|
NEEDLE ORTHOPEDIC 9/16 CIRCLE SZ 8
|
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 PASS MED CERCLAGE 7816
|
Facility
|
OP
|
$388.36
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$213.99 |
| Max. Negotiated Rate |
$388.36 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$380.59
|
| Rate for Payer: Aetna of WY Medicare |
$256.32
|
| Rate for Payer: Altius Auto/Workers Compensation |
$372.83
|
| Rate for Payer: Altius Commercial |
$372.83
|
| Rate for Payer: Beech Street Commercial |
$380.59
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$318.84
|
| Rate for Payer: Cash Price |
$271.85
|
| Rate for Payer: ChoiceCare Network Commercial |
$376.71
|
| Rate for Payer: Cigna of WY Commercial |
$380.59
|
| Rate for Payer: Entrust Commercial |
$368.94
|
| Rate for Payer: First Choice Health Commercial |
$368.94
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$368.94
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$225.25
|
| Rate for Payer: HealthUtah PPO |
$388.36
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$376.71
|
| Rate for Payer: Multiplan Medicare/VA |
$213.99
|
| Rate for Payer: One Health Plan of WY PPO |
$380.59
|
| Rate for Payer: PacificSource Commercial |
$349.52
|
| Rate for Payer: PHCS PPO |
$380.59
|
| Rate for Payer: Three Rivers PPO |
$291.27
|
| Rate for Payer: TriWest Veterans Administration |
$225.25
|
| Rate for Payer: United Healthcare Commercial |
$337.87
|
| Rate for Payer: United Healthcare Medicare |
$225.25
|
| Rate for Payer: WINHealth Partners Commercial |
$380.59
|
| Rate for Payer: Wise Provider Network Commercial |
$368.94
|
|
|
NEEDLE PASS MED CERCLAGE 7816
|
Facility
|
IP
|
$388.36
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$243.50 |
| Max. Negotiated Rate |
$388.36 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$380.59
|
| Rate for Payer: Altius Auto/Workers Compensation |
$372.83
|
| Rate for Payer: Altius Commercial |
$372.83
|
| Rate for Payer: Beech Street Commercial |
$380.59
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$318.84
|
| Rate for Payer: Cash Price |
$271.85
|
| Rate for Payer: ChoiceCare Network Commercial |
$376.71
|
| Rate for Payer: Cigna of WY Commercial |
$380.59
|
| Rate for Payer: Entrust Commercial |
$368.94
|
| Rate for Payer: First Choice Health Commercial |
$368.94
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$368.94
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$256.32
|
| Rate for Payer: HealthUtah PPO |
$388.36
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$376.71
|
| Rate for Payer: Multiplan Medicare/VA |
$243.50
|
| Rate for Payer: One Health Plan of WY PPO |
$380.59
|
| Rate for Payer: PacificSource Commercial |
$349.52
|
| Rate for Payer: PHCS PPO |
$380.59
|
| Rate for Payer: Three Rivers PPO |
$291.27
|
| Rate for Payer: TriWest Veterans Administration |
$256.32
|
| Rate for Payer: United Healthcare Commercial |
$337.87
|
| Rate for Payer: United Healthcare Medicare |
$256.32
|
| Rate for Payer: WINHealth Partners Commercial |
$368.94
|
| Rate for Payer: Wise Provider Network Commercial |
$368.94
|
|
|
NEEDLE PERCUTANEOUS ENTRY THINWALL 19G
|
Facility
|
IP
|
$19.25
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$12.07 |
| Max. Negotiated Rate |
$19.25 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$18.86
|
| Rate for Payer: Altius Auto/Workers Compensation |
$18.48
|
| Rate for Payer: Altius Commercial |
$18.48
|
| Rate for Payer: Beech Street Commercial |
$18.86
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$15.80
|
| Rate for Payer: Cash Price |
$13.47
|
| Rate for Payer: ChoiceCare Network Commercial |
$18.67
|
| Rate for Payer: Cigna of WY Commercial |
$18.86
|
| Rate for Payer: Entrust Commercial |
$18.29
|
| Rate for Payer: First Choice Health Commercial |
$18.29
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$18.29
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$12.70
|
| Rate for Payer: HealthUtah PPO |
$19.25
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$18.67
|
| Rate for Payer: Multiplan Medicare/VA |
$12.07
|
| Rate for Payer: One Health Plan of WY PPO |
$18.86
|
| Rate for Payer: PacificSource Commercial |
$17.32
|
| Rate for Payer: PHCS PPO |
$18.86
|
| Rate for Payer: Three Rivers PPO |
$14.44
|
| Rate for Payer: TriWest Veterans Administration |
$12.70
|
| Rate for Payer: United Healthcare Commercial |
$16.75
|
| Rate for Payer: United Healthcare Medicare |
$12.70
|
| Rate for Payer: WINHealth Partners Commercial |
$18.29
|
| Rate for Payer: Wise Provider Network Commercial |
$18.29
|
|
|
NEEDLE PERCUTANEOUS ENTRY THINWALL 19G
|
Facility
|
OP
|
$19.25
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.61 |
| Max. Negotiated Rate |
$19.25 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$18.86
|
| Rate for Payer: Aetna of WY Medicare |
$12.70
|
| Rate for Payer: Altius Auto/Workers Compensation |
$18.48
|
| Rate for Payer: Altius Commercial |
$18.48
|
| Rate for Payer: Beech Street Commercial |
$18.86
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$15.80
|
| Rate for Payer: Cash Price |
$13.47
|
| Rate for Payer: ChoiceCare Network Commercial |
$18.67
|
| Rate for Payer: Cigna of WY Commercial |
$18.86
|
| Rate for Payer: Entrust Commercial |
$18.29
|
| Rate for Payer: First Choice Health Commercial |
$18.29
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$18.29
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$11.16
|
| Rate for Payer: HealthUtah PPO |
$19.25
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$18.67
|
| Rate for Payer: Multiplan Medicare/VA |
$10.61
|
| Rate for Payer: One Health Plan of WY PPO |
$18.86
|
| Rate for Payer: PacificSource Commercial |
$17.32
|
| Rate for Payer: PHCS PPO |
$18.86
|
| Rate for Payer: Three Rivers PPO |
$14.44
|
| Rate for Payer: TriWest Veterans Administration |
$11.16
|
| Rate for Payer: United Healthcare Commercial |
$16.75
|
| Rate for Payer: United Healthcare Medicare |
$11.16
|
| Rate for Payer: WINHealth Partners Commercial |
$18.86
|
| Rate for Payer: Wise Provider Network Commercial |
$18.29
|
|
|
NEEDLE REINFORCED ANESTHESIA 27G 3.5" ENT
|
Facility
|
OP
|
$157.50
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$86.78 |
| Max. Negotiated Rate |
$157.50 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$154.35
|
| Rate for Payer: Aetna of WY Medicare |
$103.95
|
| Rate for Payer: Altius Auto/Workers Compensation |
$151.20
|
| Rate for Payer: Altius Commercial |
$151.20
|
| Rate for Payer: Beech Street Commercial |
$154.35
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$129.31
|
| Rate for Payer: Cash Price |
$110.25
|
| Rate for Payer: ChoiceCare Network Commercial |
$152.78
|
| Rate for Payer: Cigna of WY Commercial |
$154.35
|
| Rate for Payer: Entrust Commercial |
$149.62
|
| Rate for Payer: First Choice Health Commercial |
$149.62
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$149.62
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$91.35
|
| Rate for Payer: HealthUtah PPO |
$157.50
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$152.78
|
| Rate for Payer: Multiplan Medicare/VA |
$86.78
|
| Rate for Payer: One Health Plan of WY PPO |
$154.35
|
| Rate for Payer: PacificSource Commercial |
$141.75
|
| Rate for Payer: PHCS PPO |
$154.35
|
| Rate for Payer: Three Rivers PPO |
$118.12
|
| Rate for Payer: TriWest Veterans Administration |
$91.35
|
| Rate for Payer: United Healthcare Commercial |
$137.02
|
| Rate for Payer: United Healthcare Medicare |
$91.35
|
| Rate for Payer: WINHealth Partners Commercial |
$154.35
|
| Rate for Payer: Wise Provider Network Commercial |
$149.62
|
|
|
NEEDLE REINFORCED ANESTHESIA 27G 3.5" ENT
|
Facility
|
IP
|
$157.50
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$98.75 |
| Max. Negotiated Rate |
$157.50 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$154.35
|
| Rate for Payer: Altius Auto/Workers Compensation |
$151.20
|
| Rate for Payer: Altius Commercial |
$151.20
|
| Rate for Payer: Beech Street Commercial |
$154.35
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$129.31
|
| Rate for Payer: Cash Price |
$110.25
|
| Rate for Payer: ChoiceCare Network Commercial |
$152.78
|
| Rate for Payer: Cigna of WY Commercial |
$154.35
|
| Rate for Payer: Entrust Commercial |
$149.62
|
| Rate for Payer: First Choice Health Commercial |
$149.62
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$149.62
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$103.95
|
| Rate for Payer: HealthUtah PPO |
$157.50
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$152.78
|
| Rate for Payer: Multiplan Medicare/VA |
$98.75
|
| Rate for Payer: One Health Plan of WY PPO |
$154.35
|
| Rate for Payer: PacificSource Commercial |
$141.75
|
| Rate for Payer: PHCS PPO |
$154.35
|
| Rate for Payer: Three Rivers PPO |
$118.12
|
| Rate for Payer: TriWest Veterans Administration |
$103.95
|
| Rate for Payer: United Healthcare Commercial |
$137.02
|
| Rate for Payer: United Healthcare Medicare |
$103.95
|
| Rate for Payer: WINHealth Partners Commercial |
$149.62
|
| Rate for Payer: Wise Provider Network Commercial |
$149.62
|
|
|
NEEDLE RX-2 COUDE 107-1418
|
Facility
|
IP
|
$85.89
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$53.85 |
| Max. Negotiated Rate |
$85.89 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$84.17
|
| Rate for Payer: Altius Auto/Workers Compensation |
$82.45
|
| Rate for Payer: Altius Commercial |
$82.45
|
| Rate for Payer: Beech Street Commercial |
$84.17
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$70.52
|
| Rate for Payer: Cash Price |
$60.12
|
| Rate for Payer: ChoiceCare Network Commercial |
$83.31
|
| Rate for Payer: Cigna of WY Commercial |
$84.17
|
| Rate for Payer: Entrust Commercial |
$81.60
|
| Rate for Payer: First Choice Health Commercial |
$81.60
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$81.60
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$56.69
|
| Rate for Payer: HealthUtah PPO |
$85.89
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$83.31
|
| Rate for Payer: Multiplan Medicare/VA |
$53.85
|
| Rate for Payer: One Health Plan of WY PPO |
$84.17
|
| Rate for Payer: PacificSource Commercial |
$77.30
|
| Rate for Payer: PHCS PPO |
$84.17
|
| Rate for Payer: Three Rivers PPO |
$64.42
|
| Rate for Payer: TriWest Veterans Administration |
$56.69
|
| Rate for Payer: United Healthcare Commercial |
$74.72
|
| Rate for Payer: United Healthcare Medicare |
$56.69
|
| Rate for Payer: WINHealth Partners Commercial |
$81.60
|
| Rate for Payer: Wise Provider Network Commercial |
$81.60
|
|
|
NEEDLE RX-2 COUDE 107-1418
|
Facility
|
OP
|
$85.89
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$47.33 |
| Max. Negotiated Rate |
$85.89 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$84.17
|
| Rate for Payer: Aetna of WY Medicare |
$56.69
|
| Rate for Payer: Altius Auto/Workers Compensation |
$82.45
|
| Rate for Payer: Altius Commercial |
$82.45
|
| Rate for Payer: Beech Street Commercial |
$84.17
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$70.52
|
| Rate for Payer: Cash Price |
$60.12
|
| Rate for Payer: ChoiceCare Network Commercial |
$83.31
|
| Rate for Payer: Cigna of WY Commercial |
$84.17
|
| Rate for Payer: Entrust Commercial |
$81.60
|
| Rate for Payer: First Choice Health Commercial |
$81.60
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$81.60
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$49.82
|
| Rate for Payer: HealthUtah PPO |
$85.89
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$83.31
|
| Rate for Payer: Multiplan Medicare/VA |
$47.33
|
| Rate for Payer: One Health Plan of WY PPO |
$84.17
|
| Rate for Payer: PacificSource Commercial |
$77.30
|
| Rate for Payer: PHCS PPO |
$84.17
|
| Rate for Payer: Three Rivers PPO |
$64.42
|
| Rate for Payer: TriWest Veterans Administration |
$49.82
|
| Rate for Payer: United Healthcare Commercial |
$74.72
|
| Rate for Payer: United Healthcare Medicare |
$49.82
|
| Rate for Payer: WINHealth Partners Commercial |
$84.17
|
| Rate for Payer: Wise Provider Network Commercial |
$81.60
|
|
|
NEEDLE SCORPION GREY SHOULDER
|
Facility
|
IP
|
$694.96
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$435.74 |
| Max. Negotiated Rate |
$694.96 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$681.06
|
| Rate for Payer: Altius Auto/Workers Compensation |
$667.16
|
| Rate for Payer: Altius Commercial |
$667.16
|
| Rate for Payer: Beech Street Commercial |
$681.06
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$570.56
|
| Rate for Payer: Cash Price |
$486.47
|
| Rate for Payer: ChoiceCare Network Commercial |
$674.11
|
| Rate for Payer: Cigna of WY Commercial |
$681.06
|
| Rate for Payer: Entrust Commercial |
$660.21
|
| Rate for Payer: First Choice Health Commercial |
$660.21
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$660.21
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$458.67
|
| Rate for Payer: HealthUtah PPO |
$694.96
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$674.11
|
| Rate for Payer: Multiplan Medicare/VA |
$435.74
|
| Rate for Payer: One Health Plan of WY PPO |
$681.06
|
| Rate for Payer: PacificSource Commercial |
$625.46
|
| Rate for Payer: PHCS PPO |
$681.06
|
| Rate for Payer: Three Rivers PPO |
$521.22
|
| Rate for Payer: TriWest Veterans Administration |
$458.67
|
| Rate for Payer: United Healthcare Commercial |
$604.62
|
| Rate for Payer: United Healthcare Medicare |
$458.67
|
| Rate for Payer: WINHealth Partners Commercial |
$660.21
|
| Rate for Payer: Wise Provider Network Commercial |
$660.21
|
|
|
NEEDLE SCORPION GREY SHOULDER
|
Facility
|
OP
|
$694.96
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$382.92 |
| Max. Negotiated Rate |
$694.96 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$681.06
|
| Rate for Payer: Aetna of WY Medicare |
$458.67
|
| Rate for Payer: Altius Auto/Workers Compensation |
$667.16
|
| Rate for Payer: Altius Commercial |
$667.16
|
| Rate for Payer: Beech Street Commercial |
$681.06
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$570.56
|
| Rate for Payer: Cash Price |
$486.47
|
| Rate for Payer: ChoiceCare Network Commercial |
$674.11
|
| Rate for Payer: Cigna of WY Commercial |
$681.06
|
| Rate for Payer: Entrust Commercial |
$660.21
|
| Rate for Payer: First Choice Health Commercial |
$660.21
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$660.21
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$403.08
|
| Rate for Payer: HealthUtah PPO |
$694.96
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$674.11
|
| Rate for Payer: Multiplan Medicare/VA |
$382.92
|
| Rate for Payer: One Health Plan of WY PPO |
$681.06
|
| Rate for Payer: PacificSource Commercial |
$625.46
|
| Rate for Payer: PHCS PPO |
$681.06
|
| Rate for Payer: Three Rivers PPO |
$521.22
|
| Rate for Payer: TriWest Veterans Administration |
$403.08
|
| Rate for Payer: United Healthcare Commercial |
$604.62
|
| Rate for Payer: United Healthcare Medicare |
$403.08
|
| Rate for Payer: WINHealth Partners Commercial |
$681.06
|
| Rate for Payer: Wise Provider Network Commercial |
$660.21
|
|
|
NEEDLE SCORPION RED KNEE
|
Facility
|
OP
|
$472.50
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$260.35 |
| Max. Negotiated Rate |
$472.50 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$463.05
|
| Rate for Payer: Aetna of WY Medicare |
$311.85
|
| Rate for Payer: Altius Auto/Workers Compensation |
$453.60
|
| Rate for Payer: Altius Commercial |
$453.60
|
| Rate for Payer: Beech Street Commercial |
$463.05
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$387.92
|
| Rate for Payer: Cash Price |
$330.75
|
| Rate for Payer: ChoiceCare Network Commercial |
$458.32
|
| Rate for Payer: Cigna of WY Commercial |
$463.05
|
| Rate for Payer: Entrust Commercial |
$448.88
|
| Rate for Payer: First Choice Health Commercial |
$448.88
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$448.88
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$274.05
|
| Rate for Payer: HealthUtah PPO |
$472.50
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$458.32
|
| Rate for Payer: Multiplan Medicare/VA |
$260.35
|
| Rate for Payer: One Health Plan of WY PPO |
$463.05
|
| Rate for Payer: PacificSource Commercial |
$425.25
|
| Rate for Payer: PHCS PPO |
$463.05
|
| Rate for Payer: Three Rivers PPO |
$354.38
|
| Rate for Payer: TriWest Veterans Administration |
$274.05
|
| Rate for Payer: United Healthcare Commercial |
$411.08
|
| Rate for Payer: United Healthcare Medicare |
$274.05
|
| Rate for Payer: WINHealth Partners Commercial |
$463.05
|
| Rate for Payer: Wise Provider Network Commercial |
$448.88
|
|
|
NEEDLE SCORPION RED KNEE
|
Facility
|
IP
|
$472.50
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$296.26 |
| Max. Negotiated Rate |
$472.50 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$463.05
|
| Rate for Payer: Altius Auto/Workers Compensation |
$453.60
|
| Rate for Payer: Altius Commercial |
$453.60
|
| Rate for Payer: Beech Street Commercial |
$463.05
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$387.92
|
| Rate for Payer: Cash Price |
$330.75
|
| Rate for Payer: ChoiceCare Network Commercial |
$458.32
|
| Rate for Payer: Cigna of WY Commercial |
$463.05
|
| Rate for Payer: Entrust Commercial |
$448.88
|
| Rate for Payer: First Choice Health Commercial |
$448.88
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$448.88
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$311.85
|
| Rate for Payer: HealthUtah PPO |
$472.50
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$458.32
|
| Rate for Payer: Multiplan Medicare/VA |
$296.26
|
| Rate for Payer: One Health Plan of WY PPO |
$463.05
|
| Rate for Payer: PacificSource Commercial |
$425.25
|
| Rate for Payer: PHCS PPO |
$463.05
|
| Rate for Payer: Three Rivers PPO |
$354.38
|
| Rate for Payer: TriWest Veterans Administration |
$311.85
|
| Rate for Payer: United Healthcare Commercial |
$411.08
|
| Rate for Payer: United Healthcare Medicare |
$311.85
|
| Rate for Payer: WINHealth Partners Commercial |
$448.88
|
| Rate for Payer: Wise Provider Network Commercial |
$448.88
|
|
|
NEEDLE SPINAL 18G 6" QUINCKE
|
Facility
|
IP
|
$17.89
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$11.22 |
| Max. Negotiated Rate |
$17.89 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$17.53
|
| Rate for Payer: Altius Auto/Workers Compensation |
$17.17
|
| Rate for Payer: Altius Commercial |
$17.17
|
| Rate for Payer: Beech Street Commercial |
$17.53
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$14.69
|
| Rate for Payer: Cash Price |
$12.52
|
| Rate for Payer: ChoiceCare Network Commercial |
$17.35
|
| Rate for Payer: Cigna of WY Commercial |
$17.53
|
| Rate for Payer: Entrust Commercial |
$17.00
|
| Rate for Payer: First Choice Health Commercial |
$17.00
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$17.00
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$11.81
|
| Rate for Payer: HealthUtah PPO |
$17.89
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$17.35
|
| Rate for Payer: Multiplan Medicare/VA |
$11.22
|
| Rate for Payer: One Health Plan of WY PPO |
$17.53
|
| Rate for Payer: PacificSource Commercial |
$16.10
|
| Rate for Payer: PHCS PPO |
$17.53
|
| Rate for Payer: Three Rivers PPO |
$13.42
|
| Rate for Payer: TriWest Veterans Administration |
$11.81
|
| Rate for Payer: United Healthcare Commercial |
$15.56
|
| Rate for Payer: United Healthcare Medicare |
$11.81
|
| Rate for Payer: WINHealth Partners Commercial |
$17.00
|
| Rate for Payer: Wise Provider Network Commercial |
$17.00
|
|
|
NEEDLE SPINAL 18G 6" QUINCKE
|
Facility
|
OP
|
$17.89
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.86 |
| Max. Negotiated Rate |
$17.89 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$17.53
|
| Rate for Payer: Aetna of WY Medicare |
$11.81
|
| Rate for Payer: Altius Auto/Workers Compensation |
$17.17
|
| Rate for Payer: Altius Commercial |
$17.17
|
| Rate for Payer: Beech Street Commercial |
$17.53
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$14.69
|
| Rate for Payer: Cash Price |
$12.52
|
| Rate for Payer: ChoiceCare Network Commercial |
$17.35
|
| Rate for Payer: Cigna of WY Commercial |
$17.53
|
| Rate for Payer: Entrust Commercial |
$17.00
|
| Rate for Payer: First Choice Health Commercial |
$17.00
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$17.00
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$10.38
|
| Rate for Payer: HealthUtah PPO |
$17.89
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$17.35
|
| Rate for Payer: Multiplan Medicare/VA |
$9.86
|
| Rate for Payer: One Health Plan of WY PPO |
$17.53
|
| Rate for Payer: PacificSource Commercial |
$16.10
|
| Rate for Payer: PHCS PPO |
$17.53
|
| Rate for Payer: Three Rivers PPO |
$13.42
|
| Rate for Payer: TriWest Veterans Administration |
$10.38
|
| Rate for Payer: United Healthcare Commercial |
$15.56
|
| Rate for Payer: United Healthcare Medicare |
$10.38
|
| Rate for Payer: WINHealth Partners Commercial |
$17.53
|
| Rate for Payer: Wise Provider Network Commercial |
$17.00
|
|
|
NEEDLE SPINAL 22G 7" QUINCKE
|
Facility
|
OP
|
$14.60
|
|
| Hospital Charge Code |
27800000S1
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$8.04 |
| Max. Negotiated Rate |
$14.60 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$14.31
|
| Rate for Payer: Aetna of WY Medicare |
$9.64
|
| Rate for Payer: Altius Auto/Workers Compensation |
$14.02
|
| Rate for Payer: Altius Commercial |
$14.02
|
| Rate for Payer: Beech Street Commercial |
$14.31
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$11.99
|
| Rate for Payer: Cash Price |
$10.22
|
| Rate for Payer: ChoiceCare Network Commercial |
$14.16
|
| Rate for Payer: Cigna of WY Commercial |
$14.31
|
| Rate for Payer: Entrust Commercial |
$13.87
|
| Rate for Payer: First Choice Health Commercial |
$13.87
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$13.87
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$8.47
|
| Rate for Payer: HealthUtah PPO |
$14.60
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$14.16
|
| Rate for Payer: Multiplan Medicare/VA |
$8.04
|
| Rate for Payer: One Health Plan of WY PPO |
$14.31
|
| Rate for Payer: PacificSource Commercial |
$13.14
|
| Rate for Payer: PHCS PPO |
$14.31
|
| Rate for Payer: Three Rivers PPO |
$10.95
|
| Rate for Payer: TriWest Veterans Administration |
$8.47
|
| Rate for Payer: United Healthcare Commercial |
$12.70
|
| Rate for Payer: United Healthcare Medicare |
$8.47
|
| Rate for Payer: WINHealth Partners Commercial |
$14.31
|
| Rate for Payer: Wise Provider Network Commercial |
$13.87
|
|
|
NEEDLE SPINAL 22G 7" QUINCKE
|
Facility
|
IP
|
$14.60
|
|
| Hospital Charge Code |
27800000S1
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$9.15 |
| Max. Negotiated Rate |
$14.60 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$14.31
|
| Rate for Payer: Altius Auto/Workers Compensation |
$14.02
|
| Rate for Payer: Altius Commercial |
$14.02
|
| Rate for Payer: Beech Street Commercial |
$14.31
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$11.99
|
| Rate for Payer: Cash Price |
$10.22
|
| Rate for Payer: ChoiceCare Network Commercial |
$14.16
|
| Rate for Payer: Cigna of WY Commercial |
$14.31
|
| Rate for Payer: Entrust Commercial |
$13.87
|
| Rate for Payer: First Choice Health Commercial |
$13.87
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$13.87
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$9.64
|
| Rate for Payer: HealthUtah PPO |
$14.60
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$14.16
|
| Rate for Payer: Multiplan Medicare/VA |
$9.15
|
| Rate for Payer: One Health Plan of WY PPO |
$14.31
|
| Rate for Payer: PacificSource Commercial |
$13.14
|
| Rate for Payer: PHCS PPO |
$14.31
|
| Rate for Payer: Three Rivers PPO |
$10.95
|
| Rate for Payer: TriWest Veterans Administration |
$9.64
|
| Rate for Payer: United Healthcare Commercial |
$12.70
|
| Rate for Payer: United Healthcare Medicare |
$9.64
|
| Rate for Payer: WINHealth Partners Commercial |
$13.87
|
| Rate for Payer: Wise Provider Network Commercial |
$13.87
|
|
|
NEEDLE STIMUPLEX 30° 20G 4"
|
Facility
|
OP
|
$42.26
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$23.29 |
| Max. Negotiated Rate |
$42.26 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$41.41
|
| Rate for Payer: Aetna of WY Medicare |
$27.89
|
| Rate for Payer: Altius Auto/Workers Compensation |
$40.57
|
| Rate for Payer: Altius Commercial |
$40.57
|
| Rate for Payer: Beech Street Commercial |
$41.41
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$34.70
|
| Rate for Payer: Cash Price |
$29.58
|
| Rate for Payer: ChoiceCare Network Commercial |
$40.99
|
| Rate for Payer: Cigna of WY Commercial |
$41.41
|
| Rate for Payer: Entrust Commercial |
$40.15
|
| Rate for Payer: First Choice Health Commercial |
$40.15
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$40.15
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$24.51
|
| Rate for Payer: HealthUtah PPO |
$42.26
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$40.99
|
| Rate for Payer: Multiplan Medicare/VA |
$23.29
|
| Rate for Payer: One Health Plan of WY PPO |
$41.41
|
| Rate for Payer: PacificSource Commercial |
$38.03
|
| Rate for Payer: PHCS PPO |
$41.41
|
| Rate for Payer: Three Rivers PPO |
$31.70
|
| Rate for Payer: TriWest Veterans Administration |
$24.51
|
| Rate for Payer: United Healthcare Commercial |
$36.77
|
| Rate for Payer: United Healthcare Medicare |
$24.51
|
| Rate for Payer: WINHealth Partners Commercial |
$41.41
|
| Rate for Payer: Wise Provider Network Commercial |
$40.15
|
|
|
NEEDLE STIMUPLEX 30° 20G 4"
|
Facility
|
IP
|
$42.26
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$26.50 |
| Max. Negotiated Rate |
$42.26 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$41.41
|
| Rate for Payer: Altius Auto/Workers Compensation |
$40.57
|
| Rate for Payer: Altius Commercial |
$40.57
|
| Rate for Payer: Beech Street Commercial |
$41.41
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$34.70
|
| Rate for Payer: Cash Price |
$29.58
|
| Rate for Payer: ChoiceCare Network Commercial |
$40.99
|
| Rate for Payer: Cigna of WY Commercial |
$41.41
|
| Rate for Payer: Entrust Commercial |
$40.15
|
| Rate for Payer: First Choice Health Commercial |
$40.15
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$40.15
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$27.89
|
| Rate for Payer: HealthUtah PPO |
$42.26
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$40.99
|
| Rate for Payer: Multiplan Medicare/VA |
$26.50
|
| Rate for Payer: One Health Plan of WY PPO |
$41.41
|
| Rate for Payer: PacificSource Commercial |
$38.03
|
| Rate for Payer: PHCS PPO |
$41.41
|
| Rate for Payer: Three Rivers PPO |
$31.70
|
| Rate for Payer: TriWest Veterans Administration |
$27.89
|
| Rate for Payer: United Healthcare Commercial |
$36.77
|
| Rate for Payer: United Healthcare Medicare |
$27.89
|
| Rate for Payer: WINHealth Partners Commercial |
$40.15
|
| Rate for Payer: Wise Provider Network Commercial |
$40.15
|
|
|
NEEDLE STIMUPLEX 30° 22G 2"
|
Facility
|
OP
|
$38.18
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$21.04 |
| Max. Negotiated Rate |
$38.18 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$37.42
|
| Rate for Payer: Aetna of WY Medicare |
$25.20
|
| Rate for Payer: Altius Auto/Workers Compensation |
$36.65
|
| Rate for Payer: Altius Commercial |
$36.65
|
| Rate for Payer: Beech Street Commercial |
$37.42
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$31.35
|
| Rate for Payer: Cash Price |
$26.73
|
| Rate for Payer: ChoiceCare Network Commercial |
$37.03
|
| Rate for Payer: Cigna of WY Commercial |
$37.42
|
| Rate for Payer: Entrust Commercial |
$36.27
|
| Rate for Payer: First Choice Health Commercial |
$36.27
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$36.27
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$22.14
|
| Rate for Payer: HealthUtah PPO |
$38.18
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$37.03
|
| Rate for Payer: Multiplan Medicare/VA |
$21.04
|
| Rate for Payer: One Health Plan of WY PPO |
$37.42
|
| Rate for Payer: PacificSource Commercial |
$34.36
|
| Rate for Payer: PHCS PPO |
$37.42
|
| Rate for Payer: Three Rivers PPO |
$28.64
|
| Rate for Payer: TriWest Veterans Administration |
$22.14
|
| Rate for Payer: United Healthcare Commercial |
$33.22
|
| Rate for Payer: United Healthcare Medicare |
$22.14
|
| Rate for Payer: WINHealth Partners Commercial |
$37.42
|
| Rate for Payer: Wise Provider Network Commercial |
$36.27
|
|
|
NEEDLE STIMUPLEX 30° 22G 2"
|
Facility
|
IP
|
$38.18
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$23.94 |
| Max. Negotiated Rate |
$38.18 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$37.42
|
| Rate for Payer: Altius Auto/Workers Compensation |
$36.65
|
| Rate for Payer: Altius Commercial |
$36.65
|
| Rate for Payer: Beech Street Commercial |
$37.42
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$31.35
|
| Rate for Payer: Cash Price |
$26.73
|
| Rate for Payer: ChoiceCare Network Commercial |
$37.03
|
| Rate for Payer: Cigna of WY Commercial |
$37.42
|
| Rate for Payer: Entrust Commercial |
$36.27
|
| Rate for Payer: First Choice Health Commercial |
$36.27
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$36.27
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$25.20
|
| Rate for Payer: HealthUtah PPO |
$38.18
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$37.03
|
| Rate for Payer: Multiplan Medicare/VA |
$23.94
|
| Rate for Payer: One Health Plan of WY PPO |
$37.42
|
| Rate for Payer: PacificSource Commercial |
$34.36
|
| Rate for Payer: PHCS PPO |
$37.42
|
| Rate for Payer: Three Rivers PPO |
$28.64
|
| Rate for Payer: TriWest Veterans Administration |
$25.20
|
| Rate for Payer: United Healthcare Commercial |
$33.22
|
| Rate for Payer: United Healthcare Medicare |
$25.20
|
| Rate for Payer: WINHealth Partners Commercial |
$36.27
|
| Rate for Payer: Wise Provider Network Commercial |
$36.27
|
|
|
NEEDLE STIMUQUIK ECHOGENIX 3.5
|
Facility
|
OP
|
$39.24
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$21.62 |
| Max. Negotiated Rate |
$39.24 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$38.46
|
| Rate for Payer: Aetna of WY Medicare |
$25.90
|
| Rate for Payer: Altius Auto/Workers Compensation |
$37.67
|
| Rate for Payer: Altius Commercial |
$37.67
|
| Rate for Payer: Beech Street Commercial |
$38.46
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$32.22
|
| Rate for Payer: Cash Price |
$27.46
|
| Rate for Payer: ChoiceCare Network Commercial |
$38.06
|
| Rate for Payer: Cigna of WY Commercial |
$38.46
|
| Rate for Payer: Entrust Commercial |
$37.28
|
| Rate for Payer: First Choice Health Commercial |
$37.28
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$37.28
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$22.76
|
| Rate for Payer: HealthUtah PPO |
$39.24
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$38.06
|
| Rate for Payer: Multiplan Medicare/VA |
$21.62
|
| Rate for Payer: One Health Plan of WY PPO |
$38.46
|
| Rate for Payer: PacificSource Commercial |
$35.32
|
| Rate for Payer: PHCS PPO |
$38.46
|
| Rate for Payer: Three Rivers PPO |
$29.43
|
| Rate for Payer: TriWest Veterans Administration |
$22.76
|
| Rate for Payer: United Healthcare Commercial |
$34.14
|
| Rate for Payer: United Healthcare Medicare |
$22.76
|
| Rate for Payer: WINHealth Partners Commercial |
$38.46
|
| Rate for Payer: Wise Provider Network Commercial |
$37.28
|
|
|
NEEDLE STIMUQUIK ECHOGENIX 3.5
|
Facility
|
IP
|
$39.24
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$24.60 |
| Max. Negotiated Rate |
$39.24 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$38.46
|
| Rate for Payer: Altius Auto/Workers Compensation |
$37.67
|
| Rate for Payer: Altius Commercial |
$37.67
|
| Rate for Payer: Beech Street Commercial |
$38.46
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$32.22
|
| Rate for Payer: Cash Price |
$27.46
|
| Rate for Payer: ChoiceCare Network Commercial |
$38.06
|
| Rate for Payer: Cigna of WY Commercial |
$38.46
|
| Rate for Payer: Entrust Commercial |
$37.28
|
| Rate for Payer: First Choice Health Commercial |
$37.28
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$37.28
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$25.90
|
| Rate for Payer: HealthUtah PPO |
$39.24
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$38.06
|
| Rate for Payer: Multiplan Medicare/VA |
$24.60
|
| Rate for Payer: One Health Plan of WY PPO |
$38.46
|
| Rate for Payer: PacificSource Commercial |
$35.32
|
| Rate for Payer: PHCS PPO |
$38.46
|
| Rate for Payer: Three Rivers PPO |
$29.43
|
| Rate for Payer: TriWest Veterans Administration |
$25.90
|
| Rate for Payer: United Healthcare Commercial |
$34.14
|
| Rate for Payer: United Healthcare Medicare |
$25.90
|
| Rate for Payer: WINHealth Partners Commercial |
$37.28
|
| Rate for Payer: Wise Provider Network Commercial |
$37.28
|
|
|
NEEDLE TUOHY 20G 3.5" NO WINGS
|
Facility
|
OP
|
$21.66
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$11.93 |
| Max. Negotiated Rate |
$21.66 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$21.23
|
| Rate for Payer: Aetna of WY Medicare |
$14.30
|
| Rate for Payer: Altius Auto/Workers Compensation |
$20.79
|
| Rate for Payer: Altius Commercial |
$20.79
|
| Rate for Payer: Beech Street Commercial |
$21.23
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$17.78
|
| Rate for Payer: Cash Price |
$15.16
|
| Rate for Payer: ChoiceCare Network Commercial |
$21.01
|
| Rate for Payer: Cigna of WY Commercial |
$21.23
|
| Rate for Payer: Entrust Commercial |
$20.58
|
| Rate for Payer: First Choice Health Commercial |
$20.58
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$20.58
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$12.56
|
| Rate for Payer: HealthUtah PPO |
$21.66
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$21.01
|
| Rate for Payer: Multiplan Medicare/VA |
$11.93
|
| Rate for Payer: One Health Plan of WY PPO |
$21.23
|
| Rate for Payer: PacificSource Commercial |
$19.49
|
| Rate for Payer: PHCS PPO |
$21.23
|
| Rate for Payer: Three Rivers PPO |
$16.24
|
| Rate for Payer: TriWest Veterans Administration |
$12.56
|
| Rate for Payer: United Healthcare Commercial |
$18.84
|
| Rate for Payer: United Healthcare Medicare |
$12.56
|
| Rate for Payer: WINHealth Partners Commercial |
$21.23
|
| Rate for Payer: Wise Provider Network Commercial |
$20.58
|
|
|
NEEDLE TUOHY 20G 3.5" NO WINGS
|
Facility
|
IP
|
$21.66
|
|
| Hospital Charge Code |
27200000S1
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$13.58 |
| Max. Negotiated Rate |
$21.66 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$21.23
|
| Rate for Payer: Altius Auto/Workers Compensation |
$20.79
|
| Rate for Payer: Altius Commercial |
$20.79
|
| Rate for Payer: Beech Street Commercial |
$21.23
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$17.78
|
| Rate for Payer: Cash Price |
$15.16
|
| Rate for Payer: ChoiceCare Network Commercial |
$21.01
|
| Rate for Payer: Cigna of WY Commercial |
$21.23
|
| Rate for Payer: Entrust Commercial |
$20.58
|
| Rate for Payer: First Choice Health Commercial |
$20.58
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$20.58
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$14.30
|
| Rate for Payer: HealthUtah PPO |
$21.66
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$21.01
|
| Rate for Payer: Multiplan Medicare/VA |
$13.58
|
| Rate for Payer: One Health Plan of WY PPO |
$21.23
|
| Rate for Payer: PacificSource Commercial |
$19.49
|
| Rate for Payer: PHCS PPO |
$21.23
|
| Rate for Payer: Three Rivers PPO |
$16.24
|
| Rate for Payer: TriWest Veterans Administration |
$14.30
|
| Rate for Payer: United Healthcare Commercial |
$18.84
|
| Rate for Payer: United Healthcare Medicare |
$14.30
|
| Rate for Payer: WINHealth Partners Commercial |
$20.58
|
| Rate for Payer: Wise Provider Network Commercial |
$20.58
|
|
