|
NEEDLE BIOPSY 18GX25CM
|
Facility
|
IP
|
$141.12
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$88.48 |
| Max. Negotiated Rate |
$141.12 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$138.30
|
| Rate for Payer: Altius Auto/Workers Compensation |
$135.48
|
| Rate for Payer: Altius Commercial |
$135.48
|
| Rate for Payer: Beech Street Commercial |
$138.30
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$115.86
|
| Rate for Payer: Cash Price |
$98.78
|
| Rate for Payer: ChoiceCare Network Commercial |
$136.89
|
| Rate for Payer: Cigna of WY Commercial |
$138.30
|
| Rate for Payer: Entrust Commercial |
$134.06
|
| Rate for Payer: First Choice Health Commercial |
$134.06
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$134.06
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$93.14
|
| Rate for Payer: HealthUtah PPO |
$141.12
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$136.89
|
| Rate for Payer: Multiplan Medicare/VA |
$88.48
|
| Rate for Payer: One Health Plan of WY PPO |
$138.30
|
| Rate for Payer: PacificSource Commercial |
$127.01
|
| Rate for Payer: PHCS PPO |
$138.30
|
| Rate for Payer: Three Rivers PPO |
$105.84
|
| Rate for Payer: TriWest Veterans Administration |
$93.14
|
| Rate for Payer: United Healthcare Commercial |
$122.77
|
| Rate for Payer: United Healthcare Medicare |
$93.14
|
| Rate for Payer: WINHealth Partners Commercial |
$134.06
|
| Rate for Payer: Wise Provider Network Commercial |
$134.06
|
|
|
NEEDLE BIOPSY 18GX25CM
|
Facility
|
OP
|
$141.12
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$77.76 |
| Max. Negotiated Rate |
$141.12 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$138.30
|
| Rate for Payer: Aetna of WY Medicare |
$93.14
|
| Rate for Payer: Altius Auto/Workers Compensation |
$135.48
|
| Rate for Payer: Altius Commercial |
$135.48
|
| Rate for Payer: Beech Street Commercial |
$138.30
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$115.86
|
| Rate for Payer: Cash Price |
$98.78
|
| Rate for Payer: ChoiceCare Network Commercial |
$136.89
|
| Rate for Payer: Cigna of WY Commercial |
$138.30
|
| Rate for Payer: Entrust Commercial |
$134.06
|
| Rate for Payer: First Choice Health Commercial |
$134.06
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$134.06
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$81.85
|
| Rate for Payer: HealthUtah PPO |
$141.12
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$136.89
|
| Rate for Payer: Multiplan Medicare/VA |
$77.76
|
| Rate for Payer: One Health Plan of WY PPO |
$138.30
|
| Rate for Payer: PacificSource Commercial |
$127.01
|
| Rate for Payer: PHCS PPO |
$138.30
|
| Rate for Payer: Three Rivers PPO |
$105.84
|
| Rate for Payer: TriWest Veterans Administration |
$81.85
|
| Rate for Payer: United Healthcare Commercial |
$122.77
|
| Rate for Payer: United Healthcare Medicare |
$81.85
|
| Rate for Payer: WINHealth Partners Commercial |
$138.30
|
| Rate for Payer: Wise Provider Network Commercial |
$134.06
|
|
|
NEEDLE BIOPSY TRUCUT
|
Facility
|
OP
|
$97.79
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$53.88 |
| Max. Negotiated Rate |
$97.79 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$95.83
|
| Rate for Payer: Aetna of WY Medicare |
$64.54
|
| Rate for Payer: Altius Auto/Workers Compensation |
$93.88
|
| Rate for Payer: Altius Commercial |
$93.88
|
| Rate for Payer: Beech Street Commercial |
$95.83
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$80.29
|
| Rate for Payer: Cash Price |
$68.45
|
| Rate for Payer: ChoiceCare Network Commercial |
$94.86
|
| Rate for Payer: Cigna of WY Commercial |
$95.83
|
| Rate for Payer: Entrust Commercial |
$92.90
|
| Rate for Payer: First Choice Health Commercial |
$92.90
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$92.90
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$56.72
|
| Rate for Payer: HealthUtah PPO |
$97.79
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$94.86
|
| Rate for Payer: Multiplan Medicare/VA |
$53.88
|
| Rate for Payer: One Health Plan of WY PPO |
$95.83
|
| Rate for Payer: PacificSource Commercial |
$88.01
|
| Rate for Payer: PHCS PPO |
$95.83
|
| Rate for Payer: Three Rivers PPO |
$73.34
|
| Rate for Payer: TriWest Veterans Administration |
$56.72
|
| Rate for Payer: United Healthcare Commercial |
$85.08
|
| Rate for Payer: United Healthcare Medicare |
$56.72
|
| Rate for Payer: WINHealth Partners Commercial |
$95.83
|
| Rate for Payer: Wise Provider Network Commercial |
$92.90
|
|
|
NEEDLE BIOPSY TRUCUT
|
Facility
|
IP
|
$97.79
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$61.31 |
| Max. Negotiated Rate |
$97.79 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$95.83
|
| Rate for Payer: Altius Auto/Workers Compensation |
$93.88
|
| Rate for Payer: Altius Commercial |
$93.88
|
| Rate for Payer: Beech Street Commercial |
$95.83
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$80.29
|
| Rate for Payer: Cash Price |
$68.45
|
| Rate for Payer: ChoiceCare Network Commercial |
$94.86
|
| Rate for Payer: Cigna of WY Commercial |
$95.83
|
| Rate for Payer: Entrust Commercial |
$92.90
|
| Rate for Payer: First Choice Health Commercial |
$92.90
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$92.90
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$64.54
|
| Rate for Payer: HealthUtah PPO |
$97.79
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$94.86
|
| Rate for Payer: Multiplan Medicare/VA |
$61.31
|
| Rate for Payer: One Health Plan of WY PPO |
$95.83
|
| Rate for Payer: PacificSource Commercial |
$88.01
|
| Rate for Payer: PHCS PPO |
$95.83
|
| Rate for Payer: Three Rivers PPO |
$73.34
|
| Rate for Payer: TriWest Veterans Administration |
$64.54
|
| Rate for Payer: United Healthcare Commercial |
$85.08
|
| Rate for Payer: United Healthcare Medicare |
$64.54
|
| Rate for Payer: WINHealth Partners Commercial |
$92.90
|
| Rate for Payer: Wise Provider Network Commercial |
$92.90
|
|
|
NEEDLE BLUNT NERVE 8IN
|
Facility
|
OP
|
$63.95
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$35.24 |
| Max. Negotiated Rate |
$63.95 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$62.67
|
| Rate for Payer: Aetna of WY Medicare |
$42.21
|
| Rate for Payer: Altius Auto/Workers Compensation |
$61.39
|
| Rate for Payer: Altius Commercial |
$61.39
|
| Rate for Payer: Beech Street Commercial |
$62.67
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$52.50
|
| Rate for Payer: Cash Price |
$44.76
|
| Rate for Payer: ChoiceCare Network Commercial |
$62.03
|
| Rate for Payer: Cigna of WY Commercial |
$62.67
|
| Rate for Payer: Entrust Commercial |
$60.75
|
| Rate for Payer: First Choice Health Commercial |
$60.75
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$60.75
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$37.09
|
| Rate for Payer: HealthUtah PPO |
$63.95
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$62.03
|
| Rate for Payer: Multiplan Medicare/VA |
$35.24
|
| Rate for Payer: One Health Plan of WY PPO |
$62.67
|
| Rate for Payer: PacificSource Commercial |
$57.56
|
| Rate for Payer: PHCS PPO |
$62.67
|
| Rate for Payer: Three Rivers PPO |
$47.96
|
| Rate for Payer: TriWest Veterans Administration |
$37.09
|
| Rate for Payer: United Healthcare Commercial |
$55.64
|
| Rate for Payer: United Healthcare Medicare |
$37.09
|
| Rate for Payer: WINHealth Partners Commercial |
$62.67
|
| Rate for Payer: Wise Provider Network Commercial |
$60.75
|
|
|
NEEDLE BLUNT NERVE 8IN
|
Facility
|
IP
|
$63.95
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$40.10 |
| Max. Negotiated Rate |
$63.95 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$62.67
|
| Rate for Payer: Altius Auto/Workers Compensation |
$61.39
|
| Rate for Payer: Altius Commercial |
$61.39
|
| Rate for Payer: Beech Street Commercial |
$62.67
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$52.50
|
| Rate for Payer: Cash Price |
$44.76
|
| Rate for Payer: ChoiceCare Network Commercial |
$62.03
|
| Rate for Payer: Cigna of WY Commercial |
$62.67
|
| Rate for Payer: Entrust Commercial |
$60.75
|
| Rate for Payer: First Choice Health Commercial |
$60.75
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$60.75
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$42.21
|
| Rate for Payer: HealthUtah PPO |
$63.95
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$62.03
|
| Rate for Payer: Multiplan Medicare/VA |
$40.10
|
| Rate for Payer: One Health Plan of WY PPO |
$62.67
|
| Rate for Payer: PacificSource Commercial |
$57.56
|
| Rate for Payer: PHCS PPO |
$62.67
|
| Rate for Payer: Three Rivers PPO |
$47.96
|
| Rate for Payer: TriWest Veterans Administration |
$42.21
|
| Rate for Payer: United Healthcare Commercial |
$55.64
|
| Rate for Payer: United Healthcare Medicare |
$42.21
|
| Rate for Payer: WINHealth Partners Commercial |
$60.75
|
| Rate for Payer: Wise Provider Network Commercial |
$60.75
|
|
|
NEEDLE BLUNT NERVE COUDE 20G 6"
|
Facility
|
IP
|
$70.34
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$44.10 |
| Max. Negotiated Rate |
$70.34 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$68.93
|
| Rate for Payer: Altius Auto/Workers Compensation |
$67.53
|
| Rate for Payer: Altius Commercial |
$67.53
|
| Rate for Payer: Beech Street Commercial |
$68.93
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$57.75
|
| Rate for Payer: Cash Price |
$49.24
|
| Rate for Payer: ChoiceCare Network Commercial |
$68.23
|
| Rate for Payer: Cigna of WY Commercial |
$68.93
|
| Rate for Payer: Entrust Commercial |
$66.82
|
| Rate for Payer: First Choice Health Commercial |
$66.82
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$66.82
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$46.42
|
| Rate for Payer: HealthUtah PPO |
$70.34
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$68.23
|
| Rate for Payer: Multiplan Medicare/VA |
$44.10
|
| Rate for Payer: One Health Plan of WY PPO |
$68.93
|
| Rate for Payer: PacificSource Commercial |
$63.31
|
| Rate for Payer: PHCS PPO |
$68.93
|
| Rate for Payer: Three Rivers PPO |
$52.76
|
| Rate for Payer: TriWest Veterans Administration |
$46.42
|
| Rate for Payer: United Healthcare Commercial |
$61.20
|
| Rate for Payer: United Healthcare Medicare |
$46.42
|
| Rate for Payer: WINHealth Partners Commercial |
$66.82
|
| Rate for Payer: Wise Provider Network Commercial |
$66.82
|
|
|
NEEDLE BLUNT NERVE COUDE 20G 6"
|
Facility
|
OP
|
$70.34
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$38.76 |
| Max. Negotiated Rate |
$70.34 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$68.93
|
| Rate for Payer: Aetna of WY Medicare |
$46.42
|
| Rate for Payer: Altius Auto/Workers Compensation |
$67.53
|
| Rate for Payer: Altius Commercial |
$67.53
|
| Rate for Payer: Beech Street Commercial |
$68.93
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$57.75
|
| Rate for Payer: Cash Price |
$49.24
|
| Rate for Payer: ChoiceCare Network Commercial |
$68.23
|
| Rate for Payer: Cigna of WY Commercial |
$68.93
|
| Rate for Payer: Entrust Commercial |
$66.82
|
| Rate for Payer: First Choice Health Commercial |
$66.82
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$66.82
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$40.80
|
| Rate for Payer: HealthUtah PPO |
$70.34
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$68.23
|
| Rate for Payer: Multiplan Medicare/VA |
$38.76
|
| Rate for Payer: One Health Plan of WY PPO |
$68.93
|
| Rate for Payer: PacificSource Commercial |
$63.31
|
| Rate for Payer: PHCS PPO |
$68.93
|
| Rate for Payer: Three Rivers PPO |
$52.76
|
| Rate for Payer: TriWest Veterans Administration |
$40.80
|
| Rate for Payer: United Healthcare Commercial |
$61.20
|
| Rate for Payer: United Healthcare Medicare |
$40.80
|
| Rate for Payer: WINHealth Partners Commercial |
$68.93
|
| Rate for Payer: Wise Provider Network Commercial |
$66.82
|
|
|
NEEDLE DAVIS TONSIL 1849DC
|
Facility
|
IP
|
$19.71
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$12.36 |
| Max. Negotiated Rate |
$19.71 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$19.32
|
| Rate for Payer: Altius Auto/Workers Compensation |
$18.92
|
| Rate for Payer: Altius Commercial |
$18.92
|
| Rate for Payer: Beech Street Commercial |
$19.32
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$16.18
|
| Rate for Payer: Cash Price |
$13.80
|
| Rate for Payer: ChoiceCare Network Commercial |
$19.12
|
| Rate for Payer: Cigna of WY Commercial |
$19.32
|
| Rate for Payer: Entrust Commercial |
$18.72
|
| Rate for Payer: First Choice Health Commercial |
$18.72
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$18.72
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$13.01
|
| Rate for Payer: HealthUtah PPO |
$19.71
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$19.12
|
| Rate for Payer: Multiplan Medicare/VA |
$12.36
|
| Rate for Payer: One Health Plan of WY PPO |
$19.32
|
| Rate for Payer: PacificSource Commercial |
$17.74
|
| Rate for Payer: PHCS PPO |
$19.32
|
| Rate for Payer: Three Rivers PPO |
$14.78
|
| Rate for Payer: TriWest Veterans Administration |
$13.01
|
| Rate for Payer: United Healthcare Commercial |
$17.15
|
| Rate for Payer: United Healthcare Medicare |
$13.01
|
| Rate for Payer: WINHealth Partners Commercial |
$18.72
|
| Rate for Payer: Wise Provider Network Commercial |
$18.72
|
|
|
NEEDLE DAVIS TONSIL 1849DC
|
Facility
|
OP
|
$19.71
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.86 |
| Max. Negotiated Rate |
$19.71 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$19.32
|
| Rate for Payer: Aetna of WY Medicare |
$13.01
|
| Rate for Payer: Altius Auto/Workers Compensation |
$18.92
|
| Rate for Payer: Altius Commercial |
$18.92
|
| Rate for Payer: Beech Street Commercial |
$19.32
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$16.18
|
| Rate for Payer: Cash Price |
$13.80
|
| Rate for Payer: ChoiceCare Network Commercial |
$19.12
|
| Rate for Payer: Cigna of WY Commercial |
$19.32
|
| Rate for Payer: Entrust Commercial |
$18.72
|
| Rate for Payer: First Choice Health Commercial |
$18.72
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$18.72
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$11.43
|
| Rate for Payer: HealthUtah PPO |
$19.71
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$19.12
|
| Rate for Payer: Multiplan Medicare/VA |
$10.86
|
| Rate for Payer: One Health Plan of WY PPO |
$19.32
|
| Rate for Payer: PacificSource Commercial |
$17.74
|
| Rate for Payer: PHCS PPO |
$19.32
|
| Rate for Payer: Three Rivers PPO |
$14.78
|
| Rate for Payer: TriWest Veterans Administration |
$11.43
|
| Rate for Payer: United Healthcare Commercial |
$17.15
|
| Rate for Payer: United Healthcare Medicare |
$11.43
|
| Rate for Payer: WINHealth Partners Commercial |
$19.32
|
| Rate for Payer: Wise Provider Network Commercial |
$18.72
|
|
|
NEEDLE ECHO PNB 6" AB21150SSE
|
Facility
|
OP
|
$41.23
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$22.72 |
| Max. Negotiated Rate |
$41.23 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$40.41
|
| Rate for Payer: Aetna of WY Medicare |
$27.21
|
| Rate for Payer: Altius Auto/Workers Compensation |
$39.58
|
| Rate for Payer: Altius Commercial |
$39.58
|
| Rate for Payer: Beech Street Commercial |
$40.41
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$33.85
|
| Rate for Payer: Cash Price |
$28.86
|
| Rate for Payer: ChoiceCare Network Commercial |
$39.99
|
| Rate for Payer: Cigna of WY Commercial |
$40.41
|
| Rate for Payer: Entrust Commercial |
$39.17
|
| Rate for Payer: First Choice Health Commercial |
$39.17
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$39.17
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$23.91
|
| Rate for Payer: HealthUtah PPO |
$41.23
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$39.99
|
| Rate for Payer: Multiplan Medicare/VA |
$22.72
|
| Rate for Payer: One Health Plan of WY PPO |
$40.41
|
| Rate for Payer: PacificSource Commercial |
$37.11
|
| Rate for Payer: PHCS PPO |
$40.41
|
| Rate for Payer: Three Rivers PPO |
$30.92
|
| Rate for Payer: TriWest Veterans Administration |
$23.91
|
| Rate for Payer: United Healthcare Commercial |
$35.87
|
| Rate for Payer: United Healthcare Medicare |
$23.91
|
| Rate for Payer: WINHealth Partners Commercial |
$40.41
|
| Rate for Payer: Wise Provider Network Commercial |
$39.17
|
|
|
NEEDLE ECHO PNB 6" AB21150SSE
|
Facility
|
IP
|
$41.23
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$25.85 |
| Max. Negotiated Rate |
$41.23 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$40.41
|
| Rate for Payer: Altius Auto/Workers Compensation |
$39.58
|
| Rate for Payer: Altius Commercial |
$39.58
|
| Rate for Payer: Beech Street Commercial |
$40.41
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$33.85
|
| Rate for Payer: Cash Price |
$28.86
|
| Rate for Payer: ChoiceCare Network Commercial |
$39.99
|
| Rate for Payer: Cigna of WY Commercial |
$40.41
|
| Rate for Payer: Entrust Commercial |
$39.17
|
| Rate for Payer: First Choice Health Commercial |
$39.17
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$39.17
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$27.21
|
| Rate for Payer: HealthUtah PPO |
$41.23
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$39.99
|
| Rate for Payer: Multiplan Medicare/VA |
$25.85
|
| Rate for Payer: One Health Plan of WY PPO |
$40.41
|
| Rate for Payer: PacificSource Commercial |
$37.11
|
| Rate for Payer: PHCS PPO |
$40.41
|
| Rate for Payer: Three Rivers PPO |
$30.92
|
| Rate for Payer: TriWest Veterans Administration |
$27.21
|
| Rate for Payer: United Healthcare Commercial |
$35.87
|
| Rate for Payer: United Healthcare Medicare |
$27.21
|
| Rate for Payer: WINHealth Partners Commercial |
$39.17
|
| Rate for Payer: Wise Provider Network Commercial |
$39.17
|
|
|
NEEDLE EMG EA EXTREMITY W/PARASPINL AREA LIMITED
|
Professional
|
Both
|
$178.00
|
|
|
Service Code
|
HCPCS 95885
|
| Hospital Charge Code |
95885
|
| Min. Negotiated Rate |
$51.42 |
| Max. Negotiated Rate |
$178.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$174.44
|
| Rate for Payer: Aetna of WY Medicare |
$60.49
|
| Rate for Payer: Beech Street Commercial |
$169.10
|
| Rate for Payer: Cash Price |
$124.60
|
| Rate for Payer: Cash Price |
$124.60
|
| Rate for Payer: ChoiceCare Network Commercial |
$172.66
|
| Rate for Payer: Cigna of WY Commercial |
$174.44
|
| Rate for Payer: First Choice Health Commercial |
$160.20
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$169.10
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$60.49
|
| Rate for Payer: HealthUtah PPO |
$178.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$172.66
|
| Rate for Payer: Multiplan Medicare/VA |
$51.42
|
| Rate for Payer: One Health Plan of WY PPO |
$174.44
|
| Rate for Payer: PacificSource Commercial |
$160.20
|
| Rate for Payer: PHCS PPO |
$169.10
|
| Rate for Payer: Three Rivers PPO |
$133.50
|
| Rate for Payer: TriWest Veterans Administration |
$60.49
|
| Rate for Payer: United Healthcare Commercial |
$154.86
|
| Rate for Payer: United Healthcare Medicare |
$60.49
|
| Rate for Payer: WINHealth Partners Commercial |
$169.10
|
|
|
NEEDLE EMG EA EXTREMTY W/PARASPINL AREA COMPLETE
|
Professional
|
Both
|
$288.00
|
|
|
Service Code
|
HCPCS 95886
|
| Hospital Charge Code |
95886
|
| Min. Negotiated Rate |
$79.94 |
| Max. Negotiated Rate |
$288.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$282.24
|
| Rate for Payer: Aetna of WY Medicare |
$94.05
|
| Rate for Payer: Beech Street Commercial |
$273.60
|
| Rate for Payer: Cash Price |
$201.60
|
| Rate for Payer: Cash Price |
$201.60
|
| Rate for Payer: ChoiceCare Network Commercial |
$279.36
|
| Rate for Payer: Cigna of WY Commercial |
$282.24
|
| Rate for Payer: First Choice Health Commercial |
$259.20
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$273.60
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$94.05
|
| Rate for Payer: HealthUtah PPO |
$288.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$279.36
|
| Rate for Payer: Multiplan Medicare/VA |
$79.94
|
| Rate for Payer: One Health Plan of WY PPO |
$282.24
|
| Rate for Payer: PacificSource Commercial |
$259.20
|
| Rate for Payer: PHCS PPO |
$273.60
|
| Rate for Payer: Three Rivers PPO |
$216.00
|
| Rate for Payer: TriWest Veterans Administration |
$94.05
|
| Rate for Payer: United Healthcare Commercial |
$250.56
|
| Rate for Payer: United Healthcare Medicare |
$94.05
|
| Rate for Payer: WINHealth Partners Commercial |
$273.60
|
|
|
NEEDLE EMG NONEXTREMTY MSCLES W/NERVE CONDUCTION
|
Professional
|
Both
|
$270.00
|
|
|
Service Code
|
HCPCS 95887
|
| Hospital Charge Code |
95887
|
| Min. Negotiated Rate |
$68.81 |
| Max. Negotiated Rate |
$270.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$264.60
|
| Rate for Payer: Aetna of WY Medicare |
$80.95
|
| Rate for Payer: Beech Street Commercial |
$256.50
|
| Rate for Payer: Cash Price |
$189.00
|
| Rate for Payer: Cash Price |
$189.00
|
| Rate for Payer: ChoiceCare Network Commercial |
$261.90
|
| Rate for Payer: Cigna of WY Commercial |
$264.60
|
| Rate for Payer: First Choice Health Commercial |
$243.00
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$256.50
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$80.95
|
| Rate for Payer: HealthUtah PPO |
$270.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$261.90
|
| Rate for Payer: Multiplan Medicare/VA |
$68.81
|
| Rate for Payer: One Health Plan of WY PPO |
$264.60
|
| Rate for Payer: PacificSource Commercial |
$243.00
|
| Rate for Payer: PHCS PPO |
$256.50
|
| Rate for Payer: Three Rivers PPO |
$202.50
|
| Rate for Payer: TriWest Veterans Administration |
$80.95
|
| Rate for Payer: United Healthcare Commercial |
$234.90
|
| Rate for Payer: United Healthcare Medicare |
$80.95
|
| Rate for Payer: WINHealth Partners Commercial |
$256.50
|
|
|
NEEDLE EPIDURAL 17G X 6IN
|
Facility
|
IP
|
$22.65
|
|
| Hospital Charge Code |
27800000S1
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$14.20 |
| Max. Negotiated Rate |
$22.65 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$22.20
|
| Rate for Payer: Altius Auto/Workers Compensation |
$21.74
|
| Rate for Payer: Altius Commercial |
$21.74
|
| Rate for Payer: Beech Street Commercial |
$22.20
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$18.60
|
| Rate for Payer: Cash Price |
$15.86
|
| Rate for Payer: ChoiceCare Network Commercial |
$21.97
|
| Rate for Payer: Cigna of WY Commercial |
$22.20
|
| Rate for Payer: Entrust Commercial |
$21.52
|
| Rate for Payer: First Choice Health Commercial |
$21.52
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$21.52
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$14.95
|
| Rate for Payer: HealthUtah PPO |
$22.65
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$21.97
|
| Rate for Payer: Multiplan Medicare/VA |
$14.20
|
| Rate for Payer: One Health Plan of WY PPO |
$22.20
|
| Rate for Payer: PacificSource Commercial |
$20.38
|
| Rate for Payer: PHCS PPO |
$22.20
|
| Rate for Payer: Three Rivers PPO |
$16.99
|
| Rate for Payer: TriWest Veterans Administration |
$14.95
|
| Rate for Payer: United Healthcare Commercial |
$19.71
|
| Rate for Payer: United Healthcare Medicare |
$14.95
|
| Rate for Payer: WINHealth Partners Commercial |
$21.52
|
| Rate for Payer: Wise Provider Network Commercial |
$21.52
|
|
|
NEEDLE EPIDURAL 17G X 6IN
|
Facility
|
OP
|
$22.65
|
|
| Hospital Charge Code |
27800000S1
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$12.48 |
| Max. Negotiated Rate |
$22.65 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$22.20
|
| Rate for Payer: Aetna of WY Medicare |
$14.95
|
| Rate for Payer: Altius Auto/Workers Compensation |
$21.74
|
| Rate for Payer: Altius Commercial |
$21.74
|
| Rate for Payer: Beech Street Commercial |
$22.20
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$18.60
|
| Rate for Payer: Cash Price |
$15.86
|
| Rate for Payer: ChoiceCare Network Commercial |
$21.97
|
| Rate for Payer: Cigna of WY Commercial |
$22.20
|
| Rate for Payer: Entrust Commercial |
$21.52
|
| Rate for Payer: First Choice Health Commercial |
$21.52
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$21.52
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$13.14
|
| Rate for Payer: HealthUtah PPO |
$22.65
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$21.97
|
| Rate for Payer: Multiplan Medicare/VA |
$12.48
|
| Rate for Payer: One Health Plan of WY PPO |
$22.20
|
| Rate for Payer: PacificSource Commercial |
$20.38
|
| Rate for Payer: PHCS PPO |
$22.20
|
| Rate for Payer: Three Rivers PPO |
$16.99
|
| Rate for Payer: TriWest Veterans Administration |
$13.14
|
| Rate for Payer: United Healthcare Commercial |
$19.71
|
| Rate for Payer: United Healthcare Medicare |
$13.14
|
| Rate for Payer: WINHealth Partners Commercial |
$22.20
|
| Rate for Payer: Wise Provider Network Commercial |
$21.52
|
|
|
NEEDLE EPIDURAL COUDE 16GX3.5
|
Facility
|
OP
|
$55.62
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$30.65 |
| Max. Negotiated Rate |
$55.62 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$54.51
|
| Rate for Payer: Aetna of WY Medicare |
$36.71
|
| Rate for Payer: Altius Auto/Workers Compensation |
$53.40
|
| Rate for Payer: Altius Commercial |
$53.40
|
| Rate for Payer: Beech Street Commercial |
$54.51
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$45.66
|
| Rate for Payer: Cash Price |
$38.93
|
| Rate for Payer: ChoiceCare Network Commercial |
$53.95
|
| Rate for Payer: Cigna of WY Commercial |
$54.51
|
| Rate for Payer: Entrust Commercial |
$52.84
|
| Rate for Payer: First Choice Health Commercial |
$52.84
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$52.84
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$32.26
|
| Rate for Payer: HealthUtah PPO |
$55.62
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$53.95
|
| Rate for Payer: Multiplan Medicare/VA |
$30.65
|
| Rate for Payer: One Health Plan of WY PPO |
$54.51
|
| Rate for Payer: PacificSource Commercial |
$50.06
|
| Rate for Payer: PHCS PPO |
$54.51
|
| Rate for Payer: Three Rivers PPO |
$41.72
|
| Rate for Payer: TriWest Veterans Administration |
$32.26
|
| Rate for Payer: United Healthcare Commercial |
$48.39
|
| Rate for Payer: United Healthcare Medicare |
$32.26
|
| Rate for Payer: WINHealth Partners Commercial |
$54.51
|
| Rate for Payer: Wise Provider Network Commercial |
$52.84
|
|
|
NEEDLE EPIDURAL COUDE 16GX3.5
|
Facility
|
IP
|
$55.62
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$34.87 |
| Max. Negotiated Rate |
$55.62 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$54.51
|
| Rate for Payer: Altius Auto/Workers Compensation |
$53.40
|
| Rate for Payer: Altius Commercial |
$53.40
|
| Rate for Payer: Beech Street Commercial |
$54.51
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$45.66
|
| Rate for Payer: Cash Price |
$38.93
|
| Rate for Payer: ChoiceCare Network Commercial |
$53.95
|
| Rate for Payer: Cigna of WY Commercial |
$54.51
|
| Rate for Payer: Entrust Commercial |
$52.84
|
| Rate for Payer: First Choice Health Commercial |
$52.84
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$52.84
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$36.71
|
| Rate for Payer: HealthUtah PPO |
$55.62
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$53.95
|
| Rate for Payer: Multiplan Medicare/VA |
$34.87
|
| Rate for Payer: One Health Plan of WY PPO |
$54.51
|
| Rate for Payer: PacificSource Commercial |
$50.06
|
| Rate for Payer: PHCS PPO |
$54.51
|
| Rate for Payer: Three Rivers PPO |
$41.72
|
| Rate for Payer: TriWest Veterans Administration |
$36.71
|
| Rate for Payer: United Healthcare Commercial |
$48.39
|
| Rate for Payer: United Healthcare Medicare |
$36.71
|
| Rate for Payer: WINHealth Partners Commercial |
$52.84
|
| Rate for Payer: Wise Provider Network Commercial |
$52.84
|
|
|
NEEDLE EZIO 15MM RED 15G
|
Facility
|
OP
|
$483.70
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$266.52 |
| Max. Negotiated Rate |
$483.70 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$474.03
|
| Rate for Payer: Aetna of WY Medicare |
$319.24
|
| Rate for Payer: Altius Auto/Workers Compensation |
$464.35
|
| Rate for Payer: Altius Commercial |
$464.35
|
| Rate for Payer: Beech Street Commercial |
$474.03
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$397.12
|
| Rate for Payer: Cash Price |
$338.59
|
| Rate for Payer: ChoiceCare Network Commercial |
$469.19
|
| Rate for Payer: Cigna of WY Commercial |
$474.03
|
| Rate for Payer: Entrust Commercial |
$459.52
|
| Rate for Payer: First Choice Health Commercial |
$459.52
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$459.52
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$280.55
|
| Rate for Payer: HealthUtah PPO |
$483.70
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$469.19
|
| Rate for Payer: Multiplan Medicare/VA |
$266.52
|
| Rate for Payer: One Health Plan of WY PPO |
$474.03
|
| Rate for Payer: PacificSource Commercial |
$435.33
|
| Rate for Payer: PHCS PPO |
$474.03
|
| Rate for Payer: Three Rivers PPO |
$362.78
|
| Rate for Payer: TriWest Veterans Administration |
$280.55
|
| Rate for Payer: United Healthcare Commercial |
$420.82
|
| Rate for Payer: United Healthcare Medicare |
$280.55
|
| Rate for Payer: WINHealth Partners Commercial |
$474.03
|
| Rate for Payer: Wise Provider Network Commercial |
$459.52
|
|
|
NEEDLE EZIO 15MM RED 15G
|
Facility
|
IP
|
$483.70
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$303.28 |
| Max. Negotiated Rate |
$483.70 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$474.03
|
| Rate for Payer: Altius Auto/Workers Compensation |
$464.35
|
| Rate for Payer: Altius Commercial |
$464.35
|
| Rate for Payer: Beech Street Commercial |
$474.03
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$397.12
|
| Rate for Payer: Cash Price |
$338.59
|
| Rate for Payer: ChoiceCare Network Commercial |
$469.19
|
| Rate for Payer: Cigna of WY Commercial |
$474.03
|
| Rate for Payer: Entrust Commercial |
$459.52
|
| Rate for Payer: First Choice Health Commercial |
$459.52
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$459.52
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$319.24
|
| Rate for Payer: HealthUtah PPO |
$483.70
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$469.19
|
| Rate for Payer: Multiplan Medicare/VA |
$303.28
|
| Rate for Payer: One Health Plan of WY PPO |
$474.03
|
| Rate for Payer: PacificSource Commercial |
$435.33
|
| Rate for Payer: PHCS PPO |
$474.03
|
| Rate for Payer: Three Rivers PPO |
$362.78
|
| Rate for Payer: TriWest Veterans Administration |
$319.24
|
| Rate for Payer: United Healthcare Commercial |
$420.82
|
| Rate for Payer: United Healthcare Medicare |
$319.24
|
| Rate for Payer: WINHealth Partners Commercial |
$459.52
|
| Rate for Payer: Wise Provider Network Commercial |
$459.52
|
|
|
NEEDLE EZIO 25MM BLUE 15G
|
Facility
|
IP
|
$483.70
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$303.28 |
| Max. Negotiated Rate |
$483.70 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$474.03
|
| Rate for Payer: Altius Auto/Workers Compensation |
$464.35
|
| Rate for Payer: Altius Commercial |
$464.35
|
| Rate for Payer: Beech Street Commercial |
$474.03
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$397.12
|
| Rate for Payer: Cash Price |
$338.59
|
| Rate for Payer: ChoiceCare Network Commercial |
$469.19
|
| Rate for Payer: Cigna of WY Commercial |
$474.03
|
| Rate for Payer: Entrust Commercial |
$459.52
|
| Rate for Payer: First Choice Health Commercial |
$459.52
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$459.52
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$319.24
|
| Rate for Payer: HealthUtah PPO |
$483.70
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$469.19
|
| Rate for Payer: Multiplan Medicare/VA |
$303.28
|
| Rate for Payer: One Health Plan of WY PPO |
$474.03
|
| Rate for Payer: PacificSource Commercial |
$435.33
|
| Rate for Payer: PHCS PPO |
$474.03
|
| Rate for Payer: Three Rivers PPO |
$362.78
|
| Rate for Payer: TriWest Veterans Administration |
$319.24
|
| Rate for Payer: United Healthcare Commercial |
$420.82
|
| Rate for Payer: United Healthcare Medicare |
$319.24
|
| Rate for Payer: WINHealth Partners Commercial |
$459.52
|
| Rate for Payer: Wise Provider Network Commercial |
$459.52
|
|
|
NEEDLE EZIO 25MM BLUE 15G
|
Facility
|
OP
|
$483.70
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$266.52 |
| Max. Negotiated Rate |
$483.70 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$474.03
|
| Rate for Payer: Aetna of WY Medicare |
$319.24
|
| Rate for Payer: Altius Auto/Workers Compensation |
$464.35
|
| Rate for Payer: Altius Commercial |
$464.35
|
| Rate for Payer: Beech Street Commercial |
$474.03
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$397.12
|
| Rate for Payer: Cash Price |
$338.59
|
| Rate for Payer: ChoiceCare Network Commercial |
$469.19
|
| Rate for Payer: Cigna of WY Commercial |
$474.03
|
| Rate for Payer: Entrust Commercial |
$459.52
|
| Rate for Payer: First Choice Health Commercial |
$459.52
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$459.52
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$280.55
|
| Rate for Payer: HealthUtah PPO |
$483.70
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$469.19
|
| Rate for Payer: Multiplan Medicare/VA |
$266.52
|
| Rate for Payer: One Health Plan of WY PPO |
$474.03
|
| Rate for Payer: PacificSource Commercial |
$435.33
|
| Rate for Payer: PHCS PPO |
$474.03
|
| Rate for Payer: Three Rivers PPO |
$362.78
|
| Rate for Payer: TriWest Veterans Administration |
$280.55
|
| Rate for Payer: United Healthcare Commercial |
$420.82
|
| Rate for Payer: United Healthcare Medicare |
$280.55
|
| Rate for Payer: WINHealth Partners Commercial |
$474.03
|
| Rate for Payer: Wise Provider Network Commercial |
$459.52
|
|
|
NEEDLE EZIO 45MM YELLOW 15G
|
Facility
|
OP
|
$483.70
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$266.52 |
| Max. Negotiated Rate |
$483.70 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$474.03
|
| Rate for Payer: Aetna of WY Medicare |
$319.24
|
| Rate for Payer: Altius Auto/Workers Compensation |
$464.35
|
| Rate for Payer: Altius Commercial |
$464.35
|
| Rate for Payer: Beech Street Commercial |
$474.03
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$397.12
|
| Rate for Payer: Cash Price |
$338.59
|
| Rate for Payer: ChoiceCare Network Commercial |
$469.19
|
| Rate for Payer: Cigna of WY Commercial |
$474.03
|
| Rate for Payer: Entrust Commercial |
$459.52
|
| Rate for Payer: First Choice Health Commercial |
$459.52
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$459.52
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$280.55
|
| Rate for Payer: HealthUtah PPO |
$483.70
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$469.19
|
| Rate for Payer: Multiplan Medicare/VA |
$266.52
|
| Rate for Payer: One Health Plan of WY PPO |
$474.03
|
| Rate for Payer: PacificSource Commercial |
$435.33
|
| Rate for Payer: PHCS PPO |
$474.03
|
| Rate for Payer: Three Rivers PPO |
$362.78
|
| Rate for Payer: TriWest Veterans Administration |
$280.55
|
| Rate for Payer: United Healthcare Commercial |
$420.82
|
| Rate for Payer: United Healthcare Medicare |
$280.55
|
| Rate for Payer: WINHealth Partners Commercial |
$474.03
|
| Rate for Payer: Wise Provider Network Commercial |
$459.52
|
|
|
NEEDLE EZIO 45MM YELLOW 15G
|
Facility
|
IP
|
$483.70
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$303.28 |
| Max. Negotiated Rate |
$483.70 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$474.03
|
| Rate for Payer: Altius Auto/Workers Compensation |
$464.35
|
| Rate for Payer: Altius Commercial |
$464.35
|
| Rate for Payer: Beech Street Commercial |
$474.03
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$397.12
|
| Rate for Payer: Cash Price |
$338.59
|
| Rate for Payer: ChoiceCare Network Commercial |
$469.19
|
| Rate for Payer: Cigna of WY Commercial |
$474.03
|
| Rate for Payer: Entrust Commercial |
$459.52
|
| Rate for Payer: First Choice Health Commercial |
$459.52
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$459.52
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$319.24
|
| Rate for Payer: HealthUtah PPO |
$483.70
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$469.19
|
| Rate for Payer: Multiplan Medicare/VA |
$303.28
|
| Rate for Payer: One Health Plan of WY PPO |
$474.03
|
| Rate for Payer: PacificSource Commercial |
$435.33
|
| Rate for Payer: PHCS PPO |
$474.03
|
| Rate for Payer: Three Rivers PPO |
$362.78
|
| Rate for Payer: TriWest Veterans Administration |
$319.24
|
| Rate for Payer: United Healthcare Commercial |
$420.82
|
| Rate for Payer: United Healthcare Medicare |
$319.24
|
| Rate for Payer: WINHealth Partners Commercial |
$459.52
|
| Rate for Payer: Wise Provider Network Commercial |
$459.52
|
|
