|
HC PRO OPEN TX CARPOMETACARPAL DISLOCATE NOT THUMB
|
Professional
|
Both
|
$2,725.00
|
|
|
Service Code
|
HCPCS 26685
|
| Hospital Charge Code |
9822668501
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$482.38 |
| Max. Negotiated Rate |
$2,725.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$2,670.50
|
| Rate for Payer: Aetna of WY Medicare |
$567.51
|
| Rate for Payer: Beech Street Commercial |
$2,588.75
|
| Rate for Payer: Cash Price |
$1,907.50
|
| Rate for Payer: Cash Price |
$1,907.50
|
| Rate for Payer: ChoiceCare Network Commercial |
$2,643.25
|
| Rate for Payer: Cigna of WY Commercial |
$2,670.50
|
| Rate for Payer: First Choice Health Commercial |
$2,452.50
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$2,588.75
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$567.51
|
| Rate for Payer: HealthUtah PPO |
$2,725.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$2,643.25
|
| Rate for Payer: Multiplan Medicare/VA |
$482.38
|
| Rate for Payer: One Health Plan of WY PPO |
$2,670.50
|
| Rate for Payer: PacificSource Commercial |
$2,452.50
|
| Rate for Payer: PHCS PPO |
$2,588.75
|
| Rate for Payer: Three Rivers PPO |
$2,043.75
|
| Rate for Payer: TriWest Veterans Administration |
$567.51
|
| Rate for Payer: United Healthcare Commercial |
$2,370.75
|
| Rate for Payer: United Healthcare Medicare |
$567.51
|
| Rate for Payer: WINHealth Partners Commercial |
$2,316.25
|
|
|
HC PRO OPEN TX CARPOMETACARPAL FRACTURE DISLOCATE THUMB
|
Professional
|
Both
|
$2,197.00
|
|
|
Service Code
|
HCPCS 26665
|
| Hospital Charge Code |
9752666501
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$523.40 |
| Max. Negotiated Rate |
$2,197.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$2,153.06
|
| Rate for Payer: Aetna of WY Medicare |
$615.76
|
| Rate for Payer: Beech Street Commercial |
$2,087.15
|
| Rate for Payer: Cash Price |
$1,537.90
|
| Rate for Payer: Cash Price |
$1,537.90
|
| Rate for Payer: ChoiceCare Network Commercial |
$2,131.09
|
| Rate for Payer: Cigna of WY Commercial |
$2,153.06
|
| Rate for Payer: First Choice Health Commercial |
$1,977.30
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$2,087.15
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$615.76
|
| Rate for Payer: HealthUtah PPO |
$2,197.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$2,131.09
|
| Rate for Payer: Multiplan Medicare/VA |
$523.40
|
| Rate for Payer: One Health Plan of WY PPO |
$2,153.06
|
| Rate for Payer: PacificSource Commercial |
$1,977.30
|
| Rate for Payer: PHCS PPO |
$2,087.15
|
| Rate for Payer: Three Rivers PPO |
$1,647.75
|
| Rate for Payer: TriWest Veterans Administration |
$615.76
|
| Rate for Payer: United Healthcare Commercial |
$1,911.39
|
| Rate for Payer: United Healthcare Medicare |
$615.76
|
| Rate for Payer: WINHealth Partners Commercial |
$1,867.45
|
|
|
HC PRO OPEN TX CLAVICULAR FRACTURE INTERNAL FIXATION
|
Professional
|
Both
|
$3,687.00
|
|
|
Service Code
|
HCPCS 23515
|
| Hospital Charge Code |
9832351501
|
|
Hospital Revenue Code
|
983
|
| Min. Negotiated Rate |
$596.35 |
| Max. Negotiated Rate |
$3,687.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$3,613.26
|
| Rate for Payer: Aetna of WY Medicare |
$701.59
|
| Rate for Payer: Beech Street Commercial |
$3,502.65
|
| Rate for Payer: Cash Price |
$2,580.90
|
| Rate for Payer: Cash Price |
$2,580.90
|
| Rate for Payer: ChoiceCare Network Commercial |
$3,576.39
|
| Rate for Payer: Cigna of WY Commercial |
$3,613.26
|
| Rate for Payer: First Choice Health Commercial |
$3,318.30
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$3,502.65
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$701.59
|
| Rate for Payer: HealthUtah PPO |
$3,687.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$3,576.39
|
| Rate for Payer: Multiplan Medicare/VA |
$596.35
|
| Rate for Payer: One Health Plan of WY PPO |
$3,613.26
|
| Rate for Payer: PacificSource Commercial |
$3,318.30
|
| Rate for Payer: PHCS PPO |
$3,502.65
|
| Rate for Payer: Three Rivers PPO |
$2,765.25
|
| Rate for Payer: TriWest Veterans Administration |
$701.59
|
| Rate for Payer: United Healthcare Commercial |
$3,207.69
|
| Rate for Payer: United Healthcare Medicare |
$701.59
|
| Rate for Payer: WINHealth Partners Commercial |
$3,133.95
|
|
|
HC PRO OPEN TX DISTAL PHALANGEAL FRACTURE EACH
|
Professional
|
Both
|
$2,511.00
|
|
|
Service Code
|
HCPCS 26765
|
| Hospital Charge Code |
9832676501
|
|
Hospital Revenue Code
|
983
|
| Min. Negotiated Rate |
$422.64 |
| Max. Negotiated Rate |
$2,511.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$2,460.78
|
| Rate for Payer: Aetna of WY Medicare |
$497.22
|
| Rate for Payer: Beech Street Commercial |
$2,385.45
|
| Rate for Payer: Cash Price |
$1,757.70
|
| Rate for Payer: Cash Price |
$1,757.70
|
| Rate for Payer: ChoiceCare Network Commercial |
$2,435.67
|
| Rate for Payer: Cigna of WY Commercial |
$2,460.78
|
| Rate for Payer: First Choice Health Commercial |
$2,259.90
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$2,385.45
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$497.22
|
| Rate for Payer: HealthUtah PPO |
$2,511.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$2,435.67
|
| Rate for Payer: Multiplan Medicare/VA |
$422.64
|
| Rate for Payer: One Health Plan of WY PPO |
$2,460.78
|
| Rate for Payer: PacificSource Commercial |
$2,259.90
|
| Rate for Payer: PHCS PPO |
$2,385.45
|
| Rate for Payer: Three Rivers PPO |
$1,883.25
|
| Rate for Payer: TriWest Veterans Administration |
$497.22
|
| Rate for Payer: United Healthcare Commercial |
$2,184.57
|
| Rate for Payer: United Healthcare Medicare |
$497.22
|
| Rate for Payer: WINHealth Partners Commercial |
$2,134.35
|
|
|
HC PRO OPEN TX DISTAL PHALANGEAL FRACTURE EACH
|
Professional
|
Both
|
$1,503.00
|
|
|
Service Code
|
HCPCS 26756
|
| Hospital Charge Code |
9832675601
|
|
Hospital Revenue Code
|
983
|
| Min. Negotiated Rate |
$1,127.25 |
| Max. Negotiated Rate |
$1,503.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$1,472.94
|
| Rate for Payer: Beech Street Commercial |
$1,427.85
|
| Rate for Payer: Cash Price |
$1,052.10
|
| Rate for Payer: ChoiceCare Network Commercial |
$1,457.91
|
| Rate for Payer: Cigna of WY Commercial |
$1,472.94
|
| Rate for Payer: First Choice Health Commercial |
$1,352.70
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$1,427.85
|
| Rate for Payer: HealthUtah PPO |
$1,503.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$1,457.91
|
| Rate for Payer: One Health Plan of WY PPO |
$1,472.94
|
| Rate for Payer: PacificSource Commercial |
$1,352.70
|
| Rate for Payer: PHCS PPO |
$1,427.85
|
| Rate for Payer: Three Rivers PPO |
$1,127.25
|
| Rate for Payer: United Healthcare Commercial |
$1,307.61
|
| Rate for Payer: WINHealth Partners Commercial |
$1,277.55
|
|
|
HC PRO OPEN TX DISTAL RADIUS FX, EXTRA-ARTICULAR
|
Professional
|
Both
|
$3,794.00
|
|
|
Service Code
|
HCPCS 25607
|
| Hospital Charge Code |
9832560701
|
|
Hospital Revenue Code
|
983
|
| Min. Negotiated Rate |
$615.43 |
| Max. Negotiated Rate |
$3,794.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$3,718.12
|
| Rate for Payer: Aetna of WY Medicare |
$724.04
|
| Rate for Payer: Beech Street Commercial |
$3,604.30
|
| Rate for Payer: Cash Price |
$2,655.80
|
| Rate for Payer: Cash Price |
$2,655.80
|
| Rate for Payer: ChoiceCare Network Commercial |
$3,680.18
|
| Rate for Payer: Cigna of WY Commercial |
$3,718.12
|
| Rate for Payer: First Choice Health Commercial |
$3,414.60
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$3,604.30
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$724.04
|
| Rate for Payer: HealthUtah PPO |
$3,794.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$3,680.18
|
| Rate for Payer: Multiplan Medicare/VA |
$615.43
|
| Rate for Payer: One Health Plan of WY PPO |
$3,718.12
|
| Rate for Payer: PacificSource Commercial |
$3,414.60
|
| Rate for Payer: PHCS PPO |
$3,604.30
|
| Rate for Payer: Three Rivers PPO |
$2,845.50
|
| Rate for Payer: TriWest Veterans Administration |
$724.04
|
| Rate for Payer: United Healthcare Commercial |
$3,300.78
|
| Rate for Payer: United Healthcare Medicare |
$724.04
|
| Rate for Payer: WINHealth Partners Commercial |
$3,224.90
|
|
|
HC PRO OPEN TX DISTAL RADIUS FX INTRA-ARTICULAR INERNAL FIX 3+ FRAG
|
Professional
|
Both
|
$7,301.00
|
|
|
Service Code
|
HCPCS 25609 50
|
| Hospital Charge Code |
9832560901
|
|
Hospital Revenue Code
|
983
|
| Min. Negotiated Rate |
$868.78 |
| Max. Negotiated Rate |
$7,301.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$7,154.98
|
| Rate for Payer: Aetna of WY Medicare |
$1,022.09
|
| Rate for Payer: Beech Street Commercial |
$6,935.95
|
| Rate for Payer: Cash Price |
$5,110.70
|
| Rate for Payer: Cash Price |
$5,110.70
|
| Rate for Payer: ChoiceCare Network Commercial |
$7,081.97
|
| Rate for Payer: Cigna of WY Commercial |
$7,154.98
|
| Rate for Payer: First Choice Health Commercial |
$6,570.90
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$6,935.95
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$1,022.09
|
| Rate for Payer: HealthUtah PPO |
$7,301.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$7,081.97
|
| Rate for Payer: Multiplan Medicare/VA |
$868.78
|
| Rate for Payer: One Health Plan of WY PPO |
$7,154.98
|
| Rate for Payer: PacificSource Commercial |
$6,570.90
|
| Rate for Payer: PHCS PPO |
$6,935.95
|
| Rate for Payer: Three Rivers PPO |
$5,475.75
|
| Rate for Payer: TriWest Veterans Administration |
$1,022.09
|
| Rate for Payer: United Healthcare Commercial |
$6,351.87
|
| Rate for Payer: United Healthcare Medicare |
$1,022.09
|
| Rate for Payer: WINHealth Partners Commercial |
$6,205.85
|
|
|
HC PRO OPEN TX DISTAL RADIUS FX INTRA-ARTICULAR INERNAL FIX 3+ FRAG
|
Professional
|
Both
|
$3,650.00
|
|
|
Service Code
|
HCPCS 25609
|
| Hospital Charge Code |
9832560901
|
|
Hospital Revenue Code
|
983
|
| Min. Negotiated Rate |
$868.78 |
| Max. Negotiated Rate |
$3,650.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$3,577.00
|
| Rate for Payer: Aetna of WY Medicare |
$1,022.09
|
| Rate for Payer: Beech Street Commercial |
$3,467.50
|
| Rate for Payer: Cash Price |
$2,555.00
|
| Rate for Payer: Cash Price |
$2,555.00
|
| Rate for Payer: ChoiceCare Network Commercial |
$3,540.50
|
| Rate for Payer: Cigna of WY Commercial |
$3,577.00
|
| Rate for Payer: First Choice Health Commercial |
$3,285.00
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$3,467.50
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$1,022.09
|
| Rate for Payer: HealthUtah PPO |
$3,650.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$3,540.50
|
| Rate for Payer: Multiplan Medicare/VA |
$868.78
|
| Rate for Payer: One Health Plan of WY PPO |
$3,577.00
|
| Rate for Payer: PacificSource Commercial |
$3,285.00
|
| Rate for Payer: PHCS PPO |
$3,467.50
|
| Rate for Payer: Three Rivers PPO |
$2,737.50
|
| Rate for Payer: TriWest Veterans Administration |
$1,022.09
|
| Rate for Payer: United Healthcare Commercial |
$3,175.50
|
| Rate for Payer: United Healthcare Medicare |
$1,022.09
|
| Rate for Payer: WINHealth Partners Commercial |
$3,102.50
|
|
|
HC PRO OPEN TX FRACTURE GREAT TOE/PHALANX/PHALANGES
|
Professional
|
Both
|
$2,572.00
|
|
|
Service Code
|
HCPCS 28505
|
| Hospital Charge Code |
9832850501
|
|
Hospital Revenue Code
|
983
|
| Min. Negotiated Rate |
$412.20 |
| Max. Negotiated Rate |
$2,572.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$2,520.56
|
| Rate for Payer: Aetna of WY Medicare |
$484.94
|
| Rate for Payer: Beech Street Commercial |
$2,443.40
|
| Rate for Payer: Cash Price |
$1,800.40
|
| Rate for Payer: Cash Price |
$1,800.40
|
| Rate for Payer: ChoiceCare Network Commercial |
$2,494.84
|
| Rate for Payer: Cigna of WY Commercial |
$2,520.56
|
| Rate for Payer: First Choice Health Commercial |
$2,314.80
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$2,443.40
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$484.94
|
| Rate for Payer: HealthUtah PPO |
$2,572.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$2,494.84
|
| Rate for Payer: Multiplan Medicare/VA |
$412.20
|
| Rate for Payer: One Health Plan of WY PPO |
$2,520.56
|
| Rate for Payer: PacificSource Commercial |
$2,314.80
|
| Rate for Payer: PHCS PPO |
$2,443.40
|
| Rate for Payer: Three Rivers PPO |
$1,929.00
|
| Rate for Payer: TriWest Veterans Administration |
$484.94
|
| Rate for Payer: United Healthcare Commercial |
$2,237.64
|
| Rate for Payer: United Healthcare Medicare |
$484.94
|
| Rate for Payer: WINHealth Partners Commercial |
$2,186.20
|
|
|
HC PRO OPEN TX GR TUBEROSITY HUM FX
|
Professional
|
Both
|
$3,993.00
|
|
|
Service Code
|
HCPCS 23630
|
| Hospital Charge Code |
9832363001
|
|
Hospital Revenue Code
|
983
|
| Min. Negotiated Rate |
$645.90 |
| Max. Negotiated Rate |
$3,993.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$3,913.14
|
| Rate for Payer: Aetna of WY Medicare |
$759.88
|
| Rate for Payer: Beech Street Commercial |
$3,793.35
|
| Rate for Payer: Cash Price |
$2,795.10
|
| Rate for Payer: Cash Price |
$2,795.10
|
| Rate for Payer: ChoiceCare Network Commercial |
$3,873.21
|
| Rate for Payer: Cigna of WY Commercial |
$3,913.14
|
| Rate for Payer: First Choice Health Commercial |
$3,593.70
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$3,793.35
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$759.88
|
| Rate for Payer: HealthUtah PPO |
$3,993.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$3,873.21
|
| Rate for Payer: Multiplan Medicare/VA |
$645.90
|
| Rate for Payer: One Health Plan of WY PPO |
$3,913.14
|
| Rate for Payer: PacificSource Commercial |
$3,593.70
|
| Rate for Payer: PHCS PPO |
$3,793.35
|
| Rate for Payer: Three Rivers PPO |
$2,994.75
|
| Rate for Payer: TriWest Veterans Administration |
$759.88
|
| Rate for Payer: United Healthcare Commercial |
$3,473.91
|
| Rate for Payer: United Healthcare Medicare |
$759.88
|
| Rate for Payer: WINHealth Partners Commercial |
$3,394.05
|
|
|
HC PRO OPEN TX HUMERAL EPICONDYLAR FRACTURE
|
Professional
|
Both
|
$3,779.00
|
|
|
Service Code
|
HCPCS 24575
|
| Hospital Charge Code |
9752457501
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$607.76 |
| Max. Negotiated Rate |
$3,779.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$3,703.42
|
| Rate for Payer: Aetna of WY Medicare |
$715.01
|
| Rate for Payer: Beech Street Commercial |
$3,590.05
|
| Rate for Payer: Cash Price |
$2,645.30
|
| Rate for Payer: Cash Price |
$2,645.30
|
| Rate for Payer: ChoiceCare Network Commercial |
$3,665.63
|
| Rate for Payer: Cigna of WY Commercial |
$3,703.42
|
| Rate for Payer: First Choice Health Commercial |
$3,401.10
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$3,590.05
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$715.01
|
| Rate for Payer: HealthUtah PPO |
$3,779.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$3,665.63
|
| Rate for Payer: Multiplan Medicare/VA |
$607.76
|
| Rate for Payer: One Health Plan of WY PPO |
$3,703.42
|
| Rate for Payer: PacificSource Commercial |
$3,401.10
|
| Rate for Payer: PHCS PPO |
$3,590.05
|
| Rate for Payer: Three Rivers PPO |
$2,834.25
|
| Rate for Payer: TriWest Veterans Administration |
$715.01
|
| Rate for Payer: United Healthcare Commercial |
$3,287.73
|
| Rate for Payer: United Healthcare Medicare |
$715.01
|
| Rate for Payer: WINHealth Partners Commercial |
$3,212.15
|
|
|
HC PRO OPEN TX HUMERAL SUPRACONDYLAR FRACTURE W/O XTN
|
Professional
|
Both
|
$4,796.00
|
|
|
Service Code
|
HCPCS 24545
|
| Hospital Charge Code |
9752454501
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$763.95 |
| Max. Negotiated Rate |
$4,796.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$4,700.08
|
| Rate for Payer: Aetna of WY Medicare |
$898.77
|
| Rate for Payer: Beech Street Commercial |
$4,556.20
|
| Rate for Payer: Cash Price |
$3,357.20
|
| Rate for Payer: Cash Price |
$3,357.20
|
| Rate for Payer: ChoiceCare Network Commercial |
$4,652.12
|
| Rate for Payer: Cigna of WY Commercial |
$4,700.08
|
| Rate for Payer: First Choice Health Commercial |
$4,316.40
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$4,556.20
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$898.77
|
| Rate for Payer: HealthUtah PPO |
$4,796.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$4,652.12
|
| Rate for Payer: Multiplan Medicare/VA |
$763.95
|
| Rate for Payer: One Health Plan of WY PPO |
$4,700.08
|
| Rate for Payer: PacificSource Commercial |
$4,316.40
|
| Rate for Payer: PHCS PPO |
$4,556.20
|
| Rate for Payer: Three Rivers PPO |
$3,597.00
|
| Rate for Payer: TriWest Veterans Administration |
$898.77
|
| Rate for Payer: United Healthcare Commercial |
$4,172.52
|
| Rate for Payer: United Healthcare Medicare |
$898.77
|
| Rate for Payer: WINHealth Partners Commercial |
$4,076.60
|
|
|
HC PRO OPEN TX HUMERUS SHAFT FX W/ PLATE/SCREWS W OR W/O CERCLAGE
|
Professional
|
Both
|
$4,536.00
|
|
|
Service Code
|
HCPCS 24515
|
| Hospital Charge Code |
9832451501
|
|
Hospital Revenue Code
|
983
|
| Min. Negotiated Rate |
$725.96 |
| Max. Negotiated Rate |
$4,536.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$4,445.28
|
| Rate for Payer: Aetna of WY Medicare |
$854.07
|
| Rate for Payer: Beech Street Commercial |
$4,309.20
|
| Rate for Payer: Cash Price |
$3,175.20
|
| Rate for Payer: Cash Price |
$3,175.20
|
| Rate for Payer: ChoiceCare Network Commercial |
$4,399.92
|
| Rate for Payer: Cigna of WY Commercial |
$4,445.28
|
| Rate for Payer: First Choice Health Commercial |
$4,082.40
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$4,309.20
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$854.07
|
| Rate for Payer: HealthUtah PPO |
$4,536.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$4,399.92
|
| Rate for Payer: Multiplan Medicare/VA |
$725.96
|
| Rate for Payer: One Health Plan of WY PPO |
$4,445.28
|
| Rate for Payer: PacificSource Commercial |
$4,082.40
|
| Rate for Payer: PHCS PPO |
$4,309.20
|
| Rate for Payer: Three Rivers PPO |
$3,402.00
|
| Rate for Payer: TriWest Veterans Administration |
$854.07
|
| Rate for Payer: United Healthcare Commercial |
$3,946.32
|
| Rate for Payer: United Healthcare Medicare |
$854.07
|
| Rate for Payer: WINHealth Partners Commercial |
$3,855.60
|
|
|
HC PRO OPEN TX INTERCONDYLAR SPINE/TUBRST FRACTURE KNEE
|
Professional
|
Both
|
$2,815.00
|
|
|
Service Code
|
HCPCS 27540
|
| Hospital Charge Code |
9752754001
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$670.48 |
| Max. Negotiated Rate |
$2,815.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$2,758.70
|
| Rate for Payer: Aetna of WY Medicare |
$788.80
|
| Rate for Payer: Beech Street Commercial |
$2,674.25
|
| Rate for Payer: Cash Price |
$1,970.50
|
| Rate for Payer: Cash Price |
$1,970.50
|
| Rate for Payer: ChoiceCare Network Commercial |
$2,730.55
|
| Rate for Payer: Cigna of WY Commercial |
$2,758.70
|
| Rate for Payer: First Choice Health Commercial |
$2,533.50
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$2,674.25
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$788.80
|
| Rate for Payer: HealthUtah PPO |
$2,815.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$2,730.55
|
| Rate for Payer: Multiplan Medicare/VA |
$670.48
|
| Rate for Payer: One Health Plan of WY PPO |
$2,758.70
|
| Rate for Payer: PacificSource Commercial |
$2,533.50
|
| Rate for Payer: PHCS PPO |
$2,674.25
|
| Rate for Payer: Three Rivers PPO |
$2,111.25
|
| Rate for Payer: TriWest Veterans Administration |
$788.80
|
| Rate for Payer: United Healthcare Commercial |
$2,449.05
|
| Rate for Payer: United Healthcare Medicare |
$788.80
|
| Rate for Payer: WINHealth Partners Commercial |
$2,392.75
|
|
|
HC PRO OPEN TX INTERPHALANGEAL JT DISLOC ,FIX
|
Professional
|
Both
|
$1,923.00
|
|
|
Service Code
|
HCPCS 26785
|
| Hospital Charge Code |
9832678501
|
|
Hospital Revenue Code
|
983
|
| Min. Negotiated Rate |
$458.16 |
| Max. Negotiated Rate |
$1,923.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$1,884.54
|
| Rate for Payer: Aetna of WY Medicare |
$539.01
|
| Rate for Payer: Beech Street Commercial |
$1,826.85
|
| Rate for Payer: Cash Price |
$1,346.10
|
| Rate for Payer: Cash Price |
$1,346.10
|
| Rate for Payer: ChoiceCare Network Commercial |
$1,865.31
|
| Rate for Payer: Cigna of WY Commercial |
$1,884.54
|
| Rate for Payer: First Choice Health Commercial |
$1,730.70
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$1,826.85
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$539.01
|
| Rate for Payer: HealthUtah PPO |
$1,923.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$1,865.31
|
| Rate for Payer: Multiplan Medicare/VA |
$458.16
|
| Rate for Payer: One Health Plan of WY PPO |
$1,884.54
|
| Rate for Payer: PacificSource Commercial |
$1,730.70
|
| Rate for Payer: PHCS PPO |
$1,826.85
|
| Rate for Payer: Three Rivers PPO |
$1,442.25
|
| Rate for Payer: TriWest Veterans Administration |
$539.01
|
| Rate for Payer: United Healthcare Commercial |
$1,673.01
|
| Rate for Payer: United Healthcare Medicare |
$539.01
|
| Rate for Payer: WINHealth Partners Commercial |
$1,634.55
|
|
|
HC PRO OPEN TX MEDIAL MALLEOLUS FX
|
Professional
|
Both
|
$3,116.00
|
|
|
Service Code
|
HCPCS 27766
|
| Hospital Charge Code |
9832776601
|
|
Hospital Revenue Code
|
983
|
| Min. Negotiated Rate |
$501.85 |
| Max. Negotiated Rate |
$3,116.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$3,053.68
|
| Rate for Payer: Aetna of WY Medicare |
$590.41
|
| Rate for Payer: Beech Street Commercial |
$2,960.20
|
| Rate for Payer: Cash Price |
$2,181.20
|
| Rate for Payer: Cash Price |
$2,181.20
|
| Rate for Payer: ChoiceCare Network Commercial |
$3,022.52
|
| Rate for Payer: Cigna of WY Commercial |
$3,053.68
|
| Rate for Payer: First Choice Health Commercial |
$2,804.40
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$2,960.20
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$590.41
|
| Rate for Payer: HealthUtah PPO |
$3,116.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$3,022.52
|
| Rate for Payer: Multiplan Medicare/VA |
$501.85
|
| Rate for Payer: One Health Plan of WY PPO |
$3,053.68
|
| Rate for Payer: PacificSource Commercial |
$2,804.40
|
| Rate for Payer: PHCS PPO |
$2,960.20
|
| Rate for Payer: Three Rivers PPO |
$2,337.00
|
| Rate for Payer: TriWest Veterans Administration |
$590.41
|
| Rate for Payer: United Healthcare Commercial |
$2,710.92
|
| Rate for Payer: United Healthcare Medicare |
$590.41
|
| Rate for Payer: WINHealth Partners Commercial |
$2,648.60
|
|
|
HC PRO OPEN TX METACARPAL FRACTURE SINGLE EA BONE
|
Professional
|
Both
|
$2,019.00
|
|
|
Service Code
|
HCPCS 26615
|
| Hospital Charge Code |
9832661501
|
|
Hospital Revenue Code
|
983
|
| Min. Negotiated Rate |
$480.88 |
| Max. Negotiated Rate |
$2,019.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$1,978.62
|
| Rate for Payer: Aetna of WY Medicare |
$565.74
|
| Rate for Payer: Beech Street Commercial |
$1,918.05
|
| Rate for Payer: Cash Price |
$1,413.30
|
| Rate for Payer: Cash Price |
$1,413.30
|
| Rate for Payer: ChoiceCare Network Commercial |
$1,958.43
|
| Rate for Payer: Cigna of WY Commercial |
$1,978.62
|
| Rate for Payer: First Choice Health Commercial |
$1,817.10
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$1,918.05
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$565.74
|
| Rate for Payer: HealthUtah PPO |
$2,019.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$1,958.43
|
| Rate for Payer: Multiplan Medicare/VA |
$480.88
|
| Rate for Payer: One Health Plan of WY PPO |
$1,978.62
|
| Rate for Payer: PacificSource Commercial |
$1,817.10
|
| Rate for Payer: PHCS PPO |
$1,918.05
|
| Rate for Payer: Three Rivers PPO |
$1,514.25
|
| Rate for Payer: TriWest Veterans Administration |
$565.74
|
| Rate for Payer: United Healthcare Commercial |
$1,756.53
|
| Rate for Payer: United Healthcare Medicare |
$565.74
|
| Rate for Payer: WINHealth Partners Commercial |
$1,716.15
|
|
|
HC PRO OPEN TX METATARS FX, INCL FIX,E
|
Professional
|
Both
|
$2,855.00
|
|
|
Service Code
|
HCPCS 28485
|
| Hospital Charge Code |
9832848501
|
|
Hospital Revenue Code
|
983
|
| Min. Negotiated Rate |
$469.93 |
| Max. Negotiated Rate |
$2,855.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$2,797.90
|
| Rate for Payer: Aetna of WY Medicare |
$552.86
|
| Rate for Payer: Beech Street Commercial |
$2,712.25
|
| Rate for Payer: Cash Price |
$1,998.50
|
| Rate for Payer: Cash Price |
$1,998.50
|
| Rate for Payer: ChoiceCare Network Commercial |
$2,769.35
|
| Rate for Payer: Cigna of WY Commercial |
$2,797.90
|
| Rate for Payer: First Choice Health Commercial |
$2,569.50
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$2,712.25
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$552.86
|
| Rate for Payer: HealthUtah PPO |
$2,855.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$2,769.35
|
| Rate for Payer: Multiplan Medicare/VA |
$469.93
|
| Rate for Payer: One Health Plan of WY PPO |
$2,797.90
|
| Rate for Payer: PacificSource Commercial |
$2,569.50
|
| Rate for Payer: PHCS PPO |
$2,712.25
|
| Rate for Payer: Three Rivers PPO |
$2,141.25
|
| Rate for Payer: TriWest Veterans Administration |
$552.86
|
| Rate for Payer: United Healthcare Commercial |
$2,483.85
|
| Rate for Payer: United Healthcare Medicare |
$552.86
|
| Rate for Payer: WINHealth Partners Commercial |
$2,426.75
|
|
|
HC PRO OPEN TX OF BIMALLEOLAR ANKLE F
|
Professional
|
Both
|
$2,120.00
|
|
|
Service Code
|
HCPCS 27814
|
| Hospital Charge Code |
9832781401
|
|
Hospital Revenue Code
|
983
|
| Min. Negotiated Rate |
$630.62 |
| Max. Negotiated Rate |
$2,120.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$2,077.60
|
| Rate for Payer: Aetna of WY Medicare |
$741.90
|
| Rate for Payer: Beech Street Commercial |
$2,014.00
|
| Rate for Payer: Cash Price |
$1,484.00
|
| Rate for Payer: Cash Price |
$1,484.00
|
| Rate for Payer: ChoiceCare Network Commercial |
$2,056.40
|
| Rate for Payer: Cigna of WY Commercial |
$2,077.60
|
| Rate for Payer: First Choice Health Commercial |
$1,908.00
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$2,014.00
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$741.90
|
| Rate for Payer: HealthUtah PPO |
$2,120.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$2,056.40
|
| Rate for Payer: Multiplan Medicare/VA |
$630.62
|
| Rate for Payer: One Health Plan of WY PPO |
$2,077.60
|
| Rate for Payer: PacificSource Commercial |
$1,908.00
|
| Rate for Payer: PHCS PPO |
$2,014.00
|
| Rate for Payer: Three Rivers PPO |
$1,590.00
|
| Rate for Payer: TriWest Veterans Administration |
$741.90
|
| Rate for Payer: United Healthcare Commercial |
$1,844.40
|
| Rate for Payer: United Healthcare Medicare |
$741.90
|
| Rate for Payer: WINHealth Partners Commercial |
$1,802.00
|
|
|
HC PRO OPEN TX OF BIMALLEOLAR ANKLE F
|
Professional
|
Both
|
$2,650.00
|
|
|
Service Code
|
HCPCS 27814 NONPBBPAYER
|
| Hospital Charge Code |
9832781401
|
|
Hospital Revenue Code
|
983
|
| Min. Negotiated Rate |
$630.62 |
| Max. Negotiated Rate |
$2,650.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$2,597.00
|
| Rate for Payer: Aetna of WY Medicare |
$741.90
|
| Rate for Payer: Beech Street Commercial |
$2,517.50
|
| Rate for Payer: Cash Price |
$1,855.00
|
| Rate for Payer: Cash Price |
$1,855.00
|
| Rate for Payer: ChoiceCare Network Commercial |
$2,570.50
|
| Rate for Payer: Cigna of WY Commercial |
$2,597.00
|
| Rate for Payer: First Choice Health Commercial |
$2,385.00
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$2,517.50
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$741.90
|
| Rate for Payer: HealthUtah PPO |
$2,650.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$2,570.50
|
| Rate for Payer: Multiplan Medicare/VA |
$630.62
|
| Rate for Payer: One Health Plan of WY PPO |
$2,597.00
|
| Rate for Payer: PacificSource Commercial |
$2,385.00
|
| Rate for Payer: PHCS PPO |
$2,517.50
|
| Rate for Payer: Three Rivers PPO |
$1,987.50
|
| Rate for Payer: TriWest Veterans Administration |
$741.90
|
| Rate for Payer: United Healthcare Commercial |
$2,305.50
|
| Rate for Payer: United Healthcare Medicare |
$741.90
|
| Rate for Payer: WINHealth Partners Commercial |
$2,252.50
|
|
|
HC PRO OPEN TX OF DISTAL TIBIOFIBULAR
|
Professional
|
Both
|
$3,618.00
|
|
|
Service Code
|
HCPCS 27829
|
| Hospital Charge Code |
9832782901
|
|
Hospital Revenue Code
|
983
|
| Min. Negotiated Rate |
$585.93 |
| Max. Negotiated Rate |
$3,618.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$3,545.64
|
| Rate for Payer: Aetna of WY Medicare |
$689.33
|
| Rate for Payer: Beech Street Commercial |
$3,437.10
|
| Rate for Payer: Cash Price |
$2,532.60
|
| Rate for Payer: Cash Price |
$2,532.60
|
| Rate for Payer: ChoiceCare Network Commercial |
$3,509.46
|
| Rate for Payer: Cigna of WY Commercial |
$3,545.64
|
| Rate for Payer: First Choice Health Commercial |
$3,256.20
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$3,437.10
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$689.33
|
| Rate for Payer: HealthUtah PPO |
$3,618.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$3,509.46
|
| Rate for Payer: Multiplan Medicare/VA |
$585.93
|
| Rate for Payer: One Health Plan of WY PPO |
$3,545.64
|
| Rate for Payer: PacificSource Commercial |
$3,256.20
|
| Rate for Payer: PHCS PPO |
$3,437.10
|
| Rate for Payer: Three Rivers PPO |
$2,713.50
|
| Rate for Payer: TriWest Veterans Administration |
$689.33
|
| Rate for Payer: United Healthcare Commercial |
$3,147.66
|
| Rate for Payer: United Healthcare Medicare |
$689.33
|
| Rate for Payer: WINHealth Partners Commercial |
$3,075.30
|
|
|
HC PRO OPEN TX OF DISTAL TIBIOFIBULAR
|
Professional
|
Both
|
$7,235.00
|
|
|
Service Code
|
HCPCS 27829 50
|
| Hospital Charge Code |
9832782901
|
|
Hospital Revenue Code
|
983
|
| Min. Negotiated Rate |
$585.93 |
| Max. Negotiated Rate |
$7,235.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$7,090.30
|
| Rate for Payer: Aetna of WY Medicare |
$689.33
|
| Rate for Payer: Beech Street Commercial |
$6,873.25
|
| Rate for Payer: Cash Price |
$5,064.50
|
| Rate for Payer: Cash Price |
$5,064.50
|
| Rate for Payer: ChoiceCare Network Commercial |
$7,017.95
|
| Rate for Payer: Cigna of WY Commercial |
$7,090.30
|
| Rate for Payer: First Choice Health Commercial |
$6,511.50
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$6,873.25
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$689.33
|
| Rate for Payer: HealthUtah PPO |
$7,235.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$7,017.95
|
| Rate for Payer: Multiplan Medicare/VA |
$585.93
|
| Rate for Payer: One Health Plan of WY PPO |
$7,090.30
|
| Rate for Payer: PacificSource Commercial |
$6,511.50
|
| Rate for Payer: PHCS PPO |
$6,873.25
|
| Rate for Payer: Three Rivers PPO |
$5,426.25
|
| Rate for Payer: TriWest Veterans Administration |
$689.33
|
| Rate for Payer: United Healthcare Commercial |
$6,294.45
|
| Rate for Payer: United Healthcare Medicare |
$689.33
|
| Rate for Payer: WINHealth Partners Commercial |
$6,149.75
|
|
|
HC PRO OPEN TX PHALANGEAL SHAFT FRACTURE PROX/MIDDLE EA
|
Professional
|
Both
|
$3,065.00
|
|
|
Service Code
|
HCPCS 26735
|
| Hospital Charge Code |
9832673501
|
|
Hospital Revenue Code
|
983
|
| Min. Negotiated Rate |
$496.72 |
| Max. Negotiated Rate |
$3,065.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$3,003.70
|
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$2,187.36
|
| Rate for Payer: Aetna of WY Medicare |
$584.38
|
| Rate for Payer: Aetna of WY Medicare |
$584.38
|
| Rate for Payer: Beech Street Commercial |
$2,120.40
|
| Rate for Payer: Beech Street Commercial |
$2,911.75
|
| Rate for Payer: Cash Price |
$1,562.40
|
| Rate for Payer: Cash Price |
$1,562.40
|
| Rate for Payer: Cash Price |
$2,145.50
|
| Rate for Payer: Cash Price |
$2,145.50
|
| Rate for Payer: ChoiceCare Network Commercial |
$2,973.05
|
| Rate for Payer: ChoiceCare Network Commercial |
$2,165.04
|
| Rate for Payer: Cigna of WY Commercial |
$2,187.36
|
| Rate for Payer: Cigna of WY Commercial |
$3,003.70
|
| Rate for Payer: First Choice Health Commercial |
$2,008.80
|
| Rate for Payer: First Choice Health Commercial |
$2,758.50
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$2,911.75
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$2,120.40
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$584.38
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$584.38
|
| Rate for Payer: HealthUtah PPO |
$3,065.00
|
| Rate for Payer: HealthUtah PPO |
$2,232.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$2,973.05
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$2,165.04
|
| Rate for Payer: Multiplan Medicare/VA |
$496.72
|
| Rate for Payer: Multiplan Medicare/VA |
$496.72
|
| Rate for Payer: One Health Plan of WY PPO |
$3,003.70
|
| Rate for Payer: One Health Plan of WY PPO |
$2,187.36
|
| Rate for Payer: PacificSource Commercial |
$2,008.80
|
| Rate for Payer: PacificSource Commercial |
$2,758.50
|
| Rate for Payer: PHCS PPO |
$2,911.75
|
| Rate for Payer: PHCS PPO |
$2,120.40
|
| Rate for Payer: Three Rivers PPO |
$2,298.75
|
| Rate for Payer: Three Rivers PPO |
$1,674.00
|
| Rate for Payer: TriWest Veterans Administration |
$584.38
|
| Rate for Payer: TriWest Veterans Administration |
$584.38
|
| Rate for Payer: United Healthcare Commercial |
$1,941.84
|
| Rate for Payer: United Healthcare Commercial |
$2,666.55
|
| Rate for Payer: United Healthcare Medicare |
$584.38
|
| Rate for Payer: United Healthcare Medicare |
$584.38
|
| Rate for Payer: WINHealth Partners Commercial |
$2,605.25
|
| Rate for Payer: WINHealth Partners Commercial |
$1,897.20
|
|
|
HC PRO OPEN TX RADIAL HEAD/NECK FRACTURE
|
Professional
|
Both
|
$2,297.00
|
|
|
Service Code
|
HCPCS 24665
|
| Hospital Charge Code |
9752466501
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$546.97 |
| Max. Negotiated Rate |
$2,297.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$2,251.06
|
| Rate for Payer: Aetna of WY Medicare |
$643.49
|
| Rate for Payer: Beech Street Commercial |
$2,182.15
|
| Rate for Payer: Cash Price |
$1,607.90
|
| Rate for Payer: Cash Price |
$1,607.90
|
| Rate for Payer: ChoiceCare Network Commercial |
$2,228.09
|
| Rate for Payer: Cigna of WY Commercial |
$2,251.06
|
| Rate for Payer: First Choice Health Commercial |
$2,067.30
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$2,182.15
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$643.49
|
| Rate for Payer: HealthUtah PPO |
$2,297.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$2,228.09
|
| Rate for Payer: Multiplan Medicare/VA |
$546.97
|
| Rate for Payer: One Health Plan of WY PPO |
$2,251.06
|
| Rate for Payer: PacificSource Commercial |
$2,067.30
|
| Rate for Payer: PHCS PPO |
$2,182.15
|
| Rate for Payer: Three Rivers PPO |
$1,722.75
|
| Rate for Payer: TriWest Veterans Administration |
$643.49
|
| Rate for Payer: United Healthcare Commercial |
$1,998.39
|
| Rate for Payer: United Healthcare Medicare |
$643.49
|
| Rate for Payer: WINHealth Partners Commercial |
$1,952.45
|
|
|
HC PRO OPEN TX RADIAL&ULNAR SHAFT FX W/FIXJ RADIUS&ULNA
|
Professional
|
Both
|
$3,136.00
|
|
|
Service Code
|
HCPCS 25575
|
| Hospital Charge Code |
9752557501
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$746.97 |
| Max. Negotiated Rate |
$3,136.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$3,073.28
|
| Rate for Payer: Aetna of WY Medicare |
$878.79
|
| Rate for Payer: Beech Street Commercial |
$2,979.20
|
| Rate for Payer: Cash Price |
$2,195.20
|
| Rate for Payer: Cash Price |
$2,195.20
|
| Rate for Payer: ChoiceCare Network Commercial |
$3,041.92
|
| Rate for Payer: Cigna of WY Commercial |
$3,073.28
|
| Rate for Payer: First Choice Health Commercial |
$2,822.40
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$2,979.20
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$878.79
|
| Rate for Payer: HealthUtah PPO |
$3,136.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$3,041.92
|
| Rate for Payer: Multiplan Medicare/VA |
$746.97
|
| Rate for Payer: One Health Plan of WY PPO |
$3,073.28
|
| Rate for Payer: PacificSource Commercial |
$2,822.40
|
| Rate for Payer: PHCS PPO |
$2,979.20
|
| Rate for Payer: Three Rivers PPO |
$2,352.00
|
| Rate for Payer: TriWest Veterans Administration |
$878.79
|
| Rate for Payer: United Healthcare Commercial |
$2,728.32
|
| Rate for Payer: United Healthcare Medicare |
$878.79
|
| Rate for Payer: WINHealth Partners Commercial |
$2,665.60
|
|
