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Service Code HCPCS 81406
Hospital Charge Code 3008140602
Hospital Revenue Code 300
Min. Negotiated Rate $1,391.28
Max. Negotiated Rate $2,525.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,474.50
Rate for Payer: Aetna of WY Medicare $1,666.50
Rate for Payer: Altius Auto/Workers Compensation $2,424.00
Rate for Payer: Altius Commercial $2,424.00
Rate for Payer: Beech Street Commercial $2,474.50
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $2,073.02
Rate for Payer: Cash Price $1,767.50
Rate for Payer: ChoiceCare Network Commercial $2,449.25
Rate for Payer: Cigna of WY Commercial $2,474.50
Rate for Payer: Entrust Commercial $2,398.75
Rate for Payer: First Choice Health Commercial $2,398.75
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,398.75
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,464.50
Rate for Payer: HealthUtah PPO $2,525.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,449.25
Rate for Payer: Multiplan Medicare/VA $1,391.28
Rate for Payer: One Health Plan of WY PPO $2,474.50
Rate for Payer: PacificSource Commercial $2,272.50
Rate for Payer: PHCS PPO $2,474.50
Rate for Payer: Three Rivers PPO $1,893.75
Rate for Payer: TriWest Veterans Administration $1,464.50
Rate for Payer: United Healthcare Commercial $2,196.75
Rate for Payer: United Healthcare Medicare $1,464.50
Rate for Payer: WINHealth Partners Commercial $2,474.50
Rate for Payer: Wise Provider Network Commercial $2,398.75
Service Code HCPCS 81406
Hospital Charge Code 3008140602
Hospital Revenue Code 300
Min. Negotiated Rate $1,583.18
Max. Negotiated Rate $2,525.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,474.50
Rate for Payer: Altius Auto/Workers Compensation $2,424.00
Rate for Payer: Altius Commercial $2,424.00
Rate for Payer: Beech Street Commercial $2,474.50
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $2,073.02
Rate for Payer: Cash Price $1,767.50
Rate for Payer: ChoiceCare Network Commercial $2,449.25
Rate for Payer: Cigna of WY Commercial $2,474.50
Rate for Payer: Entrust Commercial $2,398.75
Rate for Payer: First Choice Health Commercial $2,398.75
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,398.75
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,666.50
Rate for Payer: HealthUtah PPO $2,525.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,449.25
Rate for Payer: Multiplan Medicare/VA $1,583.18
Rate for Payer: One Health Plan of WY PPO $2,474.50
Rate for Payer: PacificSource Commercial $2,272.50
Rate for Payer: PHCS PPO $2,474.50
Rate for Payer: Three Rivers PPO $1,893.75
Rate for Payer: TriWest Veterans Administration $1,666.50
Rate for Payer: United Healthcare Commercial $2,196.75
Rate for Payer: United Healthcare Medicare $1,666.50
Rate for Payer: WINHealth Partners Commercial $2,398.75
Rate for Payer: Wise Provider Network Commercial $2,398.75
Service Code HCPCS 86356
Hospital Charge Code 3028635601
Hospital Revenue Code 302
Min. Negotiated Rate $245.20
Max. Negotiated Rate $445.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $436.10
Rate for Payer: Aetna of WY Medicare $293.70
Rate for Payer: Altius Auto/Workers Compensation $427.20
Rate for Payer: Altius Commercial $427.20
Rate for Payer: Beech Street Commercial $436.10
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $365.34
Rate for Payer: Cash Price $311.50
Rate for Payer: ChoiceCare Network Commercial $431.65
Rate for Payer: Cigna of WY Commercial $436.10
Rate for Payer: Entrust Commercial $422.75
Rate for Payer: First Choice Health Commercial $422.75
Rate for Payer: Government Employees Health Association (GEHA) Commercial $422.75
Rate for Payer: Government Employees Health Association (GEHA) Medicare $258.10
Rate for Payer: HealthUtah PPO $445.00
Rate for Payer: Idaho Integrated Healthcare Commercial $431.65
Rate for Payer: Multiplan Medicare/VA $245.20
Rate for Payer: One Health Plan of WY PPO $436.10
Rate for Payer: PacificSource Commercial $400.50
Rate for Payer: PHCS PPO $436.10
Rate for Payer: Three Rivers PPO $333.75
Rate for Payer: TriWest Veterans Administration $258.10
Rate for Payer: United Healthcare Commercial $387.15
Rate for Payer: United Healthcare Medicare $258.10
Rate for Payer: WINHealth Partners Commercial $436.10
Rate for Payer: Wise Provider Network Commercial $422.75
Service Code HCPCS 86356
Hospital Charge Code 3028635601
Hospital Revenue Code 302
Min. Negotiated Rate $279.02
Max. Negotiated Rate $445.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $436.10
Rate for Payer: Altius Auto/Workers Compensation $427.20
Rate for Payer: Altius Commercial $427.20
Rate for Payer: Beech Street Commercial $436.10
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $365.34
Rate for Payer: Cash Price $311.50
Rate for Payer: ChoiceCare Network Commercial $431.65
Rate for Payer: Cigna of WY Commercial $436.10
Rate for Payer: Entrust Commercial $422.75
Rate for Payer: First Choice Health Commercial $422.75
Rate for Payer: Government Employees Health Association (GEHA) Commercial $422.75
Rate for Payer: Government Employees Health Association (GEHA) Medicare $293.70
Rate for Payer: HealthUtah PPO $445.00
Rate for Payer: Idaho Integrated Healthcare Commercial $431.65
Rate for Payer: Multiplan Medicare/VA $279.02
Rate for Payer: One Health Plan of WY PPO $436.10
Rate for Payer: PacificSource Commercial $400.50
Rate for Payer: PHCS PPO $436.10
Rate for Payer: Three Rivers PPO $333.75
Rate for Payer: TriWest Veterans Administration $293.70
Rate for Payer: United Healthcare Commercial $387.15
Rate for Payer: United Healthcare Medicare $293.70
Rate for Payer: WINHealth Partners Commercial $422.75
Rate for Payer: Wise Provider Network Commercial $422.75
Service Code HCPCS 88369
Hospital Charge Code 3128836902
Hospital Revenue Code 312
Min. Negotiated Rate $429.78
Max. Negotiated Rate $780.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $764.40
Rate for Payer: Aetna of WY Medicare $514.80
Rate for Payer: Altius Auto/Workers Compensation $748.80
Rate for Payer: Altius Commercial $748.80
Rate for Payer: Beech Street Commercial $764.40
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $640.38
Rate for Payer: Cash Price $546.00
Rate for Payer: ChoiceCare Network Commercial $756.60
Rate for Payer: Cigna of WY Commercial $764.40
Rate for Payer: Entrust Commercial $741.00
Rate for Payer: First Choice Health Commercial $741.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $741.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $452.40
Rate for Payer: HealthUtah PPO $780.00
Rate for Payer: Idaho Integrated Healthcare Commercial $756.60
Rate for Payer: Multiplan Medicare/VA $429.78
Rate for Payer: One Health Plan of WY PPO $764.40
Rate for Payer: PacificSource Commercial $702.00
Rate for Payer: PHCS PPO $764.40
Rate for Payer: Three Rivers PPO $585.00
Rate for Payer: TriWest Veterans Administration $452.40
Rate for Payer: United Healthcare Commercial $678.60
Rate for Payer: United Healthcare Medicare $452.40
Rate for Payer: WINHealth Partners Commercial $764.40
Rate for Payer: Wise Provider Network Commercial $741.00
Service Code HCPCS 88369
Hospital Charge Code 3128836902
Hospital Revenue Code 312
Min. Negotiated Rate $489.06
Max. Negotiated Rate $780.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $764.40
Rate for Payer: Altius Auto/Workers Compensation $748.80
Rate for Payer: Altius Commercial $748.80
Rate for Payer: Beech Street Commercial $764.40
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $640.38
Rate for Payer: Cash Price $546.00
Rate for Payer: ChoiceCare Network Commercial $756.60
Rate for Payer: Cigna of WY Commercial $764.40
Rate for Payer: Entrust Commercial $741.00
Rate for Payer: First Choice Health Commercial $741.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $741.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $514.80
Rate for Payer: HealthUtah PPO $780.00
Rate for Payer: Idaho Integrated Healthcare Commercial $756.60
Rate for Payer: Multiplan Medicare/VA $489.06
Rate for Payer: One Health Plan of WY PPO $764.40
Rate for Payer: PacificSource Commercial $702.00
Rate for Payer: PHCS PPO $764.40
Rate for Payer: Three Rivers PPO $585.00
Rate for Payer: TriWest Veterans Administration $514.80
Rate for Payer: United Healthcare Commercial $678.60
Rate for Payer: United Healthcare Medicare $514.80
Rate for Payer: WINHealth Partners Commercial $741.00
Rate for Payer: Wise Provider Network Commercial $741.00
Service Code HCPCS 88360
Hospital Charge Code 3128836001
Hospital Revenue Code 312
Min. Negotiated Rate $352.64
Max. Negotiated Rate $640.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $627.20
Rate for Payer: Aetna of WY Medicare $422.40
Rate for Payer: Altius Auto/Workers Compensation $614.40
Rate for Payer: Altius Commercial $614.40
Rate for Payer: Beech Street Commercial $627.20
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $525.44
Rate for Payer: Cash Price $448.00
Rate for Payer: ChoiceCare Network Commercial $620.80
Rate for Payer: Cigna of WY Commercial $627.20
Rate for Payer: Entrust Commercial $608.00
Rate for Payer: First Choice Health Commercial $608.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $608.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $371.20
Rate for Payer: HealthUtah PPO $640.00
Rate for Payer: Idaho Integrated Healthcare Commercial $620.80
Rate for Payer: Multiplan Medicare/VA $352.64
Rate for Payer: One Health Plan of WY PPO $627.20
Rate for Payer: PacificSource Commercial $576.00
Rate for Payer: PHCS PPO $627.20
Rate for Payer: Three Rivers PPO $480.00
Rate for Payer: TriWest Veterans Administration $371.20
Rate for Payer: United Healthcare Commercial $556.80
Rate for Payer: United Healthcare Medicare $371.20
Rate for Payer: WINHealth Partners Commercial $627.20
Rate for Payer: Wise Provider Network Commercial $608.00
Service Code HCPCS 88360
Hospital Charge Code 3128836001
Hospital Revenue Code 312
Min. Negotiated Rate $401.28
Max. Negotiated Rate $640.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $627.20
Rate for Payer: Altius Auto/Workers Compensation $614.40
Rate for Payer: Altius Commercial $614.40
Rate for Payer: Beech Street Commercial $627.20
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $525.44
Rate for Payer: Cash Price $448.00
Rate for Payer: ChoiceCare Network Commercial $620.80
Rate for Payer: Cigna of WY Commercial $627.20
Rate for Payer: Entrust Commercial $608.00
Rate for Payer: First Choice Health Commercial $608.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $608.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $422.40
Rate for Payer: HealthUtah PPO $640.00
Rate for Payer: Idaho Integrated Healthcare Commercial $620.80
Rate for Payer: Multiplan Medicare/VA $401.28
Rate for Payer: One Health Plan of WY PPO $627.20
Rate for Payer: PacificSource Commercial $576.00
Rate for Payer: PHCS PPO $627.20
Rate for Payer: Three Rivers PPO $480.00
Rate for Payer: TriWest Veterans Administration $422.40
Rate for Payer: United Healthcare Commercial $556.80
Rate for Payer: United Healthcare Medicare $422.40
Rate for Payer: WINHealth Partners Commercial $608.00
Rate for Payer: Wise Provider Network Commercial $608.00
Service Code HCPCS 88377
Hospital Charge Code 3128837701
Hospital Revenue Code 312
Min. Negotiated Rate $534.47
Max. Negotiated Rate $970.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $950.60
Rate for Payer: Aetna of WY Medicare $640.20
Rate for Payer: Altius Auto/Workers Compensation $931.20
Rate for Payer: Altius Commercial $931.20
Rate for Payer: Beech Street Commercial $950.60
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $796.37
Rate for Payer: Cash Price $679.00
Rate for Payer: ChoiceCare Network Commercial $940.90
Rate for Payer: Cigna of WY Commercial $950.60
Rate for Payer: Entrust Commercial $921.50
Rate for Payer: First Choice Health Commercial $921.50
Rate for Payer: Government Employees Health Association (GEHA) Commercial $921.50
Rate for Payer: Government Employees Health Association (GEHA) Medicare $562.60
Rate for Payer: HealthUtah PPO $970.00
Rate for Payer: Idaho Integrated Healthcare Commercial $940.90
Rate for Payer: Multiplan Medicare/VA $534.47
Rate for Payer: One Health Plan of WY PPO $950.60
Rate for Payer: PacificSource Commercial $873.00
Rate for Payer: PHCS PPO $950.60
Rate for Payer: Three Rivers PPO $727.50
Rate for Payer: TriWest Veterans Administration $562.60
Rate for Payer: United Healthcare Commercial $843.90
Rate for Payer: United Healthcare Medicare $562.60
Rate for Payer: WINHealth Partners Commercial $950.60
Rate for Payer: Wise Provider Network Commercial $921.50
Service Code HCPCS 88377
Hospital Charge Code 3128837701
Hospital Revenue Code 312
Min. Negotiated Rate $608.19
Max. Negotiated Rate $970.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $950.60
Rate for Payer: Altius Auto/Workers Compensation $931.20
Rate for Payer: Altius Commercial $931.20
Rate for Payer: Beech Street Commercial $950.60
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $796.37
Rate for Payer: Cash Price $679.00
Rate for Payer: ChoiceCare Network Commercial $940.90
Rate for Payer: Cigna of WY Commercial $950.60
Rate for Payer: Entrust Commercial $921.50
Rate for Payer: First Choice Health Commercial $921.50
Rate for Payer: Government Employees Health Association (GEHA) Commercial $921.50
Rate for Payer: Government Employees Health Association (GEHA) Medicare $640.20
Rate for Payer: HealthUtah PPO $970.00
Rate for Payer: Idaho Integrated Healthcare Commercial $940.90
Rate for Payer: Multiplan Medicare/VA $608.19
Rate for Payer: One Health Plan of WY PPO $950.60
Rate for Payer: PacificSource Commercial $873.00
Rate for Payer: PHCS PPO $950.60
Rate for Payer: Three Rivers PPO $727.50
Rate for Payer: TriWest Veterans Administration $640.20
Rate for Payer: United Healthcare Commercial $843.90
Rate for Payer: United Healthcare Medicare $640.20
Rate for Payer: WINHealth Partners Commercial $921.50
Rate for Payer: Wise Provider Network Commercial $921.50
Service Code HCPCS 87581
Hospital Charge Code 3068758101
Hospital Revenue Code 306
Min. Negotiated Rate $126.73
Max. Negotiated Rate $230.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $225.40
Rate for Payer: Aetna of WY Medicare $151.80
Rate for Payer: Altius Auto/Workers Compensation $220.80
Rate for Payer: Altius Commercial $220.80
Rate for Payer: Beech Street Commercial $225.40
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $188.83
Rate for Payer: Cash Price $161.00
Rate for Payer: ChoiceCare Network Commercial $223.10
Rate for Payer: Cigna of WY Commercial $225.40
Rate for Payer: Entrust Commercial $218.50
Rate for Payer: First Choice Health Commercial $218.50
Rate for Payer: Government Employees Health Association (GEHA) Commercial $218.50
Rate for Payer: Government Employees Health Association (GEHA) Medicare $133.40
Rate for Payer: HealthUtah PPO $230.00
Rate for Payer: Idaho Integrated Healthcare Commercial $223.10
Rate for Payer: Multiplan Medicare/VA $126.73
Rate for Payer: One Health Plan of WY PPO $225.40
Rate for Payer: PacificSource Commercial $207.00
Rate for Payer: PHCS PPO $225.40
Rate for Payer: Three Rivers PPO $172.50
Rate for Payer: TriWest Veterans Administration $133.40
Rate for Payer: United Healthcare Commercial $200.10
Rate for Payer: United Healthcare Medicare $133.40
Rate for Payer: WINHealth Partners Commercial $225.40
Rate for Payer: Wise Provider Network Commercial $218.50
Service Code HCPCS 87581
Hospital Charge Code 3068758101
Hospital Revenue Code 306
Min. Negotiated Rate $144.21
Max. Negotiated Rate $230.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $225.40
Rate for Payer: Altius Auto/Workers Compensation $220.80
Rate for Payer: Altius Commercial $220.80
Rate for Payer: Beech Street Commercial $225.40
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $188.83
Rate for Payer: Cash Price $161.00
Rate for Payer: ChoiceCare Network Commercial $223.10
Rate for Payer: Cigna of WY Commercial $225.40
Rate for Payer: Entrust Commercial $218.50
Rate for Payer: First Choice Health Commercial $218.50
Rate for Payer: Government Employees Health Association (GEHA) Commercial $218.50
Rate for Payer: Government Employees Health Association (GEHA) Medicare $151.80
Rate for Payer: HealthUtah PPO $230.00
Rate for Payer: Idaho Integrated Healthcare Commercial $223.10
Rate for Payer: Multiplan Medicare/VA $144.21
Rate for Payer: One Health Plan of WY PPO $225.40
Rate for Payer: PacificSource Commercial $207.00
Rate for Payer: PHCS PPO $225.40
Rate for Payer: Three Rivers PPO $172.50
Rate for Payer: TriWest Veterans Administration $151.80
Rate for Payer: United Healthcare Commercial $200.10
Rate for Payer: United Healthcare Medicare $151.80
Rate for Payer: WINHealth Partners Commercial $218.50
Rate for Payer: Wise Provider Network Commercial $218.50
Service Code HCPCS 74185
Hospital Charge Code 6107418501
Hospital Revenue Code 610
Min. Negotiated Rate $1,305.87
Max. Negotiated Rate $2,370.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,322.60
Rate for Payer: Aetna of WY Medicare $1,564.20
Rate for Payer: Altius Auto/Workers Compensation $2,275.20
Rate for Payer: Altius Commercial $2,275.20
Rate for Payer: Beech Street Commercial $2,322.60
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,945.77
Rate for Payer: Cash Price $1,659.00
Rate for Payer: ChoiceCare Network Commercial $2,298.90
Rate for Payer: Cigna of WY Commercial $2,322.60
Rate for Payer: Entrust Commercial $2,251.50
Rate for Payer: First Choice Health Commercial $2,251.50
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,251.50
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,374.60
Rate for Payer: HealthUtah PPO $2,370.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,298.90
Rate for Payer: Multiplan Medicare/VA $1,305.87
Rate for Payer: One Health Plan of WY PPO $2,322.60
Rate for Payer: PacificSource Commercial $2,133.00
Rate for Payer: PHCS PPO $2,322.60
Rate for Payer: Three Rivers PPO $1,777.50
Rate for Payer: TriWest Veterans Administration $1,374.60
Rate for Payer: United Healthcare Commercial $2,061.90
Rate for Payer: United Healthcare Medicare $1,374.60
Rate for Payer: WINHealth Partners Commercial $2,322.60
Rate for Payer: Wise Provider Network Commercial $2,251.50
Service Code HCPCS 74185
Hospital Charge Code 6107418501
Hospital Revenue Code 610
Min. Negotiated Rate $1,485.99
Max. Negotiated Rate $2,370.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,322.60
Rate for Payer: Altius Auto/Workers Compensation $2,275.20
Rate for Payer: Altius Commercial $2,275.20
Rate for Payer: Beech Street Commercial $2,322.60
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,945.77
Rate for Payer: Cash Price $1,659.00
Rate for Payer: ChoiceCare Network Commercial $2,298.90
Rate for Payer: Cigna of WY Commercial $2,322.60
Rate for Payer: Entrust Commercial $2,251.50
Rate for Payer: First Choice Health Commercial $2,251.50
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,251.50
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,564.20
Rate for Payer: HealthUtah PPO $2,370.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,298.90
Rate for Payer: Multiplan Medicare/VA $1,485.99
Rate for Payer: One Health Plan of WY PPO $2,322.60
Rate for Payer: PacificSource Commercial $2,133.00
Rate for Payer: PHCS PPO $2,322.60
Rate for Payer: Three Rivers PPO $1,777.50
Rate for Payer: TriWest Veterans Administration $1,564.20
Rate for Payer: United Healthcare Commercial $2,061.90
Rate for Payer: United Healthcare Medicare $1,564.20
Rate for Payer: WINHealth Partners Commercial $2,251.50
Rate for Payer: Wise Provider Network Commercial $2,251.50
Service Code HCPCS 74185
Hospital Charge Code 6107418502
Hospital Revenue Code 610
Min. Negotiated Rate $1,485.99
Max. Negotiated Rate $2,370.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,322.60
Rate for Payer: Altius Auto/Workers Compensation $2,275.20
Rate for Payer: Altius Commercial $2,275.20
Rate for Payer: Beech Street Commercial $2,322.60
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,945.77
Rate for Payer: Cash Price $1,659.00
Rate for Payer: ChoiceCare Network Commercial $2,298.90
Rate for Payer: Cigna of WY Commercial $2,322.60
Rate for Payer: Entrust Commercial $2,251.50
Rate for Payer: First Choice Health Commercial $2,251.50
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,251.50
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,564.20
Rate for Payer: HealthUtah PPO $2,370.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,298.90
Rate for Payer: Multiplan Medicare/VA $1,485.99
Rate for Payer: One Health Plan of WY PPO $2,322.60
Rate for Payer: PacificSource Commercial $2,133.00
Rate for Payer: PHCS PPO $2,322.60
Rate for Payer: Three Rivers PPO $1,777.50
Rate for Payer: TriWest Veterans Administration $1,564.20
Rate for Payer: United Healthcare Commercial $2,061.90
Rate for Payer: United Healthcare Medicare $1,564.20
Rate for Payer: WINHealth Partners Commercial $2,251.50
Rate for Payer: Wise Provider Network Commercial $2,251.50
Service Code HCPCS 74185
Hospital Charge Code 6107418502
Hospital Revenue Code 610
Min. Negotiated Rate $1,305.87
Max. Negotiated Rate $2,370.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,322.60
Rate for Payer: Aetna of WY Medicare $1,564.20
Rate for Payer: Altius Auto/Workers Compensation $2,275.20
Rate for Payer: Altius Commercial $2,275.20
Rate for Payer: Beech Street Commercial $2,322.60
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,945.77
Rate for Payer: Cash Price $1,659.00
Rate for Payer: ChoiceCare Network Commercial $2,298.90
Rate for Payer: Cigna of WY Commercial $2,322.60
Rate for Payer: Entrust Commercial $2,251.50
Rate for Payer: First Choice Health Commercial $2,251.50
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,251.50
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,374.60
Rate for Payer: HealthUtah PPO $2,370.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,298.90
Rate for Payer: Multiplan Medicare/VA $1,305.87
Rate for Payer: One Health Plan of WY PPO $2,322.60
Rate for Payer: PacificSource Commercial $2,133.00
Rate for Payer: PHCS PPO $2,322.60
Rate for Payer: Three Rivers PPO $1,777.50
Rate for Payer: TriWest Veterans Administration $1,374.60
Rate for Payer: United Healthcare Commercial $2,061.90
Rate for Payer: United Healthcare Medicare $1,374.60
Rate for Payer: WINHealth Partners Commercial $2,322.60
Rate for Payer: Wise Provider Network Commercial $2,251.50
Service Code HCPCS 70546
Hospital Charge Code 6157054601
Hospital Revenue Code 615
Min. Negotiated Rate $1,873.40
Max. Negotiated Rate $3,400.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $3,332.00
Rate for Payer: Aetna of WY Medicare $2,244.00
Rate for Payer: Altius Auto/Workers Compensation $3,264.00
Rate for Payer: Altius Commercial $3,264.00
Rate for Payer: Beech Street Commercial $3,332.00
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $2,791.40
Rate for Payer: Cash Price $2,380.00
Rate for Payer: ChoiceCare Network Commercial $3,298.00
Rate for Payer: Cigna of WY Commercial $3,332.00
Rate for Payer: Entrust Commercial $3,230.00
Rate for Payer: First Choice Health Commercial $3,230.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $3,230.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,972.00
Rate for Payer: HealthUtah PPO $3,400.00
Rate for Payer: Idaho Integrated Healthcare Commercial $3,298.00
Rate for Payer: Multiplan Medicare/VA $1,873.40
Rate for Payer: One Health Plan of WY PPO $3,332.00
Rate for Payer: PacificSource Commercial $3,060.00
Rate for Payer: PHCS PPO $3,332.00
Rate for Payer: Three Rivers PPO $2,550.00
Rate for Payer: TriWest Veterans Administration $1,972.00
Rate for Payer: United Healthcare Commercial $2,958.00
Rate for Payer: United Healthcare Medicare $1,972.00
Rate for Payer: WINHealth Partners Commercial $3,332.00
Rate for Payer: Wise Provider Network Commercial $3,230.00
Service Code HCPCS 70546
Hospital Charge Code 6157054601
Hospital Revenue Code 615
Min. Negotiated Rate $2,131.80
Max. Negotiated Rate $3,400.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $3,332.00
Rate for Payer: Altius Auto/Workers Compensation $3,264.00
Rate for Payer: Altius Commercial $3,264.00
Rate for Payer: Beech Street Commercial $3,332.00
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $2,791.40
Rate for Payer: Cash Price $2,380.00
Rate for Payer: ChoiceCare Network Commercial $3,298.00
Rate for Payer: Cigna of WY Commercial $3,332.00
Rate for Payer: Entrust Commercial $3,230.00
Rate for Payer: First Choice Health Commercial $3,230.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $3,230.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $2,244.00
Rate for Payer: HealthUtah PPO $3,400.00
Rate for Payer: Idaho Integrated Healthcare Commercial $3,298.00
Rate for Payer: Multiplan Medicare/VA $2,131.80
Rate for Payer: One Health Plan of WY PPO $3,332.00
Rate for Payer: PacificSource Commercial $3,060.00
Rate for Payer: PHCS PPO $3,332.00
Rate for Payer: Three Rivers PPO $2,550.00
Rate for Payer: TriWest Veterans Administration $2,244.00
Rate for Payer: United Healthcare Commercial $2,958.00
Rate for Payer: United Healthcare Medicare $2,244.00
Rate for Payer: WINHealth Partners Commercial $3,230.00
Rate for Payer: Wise Provider Network Commercial $3,230.00
Service Code HCPCS 70544
Hospital Charge Code 6157054401
Hospital Revenue Code 615
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 70544
Hospital Charge Code 6157054401
Hospital Revenue Code 615
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 70545
Hospital Charge Code 6157054501
Hospital Revenue Code 615
Min. Negotiated Rate $1,417.02
Max. Negotiated Rate $2,260.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,214.80
Rate for Payer: Altius Auto/Workers Compensation $2,169.60
Rate for Payer: Altius Commercial $2,169.60
Rate for Payer: Beech Street Commercial $2,214.80
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,855.46
Rate for Payer: Cash Price $1,582.00
Rate for Payer: ChoiceCare Network Commercial $2,192.20
Rate for Payer: Cigna of WY Commercial $2,214.80
Rate for Payer: Entrust Commercial $2,147.00
Rate for Payer: First Choice Health Commercial $2,147.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,147.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,491.60
Rate for Payer: HealthUtah PPO $2,260.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,192.20
Rate for Payer: Multiplan Medicare/VA $1,417.02
Rate for Payer: One Health Plan of WY PPO $2,214.80
Rate for Payer: PacificSource Commercial $2,034.00
Rate for Payer: PHCS PPO $2,214.80
Rate for Payer: Three Rivers PPO $1,695.00
Rate for Payer: TriWest Veterans Administration $1,491.60
Rate for Payer: United Healthcare Commercial $1,966.20
Rate for Payer: United Healthcare Medicare $1,491.60
Rate for Payer: WINHealth Partners Commercial $2,147.00
Rate for Payer: Wise Provider Network Commercial $2,147.00
Service Code HCPCS 70545
Hospital Charge Code 6157054501
Hospital Revenue Code 615
Min. Negotiated Rate $1,245.26
Max. Negotiated Rate $2,260.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,214.80
Rate for Payer: Aetna of WY Medicare $1,491.60
Rate for Payer: Altius Auto/Workers Compensation $2,169.60
Rate for Payer: Altius Commercial $2,169.60
Rate for Payer: Beech Street Commercial $2,214.80
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,855.46
Rate for Payer: Cash Price $1,582.00
Rate for Payer: ChoiceCare Network Commercial $2,192.20
Rate for Payer: Cigna of WY Commercial $2,214.80
Rate for Payer: Entrust Commercial $2,147.00
Rate for Payer: First Choice Health Commercial $2,147.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,147.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,310.80
Rate for Payer: HealthUtah PPO $2,260.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,192.20
Rate for Payer: Multiplan Medicare/VA $1,245.26
Rate for Payer: One Health Plan of WY PPO $2,214.80
Rate for Payer: PacificSource Commercial $2,034.00
Rate for Payer: PHCS PPO $2,214.80
Rate for Payer: Three Rivers PPO $1,695.00
Rate for Payer: TriWest Veterans Administration $1,310.80
Rate for Payer: United Healthcare Commercial $1,966.20
Rate for Payer: United Healthcare Medicare $1,310.80
Rate for Payer: WINHealth Partners Commercial $2,214.80
Rate for Payer: Wise Provider Network Commercial $2,147.00
Service Code HCPCS 73725
Hospital Charge Code 6167372507
Hospital Revenue Code 616
Min. Negotiated Rate $1,479.72
Max. Negotiated Rate $2,360.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,312.80
Rate for Payer: Altius Auto/Workers Compensation $2,265.60
Rate for Payer: Altius Commercial $2,265.60
Rate for Payer: Beech Street Commercial $2,312.80
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,937.56
Rate for Payer: Cash Price $1,652.00
Rate for Payer: ChoiceCare Network Commercial $2,289.20
Rate for Payer: Cigna of WY Commercial $2,312.80
Rate for Payer: Entrust Commercial $2,242.00
Rate for Payer: First Choice Health Commercial $2,242.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,242.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,557.60
Rate for Payer: HealthUtah PPO $2,360.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,289.20
Rate for Payer: Multiplan Medicare/VA $1,479.72
Rate for Payer: One Health Plan of WY PPO $2,312.80
Rate for Payer: PacificSource Commercial $2,124.00
Rate for Payer: PHCS PPO $2,312.80
Rate for Payer: Three Rivers PPO $1,770.00
Rate for Payer: TriWest Veterans Administration $1,557.60
Rate for Payer: United Healthcare Commercial $2,053.20
Rate for Payer: United Healthcare Medicare $1,557.60
Rate for Payer: WINHealth Partners Commercial $2,242.00
Rate for Payer: Wise Provider Network Commercial $2,242.00
Service Code HCPCS 73725
Hospital Charge Code 6167372507
Hospital Revenue Code 616
Min. Negotiated Rate $1,300.36
Max. Negotiated Rate $2,360.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,312.80
Rate for Payer: Aetna of WY Medicare $1,557.60
Rate for Payer: Altius Auto/Workers Compensation $2,265.60
Rate for Payer: Altius Commercial $2,265.60
Rate for Payer: Beech Street Commercial $2,312.80
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,937.56
Rate for Payer: Cash Price $1,652.00
Rate for Payer: ChoiceCare Network Commercial $2,289.20
Rate for Payer: Cigna of WY Commercial $2,312.80
Rate for Payer: Entrust Commercial $2,242.00
Rate for Payer: First Choice Health Commercial $2,242.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,242.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,368.80
Rate for Payer: HealthUtah PPO $2,360.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,289.20
Rate for Payer: Multiplan Medicare/VA $1,300.36
Rate for Payer: One Health Plan of WY PPO $2,312.80
Rate for Payer: PacificSource Commercial $2,124.00
Rate for Payer: PHCS PPO $2,312.80
Rate for Payer: Three Rivers PPO $1,770.00
Rate for Payer: TriWest Veterans Administration $1,368.80
Rate for Payer: United Healthcare Commercial $2,053.20
Rate for Payer: United Healthcare Medicare $1,368.80
Rate for Payer: WINHealth Partners Commercial $2,312.80
Rate for Payer: Wise Provider Network Commercial $2,242.00
Service Code HCPCS 73725
Hospital Charge Code 6167372505
Hospital Revenue Code 616
Min. Negotiated Rate $1,300.36
Max. Negotiated Rate $2,360.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,312.80
Rate for Payer: Aetna of WY Medicare $1,557.60
Rate for Payer: Altius Auto/Workers Compensation $2,265.60
Rate for Payer: Altius Commercial $2,265.60
Rate for Payer: Beech Street Commercial $2,312.80
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,937.56
Rate for Payer: Cash Price $1,652.00
Rate for Payer: ChoiceCare Network Commercial $2,289.20
Rate for Payer: Cigna of WY Commercial $2,312.80
Rate for Payer: Entrust Commercial $2,242.00
Rate for Payer: First Choice Health Commercial $2,242.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,242.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,368.80
Rate for Payer: HealthUtah PPO $2,360.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,289.20
Rate for Payer: Multiplan Medicare/VA $1,300.36
Rate for Payer: One Health Plan of WY PPO $2,312.80
Rate for Payer: PacificSource Commercial $2,124.00
Rate for Payer: PHCS PPO $2,312.80
Rate for Payer: Three Rivers PPO $1,770.00
Rate for Payer: TriWest Veterans Administration $1,368.80
Rate for Payer: United Healthcare Commercial $2,053.20
Rate for Payer: United Healthcare Medicare $1,368.80
Rate for Payer: WINHealth Partners Commercial $2,312.80
Rate for Payer: Wise Provider Network Commercial $2,242.00