|
NEEDLE FERGUSON 1/2 CIRCLE SZ 18
|
Facility
|
OP
|
$18.51
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.20 |
| Max. Negotiated Rate |
$18.51 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$18.14
|
| Rate for Payer: Aetna of WY Medicare |
$12.22
|
| Rate for Payer: Altius Auto/Workers Compensation |
$17.77
|
| Rate for Payer: Altius Commercial |
$17.77
|
| Rate for Payer: Beech Street Commercial |
$18.14
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$15.20
|
| Rate for Payer: Cash Price |
$12.96
|
| Rate for Payer: ChoiceCare Network Commercial |
$17.95
|
| Rate for Payer: Cigna of WY Commercial |
$18.14
|
| Rate for Payer: Entrust Commercial |
$17.58
|
| Rate for Payer: First Choice Health Commercial |
$17.58
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$17.58
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$10.74
|
| Rate for Payer: HealthUtah PPO |
$18.51
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$17.95
|
| Rate for Payer: Multiplan Medicare/VA |
$10.20
|
| Rate for Payer: One Health Plan of WY PPO |
$18.14
|
| Rate for Payer: PacificSource Commercial |
$16.66
|
| Rate for Payer: PHCS PPO |
$18.14
|
| Rate for Payer: Three Rivers PPO |
$13.88
|
| Rate for Payer: TriWest Veterans Administration |
$10.74
|
| Rate for Payer: United Healthcare Commercial |
$16.10
|
| Rate for Payer: United Healthcare Medicare |
$10.74
|
| Rate for Payer: WINHealth Partners Commercial |
$18.14
|
| Rate for Payer: Wise Provider Network Commercial |
$17.58
|
|
|
NEEDLE FERGUSON 1/2 CIRCLE SZ 18
|
Facility
|
IP
|
$18.51
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$11.61 |
| Max. Negotiated Rate |
$18.51 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$18.14
|
| Rate for Payer: Altius Auto/Workers Compensation |
$17.77
|
| Rate for Payer: Altius Commercial |
$17.77
|
| Rate for Payer: Beech Street Commercial |
$18.14
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$15.20
|
| Rate for Payer: Cash Price |
$12.96
|
| Rate for Payer: ChoiceCare Network Commercial |
$17.95
|
| Rate for Payer: Cigna of WY Commercial |
$18.14
|
| Rate for Payer: Entrust Commercial |
$17.58
|
| Rate for Payer: First Choice Health Commercial |
$17.58
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$17.58
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$12.22
|
| Rate for Payer: HealthUtah PPO |
$18.51
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$17.95
|
| Rate for Payer: Multiplan Medicare/VA |
$11.61
|
| Rate for Payer: One Health Plan of WY PPO |
$18.14
|
| Rate for Payer: PacificSource Commercial |
$16.66
|
| Rate for Payer: PHCS PPO |
$18.14
|
| Rate for Payer: Three Rivers PPO |
$13.88
|
| Rate for Payer: TriWest Veterans Administration |
$12.22
|
| Rate for Payer: United Healthcare Commercial |
$16.10
|
| Rate for Payer: United Healthcare Medicare |
$12.22
|
| Rate for Payer: WINHealth Partners Commercial |
$17.58
|
| Rate for Payer: Wise Provider Network Commercial |
$17.58
|
|
|
NEEDLE GUIDE QUICK GE ULTRASOUND
|
Facility
|
OP
|
$82.10
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$45.24 |
| Max. Negotiated Rate |
$82.10 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$80.46
|
| Rate for Payer: Aetna of WY Medicare |
$54.19
|
| Rate for Payer: Altius Auto/Workers Compensation |
$78.82
|
| Rate for Payer: Altius Commercial |
$78.82
|
| Rate for Payer: Beech Street Commercial |
$80.46
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$67.40
|
| Rate for Payer: Cash Price |
$57.47
|
| Rate for Payer: ChoiceCare Network Commercial |
$79.64
|
| Rate for Payer: Cigna of WY Commercial |
$80.46
|
| Rate for Payer: Entrust Commercial |
$78.00
|
| Rate for Payer: First Choice Health Commercial |
$78.00
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$78.00
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$47.62
|
| Rate for Payer: HealthUtah PPO |
$82.10
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$79.64
|
| Rate for Payer: Multiplan Medicare/VA |
$45.24
|
| Rate for Payer: One Health Plan of WY PPO |
$80.46
|
| Rate for Payer: PacificSource Commercial |
$73.89
|
| Rate for Payer: PHCS PPO |
$80.46
|
| Rate for Payer: Three Rivers PPO |
$61.58
|
| Rate for Payer: TriWest Veterans Administration |
$47.62
|
| Rate for Payer: United Healthcare Commercial |
$71.43
|
| Rate for Payer: United Healthcare Medicare |
$47.62
|
| Rate for Payer: WINHealth Partners Commercial |
$80.46
|
| Rate for Payer: Wise Provider Network Commercial |
$78.00
|
|
|
NEEDLE GUIDE QUICK GE ULTRASOUND
|
Facility
|
IP
|
$82.10
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$51.48 |
| Max. Negotiated Rate |
$82.10 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$80.46
|
| Rate for Payer: Altius Auto/Workers Compensation |
$78.82
|
| Rate for Payer: Altius Commercial |
$78.82
|
| Rate for Payer: Beech Street Commercial |
$80.46
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$67.40
|
| Rate for Payer: Cash Price |
$57.47
|
| Rate for Payer: ChoiceCare Network Commercial |
$79.64
|
| Rate for Payer: Cigna of WY Commercial |
$80.46
|
| Rate for Payer: Entrust Commercial |
$78.00
|
| Rate for Payer: First Choice Health Commercial |
$78.00
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$78.00
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$54.19
|
| Rate for Payer: HealthUtah PPO |
$82.10
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$79.64
|
| Rate for Payer: Multiplan Medicare/VA |
$51.48
|
| Rate for Payer: One Health Plan of WY PPO |
$80.46
|
| Rate for Payer: PacificSource Commercial |
$73.89
|
| Rate for Payer: PHCS PPO |
$80.46
|
| Rate for Payer: Three Rivers PPO |
$61.58
|
| Rate for Payer: TriWest Veterans Administration |
$54.19
|
| Rate for Payer: United Healthcare Commercial |
$71.43
|
| Rate for Payer: United Healthcare Medicare |
$54.19
|
| Rate for Payer: WINHealth Partners Commercial |
$78.00
|
| Rate for Payer: Wise Provider Network Commercial |
$78.00
|
|
|
NEEDLE HUBER MINILOC 20G 1"
|
Facility
|
OP
|
$17.64
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.72 |
| Max. Negotiated Rate |
$17.64 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$17.29
|
| Rate for Payer: Aetna of WY Medicare |
$11.64
|
| Rate for Payer: Altius Auto/Workers Compensation |
$16.93
|
| Rate for Payer: Altius Commercial |
$16.93
|
| Rate for Payer: Beech Street Commercial |
$17.29
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$14.48
|
| Rate for Payer: Cash Price |
$12.35
|
| Rate for Payer: ChoiceCare Network Commercial |
$17.11
|
| Rate for Payer: Cigna of WY Commercial |
$17.29
|
| Rate for Payer: Entrust Commercial |
$16.76
|
| Rate for Payer: First Choice Health Commercial |
$16.76
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$16.76
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$10.23
|
| Rate for Payer: HealthUtah PPO |
$17.64
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$17.11
|
| Rate for Payer: Multiplan Medicare/VA |
$9.72
|
| Rate for Payer: One Health Plan of WY PPO |
$17.29
|
| Rate for Payer: PacificSource Commercial |
$15.88
|
| Rate for Payer: PHCS PPO |
$17.29
|
| Rate for Payer: Three Rivers PPO |
$13.23
|
| Rate for Payer: TriWest Veterans Administration |
$10.23
|
| Rate for Payer: United Healthcare Commercial |
$15.35
|
| Rate for Payer: United Healthcare Medicare |
$10.23
|
| Rate for Payer: WINHealth Partners Commercial |
$17.29
|
| Rate for Payer: Wise Provider Network Commercial |
$16.76
|
|
|
NEEDLE HUBER MINILOC 20G 1"
|
Facility
|
IP
|
$17.64
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$11.06 |
| Max. Negotiated Rate |
$17.64 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$17.29
|
| Rate for Payer: Altius Auto/Workers Compensation |
$16.93
|
| Rate for Payer: Altius Commercial |
$16.93
|
| Rate for Payer: Beech Street Commercial |
$17.29
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$14.48
|
| Rate for Payer: Cash Price |
$12.35
|
| Rate for Payer: ChoiceCare Network Commercial |
$17.11
|
| Rate for Payer: Cigna of WY Commercial |
$17.29
|
| Rate for Payer: Entrust Commercial |
$16.76
|
| Rate for Payer: First Choice Health Commercial |
$16.76
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$16.76
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$11.64
|
| Rate for Payer: HealthUtah PPO |
$17.64
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$17.11
|
| Rate for Payer: Multiplan Medicare/VA |
$11.06
|
| Rate for Payer: One Health Plan of WY PPO |
$17.29
|
| Rate for Payer: PacificSource Commercial |
$15.88
|
| Rate for Payer: PHCS PPO |
$17.29
|
| Rate for Payer: Three Rivers PPO |
$13.23
|
| Rate for Payer: TriWest Veterans Administration |
$11.64
|
| Rate for Payer: United Healthcare Commercial |
$15.35
|
| Rate for Payer: United Healthcare Medicare |
$11.64
|
| Rate for Payer: WINHealth Partners Commercial |
$16.76
|
| Rate for Payer: Wise Provider Network Commercial |
$16.76
|
|
|
NEEDLE HUBER MINILOC 20G 3/4"
|
Facility
|
OP
|
$17.64
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.72 |
| Max. Negotiated Rate |
$17.64 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$17.29
|
| Rate for Payer: Aetna of WY Medicare |
$11.64
|
| Rate for Payer: Altius Auto/Workers Compensation |
$16.93
|
| Rate for Payer: Altius Commercial |
$16.93
|
| Rate for Payer: Beech Street Commercial |
$17.29
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$14.48
|
| Rate for Payer: Cash Price |
$12.35
|
| Rate for Payer: ChoiceCare Network Commercial |
$17.11
|
| Rate for Payer: Cigna of WY Commercial |
$17.29
|
| Rate for Payer: Entrust Commercial |
$16.76
|
| Rate for Payer: First Choice Health Commercial |
$16.76
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$16.76
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$10.23
|
| Rate for Payer: HealthUtah PPO |
$17.64
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$17.11
|
| Rate for Payer: Multiplan Medicare/VA |
$9.72
|
| Rate for Payer: One Health Plan of WY PPO |
$17.29
|
| Rate for Payer: PacificSource Commercial |
$15.88
|
| Rate for Payer: PHCS PPO |
$17.29
|
| Rate for Payer: Three Rivers PPO |
$13.23
|
| Rate for Payer: TriWest Veterans Administration |
$10.23
|
| Rate for Payer: United Healthcare Commercial |
$15.35
|
| Rate for Payer: United Healthcare Medicare |
$10.23
|
| Rate for Payer: WINHealth Partners Commercial |
$17.29
|
| Rate for Payer: Wise Provider Network Commercial |
$16.76
|
|
|
NEEDLE HUBER MINILOC 20G 3/4"
|
Facility
|
IP
|
$17.64
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$11.06 |
| Max. Negotiated Rate |
$17.64 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$17.29
|
| Rate for Payer: Altius Auto/Workers Compensation |
$16.93
|
| Rate for Payer: Altius Commercial |
$16.93
|
| Rate for Payer: Beech Street Commercial |
$17.29
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$14.48
|
| Rate for Payer: Cash Price |
$12.35
|
| Rate for Payer: ChoiceCare Network Commercial |
$17.11
|
| Rate for Payer: Cigna of WY Commercial |
$17.29
|
| Rate for Payer: Entrust Commercial |
$16.76
|
| Rate for Payer: First Choice Health Commercial |
$16.76
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$16.76
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$11.64
|
| Rate for Payer: HealthUtah PPO |
$17.64
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$17.11
|
| Rate for Payer: Multiplan Medicare/VA |
$11.06
|
| Rate for Payer: One Health Plan of WY PPO |
$17.29
|
| Rate for Payer: PacificSource Commercial |
$15.88
|
| Rate for Payer: PHCS PPO |
$17.29
|
| Rate for Payer: Three Rivers PPO |
$13.23
|
| Rate for Payer: TriWest Veterans Administration |
$11.64
|
| Rate for Payer: United Healthcare Commercial |
$15.35
|
| Rate for Payer: United Healthcare Medicare |
$11.64
|
| Rate for Payer: WINHealth Partners Commercial |
$16.76
|
| Rate for Payer: Wise Provider Network Commercial |
$16.76
|
|
|
NEEDLE HUBER POWERLOC 20G .75"
|
Facility
|
OP
|
$21.04
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$11.59 |
| Max. Negotiated Rate |
$21.04 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$20.62
|
| Rate for Payer: Aetna of WY Medicare |
$13.89
|
| Rate for Payer: Altius Auto/Workers Compensation |
$20.20
|
| Rate for Payer: Altius Commercial |
$20.20
|
| Rate for Payer: Beech Street Commercial |
$20.62
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$17.27
|
| Rate for Payer: Cash Price |
$14.72
|
| Rate for Payer: ChoiceCare Network Commercial |
$20.41
|
| Rate for Payer: Cigna of WY Commercial |
$20.62
|
| Rate for Payer: Entrust Commercial |
$19.99
|
| Rate for Payer: First Choice Health Commercial |
$19.99
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$19.99
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$12.20
|
| Rate for Payer: HealthUtah PPO |
$21.04
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$20.41
|
| Rate for Payer: Multiplan Medicare/VA |
$11.59
|
| Rate for Payer: One Health Plan of WY PPO |
$20.62
|
| Rate for Payer: PacificSource Commercial |
$18.94
|
| Rate for Payer: PHCS PPO |
$20.62
|
| Rate for Payer: Three Rivers PPO |
$15.78
|
| Rate for Payer: TriWest Veterans Administration |
$12.20
|
| Rate for Payer: United Healthcare Commercial |
$18.30
|
| Rate for Payer: United Healthcare Medicare |
$12.20
|
| Rate for Payer: WINHealth Partners Commercial |
$20.62
|
| Rate for Payer: Wise Provider Network Commercial |
$19.99
|
|
|
NEEDLE HUBER POWERLOC 20G .75"
|
Facility
|
IP
|
$21.04
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$13.19 |
| Max. Negotiated Rate |
$21.04 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$20.62
|
| Rate for Payer: Altius Auto/Workers Compensation |
$20.20
|
| Rate for Payer: Altius Commercial |
$20.20
|
| Rate for Payer: Beech Street Commercial |
$20.62
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$17.27
|
| Rate for Payer: Cash Price |
$14.72
|
| Rate for Payer: ChoiceCare Network Commercial |
$20.41
|
| Rate for Payer: Cigna of WY Commercial |
$20.62
|
| Rate for Payer: Entrust Commercial |
$19.99
|
| Rate for Payer: First Choice Health Commercial |
$19.99
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$19.99
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$13.89
|
| Rate for Payer: HealthUtah PPO |
$21.04
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$20.41
|
| Rate for Payer: Multiplan Medicare/VA |
$13.19
|
| Rate for Payer: One Health Plan of WY PPO |
$20.62
|
| Rate for Payer: PacificSource Commercial |
$18.94
|
| Rate for Payer: PHCS PPO |
$20.62
|
| Rate for Payer: Three Rivers PPO |
$15.78
|
| Rate for Payer: TriWest Veterans Administration |
$13.89
|
| Rate for Payer: United Healthcare Commercial |
$18.30
|
| Rate for Payer: United Healthcare Medicare |
$13.89
|
| Rate for Payer: WINHealth Partners Commercial |
$19.99
|
| Rate for Payer: Wise Provider Network Commercial |
$19.99
|
|
|
NEEDLE HUBER SAFESTEP 20G 1/2"
|
Facility
|
IP
|
$14.24
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.93 |
| Max. Negotiated Rate |
$14.24 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$13.96
|
| Rate for Payer: Altius Auto/Workers Compensation |
$13.67
|
| Rate for Payer: Altius Commercial |
$13.67
|
| Rate for Payer: Beech Street Commercial |
$13.96
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$11.69
|
| Rate for Payer: Cash Price |
$9.97
|
| Rate for Payer: ChoiceCare Network Commercial |
$13.81
|
| Rate for Payer: Cigna of WY Commercial |
$13.96
|
| Rate for Payer: Entrust Commercial |
$13.53
|
| Rate for Payer: First Choice Health Commercial |
$13.53
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$13.53
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$9.40
|
| Rate for Payer: HealthUtah PPO |
$14.24
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$13.81
|
| Rate for Payer: Multiplan Medicare/VA |
$8.93
|
| Rate for Payer: One Health Plan of WY PPO |
$13.96
|
| Rate for Payer: PacificSource Commercial |
$12.82
|
| Rate for Payer: PHCS PPO |
$13.96
|
| Rate for Payer: Three Rivers PPO |
$10.68
|
| Rate for Payer: TriWest Veterans Administration |
$9.40
|
| Rate for Payer: United Healthcare Commercial |
$12.39
|
| Rate for Payer: United Healthcare Medicare |
$9.40
|
| Rate for Payer: WINHealth Partners Commercial |
$13.53
|
| Rate for Payer: Wise Provider Network Commercial |
$13.53
|
|
|
NEEDLE HUBER SAFESTEP 20G 1/2"
|
Facility
|
OP
|
$14.24
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.85 |
| Max. Negotiated Rate |
$14.24 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$13.96
|
| Rate for Payer: Aetna of WY Medicare |
$9.40
|
| Rate for Payer: Altius Auto/Workers Compensation |
$13.67
|
| Rate for Payer: Altius Commercial |
$13.67
|
| Rate for Payer: Beech Street Commercial |
$13.96
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$11.69
|
| Rate for Payer: Cash Price |
$9.97
|
| Rate for Payer: ChoiceCare Network Commercial |
$13.81
|
| Rate for Payer: Cigna of WY Commercial |
$13.96
|
| Rate for Payer: Entrust Commercial |
$13.53
|
| Rate for Payer: First Choice Health Commercial |
$13.53
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$13.53
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$8.26
|
| Rate for Payer: HealthUtah PPO |
$14.24
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$13.81
|
| Rate for Payer: Multiplan Medicare/VA |
$7.85
|
| Rate for Payer: One Health Plan of WY PPO |
$13.96
|
| Rate for Payer: PacificSource Commercial |
$12.82
|
| Rate for Payer: PHCS PPO |
$13.96
|
| Rate for Payer: Three Rivers PPO |
$10.68
|
| Rate for Payer: TriWest Veterans Administration |
$8.26
|
| Rate for Payer: United Healthcare Commercial |
$12.39
|
| Rate for Payer: United Healthcare Medicare |
$8.26
|
| Rate for Payer: WINHealth Partners Commercial |
$13.96
|
| Rate for Payer: Wise Provider Network Commercial |
$13.53
|
|
|
NEEDLE KEITH ABDOMINAL 1827-2D
|
Facility
|
OP
|
$13.41
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.39 |
| Max. Negotiated Rate |
$13.41 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$13.14
|
| Rate for Payer: Aetna of WY Medicare |
$8.85
|
| Rate for Payer: Altius Auto/Workers Compensation |
$12.87
|
| Rate for Payer: Altius Commercial |
$12.87
|
| Rate for Payer: Beech Street Commercial |
$13.14
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$11.01
|
| Rate for Payer: Cash Price |
$9.39
|
| Rate for Payer: ChoiceCare Network Commercial |
$13.01
|
| Rate for Payer: Cigna of WY Commercial |
$13.14
|
| Rate for Payer: Entrust Commercial |
$12.74
|
| Rate for Payer: First Choice Health Commercial |
$12.74
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$12.74
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$7.78
|
| Rate for Payer: HealthUtah PPO |
$13.41
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$13.01
|
| Rate for Payer: Multiplan Medicare/VA |
$7.39
|
| Rate for Payer: One Health Plan of WY PPO |
$13.14
|
| Rate for Payer: PacificSource Commercial |
$12.07
|
| Rate for Payer: PHCS PPO |
$13.14
|
| Rate for Payer: Three Rivers PPO |
$10.06
|
| Rate for Payer: TriWest Veterans Administration |
$7.78
|
| Rate for Payer: United Healthcare Commercial |
$11.67
|
| Rate for Payer: United Healthcare Medicare |
$7.78
|
| Rate for Payer: WINHealth Partners Commercial |
$13.14
|
| Rate for Payer: Wise Provider Network Commercial |
$12.74
|
|
|
NEEDLE KEITH ABDOMINAL 1827-2D
|
Facility
|
IP
|
$13.41
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.41 |
| Max. Negotiated Rate |
$13.41 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$13.14
|
| Rate for Payer: Altius Auto/Workers Compensation |
$12.87
|
| Rate for Payer: Altius Commercial |
$12.87
|
| Rate for Payer: Beech Street Commercial |
$13.14
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$11.01
|
| Rate for Payer: Cash Price |
$9.39
|
| Rate for Payer: ChoiceCare Network Commercial |
$13.01
|
| Rate for Payer: Cigna of WY Commercial |
$13.14
|
| Rate for Payer: Entrust Commercial |
$12.74
|
| Rate for Payer: First Choice Health Commercial |
$12.74
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$12.74
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$8.85
|
| Rate for Payer: HealthUtah PPO |
$13.41
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$13.01
|
| Rate for Payer: Multiplan Medicare/VA |
$8.41
|
| Rate for Payer: One Health Plan of WY PPO |
$13.14
|
| Rate for Payer: PacificSource Commercial |
$12.07
|
| Rate for Payer: PHCS PPO |
$13.14
|
| Rate for Payer: Three Rivers PPO |
$10.06
|
| Rate for Payer: TriWest Veterans Administration |
$8.85
|
| Rate for Payer: United Healthcare Commercial |
$11.67
|
| Rate for Payer: United Healthcare Medicare |
$8.85
|
| Rate for Payer: WINHealth Partners Commercial |
$12.74
|
| Rate for Payer: Wise Provider Network Commercial |
$12.74
|
|
|
NEEDLE MARTIN 4D 1860-4
|
Facility
|
OP
|
$19.45
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.72 |
| Max. Negotiated Rate |
$19.45 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$19.06
|
| Rate for Payer: Aetna of WY Medicare |
$12.84
|
| Rate for Payer: Altius Auto/Workers Compensation |
$18.67
|
| Rate for Payer: Altius Commercial |
$18.67
|
| Rate for Payer: Beech Street Commercial |
$19.06
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$15.97
|
| Rate for Payer: Cash Price |
$13.61
|
| Rate for Payer: ChoiceCare Network Commercial |
$18.87
|
| Rate for Payer: Cigna of WY Commercial |
$19.06
|
| Rate for Payer: Entrust Commercial |
$18.48
|
| Rate for Payer: First Choice Health Commercial |
$18.48
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$18.48
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$11.28
|
| Rate for Payer: HealthUtah PPO |
$19.45
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$18.87
|
| Rate for Payer: Multiplan Medicare/VA |
$10.72
|
| Rate for Payer: One Health Plan of WY PPO |
$19.06
|
| Rate for Payer: PacificSource Commercial |
$17.50
|
| Rate for Payer: PHCS PPO |
$19.06
|
| Rate for Payer: Three Rivers PPO |
$14.59
|
| Rate for Payer: TriWest Veterans Administration |
$11.28
|
| Rate for Payer: United Healthcare Commercial |
$16.92
|
| Rate for Payer: United Healthcare Medicare |
$11.28
|
| Rate for Payer: WINHealth Partners Commercial |
$19.06
|
| Rate for Payer: Wise Provider Network Commercial |
$18.48
|
|
|
NEEDLE MARTIN 4D 1860-4
|
Facility
|
IP
|
$19.45
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$12.20 |
| Max. Negotiated Rate |
$19.45 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$19.06
|
| Rate for Payer: Altius Auto/Workers Compensation |
$18.67
|
| Rate for Payer: Altius Commercial |
$18.67
|
| Rate for Payer: Beech Street Commercial |
$19.06
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$15.97
|
| Rate for Payer: Cash Price |
$13.61
|
| Rate for Payer: ChoiceCare Network Commercial |
$18.87
|
| Rate for Payer: Cigna of WY Commercial |
$19.06
|
| Rate for Payer: Entrust Commercial |
$18.48
|
| Rate for Payer: First Choice Health Commercial |
$18.48
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$18.48
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$12.84
|
| Rate for Payer: HealthUtah PPO |
$19.45
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$18.87
|
| Rate for Payer: Multiplan Medicare/VA |
$12.20
|
| Rate for Payer: One Health Plan of WY PPO |
$19.06
|
| Rate for Payer: PacificSource Commercial |
$17.50
|
| Rate for Payer: PHCS PPO |
$19.06
|
| Rate for Payer: Three Rivers PPO |
$14.59
|
| Rate for Payer: TriWest Veterans Administration |
$12.84
|
| Rate for Payer: United Healthcare Commercial |
$16.92
|
| Rate for Payer: United Healthcare Medicare |
$12.84
|
| Rate for Payer: WINHealth Partners Commercial |
$18.48
|
| Rate for Payer: Wise Provider Network Commercial |
$18.48
|
|
|
NEEDLE MARTIN 6D 1860-6
|
Facility
|
OP
|
$20.40
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$11.24 |
| Max. Negotiated Rate |
$20.40 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$19.99
|
| Rate for Payer: Aetna of WY Medicare |
$13.46
|
| Rate for Payer: Altius Auto/Workers Compensation |
$19.58
|
| Rate for Payer: Altius Commercial |
$19.58
|
| Rate for Payer: Beech Street Commercial |
$19.99
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$16.75
|
| Rate for Payer: Cash Price |
$14.28
|
| Rate for Payer: ChoiceCare Network Commercial |
$19.79
|
| Rate for Payer: Cigna of WY Commercial |
$19.99
|
| Rate for Payer: Entrust Commercial |
$19.38
|
| Rate for Payer: First Choice Health Commercial |
$19.38
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$19.38
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$11.83
|
| Rate for Payer: HealthUtah PPO |
$20.40
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$19.79
|
| Rate for Payer: Multiplan Medicare/VA |
$11.24
|
| Rate for Payer: One Health Plan of WY PPO |
$19.99
|
| Rate for Payer: PacificSource Commercial |
$18.36
|
| Rate for Payer: PHCS PPO |
$19.99
|
| Rate for Payer: Three Rivers PPO |
$15.30
|
| Rate for Payer: TriWest Veterans Administration |
$11.83
|
| Rate for Payer: United Healthcare Commercial |
$17.75
|
| Rate for Payer: United Healthcare Medicare |
$11.83
|
| Rate for Payer: WINHealth Partners Commercial |
$19.99
|
| Rate for Payer: Wise Provider Network Commercial |
$19.38
|
|
|
NEEDLE MARTIN 6D 1860-6
|
Facility
|
IP
|
$20.40
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$12.79 |
| Max. Negotiated Rate |
$20.40 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$19.99
|
| Rate for Payer: Altius Auto/Workers Compensation |
$19.58
|
| Rate for Payer: Altius Commercial |
$19.58
|
| Rate for Payer: Beech Street Commercial |
$19.99
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$16.75
|
| Rate for Payer: Cash Price |
$14.28
|
| Rate for Payer: ChoiceCare Network Commercial |
$19.79
|
| Rate for Payer: Cigna of WY Commercial |
$19.99
|
| Rate for Payer: Entrust Commercial |
$19.38
|
| Rate for Payer: First Choice Health Commercial |
$19.38
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$19.38
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$13.46
|
| Rate for Payer: HealthUtah PPO |
$20.40
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$19.79
|
| Rate for Payer: Multiplan Medicare/VA |
$12.79
|
| Rate for Payer: One Health Plan of WY PPO |
$19.99
|
| Rate for Payer: PacificSource Commercial |
$18.36
|
| Rate for Payer: PHCS PPO |
$19.99
|
| Rate for Payer: Three Rivers PPO |
$15.30
|
| Rate for Payer: TriWest Veterans Administration |
$13.46
|
| Rate for Payer: United Healthcare Commercial |
$17.75
|
| Rate for Payer: United Healthcare Medicare |
$13.46
|
| Rate for Payer: WINHealth Partners Commercial |
$19.38
|
| Rate for Payer: Wise Provider Network Commercial |
$19.38
|
|
|
NEEDLE MAYO 3D 1823-3DC
|
Facility
|
OP
|
$14.86
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.19 |
| Max. Negotiated Rate |
$14.86 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$14.56
|
| Rate for Payer: Aetna of WY Medicare |
$9.81
|
| Rate for Payer: Altius Auto/Workers Compensation |
$14.27
|
| Rate for Payer: Altius Commercial |
$14.27
|
| Rate for Payer: Beech Street Commercial |
$14.56
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$12.20
|
| Rate for Payer: Cash Price |
$10.40
|
| Rate for Payer: ChoiceCare Network Commercial |
$14.41
|
| Rate for Payer: Cigna of WY Commercial |
$14.56
|
| Rate for Payer: Entrust Commercial |
$14.12
|
| Rate for Payer: First Choice Health Commercial |
$14.12
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$14.12
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$8.62
|
| Rate for Payer: HealthUtah PPO |
$14.86
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$14.41
|
| Rate for Payer: Multiplan Medicare/VA |
$8.19
|
| Rate for Payer: One Health Plan of WY PPO |
$14.56
|
| Rate for Payer: PacificSource Commercial |
$13.37
|
| Rate for Payer: PHCS PPO |
$14.56
|
| Rate for Payer: Three Rivers PPO |
$11.14
|
| Rate for Payer: TriWest Veterans Administration |
$8.62
|
| Rate for Payer: United Healthcare Commercial |
$12.93
|
| Rate for Payer: United Healthcare Medicare |
$8.62
|
| Rate for Payer: WINHealth Partners Commercial |
$14.56
|
| Rate for Payer: Wise Provider Network Commercial |
$14.12
|
|
|
NEEDLE MAYO 3D 1823-3DC
|
Facility
|
IP
|
$14.86
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.32 |
| Max. Negotiated Rate |
$14.86 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$14.56
|
| Rate for Payer: Altius Auto/Workers Compensation |
$14.27
|
| Rate for Payer: Altius Commercial |
$14.27
|
| Rate for Payer: Beech Street Commercial |
$14.56
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$12.20
|
| Rate for Payer: Cash Price |
$10.40
|
| Rate for Payer: ChoiceCare Network Commercial |
$14.41
|
| Rate for Payer: Cigna of WY Commercial |
$14.56
|
| Rate for Payer: Entrust Commercial |
$14.12
|
| Rate for Payer: First Choice Health Commercial |
$14.12
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$14.12
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$9.81
|
| Rate for Payer: HealthUtah PPO |
$14.86
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$14.41
|
| Rate for Payer: Multiplan Medicare/VA |
$9.32
|
| Rate for Payer: One Health Plan of WY PPO |
$14.56
|
| Rate for Payer: PacificSource Commercial |
$13.37
|
| Rate for Payer: PHCS PPO |
$14.56
|
| Rate for Payer: Three Rivers PPO |
$11.14
|
| Rate for Payer: TriWest Veterans Administration |
$9.81
|
| Rate for Payer: United Healthcare Commercial |
$12.93
|
| Rate for Payer: United Healthcare Medicare |
$9.81
|
| Rate for Payer: WINHealth Partners Commercial |
$14.12
|
| Rate for Payer: Wise Provider Network Commercial |
$14.12
|
|
|
NEEDLE MCGOWAN 3D 1859-3
|
Facility
|
IP
|
$18.51
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$11.61 |
| Max. Negotiated Rate |
$18.51 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$18.14
|
| Rate for Payer: Altius Auto/Workers Compensation |
$17.77
|
| Rate for Payer: Altius Commercial |
$17.77
|
| Rate for Payer: Beech Street Commercial |
$18.14
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$15.20
|
| Rate for Payer: Cash Price |
$12.96
|
| Rate for Payer: ChoiceCare Network Commercial |
$17.95
|
| Rate for Payer: Cigna of WY Commercial |
$18.14
|
| Rate for Payer: Entrust Commercial |
$17.58
|
| Rate for Payer: First Choice Health Commercial |
$17.58
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$17.58
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$12.22
|
| Rate for Payer: HealthUtah PPO |
$18.51
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$17.95
|
| Rate for Payer: Multiplan Medicare/VA |
$11.61
|
| Rate for Payer: One Health Plan of WY PPO |
$18.14
|
| Rate for Payer: PacificSource Commercial |
$16.66
|
| Rate for Payer: PHCS PPO |
$18.14
|
| Rate for Payer: Three Rivers PPO |
$13.88
|
| Rate for Payer: TriWest Veterans Administration |
$12.22
|
| Rate for Payer: United Healthcare Commercial |
$16.10
|
| Rate for Payer: United Healthcare Medicare |
$12.22
|
| Rate for Payer: WINHealth Partners Commercial |
$17.58
|
| Rate for Payer: Wise Provider Network Commercial |
$17.58
|
|
|
NEEDLE MCGOWAN 3D 1859-3
|
Facility
|
OP
|
$18.51
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.20 |
| Max. Negotiated Rate |
$18.51 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$18.14
|
| Rate for Payer: Aetna of WY Medicare |
$12.22
|
| Rate for Payer: Altius Auto/Workers Compensation |
$17.77
|
| Rate for Payer: Altius Commercial |
$17.77
|
| Rate for Payer: Beech Street Commercial |
$18.14
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$15.20
|
| Rate for Payer: Cash Price |
$12.96
|
| Rate for Payer: ChoiceCare Network Commercial |
$17.95
|
| Rate for Payer: Cigna of WY Commercial |
$18.14
|
| Rate for Payer: Entrust Commercial |
$17.58
|
| Rate for Payer: First Choice Health Commercial |
$17.58
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$17.58
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$10.74
|
| Rate for Payer: HealthUtah PPO |
$18.51
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$17.95
|
| Rate for Payer: Multiplan Medicare/VA |
$10.20
|
| Rate for Payer: One Health Plan of WY PPO |
$18.14
|
| Rate for Payer: PacificSource Commercial |
$16.66
|
| Rate for Payer: PHCS PPO |
$18.14
|
| Rate for Payer: Three Rivers PPO |
$13.88
|
| Rate for Payer: TriWest Veterans Administration |
$10.74
|
| Rate for Payer: United Healthcare Commercial |
$16.10
|
| Rate for Payer: United Healthcare Medicare |
$10.74
|
| Rate for Payer: WINHealth Partners Commercial |
$18.14
|
| Rate for Payer: Wise Provider Network Commercial |
$17.58
|
|
|
NEEDLE MCGOWAN 5D 1859-5
|
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 MCGOWAN 5D 1859-5
|
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 ORTHOPEDIC 9/16 CIRCLE SZ 8
|
Facility
|
IP
|
$18.51
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$11.61 |
| Max. Negotiated Rate |
$18.51 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$18.14
|
| Rate for Payer: Altius Auto/Workers Compensation |
$17.77
|
| Rate for Payer: Altius Commercial |
$17.77
|
| Rate for Payer: Beech Street Commercial |
$18.14
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$15.20
|
| Rate for Payer: Cash Price |
$12.96
|
| Rate for Payer: ChoiceCare Network Commercial |
$17.95
|
| Rate for Payer: Cigna of WY Commercial |
$18.14
|
| Rate for Payer: Entrust Commercial |
$17.58
|
| Rate for Payer: First Choice Health Commercial |
$17.58
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$17.58
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$12.22
|
| Rate for Payer: HealthUtah PPO |
$18.51
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$17.95
|
| Rate for Payer: Multiplan Medicare/VA |
$11.61
|
| Rate for Payer: One Health Plan of WY PPO |
$18.14
|
| Rate for Payer: PacificSource Commercial |
$16.66
|
| Rate for Payer: PHCS PPO |
$18.14
|
| Rate for Payer: Three Rivers PPO |
$13.88
|
| Rate for Payer: TriWest Veterans Administration |
$12.22
|
| Rate for Payer: United Healthcare Commercial |
$16.10
|
| Rate for Payer: United Healthcare Medicare |
$12.22
|
| Rate for Payer: WINHealth Partners Commercial |
$17.58
|
| Rate for Payer: Wise Provider Network Commercial |
$17.58
|
|
