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Service Code HCPCS 73222
Hospital Charge Code 6147322206
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 6147322206
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 6147322201
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 6147322201
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 6147322213
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 6147322213
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 6147322214
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 6147322214
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 73223
Hospital Charge Code 6147322305
Hospital Revenue Code 614
Min. Negotiated Rate $1,889.93
Max. Negotiated Rate $3,430.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $3,361.40
Rate for Payer: Aetna of WY Medicare $2,263.80
Rate for Payer: Altius Auto/Workers Compensation $3,292.80
Rate for Payer: Altius Commercial $3,292.80
Rate for Payer: Beech Street Commercial $3,361.40
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $2,816.03
Rate for Payer: Cash Price $2,401.00
Rate for Payer: ChoiceCare Network Commercial $3,327.10
Rate for Payer: Cigna of WY Commercial $3,361.40
Rate for Payer: Entrust Commercial $3,258.50
Rate for Payer: First Choice Health Commercial $3,258.50
Rate for Payer: Government Employees Health Association (GEHA) Commercial $3,258.50
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,989.40
Rate for Payer: HealthUtah PPO $3,430.00
Rate for Payer: Idaho Integrated Healthcare Commercial $3,327.10
Rate for Payer: Multiplan Medicare/VA $1,889.93
Rate for Payer: One Health Plan of WY PPO $3,361.40
Rate for Payer: PacificSource Commercial $3,087.00
Rate for Payer: PHCS PPO $3,361.40
Rate for Payer: Three Rivers PPO $2,572.50
Rate for Payer: TriWest Veterans Administration $1,989.40
Rate for Payer: United Healthcare Commercial $2,984.10
Rate for Payer: United Healthcare Medicare $1,989.40
Rate for Payer: WINHealth Partners Commercial $3,361.40
Rate for Payer: Wise Provider Network Commercial $3,258.50
Service Code HCPCS 73223
Hospital Charge Code 6147322305
Hospital Revenue Code 614
Min. Negotiated Rate $2,150.61
Max. Negotiated Rate $3,430.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $3,361.40
Rate for Payer: Altius Auto/Workers Compensation $3,292.80
Rate for Payer: Altius Commercial $3,292.80
Rate for Payer: Beech Street Commercial $3,361.40
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $2,816.03
Rate for Payer: Cash Price $2,401.00
Rate for Payer: ChoiceCare Network Commercial $3,327.10
Rate for Payer: Cigna of WY Commercial $3,361.40
Rate for Payer: Entrust Commercial $3,258.50
Rate for Payer: First Choice Health Commercial $3,258.50
Rate for Payer: Government Employees Health Association (GEHA) Commercial $3,258.50
Rate for Payer: Government Employees Health Association (GEHA) Medicare $2,263.80
Rate for Payer: HealthUtah PPO $3,430.00
Rate for Payer: Idaho Integrated Healthcare Commercial $3,327.10
Rate for Payer: Multiplan Medicare/VA $2,150.61
Rate for Payer: One Health Plan of WY PPO $3,361.40
Rate for Payer: PacificSource Commercial $3,087.00
Rate for Payer: PHCS PPO $3,361.40
Rate for Payer: Three Rivers PPO $2,572.50
Rate for Payer: TriWest Veterans Administration $2,263.80
Rate for Payer: United Healthcare Commercial $2,984.10
Rate for Payer: United Healthcare Medicare $2,263.80
Rate for Payer: WINHealth Partners Commercial $3,258.50
Rate for Payer: Wise Provider Network Commercial $3,258.50
Service Code HCPCS 73223
Hospital Charge Code 6147322302
Hospital Revenue Code 614
Min. Negotiated Rate $1,889.93
Max. Negotiated Rate $3,430.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $3,361.40
Rate for Payer: Aetna of WY Medicare $2,263.80
Rate for Payer: Altius Auto/Workers Compensation $3,292.80
Rate for Payer: Altius Commercial $3,292.80
Rate for Payer: Beech Street Commercial $3,361.40
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $2,816.03
Rate for Payer: Cash Price $2,401.00
Rate for Payer: ChoiceCare Network Commercial $3,327.10
Rate for Payer: Cigna of WY Commercial $3,361.40
Rate for Payer: Entrust Commercial $3,258.50
Rate for Payer: First Choice Health Commercial $3,258.50
Rate for Payer: Government Employees Health Association (GEHA) Commercial $3,258.50
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,989.40
Rate for Payer: HealthUtah PPO $3,430.00
Rate for Payer: Idaho Integrated Healthcare Commercial $3,327.10
Rate for Payer: Multiplan Medicare/VA $1,889.93
Rate for Payer: One Health Plan of WY PPO $3,361.40
Rate for Payer: PacificSource Commercial $3,087.00
Rate for Payer: PHCS PPO $3,361.40
Rate for Payer: Three Rivers PPO $2,572.50
Rate for Payer: TriWest Veterans Administration $1,989.40
Rate for Payer: United Healthcare Commercial $2,984.10
Rate for Payer: United Healthcare Medicare $1,989.40
Rate for Payer: WINHealth Partners Commercial $3,361.40
Rate for Payer: Wise Provider Network Commercial $3,258.50
Service Code HCPCS 73223
Hospital Charge Code 6147322302
Hospital Revenue Code 614
Min. Negotiated Rate $2,150.61
Max. Negotiated Rate $3,430.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $3,361.40
Rate for Payer: Altius Auto/Workers Compensation $3,292.80
Rate for Payer: Altius Commercial $3,292.80
Rate for Payer: Beech Street Commercial $3,361.40
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $2,816.03
Rate for Payer: Cash Price $2,401.00
Rate for Payer: ChoiceCare Network Commercial $3,327.10
Rate for Payer: Cigna of WY Commercial $3,361.40
Rate for Payer: Entrust Commercial $3,258.50
Rate for Payer: First Choice Health Commercial $3,258.50
Rate for Payer: Government Employees Health Association (GEHA) Commercial $3,258.50
Rate for Payer: Government Employees Health Association (GEHA) Medicare $2,263.80
Rate for Payer: HealthUtah PPO $3,430.00
Rate for Payer: Idaho Integrated Healthcare Commercial $3,327.10
Rate for Payer: Multiplan Medicare/VA $2,150.61
Rate for Payer: One Health Plan of WY PPO $3,361.40
Rate for Payer: PacificSource Commercial $3,087.00
Rate for Payer: PHCS PPO $3,361.40
Rate for Payer: Three Rivers PPO $2,572.50
Rate for Payer: TriWest Veterans Administration $2,263.80
Rate for Payer: United Healthcare Commercial $2,984.10
Rate for Payer: United Healthcare Medicare $2,263.80
Rate for Payer: WINHealth Partners Commercial $3,258.50
Rate for Payer: Wise Provider Network Commercial $3,258.50
Service Code HCPCS 73223
Hospital Charge Code 6147322306
Hospital Revenue Code 614
Min. Negotiated Rate $2,150.61
Max. Negotiated Rate $3,430.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $3,361.40
Rate for Payer: Altius Auto/Workers Compensation $3,292.80
Rate for Payer: Altius Commercial $3,292.80
Rate for Payer: Beech Street Commercial $3,361.40
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $2,816.03
Rate for Payer: Cash Price $2,401.00
Rate for Payer: ChoiceCare Network Commercial $3,327.10
Rate for Payer: Cigna of WY Commercial $3,361.40
Rate for Payer: Entrust Commercial $3,258.50
Rate for Payer: First Choice Health Commercial $3,258.50
Rate for Payer: Government Employees Health Association (GEHA) Commercial $3,258.50
Rate for Payer: Government Employees Health Association (GEHA) Medicare $2,263.80
Rate for Payer: HealthUtah PPO $3,430.00
Rate for Payer: Idaho Integrated Healthcare Commercial $3,327.10
Rate for Payer: Multiplan Medicare/VA $2,150.61
Rate for Payer: One Health Plan of WY PPO $3,361.40
Rate for Payer: PacificSource Commercial $3,087.00
Rate for Payer: PHCS PPO $3,361.40
Rate for Payer: Three Rivers PPO $2,572.50
Rate for Payer: TriWest Veterans Administration $2,263.80
Rate for Payer: United Healthcare Commercial $2,984.10
Rate for Payer: United Healthcare Medicare $2,263.80
Rate for Payer: WINHealth Partners Commercial $3,258.50
Rate for Payer: Wise Provider Network Commercial $3,258.50
Service Code HCPCS 73223
Hospital Charge Code 6147322306
Hospital Revenue Code 614
Min. Negotiated Rate $1,889.93
Max. Negotiated Rate $3,430.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $3,361.40
Rate for Payer: Aetna of WY Medicare $2,263.80
Rate for Payer: Altius Auto/Workers Compensation $3,292.80
Rate for Payer: Altius Commercial $3,292.80
Rate for Payer: Beech Street Commercial $3,361.40
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $2,816.03
Rate for Payer: Cash Price $2,401.00
Rate for Payer: ChoiceCare Network Commercial $3,327.10
Rate for Payer: Cigna of WY Commercial $3,361.40
Rate for Payer: Entrust Commercial $3,258.50
Rate for Payer: First Choice Health Commercial $3,258.50
Rate for Payer: Government Employees Health Association (GEHA) Commercial $3,258.50
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,989.40
Rate for Payer: HealthUtah PPO $3,430.00
Rate for Payer: Idaho Integrated Healthcare Commercial $3,327.10
Rate for Payer: Multiplan Medicare/VA $1,889.93
Rate for Payer: One Health Plan of WY PPO $3,361.40
Rate for Payer: PacificSource Commercial $3,087.00
Rate for Payer: PHCS PPO $3,361.40
Rate for Payer: Three Rivers PPO $2,572.50
Rate for Payer: TriWest Veterans Administration $1,989.40
Rate for Payer: United Healthcare Commercial $2,984.10
Rate for Payer: United Healthcare Medicare $1,989.40
Rate for Payer: WINHealth Partners Commercial $3,361.40
Rate for Payer: Wise Provider Network Commercial $3,258.50
Service Code HCPCS 73223
Hospital Charge Code 6147322303
Hospital Revenue Code 614
Min. Negotiated Rate $2,150.61
Max. Negotiated Rate $3,430.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $3,361.40
Rate for Payer: Altius Auto/Workers Compensation $3,292.80
Rate for Payer: Altius Commercial $3,292.80
Rate for Payer: Beech Street Commercial $3,361.40
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $2,816.03
Rate for Payer: Cash Price $2,401.00
Rate for Payer: ChoiceCare Network Commercial $3,327.10
Rate for Payer: Cigna of WY Commercial $3,361.40
Rate for Payer: Entrust Commercial $3,258.50
Rate for Payer: First Choice Health Commercial $3,258.50
Rate for Payer: Government Employees Health Association (GEHA) Commercial $3,258.50
Rate for Payer: Government Employees Health Association (GEHA) Medicare $2,263.80
Rate for Payer: HealthUtah PPO $3,430.00
Rate for Payer: Idaho Integrated Healthcare Commercial $3,327.10
Rate for Payer: Multiplan Medicare/VA $2,150.61
Rate for Payer: One Health Plan of WY PPO $3,361.40
Rate for Payer: PacificSource Commercial $3,087.00
Rate for Payer: PHCS PPO $3,361.40
Rate for Payer: Three Rivers PPO $2,572.50
Rate for Payer: TriWest Veterans Administration $2,263.80
Rate for Payer: United Healthcare Commercial $2,984.10
Rate for Payer: United Healthcare Medicare $2,263.80
Rate for Payer: WINHealth Partners Commercial $3,258.50
Rate for Payer: Wise Provider Network Commercial $3,258.50
Service Code HCPCS 73223
Hospital Charge Code 6147322303
Hospital Revenue Code 614
Min. Negotiated Rate $1,889.93
Max. Negotiated Rate $3,430.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $3,361.40
Rate for Payer: Aetna of WY Medicare $2,263.80
Rate for Payer: Altius Auto/Workers Compensation $3,292.80
Rate for Payer: Altius Commercial $3,292.80
Rate for Payer: Beech Street Commercial $3,361.40
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $2,816.03
Rate for Payer: Cash Price $2,401.00
Rate for Payer: ChoiceCare Network Commercial $3,327.10
Rate for Payer: Cigna of WY Commercial $3,361.40
Rate for Payer: Entrust Commercial $3,258.50
Rate for Payer: First Choice Health Commercial $3,258.50
Rate for Payer: Government Employees Health Association (GEHA) Commercial $3,258.50
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,989.40
Rate for Payer: HealthUtah PPO $3,430.00
Rate for Payer: Idaho Integrated Healthcare Commercial $3,327.10
Rate for Payer: Multiplan Medicare/VA $1,889.93
Rate for Payer: One Health Plan of WY PPO $3,361.40
Rate for Payer: PacificSource Commercial $3,087.00
Rate for Payer: PHCS PPO $3,361.40
Rate for Payer: Three Rivers PPO $2,572.50
Rate for Payer: TriWest Veterans Administration $1,989.40
Rate for Payer: United Healthcare Commercial $2,984.10
Rate for Payer: United Healthcare Medicare $1,989.40
Rate for Payer: WINHealth Partners Commercial $3,361.40
Rate for Payer: Wise Provider Network Commercial $3,258.50
Service Code HCPCS 73223
Hospital Charge Code 6147322304
Hospital Revenue Code 614
Min. Negotiated Rate $1,889.93
Max. Negotiated Rate $3,430.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $3,361.40
Rate for Payer: Aetna of WY Medicare $2,263.80
Rate for Payer: Altius Auto/Workers Compensation $3,292.80
Rate for Payer: Altius Commercial $3,292.80
Rate for Payer: Beech Street Commercial $3,361.40
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $2,816.03
Rate for Payer: Cash Price $2,401.00
Rate for Payer: ChoiceCare Network Commercial $3,327.10
Rate for Payer: Cigna of WY Commercial $3,361.40
Rate for Payer: Entrust Commercial $3,258.50
Rate for Payer: First Choice Health Commercial $3,258.50
Rate for Payer: Government Employees Health Association (GEHA) Commercial $3,258.50
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,989.40
Rate for Payer: HealthUtah PPO $3,430.00
Rate for Payer: Idaho Integrated Healthcare Commercial $3,327.10
Rate for Payer: Multiplan Medicare/VA $1,889.93
Rate for Payer: One Health Plan of WY PPO $3,361.40
Rate for Payer: PacificSource Commercial $3,087.00
Rate for Payer: PHCS PPO $3,361.40
Rate for Payer: Three Rivers PPO $2,572.50
Rate for Payer: TriWest Veterans Administration $1,989.40
Rate for Payer: United Healthcare Commercial $2,984.10
Rate for Payer: United Healthcare Medicare $1,989.40
Rate for Payer: WINHealth Partners Commercial $3,361.40
Rate for Payer: Wise Provider Network Commercial $3,258.50
Service Code HCPCS 73223
Hospital Charge Code 6147322304
Hospital Revenue Code 614
Min. Negotiated Rate $2,150.61
Max. Negotiated Rate $3,430.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $3,361.40
Rate for Payer: Altius Auto/Workers Compensation $3,292.80
Rate for Payer: Altius Commercial $3,292.80
Rate for Payer: Beech Street Commercial $3,361.40
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $2,816.03
Rate for Payer: Cash Price $2,401.00
Rate for Payer: ChoiceCare Network Commercial $3,327.10
Rate for Payer: Cigna of WY Commercial $3,361.40
Rate for Payer: Entrust Commercial $3,258.50
Rate for Payer: First Choice Health Commercial $3,258.50
Rate for Payer: Government Employees Health Association (GEHA) Commercial $3,258.50
Rate for Payer: Government Employees Health Association (GEHA) Medicare $2,263.80
Rate for Payer: HealthUtah PPO $3,430.00
Rate for Payer: Idaho Integrated Healthcare Commercial $3,327.10
Rate for Payer: Multiplan Medicare/VA $2,150.61
Rate for Payer: One Health Plan of WY PPO $3,361.40
Rate for Payer: PacificSource Commercial $3,087.00
Rate for Payer: PHCS PPO $3,361.40
Rate for Payer: Three Rivers PPO $2,572.50
Rate for Payer: TriWest Veterans Administration $2,263.80
Rate for Payer: United Healthcare Commercial $2,984.10
Rate for Payer: United Healthcare Medicare $2,263.80
Rate for Payer: WINHealth Partners Commercial $3,258.50
Rate for Payer: Wise Provider Network Commercial $3,258.50
Service Code HCPCS 73223
Hospital Charge Code 6147322301
Hospital Revenue Code 614
Min. Negotiated Rate $2,150.61
Max. Negotiated Rate $3,430.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $3,361.40
Rate for Payer: Altius Auto/Workers Compensation $3,292.80
Rate for Payer: Altius Commercial $3,292.80
Rate for Payer: Beech Street Commercial $3,361.40
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $2,816.03
Rate for Payer: Cash Price $2,401.00
Rate for Payer: ChoiceCare Network Commercial $3,327.10
Rate for Payer: Cigna of WY Commercial $3,361.40
Rate for Payer: Entrust Commercial $3,258.50
Rate for Payer: First Choice Health Commercial $3,258.50
Rate for Payer: Government Employees Health Association (GEHA) Commercial $3,258.50
Rate for Payer: Government Employees Health Association (GEHA) Medicare $2,263.80
Rate for Payer: HealthUtah PPO $3,430.00
Rate for Payer: Idaho Integrated Healthcare Commercial $3,327.10
Rate for Payer: Multiplan Medicare/VA $2,150.61
Rate for Payer: One Health Plan of WY PPO $3,361.40
Rate for Payer: PacificSource Commercial $3,087.00
Rate for Payer: PHCS PPO $3,361.40
Rate for Payer: Three Rivers PPO $2,572.50
Rate for Payer: TriWest Veterans Administration $2,263.80
Rate for Payer: United Healthcare Commercial $2,984.10
Rate for Payer: United Healthcare Medicare $2,263.80
Rate for Payer: WINHealth Partners Commercial $3,258.50
Rate for Payer: Wise Provider Network Commercial $3,258.50
Service Code HCPCS 73223
Hospital Charge Code 6147322301
Hospital Revenue Code 614
Min. Negotiated Rate $1,889.93
Max. Negotiated Rate $3,430.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $3,361.40
Rate for Payer: Aetna of WY Medicare $2,263.80
Rate for Payer: Altius Auto/Workers Compensation $3,292.80
Rate for Payer: Altius Commercial $3,292.80
Rate for Payer: Beech Street Commercial $3,361.40
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $2,816.03
Rate for Payer: Cash Price $2,401.00
Rate for Payer: ChoiceCare Network Commercial $3,327.10
Rate for Payer: Cigna of WY Commercial $3,361.40
Rate for Payer: Entrust Commercial $3,258.50
Rate for Payer: First Choice Health Commercial $3,258.50
Rate for Payer: Government Employees Health Association (GEHA) Commercial $3,258.50
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,989.40
Rate for Payer: HealthUtah PPO $3,430.00
Rate for Payer: Idaho Integrated Healthcare Commercial $3,327.10
Rate for Payer: Multiplan Medicare/VA $1,889.93
Rate for Payer: One Health Plan of WY PPO $3,361.40
Rate for Payer: PacificSource Commercial $3,087.00
Rate for Payer: PHCS PPO $3,361.40
Rate for Payer: Three Rivers PPO $2,572.50
Rate for Payer: TriWest Veterans Administration $1,989.40
Rate for Payer: United Healthcare Commercial $2,984.10
Rate for Payer: United Healthcare Medicare $1,989.40
Rate for Payer: WINHealth Partners Commercial $3,361.40
Rate for Payer: Wise Provider Network Commercial $3,258.50
Service Code HCPCS 73718
Hospital Charge Code 6147371805
Hospital Revenue Code 614
Min. Negotiated Rate $1,333.42
Max. Negotiated Rate $2,420.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,371.60
Rate for Payer: Aetna of WY Medicare $1,597.20
Rate for Payer: Altius Auto/Workers Compensation $2,323.20
Rate for Payer: Altius Commercial $2,323.20
Rate for Payer: Beech Street Commercial $2,371.60
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,986.82
Rate for Payer: Cash Price $1,694.00
Rate for Payer: ChoiceCare Network Commercial $2,347.40
Rate for Payer: Cigna of WY Commercial $2,371.60
Rate for Payer: Entrust Commercial $2,299.00
Rate for Payer: First Choice Health Commercial $2,299.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,299.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,403.60
Rate for Payer: HealthUtah PPO $2,420.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,347.40
Rate for Payer: Multiplan Medicare/VA $1,333.42
Rate for Payer: One Health Plan of WY PPO $2,371.60
Rate for Payer: PacificSource Commercial $2,178.00
Rate for Payer: PHCS PPO $2,371.60
Rate for Payer: Three Rivers PPO $1,815.00
Rate for Payer: TriWest Veterans Administration $1,403.60
Rate for Payer: United Healthcare Commercial $2,105.40
Rate for Payer: United Healthcare Medicare $1,403.60
Rate for Payer: WINHealth Partners Commercial $2,371.60
Rate for Payer: Wise Provider Network Commercial $2,299.00
Service Code HCPCS 73718
Hospital Charge Code 6147371805
Hospital Revenue Code 614
Min. Negotiated Rate $1,517.34
Max. Negotiated Rate $2,420.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,371.60
Rate for Payer: Altius Auto/Workers Compensation $2,323.20
Rate for Payer: Altius Commercial $2,323.20
Rate for Payer: Beech Street Commercial $2,371.60
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,986.82
Rate for Payer: Cash Price $1,694.00
Rate for Payer: ChoiceCare Network Commercial $2,347.40
Rate for Payer: Cigna of WY Commercial $2,371.60
Rate for Payer: Entrust Commercial $2,299.00
Rate for Payer: First Choice Health Commercial $2,299.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,299.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,597.20
Rate for Payer: HealthUtah PPO $2,420.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,347.40
Rate for Payer: Multiplan Medicare/VA $1,517.34
Rate for Payer: One Health Plan of WY PPO $2,371.60
Rate for Payer: PacificSource Commercial $2,178.00
Rate for Payer: PHCS PPO $2,371.60
Rate for Payer: Three Rivers PPO $1,815.00
Rate for Payer: TriWest Veterans Administration $1,597.20
Rate for Payer: United Healthcare Commercial $2,105.40
Rate for Payer: United Healthcare Medicare $1,597.20
Rate for Payer: WINHealth Partners Commercial $2,299.00
Rate for Payer: Wise Provider Network Commercial $2,299.00
Service Code HCPCS 73718
Hospital Charge Code 6147371802
Hospital Revenue Code 614
Min. Negotiated Rate $1,333.42
Max. Negotiated Rate $2,420.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,371.60
Rate for Payer: Aetna of WY Medicare $1,597.20
Rate for Payer: Altius Auto/Workers Compensation $2,323.20
Rate for Payer: Altius Commercial $2,323.20
Rate for Payer: Beech Street Commercial $2,371.60
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,986.82
Rate for Payer: Cash Price $1,694.00
Rate for Payer: ChoiceCare Network Commercial $2,347.40
Rate for Payer: Cigna of WY Commercial $2,371.60
Rate for Payer: Entrust Commercial $2,299.00
Rate for Payer: First Choice Health Commercial $2,299.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,299.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,403.60
Rate for Payer: HealthUtah PPO $2,420.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,347.40
Rate for Payer: Multiplan Medicare/VA $1,333.42
Rate for Payer: One Health Plan of WY PPO $2,371.60
Rate for Payer: PacificSource Commercial $2,178.00
Rate for Payer: PHCS PPO $2,371.60
Rate for Payer: Three Rivers PPO $1,815.00
Rate for Payer: TriWest Veterans Administration $1,403.60
Rate for Payer: United Healthcare Commercial $2,105.40
Rate for Payer: United Healthcare Medicare $1,403.60
Rate for Payer: WINHealth Partners Commercial $2,371.60
Rate for Payer: Wise Provider Network Commercial $2,299.00
Service Code HCPCS 73718
Hospital Charge Code 6147371802
Hospital Revenue Code 614
Min. Negotiated Rate $1,517.34
Max. Negotiated Rate $2,420.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,371.60
Rate for Payer: Altius Auto/Workers Compensation $2,323.20
Rate for Payer: Altius Commercial $2,323.20
Rate for Payer: Beech Street Commercial $2,371.60
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,986.82
Rate for Payer: Cash Price $1,694.00
Rate for Payer: ChoiceCare Network Commercial $2,347.40
Rate for Payer: Cigna of WY Commercial $2,371.60
Rate for Payer: Entrust Commercial $2,299.00
Rate for Payer: First Choice Health Commercial $2,299.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,299.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,597.20
Rate for Payer: HealthUtah PPO $2,420.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,347.40
Rate for Payer: Multiplan Medicare/VA $1,517.34
Rate for Payer: One Health Plan of WY PPO $2,371.60
Rate for Payer: PacificSource Commercial $2,178.00
Rate for Payer: PHCS PPO $2,371.60
Rate for Payer: Three Rivers PPO $1,815.00
Rate for Payer: TriWest Veterans Administration $1,597.20
Rate for Payer: United Healthcare Commercial $2,105.40
Rate for Payer: United Healthcare Medicare $1,597.20
Rate for Payer: WINHealth Partners Commercial $2,299.00
Rate for Payer: Wise Provider Network Commercial $2,299.00
Service Code HCPCS 73718
Hospital Charge Code 6147371806
Hospital Revenue Code 614
Min. Negotiated Rate $1,333.42
Max. Negotiated Rate $2,420.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $2,371.60
Rate for Payer: Aetna of WY Medicare $1,597.20
Rate for Payer: Altius Auto/Workers Compensation $2,323.20
Rate for Payer: Altius Commercial $2,323.20
Rate for Payer: Beech Street Commercial $2,371.60
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $1,986.82
Rate for Payer: Cash Price $1,694.00
Rate for Payer: ChoiceCare Network Commercial $2,347.40
Rate for Payer: Cigna of WY Commercial $2,371.60
Rate for Payer: Entrust Commercial $2,299.00
Rate for Payer: First Choice Health Commercial $2,299.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $2,299.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $1,403.60
Rate for Payer: HealthUtah PPO $2,420.00
Rate for Payer: Idaho Integrated Healthcare Commercial $2,347.40
Rate for Payer: Multiplan Medicare/VA $1,333.42
Rate for Payer: One Health Plan of WY PPO $2,371.60
Rate for Payer: PacificSource Commercial $2,178.00
Rate for Payer: PHCS PPO $2,371.60
Rate for Payer: Three Rivers PPO $1,815.00
Rate for Payer: TriWest Veterans Administration $1,403.60
Rate for Payer: United Healthcare Commercial $2,105.40
Rate for Payer: United Healthcare Medicare $1,403.60
Rate for Payer: WINHealth Partners Commercial $2,371.60
Rate for Payer: Wise Provider Network Commercial $2,299.00