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Service Code HCPCS 73221
Hospital Charge Code 6147322103
Hospital Revenue Code 614
Min. Negotiated Rate $1,314.14
Max. Negotiated Rate $2,385.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,337.30
Rate for Payer: Aetna of WY Medicare $1,574.10
Rate for Payer: Altius Auto/Workers Compensation $2,289.60
Rate for Payer: Altius Commercial $2,289.60
Rate for Payer: Beech Street Commercial $2,337.30
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,958.08
Rate for Payer: Cash Price $1,669.50
Rate for Payer: ChoiceCare Network Commercial $2,313.45
Rate for Payer: Cigna of WY Commercial $2,337.30
Rate for Payer: Entrust Commercial $2,265.75
Rate for Payer: First Choice Health Commercial $2,265.75
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,265.75
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,383.30
Rate for Payer: HealthUtah PPO $2,385.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,313.45
Rate for Payer: Multiplan Medicare/VA $1,314.14
Rate for Payer: One Health Plan of WY PPO $2,337.30
Rate for Payer: PacificSource Commercial $2,146.50
Rate for Payer: PHCS PPO $2,337.30
Rate for Payer: Three Rivers PPO $1,788.75
Rate for Payer: TriWest Veterans Administration $1,383.30
Rate for Payer: United Healthcare Commercial $2,074.95
Rate for Payer: United Healthcare Medicare $1,383.30
Rate for Payer: WINHealth Partners Commercial $2,337.30
Rate for Payer: Wise Provider Network Commercial $2,265.75
Service Code HCPCS 73221
Hospital Charge Code 6147322106
Hospital Revenue Code 614
Min. Negotiated Rate $1,495.40
Max. Negotiated Rate $2,385.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,337.30
Rate for Payer: Altius Auto/Workers Compensation $2,289.60
Rate for Payer: Altius Commercial $2,289.60
Rate for Payer: Beech Street Commercial $2,337.30
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,958.08
Rate for Payer: Cash Price $1,669.50
Rate for Payer: ChoiceCare Network Commercial $2,313.45
Rate for Payer: Cigna of WY Commercial $2,337.30
Rate for Payer: Entrust Commercial $2,265.75
Rate for Payer: First Choice Health Commercial $2,265.75
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,265.75
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,574.10
Rate for Payer: HealthUtah PPO $2,385.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,313.45
Rate for Payer: Multiplan Medicare/VA $1,495.40
Rate for Payer: One Health Plan of WY PPO $2,337.30
Rate for Payer: PacificSource Commercial $2,146.50
Rate for Payer: PHCS PPO $2,337.30
Rate for Payer: Three Rivers PPO $1,788.75
Rate for Payer: TriWest Veterans Administration $1,574.10
Rate for Payer: United Healthcare Commercial $2,074.95
Rate for Payer: United Healthcare Medicare $1,574.10
Rate for Payer: WINHealth Partners Commercial $2,265.75
Rate for Payer: Wise Provider Network Commercial $2,265.75
Service Code HCPCS 73221
Hospital Charge Code 6147322106
Hospital Revenue Code 614
Min. Negotiated Rate $1,314.14
Max. Negotiated Rate $2,385.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,337.30
Rate for Payer: Aetna of WY Medicare $1,574.10
Rate for Payer: Altius Auto/Workers Compensation $2,289.60
Rate for Payer: Altius Commercial $2,289.60
Rate for Payer: Beech Street Commercial $2,337.30
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,958.08
Rate for Payer: Cash Price $1,669.50
Rate for Payer: ChoiceCare Network Commercial $2,313.45
Rate for Payer: Cigna of WY Commercial $2,337.30
Rate for Payer: Entrust Commercial $2,265.75
Rate for Payer: First Choice Health Commercial $2,265.75
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,265.75
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,383.30
Rate for Payer: HealthUtah PPO $2,385.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,313.45
Rate for Payer: Multiplan Medicare/VA $1,314.14
Rate for Payer: One Health Plan of WY PPO $2,337.30
Rate for Payer: PacificSource Commercial $2,146.50
Rate for Payer: PHCS PPO $2,337.30
Rate for Payer: Three Rivers PPO $1,788.75
Rate for Payer: TriWest Veterans Administration $1,383.30
Rate for Payer: United Healthcare Commercial $2,074.95
Rate for Payer: United Healthcare Medicare $1,383.30
Rate for Payer: WINHealth Partners Commercial $2,337.30
Rate for Payer: Wise Provider Network Commercial $2,265.75
Service Code HCPCS 73221
Hospital Charge Code 6147322105
Hospital Revenue Code 614
Min. Negotiated Rate $1,495.40
Max. Negotiated Rate $2,385.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,337.30
Rate for Payer: Altius Auto/Workers Compensation $2,289.60
Rate for Payer: Altius Commercial $2,289.60
Rate for Payer: Beech Street Commercial $2,337.30
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,958.08
Rate for Payer: Cash Price $1,669.50
Rate for Payer: ChoiceCare Network Commercial $2,313.45
Rate for Payer: Cigna of WY Commercial $2,337.30
Rate for Payer: Entrust Commercial $2,265.75
Rate for Payer: First Choice Health Commercial $2,265.75
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,265.75
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,574.10
Rate for Payer: HealthUtah PPO $2,385.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,313.45
Rate for Payer: Multiplan Medicare/VA $1,495.40
Rate for Payer: One Health Plan of WY PPO $2,337.30
Rate for Payer: PacificSource Commercial $2,146.50
Rate for Payer: PHCS PPO $2,337.30
Rate for Payer: Three Rivers PPO $1,788.75
Rate for Payer: TriWest Veterans Administration $1,574.10
Rate for Payer: United Healthcare Commercial $2,074.95
Rate for Payer: United Healthcare Medicare $1,574.10
Rate for Payer: WINHealth Partners Commercial $2,265.75
Rate for Payer: Wise Provider Network Commercial $2,265.75
Service Code HCPCS 73221
Hospital Charge Code 6147322105
Hospital Revenue Code 614
Min. Negotiated Rate $1,314.14
Max. Negotiated Rate $2,385.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,337.30
Rate for Payer: Aetna of WY Medicare $1,574.10
Rate for Payer: Altius Auto/Workers Compensation $2,289.60
Rate for Payer: Altius Commercial $2,289.60
Rate for Payer: Beech Street Commercial $2,337.30
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,958.08
Rate for Payer: Cash Price $1,669.50
Rate for Payer: ChoiceCare Network Commercial $2,313.45
Rate for Payer: Cigna of WY Commercial $2,337.30
Rate for Payer: Entrust Commercial $2,265.75
Rate for Payer: First Choice Health Commercial $2,265.75
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,265.75
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,383.30
Rate for Payer: HealthUtah PPO $2,385.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,313.45
Rate for Payer: Multiplan Medicare/VA $1,314.14
Rate for Payer: One Health Plan of WY PPO $2,337.30
Rate for Payer: PacificSource Commercial $2,146.50
Rate for Payer: PHCS PPO $2,337.30
Rate for Payer: Three Rivers PPO $1,788.75
Rate for Payer: TriWest Veterans Administration $1,383.30
Rate for Payer: United Healthcare Commercial $2,074.95
Rate for Payer: United Healthcare Medicare $1,383.30
Rate for Payer: WINHealth Partners Commercial $2,337.30
Rate for Payer: Wise Provider Network Commercial $2,265.75
Service Code HCPCS 73221
Hospital Charge Code 6147322102
Hospital Revenue Code 614
Min. Negotiated Rate $1,314.14
Max. Negotiated Rate $2,385.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,337.30
Rate for Payer: Aetna of WY Medicare $1,574.10
Rate for Payer: Altius Auto/Workers Compensation $2,289.60
Rate for Payer: Altius Commercial $2,289.60
Rate for Payer: Beech Street Commercial $2,337.30
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,958.08
Rate for Payer: Cash Price $1,669.50
Rate for Payer: ChoiceCare Network Commercial $2,313.45
Rate for Payer: Cigna of WY Commercial $2,337.30
Rate for Payer: Entrust Commercial $2,265.75
Rate for Payer: First Choice Health Commercial $2,265.75
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,265.75
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,383.30
Rate for Payer: HealthUtah PPO $2,385.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,313.45
Rate for Payer: Multiplan Medicare/VA $1,314.14
Rate for Payer: One Health Plan of WY PPO $2,337.30
Rate for Payer: PacificSource Commercial $2,146.50
Rate for Payer: PHCS PPO $2,337.30
Rate for Payer: Three Rivers PPO $1,788.75
Rate for Payer: TriWest Veterans Administration $1,383.30
Rate for Payer: United Healthcare Commercial $2,074.95
Rate for Payer: United Healthcare Medicare $1,383.30
Rate for Payer: WINHealth Partners Commercial $2,337.30
Rate for Payer: Wise Provider Network Commercial $2,265.75
Service Code HCPCS 73221
Hospital Charge Code 6147322102
Hospital Revenue Code 614
Min. Negotiated Rate $1,495.40
Max. Negotiated Rate $2,385.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,337.30
Rate for Payer: Altius Auto/Workers Compensation $2,289.60
Rate for Payer: Altius Commercial $2,289.60
Rate for Payer: Beech Street Commercial $2,337.30
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,958.08
Rate for Payer: Cash Price $1,669.50
Rate for Payer: ChoiceCare Network Commercial $2,313.45
Rate for Payer: Cigna of WY Commercial $2,337.30
Rate for Payer: Entrust Commercial $2,265.75
Rate for Payer: First Choice Health Commercial $2,265.75
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,265.75
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,574.10
Rate for Payer: HealthUtah PPO $2,385.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,313.45
Rate for Payer: Multiplan Medicare/VA $1,495.40
Rate for Payer: One Health Plan of WY PPO $2,337.30
Rate for Payer: PacificSource Commercial $2,146.50
Rate for Payer: PHCS PPO $2,337.30
Rate for Payer: Three Rivers PPO $1,788.75
Rate for Payer: TriWest Veterans Administration $1,574.10
Rate for Payer: United Healthcare Commercial $2,074.95
Rate for Payer: United Healthcare Medicare $1,574.10
Rate for Payer: WINHealth Partners Commercial $2,265.75
Rate for Payer: Wise Provider Network Commercial $2,265.75
Service Code HCPCS 73221
Hospital Charge Code 6147322101
Hospital Revenue Code 614
Min. Negotiated Rate $1,495.40
Max. Negotiated Rate $2,385.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,337.30
Rate for Payer: Altius Auto/Workers Compensation $2,289.60
Rate for Payer: Altius Commercial $2,289.60
Rate for Payer: Beech Street Commercial $2,337.30
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,958.08
Rate for Payer: Cash Price $1,669.50
Rate for Payer: ChoiceCare Network Commercial $2,313.45
Rate for Payer: Cigna of WY Commercial $2,337.30
Rate for Payer: Entrust Commercial $2,265.75
Rate for Payer: First Choice Health Commercial $2,265.75
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,265.75
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,574.10
Rate for Payer: HealthUtah PPO $2,385.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,313.45
Rate for Payer: Multiplan Medicare/VA $1,495.40
Rate for Payer: One Health Plan of WY PPO $2,337.30
Rate for Payer: PacificSource Commercial $2,146.50
Rate for Payer: PHCS PPO $2,337.30
Rate for Payer: Three Rivers PPO $1,788.75
Rate for Payer: TriWest Veterans Administration $1,574.10
Rate for Payer: United Healthcare Commercial $2,074.95
Rate for Payer: United Healthcare Medicare $1,574.10
Rate for Payer: WINHealth Partners Commercial $2,265.75
Rate for Payer: Wise Provider Network Commercial $2,265.75
Service Code HCPCS 73221
Hospital Charge Code 6147322101
Hospital Revenue Code 614
Min. Negotiated Rate $1,314.14
Max. Negotiated Rate $2,385.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,337.30
Rate for Payer: Aetna of WY Medicare $1,574.10
Rate for Payer: Altius Auto/Workers Compensation $2,289.60
Rate for Payer: Altius Commercial $2,289.60
Rate for Payer: Beech Street Commercial $2,337.30
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,958.08
Rate for Payer: Cash Price $1,669.50
Rate for Payer: ChoiceCare Network Commercial $2,313.45
Rate for Payer: Cigna of WY Commercial $2,337.30
Rate for Payer: Entrust Commercial $2,265.75
Rate for Payer: First Choice Health Commercial $2,265.75
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,265.75
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,383.30
Rate for Payer: HealthUtah PPO $2,385.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,313.45
Rate for Payer: Multiplan Medicare/VA $1,314.14
Rate for Payer: One Health Plan of WY PPO $2,337.30
Rate for Payer: PacificSource Commercial $2,146.50
Rate for Payer: PHCS PPO $2,337.30
Rate for Payer: Three Rivers PPO $1,788.75
Rate for Payer: TriWest Veterans Administration $1,383.30
Rate for Payer: United Healthcare Commercial $2,074.95
Rate for Payer: United Healthcare Medicare $1,383.30
Rate for Payer: WINHealth Partners Commercial $2,337.30
Rate for Payer: Wise Provider Network Commercial $2,265.75
Service Code HCPCS 73222
Hospital Charge Code 3527322201
Hospital Revenue Code 352
Min. Negotiated Rate $785.18
Max. Negotiated Rate $1,425.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,396.50
Rate for Payer: Aetna of WY Medicare $940.50
Rate for Payer: Altius Auto/Workers Compensation $1,368.00
Rate for Payer: Altius Commercial $1,368.00
Rate for Payer: Beech Street Commercial $1,396.50
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,169.92
Rate for Payer: Cash Price $997.50
Rate for Payer: ChoiceCare Network Commercial $1,382.25
Rate for Payer: Cigna of WY Commercial $1,396.50
Rate for Payer: Entrust Commercial $1,353.75
Rate for Payer: First Choice Health Commercial $1,353.75
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,353.75
Rate for Payer: Government Employees Health Association (GEHA) Medicare $826.50
Rate for Payer: HealthUtah PPO $1,425.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,382.25
Rate for Payer: Multiplan Medicare/VA $785.18
Rate for Payer: One Health Plan of WY PPO $1,396.50
Rate for Payer: PacificSource Commercial $1,282.50
Rate for Payer: PHCS PPO $1,396.50
Rate for Payer: Three Rivers PPO $1,068.75
Rate for Payer: TriWest Veterans Administration $826.50
Rate for Payer: United Healthcare Commercial $1,239.75
Rate for Payer: United Healthcare Medicare $826.50
Rate for Payer: WINHealth Partners Commercial $1,396.50
Rate for Payer: Wise Provider Network Commercial $1,353.75
Service Code HCPCS 73222
Hospital Charge Code 3527322201
Hospital Revenue Code 352
Min. Negotiated Rate $893.48
Max. Negotiated Rate $1,425.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,396.50
Rate for Payer: Altius Auto/Workers Compensation $1,368.00
Rate for Payer: Altius Commercial $1,368.00
Rate for Payer: Beech Street Commercial $1,396.50
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,169.92
Rate for Payer: Cash Price $997.50
Rate for Payer: ChoiceCare Network Commercial $1,382.25
Rate for Payer: Cigna of WY Commercial $1,396.50
Rate for Payer: Entrust Commercial $1,353.75
Rate for Payer: First Choice Health Commercial $1,353.75
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,353.75
Rate for Payer: Government Employees Health Association (GEHA) Medicare $940.50
Rate for Payer: HealthUtah PPO $1,425.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,382.25
Rate for Payer: Multiplan Medicare/VA $893.48
Rate for Payer: One Health Plan of WY PPO $1,396.50
Rate for Payer: PacificSource Commercial $1,282.50
Rate for Payer: PHCS PPO $1,396.50
Rate for Payer: Three Rivers PPO $1,068.75
Rate for Payer: TriWest Veterans Administration $940.50
Rate for Payer: United Healthcare Commercial $1,239.75
Rate for Payer: United Healthcare Medicare $940.50
Rate for Payer: WINHealth Partners Commercial $1,353.75
Rate for Payer: Wise Provider Network Commercial $1,353.75
Service Code HCPCS 73222
Hospital Charge Code 3527322202
Hospital Revenue Code 352
Min. Negotiated Rate $940.50
Max. Negotiated Rate $1,500.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,470.00
Rate for Payer: Altius Auto/Workers Compensation $1,440.00
Rate for Payer: Altius Commercial $1,440.00
Rate for Payer: Beech Street Commercial $1,470.00
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,231.50
Rate for Payer: Cash Price $1,050.00
Rate for Payer: ChoiceCare Network Commercial $1,455.00
Rate for Payer: Cigna of WY Commercial $1,470.00
Rate for Payer: Entrust Commercial $1,425.00
Rate for Payer: First Choice Health Commercial $1,425.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,425.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $990.00
Rate for Payer: HealthUtah PPO $1,500.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,455.00
Rate for Payer: Multiplan Medicare/VA $940.50
Rate for Payer: One Health Plan of WY PPO $1,470.00
Rate for Payer: PacificSource Commercial $1,350.00
Rate for Payer: PHCS PPO $1,470.00
Rate for Payer: Three Rivers PPO $1,125.00
Rate for Payer: TriWest Veterans Administration $990.00
Rate for Payer: United Healthcare Commercial $1,305.00
Rate for Payer: United Healthcare Medicare $990.00
Rate for Payer: WINHealth Partners Commercial $1,425.00
Rate for Payer: Wise Provider Network Commercial $1,425.00
Service Code HCPCS 73222
Hospital Charge Code 3527322202
Hospital Revenue Code 352
Min. Negotiated Rate $826.50
Max. Negotiated Rate $1,500.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,470.00
Rate for Payer: Aetna of WY Medicare $990.00
Rate for Payer: Altius Auto/Workers Compensation $1,440.00
Rate for Payer: Altius Commercial $1,440.00
Rate for Payer: Beech Street Commercial $1,470.00
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,231.50
Rate for Payer: Cash Price $1,050.00
Rate for Payer: ChoiceCare Network Commercial $1,455.00
Rate for Payer: Cigna of WY Commercial $1,470.00
Rate for Payer: Entrust Commercial $1,425.00
Rate for Payer: First Choice Health Commercial $1,425.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,425.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $870.00
Rate for Payer: HealthUtah PPO $1,500.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,455.00
Rate for Payer: Multiplan Medicare/VA $826.50
Rate for Payer: One Health Plan of WY PPO $1,470.00
Rate for Payer: PacificSource Commercial $1,350.00
Rate for Payer: PHCS PPO $1,470.00
Rate for Payer: Three Rivers PPO $1,125.00
Rate for Payer: TriWest Veterans Administration $870.00
Rate for Payer: United Healthcare Commercial $1,305.00
Rate for Payer: United Healthcare Medicare $870.00
Rate for Payer: WINHealth Partners Commercial $1,470.00
Rate for Payer: Wise Provider Network Commercial $1,425.00
Service Code HCPCS 73222
Hospital Charge Code 6147322209
Hospital Revenue Code 614
Min. Negotiated Rate $1,360.97
Max. Negotiated Rate $2,470.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,420.60
Rate for Payer: Aetna of WY Medicare $1,630.20
Rate for Payer: Altius Auto/Workers Compensation $2,371.20
Rate for Payer: Altius Commercial $2,371.20
Rate for Payer: Beech Street Commercial $2,420.60
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $2,027.87
Rate for Payer: Cash Price $1,729.00
Rate for Payer: ChoiceCare Network Commercial $2,395.90
Rate for Payer: Cigna of WY Commercial $2,420.60
Rate for Payer: Entrust Commercial $2,346.50
Rate for Payer: First Choice Health Commercial $2,346.50
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,346.50
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,432.60
Rate for Payer: HealthUtah PPO $2,470.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,395.90
Rate for Payer: Multiplan Medicare/VA $1,360.97
Rate for Payer: One Health Plan of WY PPO $2,420.60
Rate for Payer: PacificSource Commercial $2,223.00
Rate for Payer: PHCS PPO $2,420.60
Rate for Payer: Three Rivers PPO $1,852.50
Rate for Payer: TriWest Veterans Administration $1,432.60
Rate for Payer: United Healthcare Commercial $2,148.90
Rate for Payer: United Healthcare Medicare $1,432.60
Rate for Payer: WINHealth Partners Commercial $2,420.60
Rate for Payer: Wise Provider Network Commercial $2,346.50
Service Code HCPCS 73222
Hospital Charge Code 6147322209
Hospital Revenue Code 614
Min. Negotiated Rate $1,548.69
Max. Negotiated Rate $2,470.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,420.60
Rate for Payer: Altius Auto/Workers Compensation $2,371.20
Rate for Payer: Altius Commercial $2,371.20
Rate for Payer: Beech Street Commercial $2,420.60
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $2,027.87
Rate for Payer: Cash Price $1,729.00
Rate for Payer: ChoiceCare Network Commercial $2,395.90
Rate for Payer: Cigna of WY Commercial $2,420.60
Rate for Payer: Entrust Commercial $2,346.50
Rate for Payer: First Choice Health Commercial $2,346.50
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,346.50
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,630.20
Rate for Payer: HealthUtah PPO $2,470.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,395.90
Rate for Payer: Multiplan Medicare/VA $1,548.69
Rate for Payer: One Health Plan of WY PPO $2,420.60
Rate for Payer: PacificSource Commercial $2,223.00
Rate for Payer: PHCS PPO $2,420.60
Rate for Payer: Three Rivers PPO $1,852.50
Rate for Payer: TriWest Veterans Administration $1,630.20
Rate for Payer: United Healthcare Commercial $2,148.90
Rate for Payer: United Healthcare Medicare $1,630.20
Rate for Payer: WINHealth Partners Commercial $2,346.50
Rate for Payer: Wise Provider Network Commercial $2,346.50
Service Code HCPCS 73222
Hospital Charge Code 6147322207
Hospital Revenue Code 614
Min. Negotiated Rate $1,548.69
Max. Negotiated Rate $2,470.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,420.60
Rate for Payer: Altius Auto/Workers Compensation $2,371.20
Rate for Payer: Altius Commercial $2,371.20
Rate for Payer: Beech Street Commercial $2,420.60
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $2,027.87
Rate for Payer: Cash Price $1,729.00
Rate for Payer: ChoiceCare Network Commercial $2,395.90
Rate for Payer: Cigna of WY Commercial $2,420.60
Rate for Payer: Entrust Commercial $2,346.50
Rate for Payer: First Choice Health Commercial $2,346.50
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,346.50
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,630.20
Rate for Payer: HealthUtah PPO $2,470.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,395.90
Rate for Payer: Multiplan Medicare/VA $1,548.69
Rate for Payer: One Health Plan of WY PPO $2,420.60
Rate for Payer: PacificSource Commercial $2,223.00
Rate for Payer: PHCS PPO $2,420.60
Rate for Payer: Three Rivers PPO $1,852.50
Rate for Payer: TriWest Veterans Administration $1,630.20
Rate for Payer: United Healthcare Commercial $2,148.90
Rate for Payer: United Healthcare Medicare $1,630.20
Rate for Payer: WINHealth Partners Commercial $2,346.50
Rate for Payer: Wise Provider Network Commercial $2,346.50
Service Code HCPCS 73222
Hospital Charge Code 6147322207
Hospital Revenue Code 614
Min. Negotiated Rate $1,360.97
Max. Negotiated Rate $2,470.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,420.60
Rate for Payer: Aetna of WY Medicare $1,630.20
Rate for Payer: Altius Auto/Workers Compensation $2,371.20
Rate for Payer: Altius Commercial $2,371.20
Rate for Payer: Beech Street Commercial $2,420.60
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $2,027.87
Rate for Payer: Cash Price $1,729.00
Rate for Payer: ChoiceCare Network Commercial $2,395.90
Rate for Payer: Cigna of WY Commercial $2,420.60
Rate for Payer: Entrust Commercial $2,346.50
Rate for Payer: First Choice Health Commercial $2,346.50
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,346.50
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,432.60
Rate for Payer: HealthUtah PPO $2,470.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,395.90
Rate for Payer: Multiplan Medicare/VA $1,360.97
Rate for Payer: One Health Plan of WY PPO $2,420.60
Rate for Payer: PacificSource Commercial $2,223.00
Rate for Payer: PHCS PPO $2,420.60
Rate for Payer: Three Rivers PPO $1,852.50
Rate for Payer: TriWest Veterans Administration $1,432.60
Rate for Payer: United Healthcare Commercial $2,148.90
Rate for Payer: United Healthcare Medicare $1,432.60
Rate for Payer: WINHealth Partners Commercial $2,420.60
Rate for Payer: Wise Provider Network Commercial $2,346.50
Service Code HCPCS 73222
Hospital Charge Code 6147322205
Hospital Revenue Code 614
Min. Negotiated Rate $1,102.00
Max. Negotiated Rate $2,000.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,960.00
Rate for Payer: Aetna of WY Medicare $1,320.00
Rate for Payer: Altius Auto/Workers Compensation $1,920.00
Rate for Payer: Altius Commercial $1,920.00
Rate for Payer: Beech Street Commercial $1,960.00
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,642.00
Rate for Payer: Cash Price $1,400.00
Rate for Payer: ChoiceCare Network Commercial $1,940.00
Rate for Payer: Cigna of WY Commercial $1,960.00
Rate for Payer: Entrust Commercial $1,900.00
Rate for Payer: First Choice Health Commercial $1,900.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,900.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,160.00
Rate for Payer: HealthUtah PPO $2,000.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,940.00
Rate for Payer: Multiplan Medicare/VA $1,102.00
Rate for Payer: One Health Plan of WY PPO $1,960.00
Rate for Payer: PacificSource Commercial $1,800.00
Rate for Payer: PHCS PPO $1,960.00
Rate for Payer: Three Rivers PPO $1,500.00
Rate for Payer: TriWest Veterans Administration $1,160.00
Rate for Payer: United Healthcare Commercial $1,740.00
Rate for Payer: United Healthcare Medicare $1,160.00
Rate for Payer: WINHealth Partners Commercial $1,960.00
Rate for Payer: Wise Provider Network Commercial $1,900.00
Service Code HCPCS 73222
Hospital Charge Code 6147322205
Hospital Revenue Code 614
Min. Negotiated Rate $1,254.00
Max. Negotiated Rate $2,000.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,960.00
Rate for Payer: Altius Auto/Workers Compensation $1,920.00
Rate for Payer: Altius Commercial $1,920.00
Rate for Payer: Beech Street Commercial $1,960.00
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,642.00
Rate for Payer: Cash Price $1,400.00
Rate for Payer: ChoiceCare Network Commercial $1,940.00
Rate for Payer: Cigna of WY Commercial $1,960.00
Rate for Payer: Entrust Commercial $1,900.00
Rate for Payer: First Choice Health Commercial $1,900.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,900.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,320.00
Rate for Payer: HealthUtah PPO $2,000.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,940.00
Rate for Payer: Multiplan Medicare/VA $1,254.00
Rate for Payer: One Health Plan of WY PPO $1,960.00
Rate for Payer: PacificSource Commercial $1,800.00
Rate for Payer: PHCS PPO $1,960.00
Rate for Payer: Three Rivers PPO $1,500.00
Rate for Payer: TriWest Veterans Administration $1,320.00
Rate for Payer: United Healthcare Commercial $1,740.00
Rate for Payer: United Healthcare Medicare $1,320.00
Rate for Payer: WINHealth Partners Commercial $1,900.00
Rate for Payer: Wise Provider Network Commercial $1,900.00
Service Code HCPCS 73222
Hospital Charge Code 6147322203
Hospital Revenue Code 614
Min. Negotiated Rate $1,102.00
Max. Negotiated Rate $2,000.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,960.00
Rate for Payer: Aetna of WY Medicare $1,320.00
Rate for Payer: Altius Auto/Workers Compensation $1,920.00
Rate for Payer: Altius Commercial $1,920.00
Rate for Payer: Beech Street Commercial $1,960.00
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,642.00
Rate for Payer: Cash Price $1,400.00
Rate for Payer: ChoiceCare Network Commercial $1,940.00
Rate for Payer: Cigna of WY Commercial $1,960.00
Rate for Payer: Entrust Commercial $1,900.00
Rate for Payer: First Choice Health Commercial $1,900.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,900.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,160.00
Rate for Payer: HealthUtah PPO $2,000.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,940.00
Rate for Payer: Multiplan Medicare/VA $1,102.00
Rate for Payer: One Health Plan of WY PPO $1,960.00
Rate for Payer: PacificSource Commercial $1,800.00
Rate for Payer: PHCS PPO $1,960.00
Rate for Payer: Three Rivers PPO $1,500.00
Rate for Payer: TriWest Veterans Administration $1,160.00
Rate for Payer: United Healthcare Commercial $1,740.00
Rate for Payer: United Healthcare Medicare $1,160.00
Rate for Payer: WINHealth Partners Commercial $1,960.00
Rate for Payer: Wise Provider Network Commercial $1,900.00
Service Code HCPCS 73222
Hospital Charge Code 6147322203
Hospital Revenue Code 614
Min. Negotiated Rate $1,254.00
Max. Negotiated Rate $2,000.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,960.00
Rate for Payer: Altius Auto/Workers Compensation $1,920.00
Rate for Payer: Altius Commercial $1,920.00
Rate for Payer: Beech Street Commercial $1,960.00
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,642.00
Rate for Payer: Cash Price $1,400.00
Rate for Payer: ChoiceCare Network Commercial $1,940.00
Rate for Payer: Cigna of WY Commercial $1,960.00
Rate for Payer: Entrust Commercial $1,900.00
Rate for Payer: First Choice Health Commercial $1,900.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,900.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,320.00
Rate for Payer: HealthUtah PPO $2,000.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,940.00
Rate for Payer: Multiplan Medicare/VA $1,254.00
Rate for Payer: One Health Plan of WY PPO $1,960.00
Rate for Payer: PacificSource Commercial $1,800.00
Rate for Payer: PHCS PPO $1,960.00
Rate for Payer: Three Rivers PPO $1,500.00
Rate for Payer: TriWest Veterans Administration $1,320.00
Rate for Payer: United Healthcare Commercial $1,740.00
Rate for Payer: United Healthcare Medicare $1,320.00
Rate for Payer: WINHealth Partners Commercial $1,900.00
Rate for Payer: Wise Provider Network Commercial $1,900.00
Service Code HCPCS 73222
Hospital Charge Code 6147322210
Hospital Revenue Code 614
Min. Negotiated Rate $1,102.00
Max. Negotiated Rate $2,000.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,960.00
Rate for Payer: Aetna of WY Medicare $1,320.00
Rate for Payer: Altius Auto/Workers Compensation $1,920.00
Rate for Payer: Altius Commercial $1,920.00
Rate for Payer: Beech Street Commercial $1,960.00
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,642.00
Rate for Payer: Cash Price $1,400.00
Rate for Payer: ChoiceCare Network Commercial $1,940.00
Rate for Payer: Cigna of WY Commercial $1,960.00
Rate for Payer: Entrust Commercial $1,900.00
Rate for Payer: First Choice Health Commercial $1,900.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,900.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,160.00
Rate for Payer: HealthUtah PPO $2,000.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,940.00
Rate for Payer: Multiplan Medicare/VA $1,102.00
Rate for Payer: One Health Plan of WY PPO $1,960.00
Rate for Payer: PacificSource Commercial $1,800.00
Rate for Payer: PHCS PPO $1,960.00
Rate for Payer: Three Rivers PPO $1,500.00
Rate for Payer: TriWest Veterans Administration $1,160.00
Rate for Payer: United Healthcare Commercial $1,740.00
Rate for Payer: United Healthcare Medicare $1,160.00
Rate for Payer: WINHealth Partners Commercial $1,960.00
Rate for Payer: Wise Provider Network Commercial $1,900.00
Service Code HCPCS 73222
Hospital Charge Code 6147322210
Hospital Revenue Code 614
Min. Negotiated Rate $1,254.00
Max. Negotiated Rate $2,000.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,960.00
Rate for Payer: Altius Auto/Workers Compensation $1,920.00
Rate for Payer: Altius Commercial $1,920.00
Rate for Payer: Beech Street Commercial $1,960.00
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,642.00
Rate for Payer: Cash Price $1,400.00
Rate for Payer: ChoiceCare Network Commercial $1,940.00
Rate for Payer: Cigna of WY Commercial $1,960.00
Rate for Payer: Entrust Commercial $1,900.00
Rate for Payer: First Choice Health Commercial $1,900.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,900.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,320.00
Rate for Payer: HealthUtah PPO $2,000.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,940.00
Rate for Payer: Multiplan Medicare/VA $1,254.00
Rate for Payer: One Health Plan of WY PPO $1,960.00
Rate for Payer: PacificSource Commercial $1,800.00
Rate for Payer: PHCS PPO $1,960.00
Rate for Payer: Three Rivers PPO $1,500.00
Rate for Payer: TriWest Veterans Administration $1,320.00
Rate for Payer: United Healthcare Commercial $1,740.00
Rate for Payer: United Healthcare Medicare $1,320.00
Rate for Payer: WINHealth Partners Commercial $1,900.00
Rate for Payer: Wise Provider Network Commercial $1,900.00
Service Code HCPCS 73222
Hospital Charge Code 6147322208
Hospital Revenue Code 614
Min. Negotiated Rate $1,254.00
Max. Negotiated Rate $2,000.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,960.00
Rate for Payer: Altius Auto/Workers Compensation $1,920.00
Rate for Payer: Altius Commercial $1,920.00
Rate for Payer: Beech Street Commercial $1,960.00
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,642.00
Rate for Payer: Cash Price $1,400.00
Rate for Payer: ChoiceCare Network Commercial $1,940.00
Rate for Payer: Cigna of WY Commercial $1,960.00
Rate for Payer: Entrust Commercial $1,900.00
Rate for Payer: First Choice Health Commercial $1,900.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,900.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,320.00
Rate for Payer: HealthUtah PPO $2,000.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,940.00
Rate for Payer: Multiplan Medicare/VA $1,254.00
Rate for Payer: One Health Plan of WY PPO $1,960.00
Rate for Payer: PacificSource Commercial $1,800.00
Rate for Payer: PHCS PPO $1,960.00
Rate for Payer: Three Rivers PPO $1,500.00
Rate for Payer: TriWest Veterans Administration $1,320.00
Rate for Payer: United Healthcare Commercial $1,740.00
Rate for Payer: United Healthcare Medicare $1,320.00
Rate for Payer: WINHealth Partners Commercial $1,900.00
Rate for Payer: Wise Provider Network Commercial $1,900.00
Service Code HCPCS 73222
Hospital Charge Code 6147322208
Hospital Revenue Code 614
Min. Negotiated Rate $1,102.00
Max. Negotiated Rate $2,000.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $1,960.00
Rate for Payer: Aetna of WY Medicare $1,320.00
Rate for Payer: Altius Auto/Workers Compensation $1,920.00
Rate for Payer: Altius Commercial $1,920.00
Rate for Payer: Beech Street Commercial $1,960.00
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,642.00
Rate for Payer: Cash Price $1,400.00
Rate for Payer: ChoiceCare Network Commercial $1,940.00
Rate for Payer: Cigna of WY Commercial $1,960.00
Rate for Payer: Entrust Commercial $1,900.00
Rate for Payer: First Choice Health Commercial $1,900.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $1,900.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,160.00
Rate for Payer: HealthUtah PPO $2,000.00
Rate for Payer: Idaho Integrated Healthcare Commercial $1,940.00
Rate for Payer: Multiplan Medicare/VA $1,102.00
Rate for Payer: One Health Plan of WY PPO $1,960.00
Rate for Payer: PacificSource Commercial $1,800.00
Rate for Payer: PHCS PPO $1,960.00
Rate for Payer: Three Rivers PPO $1,500.00
Rate for Payer: TriWest Veterans Administration $1,160.00
Rate for Payer: United Healthcare Commercial $1,740.00
Rate for Payer: United Healthcare Medicare $1,160.00
Rate for Payer: WINHealth Partners Commercial $1,960.00
Rate for Payer: Wise Provider Network Commercial $1,900.00