BP CUFF DISP CHILD
|
Facility
|
OP
|
$4.44
|
|
Hospital Charge Code |
27000000S1
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$2.45 |
Max. Negotiated Rate |
$4.44 |
Rate for Payer: Aetna of WY Commercial/Medical Rental |
$4.35
|
Rate for Payer: Aetna of WY Medicare |
$2.93
|
Rate for Payer: Altius Auto/Workers Compensation |
$4.26
|
Rate for Payer: Altius Commercial |
$4.26
|
Rate for Payer: Beech Street Commercial |
$4.35
|
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$3.65
|
Rate for Payer: Cash Price |
$3.11
|
Rate for Payer: ChoiceCare Network Commercial |
$4.31
|
Rate for Payer: Cigna of WY Commercial |
$4.35
|
Rate for Payer: Entrust Commercial |
$4.22
|
Rate for Payer: First Choice Health Commercial |
$4.22
|
Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$4.22
|
Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$2.58
|
Rate for Payer: HealthUtah PPO |
$4.44
|
Rate for Payer: Idaho Integrated Healthcare Commercial |
$4.31
|
Rate for Payer: Multiplan Medicare/VA |
$2.45
|
Rate for Payer: One Health Plan of WY PPO |
$4.35
|
Rate for Payer: PacificSource Commercial |
$4.00
|
Rate for Payer: PHCS PPO |
$4.35
|
Rate for Payer: Three Rivers PPO |
$3.33
|
Rate for Payer: TriWest Veterans Administration |
$2.58
|
Rate for Payer: United Healthcare Commercial |
$3.86
|
Rate for Payer: United Healthcare Medicare |
$2.58
|
Rate for Payer: WINHealth Partners Commercial |
$4.35
|
Rate for Payer: Wise Provider Network Commercial |
$4.22
|
|
BP CUFF DISP CHILD
|
Facility
|
IP
|
$4.44
|
|
Hospital Charge Code |
27000000S1
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$2.78 |
Max. Negotiated Rate |
$4.44 |
Rate for Payer: Aetna of WY Commercial/Medical Rental |
$4.35
|
Rate for Payer: Altius Auto/Workers Compensation |
$4.26
|
Rate for Payer: Altius Commercial |
$4.26
|
Rate for Payer: Beech Street Commercial |
$4.35
|
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$3.65
|
Rate for Payer: Cash Price |
$3.11
|
Rate for Payer: ChoiceCare Network Commercial |
$4.31
|
Rate for Payer: Cigna of WY Commercial |
$4.35
|
Rate for Payer: Entrust Commercial |
$4.22
|
Rate for Payer: First Choice Health Commercial |
$4.22
|
Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$4.22
|
Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$2.93
|
Rate for Payer: HealthUtah PPO |
$4.44
|
Rate for Payer: Idaho Integrated Healthcare Commercial |
$4.31
|
Rate for Payer: Multiplan Medicare/VA |
$2.78
|
Rate for Payer: One Health Plan of WY PPO |
$4.35
|
Rate for Payer: PacificSource Commercial |
$4.00
|
Rate for Payer: PHCS PPO |
$4.35
|
Rate for Payer: Three Rivers PPO |
$3.33
|
Rate for Payer: TriWest Veterans Administration |
$2.93
|
Rate for Payer: United Healthcare Commercial |
$3.86
|
Rate for Payer: United Healthcare Medicare |
$2.93
|
Rate for Payer: WINHealth Partners Commercial |
$4.22
|
Rate for Payer: Wise Provider Network Commercial |
$4.22
|
|
BP CUFF DISP INFANT
|
Facility
|
IP
|
$4.68
|
|
Hospital Charge Code |
27000000S1
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$2.93 |
Max. Negotiated Rate |
$4.68 |
Rate for Payer: Aetna of WY Commercial/Medical Rental |
$4.59
|
Rate for Payer: Altius Auto/Workers Compensation |
$4.49
|
Rate for Payer: Altius Commercial |
$4.49
|
Rate for Payer: Beech Street Commercial |
$4.59
|
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$3.84
|
Rate for Payer: Cash Price |
$3.27
|
Rate for Payer: ChoiceCare Network Commercial |
$4.54
|
Rate for Payer: Cigna of WY Commercial |
$4.59
|
Rate for Payer: Entrust Commercial |
$4.45
|
Rate for Payer: First Choice Health Commercial |
$4.45
|
Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$4.45
|
Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$3.09
|
Rate for Payer: HealthUtah PPO |
$4.68
|
Rate for Payer: Idaho Integrated Healthcare Commercial |
$4.54
|
Rate for Payer: Multiplan Medicare/VA |
$2.93
|
Rate for Payer: One Health Plan of WY PPO |
$4.59
|
Rate for Payer: PacificSource Commercial |
$4.21
|
Rate for Payer: PHCS PPO |
$4.59
|
Rate for Payer: Three Rivers PPO |
$3.51
|
Rate for Payer: TriWest Veterans Administration |
$3.09
|
Rate for Payer: United Healthcare Commercial |
$4.07
|
Rate for Payer: United Healthcare Medicare |
$3.09
|
Rate for Payer: WINHealth Partners Commercial |
$4.45
|
Rate for Payer: Wise Provider Network Commercial |
$4.45
|
|
BP CUFF DISP INFANT
|
Facility
|
OP
|
$4.68
|
|
Hospital Charge Code |
27000000S1
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$2.58 |
Max. Negotiated Rate |
$4.68 |
Rate for Payer: Aetna of WY Commercial/Medical Rental |
$4.59
|
Rate for Payer: Aetna of WY Medicare |
$3.09
|
Rate for Payer: Altius Auto/Workers Compensation |
$4.49
|
Rate for Payer: Altius Commercial |
$4.49
|
Rate for Payer: Beech Street Commercial |
$4.59
|
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$3.84
|
Rate for Payer: Cash Price |
$3.27
|
Rate for Payer: ChoiceCare Network Commercial |
$4.54
|
Rate for Payer: Cigna of WY Commercial |
$4.59
|
Rate for Payer: Entrust Commercial |
$4.45
|
Rate for Payer: First Choice Health Commercial |
$4.45
|
Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$4.45
|
Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$2.71
|
Rate for Payer: HealthUtah PPO |
$4.68
|
Rate for Payer: Idaho Integrated Healthcare Commercial |
$4.54
|
Rate for Payer: Multiplan Medicare/VA |
$2.58
|
Rate for Payer: One Health Plan of WY PPO |
$4.59
|
Rate for Payer: PacificSource Commercial |
$4.21
|
Rate for Payer: PHCS PPO |
$4.59
|
Rate for Payer: Three Rivers PPO |
$3.51
|
Rate for Payer: TriWest Veterans Administration |
$2.71
|
Rate for Payer: United Healthcare Commercial |
$4.07
|
Rate for Payer: United Healthcare Medicare |
$2.71
|
Rate for Payer: WINHealth Partners Commercial |
$4.59
|
Rate for Payer: Wise Provider Network Commercial |
$4.45
|
|
BP CUFF DISP LG ADULT
|
Facility
|
IP
|
$6.94
|
|
Hospital Charge Code |
27000000S1
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$4.35 |
Max. Negotiated Rate |
$6.94 |
Rate for Payer: Aetna of WY Commercial/Medical Rental |
$6.80
|
Rate for Payer: Altius Auto/Workers Compensation |
$6.66
|
Rate for Payer: Altius Commercial |
$6.66
|
Rate for Payer: Beech Street Commercial |
$6.80
|
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$5.70
|
Rate for Payer: Cash Price |
$4.86
|
Rate for Payer: ChoiceCare Network Commercial |
$6.73
|
Rate for Payer: Cigna of WY Commercial |
$6.80
|
Rate for Payer: Entrust Commercial |
$6.59
|
Rate for Payer: First Choice Health Commercial |
$6.59
|
Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$6.59
|
Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$4.58
|
Rate for Payer: HealthUtah PPO |
$6.94
|
Rate for Payer: Idaho Integrated Healthcare Commercial |
$6.73
|
Rate for Payer: Multiplan Medicare/VA |
$4.35
|
Rate for Payer: One Health Plan of WY PPO |
$6.80
|
Rate for Payer: PacificSource Commercial |
$6.25
|
Rate for Payer: PHCS PPO |
$6.80
|
Rate for Payer: Three Rivers PPO |
$5.20
|
Rate for Payer: TriWest Veterans Administration |
$4.58
|
Rate for Payer: United Healthcare Commercial |
$6.04
|
Rate for Payer: United Healthcare Medicare |
$4.58
|
Rate for Payer: WINHealth Partners Commercial |
$6.59
|
Rate for Payer: Wise Provider Network Commercial |
$6.59
|
|
BP CUFF DISP LG ADULT
|
Facility
|
OP
|
$6.94
|
|
Hospital Charge Code |
27000000S1
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$3.82 |
Max. Negotiated Rate |
$6.94 |
Rate for Payer: Aetna of WY Commercial/Medical Rental |
$6.80
|
Rate for Payer: Aetna of WY Medicare |
$4.58
|
Rate for Payer: Altius Auto/Workers Compensation |
$6.66
|
Rate for Payer: Altius Commercial |
$6.66
|
Rate for Payer: Beech Street Commercial |
$6.80
|
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$5.70
|
Rate for Payer: Cash Price |
$4.86
|
Rate for Payer: ChoiceCare Network Commercial |
$6.73
|
Rate for Payer: Cigna of WY Commercial |
$6.80
|
Rate for Payer: Entrust Commercial |
$6.59
|
Rate for Payer: First Choice Health Commercial |
$6.59
|
Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$6.59
|
Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$4.03
|
Rate for Payer: HealthUtah PPO |
$6.94
|
Rate for Payer: Idaho Integrated Healthcare Commercial |
$6.73
|
Rate for Payer: Multiplan Medicare/VA |
$3.82
|
Rate for Payer: One Health Plan of WY PPO |
$6.80
|
Rate for Payer: PacificSource Commercial |
$6.25
|
Rate for Payer: PHCS PPO |
$6.80
|
Rate for Payer: Three Rivers PPO |
$5.20
|
Rate for Payer: TriWest Veterans Administration |
$4.03
|
Rate for Payer: United Healthcare Commercial |
$6.04
|
Rate for Payer: United Healthcare Medicare |
$4.03
|
Rate for Payer: WINHealth Partners Commercial |
$6.80
|
Rate for Payer: Wise Provider Network Commercial |
$6.59
|
|
BP CUFF DISP SM ADULT
|
Facility
|
IP
|
$4.67
|
|
Hospital Charge Code |
27000000S1
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$2.93 |
Max. Negotiated Rate |
$4.67 |
Rate for Payer: Aetna of WY Commercial/Medical Rental |
$4.58
|
Rate for Payer: Altius Auto/Workers Compensation |
$4.48
|
Rate for Payer: Altius Commercial |
$4.48
|
Rate for Payer: Beech Street Commercial |
$4.58
|
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$3.83
|
Rate for Payer: Cash Price |
$3.27
|
Rate for Payer: ChoiceCare Network Commercial |
$4.53
|
Rate for Payer: Cigna of WY Commercial |
$4.58
|
Rate for Payer: Entrust Commercial |
$4.44
|
Rate for Payer: First Choice Health Commercial |
$4.44
|
Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$4.44
|
Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$3.08
|
Rate for Payer: HealthUtah PPO |
$4.67
|
Rate for Payer: Idaho Integrated Healthcare Commercial |
$4.53
|
Rate for Payer: Multiplan Medicare/VA |
$2.93
|
Rate for Payer: One Health Plan of WY PPO |
$4.58
|
Rate for Payer: PacificSource Commercial |
$4.20
|
Rate for Payer: PHCS PPO |
$4.58
|
Rate for Payer: Three Rivers PPO |
$3.50
|
Rate for Payer: TriWest Veterans Administration |
$3.08
|
Rate for Payer: United Healthcare Commercial |
$4.06
|
Rate for Payer: United Healthcare Medicare |
$3.08
|
Rate for Payer: WINHealth Partners Commercial |
$4.44
|
Rate for Payer: Wise Provider Network Commercial |
$4.44
|
|
BP CUFF DISP SM ADULT
|
Facility
|
OP
|
$4.67
|
|
Hospital Charge Code |
27000000S1
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$2.57 |
Max. Negotiated Rate |
$4.67 |
Rate for Payer: Aetna of WY Commercial/Medical Rental |
$4.58
|
Rate for Payer: Aetna of WY Medicare |
$3.08
|
Rate for Payer: Altius Auto/Workers Compensation |
$4.48
|
Rate for Payer: Altius Commercial |
$4.48
|
Rate for Payer: Beech Street Commercial |
$4.58
|
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$3.83
|
Rate for Payer: Cash Price |
$3.27
|
Rate for Payer: ChoiceCare Network Commercial |
$4.53
|
Rate for Payer: Cigna of WY Commercial |
$4.58
|
Rate for Payer: Entrust Commercial |
$4.44
|
Rate for Payer: First Choice Health Commercial |
$4.44
|
Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$4.44
|
Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$2.71
|
Rate for Payer: HealthUtah PPO |
$4.67
|
Rate for Payer: Idaho Integrated Healthcare Commercial |
$4.53
|
Rate for Payer: Multiplan Medicare/VA |
$2.57
|
Rate for Payer: One Health Plan of WY PPO |
$4.58
|
Rate for Payer: PacificSource Commercial |
$4.20
|
Rate for Payer: PHCS PPO |
$4.58
|
Rate for Payer: Three Rivers PPO |
$3.50
|
Rate for Payer: TriWest Veterans Administration |
$2.71
|
Rate for Payer: United Healthcare Commercial |
$4.06
|
Rate for Payer: United Healthcare Medicare |
$2.71
|
Rate for Payer: WINHealth Partners Commercial |
$4.58
|
Rate for Payer: Wise Provider Network Commercial |
$4.44
|
|
BP CUFF DISP THIGH
|
Facility
|
IP
|
$9.07
|
|
Hospital Charge Code |
27000000S1
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$5.69 |
Max. Negotiated Rate |
$9.07 |
Rate for Payer: Aetna of WY Commercial/Medical Rental |
$8.89
|
Rate for Payer: Altius Auto/Workers Compensation |
$8.71
|
Rate for Payer: Altius Commercial |
$8.71
|
Rate for Payer: Beech Street Commercial |
$8.89
|
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$7.45
|
Rate for Payer: Cash Price |
$6.35
|
Rate for Payer: ChoiceCare Network Commercial |
$8.80
|
Rate for Payer: Cigna of WY Commercial |
$8.89
|
Rate for Payer: Entrust Commercial |
$8.62
|
Rate for Payer: First Choice Health Commercial |
$8.62
|
Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$8.62
|
Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$5.99
|
Rate for Payer: HealthUtah PPO |
$9.07
|
Rate for Payer: Idaho Integrated Healthcare Commercial |
$8.80
|
Rate for Payer: Multiplan Medicare/VA |
$5.69
|
Rate for Payer: One Health Plan of WY PPO |
$8.89
|
Rate for Payer: PacificSource Commercial |
$8.16
|
Rate for Payer: PHCS PPO |
$8.89
|
Rate for Payer: Three Rivers PPO |
$6.80
|
Rate for Payer: TriWest Veterans Administration |
$5.99
|
Rate for Payer: United Healthcare Commercial |
$7.89
|
Rate for Payer: United Healthcare Medicare |
$5.99
|
Rate for Payer: WINHealth Partners Commercial |
$8.62
|
Rate for Payer: Wise Provider Network Commercial |
$8.62
|
|
BP CUFF DISP THIGH
|
Facility
|
OP
|
$9.07
|
|
Hospital Charge Code |
27000000S1
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$5.00 |
Max. Negotiated Rate |
$9.07 |
Rate for Payer: Aetna of WY Commercial/Medical Rental |
$8.89
|
Rate for Payer: Aetna of WY Medicare |
$5.99
|
Rate for Payer: Altius Auto/Workers Compensation |
$8.71
|
Rate for Payer: Altius Commercial |
$8.71
|
Rate for Payer: Beech Street Commercial |
$8.89
|
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$7.45
|
Rate for Payer: Cash Price |
$6.35
|
Rate for Payer: ChoiceCare Network Commercial |
$8.80
|
Rate for Payer: Cigna of WY Commercial |
$8.89
|
Rate for Payer: Entrust Commercial |
$8.62
|
Rate for Payer: First Choice Health Commercial |
$8.62
|
Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$8.62
|
Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$5.26
|
Rate for Payer: HealthUtah PPO |
$9.07
|
Rate for Payer: Idaho Integrated Healthcare Commercial |
$8.80
|
Rate for Payer: Multiplan Medicare/VA |
$5.00
|
Rate for Payer: One Health Plan of WY PPO |
$8.89
|
Rate for Payer: PacificSource Commercial |
$8.16
|
Rate for Payer: PHCS PPO |
$8.89
|
Rate for Payer: Three Rivers PPO |
$6.80
|
Rate for Payer: TriWest Veterans Administration |
$5.26
|
Rate for Payer: United Healthcare Commercial |
$7.89
|
Rate for Payer: United Healthcare Medicare |
$5.26
|
Rate for Payer: WINHealth Partners Commercial |
$8.89
|
Rate for Payer: Wise Provider Network Commercial |
$8.62
|
|
BRACE 8" WRIST L UNIV SZ BREG
|
Facility
|
OP
|
$17.32
|
|
Hospital Charge Code |
27000000S1
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$9.54 |
Max. Negotiated Rate |
$17.32 |
Rate for Payer: Aetna of WY Commercial/Medical Rental |
$16.97
|
Rate for Payer: Aetna of WY Medicare |
$11.43
|
Rate for Payer: Altius Auto/Workers Compensation |
$16.63
|
Rate for Payer: Altius Commercial |
$16.63
|
Rate for Payer: Beech Street Commercial |
$16.97
|
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$14.22
|
Rate for Payer: Cash Price |
$12.13
|
Rate for Payer: ChoiceCare Network Commercial |
$16.80
|
Rate for Payer: Cigna of WY Commercial |
$16.97
|
Rate for Payer: Entrust Commercial |
$16.45
|
Rate for Payer: First Choice Health Commercial |
$16.45
|
Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$16.45
|
Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$10.05
|
Rate for Payer: HealthUtah PPO |
$17.32
|
Rate for Payer: Idaho Integrated Healthcare Commercial |
$16.80
|
Rate for Payer: Multiplan Medicare/VA |
$9.54
|
Rate for Payer: One Health Plan of WY PPO |
$16.97
|
Rate for Payer: PacificSource Commercial |
$15.59
|
Rate for Payer: PHCS PPO |
$16.97
|
Rate for Payer: Three Rivers PPO |
$12.99
|
Rate for Payer: TriWest Veterans Administration |
$10.05
|
Rate for Payer: United Healthcare Commercial |
$15.07
|
Rate for Payer: United Healthcare Medicare |
$10.05
|
Rate for Payer: WINHealth Partners Commercial |
$16.97
|
Rate for Payer: Wise Provider Network Commercial |
$16.45
|
|
BRACE 8" WRIST L UNIV SZ BREG
|
Facility
|
IP
|
$17.32
|
|
Hospital Charge Code |
27000000S1
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$10.86 |
Max. Negotiated Rate |
$17.32 |
Rate for Payer: Aetna of WY Commercial/Medical Rental |
$16.97
|
Rate for Payer: Altius Auto/Workers Compensation |
$16.63
|
Rate for Payer: Altius Commercial |
$16.63
|
Rate for Payer: Beech Street Commercial |
$16.97
|
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$14.22
|
Rate for Payer: Cash Price |
$12.13
|
Rate for Payer: ChoiceCare Network Commercial |
$16.80
|
Rate for Payer: Cigna of WY Commercial |
$16.97
|
Rate for Payer: Entrust Commercial |
$16.45
|
Rate for Payer: First Choice Health Commercial |
$16.45
|
Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$16.45
|
Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$11.43
|
Rate for Payer: HealthUtah PPO |
$17.32
|
Rate for Payer: Idaho Integrated Healthcare Commercial |
$16.80
|
Rate for Payer: Multiplan Medicare/VA |
$10.86
|
Rate for Payer: One Health Plan of WY PPO |
$16.97
|
Rate for Payer: PacificSource Commercial |
$15.59
|
Rate for Payer: PHCS PPO |
$16.97
|
Rate for Payer: Three Rivers PPO |
$12.99
|
Rate for Payer: TriWest Veterans Administration |
$11.43
|
Rate for Payer: United Healthcare Commercial |
$15.07
|
Rate for Payer: United Healthcare Medicare |
$11.43
|
Rate for Payer: WINHealth Partners Commercial |
$16.45
|
Rate for Payer: Wise Provider Network Commercial |
$16.45
|
|
BRACE 8" WRIST R UNIV SZ BREG
|
Facility
|
IP
|
$17.32
|
|
Hospital Charge Code |
27000000S1
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$10.86 |
Max. Negotiated Rate |
$17.32 |
Rate for Payer: Aetna of WY Commercial/Medical Rental |
$16.97
|
Rate for Payer: Altius Auto/Workers Compensation |
$16.63
|
Rate for Payer: Altius Commercial |
$16.63
|
Rate for Payer: Beech Street Commercial |
$16.97
|
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$14.22
|
Rate for Payer: Cash Price |
$12.13
|
Rate for Payer: ChoiceCare Network Commercial |
$16.80
|
Rate for Payer: Cigna of WY Commercial |
$16.97
|
Rate for Payer: Entrust Commercial |
$16.45
|
Rate for Payer: First Choice Health Commercial |
$16.45
|
Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$16.45
|
Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$11.43
|
Rate for Payer: HealthUtah PPO |
$17.32
|
Rate for Payer: Idaho Integrated Healthcare Commercial |
$16.80
|
Rate for Payer: Multiplan Medicare/VA |
$10.86
|
Rate for Payer: One Health Plan of WY PPO |
$16.97
|
Rate for Payer: PacificSource Commercial |
$15.59
|
Rate for Payer: PHCS PPO |
$16.97
|
Rate for Payer: Three Rivers PPO |
$12.99
|
Rate for Payer: TriWest Veterans Administration |
$11.43
|
Rate for Payer: United Healthcare Commercial |
$15.07
|
Rate for Payer: United Healthcare Medicare |
$11.43
|
Rate for Payer: WINHealth Partners Commercial |
$16.45
|
Rate for Payer: Wise Provider Network Commercial |
$16.45
|
|
BRACE 8" WRIST R UNIV SZ BREG
|
Facility
|
OP
|
$17.32
|
|
Hospital Charge Code |
27000000S1
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$9.54 |
Max. Negotiated Rate |
$17.32 |
Rate for Payer: Aetna of WY Commercial/Medical Rental |
$16.97
|
Rate for Payer: Aetna of WY Medicare |
$11.43
|
Rate for Payer: Altius Auto/Workers Compensation |
$16.63
|
Rate for Payer: Altius Commercial |
$16.63
|
Rate for Payer: Beech Street Commercial |
$16.97
|
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$14.22
|
Rate for Payer: Cash Price |
$12.13
|
Rate for Payer: ChoiceCare Network Commercial |
$16.80
|
Rate for Payer: Cigna of WY Commercial |
$16.97
|
Rate for Payer: Entrust Commercial |
$16.45
|
Rate for Payer: First Choice Health Commercial |
$16.45
|
Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$16.45
|
Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$10.05
|
Rate for Payer: HealthUtah PPO |
$17.32
|
Rate for Payer: Idaho Integrated Healthcare Commercial |
$16.80
|
Rate for Payer: Multiplan Medicare/VA |
$9.54
|
Rate for Payer: One Health Plan of WY PPO |
$16.97
|
Rate for Payer: PacificSource Commercial |
$15.59
|
Rate for Payer: PHCS PPO |
$16.97
|
Rate for Payer: Three Rivers PPO |
$12.99
|
Rate for Payer: TriWest Veterans Administration |
$10.05
|
Rate for Payer: United Healthcare Commercial |
$15.07
|
Rate for Payer: United Healthcare Medicare |
$10.05
|
Rate for Payer: WINHealth Partners Commercial |
$16.97
|
Rate for Payer: Wise Provider Network Commercial |
$16.45
|
|
BRACE AFO DROP FOOT LARGE LT
|
Facility
|
OP
|
$68.50
|
|
Hospital Charge Code |
27000000S1
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$37.74 |
Max. Negotiated Rate |
$68.50 |
Rate for Payer: Aetna of WY Commercial/Medical Rental |
$67.13
|
Rate for Payer: Aetna of WY Medicare |
$45.21
|
Rate for Payer: Altius Auto/Workers Compensation |
$65.76
|
Rate for Payer: Altius Commercial |
$65.76
|
Rate for Payer: Beech Street Commercial |
$67.13
|
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$56.24
|
Rate for Payer: Cash Price |
$47.95
|
Rate for Payer: ChoiceCare Network Commercial |
$66.44
|
Rate for Payer: Cigna of WY Commercial |
$67.13
|
Rate for Payer: Entrust Commercial |
$65.08
|
Rate for Payer: First Choice Health Commercial |
$65.08
|
Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$65.08
|
Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$39.73
|
Rate for Payer: HealthUtah PPO |
$68.50
|
Rate for Payer: Idaho Integrated Healthcare Commercial |
$66.44
|
Rate for Payer: Multiplan Medicare/VA |
$37.74
|
Rate for Payer: One Health Plan of WY PPO |
$67.13
|
Rate for Payer: PacificSource Commercial |
$61.65
|
Rate for Payer: PHCS PPO |
$67.13
|
Rate for Payer: Three Rivers PPO |
$51.38
|
Rate for Payer: TriWest Veterans Administration |
$39.73
|
Rate for Payer: United Healthcare Commercial |
$59.60
|
Rate for Payer: United Healthcare Medicare |
$39.73
|
Rate for Payer: WINHealth Partners Commercial |
$67.13
|
Rate for Payer: Wise Provider Network Commercial |
$65.08
|
|
BRACE AFO DROP FOOT LARGE LT
|
Facility
|
IP
|
$68.50
|
|
Hospital Charge Code |
27000000S1
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$42.95 |
Max. Negotiated Rate |
$68.50 |
Rate for Payer: Aetna of WY Commercial/Medical Rental |
$67.13
|
Rate for Payer: Altius Auto/Workers Compensation |
$65.76
|
Rate for Payer: Altius Commercial |
$65.76
|
Rate for Payer: Beech Street Commercial |
$67.13
|
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$56.24
|
Rate for Payer: Cash Price |
$47.95
|
Rate for Payer: ChoiceCare Network Commercial |
$66.44
|
Rate for Payer: Cigna of WY Commercial |
$67.13
|
Rate for Payer: Entrust Commercial |
$65.08
|
Rate for Payer: First Choice Health Commercial |
$65.08
|
Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$65.08
|
Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$45.21
|
Rate for Payer: HealthUtah PPO |
$68.50
|
Rate for Payer: Idaho Integrated Healthcare Commercial |
$66.44
|
Rate for Payer: Multiplan Medicare/VA |
$42.95
|
Rate for Payer: One Health Plan of WY PPO |
$67.13
|
Rate for Payer: PacificSource Commercial |
$61.65
|
Rate for Payer: PHCS PPO |
$67.13
|
Rate for Payer: Three Rivers PPO |
$51.38
|
Rate for Payer: TriWest Veterans Administration |
$45.21
|
Rate for Payer: United Healthcare Commercial |
$59.60
|
Rate for Payer: United Healthcare Medicare |
$45.21
|
Rate for Payer: WINHealth Partners Commercial |
$65.08
|
Rate for Payer: Wise Provider Network Commercial |
$65.08
|
|
BRACE AFO DROP FOOT LARGE RT
|
Facility
|
IP
|
$68.50
|
|
Hospital Charge Code |
27000000S1
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$42.95 |
Max. Negotiated Rate |
$68.50 |
Rate for Payer: Aetna of WY Commercial/Medical Rental |
$67.13
|
Rate for Payer: Altius Auto/Workers Compensation |
$65.76
|
Rate for Payer: Altius Commercial |
$65.76
|
Rate for Payer: Beech Street Commercial |
$67.13
|
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$56.24
|
Rate for Payer: Cash Price |
$47.95
|
Rate for Payer: ChoiceCare Network Commercial |
$66.44
|
Rate for Payer: Cigna of WY Commercial |
$67.13
|
Rate for Payer: Entrust Commercial |
$65.08
|
Rate for Payer: First Choice Health Commercial |
$65.08
|
Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$65.08
|
Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$45.21
|
Rate for Payer: HealthUtah PPO |
$68.50
|
Rate for Payer: Idaho Integrated Healthcare Commercial |
$66.44
|
Rate for Payer: Multiplan Medicare/VA |
$42.95
|
Rate for Payer: One Health Plan of WY PPO |
$67.13
|
Rate for Payer: PacificSource Commercial |
$61.65
|
Rate for Payer: PHCS PPO |
$67.13
|
Rate for Payer: Three Rivers PPO |
$51.38
|
Rate for Payer: TriWest Veterans Administration |
$45.21
|
Rate for Payer: United Healthcare Commercial |
$59.60
|
Rate for Payer: United Healthcare Medicare |
$45.21
|
Rate for Payer: WINHealth Partners Commercial |
$65.08
|
Rate for Payer: Wise Provider Network Commercial |
$65.08
|
|
BRACE AFO DROP FOOT LARGE RT
|
Facility
|
OP
|
$68.50
|
|
Hospital Charge Code |
27000000S1
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$37.74 |
Max. Negotiated Rate |
$68.50 |
Rate for Payer: Aetna of WY Commercial/Medical Rental |
$67.13
|
Rate for Payer: Aetna of WY Medicare |
$45.21
|
Rate for Payer: Altius Auto/Workers Compensation |
$65.76
|
Rate for Payer: Altius Commercial |
$65.76
|
Rate for Payer: Beech Street Commercial |
$67.13
|
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$56.24
|
Rate for Payer: Cash Price |
$47.95
|
Rate for Payer: ChoiceCare Network Commercial |
$66.44
|
Rate for Payer: Cigna of WY Commercial |
$67.13
|
Rate for Payer: Entrust Commercial |
$65.08
|
Rate for Payer: First Choice Health Commercial |
$65.08
|
Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$65.08
|
Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$39.73
|
Rate for Payer: HealthUtah PPO |
$68.50
|
Rate for Payer: Idaho Integrated Healthcare Commercial |
$66.44
|
Rate for Payer: Multiplan Medicare/VA |
$37.74
|
Rate for Payer: One Health Plan of WY PPO |
$67.13
|
Rate for Payer: PacificSource Commercial |
$61.65
|
Rate for Payer: PHCS PPO |
$67.13
|
Rate for Payer: Three Rivers PPO |
$51.38
|
Rate for Payer: TriWest Veterans Administration |
$39.73
|
Rate for Payer: United Healthcare Commercial |
$59.60
|
Rate for Payer: United Healthcare Medicare |
$39.73
|
Rate for Payer: WINHealth Partners Commercial |
$67.13
|
Rate for Payer: Wise Provider Network Commercial |
$65.08
|
|
BRACE AFO DROP FOOT MEDIUM LT
|
Facility
|
OP
|
$68.50
|
|
Hospital Charge Code |
27000000S1
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$37.74 |
Max. Negotiated Rate |
$68.50 |
Rate for Payer: Aetna of WY Commercial/Medical Rental |
$67.13
|
Rate for Payer: Aetna of WY Medicare |
$45.21
|
Rate for Payer: Altius Auto/Workers Compensation |
$65.76
|
Rate for Payer: Altius Commercial |
$65.76
|
Rate for Payer: Beech Street Commercial |
$67.13
|
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$56.24
|
Rate for Payer: Cash Price |
$47.95
|
Rate for Payer: ChoiceCare Network Commercial |
$66.44
|
Rate for Payer: Cigna of WY Commercial |
$67.13
|
Rate for Payer: Entrust Commercial |
$65.08
|
Rate for Payer: First Choice Health Commercial |
$65.08
|
Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$65.08
|
Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$39.73
|
Rate for Payer: HealthUtah PPO |
$68.50
|
Rate for Payer: Idaho Integrated Healthcare Commercial |
$66.44
|
Rate for Payer: Multiplan Medicare/VA |
$37.74
|
Rate for Payer: One Health Plan of WY PPO |
$67.13
|
Rate for Payer: PacificSource Commercial |
$61.65
|
Rate for Payer: PHCS PPO |
$67.13
|
Rate for Payer: Three Rivers PPO |
$51.38
|
Rate for Payer: TriWest Veterans Administration |
$39.73
|
Rate for Payer: United Healthcare Commercial |
$59.60
|
Rate for Payer: United Healthcare Medicare |
$39.73
|
Rate for Payer: WINHealth Partners Commercial |
$67.13
|
Rate for Payer: Wise Provider Network Commercial |
$65.08
|
|
BRACE AFO DROP FOOT MEDIUM LT
|
Facility
|
IP
|
$68.50
|
|
Hospital Charge Code |
27000000S1
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$42.95 |
Max. Negotiated Rate |
$68.50 |
Rate for Payer: Aetna of WY Commercial/Medical Rental |
$67.13
|
Rate for Payer: Altius Auto/Workers Compensation |
$65.76
|
Rate for Payer: Altius Commercial |
$65.76
|
Rate for Payer: Beech Street Commercial |
$67.13
|
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$56.24
|
Rate for Payer: Cash Price |
$47.95
|
Rate for Payer: ChoiceCare Network Commercial |
$66.44
|
Rate for Payer: Cigna of WY Commercial |
$67.13
|
Rate for Payer: Entrust Commercial |
$65.08
|
Rate for Payer: First Choice Health Commercial |
$65.08
|
Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$65.08
|
Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$45.21
|
Rate for Payer: HealthUtah PPO |
$68.50
|
Rate for Payer: Idaho Integrated Healthcare Commercial |
$66.44
|
Rate for Payer: Multiplan Medicare/VA |
$42.95
|
Rate for Payer: One Health Plan of WY PPO |
$67.13
|
Rate for Payer: PacificSource Commercial |
$61.65
|
Rate for Payer: PHCS PPO |
$67.13
|
Rate for Payer: Three Rivers PPO |
$51.38
|
Rate for Payer: TriWest Veterans Administration |
$45.21
|
Rate for Payer: United Healthcare Commercial |
$59.60
|
Rate for Payer: United Healthcare Medicare |
$45.21
|
Rate for Payer: WINHealth Partners Commercial |
$65.08
|
Rate for Payer: Wise Provider Network Commercial |
$65.08
|
|
BRACE AFO DROP FOOT MEDIUM RT
|
Facility
|
OP
|
$68.50
|
|
Hospital Charge Code |
27000000S1
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$37.74 |
Max. Negotiated Rate |
$68.50 |
Rate for Payer: Aetna of WY Commercial/Medical Rental |
$67.13
|
Rate for Payer: Aetna of WY Medicare |
$45.21
|
Rate for Payer: Altius Auto/Workers Compensation |
$65.76
|
Rate for Payer: Altius Commercial |
$65.76
|
Rate for Payer: Beech Street Commercial |
$67.13
|
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$56.24
|
Rate for Payer: Cash Price |
$47.95
|
Rate for Payer: ChoiceCare Network Commercial |
$66.44
|
Rate for Payer: Cigna of WY Commercial |
$67.13
|
Rate for Payer: Entrust Commercial |
$65.08
|
Rate for Payer: First Choice Health Commercial |
$65.08
|
Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$65.08
|
Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$39.73
|
Rate for Payer: HealthUtah PPO |
$68.50
|
Rate for Payer: Idaho Integrated Healthcare Commercial |
$66.44
|
Rate for Payer: Multiplan Medicare/VA |
$37.74
|
Rate for Payer: One Health Plan of WY PPO |
$67.13
|
Rate for Payer: PacificSource Commercial |
$61.65
|
Rate for Payer: PHCS PPO |
$67.13
|
Rate for Payer: Three Rivers PPO |
$51.38
|
Rate for Payer: TriWest Veterans Administration |
$39.73
|
Rate for Payer: United Healthcare Commercial |
$59.60
|
Rate for Payer: United Healthcare Medicare |
$39.73
|
Rate for Payer: WINHealth Partners Commercial |
$67.13
|
Rate for Payer: Wise Provider Network Commercial |
$65.08
|
|
BRACE AFO DROP FOOT MEDIUM RT
|
Facility
|
IP
|
$68.50
|
|
Hospital Charge Code |
27000000S1
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$42.95 |
Max. Negotiated Rate |
$68.50 |
Rate for Payer: Aetna of WY Commercial/Medical Rental |
$67.13
|
Rate for Payer: Altius Auto/Workers Compensation |
$65.76
|
Rate for Payer: Altius Commercial |
$65.76
|
Rate for Payer: Beech Street Commercial |
$67.13
|
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$56.24
|
Rate for Payer: Cash Price |
$47.95
|
Rate for Payer: ChoiceCare Network Commercial |
$66.44
|
Rate for Payer: Cigna of WY Commercial |
$67.13
|
Rate for Payer: Entrust Commercial |
$65.08
|
Rate for Payer: First Choice Health Commercial |
$65.08
|
Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$65.08
|
Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$45.21
|
Rate for Payer: HealthUtah PPO |
$68.50
|
Rate for Payer: Idaho Integrated Healthcare Commercial |
$66.44
|
Rate for Payer: Multiplan Medicare/VA |
$42.95
|
Rate for Payer: One Health Plan of WY PPO |
$67.13
|
Rate for Payer: PacificSource Commercial |
$61.65
|
Rate for Payer: PHCS PPO |
$67.13
|
Rate for Payer: Three Rivers PPO |
$51.38
|
Rate for Payer: TriWest Veterans Administration |
$45.21
|
Rate for Payer: United Healthcare Commercial |
$59.60
|
Rate for Payer: United Healthcare Medicare |
$45.21
|
Rate for Payer: WINHealth Partners Commercial |
$65.08
|
Rate for Payer: Wise Provider Network Commercial |
$65.08
|
|
BRACE AFO DROP FOOT SMALL LT
|
Facility
|
OP
|
$68.50
|
|
Hospital Charge Code |
27000000S1
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$37.74 |
Max. Negotiated Rate |
$68.50 |
Rate for Payer: Aetna of WY Commercial/Medical Rental |
$67.13
|
Rate for Payer: Aetna of WY Medicare |
$45.21
|
Rate for Payer: Altius Auto/Workers Compensation |
$65.76
|
Rate for Payer: Altius Commercial |
$65.76
|
Rate for Payer: Beech Street Commercial |
$67.13
|
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$56.24
|
Rate for Payer: Cash Price |
$47.95
|
Rate for Payer: ChoiceCare Network Commercial |
$66.44
|
Rate for Payer: Cigna of WY Commercial |
$67.13
|
Rate for Payer: Entrust Commercial |
$65.08
|
Rate for Payer: First Choice Health Commercial |
$65.08
|
Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$65.08
|
Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$39.73
|
Rate for Payer: HealthUtah PPO |
$68.50
|
Rate for Payer: Idaho Integrated Healthcare Commercial |
$66.44
|
Rate for Payer: Multiplan Medicare/VA |
$37.74
|
Rate for Payer: One Health Plan of WY PPO |
$67.13
|
Rate for Payer: PacificSource Commercial |
$61.65
|
Rate for Payer: PHCS PPO |
$67.13
|
Rate for Payer: Three Rivers PPO |
$51.38
|
Rate for Payer: TriWest Veterans Administration |
$39.73
|
Rate for Payer: United Healthcare Commercial |
$59.60
|
Rate for Payer: United Healthcare Medicare |
$39.73
|
Rate for Payer: WINHealth Partners Commercial |
$67.13
|
Rate for Payer: Wise Provider Network Commercial |
$65.08
|
|
BRACE AFO DROP FOOT SMALL LT
|
Facility
|
IP
|
$68.50
|
|
Hospital Charge Code |
27000000S1
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$42.95 |
Max. Negotiated Rate |
$68.50 |
Rate for Payer: Aetna of WY Commercial/Medical Rental |
$67.13
|
Rate for Payer: Altius Auto/Workers Compensation |
$65.76
|
Rate for Payer: Altius Commercial |
$65.76
|
Rate for Payer: Beech Street Commercial |
$67.13
|
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$56.24
|
Rate for Payer: Cash Price |
$47.95
|
Rate for Payer: ChoiceCare Network Commercial |
$66.44
|
Rate for Payer: Cigna of WY Commercial |
$67.13
|
Rate for Payer: Entrust Commercial |
$65.08
|
Rate for Payer: First Choice Health Commercial |
$65.08
|
Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$65.08
|
Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$45.21
|
Rate for Payer: HealthUtah PPO |
$68.50
|
Rate for Payer: Idaho Integrated Healthcare Commercial |
$66.44
|
Rate for Payer: Multiplan Medicare/VA |
$42.95
|
Rate for Payer: One Health Plan of WY PPO |
$67.13
|
Rate for Payer: PacificSource Commercial |
$61.65
|
Rate for Payer: PHCS PPO |
$67.13
|
Rate for Payer: Three Rivers PPO |
$51.38
|
Rate for Payer: TriWest Veterans Administration |
$45.21
|
Rate for Payer: United Healthcare Commercial |
$59.60
|
Rate for Payer: United Healthcare Medicare |
$45.21
|
Rate for Payer: WINHealth Partners Commercial |
$65.08
|
Rate for Payer: Wise Provider Network Commercial |
$65.08
|
|
BRACE AFO DROP FOOT SMALL RT
|
Facility
|
IP
|
$68.50
|
|
Hospital Charge Code |
27000000S1
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$42.95 |
Max. Negotiated Rate |
$68.50 |
Rate for Payer: Aetna of WY Commercial/Medical Rental |
$67.13
|
Rate for Payer: Altius Auto/Workers Compensation |
$65.76
|
Rate for Payer: Altius Commercial |
$65.76
|
Rate for Payer: Beech Street Commercial |
$67.13
|
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$56.24
|
Rate for Payer: Cash Price |
$47.95
|
Rate for Payer: ChoiceCare Network Commercial |
$66.44
|
Rate for Payer: Cigna of WY Commercial |
$67.13
|
Rate for Payer: Entrust Commercial |
$65.08
|
Rate for Payer: First Choice Health Commercial |
$65.08
|
Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$65.08
|
Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$45.21
|
Rate for Payer: HealthUtah PPO |
$68.50
|
Rate for Payer: Idaho Integrated Healthcare Commercial |
$66.44
|
Rate for Payer: Multiplan Medicare/VA |
$42.95
|
Rate for Payer: One Health Plan of WY PPO |
$67.13
|
Rate for Payer: PacificSource Commercial |
$61.65
|
Rate for Payer: PHCS PPO |
$67.13
|
Rate for Payer: Three Rivers PPO |
$51.38
|
Rate for Payer: TriWest Veterans Administration |
$45.21
|
Rate for Payer: United Healthcare Commercial |
$59.60
|
Rate for Payer: United Healthcare Medicare |
$45.21
|
Rate for Payer: WINHealth Partners Commercial |
$65.08
|
Rate for Payer: Wise Provider Network Commercial |
$65.08
|
|