BOSTON SCI DIAGNOSTIC PIG 145 5FR X 100CM
|
Facility
|
OP
|
$24.50
|
|
Hospital Charge Code |
27200000S1
|
Hospital Revenue Code
|
272
|
Min. Negotiated Rate |
$13.50 |
Max. Negotiated Rate |
$24.50 |
Rate for Payer: Aetna of WY Commercial/Medical Rental |
$24.01
|
Rate for Payer: Aetna of WY Medicare |
$16.17
|
Rate for Payer: Altius Auto/Workers Compensation |
$23.52
|
Rate for Payer: Altius Commercial |
$23.52
|
Rate for Payer: Beech Street Commercial |
$24.01
|
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$20.11
|
Rate for Payer: Cash Price |
$17.15
|
Rate for Payer: ChoiceCare Network Commercial |
$23.76
|
Rate for Payer: Cigna of WY Commercial |
$24.01
|
Rate for Payer: Entrust Commercial |
$23.28
|
Rate for Payer: First Choice Health Commercial |
$23.28
|
Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$23.28
|
Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$14.21
|
Rate for Payer: HealthUtah PPO |
$24.50
|
Rate for Payer: Idaho Integrated Healthcare Commercial |
$23.76
|
Rate for Payer: Multiplan Medicare/VA |
$13.50
|
Rate for Payer: One Health Plan of WY PPO |
$24.01
|
Rate for Payer: PacificSource Commercial |
$22.05
|
Rate for Payer: PHCS PPO |
$24.01
|
Rate for Payer: Three Rivers PPO |
$18.38
|
Rate for Payer: TriWest Veterans Administration |
$14.21
|
Rate for Payer: United Healthcare Commercial |
$21.32
|
Rate for Payer: United Healthcare Medicare |
$14.21
|
Rate for Payer: WINHealth Partners Commercial |
$24.01
|
Rate for Payer: Wise Provider Network Commercial |
$23.28
|
|
BOSTON SCI DIAGNOSTIC RCB 5FR X 100CM
|
Facility
|
IP
|
$24.50
|
|
Hospital Charge Code |
27200000S1
|
Hospital Revenue Code
|
272
|
Min. Negotiated Rate |
$15.36 |
Max. Negotiated Rate |
$24.50 |
Rate for Payer: Aetna of WY Commercial/Medical Rental |
$24.01
|
Rate for Payer: Altius Auto/Workers Compensation |
$23.52
|
Rate for Payer: Altius Commercial |
$23.52
|
Rate for Payer: Beech Street Commercial |
$24.01
|
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$20.11
|
Rate for Payer: Cash Price |
$17.15
|
Rate for Payer: ChoiceCare Network Commercial |
$23.76
|
Rate for Payer: Cigna of WY Commercial |
$24.01
|
Rate for Payer: Entrust Commercial |
$23.28
|
Rate for Payer: First Choice Health Commercial |
$23.28
|
Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$23.28
|
Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$16.17
|
Rate for Payer: HealthUtah PPO |
$24.50
|
Rate for Payer: Idaho Integrated Healthcare Commercial |
$23.76
|
Rate for Payer: Multiplan Medicare/VA |
$15.36
|
Rate for Payer: One Health Plan of WY PPO |
$24.01
|
Rate for Payer: PacificSource Commercial |
$22.05
|
Rate for Payer: PHCS PPO |
$24.01
|
Rate for Payer: Three Rivers PPO |
$18.38
|
Rate for Payer: TriWest Veterans Administration |
$16.17
|
Rate for Payer: United Healthcare Commercial |
$21.32
|
Rate for Payer: United Healthcare Medicare |
$16.17
|
Rate for Payer: WINHealth Partners Commercial |
$23.28
|
Rate for Payer: Wise Provider Network Commercial |
$23.28
|
|
BOSTON SCI DIAGNOSTIC RCB 5FR X 100CM
|
Facility
|
OP
|
$24.50
|
|
Hospital Charge Code |
27200000S1
|
Hospital Revenue Code
|
272
|
Min. Negotiated Rate |
$13.50 |
Max. Negotiated Rate |
$24.50 |
Rate for Payer: Aetna of WY Commercial/Medical Rental |
$24.01
|
Rate for Payer: Aetna of WY Medicare |
$16.17
|
Rate for Payer: Altius Auto/Workers Compensation |
$23.52
|
Rate for Payer: Altius Commercial |
$23.52
|
Rate for Payer: Beech Street Commercial |
$24.01
|
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$20.11
|
Rate for Payer: Cash Price |
$17.15
|
Rate for Payer: ChoiceCare Network Commercial |
$23.76
|
Rate for Payer: Cigna of WY Commercial |
$24.01
|
Rate for Payer: Entrust Commercial |
$23.28
|
Rate for Payer: First Choice Health Commercial |
$23.28
|
Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$23.28
|
Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$14.21
|
Rate for Payer: HealthUtah PPO |
$24.50
|
Rate for Payer: Idaho Integrated Healthcare Commercial |
$23.76
|
Rate for Payer: Multiplan Medicare/VA |
$13.50
|
Rate for Payer: One Health Plan of WY PPO |
$24.01
|
Rate for Payer: PacificSource Commercial |
$22.05
|
Rate for Payer: PHCS PPO |
$24.01
|
Rate for Payer: Three Rivers PPO |
$18.38
|
Rate for Payer: TriWest Veterans Administration |
$14.21
|
Rate for Payer: United Healthcare Commercial |
$21.32
|
Rate for Payer: United Healthcare Medicare |
$14.21
|
Rate for Payer: WINHealth Partners Commercial |
$24.01
|
Rate for Payer: Wise Provider Network Commercial |
$23.28
|
|
BOSTON SCI DIAGNOSTIC TIG4.5 5FR X 100CM
|
Facility
|
IP
|
$24.50
|
|
Hospital Charge Code |
27200000S1
|
Hospital Revenue Code
|
272
|
Min. Negotiated Rate |
$15.36 |
Max. Negotiated Rate |
$24.50 |
Rate for Payer: Aetna of WY Commercial/Medical Rental |
$24.01
|
Rate for Payer: Altius Auto/Workers Compensation |
$23.52
|
Rate for Payer: Altius Commercial |
$23.52
|
Rate for Payer: Beech Street Commercial |
$24.01
|
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$20.11
|
Rate for Payer: Cash Price |
$17.15
|
Rate for Payer: ChoiceCare Network Commercial |
$23.76
|
Rate for Payer: Cigna of WY Commercial |
$24.01
|
Rate for Payer: Entrust Commercial |
$23.28
|
Rate for Payer: First Choice Health Commercial |
$23.28
|
Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$23.28
|
Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$16.17
|
Rate for Payer: HealthUtah PPO |
$24.50
|
Rate for Payer: Idaho Integrated Healthcare Commercial |
$23.76
|
Rate for Payer: Multiplan Medicare/VA |
$15.36
|
Rate for Payer: One Health Plan of WY PPO |
$24.01
|
Rate for Payer: PacificSource Commercial |
$22.05
|
Rate for Payer: PHCS PPO |
$24.01
|
Rate for Payer: Three Rivers PPO |
$18.38
|
Rate for Payer: TriWest Veterans Administration |
$16.17
|
Rate for Payer: United Healthcare Commercial |
$21.32
|
Rate for Payer: United Healthcare Medicare |
$16.17
|
Rate for Payer: WINHealth Partners Commercial |
$23.28
|
Rate for Payer: Wise Provider Network Commercial |
$23.28
|
|
BOSTON SCI DIAGNOSTIC TIG4.5 5FR X 100CM
|
Facility
|
OP
|
$24.50
|
|
Hospital Charge Code |
27200000S1
|
Hospital Revenue Code
|
272
|
Min. Negotiated Rate |
$13.50 |
Max. Negotiated Rate |
$24.50 |
Rate for Payer: Aetna of WY Commercial/Medical Rental |
$24.01
|
Rate for Payer: Aetna of WY Medicare |
$16.17
|
Rate for Payer: Altius Auto/Workers Compensation |
$23.52
|
Rate for Payer: Altius Commercial |
$23.52
|
Rate for Payer: Beech Street Commercial |
$24.01
|
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$20.11
|
Rate for Payer: Cash Price |
$17.15
|
Rate for Payer: ChoiceCare Network Commercial |
$23.76
|
Rate for Payer: Cigna of WY Commercial |
$24.01
|
Rate for Payer: Entrust Commercial |
$23.28
|
Rate for Payer: First Choice Health Commercial |
$23.28
|
Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$23.28
|
Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$14.21
|
Rate for Payer: HealthUtah PPO |
$24.50
|
Rate for Payer: Idaho Integrated Healthcare Commercial |
$23.76
|
Rate for Payer: Multiplan Medicare/VA |
$13.50
|
Rate for Payer: One Health Plan of WY PPO |
$24.01
|
Rate for Payer: PacificSource Commercial |
$22.05
|
Rate for Payer: PHCS PPO |
$24.01
|
Rate for Payer: Three Rivers PPO |
$18.38
|
Rate for Payer: TriWest Veterans Administration |
$14.21
|
Rate for Payer: United Healthcare Commercial |
$21.32
|
Rate for Payer: United Healthcare Medicare |
$14.21
|
Rate for Payer: WINHealth Partners Commercial |
$24.01
|
Rate for Payer: Wise Provider Network Commercial |
$23.28
|
|
BOSTON SCI DIAGNOSTIC TIG4 5FR X 100CM
|
Facility
|
IP
|
$24.50
|
|
Hospital Charge Code |
27200000S1
|
Hospital Revenue Code
|
272
|
Min. Negotiated Rate |
$15.36 |
Max. Negotiated Rate |
$24.50 |
Rate for Payer: Aetna of WY Commercial/Medical Rental |
$24.01
|
Rate for Payer: Altius Auto/Workers Compensation |
$23.52
|
Rate for Payer: Altius Commercial |
$23.52
|
Rate for Payer: Beech Street Commercial |
$24.01
|
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$20.11
|
Rate for Payer: Cash Price |
$17.15
|
Rate for Payer: ChoiceCare Network Commercial |
$23.76
|
Rate for Payer: Cigna of WY Commercial |
$24.01
|
Rate for Payer: Entrust Commercial |
$23.28
|
Rate for Payer: First Choice Health Commercial |
$23.28
|
Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$23.28
|
Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$16.17
|
Rate for Payer: HealthUtah PPO |
$24.50
|
Rate for Payer: Idaho Integrated Healthcare Commercial |
$23.76
|
Rate for Payer: Multiplan Medicare/VA |
$15.36
|
Rate for Payer: One Health Plan of WY PPO |
$24.01
|
Rate for Payer: PacificSource Commercial |
$22.05
|
Rate for Payer: PHCS PPO |
$24.01
|
Rate for Payer: Three Rivers PPO |
$18.38
|
Rate for Payer: TriWest Veterans Administration |
$16.17
|
Rate for Payer: United Healthcare Commercial |
$21.32
|
Rate for Payer: United Healthcare Medicare |
$16.17
|
Rate for Payer: WINHealth Partners Commercial |
$23.28
|
Rate for Payer: Wise Provider Network Commercial |
$23.28
|
|
BOSTON SCI DIAGNOSTIC TIG4 5FR X 100CM
|
Facility
|
OP
|
$24.50
|
|
Hospital Charge Code |
27200000S1
|
Hospital Revenue Code
|
272
|
Min. Negotiated Rate |
$13.50 |
Max. Negotiated Rate |
$24.50 |
Rate for Payer: Aetna of WY Commercial/Medical Rental |
$24.01
|
Rate for Payer: Aetna of WY Medicare |
$16.17
|
Rate for Payer: Altius Auto/Workers Compensation |
$23.52
|
Rate for Payer: Altius Commercial |
$23.52
|
Rate for Payer: Beech Street Commercial |
$24.01
|
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$20.11
|
Rate for Payer: Cash Price |
$17.15
|
Rate for Payer: ChoiceCare Network Commercial |
$23.76
|
Rate for Payer: Cigna of WY Commercial |
$24.01
|
Rate for Payer: Entrust Commercial |
$23.28
|
Rate for Payer: First Choice Health Commercial |
$23.28
|
Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$23.28
|
Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$14.21
|
Rate for Payer: HealthUtah PPO |
$24.50
|
Rate for Payer: Idaho Integrated Healthcare Commercial |
$23.76
|
Rate for Payer: Multiplan Medicare/VA |
$13.50
|
Rate for Payer: One Health Plan of WY PPO |
$24.01
|
Rate for Payer: PacificSource Commercial |
$22.05
|
Rate for Payer: PHCS PPO |
$24.01
|
Rate for Payer: Three Rivers PPO |
$18.38
|
Rate for Payer: TriWest Veterans Administration |
$14.21
|
Rate for Payer: United Healthcare Commercial |
$21.32
|
Rate for Payer: United Healthcare Medicare |
$14.21
|
Rate for Payer: WINHealth Partners Commercial |
$24.01
|
Rate for Payer: Wise Provider Network Commercial |
$23.28
|
|
BOSTON SCI ENDOFLATOR ADVANTAGE 26 KIT
|
Facility
|
IP
|
$187.11
|
|
Hospital Charge Code |
27200000S1
|
Hospital Revenue Code
|
272
|
Min. Negotiated Rate |
$117.32 |
Max. Negotiated Rate |
$187.11 |
Rate for Payer: Aetna of WY Commercial/Medical Rental |
$183.37
|
Rate for Payer: Altius Auto/Workers Compensation |
$179.63
|
Rate for Payer: Altius Commercial |
$179.63
|
Rate for Payer: Beech Street Commercial |
$183.37
|
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$153.62
|
Rate for Payer: Cash Price |
$130.98
|
Rate for Payer: ChoiceCare Network Commercial |
$181.50
|
Rate for Payer: Cigna of WY Commercial |
$183.37
|
Rate for Payer: Entrust Commercial |
$177.75
|
Rate for Payer: First Choice Health Commercial |
$177.75
|
Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$177.75
|
Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$123.49
|
Rate for Payer: HealthUtah PPO |
$187.11
|
Rate for Payer: Idaho Integrated Healthcare Commercial |
$181.50
|
Rate for Payer: Multiplan Medicare/VA |
$117.32
|
Rate for Payer: One Health Plan of WY PPO |
$183.37
|
Rate for Payer: PacificSource Commercial |
$168.40
|
Rate for Payer: PHCS PPO |
$183.37
|
Rate for Payer: Three Rivers PPO |
$140.33
|
Rate for Payer: TriWest Veterans Administration |
$123.49
|
Rate for Payer: United Healthcare Commercial |
$162.79
|
Rate for Payer: United Healthcare Medicare |
$123.49
|
Rate for Payer: WINHealth Partners Commercial |
$177.75
|
Rate for Payer: Wise Provider Network Commercial |
$177.75
|
|
BOSTON SCI ENDOFLATOR ADVANTAGE 26 KIT
|
Facility
|
OP
|
$187.11
|
|
Hospital Charge Code |
27200000S1
|
Hospital Revenue Code
|
272
|
Min. Negotiated Rate |
$103.10 |
Max. Negotiated Rate |
$187.11 |
Rate for Payer: Aetna of WY Commercial/Medical Rental |
$183.37
|
Rate for Payer: Aetna of WY Medicare |
$123.49
|
Rate for Payer: Altius Auto/Workers Compensation |
$179.63
|
Rate for Payer: Altius Commercial |
$179.63
|
Rate for Payer: Beech Street Commercial |
$183.37
|
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$153.62
|
Rate for Payer: Cash Price |
$130.98
|
Rate for Payer: ChoiceCare Network Commercial |
$181.50
|
Rate for Payer: Cigna of WY Commercial |
$183.37
|
Rate for Payer: Entrust Commercial |
$177.75
|
Rate for Payer: First Choice Health Commercial |
$177.75
|
Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$177.75
|
Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$108.52
|
Rate for Payer: HealthUtah PPO |
$187.11
|
Rate for Payer: Idaho Integrated Healthcare Commercial |
$181.50
|
Rate for Payer: Multiplan Medicare/VA |
$103.10
|
Rate for Payer: One Health Plan of WY PPO |
$183.37
|
Rate for Payer: PacificSource Commercial |
$168.40
|
Rate for Payer: PHCS PPO |
$183.37
|
Rate for Payer: Three Rivers PPO |
$140.33
|
Rate for Payer: TriWest Veterans Administration |
$108.52
|
Rate for Payer: United Healthcare Commercial |
$162.79
|
Rate for Payer: United Healthcare Medicare |
$108.52
|
Rate for Payer: WINHealth Partners Commercial |
$183.37
|
Rate for Payer: Wise Provider Network Commercial |
$177.75
|
|
BOSTON SCI GUIDEZILLA II 6FR
|
Facility
|
IP
|
$1,750.00
|
|
Hospital Charge Code |
27200000S1
|
Hospital Revenue Code
|
272
|
Min. Negotiated Rate |
$1,097.25 |
Max. Negotiated Rate |
$1,750.00 |
Rate for Payer: Aetna of WY Commercial/Medical Rental |
$1,715.00
|
Rate for Payer: Altius Auto/Workers Compensation |
$1,680.00
|
Rate for Payer: Altius Commercial |
$1,680.00
|
Rate for Payer: Beech Street Commercial |
$1,715.00
|
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$1,436.75
|
Rate for Payer: Cash Price |
$1,225.00
|
Rate for Payer: ChoiceCare Network Commercial |
$1,697.50
|
Rate for Payer: Cigna of WY Commercial |
$1,715.00
|
Rate for Payer: Entrust Commercial |
$1,662.50
|
Rate for Payer: First Choice Health Commercial |
$1,662.50
|
Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$1,662.50
|
Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$1,155.00
|
Rate for Payer: HealthUtah PPO |
$1,750.00
|
Rate for Payer: Idaho Integrated Healthcare Commercial |
$1,697.50
|
Rate for Payer: Multiplan Medicare/VA |
$1,097.25
|
Rate for Payer: One Health Plan of WY PPO |
$1,715.00
|
Rate for Payer: PacificSource Commercial |
$1,575.00
|
Rate for Payer: PHCS PPO |
$1,715.00
|
Rate for Payer: Three Rivers PPO |
$1,312.50
|
Rate for Payer: TriWest Veterans Administration |
$1,155.00
|
Rate for Payer: United Healthcare Commercial |
$1,522.50
|
Rate for Payer: United Healthcare Medicare |
$1,155.00
|
Rate for Payer: WINHealth Partners Commercial |
$1,662.50
|
Rate for Payer: Wise Provider Network Commercial |
$1,662.50
|
|
BOSTON SCI GUIDEZILLA II 6FR
|
Facility
|
OP
|
$1,750.00
|
|
Hospital Charge Code |
27200000S1
|
Hospital Revenue Code
|
272
|
Min. Negotiated Rate |
$964.25 |
Max. Negotiated Rate |
$1,750.00 |
Rate for Payer: Aetna of WY Commercial/Medical Rental |
$1,715.00
|
Rate for Payer: Aetna of WY Medicare |
$1,155.00
|
Rate for Payer: Altius Auto/Workers Compensation |
$1,680.00
|
Rate for Payer: Altius Commercial |
$1,680.00
|
Rate for Payer: Beech Street Commercial |
$1,715.00
|
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$1,436.75
|
Rate for Payer: Cash Price |
$1,225.00
|
Rate for Payer: ChoiceCare Network Commercial |
$1,697.50
|
Rate for Payer: Cigna of WY Commercial |
$1,715.00
|
Rate for Payer: Entrust Commercial |
$1,662.50
|
Rate for Payer: First Choice Health Commercial |
$1,662.50
|
Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$1,662.50
|
Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$1,015.00
|
Rate for Payer: HealthUtah PPO |
$1,750.00
|
Rate for Payer: Idaho Integrated Healthcare Commercial |
$1,697.50
|
Rate for Payer: Multiplan Medicare/VA |
$964.25
|
Rate for Payer: One Health Plan of WY PPO |
$1,715.00
|
Rate for Payer: PacificSource Commercial |
$1,575.00
|
Rate for Payer: PHCS PPO |
$1,715.00
|
Rate for Payer: Three Rivers PPO |
$1,312.50
|
Rate for Payer: TriWest Veterans Administration |
$1,015.00
|
Rate for Payer: United Healthcare Commercial |
$1,522.50
|
Rate for Payer: United Healthcare Medicare |
$1,015.00
|
Rate for Payer: WINHealth Partners Commercial |
$1,715.00
|
Rate for Payer: Wise Provider Network Commercial |
$1,662.50
|
|
BOSTON SCI IVUS - 60 MHZ OPTICROSS6 HD CATHETER 6FR
|
Facility
|
IP
|
$2,453.50
|
|
Hospital Charge Code |
27200000S1
|
Hospital Revenue Code
|
272
|
Min. Negotiated Rate |
$1,538.34 |
Max. Negotiated Rate |
$2,453.50 |
Rate for Payer: Aetna of WY Commercial/Medical Rental |
$2,404.43
|
Rate for Payer: Altius Auto/Workers Compensation |
$2,355.36
|
Rate for Payer: Altius Commercial |
$2,355.36
|
Rate for Payer: Beech Street Commercial |
$2,404.43
|
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$2,014.32
|
Rate for Payer: Cash Price |
$1,717.45
|
Rate for Payer: ChoiceCare Network Commercial |
$2,379.90
|
Rate for Payer: Cigna of WY Commercial |
$2,404.43
|
Rate for Payer: Entrust Commercial |
$2,330.82
|
Rate for Payer: First Choice Health Commercial |
$2,330.82
|
Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$2,330.82
|
Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$1,619.31
|
Rate for Payer: HealthUtah PPO |
$2,453.50
|
Rate for Payer: Idaho Integrated Healthcare Commercial |
$2,379.90
|
Rate for Payer: Multiplan Medicare/VA |
$1,538.34
|
Rate for Payer: One Health Plan of WY PPO |
$2,404.43
|
Rate for Payer: PacificSource Commercial |
$2,208.15
|
Rate for Payer: PHCS PPO |
$2,404.43
|
Rate for Payer: Three Rivers PPO |
$1,840.12
|
Rate for Payer: TriWest Veterans Administration |
$1,619.31
|
Rate for Payer: United Healthcare Commercial |
$2,134.54
|
Rate for Payer: United Healthcare Medicare |
$1,619.31
|
Rate for Payer: WINHealth Partners Commercial |
$2,330.82
|
Rate for Payer: Wise Provider Network Commercial |
$2,330.82
|
|
BOSTON SCI IVUS - 60 MHZ OPTICROSS6 HD CATHETER 6FR
|
Facility
|
OP
|
$2,453.50
|
|
Hospital Charge Code |
27200000S1
|
Hospital Revenue Code
|
272
|
Min. Negotiated Rate |
$1,351.88 |
Max. Negotiated Rate |
$2,453.50 |
Rate for Payer: Aetna of WY Commercial/Medical Rental |
$2,404.43
|
Rate for Payer: Aetna of WY Medicare |
$1,619.31
|
Rate for Payer: Altius Auto/Workers Compensation |
$2,355.36
|
Rate for Payer: Altius Commercial |
$2,355.36
|
Rate for Payer: Beech Street Commercial |
$2,404.43
|
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$2,014.32
|
Rate for Payer: Cash Price |
$1,717.45
|
Rate for Payer: ChoiceCare Network Commercial |
$2,379.90
|
Rate for Payer: Cigna of WY Commercial |
$2,404.43
|
Rate for Payer: Entrust Commercial |
$2,330.82
|
Rate for Payer: First Choice Health Commercial |
$2,330.82
|
Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$2,330.82
|
Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$1,423.03
|
Rate for Payer: HealthUtah PPO |
$2,453.50
|
Rate for Payer: Idaho Integrated Healthcare Commercial |
$2,379.90
|
Rate for Payer: Multiplan Medicare/VA |
$1,351.88
|
Rate for Payer: One Health Plan of WY PPO |
$2,404.43
|
Rate for Payer: PacificSource Commercial |
$2,208.15
|
Rate for Payer: PHCS PPO |
$2,404.43
|
Rate for Payer: Three Rivers PPO |
$1,840.12
|
Rate for Payer: TriWest Veterans Administration |
$1,423.03
|
Rate for Payer: United Healthcare Commercial |
$2,134.54
|
Rate for Payer: United Healthcare Medicare |
$1,423.03
|
Rate for Payer: WINHealth Partners Commercial |
$2,404.43
|
Rate for Payer: Wise Provider Network Commercial |
$2,330.82
|
|
BOSTON SCI LUGE WIRE EXCHANGE STRAIGHT .014X 300CM
|
Facility
|
OP
|
$292.90
|
|
Hospital Charge Code |
27200000S1
|
Hospital Revenue Code
|
272
|
Min. Negotiated Rate |
$161.39 |
Max. Negotiated Rate |
$292.90 |
Rate for Payer: Aetna of WY Commercial/Medical Rental |
$287.04
|
Rate for Payer: Aetna of WY Medicare |
$193.31
|
Rate for Payer: Altius Auto/Workers Compensation |
$281.18
|
Rate for Payer: Altius Commercial |
$281.18
|
Rate for Payer: Beech Street Commercial |
$287.04
|
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$240.47
|
Rate for Payer: Cash Price |
$205.03
|
Rate for Payer: ChoiceCare Network Commercial |
$284.11
|
Rate for Payer: Cigna of WY Commercial |
$287.04
|
Rate for Payer: Entrust Commercial |
$278.26
|
Rate for Payer: First Choice Health Commercial |
$278.26
|
Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$278.26
|
Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$169.88
|
Rate for Payer: HealthUtah PPO |
$292.90
|
Rate for Payer: Idaho Integrated Healthcare Commercial |
$284.11
|
Rate for Payer: Multiplan Medicare/VA |
$161.39
|
Rate for Payer: One Health Plan of WY PPO |
$287.04
|
Rate for Payer: PacificSource Commercial |
$263.61
|
Rate for Payer: PHCS PPO |
$287.04
|
Rate for Payer: Three Rivers PPO |
$219.68
|
Rate for Payer: TriWest Veterans Administration |
$169.88
|
Rate for Payer: United Healthcare Commercial |
$254.82
|
Rate for Payer: United Healthcare Medicare |
$169.88
|
Rate for Payer: WINHealth Partners Commercial |
$287.04
|
Rate for Payer: Wise Provider Network Commercial |
$278.26
|
|
BOSTON SCI LUGE WIRE EXCHANGE STRAIGHT .014X 300CM
|
Facility
|
IP
|
$292.90
|
|
Hospital Charge Code |
27200000S1
|
Hospital Revenue Code
|
272
|
Min. Negotiated Rate |
$183.65 |
Max. Negotiated Rate |
$292.90 |
Rate for Payer: Aetna of WY Commercial/Medical Rental |
$287.04
|
Rate for Payer: Altius Auto/Workers Compensation |
$281.18
|
Rate for Payer: Altius Commercial |
$281.18
|
Rate for Payer: Beech Street Commercial |
$287.04
|
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$240.47
|
Rate for Payer: Cash Price |
$205.03
|
Rate for Payer: ChoiceCare Network Commercial |
$284.11
|
Rate for Payer: Cigna of WY Commercial |
$287.04
|
Rate for Payer: Entrust Commercial |
$278.26
|
Rate for Payer: First Choice Health Commercial |
$278.26
|
Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$278.26
|
Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$193.31
|
Rate for Payer: HealthUtah PPO |
$292.90
|
Rate for Payer: Idaho Integrated Healthcare Commercial |
$284.11
|
Rate for Payer: Multiplan Medicare/VA |
$183.65
|
Rate for Payer: One Health Plan of WY PPO |
$287.04
|
Rate for Payer: PacificSource Commercial |
$263.61
|
Rate for Payer: PHCS PPO |
$287.04
|
Rate for Payer: Three Rivers PPO |
$219.68
|
Rate for Payer: TriWest Veterans Administration |
$193.31
|
Rate for Payer: United Healthcare Commercial |
$254.82
|
Rate for Payer: United Healthcare Medicare |
$193.31
|
Rate for Payer: WINHealth Partners Commercial |
$278.26
|
Rate for Payer: Wise Provider Network Commercial |
$278.26
|
|
BOSTON SCI LUGE WIRE STRAIGHT .014 X 182CM
|
Facility
|
OP
|
$292.90
|
|
Hospital Charge Code |
27200000S1
|
Hospital Revenue Code
|
272
|
Min. Negotiated Rate |
$161.39 |
Max. Negotiated Rate |
$292.90 |
Rate for Payer: Aetna of WY Commercial/Medical Rental |
$287.04
|
Rate for Payer: Aetna of WY Medicare |
$193.31
|
Rate for Payer: Altius Auto/Workers Compensation |
$281.18
|
Rate for Payer: Altius Commercial |
$281.18
|
Rate for Payer: Beech Street Commercial |
$287.04
|
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$240.47
|
Rate for Payer: Cash Price |
$205.03
|
Rate for Payer: ChoiceCare Network Commercial |
$284.11
|
Rate for Payer: Cigna of WY Commercial |
$287.04
|
Rate for Payer: Entrust Commercial |
$278.26
|
Rate for Payer: First Choice Health Commercial |
$278.26
|
Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$278.26
|
Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$169.88
|
Rate for Payer: HealthUtah PPO |
$292.90
|
Rate for Payer: Idaho Integrated Healthcare Commercial |
$284.11
|
Rate for Payer: Multiplan Medicare/VA |
$161.39
|
Rate for Payer: One Health Plan of WY PPO |
$287.04
|
Rate for Payer: PacificSource Commercial |
$263.61
|
Rate for Payer: PHCS PPO |
$287.04
|
Rate for Payer: Three Rivers PPO |
$219.68
|
Rate for Payer: TriWest Veterans Administration |
$169.88
|
Rate for Payer: United Healthcare Commercial |
$254.82
|
Rate for Payer: United Healthcare Medicare |
$169.88
|
Rate for Payer: WINHealth Partners Commercial |
$287.04
|
Rate for Payer: Wise Provider Network Commercial |
$278.26
|
|
BOSTON SCI LUGE WIRE STRAIGHT .014 X 182CM
|
Facility
|
IP
|
$292.90
|
|
Hospital Charge Code |
27200000S1
|
Hospital Revenue Code
|
272
|
Min. Negotiated Rate |
$183.65 |
Max. Negotiated Rate |
$292.90 |
Rate for Payer: Aetna of WY Commercial/Medical Rental |
$287.04
|
Rate for Payer: Altius Auto/Workers Compensation |
$281.18
|
Rate for Payer: Altius Commercial |
$281.18
|
Rate for Payer: Beech Street Commercial |
$287.04
|
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$240.47
|
Rate for Payer: Cash Price |
$205.03
|
Rate for Payer: ChoiceCare Network Commercial |
$284.11
|
Rate for Payer: Cigna of WY Commercial |
$287.04
|
Rate for Payer: Entrust Commercial |
$278.26
|
Rate for Payer: First Choice Health Commercial |
$278.26
|
Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$278.26
|
Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$193.31
|
Rate for Payer: HealthUtah PPO |
$292.90
|
Rate for Payer: Idaho Integrated Healthcare Commercial |
$284.11
|
Rate for Payer: Multiplan Medicare/VA |
$183.65
|
Rate for Payer: One Health Plan of WY PPO |
$287.04
|
Rate for Payer: PacificSource Commercial |
$263.61
|
Rate for Payer: PHCS PPO |
$287.04
|
Rate for Payer: Three Rivers PPO |
$219.68
|
Rate for Payer: TriWest Veterans Administration |
$193.31
|
Rate for Payer: United Healthcare Commercial |
$254.82
|
Rate for Payer: United Healthcare Medicare |
$193.31
|
Rate for Payer: WINHealth Partners Commercial |
$278.26
|
Rate for Payer: Wise Provider Network Commercial |
$278.26
|
|
BOSTON SCI MDU5+ STERILE BAG
|
Facility
|
OP
|
$52.50
|
|
Hospital Charge Code |
27200000S1
|
Hospital Revenue Code
|
272
|
Min. Negotiated Rate |
$28.93 |
Max. Negotiated Rate |
$52.50 |
Rate for Payer: Aetna of WY Commercial/Medical Rental |
$51.45
|
Rate for Payer: Aetna of WY Medicare |
$34.65
|
Rate for Payer: Altius Auto/Workers Compensation |
$50.40
|
Rate for Payer: Altius Commercial |
$50.40
|
Rate for Payer: Beech Street Commercial |
$51.45
|
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$43.10
|
Rate for Payer: Cash Price |
$36.75
|
Rate for Payer: ChoiceCare Network Commercial |
$50.92
|
Rate for Payer: Cigna of WY Commercial |
$51.45
|
Rate for Payer: Entrust Commercial |
$49.88
|
Rate for Payer: First Choice Health Commercial |
$49.88
|
Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$49.88
|
Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$30.45
|
Rate for Payer: HealthUtah PPO |
$52.50
|
Rate for Payer: Idaho Integrated Healthcare Commercial |
$50.92
|
Rate for Payer: Multiplan Medicare/VA |
$28.93
|
Rate for Payer: One Health Plan of WY PPO |
$51.45
|
Rate for Payer: PacificSource Commercial |
$47.25
|
Rate for Payer: PHCS PPO |
$51.45
|
Rate for Payer: Three Rivers PPO |
$39.38
|
Rate for Payer: TriWest Veterans Administration |
$30.45
|
Rate for Payer: United Healthcare Commercial |
$45.68
|
Rate for Payer: United Healthcare Medicare |
$30.45
|
Rate for Payer: WINHealth Partners Commercial |
$51.45
|
Rate for Payer: Wise Provider Network Commercial |
$49.88
|
|
BOSTON SCI MDU5+ STERILE BAG
|
Facility
|
IP
|
$52.50
|
|
Hospital Charge Code |
27200000S1
|
Hospital Revenue Code
|
272
|
Min. Negotiated Rate |
$32.92 |
Max. Negotiated Rate |
$52.50 |
Rate for Payer: Aetna of WY Commercial/Medical Rental |
$51.45
|
Rate for Payer: Altius Auto/Workers Compensation |
$50.40
|
Rate for Payer: Altius Commercial |
$50.40
|
Rate for Payer: Beech Street Commercial |
$51.45
|
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$43.10
|
Rate for Payer: Cash Price |
$36.75
|
Rate for Payer: ChoiceCare Network Commercial |
$50.92
|
Rate for Payer: Cigna of WY Commercial |
$51.45
|
Rate for Payer: Entrust Commercial |
$49.88
|
Rate for Payer: First Choice Health Commercial |
$49.88
|
Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$49.88
|
Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$34.65
|
Rate for Payer: HealthUtah PPO |
$52.50
|
Rate for Payer: Idaho Integrated Healthcare Commercial |
$50.92
|
Rate for Payer: Multiplan Medicare/VA |
$32.92
|
Rate for Payer: One Health Plan of WY PPO |
$51.45
|
Rate for Payer: PacificSource Commercial |
$47.25
|
Rate for Payer: PHCS PPO |
$51.45
|
Rate for Payer: Three Rivers PPO |
$39.38
|
Rate for Payer: TriWest Veterans Administration |
$34.65
|
Rate for Payer: United Healthcare Commercial |
$45.68
|
Rate for Payer: United Healthcare Medicare |
$34.65
|
Rate for Payer: WINHealth Partners Commercial |
$49.88
|
Rate for Payer: Wise Provider Network Commercial |
$49.88
|
|
BOSTON SCI PT2 MOD STRAIGHT .014X185CM
|
Facility
|
IP
|
$292.90
|
|
Hospital Charge Code |
27200000S1
|
Hospital Revenue Code
|
272
|
Min. Negotiated Rate |
$183.65 |
Max. Negotiated Rate |
$292.90 |
Rate for Payer: Aetna of WY Commercial/Medical Rental |
$287.04
|
Rate for Payer: Altius Auto/Workers Compensation |
$281.18
|
Rate for Payer: Altius Commercial |
$281.18
|
Rate for Payer: Beech Street Commercial |
$287.04
|
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$240.47
|
Rate for Payer: Cash Price |
$205.03
|
Rate for Payer: ChoiceCare Network Commercial |
$284.11
|
Rate for Payer: Cigna of WY Commercial |
$287.04
|
Rate for Payer: Entrust Commercial |
$278.26
|
Rate for Payer: First Choice Health Commercial |
$278.26
|
Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$278.26
|
Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$193.31
|
Rate for Payer: HealthUtah PPO |
$292.90
|
Rate for Payer: Idaho Integrated Healthcare Commercial |
$284.11
|
Rate for Payer: Multiplan Medicare/VA |
$183.65
|
Rate for Payer: One Health Plan of WY PPO |
$287.04
|
Rate for Payer: PacificSource Commercial |
$263.61
|
Rate for Payer: PHCS PPO |
$287.04
|
Rate for Payer: Three Rivers PPO |
$219.68
|
Rate for Payer: TriWest Veterans Administration |
$193.31
|
Rate for Payer: United Healthcare Commercial |
$254.82
|
Rate for Payer: United Healthcare Medicare |
$193.31
|
Rate for Payer: WINHealth Partners Commercial |
$278.26
|
Rate for Payer: Wise Provider Network Commercial |
$278.26
|
|
BOSTON SCI PT2 MOD STRAIGHT .014X185CM
|
Facility
|
OP
|
$292.90
|
|
Hospital Charge Code |
27200000S1
|
Hospital Revenue Code
|
272
|
Min. Negotiated Rate |
$161.39 |
Max. Negotiated Rate |
$292.90 |
Rate for Payer: Aetna of WY Commercial/Medical Rental |
$287.04
|
Rate for Payer: Aetna of WY Medicare |
$193.31
|
Rate for Payer: Altius Auto/Workers Compensation |
$281.18
|
Rate for Payer: Altius Commercial |
$281.18
|
Rate for Payer: Beech Street Commercial |
$287.04
|
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$240.47
|
Rate for Payer: Cash Price |
$205.03
|
Rate for Payer: ChoiceCare Network Commercial |
$284.11
|
Rate for Payer: Cigna of WY Commercial |
$287.04
|
Rate for Payer: Entrust Commercial |
$278.26
|
Rate for Payer: First Choice Health Commercial |
$278.26
|
Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$278.26
|
Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$169.88
|
Rate for Payer: HealthUtah PPO |
$292.90
|
Rate for Payer: Idaho Integrated Healthcare Commercial |
$284.11
|
Rate for Payer: Multiplan Medicare/VA |
$161.39
|
Rate for Payer: One Health Plan of WY PPO |
$287.04
|
Rate for Payer: PacificSource Commercial |
$263.61
|
Rate for Payer: PHCS PPO |
$287.04
|
Rate for Payer: Three Rivers PPO |
$219.68
|
Rate for Payer: TriWest Veterans Administration |
$169.88
|
Rate for Payer: United Healthcare Commercial |
$254.82
|
Rate for Payer: United Healthcare Medicare |
$169.88
|
Rate for Payer: WINHealth Partners Commercial |
$287.04
|
Rate for Payer: Wise Provider Network Commercial |
$278.26
|
|
BP CUFF DISP ADULT
|
Facility
|
IP
|
$4.40
|
|
Hospital Charge Code |
27000000S1
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$2.76 |
Max. Negotiated Rate |
$4.40 |
Rate for Payer: Aetna of WY Commercial/Medical Rental |
$4.31
|
Rate for Payer: Altius Auto/Workers Compensation |
$4.22
|
Rate for Payer: Altius Commercial |
$4.22
|
Rate for Payer: Beech Street Commercial |
$4.31
|
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$3.61
|
Rate for Payer: Cash Price |
$3.08
|
Rate for Payer: ChoiceCare Network Commercial |
$4.27
|
Rate for Payer: Cigna of WY Commercial |
$4.31
|
Rate for Payer: Entrust Commercial |
$4.18
|
Rate for Payer: First Choice Health Commercial |
$4.18
|
Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$4.18
|
Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$2.90
|
Rate for Payer: HealthUtah PPO |
$4.40
|
Rate for Payer: Idaho Integrated Healthcare Commercial |
$4.27
|
Rate for Payer: Multiplan Medicare/VA |
$2.76
|
Rate for Payer: One Health Plan of WY PPO |
$4.31
|
Rate for Payer: PacificSource Commercial |
$3.96
|
Rate for Payer: PHCS PPO |
$4.31
|
Rate for Payer: Three Rivers PPO |
$3.30
|
Rate for Payer: TriWest Veterans Administration |
$2.90
|
Rate for Payer: United Healthcare Commercial |
$3.83
|
Rate for Payer: United Healthcare Medicare |
$2.90
|
Rate for Payer: WINHealth Partners Commercial |
$4.18
|
Rate for Payer: Wise Provider Network Commercial |
$4.18
|
|
BP CUFF DISP ADULT
|
Facility
|
OP
|
$4.40
|
|
Hospital Charge Code |
27000000S1
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$2.42 |
Max. Negotiated Rate |
$4.40 |
Rate for Payer: Aetna of WY Commercial/Medical Rental |
$4.31
|
Rate for Payer: Aetna of WY Medicare |
$2.90
|
Rate for Payer: Altius Auto/Workers Compensation |
$4.22
|
Rate for Payer: Altius Commercial |
$4.22
|
Rate for Payer: Beech Street Commercial |
$4.31
|
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$3.61
|
Rate for Payer: Cash Price |
$3.08
|
Rate for Payer: ChoiceCare Network Commercial |
$4.27
|
Rate for Payer: Cigna of WY Commercial |
$4.31
|
Rate for Payer: Entrust Commercial |
$4.18
|
Rate for Payer: First Choice Health Commercial |
$4.18
|
Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$4.18
|
Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$2.55
|
Rate for Payer: HealthUtah PPO |
$4.40
|
Rate for Payer: Idaho Integrated Healthcare Commercial |
$4.27
|
Rate for Payer: Multiplan Medicare/VA |
$2.42
|
Rate for Payer: One Health Plan of WY PPO |
$4.31
|
Rate for Payer: PacificSource Commercial |
$3.96
|
Rate for Payer: PHCS PPO |
$4.31
|
Rate for Payer: Three Rivers PPO |
$3.30
|
Rate for Payer: TriWest Veterans Administration |
$2.55
|
Rate for Payer: United Healthcare Commercial |
$3.83
|
Rate for Payer: United Healthcare Medicare |
$2.55
|
Rate for Payer: WINHealth Partners Commercial |
$4.31
|
Rate for Payer: Wise Provider Network Commercial |
$4.18
|
|
BP CUFF DISP ADULT LONG
|
Facility
|
IP
|
$4.82
|
|
Hospital Charge Code |
27000000S1
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$3.02 |
Max. Negotiated Rate |
$4.82 |
Rate for Payer: Aetna of WY Commercial/Medical Rental |
$4.72
|
Rate for Payer: Altius Auto/Workers Compensation |
$4.63
|
Rate for Payer: Altius Commercial |
$4.63
|
Rate for Payer: Beech Street Commercial |
$4.72
|
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$3.96
|
Rate for Payer: Cash Price |
$3.38
|
Rate for Payer: ChoiceCare Network Commercial |
$4.68
|
Rate for Payer: Cigna of WY Commercial |
$4.72
|
Rate for Payer: Entrust Commercial |
$4.58
|
Rate for Payer: First Choice Health Commercial |
$4.58
|
Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$4.58
|
Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$3.18
|
Rate for Payer: HealthUtah PPO |
$4.82
|
Rate for Payer: Idaho Integrated Healthcare Commercial |
$4.68
|
Rate for Payer: Multiplan Medicare/VA |
$3.02
|
Rate for Payer: One Health Plan of WY PPO |
$4.72
|
Rate for Payer: PacificSource Commercial |
$4.34
|
Rate for Payer: PHCS PPO |
$4.72
|
Rate for Payer: Three Rivers PPO |
$3.62
|
Rate for Payer: TriWest Veterans Administration |
$3.18
|
Rate for Payer: United Healthcare Commercial |
$4.19
|
Rate for Payer: United Healthcare Medicare |
$3.18
|
Rate for Payer: WINHealth Partners Commercial |
$4.58
|
Rate for Payer: Wise Provider Network Commercial |
$4.58
|
|
BP CUFF DISP ADULT LONG
|
Facility
|
OP
|
$4.82
|
|
Hospital Charge Code |
27000000S1
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$2.66 |
Max. Negotiated Rate |
$4.82 |
Rate for Payer: Aetna of WY Commercial/Medical Rental |
$4.72
|
Rate for Payer: Aetna of WY Medicare |
$3.18
|
Rate for Payer: Altius Auto/Workers Compensation |
$4.63
|
Rate for Payer: Altius Commercial |
$4.63
|
Rate for Payer: Beech Street Commercial |
$4.72
|
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$3.96
|
Rate for Payer: Cash Price |
$3.38
|
Rate for Payer: ChoiceCare Network Commercial |
$4.68
|
Rate for Payer: Cigna of WY Commercial |
$4.72
|
Rate for Payer: Entrust Commercial |
$4.58
|
Rate for Payer: First Choice Health Commercial |
$4.58
|
Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$4.58
|
Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$2.80
|
Rate for Payer: HealthUtah PPO |
$4.82
|
Rate for Payer: Idaho Integrated Healthcare Commercial |
$4.68
|
Rate for Payer: Multiplan Medicare/VA |
$2.66
|
Rate for Payer: One Health Plan of WY PPO |
$4.72
|
Rate for Payer: PacificSource Commercial |
$4.34
|
Rate for Payer: PHCS PPO |
$4.72
|
Rate for Payer: Three Rivers PPO |
$3.62
|
Rate for Payer: TriWest Veterans Administration |
$2.80
|
Rate for Payer: United Healthcare Commercial |
$4.19
|
Rate for Payer: United Healthcare Medicare |
$2.80
|
Rate for Payer: WINHealth Partners Commercial |
$4.72
|
Rate for Payer: Wise Provider Network Commercial |
$4.58
|
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