of WY Commercial/Medical Rental $210.70
Rate for Payer: Aetna of WY Medicare $168.30
Rate for Payer: Aetna of WY Medicare $141.90
Rate for Payer: Altius Auto/Workers Compensation $206.40
Rate for Payer: Altius Auto/Workers Compensation $244.80
Rate for Payer: Altius Commercial $244.80
Rate for Payer: Altius Commercial $206.40
Rate for Payer: Beech Street Commercial $210.70
Rate for Payer: Beech Street Commercial $249.90
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $209.36
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $176.52
Rate for Payer: Cash Price $150.50
Rate for Payer: Cash Price $178.50
Rate for Payer: ChoiceCare Network Commercial $247.35
Rate for Payer: ChoiceCare Network Commercial $208.55
Rate for Payer: Cigna of WY Commercial $210.70
Rate for Payer: Cigna of WY Commercial $249.90
Rate for Payer: Entrust Commercial $242.25
Rate for Payer: Entrust Commercial $204.25
Rate for Payer: First Choice Health Commercial $204.25
Rate for Payer: First Choice Health Commercial $242.25
Rate for Payer: Government Employees Health Association (GEHA) Commercial $204.25
Rate for Payer: Government Employees Health Association (GEHA) Commercial $242.25
Rate for Payer: Government Employees Health Association (GEHA) Medicare $147.90
Rate for Payer: Government Employees Health Association (GEHA) Medicare $124.70
Rate for Payer: HealthUtah PPO $215.00
Rate for Payer: HealthUtah PPO $255.00
Rate for Payer: Idaho Integrated Healthcare Commercial $208.55
Rate for Payer: Idaho Integrated Healthcare Commercial $247.35
Rate for Payer: Multiplan Medicare/VA $140.50
Rate for Payer: Multiplan Medicare/VA $118.46
Rate for Payer: One Health Plan of WY PPO $210.70
Rate for Payer: One Health Plan of WY PPO $249.90
Rate for Payer: PacificSource Commercial $229.50
Rate for Payer: PacificSource Commercial $193.50
Rate for Payer: PHCS PPO $210.70
Rate for Payer: PHCS PPO $249.90
Rate for Payer: Three Rivers PPO $161.25
Rate for Payer: Three Rivers PPO $191.25
Rate for Payer: TriWest Veterans Administration $147.90
Rate for Payer: TriWest Veterans Administration $124.70
Rate for Payer: United Healthcare Commercial $187.05
Rate for Payer: United Healthcare Commercial $221.85
Rate for Payer: United Healthcare Medicare $147.90
Rate for Payer: United Healthcare Medicare $124.70
Rate for Payer: WINHealth Partners Commercial $210.70
Rate for Payer: WINHealth Partners Commercial $249.90
Rate for Payer: Wise Provider Network Commercial $204.25
Rate for Payer: Wise Provider Network Commercial $242.25
Service Code HCPCS 99151
Hospital Charge Code 3709915101
Hospital Revenue Code 370
Min. Negotiated Rate $159.88
Max. Negotiated Rate $255.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $249.90
Rate for Payer: Aetna of WY Commercial/Medical Rental $210.70
Rate for Payer: Altius Auto/Workers Compensation $206.40
Rate for Payer: Altius Auto/Workers Compensation $244.80
Rate for Payer: Altius Commercial $206.40
Rate for Payer: Altius Commercial $244.80
Rate for Payer: Beech Street Commercial $249.90
Rate for Payer: Beech Street Commercial $210.70
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $209.36
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $176.52
Rate for Payer: Cash Price $150.50
Rate for Payer: Cash Price $178.50
Rate for Payer: ChoiceCare Network Commercial $247.35
Rate for Payer: ChoiceCare Network Commercial $208.55
Rate for Payer: Cigna of WY Commercial $210.70
Rate for Payer: Cigna of WY Commercial $249.90
Rate for Payer: Entrust Commercial $204.25
Rate for Payer: Entrust Commercial $242.25
Rate for Payer: First Choice Health Commercial $242.25
Rate for Payer: First Choice Health Commercial $204.25
Rate for Payer: Government Employees Health Association (GEHA) Commercial $204.25
Rate for Payer: Government Employees Health Association (GEHA) Commercial $242.25
Rate for Payer: Government Employees Health Association (GEHA) Medicare $168.30
Rate for Payer: Government Employees Health Association (GEHA) Medicare $141.90
Rate for Payer: HealthUtah PPO $255.00
Rate for Payer: HealthUtah PPO $215.00
Rate for Payer: Idaho Integrated Healthcare Commercial $247.35
Rate for Payer: Idaho Integrated Healthcare Commercial $208.55
Rate for Payer: Multiplan Medicare/VA $159.88
Rate for Payer: Multiplan Medicare/VA $134.80
Rate for Payer: One Health Plan of WY PPO $210.70
Rate for Payer: One Health Plan of WY PPO $249.90
Rate for Payer: PacificSource Commercial $229.50
Rate for Payer: PacificSource Commercial $193.50
Rate for Payer: PHCS PPO $210.70
Rate for Payer: PHCS PPO $249.90
Rate for Payer: Three Rivers PPO $161.25
Rate for Payer: Three Rivers PPO $191.25
Rate for Payer: TriWest Veterans Administration $168.30
Rate for Payer: TriWest Veterans Administration $141.90
Rate for Payer: United Healthcare Commercial $221.85
Rate for Payer: United Healthcare Commercial $187.05
Rate for Payer: United Healthcare Medicare $141.90
Rate for Payer: United Healthcare Medicare $168.30
Rate for Payer: WINHealth Partners Commercial $204.25
Rate for Payer: WINHealth Partners Commercial $242.25
Rate for Payer: Wise Provider Network Commercial $242.25
Rate for Payer: Wise Provider Network Commercial $204.25
Service Code HCPCS 99153
Hospital Charge Code 3709915301
Hospital Revenue Code 370
Min. Negotiated Rate $24.45
Max. Negotiated Rate $39.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $38.22
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,151.50
Rate for Payer: Altius Auto/Workers Compensation $37.44
Rate for Payer: Altius Auto/Workers Compensation $1,128.00
Rate for Payer: Altius Commercial $1,128.00
Rate for Payer: Altius Commercial $37.44
Rate for Payer: Beech Street Commercial $38.22
Rate for Payer: Beech Street Commercial $1,151.50
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $964.68
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $32.02
Rate for Payer: Cash Price $27.30
Rate for Payer: Cash Price $822.50
Rate for Payer: ChoiceCare Network Commercial $1,139.75
Rate for Payer: ChoiceCare Network Commercial $37.83
Rate for Payer: Cigna of WY Commercial $38.22
Rate for Payer: Cigna of WY Commercial $1,151.50
Rate for Payer: Entrust Commercial $1,116.25
Rate for Payer: Entrust Commercial $37.05
Rate for Payer: First Choice Health Commercial $1,116.25
Rate for Payer: First Choice Health Commercial $37.05
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,116.25
Rate for Payer: Government Employees Health Association (GEHA) Commercial $37.05
Rate for Payer: Government Employees Health Association (GEHA) Medicare $25.74
Rate for Payer: Government Employees Health Association (GEHA) Medicare $775.50
Rate for Payer: HealthUtah PPO $39.00
Rate for Payer: HealthUtah PPO $1,175.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,139.75
Rate for Payer: Idaho Integrated Healthcare Commercial $37.83
Rate for Payer: Multiplan Medicare/VA $24.45
Rate for Payer: Multiplan Medicare/VA $736.72
Rate for Payer: One Health Plan of WY PPO $38.22
Rate for Payer: One Health Plan of WY PPO $1,151.50
Rate for Payer: PacificSource Commercial $35.10
Rate for Payer: PacificSource Commercial $1,057.50
Rate for Payer: PHCS PPO $1,151.50
Rate for Payer: PHCS PPO $38.22
Rate for Payer: Three Rivers PPO $881.25
Rate for Payer: Three Rivers PPO $29.25
Rate for Payer: TriWest Veterans Administration $25.74
Rate for Payer: TriWest Veterans Administration $775.50
Rate for Payer: United Healthcare Commercial $1,022.25
Rate for Payer: United Healthcare Commercial $33.93
Rate for Payer: United Healthcare Medicare $25.74
Rate for Payer: United Healthcare Medicare $775.50
Rate for Payer: WINHealth Partners Commercial $1,116.25
Rate for Payer: WINHealth Partners Commercial $37.05
Rate for Payer: Wise Provider Network Commercial $1,116.25
Rate for Payer: Wise Provider Network Commercial $37.05
Service Code HCPCS 99153
Hospital Charge Code 3709915301
Hospital Revenue Code 370
Min. Negotiated Rate $21.49
Max. Negotiated Rate $39.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $38.22
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,151.50
Rate for Payer: Aetna of WY Medicare $25.74
Rate for Payer: Aetna of WY Medicare $775.50
Rate for Payer: Altius Auto/Workers Compensation $1,128.00
Rate for Payer: Altius Auto/Workers Compensation $37.44
Rate for Payer: Altius Commercial $37.44
Rate for Payer: Altius Commercial $1,128.00
Rate for Payer: Beech Street Commercial $1,151.50
Rate for Payer: Beech Street Commercial $38.22
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $32.02
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $964.68
Rate for Payer: Cash Price $822.50
Rate for Payer: Cash Price $27.30
Rate for Payer: ChoiceCare Network Commercial $37.83
Rate for Payer: ChoiceCare Network Commercial $1,139.75
Rate for Payer: Cigna of WY Commercial $1,151.50
Rate for Payer: Cigna of WY Commercial $38.22
Rate for Payer: Entrust Commercial $37.05
Rate for Payer: Entrust Commercial $1,116.25
Rate for Payer: First Choice Health Commercial $1,116.25
Rate for Payer: First Choice Health Commercial $37.05
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,116.25
Rate for Payer: Government Employees Health Association (GEHA) Commercial $37.05
Rate for Payer: Government Employees Health Association (GEHA) Medicare $22.62
Rate for Payer: Government Employees Health Association (GEHA) Medicare $681.50
Rate for Payer: HealthUtah PPO $1,175.00
Rate for Payer: HealthUtah PPO $39.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,139.75
Rate for Payer: Idaho Integrated Healthcare Commercial $37.83
Rate for Payer: Multiplan Medicare/VA $21.49
Rate for Payer: Multiplan Medicare/VA $647.42
Rate for Payer: One Health Plan of WY PPO $1,151.50
Rate for Payer: One Health Plan of WY PPO $38.22
Rate for Payer: PacificSource Commercial $35.10
Rate for Payer: PacificSource Commercial $1,057.50
Rate for Payer: PHCS PPO $1,151.50
Rate for Payer: PHCS PPO $38.22
Rate for Payer: Three Rivers PPO $881.25
Rate for Payer: Three Rivers PPO $29.25
Rate for Payer: TriWest Veterans Administration $22.62
Rate for Payer: TriWest Veterans Administration $681.50
Rate for Payer: United Healthcare Commercial $1,022.25
Rate for Payer: United Healthcare Commercial $33.93
Rate for Payer: United Healthcare Medicare $22.62
Rate for Payer: United Healthcare Medicare $681.50
Rate for Payer: WINHealth Partners Commercial $1,151.50
Rate for Payer: WINHealth Partners Commercial $38.22
Rate for Payer: Wise Provider Network Commercial $1,116.25
Rate for Payer: Wise Provider Network Commercial $37.05
Service Code HCPCS 99152
Hospital Charge Code 3709915201
Hospital Revenue Code 370
Min. Negotiated Rate $739.86
Max. Negotiated Rate $1,180.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,156.40
Rate for Payer: Altius Auto/Workers Compensation $1,132.80
Rate for Payer: Altius Commercial $1,132.80
Rate for Payer: Beech Street Commercial $1,156.40
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $968.78
Rate for Payer: Cash Price $826.00
Rate for Payer: ChoiceCare Network Commercial $1,144.60
Rate for Payer: Cigna of WY Commercial $1,156.40
Rate for Payer: Entrust Commercial $1,121.00
Rate for Payer: First Choice Health Commercial $1,121.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,121.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $778.80
Rate for Payer: HealthUtah PPO $1,180.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,144.60
Rate for Payer: Multiplan Medicare/VA $739.86
Rate for Payer: One Health Plan of WY PPO $1,156.40
Rate for Payer: PacificSource Commercial $1,062.00
Rate for Payer: PHCS PPO $1,156.40
Rate for Payer: Three Rivers PPO $885.00
Rate for Payer: TriWest Veterans Administration $778.80
Rate for Payer: United Healthcare Commercial $1,026.60
Rate for Payer: United Healthcare Medicare $778.80
Rate for Payer: WINHealth Partners Commercial $1,121.00
Rate for Payer: Wise Provider Network Commercial $1,121.00
Service Code HCPCS 99152
Hospital Charge Code 3709915201
Hospital Revenue Code 370
Min. Negotiated Rate $650.18
Max. Negotiated Rate $1,180.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,156.40
Rate for Payer: Aetna of WY Medicare $778.80
Rate for Payer: Altius Auto/Workers Compensation $1,132.80
Rate for Payer: Altius Commercial $1,132.80
Rate for Payer: Beech Street Commercial $1,156.40
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $968.78
Rate for Payer: Cash Price $826.00
Rate for Payer: ChoiceCare Network Commercial $1,144.60
Rate for Payer: Cigna of WY Commercial $1,156.40
Rate for Payer: Entrust Commercial $1,121.00
Rate for Payer: First Choice Health Commercial $1,121.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,121.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $684.40
Rate for Payer: HealthUtah PPO $1,180.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,144.60
Rate for Payer: Multiplan Medicare/VA $650.18
Rate for Payer: One Health Plan of WY PPO $1,156.40
Rate for Payer: PacificSource Commercial $1,062.00
Rate for Payer: PHCS PPO $1,156.40
Rate for Payer: Three Rivers PPO $885.00
Rate for Payer: TriWest Veterans Administration $684.40
Rate for Payer: United Healthcare Commercial $1,026.60
Rate for Payer: United Healthcare Medicare $684.40
Rate for Payer: WINHealth Partners Commercial $1,156.40
Rate for Payer: Wise Provider Network Commercial $1,121.00
Service Code HCPCS 86362
Hospital Charge Code 3028636201
Hospital Revenue Code 302
Min. Negotiated Rate $22.04
Max. Negotiated Rate $40.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $39.20
Rate for Payer: Aetna of WY Medicare $26.40
Rate for Payer: Altius Auto/Workers Compensation $38.40
Rate for Payer: Altius Commercial $38.40
Rate for Payer: Beech Street Commercial $39.20
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $32.84
Rate for Payer: Cash Price $28.00
Rate for Payer: ChoiceCare Network Commercial $38.80
Rate for Payer: Cigna of WY Commercial $39.20
Rate for Payer: Entrust Commercial $38.00
Rate for Payer: First Choice Health Commercial $38.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $38.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $23.20
Rate for Payer: HealthUtah PPO $40.00
Rate for Payer: Idaho Integrated Healthcare Commercial $38.80
Rate for Payer: Multiplan Medicare/VA $22.04
Rate for Payer: One Health Plan of WY PPO $39.20
Rate for Payer: PacificSource Commercial $36.00
Rate for Payer: PHCS PPO $39.20
Rate for Payer: Three Rivers PPO $30.00
Rate for Payer: TriWest Veterans Administration $23.20
Rate for Payer: United Healthcare Commercial $34.80
Rate for Payer: United Healthcare Medicare $23.20
Rate for Payer: WINHealth Partners Commercial $39.20
Rate for Payer: Wise Provider Network Commercial $38.00
Service Code HCPCS 86362
Hospital Charge Code 3028636201
Hospital Revenue Code 302
Min. Negotiated Rate $25.08
Max. Negotiated Rate $40.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $39.20
Rate for Payer: Altius Auto/Workers Compensation $38.40
Rate for Payer: Altius Commercial $38.40
Rate for Payer: Beech Street Commercial $39.20
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $32.84
Rate for Payer: Cash Price $28.00
Rate for Payer: ChoiceCare Network Commercial $38.80
Rate for Payer: Cigna of WY Commercial $39.20
Rate for Payer: Entrust Commercial $38.00
Rate for Payer: First Choice Health Commercial $38.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $38.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $26.40
Rate for Payer: HealthUtah PPO $40.00
Rate for Payer: Idaho Integrated Healthcare Commercial $38.80
Rate for Payer: Multiplan Medicare/VA $25.08
Rate for Payer: One Health Plan of WY PPO $39.20
Rate for Payer: PacificSource Commercial $36.00
Rate for Payer: PHCS PPO $39.20
Rate for Payer: Three Rivers PPO $30.00
Rate for Payer: TriWest Veterans Administration $26.40
Rate for Payer: United Healthcare Commercial $34.80
Rate for Payer: United Healthcare Medicare $26.40
Rate for Payer: WINHealth Partners Commercial $38.00
Rate for Payer: Wise Provider Network Commercial $38.00
Service Code HCPCS 88273
Hospital Charge Code 3118827301
Hospital Revenue Code 311
Min. Negotiated Rate $123.98
Max. Negotiated Rate $225.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $220.50
Rate for Payer: Aetna of WY Medicare $148.50
Rate for Payer: Altius Auto/Workers Compensation $216.00
Rate for Payer: Altius Commercial $216.00
Rate for Payer: Beech Street Commercial $220.50
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $184.72
Rate for Payer: Cash Price $157.50
Rate for Payer: ChoiceCare Network Commercial $218.25
Rate for Payer: Cigna of WY Commercial $220.50
Rate for Payer: Entrust Commercial $213.75
Rate for Payer: First Choice Health Commercial $213.75
Rate for Payer: Government Employees Health Association (GEHA) Commercial $213.75
Rate for Payer: Government Employees Health Association (GEHA) Medicare $130.50
Rate for Payer: HealthUtah PPO $225.00
Rate for Payer: Idaho Integrated Healthcare Commercial $218.25
Rate for Payer: Multiplan Medicare/VA $123.98
Rate for Payer: One Health Plan of WY PPO $220.50
Rate for Payer: PacificSource Commercial $202.50
Rate for Payer: PHCS PPO $220.50
Rate for Payer: Three Rivers PPO $168.75
Rate for Payer: TriWest Veterans Administration $130.50
Rate for Payer: United Healthcare Commercial $195.75
Rate for Payer: United Healthcare Medicare $130.50
Rate for Payer: WINHealth Partners Commercial $220.50
Rate for Payer: Wise Provider Network Commercial $213.75
Service Code HCPCS 88273
Hospital Charge Code 3118827301
Hospital Revenue Code 311
Min. Negotiated Rate $141.08
Max. Negotiated Rate $225.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $220.50
Rate for Payer: Altius Auto/Workers Compensation $216.00
Rate for Payer: Altius Commercial $216.00
Rate for Payer: Beech Street Commercial $220.50
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $184.72
Rate for Payer: Cash Price $157.50
Rate for Payer: ChoiceCare Network Commercial $218.25
Rate for Payer: Cigna of WY Commercial $220.50
Rate for Payer: Entrust Commercial $213.75
Rate for Payer: First Choice Health Commercial $213.75
Rate for Payer: Government Employees Health Association (GEHA) Commercial $213.75
Rate for Payer: Government Employees Health Association (GEHA) Medicare $148.50
Rate for Payer: HealthUtah PPO $225.00
Rate for Payer: Idaho Integrated Healthcare Commercial $218.25
Rate for Payer: Multiplan Medicare/VA $141.08
Rate for Payer: One Health Plan of WY PPO $220.50
Rate for Payer: PacificSource Commercial $202.50
Rate for Payer: PHCS PPO $220.50
Rate for Payer: Three Rivers PPO $168.75
Rate for Payer: TriWest Veterans Administration $148.50
Rate for Payer: United Healthcare Commercial $195.75
Rate for Payer: United Healthcare Medicare $148.50
Rate for Payer: WINHealth Partners Commercial $213.75
Rate for Payer: Wise Provider Network Commercial $213.75
Service Code HCPCS 88271
Hospital Charge Code 3118827101
Hospital Revenue Code 311
Min. Negotiated Rate $115.71
Max. Negotiated Rate $210.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $205.80
Rate for Payer: Aetna of WY Medicare $138.60
Rate for Payer: Altius Auto/Workers Compensation $201.60
Rate for Payer: Altius Commercial $201.60
Rate for Payer: Beech Street Commercial $205.80
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $172.41
Rate for Payer: Cash Price $147.00
Rate for Payer: ChoiceCare Network Commercial $203.70
Rate for Payer: Cigna of WY Commercial $205.80
Rate for Payer: Entrust Commercial $199.50
Rate for Payer: First Choice Health Commercial $199.50
Rate for Payer: Government Employees Health Association (GEHA) Commercial $199.50
Rate for Payer: Government Employees Health Association (GEHA) Medicare $121.80
Rate for Payer: HealthUtah PPO $210.00
Rate for Payer: Idaho Integrated Healthcare Commercial $203.70
Rate for Payer: Multiplan Medicare/VA $115.71
Rate for Payer: One Health Plan of WY PPO $205.80
Rate for Payer: PacificSource Commercial $189.00
Rate for Payer: PHCS PPO $205.80
Rate for Payer: Three Rivers PPO $157.50
Rate for Payer: TriWest Veterans Administration $121.80
Rate for Payer: United Healthcare Commercial $182.70
Rate for Payer: United Healthcare Medicare $121.80
Rate for Payer: WINHealth Partners Commercial $205.80
Rate for Payer: Wise Provider Network Commercial $199.50
Service Code HCPCS 88271
Hospital Charge Code 3118827101
Hospital Revenue Code 311
Min. Negotiated Rate $131.67
Max. Negotiated Rate $210.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $205.80
Rate for Payer: Altius Auto/Workers Compensation $201.60
Rate for Payer: Altius Commercial $201.60
Rate for Payer: Beech Street Commercial $205.80
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $172.41
Rate for Payer: Cash Price $147.00
Rate for Payer: ChoiceCare Network Commercial $203.70
Rate for Payer: Cigna of WY Commercial $205.80
Rate for Payer: Entrust Commercial $199.50
Rate for Payer: First Choice Health Commercial $199.50
Rate for Payer: Government Employees Health Association (GEHA) Commercial $199.50
Rate for Payer: Government Employees Health Association (GEHA) Medicare $138.60
Rate for Payer: HealthUtah PPO $210.00
Rate for Payer: Idaho Integrated Healthcare Commercial $203.70
Rate for Payer: Multiplan Medicare/VA $131.67
Rate for Payer: One Health Plan of WY PPO $205.80
Rate for Payer: PacificSource Commercial $189.00
Rate for Payer: PHCS PPO $205.80
Rate for Payer: Three Rivers PPO $157.50
Rate for Payer: TriWest Veterans Administration $138.60
Rate for Payer: United Healthcare Commercial $182.70
Rate for Payer: United Healthcare Medicare $138.60
Rate for Payer: WINHealth Partners Commercial $199.50
Rate for Payer: Wise Provider Network Commercial $199.50
Service Code HCPCS 81401
Hospital Charge Code 3008140102
Hospital Revenue Code 300
Min. Negotiated Rate $2,257.20
Max. Negotiated Rate $3,600.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $3,528.00
Rate for Payer: Altius Auto/Workers Compensation $3,456.00
Rate for Payer: Altius Commercial $3,456.00
Rate for Payer: Beech Street Commercial $3,528.00
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $2,955.60
Rate for Payer: Cash Price $2,520.00
Rate for Payer: ChoiceCare Network Commercial $3,492.00
Rate for Payer: Cigna of WY Commercial $3,528.00
Rate for Payer: Entrust Commercial $3,420.00
Rate for Payer: First Choice Health Commercial $3,420.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $3,420.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $2,376.00
Rate for Payer: HealthUtah PPO $3,600.00
Rate for Payer: Idaho Integrated Healthcare Commercial $3,492.00
Rate for Payer: Multiplan Medicare/VA $2,257.20
Rate for Payer: One Health Plan of WY PPO $3,528.00
Rate for Payer: PacificSource Commercial $3,240.00
Rate for Payer: PHCS PPO $3,528.00
Rate for Payer: Three Rivers PPO $2,700.00
Rate for Payer: TriWest Veterans Administration $2,376.00
Rate for Payer: United Healthcare Commercial $3,132.00
Rate for Payer: United Healthcare Medicare $2,376.00
Rate for Payer: WINHealth Partners Commercial $3,420.00
Rate for Payer: Wise Provider Network Commercial $3,420.00
Service Code HCPCS 81401
Hospital Charge Code 3008140102
Hospital Revenue Code 300
Min. Negotiated Rate $1,983.60
Max. Negotiated Rate $3,600.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $3,528.00
Rate for Payer: Aetna of WY Medicare $2,376.00
Rate for Payer: Altius Auto/Workers Compensation $3,456.00
Rate for Payer: Altius Commercial $3,456.00
Rate for Payer: Beech Street Commercial $3,528.00
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $2,955.60
Rate for Payer: Cash Price $2,520.00
Rate for Payer: ChoiceCare Network Commercial $3,492.00
Rate for Payer: Cigna of WY Commercial $3,528.00
Rate for Payer: Entrust Commercial $3,420.00
Rate for Payer: First Choice Health Commercial $3,420.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $3,420.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $2,088.00
Rate for Payer: HealthUtah PPO $3,600.00
Rate for Payer: Idaho Integrated Healthcare Commercial $3,492.00
Rate for Payer: Multiplan Medicare/VA $1,983.60
Rate for Payer: One Health Plan of WY PPO $3,528.00
Rate for Payer: PacificSource Commercial $3,240.00
Rate for Payer: PHCS PPO $3,528.00
Rate for Payer: Three Rivers PPO $2,700.00
Rate for Payer: TriWest Veterans Administration $2,088.00
Rate for Payer: United Healthcare Commercial $3,132.00
Rate for Payer: United Healthcare Medicare $2,088.00
Rate for Payer: WINHealth Partners Commercial $3,528.00
Rate for Payer: Wise Provider Network Commercial $3,420.00
Service Code HCPCS 81400
Hospital Charge Code 3108140001
Hospital Revenue Code 310
Min. Negotiated Rate $314.07
Max. Negotiated Rate $570.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $558.60
Rate for Payer: Aetna of WY Medicare $376.20
Rate for Payer: Altius Auto/Workers Compensation $547.20
Rate for Payer: Altius Commercial $547.20
Rate for Payer: Beech Street Commercial $558.60
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $467.97
Rate for Payer: Cash Price $399.00
Rate for Payer: ChoiceCare Network Commercial $552.90
Rate for Payer: Cigna of WY Commercial $558.60
Rate for Payer: Entrust Commercial $541.50
Rate for Payer: First Choice Health Commercial $541.50
Rate for Payer: Government Employees Health Association (GEHA) Commercial $541.50
Rate for Payer: Government Employees Health Association (GEHA) Medicare $330.60
Rate for Payer: HealthUtah PPO $570.00
Rate for Payer: Idaho Integrated Healthcare Commercial $552.90
Rate for Payer: Multiplan Medicare/VA $314.07
Rate for Payer: One Health Plan of WY PPO $558.60
Rate for Payer: PacificSource Commercial $513.00
Rate for Payer: PHCS PPO $558.60
Rate for Payer: Three Rivers PPO $427.50
Rate for Payer: TriWest Veterans Administration $330.60
Rate for Payer: United Healthcare Commercial $495.90
Rate for Payer: United Healthcare Medicare $330.60
Rate for Payer: WINHealth Partners Commercial $558.60
Rate for Payer: Wise Provider Network Commercial $541.50
Service Code HCPCS 81400
Hospital Charge Code 3108140001
Hospital Revenue Code 310
Min. Negotiated Rate $357.39
Max. Negotiated Rate $570.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $558.60
Rate for Payer: Altius Auto/Workers Compensation $547.20
Rate for Payer: Altius Commercial $547.20
Rate for Payer: Beech Street Commercial $558.60
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $467.97
Rate for Payer: Cash Price $399.00
Rate for Payer: ChoiceCare Network Commercial $552.90
Rate for Payer: Cigna of WY Commercial $558.60
Rate for Payer: Entrust Commercial $541.50
Rate for Payer: First Choice Health Commercial $541.50
Rate for Payer: Government Employees Health Association (GEHA) Commercial $541.50
Rate for Payer: Government Employees Health Association (GEHA) Medicare $376.20
Rate for Payer: HealthUtah PPO $570.00
Rate for Payer: Idaho Integrated Healthcare Commercial $552.90
Rate for Payer: Multiplan Medicare/VA $357.39
Rate for Payer: One Health Plan of WY PPO $558.60
Rate for Payer: PacificSource Commercial $513.00
Rate for Payer: PHCS PPO $558.60
Rate for Payer: Three Rivers PPO $427.50
Rate for Payer: TriWest Veterans Administration $376.20
Rate for Payer: United Healthcare Commercial $495.90
Rate for Payer: United Healthcare Medicare $376.20
Rate for Payer: WINHealth Partners Commercial $541.50
Rate for Payer: Wise Provider Network Commercial $541.50
Service Code HCPCS 81401
Hospital Charge Code 3008140101
Hospital Revenue Code 300
Min. Negotiated Rate $789.39
Max. Negotiated Rate $1,259.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,233.82
Rate for Payer: Altius Auto/Workers Compensation $1,208.64
Rate for Payer: Altius Commercial $1,208.64
Rate for Payer: Beech Street Commercial $1,233.82
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,033.64
Rate for Payer: Cash Price $881.30
Rate for Payer: ChoiceCare Network Commercial $1,221.23
Rate for Payer: Cigna of WY Commercial $1,233.82
Rate for Payer: Entrust Commercial $1,196.05
Rate for Payer: First Choice Health Commercial $1,196.05
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,196.05
Rate for Payer: Government Employees Health Association (GEHA) Medicare $830.94
Rate for Payer: HealthUtah PPO $1,259.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,221.23
Rate for Payer: Multiplan Medicare/VA $789.39
Rate for Payer: One Health Plan of WY PPO $1,233.82
Rate for Payer: PacificSource Commercial $1,133.10
Rate for Payer: PHCS PPO $1,233.82
Rate for Payer: Three Rivers PPO $944.25
Rate for Payer: TriWest Veterans Administration $830.94
Rate for Payer: United Healthcare Commercial $1,095.33
Rate for Payer: United Healthcare Medicare $830.94
Rate for Payer: WINHealth Partners Commercial $1,196.05
Rate for Payer: Wise Provider Network Commercial $1,196.05
Service Code HCPCS 81401
Hospital Charge Code 3008140101
Hospital Revenue Code 300
Min. Negotiated Rate $693.71
Max. Negotiated Rate $1,259.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,233.82
Rate for Payer: Aetna of WY Medicare $830.94
Rate for Payer: Altius Auto/Workers Compensation $1,208.64
Rate for Payer: Altius Commercial $1,208.64
Rate for Payer: Beech Street Commercial $1,233.82
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,033.64
Rate for Payer: Cash Price $881.30
Rate for Payer: ChoiceCare Network Commercial $1,221.23
Rate for Payer: Cigna of WY Commercial $1,233.82
Rate for Payer: Entrust Commercial $1,196.05
Rate for Payer: First Choice Health Commercial $1,196.05
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,196.05
Rate for Payer: Government Employees Health Association (GEHA) Medicare $730.22
Rate for Payer: HealthUtah PPO $1,259.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,221.23
Rate for Payer: Multiplan Medicare/VA $693.71
Rate for Payer: One Health Plan of WY PPO $1,233.82
Rate for Payer: PacificSource Commercial $1,133.10
Rate for Payer: PHCS PPO $1,233.82
Rate for Payer: Three Rivers PPO $944.25
Rate for Payer: TriWest Veterans Administration $730.22
Rate for Payer: United Healthcare Commercial $1,095.33
Rate for Payer: United Healthcare Medicare $730.22
Rate for Payer: WINHealth Partners Commercial $1,233.82
Rate for Payer: Wise Provider Network Commercial $1,196.05
Service Code HCPCS 81404
Hospital Charge Code 3108140402
Hospital Revenue Code 310
Min. Negotiated Rate $1,377.50
Max. Negotiated Rate $2,500.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,450.00
Rate for Payer: Aetna of WY Medicare $1,650.00
Rate for Payer: Altius Auto/Workers Compensation $2,400.00
Rate for Payer: Altius Commercial $2,400.00
Rate for Payer: Beech Street Commercial $2,450.00
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $2,052.50
Rate for Payer: Cash Price $1,750.00
Rate for Payer: ChoiceCare Network Commercial $2,425.00
Rate for Payer: Cigna of WY Commercial $2,450.00
Rate for Payer: Entrust Commercial $2,375.00
Rate for Payer: First Choice Health Commercial $2,375.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,375.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,450.00
Rate for Payer: HealthUtah PPO $2,500.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,425.00
Rate for Payer: Multiplan Medicare/VA $1,377.50
Rate for Payer: One Health Plan of WY PPO $2,450.00
Rate for Payer: PacificSource Commercial $2,250.00
Rate for Payer: PHCS PPO $2,450.00
Rate for Payer: Three Rivers PPO $1,875.00
Rate for Payer: TriWest Veterans Administration $1,450.00
Rate for Payer: United Healthcare Commercial $2,175.00
Rate for Payer: United Healthcare Medicare $1,450.00
Rate for Payer: WINHealth Partners Commercial $2,450.00
Rate for Payer: Wise Provider Network Commercial $2,375.00
Service Code HCPCS 81404
Hospital Charge Code 3108140402
Hospital Revenue Code 310
Min. Negotiated Rate $1,567.50
Max. Negotiated Rate $2,500.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,450.00
Rate for Payer: Altius Auto/Workers Compensation $2,400.00
Rate for Payer: Altius Commercial $2,400.00
Rate for Payer: Beech Street Commercial $2,450.00
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $2,052.50
Rate for Payer: Cash Price $1,750.00
Rate for Payer: ChoiceCare Network Commercial $2,425.00
Rate for Payer: Cigna of WY Commercial $2,450.00
Rate for Payer: Entrust Commercial $2,375.00
Rate for Payer: First Choice Health Commercial $2,375.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,375.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,650.00
Rate for Payer: HealthUtah PPO $2,500.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,425.00
Rate for Payer: Multiplan Medicare/VA $1,567.50
Rate for Payer: One Health Plan of WY PPO $2,450.00
Rate for Payer: PacificSource Commercial $2,250.00
Rate for Payer: PHCS PPO $2,450.00
Rate for Payer: Three Rivers PPO $1,875.00
Rate for Payer: TriWest Veterans Administration $1,650.00
Rate for Payer: United Healthcare Commercial $2,175.00
Rate for Payer: United Healthcare Medicare $1,650.00
Rate for Payer: WINHealth Partners Commercial $2,375.00
Rate for Payer: Wise Provider Network Commercial $2,375.00
Service Code HCPCS 81403
Hospital Charge Code 3108140301
Hospital Revenue Code 310
Min. Negotiated Rate $661.20
Max. Negotiated Rate $1,200.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,176.00
Rate for Payer: Aetna of WY Medicare $792.00
Rate for Payer: Altius Auto/Workers Compensation $1,152.00
Rate for Payer: Altius Commercial $1,152.00
Rate for Payer: Beech Street Commercial $1,176.00
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $985.20
Rate for Payer: Cash Price $840.00
Rate for Payer: ChoiceCare Network Commercial $1,164.00
Rate for Payer: Cigna of WY Commercial $1,176.00
Rate for Payer: Entrust Commercial $1,140.00
Rate for Payer: First Choice Health Commercial $1,140.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,140.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $696.00
Rate for Payer: HealthUtah PPO $1,200.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,164.00
Rate for Payer: Multiplan Medicare/VA $661.20
Rate for Payer: One Health Plan of WY PPO $1,176.00
Rate for Payer: PacificSource Commercial $1,080.00
Rate for Payer: PHCS PPO $1,176.00
Rate for Payer: Three Rivers PPO $900.00
Rate for Payer: TriWest Veterans Administration $696.00
Rate for Payer: United Healthcare Commercial $1,044.00
Rate for Payer: United Healthcare Medicare $696.00
Rate for Payer: WINHealth Partners Commercial $1,176.00
Rate for Payer: Wise Provider Network Commercial $1,140.00
Service Code HCPCS 81403
Hospital Charge Code 3108140301
Hospital Revenue Code 310
Min. Negotiated Rate $752.40
Max. Negotiated Rate $1,200.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,176.00
Rate for Payer: Altius Auto/Workers Compensation $1,152.00
Rate for Payer: Altius Commercial $1,152.00
Rate for Payer: Beech Street Commercial $1,176.00
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $985.20
Rate for Payer: Cash Price $840.00
Rate for Payer: ChoiceCare Network Commercial $1,164.00
Rate for Payer: Cigna of WY Commercial $1,176.00
Rate for Payer: Entrust Commercial $1,140.00
Rate for Payer: First Choice Health Commercial $1,140.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,140.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $792.00
Rate for Payer: HealthUtah PPO $1,200.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,164.00
Rate for Payer: Multiplan Medicare/VA $752.40
Rate for Payer: One Health Plan of WY PPO $1,176.00
Rate for Payer: PacificSource Commercial $1,080.00
Rate for Payer: PHCS PPO $1,176.00
Rate for Payer: Three Rivers PPO $900.00
Rate for Payer: TriWest Veterans Administration $792.00
Rate for Payer: United Healthcare Commercial $1,044.00
Rate for Payer: United Healthcare Medicare $792.00
Rate for Payer: WINHealth Partners Commercial $1,140.00
Rate for Payer: Wise Provider Network Commercial $1,140.00
Service Code HCPCS 81405
Hospital Charge Code 3108140501
Hospital Revenue Code 310
Min. Negotiated Rate $1,487.70
Max. Negotiated Rate $2,700.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,646.00
Rate for Payer: Aetna of WY Medicare $1,782.00
Rate for Payer: Altius Auto/Workers Compensation $2,592.00
Rate for Payer: Altius Commercial $2,592.00
Rate for Payer: Beech Street Commercial $2,646.00
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $2,216.70
Rate for Payer: Cash Price $1,890.00
Rate for Payer: ChoiceCare Network Commercial $2,619.00
Rate for Payer: Cigna of WY Commercial $2,646.00
Rate for Payer: Entrust Commercial $2,565.00
Rate for Payer: First Choice Health Commercial $2,565.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,565.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,566.00
Rate for Payer: HealthUtah PPO $2,700.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,619.00
Rate for Payer: Multiplan Medicare/VA $1,487.70
Rate for Payer: One Health Plan of WY PPO $2,646.00
Rate for Payer: PacificSource Commercial $2,430.00
Rate for Payer: PHCS PPO $2,646.00
Rate for Payer: Three Rivers PPO $2,025.00
Rate for Payer: TriWest Veterans Administration $1,566.00
Rate for Payer: United Healthcare Commercial $2,349.00
Rate for Payer: United Healthcare Medicare $1,566.00
Rate for Payer: WINHealth Partners Commercial $2,646.00
Rate for Payer: Wise Provider Network Commercial $2,565.00
Service Code HCPCS 81405
Hospital Charge Code 3108140501
Hospital Revenue Code 310
Min. Negotiated Rate $1,692.90
Max. Negotiated Rate $2,700.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,646.00
Rate for Payer: Altius Auto/Workers Compensation $2,592.00
Rate for Payer: Altius Commercial $2,592.00
Rate for Payer: Beech Street Commercial $2,646.00
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $2,216.70
Rate for Payer: Cash Price $1,890.00
Rate for Payer: ChoiceCare Network Commercial $2,619.00
Rate for Payer: Cigna of WY Commercial $2,646.00
Rate for Payer: Entrust Commercial $2,565.00
Rate for Payer: First Choice Health Commercial $2,565.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,565.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,782.00
Rate for Payer: HealthUtah PPO $2,700.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,619.00
Rate for Payer: Multiplan Medicare/VA $1,692.90
Rate for Payer: One Health Plan of WY PPO $2,646.00
Rate for Payer: PacificSource Commercial $2,430.00
Rate for Payer: PHCS PPO $2,646.00
Rate for Payer: Three Rivers PPO $2,025.00
Rate for Payer: TriWest Veterans Administration $1,782.00
Rate for Payer: United Healthcare Commercial $2,349.00
Rate for Payer: United Healthcare Medicare $1,782.00
Rate for Payer: WINHealth Partners Commercial $2,565.00
Rate for Payer: Wise Provider Network Commercial $2,565.00