|
HC PRO CNTRL NASAL HEMORRHA
|
Professional
|
Both
|
$2,612.00
|
|
|
Service Code
|
HCPCS 30906 50,NONPBBPAYER
|
| Hospital Charge Code |
9833090601
|
|
Hospital Revenue Code
|
983
|
| Min. Negotiated Rate |
$107.31 |
| Max. Negotiated Rate |
$2,612.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$2,559.76
|
| Rate for Payer: Aetna of WY Medicare |
$126.25
|
| Rate for Payer: Beech Street Commercial |
$2,481.40
|
| Rate for Payer: Cash Price |
$1,828.40
|
| Rate for Payer: Cash Price |
$1,828.40
|
| Rate for Payer: ChoiceCare Network Commercial |
$2,533.64
|
| Rate for Payer: Cigna of WY Commercial |
$2,559.76
|
| Rate for Payer: First Choice Health Commercial |
$2,350.80
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$2,481.40
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$126.25
|
| Rate for Payer: HealthUtah PPO |
$2,612.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$2,533.64
|
| Rate for Payer: Multiplan Medicare/VA |
$107.31
|
| Rate for Payer: One Health Plan of WY PPO |
$2,559.76
|
| Rate for Payer: PacificSource Commercial |
$2,350.80
|
| Rate for Payer: PHCS PPO |
$2,481.40
|
| Rate for Payer: Three Rivers PPO |
$1,959.00
|
| Rate for Payer: TriWest Veterans Administration |
$126.25
|
| Rate for Payer: United Healthcare Commercial |
$2,272.44
|
| Rate for Payer: United Healthcare Medicare |
$126.25
|
| Rate for Payer: WINHealth Partners Commercial |
$2,220.20
|
|
|
HC PRO CNTRL NASAL HEMORRHA
|
Professional
|
Both
|
$1,306.00
|
|
|
Service Code
|
HCPCS 30906 NONPBBPAYER
|
| Hospital Charge Code |
9833090601
|
|
Hospital Revenue Code
|
983
|
| Min. Negotiated Rate |
$107.31 |
| Max. Negotiated Rate |
$1,306.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$1,279.88
|
| Rate for Payer: Aetna of WY Medicare |
$126.25
|
| Rate for Payer: Beech Street Commercial |
$1,240.70
|
| Rate for Payer: Cash Price |
$914.20
|
| Rate for Payer: Cash Price |
$914.20
|
| Rate for Payer: ChoiceCare Network Commercial |
$1,266.82
|
| Rate for Payer: Cigna of WY Commercial |
$1,279.88
|
| Rate for Payer: First Choice Health Commercial |
$1,175.40
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$1,240.70
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$126.25
|
| Rate for Payer: HealthUtah PPO |
$1,306.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$1,266.82
|
| Rate for Payer: Multiplan Medicare/VA |
$107.31
|
| Rate for Payer: One Health Plan of WY PPO |
$1,279.88
|
| Rate for Payer: PacificSource Commercial |
$1,175.40
|
| Rate for Payer: PHCS PPO |
$1,240.70
|
| Rate for Payer: Three Rivers PPO |
$979.50
|
| Rate for Payer: TriWest Veterans Administration |
$126.25
|
| Rate for Payer: United Healthcare Commercial |
$1,136.22
|
| Rate for Payer: United Healthcare Medicare |
$126.25
|
| Rate for Payer: WINHealth Partners Commercial |
$1,110.10
|
|
|
HC PRO CNTRL NASAL HEMORRHA
|
Professional
|
Both
|
$2,090.00
|
|
|
Service Code
|
HCPCS 30906 50
|
| Hospital Charge Code |
9833090601
|
|
Hospital Revenue Code
|
983
|
| Min. Negotiated Rate |
$107.31 |
| Max. Negotiated Rate |
$2,090.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$2,048.20
|
| Rate for Payer: Aetna of WY Medicare |
$126.25
|
| Rate for Payer: Beech Street Commercial |
$1,985.50
|
| Rate for Payer: Cash Price |
$1,463.00
|
| Rate for Payer: Cash Price |
$1,463.00
|
| Rate for Payer: ChoiceCare Network Commercial |
$2,027.30
|
| Rate for Payer: Cigna of WY Commercial |
$2,048.20
|
| Rate for Payer: First Choice Health Commercial |
$1,881.00
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$1,985.50
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$126.25
|
| Rate for Payer: HealthUtah PPO |
$2,090.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$2,027.30
|
| Rate for Payer: Multiplan Medicare/VA |
$107.31
|
| Rate for Payer: One Health Plan of WY PPO |
$2,048.20
|
| Rate for Payer: PacificSource Commercial |
$1,881.00
|
| Rate for Payer: PHCS PPO |
$1,985.50
|
| Rate for Payer: Three Rivers PPO |
$1,567.50
|
| Rate for Payer: TriWest Veterans Administration |
$126.25
|
| Rate for Payer: United Healthcare Commercial |
$1,818.30
|
| Rate for Payer: United Healthcare Medicare |
$126.25
|
| Rate for Payer: WINHealth Partners Commercial |
$1,776.50
|
|
|
HC PRO CNTRL OROPHARYNGEAL HEM
|
Professional
|
Both
|
$2,637.00
|
|
|
Service Code
|
HCPCS 42962
|
| Hospital Charge Code |
9834296201
|
|
Hospital Revenue Code
|
983
|
| Min. Negotiated Rate |
$427.94 |
| Max. Negotiated Rate |
$2,637.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$2,584.26
|
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$3,873.94
|
| Rate for Payer: Aetna of WY Medicare |
$503.46
|
| Rate for Payer: Aetna of WY Medicare |
$503.46
|
| Rate for Payer: Beech Street Commercial |
$3,755.35
|
| Rate for Payer: Beech Street Commercial |
$2,505.15
|
| Rate for Payer: Cash Price |
$2,767.10
|
| Rate for Payer: Cash Price |
$1,845.90
|
| Rate for Payer: Cash Price |
$1,845.90
|
| Rate for Payer: Cash Price |
$2,767.10
|
| Rate for Payer: ChoiceCare Network Commercial |
$3,834.41
|
| Rate for Payer: ChoiceCare Network Commercial |
$2,557.89
|
| Rate for Payer: Cigna of WY Commercial |
$2,584.26
|
| Rate for Payer: Cigna of WY Commercial |
$3,873.94
|
| Rate for Payer: First Choice Health Commercial |
$3,557.70
|
| Rate for Payer: First Choice Health Commercial |
$2,373.30
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$2,505.15
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$3,755.35
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$503.46
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$503.46
|
| Rate for Payer: HealthUtah PPO |
$2,637.00
|
| Rate for Payer: HealthUtah PPO |
$3,953.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$3,834.41
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$2,557.89
|
| Rate for Payer: Multiplan Medicare/VA |
$427.94
|
| Rate for Payer: Multiplan Medicare/VA |
$427.94
|
| Rate for Payer: One Health Plan of WY PPO |
$3,873.94
|
| Rate for Payer: One Health Plan of WY PPO |
$2,584.26
|
| Rate for Payer: PacificSource Commercial |
$2,373.30
|
| Rate for Payer: PacificSource Commercial |
$3,557.70
|
| Rate for Payer: PHCS PPO |
$2,505.15
|
| Rate for Payer: PHCS PPO |
$3,755.35
|
| Rate for Payer: Three Rivers PPO |
$1,977.75
|
| Rate for Payer: Three Rivers PPO |
$2,964.75
|
| Rate for Payer: TriWest Veterans Administration |
$503.46
|
| Rate for Payer: TriWest Veterans Administration |
$503.46
|
| Rate for Payer: United Healthcare Commercial |
$3,439.11
|
| Rate for Payer: United Healthcare Commercial |
$2,294.19
|
| Rate for Payer: United Healthcare Medicare |
$503.46
|
| Rate for Payer: United Healthcare Medicare |
$503.46
|
| Rate for Payer: WINHealth Partners Commercial |
$2,241.45
|
| Rate for Payer: WINHealth Partners Commercial |
$3,360.05
|
|
|
HC PRO COLCT TOT ABDL W/O PRCTECT W/ILEOST/ILEOPXTS
|
Professional
|
Both
|
$9,645.00
|
|
|
Service Code
|
HCPCS 44150
|
| Hospital Charge Code |
9754415001
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$1,489.69 |
| Max. Negotiated Rate |
$9,645.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$9,452.10
|
| Rate for Payer: Aetna of WY Medicare |
$1,752.58
|
| Rate for Payer: Beech Street Commercial |
$9,162.75
|
| Rate for Payer: Cash Price |
$6,751.50
|
| Rate for Payer: Cash Price |
$6,751.50
|
| Rate for Payer: ChoiceCare Network Commercial |
$9,355.65
|
| Rate for Payer: Cigna of WY Commercial |
$9,452.10
|
| Rate for Payer: First Choice Health Commercial |
$8,680.50
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$9,162.75
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$1,752.58
|
| Rate for Payer: HealthUtah PPO |
$9,645.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$9,355.65
|
| Rate for Payer: Multiplan Medicare/VA |
$1,489.69
|
| Rate for Payer: One Health Plan of WY PPO |
$9,452.10
|
| Rate for Payer: PacificSource Commercial |
$8,680.50
|
| Rate for Payer: PHCS PPO |
$9,162.75
|
| Rate for Payer: Three Rivers PPO |
$7,233.75
|
| Rate for Payer: TriWest Veterans Administration |
$1,752.58
|
| Rate for Payer: United Healthcare Commercial |
$8,391.15
|
| Rate for Payer: United Healthcare Medicare |
$1,752.58
|
| Rate for Payer: WINHealth Partners Commercial |
$8,198.25
|
|
|
HC PRO COLECTOMY PRTL W/COLOST/ILEOST & MUCOFISTULA
|
Professional
|
Both
|
$5,078.00
|
|
|
Service Code
|
HCPCS 44144
|
| Hospital Charge Code |
9754414401
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$1,415.25 |
| Max. Negotiated Rate |
$5,078.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$4,976.44
|
| Rate for Payer: Aetna of WY Medicare |
$1,665.00
|
| Rate for Payer: Beech Street Commercial |
$4,824.10
|
| Rate for Payer: Cash Price |
$3,554.60
|
| Rate for Payer: Cash Price |
$3,554.60
|
| Rate for Payer: ChoiceCare Network Commercial |
$4,925.66
|
| Rate for Payer: Cigna of WY Commercial |
$4,976.44
|
| Rate for Payer: First Choice Health Commercial |
$4,570.20
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$4,824.10
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$1,665.00
|
| Rate for Payer: HealthUtah PPO |
$5,078.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$4,925.66
|
| Rate for Payer: Multiplan Medicare/VA |
$1,415.25
|
| Rate for Payer: One Health Plan of WY PPO |
$4,976.44
|
| Rate for Payer: PacificSource Commercial |
$4,570.20
|
| Rate for Payer: PHCS PPO |
$4,824.10
|
| Rate for Payer: Three Rivers PPO |
$3,808.50
|
| Rate for Payer: TriWest Veterans Administration |
$1,665.00
|
| Rate for Payer: United Healthcare Commercial |
$4,417.86
|
| Rate for Payer: United Healthcare Medicare |
$1,665.00
|
| Rate for Payer: WINHealth Partners Commercial |
$4,316.30
|
|
|
HC PRO COLECTOMY PRTL W/END COLOSTOMY & CLSR DSTL SGMT
|
Professional
|
Both
|
$8,610.00
|
|
|
Service Code
|
HCPCS 44143
|
| Hospital Charge Code |
9754414301
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$1,325.68 |
| Max. Negotiated Rate |
$8,610.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$8,437.80
|
| Rate for Payer: Aetna of WY Medicare |
$1,559.62
|
| Rate for Payer: Beech Street Commercial |
$8,179.50
|
| Rate for Payer: Cash Price |
$6,027.00
|
| Rate for Payer: Cash Price |
$6,027.00
|
| Rate for Payer: ChoiceCare Network Commercial |
$8,351.70
|
| Rate for Payer: Cigna of WY Commercial |
$8,437.80
|
| Rate for Payer: First Choice Health Commercial |
$7,749.00
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$8,179.50
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$1,559.62
|
| Rate for Payer: HealthUtah PPO |
$8,610.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$8,351.70
|
| Rate for Payer: Multiplan Medicare/VA |
$1,325.68
|
| Rate for Payer: One Health Plan of WY PPO |
$8,437.80
|
| Rate for Payer: PacificSource Commercial |
$7,749.00
|
| Rate for Payer: PHCS PPO |
$8,179.50
|
| Rate for Payer: Three Rivers PPO |
$6,457.50
|
| Rate for Payer: TriWest Veterans Administration |
$1,559.62
|
| Rate for Payer: United Healthcare Commercial |
$7,490.70
|
| Rate for Payer: United Healthcare Medicare |
$1,559.62
|
| Rate for Payer: WINHealth Partners Commercial |
$7,318.50
|
|
|
HC PRO COLECTOMY PRTL W/RMVL TERMINAL ILEUM & ILEOCOLOS
|
Professional
|
Both
|
$6,428.00
|
|
|
Service Code
|
HCPCS 44160
|
| Hospital Charge Code |
9754416001
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$999.30 |
| Max. Negotiated Rate |
$6,428.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$6,299.44
|
| Rate for Payer: Aetna of WY Medicare |
$1,175.65
|
| Rate for Payer: Beech Street Commercial |
$6,106.60
|
| Rate for Payer: Cash Price |
$4,499.60
|
| Rate for Payer: Cash Price |
$4,499.60
|
| Rate for Payer: ChoiceCare Network Commercial |
$6,235.16
|
| Rate for Payer: Cigna of WY Commercial |
$6,299.44
|
| Rate for Payer: First Choice Health Commercial |
$5,785.20
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$6,106.60
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$1,175.65
|
| Rate for Payer: HealthUtah PPO |
$6,428.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$6,235.16
|
| Rate for Payer: Multiplan Medicare/VA |
$999.30
|
| Rate for Payer: One Health Plan of WY PPO |
$6,299.44
|
| Rate for Payer: PacificSource Commercial |
$5,785.20
|
| Rate for Payer: PHCS PPO |
$6,106.60
|
| Rate for Payer: Three Rivers PPO |
$4,821.00
|
| Rate for Payer: TriWest Veterans Administration |
$1,175.65
|
| Rate for Payer: United Healthcare Commercial |
$5,592.36
|
| Rate for Payer: United Healthcare Medicare |
$1,175.65
|
| Rate for Payer: WINHealth Partners Commercial |
$5,463.80
|
|
|
HC PRO COLECTOMY PRTL W/SKIN LEVEL CECOST/COLOSTOMY
|
Professional
|
Both
|
$3,707.00
|
|
|
Service Code
|
HCPCS 44141
|
| Hospital Charge Code |
9754414101
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$1,456.19 |
| Max. Negotiated Rate |
$3,707.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$3,632.86
|
| Rate for Payer: Aetna of WY Medicare |
$1,713.16
|
| Rate for Payer: Beech Street Commercial |
$3,521.65
|
| Rate for Payer: Cash Price |
$2,594.90
|
| Rate for Payer: Cash Price |
$2,594.90
|
| Rate for Payer: ChoiceCare Network Commercial |
$3,595.79
|
| Rate for Payer: Cigna of WY Commercial |
$3,632.86
|
| Rate for Payer: First Choice Health Commercial |
$3,336.30
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$3,521.65
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$1,713.16
|
| Rate for Payer: HealthUtah PPO |
$3,707.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$3,595.79
|
| Rate for Payer: Multiplan Medicare/VA |
$1,456.19
|
| Rate for Payer: One Health Plan of WY PPO |
$3,632.86
|
| Rate for Payer: PacificSource Commercial |
$3,336.30
|
| Rate for Payer: PHCS PPO |
$3,521.65
|
| Rate for Payer: Three Rivers PPO |
$2,780.25
|
| Rate for Payer: TriWest Veterans Administration |
$1,713.16
|
| Rate for Payer: United Healthcare Commercial |
$3,225.09
|
| Rate for Payer: United Healthcare Medicare |
$1,713.16
|
| Rate for Payer: WINHealth Partners Commercial |
$3,150.95
|
|
|
HC PRO COLON CA SCRN LOW RSK IND
|
Professional
|
Both
|
$1,846.00
|
|
|
Service Code
|
HCPCS G0121
|
| Hospital Charge Code |
983G012101
|
|
Hospital Revenue Code
|
983
|
| Min. Negotiated Rate |
$148.84 |
| Max. Negotiated Rate |
$1,846.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$1,809.08
|
| Rate for Payer: Aetna of WY Medicare |
$175.11
|
| Rate for Payer: Beech Street Commercial |
$1,753.70
|
| Rate for Payer: Cash Price |
$1,292.20
|
| Rate for Payer: Cash Price |
$1,292.20
|
| Rate for Payer: ChoiceCare Network Commercial |
$1,790.62
|
| Rate for Payer: Cigna of WY Commercial |
$1,809.08
|
| Rate for Payer: First Choice Health Commercial |
$1,661.40
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$1,753.70
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$175.11
|
| Rate for Payer: HealthUtah PPO |
$1,846.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$1,790.62
|
| Rate for Payer: Multiplan Medicare/VA |
$148.84
|
| Rate for Payer: One Health Plan of WY PPO |
$1,809.08
|
| Rate for Payer: PacificSource Commercial |
$1,661.40
|
| Rate for Payer: PHCS PPO |
$1,753.70
|
| Rate for Payer: Three Rivers PPO |
$1,384.50
|
| Rate for Payer: TriWest Veterans Administration |
$175.11
|
| Rate for Payer: United Healthcare Commercial |
$1,606.02
|
| Rate for Payer: United Healthcare Medicare |
$175.11
|
| Rate for Payer: WINHealth Partners Commercial |
$1,753.70
|
|
|
HC PRO COLONOSCOPY FLX ABLATION TUMOR POLYP/OTHER LES
|
Professional
|
Both
|
$3,755.00
|
|
|
Service Code
|
HCPCS 45388
|
| Hospital Charge Code |
9834538801
|
|
Hospital Revenue Code
|
983
|
| Min. Negotiated Rate |
$217.25 |
| Max. Negotiated Rate |
$3,755.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$3,679.90
|
| Rate for Payer: Aetna of WY Medicare |
$255.59
|
| Rate for Payer: Beech Street Commercial |
$3,567.25
|
| Rate for Payer: Cash Price |
$2,628.50
|
| Rate for Payer: Cash Price |
$2,628.50
|
| Rate for Payer: ChoiceCare Network Commercial |
$3,642.35
|
| Rate for Payer: Cigna of WY Commercial |
$3,679.90
|
| Rate for Payer: First Choice Health Commercial |
$3,379.50
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$3,567.25
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$255.59
|
| Rate for Payer: HealthUtah PPO |
$3,755.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$3,642.35
|
| Rate for Payer: Multiplan Medicare/VA |
$217.25
|
| Rate for Payer: One Health Plan of WY PPO |
$3,679.90
|
| Rate for Payer: PacificSource Commercial |
$3,379.50
|
| Rate for Payer: PHCS PPO |
$3,567.25
|
| Rate for Payer: Three Rivers PPO |
$2,816.25
|
| Rate for Payer: TriWest Veterans Administration |
$255.59
|
| Rate for Payer: United Healthcare Commercial |
$3,266.85
|
| Rate for Payer: United Healthcare Medicare |
$255.59
|
| Rate for Payer: WINHealth Partners Commercial |
$3,191.75
|
|
|
HC PRO COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD - COLONOSCOPY
|
Professional
|
Both
|
$1,625.00
|
|
|
Service Code
|
HCPCS 45378
|
| Hospital Charge Code |
9834537801
|
|
Hospital Revenue Code
|
983
|
| Min. Negotiated Rate |
$148.64 |
| Max. Negotiated Rate |
$1,625.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$1,592.50
|
| Rate for Payer: Aetna of WY Medicare |
$174.87
|
| Rate for Payer: Beech Street Commercial |
$1,543.75
|
| Rate for Payer: Cash Price |
$1,137.50
|
| Rate for Payer: Cash Price |
$1,137.50
|
| Rate for Payer: ChoiceCare Network Commercial |
$1,576.25
|
| Rate for Payer: Cigna of WY Commercial |
$1,592.50
|
| Rate for Payer: First Choice Health Commercial |
$1,462.50
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$1,543.75
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$174.87
|
| Rate for Payer: HealthUtah PPO |
$1,625.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$1,576.25
|
| Rate for Payer: Multiplan Medicare/VA |
$148.64
|
| Rate for Payer: One Health Plan of WY PPO |
$1,592.50
|
| Rate for Payer: PacificSource Commercial |
$1,462.50
|
| Rate for Payer: PHCS PPO |
$1,543.75
|
| Rate for Payer: Three Rivers PPO |
$1,218.75
|
| Rate for Payer: TriWest Veterans Administration |
$174.87
|
| Rate for Payer: United Healthcare Commercial |
$1,413.75
|
| Rate for Payer: United Healthcare Medicare |
$174.87
|
| Rate for Payer: WINHealth Partners Commercial |
$1,381.25
|
|
|
HC PRO COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE - COLONOSCOPY
|
Professional
|
Both
|
$1,849.00
|
|
|
Service Code
|
HCPCS 45380
|
| Hospital Charge Code |
9834538001
|
|
Hospital Revenue Code
|
983
|
| Min. Negotiated Rate |
$161.58 |
| Max. Negotiated Rate |
$1,849.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$1,812.02
|
| Rate for Payer: Aetna of WY Medicare |
$190.09
|
| Rate for Payer: Beech Street Commercial |
$1,756.55
|
| Rate for Payer: Cash Price |
$1,294.30
|
| Rate for Payer: Cash Price |
$1,294.30
|
| Rate for Payer: ChoiceCare Network Commercial |
$1,793.53
|
| Rate for Payer: Cigna of WY Commercial |
$1,812.02
|
| Rate for Payer: First Choice Health Commercial |
$1,664.10
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$1,756.55
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$190.09
|
| Rate for Payer: HealthUtah PPO |
$1,849.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$1,793.53
|
| Rate for Payer: Multiplan Medicare/VA |
$161.58
|
| Rate for Payer: One Health Plan of WY PPO |
$1,812.02
|
| Rate for Payer: PacificSource Commercial |
$1,664.10
|
| Rate for Payer: PHCS PPO |
$1,756.55
|
| Rate for Payer: Three Rivers PPO |
$1,386.75
|
| Rate for Payer: TriWest Veterans Administration |
$190.09
|
| Rate for Payer: United Healthcare Commercial |
$1,608.63
|
| Rate for Payer: United Healthcare Medicare |
$190.09
|
| Rate for Payer: WINHealth Partners Commercial |
$1,571.65
|
|
|
HC PRO COLORECTAL SCRN; HI RISK IND
|
Professional
|
Both
|
$2,372.00
|
|
|
Service Code
|
HCPCS G0105
|
| Hospital Charge Code |
983G010501
|
|
Hospital Revenue Code
|
983
|
| Min. Negotiated Rate |
$148.64 |
| Max. Negotiated Rate |
$2,372.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$2,324.56
|
| Rate for Payer: Aetna of WY Medicare |
$174.87
|
| Rate for Payer: Beech Street Commercial |
$2,253.40
|
| Rate for Payer: Cash Price |
$1,660.40
|
| Rate for Payer: Cash Price |
$1,660.40
|
| Rate for Payer: ChoiceCare Network Commercial |
$2,300.84
|
| Rate for Payer: Cigna of WY Commercial |
$2,324.56
|
| Rate for Payer: First Choice Health Commercial |
$2,134.80
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$2,253.40
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$174.87
|
| Rate for Payer: HealthUtah PPO |
$2,372.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$2,300.84
|
| Rate for Payer: Multiplan Medicare/VA |
$148.64
|
| Rate for Payer: One Health Plan of WY PPO |
$2,324.56
|
| Rate for Payer: PacificSource Commercial |
$2,134.80
|
| Rate for Payer: PHCS PPO |
$2,253.40
|
| Rate for Payer: Three Rivers PPO |
$1,779.00
|
| Rate for Payer: TriWest Veterans Administration |
$174.87
|
| Rate for Payer: United Healthcare Commercial |
$2,063.64
|
| Rate for Payer: United Healthcare Medicare |
$174.87
|
| Rate for Payer: WINHealth Partners Commercial |
$2,253.40
|
|
|
HC PRO COLPORRHAPHY, SUTURE VAGINAL INJURY, NON-OB
|
Professional
|
Both
|
$1,549.00
|
|
|
Service Code
|
HCPCS 57200
|
| Hospital Charge Code |
9835720001
|
|
Hospital Revenue Code
|
983
|
| Min. Negotiated Rate |
$275.45 |
| Max. Negotiated Rate |
$1,549.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$1,518.02
|
| Rate for Payer: Aetna of WY Medicare |
$324.06
|
| Rate for Payer: Beech Street Commercial |
$1,471.55
|
| Rate for Payer: Cash Price |
$1,084.30
|
| Rate for Payer: Cash Price |
$1,084.30
|
| Rate for Payer: ChoiceCare Network Commercial |
$1,502.53
|
| Rate for Payer: Cigna of WY Commercial |
$1,518.02
|
| Rate for Payer: First Choice Health Commercial |
$1,394.10
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$1,471.55
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$324.06
|
| Rate for Payer: HealthUtah PPO |
$1,549.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$1,502.53
|
| Rate for Payer: Multiplan Medicare/VA |
$275.45
|
| Rate for Payer: One Health Plan of WY PPO |
$1,518.02
|
| Rate for Payer: PacificSource Commercial |
$1,394.10
|
| Rate for Payer: PHCS PPO |
$1,471.55
|
| Rate for Payer: Three Rivers PPO |
$1,161.75
|
| Rate for Payer: TriWest Veterans Administration |
$324.06
|
| Rate for Payer: United Healthcare Commercial |
$1,347.63
|
| Rate for Payer: United Healthcare Medicare |
$324.06
|
| Rate for Payer: WINHealth Partners Commercial |
$1,316.65
|
|
|
HC PRO COLPOSC,CERVIX W/ADJ VAG,W/BX & CURRETAG
|
Professional
|
Both
|
$541.00
|
|
|
Service Code
|
HCPCS 57454
|
| Hospital Charge Code |
9835745401
|
|
Hospital Revenue Code
|
983
|
| Min. Negotiated Rate |
$108.77 |
| Max. Negotiated Rate |
$541.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$530.18
|
| Rate for Payer: Aetna of WY Medicare |
$127.97
|
| Rate for Payer: Beech Street Commercial |
$513.95
|
| Rate for Payer: Cash Price |
$378.70
|
| Rate for Payer: Cash Price |
$378.70
|
| Rate for Payer: ChoiceCare Network Commercial |
$524.77
|
| Rate for Payer: Cigna of WY Commercial |
$530.18
|
| Rate for Payer: First Choice Health Commercial |
$486.90
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$513.95
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$127.97
|
| Rate for Payer: HealthUtah PPO |
$541.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$524.77
|
| Rate for Payer: Multiplan Medicare/VA |
$108.77
|
| Rate for Payer: One Health Plan of WY PPO |
$530.18
|
| Rate for Payer: PacificSource Commercial |
$486.90
|
| Rate for Payer: PHCS PPO |
$513.95
|
| Rate for Payer: Three Rivers PPO |
$405.75
|
| Rate for Payer: TriWest Veterans Administration |
$127.97
|
| Rate for Payer: United Healthcare Commercial |
$470.67
|
| Rate for Payer: United Healthcare Medicare |
$127.97
|
| Rate for Payer: WINHealth Partners Commercial |
$459.85
|
|
|
HC PRO COLPOSC,CERVIX W/ADJ VAG,W/BX & CURRETAG
|
Professional
|
Both
|
$676.00
|
|
|
Service Code
|
HCPCS 57454 NONPBBPAYER
|
| Hospital Charge Code |
9835745401
|
|
Hospital Revenue Code
|
983
|
| Min. Negotiated Rate |
$108.77 |
| Max. Negotiated Rate |
$676.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$662.48
|
| Rate for Payer: Aetna of WY Medicare |
$127.97
|
| Rate for Payer: Beech Street Commercial |
$642.20
|
| Rate for Payer: Cash Price |
$473.20
|
| Rate for Payer: Cash Price |
$473.20
|
| Rate for Payer: ChoiceCare Network Commercial |
$655.72
|
| Rate for Payer: Cigna of WY Commercial |
$662.48
|
| Rate for Payer: First Choice Health Commercial |
$608.40
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$642.20
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$127.97
|
| Rate for Payer: HealthUtah PPO |
$676.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$655.72
|
| Rate for Payer: Multiplan Medicare/VA |
$108.77
|
| Rate for Payer: One Health Plan of WY PPO |
$662.48
|
| Rate for Payer: PacificSource Commercial |
$608.40
|
| Rate for Payer: PHCS PPO |
$642.20
|
| Rate for Payer: Three Rivers PPO |
$507.00
|
| Rate for Payer: TriWest Veterans Administration |
$127.97
|
| Rate for Payer: United Healthcare Commercial |
$588.12
|
| Rate for Payer: United Healthcare Medicare |
$127.97
|
| Rate for Payer: WINHealth Partners Commercial |
$574.60
|
|
|
HC PRO COLPOSCOPY CERVIX UPPR/ADJCNT VAGINA W/CERVIX BX
|
Professional
|
Both
|
$555.00
|
|
|
Service Code
|
HCPCS 57455 NONPBBPAYER
|
| Hospital Charge Code |
9835745501
|
|
Hospital Revenue Code
|
983
|
| Min. Negotiated Rate |
$88.06 |
| Max. Negotiated Rate |
$555.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$543.90
|
| Rate for Payer: Aetna of WY Medicare |
$103.60
|
| Rate for Payer: Beech Street Commercial |
$527.25
|
| Rate for Payer: Cash Price |
$388.50
|
| Rate for Payer: Cash Price |
$388.50
|
| Rate for Payer: ChoiceCare Network Commercial |
$538.35
|
| Rate for Payer: Cigna of WY Commercial |
$543.90
|
| Rate for Payer: First Choice Health Commercial |
$499.50
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$527.25
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$103.60
|
| Rate for Payer: HealthUtah PPO |
$555.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$538.35
|
| Rate for Payer: Multiplan Medicare/VA |
$88.06
|
| Rate for Payer: One Health Plan of WY PPO |
$543.90
|
| Rate for Payer: PacificSource Commercial |
$499.50
|
| Rate for Payer: PHCS PPO |
$527.25
|
| Rate for Payer: Three Rivers PPO |
$416.25
|
| Rate for Payer: TriWest Veterans Administration |
$103.60
|
| Rate for Payer: United Healthcare Commercial |
$482.85
|
| Rate for Payer: United Healthcare Medicare |
$103.60
|
| Rate for Payer: WINHealth Partners Commercial |
$471.75
|
|
|
HC PRO COLPOSCOPY CERVIX UPPR/ADJCNT VAGINA W/CERVIX BX
|
Professional
|
Both
|
$444.00
|
|
|
Service Code
|
HCPCS 57455
|
| Hospital Charge Code |
9835745501
|
|
Hospital Revenue Code
|
983
|
| Min. Negotiated Rate |
$88.06 |
| Max. Negotiated Rate |
$444.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$435.12
|
| Rate for Payer: Aetna of WY Medicare |
$103.60
|
| Rate for Payer: Beech Street Commercial |
$421.80
|
| Rate for Payer: Cash Price |
$310.80
|
| Rate for Payer: Cash Price |
$310.80
|
| Rate for Payer: ChoiceCare Network Commercial |
$430.68
|
| Rate for Payer: Cigna of WY Commercial |
$435.12
|
| Rate for Payer: First Choice Health Commercial |
$399.60
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$421.80
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$103.60
|
| Rate for Payer: HealthUtah PPO |
$444.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$430.68
|
| Rate for Payer: Multiplan Medicare/VA |
$88.06
|
| Rate for Payer: One Health Plan of WY PPO |
$435.12
|
| Rate for Payer: PacificSource Commercial |
$399.60
|
| Rate for Payer: PHCS PPO |
$421.80
|
| Rate for Payer: Three Rivers PPO |
$333.00
|
| Rate for Payer: TriWest Veterans Administration |
$103.60
|
| Rate for Payer: United Healthcare Commercial |
$386.28
|
| Rate for Payer: United Healthcare Medicare |
$103.60
|
| Rate for Payer: WINHealth Partners Commercial |
$377.40
|
|
|
HC PRO COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX
|
Professional
|
Both
|
$749.00
|
|
|
Service Code
|
HCPCS 57461
|
| Hospital Charge Code |
9835746101
|
|
Hospital Revenue Code
|
983
|
| Min. Negotiated Rate |
$148.10 |
| Max. Negotiated Rate |
$749.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$734.02
|
| Rate for Payer: Aetna of WY Medicare |
$174.24
|
| Rate for Payer: Beech Street Commercial |
$711.55
|
| Rate for Payer: Cash Price |
$524.30
|
| Rate for Payer: Cash Price |
$524.30
|
| Rate for Payer: ChoiceCare Network Commercial |
$726.53
|
| Rate for Payer: Cigna of WY Commercial |
$734.02
|
| Rate for Payer: First Choice Health Commercial |
$674.10
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$711.55
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$174.24
|
| Rate for Payer: HealthUtah PPO |
$749.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$726.53
|
| Rate for Payer: Multiplan Medicare/VA |
$148.10
|
| Rate for Payer: One Health Plan of WY PPO |
$734.02
|
| Rate for Payer: PacificSource Commercial |
$674.10
|
| Rate for Payer: PHCS PPO |
$711.55
|
| Rate for Payer: Three Rivers PPO |
$561.75
|
| Rate for Payer: TriWest Veterans Administration |
$174.24
|
| Rate for Payer: United Healthcare Commercial |
$651.63
|
| Rate for Payer: United Healthcare Medicare |
$174.24
|
| Rate for Payer: WINHealth Partners Commercial |
$636.65
|
|
|
HC PRO COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX
|
Professional
|
Both
|
$936.00
|
|
|
Service Code
|
HCPCS 57461 NONPBBPAYER
|
| Hospital Charge Code |
9835746101
|
|
Hospital Revenue Code
|
983
|
| Min. Negotiated Rate |
$148.10 |
| Max. Negotiated Rate |
$936.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$917.28
|
| Rate for Payer: Aetna of WY Medicare |
$174.24
|
| Rate for Payer: Beech Street Commercial |
$889.20
|
| Rate for Payer: Cash Price |
$655.20
|
| Rate for Payer: Cash Price |
$655.20
|
| Rate for Payer: ChoiceCare Network Commercial |
$907.92
|
| Rate for Payer: Cigna of WY Commercial |
$917.28
|
| Rate for Payer: First Choice Health Commercial |
$842.40
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$889.20
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$174.24
|
| Rate for Payer: HealthUtah PPO |
$936.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$907.92
|
| Rate for Payer: Multiplan Medicare/VA |
$148.10
|
| Rate for Payer: One Health Plan of WY PPO |
$917.28
|
| Rate for Payer: PacificSource Commercial |
$842.40
|
| Rate for Payer: PHCS PPO |
$889.20
|
| Rate for Payer: Three Rivers PPO |
$702.00
|
| Rate for Payer: TriWest Veterans Administration |
$174.24
|
| Rate for Payer: United Healthcare Commercial |
$814.32
|
| Rate for Payer: United Healthcare Medicare |
$174.24
|
| Rate for Payer: WINHealth Partners Commercial |
$795.60
|
|
|
HC PRO COLPOSCOPY,CERVIX W/ADJ VAGINA
|
Professional
|
Both
|
$460.00
|
|
|
Service Code
|
HCPCS 57452 NONPBBPAYER
|
| Hospital Charge Code |
9835745201
|
|
Hospital Revenue Code
|
983
|
| Min. Negotiated Rate |
$74.24 |
| Max. Negotiated Rate |
$460.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$450.80
|
| Rate for Payer: Aetna of WY Medicare |
$87.34
|
| Rate for Payer: Beech Street Commercial |
$437.00
|
| Rate for Payer: Cash Price |
$322.00
|
| Rate for Payer: Cash Price |
$322.00
|
| Rate for Payer: ChoiceCare Network Commercial |
$446.20
|
| Rate for Payer: Cigna of WY Commercial |
$450.80
|
| Rate for Payer: First Choice Health Commercial |
$414.00
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$437.00
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$87.34
|
| Rate for Payer: HealthUtah PPO |
$460.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$446.20
|
| Rate for Payer: Multiplan Medicare/VA |
$74.24
|
| Rate for Payer: One Health Plan of WY PPO |
$450.80
|
| Rate for Payer: PacificSource Commercial |
$414.00
|
| Rate for Payer: PHCS PPO |
$437.00
|
| Rate for Payer: Three Rivers PPO |
$345.00
|
| Rate for Payer: TriWest Veterans Administration |
$87.34
|
| Rate for Payer: United Healthcare Commercial |
$400.20
|
| Rate for Payer: United Healthcare Medicare |
$87.34
|
| Rate for Payer: WINHealth Partners Commercial |
$391.00
|
|
|
HC PRO COLPOSCOPY,CERVIX W/ADJ VAGINA
|
Professional
|
Both
|
$368.00
|
|
|
Service Code
|
HCPCS 57452
|
| Hospital Charge Code |
9835745201
|
|
Hospital Revenue Code
|
983
|
| Min. Negotiated Rate |
$74.24 |
| Max. Negotiated Rate |
$368.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$360.64
|
| Rate for Payer: Aetna of WY Medicare |
$87.34
|
| Rate for Payer: Beech Street Commercial |
$349.60
|
| Rate for Payer: Cash Price |
$257.60
|
| Rate for Payer: Cash Price |
$257.60
|
| Rate for Payer: ChoiceCare Network Commercial |
$356.96
|
| Rate for Payer: Cigna of WY Commercial |
$360.64
|
| Rate for Payer: First Choice Health Commercial |
$331.20
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$349.60
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$87.34
|
| Rate for Payer: HealthUtah PPO |
$368.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$356.96
|
| Rate for Payer: Multiplan Medicare/VA |
$74.24
|
| Rate for Payer: One Health Plan of WY PPO |
$360.64
|
| Rate for Payer: PacificSource Commercial |
$331.20
|
| Rate for Payer: PHCS PPO |
$349.60
|
| Rate for Payer: Three Rivers PPO |
$276.00
|
| Rate for Payer: TriWest Veterans Administration |
$87.34
|
| Rate for Payer: United Healthcare Commercial |
$320.16
|
| Rate for Payer: United Healthcare Medicare |
$87.34
|
| Rate for Payer: WINHealth Partners Commercial |
$312.80
|
|
|
HC PRO COLPOSCOPY,CERVIX W/ADJ VAG,W/LOOP BX
|
Professional
|
Both
|
$808.00
|
|
|
Service Code
|
HCPCS 57460 NONPBBPAYER
|
| Hospital Charge Code |
9835746001
|
|
Hospital Revenue Code
|
983
|
| Min. Negotiated Rate |
$129.62 |
| Max. Negotiated Rate |
$808.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$791.84
|
| Rate for Payer: Aetna of WY Medicare |
$152.50
|
| Rate for Payer: Beech Street Commercial |
$767.60
|
| Rate for Payer: Cash Price |
$565.60
|
| Rate for Payer: Cash Price |
$565.60
|
| Rate for Payer: ChoiceCare Network Commercial |
$783.76
|
| Rate for Payer: Cigna of WY Commercial |
$791.84
|
| Rate for Payer: First Choice Health Commercial |
$727.20
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$767.60
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$152.50
|
| Rate for Payer: HealthUtah PPO |
$808.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$783.76
|
| Rate for Payer: Multiplan Medicare/VA |
$129.62
|
| Rate for Payer: One Health Plan of WY PPO |
$791.84
|
| Rate for Payer: PacificSource Commercial |
$727.20
|
| Rate for Payer: PHCS PPO |
$767.60
|
| Rate for Payer: Three Rivers PPO |
$606.00
|
| Rate for Payer: TriWest Veterans Administration |
$152.50
|
| Rate for Payer: United Healthcare Commercial |
$702.96
|
| Rate for Payer: United Healthcare Medicare |
$152.50
|
| Rate for Payer: WINHealth Partners Commercial |
$686.80
|
|
|
HC PRO COLPOSCOPY,CERVIX W/ADJ VAG,W/LOOP BX
|
Professional
|
Both
|
$646.00
|
|
|
Service Code
|
HCPCS 57460
|
| Hospital Charge Code |
9835746001
|
|
Hospital Revenue Code
|
983
|
| Min. Negotiated Rate |
$129.62 |
| Max. Negotiated Rate |
$646.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$633.08
|
| Rate for Payer: Aetna of WY Medicare |
$152.50
|
| Rate for Payer: Beech Street Commercial |
$613.70
|
| Rate for Payer: Cash Price |
$452.20
|
| Rate for Payer: Cash Price |
$452.20
|
| Rate for Payer: ChoiceCare Network Commercial |
$626.62
|
| Rate for Payer: Cigna of WY Commercial |
$633.08
|
| Rate for Payer: First Choice Health Commercial |
$581.40
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$613.70
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$152.50
|
| Rate for Payer: HealthUtah PPO |
$646.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$626.62
|
| Rate for Payer: Multiplan Medicare/VA |
$129.62
|
| Rate for Payer: One Health Plan of WY PPO |
$633.08
|
| Rate for Payer: PacificSource Commercial |
$581.40
|
| Rate for Payer: PHCS PPO |
$613.70
|
| Rate for Payer: Three Rivers PPO |
$484.50
|
| Rate for Payer: TriWest Veterans Administration |
$152.50
|
| Rate for Payer: United Healthcare Commercial |
$562.02
|
| Rate for Payer: United Healthcare Medicare |
$152.50
|
| Rate for Payer: WINHealth Partners Commercial |
$549.10
|
|
