|
NEUROPLASTY &/TRANSPOSITION ULNAR NERVE ELBOW
|
Professional
|
Both
|
$3,068.00
|
|
|
Service Code
|
HCPCS 64718
|
| Hospital Charge Code |
64718
|
| Min. Negotiated Rate |
$501.64 |
| Max. Negotiated Rate |
$3,068.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$3,006.64
|
| Rate for Payer: Aetna of WY Medicare |
$590.17
|
| Rate for Payer: Beech Street Commercial |
$2,914.60
|
| Rate for Payer: Cash Price |
$2,147.60
|
| Rate for Payer: Cash Price |
$2,147.60
|
| Rate for Payer: ChoiceCare Network Commercial |
$2,975.96
|
| Rate for Payer: Cigna of WY Commercial |
$3,006.64
|
| Rate for Payer: First Choice Health Commercial |
$2,761.20
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$2,914.60
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$590.17
|
| Rate for Payer: HealthUtah PPO |
$3,068.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$2,975.96
|
| Rate for Payer: Multiplan Medicare/VA |
$501.64
|
| Rate for Payer: One Health Plan of WY PPO |
$3,006.64
|
| Rate for Payer: PacificSource Commercial |
$2,761.20
|
| Rate for Payer: PHCS PPO |
$2,914.60
|
| Rate for Payer: Three Rivers PPO |
$2,301.00
|
| Rate for Payer: TriWest Veterans Administration |
$590.17
|
| Rate for Payer: United Healthcare Commercial |
$2,669.16
|
| Rate for Payer: United Healthcare Medicare |
$590.17
|
| Rate for Payer: WINHealth Partners Commercial |
$2,607.80
|
|
|
NEUROPLASTY &/TRANSPOSITION ULNAR NERVE ELBOW
|
Professional
|
Both
|
$3,068.00
|
|
|
Service Code
|
HCPCS 64718 AS
|
| Hospital Charge Code |
64718
|
| Min. Negotiated Rate |
$501.64 |
| Max. Negotiated Rate |
$3,068.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$3,006.64
|
| Rate for Payer: Aetna of WY Medicare |
$590.17
|
| Rate for Payer: Beech Street Commercial |
$2,914.60
|
| Rate for Payer: Cash Price |
$2,147.60
|
| Rate for Payer: Cash Price |
$2,147.60
|
| Rate for Payer: ChoiceCare Network Commercial |
$2,975.96
|
| Rate for Payer: Cigna of WY Commercial |
$3,006.64
|
| Rate for Payer: First Choice Health Commercial |
$2,761.20
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$2,914.60
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$590.17
|
| Rate for Payer: HealthUtah PPO |
$3,068.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$2,975.96
|
| Rate for Payer: Multiplan Medicare/VA |
$501.64
|
| Rate for Payer: One Health Plan of WY PPO |
$3,006.64
|
| Rate for Payer: PacificSource Commercial |
$2,761.20
|
| Rate for Payer: PHCS PPO |
$2,914.60
|
| Rate for Payer: Three Rivers PPO |
$2,301.00
|
| Rate for Payer: TriWest Veterans Administration |
$590.17
|
| Rate for Payer: United Healthcare Commercial |
$2,669.16
|
| Rate for Payer: United Healthcare Medicare |
$590.17
|
| Rate for Payer: WINHealth Partners Commercial |
$2,607.80
|
|
|
NEUROPLASTY &/TRANSPOSITION ULNAR NERVE WRIST
|
Professional
|
Both
|
$2,076.00
|
|
|
Service Code
|
HCPCS 64719
|
| Hospital Charge Code |
64719
|
| Min. Negotiated Rate |
$339.74 |
| Max. Negotiated Rate |
$2,076.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$2,034.48
|
| Rate for Payer: Aetna of WY Medicare |
$399.70
|
| Rate for Payer: Beech Street Commercial |
$1,972.20
|
| Rate for Payer: Cash Price |
$1,453.20
|
| Rate for Payer: Cash Price |
$1,453.20
|
| Rate for Payer: ChoiceCare Network Commercial |
$2,013.72
|
| Rate for Payer: Cigna of WY Commercial |
$2,034.48
|
| Rate for Payer: First Choice Health Commercial |
$1,868.40
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$1,972.20
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$399.70
|
| Rate for Payer: HealthUtah PPO |
$2,076.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$2,013.72
|
| Rate for Payer: Multiplan Medicare/VA |
$339.74
|
| Rate for Payer: One Health Plan of WY PPO |
$2,034.48
|
| Rate for Payer: PacificSource Commercial |
$1,868.40
|
| Rate for Payer: PHCS PPO |
$1,972.20
|
| Rate for Payer: Three Rivers PPO |
$1,557.00
|
| Rate for Payer: TriWest Veterans Administration |
$399.70
|
| Rate for Payer: United Healthcare Commercial |
$1,806.12
|
| Rate for Payer: United Healthcare Medicare |
$399.70
|
| Rate for Payer: WINHealth Partners Commercial |
$1,764.60
|
|
|
NEUROPLASTY &/TRANSPOSITION ULNAR NERVE WRIST
|
Professional
|
Both
|
$2,076.00
|
|
|
Service Code
|
HCPCS 64719 AS
|
| Hospital Charge Code |
64719
|
| Min. Negotiated Rate |
$339.74 |
| Max. Negotiated Rate |
$2,076.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$2,034.48
|
| Rate for Payer: Aetna of WY Medicare |
$399.70
|
| Rate for Payer: Beech Street Commercial |
$1,972.20
|
| Rate for Payer: Cash Price |
$1,453.20
|
| Rate for Payer: Cash Price |
$1,453.20
|
| Rate for Payer: ChoiceCare Network Commercial |
$2,013.72
|
| Rate for Payer: Cigna of WY Commercial |
$2,034.48
|
| Rate for Payer: First Choice Health Commercial |
$1,868.40
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$1,972.20
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$399.70
|
| Rate for Payer: HealthUtah PPO |
$2,076.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$2,013.72
|
| Rate for Payer: Multiplan Medicare/VA |
$339.74
|
| Rate for Payer: One Health Plan of WY PPO |
$2,034.48
|
| Rate for Payer: PacificSource Commercial |
$1,868.40
|
| Rate for Payer: PHCS PPO |
$1,972.20
|
| Rate for Payer: Three Rivers PPO |
$1,557.00
|
| Rate for Payer: TriWest Veterans Administration |
$399.70
|
| Rate for Payer: United Healthcare Commercial |
$1,806.12
|
| Rate for Payer: United Healthcare Medicare |
$399.70
|
| Rate for Payer: WINHealth Partners Commercial |
$1,764.60
|
|
|
NEUROPLASTY &/TRANSPOSITION ULNAR NERVE WRIST
|
Professional
|
Both
|
$2,076.00
|
|
|
Service Code
|
HCPCS 64719 80
|
| Hospital Charge Code |
64719
|
| Min. Negotiated Rate |
$339.74 |
| Max. Negotiated Rate |
$2,076.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$2,034.48
|
| Rate for Payer: Aetna of WY Medicare |
$399.70
|
| Rate for Payer: Beech Street Commercial |
$1,972.20
|
| Rate for Payer: Cash Price |
$1,453.20
|
| Rate for Payer: Cash Price |
$1,453.20
|
| Rate for Payer: ChoiceCare Network Commercial |
$2,013.72
|
| Rate for Payer: Cigna of WY Commercial |
$2,034.48
|
| Rate for Payer: First Choice Health Commercial |
$1,868.40
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$1,972.20
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$399.70
|
| Rate for Payer: HealthUtah PPO |
$2,076.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$2,013.72
|
| Rate for Payer: Multiplan Medicare/VA |
$339.74
|
| Rate for Payer: One Health Plan of WY PPO |
$2,034.48
|
| Rate for Payer: PacificSource Commercial |
$1,868.40
|
| Rate for Payer: PHCS PPO |
$1,972.20
|
| Rate for Payer: Three Rivers PPO |
$1,557.00
|
| Rate for Payer: TriWest Veterans Administration |
$399.70
|
| Rate for Payer: United Healthcare Commercial |
$1,806.12
|
| Rate for Payer: United Healthcare Medicare |
$399.70
|
| Rate for Payer: WINHealth Partners Commercial |
$1,764.60
|
|
|
NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE
|
Professional
|
Both
|
$4,434.00
|
|
|
Service Code
|
HCPCS 64721 50
|
| Hospital Charge Code |
64721
|
| Min. Negotiated Rate |
$364.79 |
| Max. Negotiated Rate |
$4,434.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$4,345.32
|
| Rate for Payer: Aetna of WY Medicare |
$429.16
|
| Rate for Payer: Beech Street Commercial |
$4,212.30
|
| Rate for Payer: Cash Price |
$3,103.80
|
| Rate for Payer: Cash Price |
$3,103.80
|
| Rate for Payer: ChoiceCare Network Commercial |
$4,300.98
|
| Rate for Payer: Cigna of WY Commercial |
$4,345.32
|
| Rate for Payer: First Choice Health Commercial |
$3,990.60
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$4,212.30
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$429.16
|
| Rate for Payer: HealthUtah PPO |
$4,434.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$4,300.98
|
| Rate for Payer: Multiplan Medicare/VA |
$364.79
|
| Rate for Payer: One Health Plan of WY PPO |
$4,345.32
|
| Rate for Payer: PacificSource Commercial |
$3,990.60
|
| Rate for Payer: PHCS PPO |
$4,212.30
|
| Rate for Payer: Three Rivers PPO |
$3,325.50
|
| Rate for Payer: TriWest Veterans Administration |
$429.16
|
| Rate for Payer: United Healthcare Commercial |
$3,857.58
|
| Rate for Payer: United Healthcare Medicare |
$429.16
|
| Rate for Payer: WINHealth Partners Commercial |
$3,768.90
|
|
|
NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE
|
Professional
|
Both
|
$2,217.00
|
|
|
Service Code
|
HCPCS 64721
|
| Hospital Charge Code |
64721
|
| Min. Negotiated Rate |
$364.79 |
| Max. Negotiated Rate |
$2,217.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$2,172.66
|
| Rate for Payer: Aetna of WY Medicare |
$429.16
|
| Rate for Payer: Beech Street Commercial |
$2,106.15
|
| Rate for Payer: Cash Price |
$1,551.90
|
| Rate for Payer: Cash Price |
$1,551.90
|
| Rate for Payer: ChoiceCare Network Commercial |
$2,150.49
|
| Rate for Payer: Cigna of WY Commercial |
$2,172.66
|
| Rate for Payer: First Choice Health Commercial |
$1,995.30
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$2,106.15
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$429.16
|
| Rate for Payer: HealthUtah PPO |
$2,217.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$2,150.49
|
| Rate for Payer: Multiplan Medicare/VA |
$364.79
|
| Rate for Payer: One Health Plan of WY PPO |
$2,172.66
|
| Rate for Payer: PacificSource Commercial |
$1,995.30
|
| Rate for Payer: PHCS PPO |
$2,106.15
|
| Rate for Payer: Three Rivers PPO |
$1,662.75
|
| Rate for Payer: TriWest Veterans Administration |
$429.16
|
| Rate for Payer: United Healthcare Commercial |
$1,928.79
|
| Rate for Payer: United Healthcare Medicare |
$429.16
|
| Rate for Payer: WINHealth Partners Commercial |
$1,884.45
|
|
|
NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE
|
Professional
|
Both
|
$2,217.00
|
|
|
Service Code
|
HCPCS 64721 80
|
| Hospital Charge Code |
64721
|
| Min. Negotiated Rate |
$364.79 |
| Max. Negotiated Rate |
$2,217.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$2,172.66
|
| Rate for Payer: Aetna of WY Medicare |
$429.16
|
| Rate for Payer: Beech Street Commercial |
$2,106.15
|
| Rate for Payer: Cash Price |
$1,551.90
|
| Rate for Payer: Cash Price |
$1,551.90
|
| Rate for Payer: ChoiceCare Network Commercial |
$2,150.49
|
| Rate for Payer: Cigna of WY Commercial |
$2,172.66
|
| Rate for Payer: First Choice Health Commercial |
$1,995.30
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$2,106.15
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$429.16
|
| Rate for Payer: HealthUtah PPO |
$2,217.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$2,150.49
|
| Rate for Payer: Multiplan Medicare/VA |
$364.79
|
| Rate for Payer: One Health Plan of WY PPO |
$2,172.66
|
| Rate for Payer: PacificSource Commercial |
$1,995.30
|
| Rate for Payer: PHCS PPO |
$2,106.15
|
| Rate for Payer: Three Rivers PPO |
$1,662.75
|
| Rate for Payer: TriWest Veterans Administration |
$429.16
|
| Rate for Payer: United Healthcare Commercial |
$1,928.79
|
| Rate for Payer: United Healthcare Medicare |
$429.16
|
| Rate for Payer: WINHealth Partners Commercial |
$1,884.45
|
|
|
NEURP MAJOR PRPH NRV ARM/LEG OPN OTH/THN SPEC
|
Professional
|
Both
|
$2,599.00
|
|
|
Service Code
|
HCPCS 64708 AS
|
| Hospital Charge Code |
64708
|
| Min. Negotiated Rate |
$423.09 |
| Max. Negotiated Rate |
$2,599.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$2,547.02
|
| Rate for Payer: Aetna of WY Medicare |
$497.75
|
| Rate for Payer: Beech Street Commercial |
$2,469.05
|
| Rate for Payer: Cash Price |
$1,819.30
|
| Rate for Payer: Cash Price |
$1,819.30
|
| Rate for Payer: ChoiceCare Network Commercial |
$2,521.03
|
| Rate for Payer: Cigna of WY Commercial |
$2,547.02
|
| Rate for Payer: First Choice Health Commercial |
$2,339.10
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$2,469.05
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$497.75
|
| Rate for Payer: HealthUtah PPO |
$2,599.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$2,521.03
|
| Rate for Payer: Multiplan Medicare/VA |
$423.09
|
| Rate for Payer: One Health Plan of WY PPO |
$2,547.02
|
| Rate for Payer: PacificSource Commercial |
$2,339.10
|
| Rate for Payer: PHCS PPO |
$2,469.05
|
| Rate for Payer: Three Rivers PPO |
$1,949.25
|
| Rate for Payer: TriWest Veterans Administration |
$497.75
|
| Rate for Payer: United Healthcare Commercial |
$2,261.13
|
| Rate for Payer: United Healthcare Medicare |
$497.75
|
| Rate for Payer: WINHealth Partners Commercial |
$2,209.15
|
|
|
NEURP MAJOR PRPH NRV ARM/LEG OPN OTH/THN SPEC
|
Professional
|
Both
|
$2,599.00
|
|
|
Service Code
|
HCPCS 64708 80
|
| Hospital Charge Code |
64708
|
| Min. Negotiated Rate |
$423.09 |
| Max. Negotiated Rate |
$2,599.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$2,547.02
|
| Rate for Payer: Aetna of WY Medicare |
$497.75
|
| Rate for Payer: Beech Street Commercial |
$2,469.05
|
| Rate for Payer: Cash Price |
$1,819.30
|
| Rate for Payer: Cash Price |
$1,819.30
|
| Rate for Payer: ChoiceCare Network Commercial |
$2,521.03
|
| Rate for Payer: Cigna of WY Commercial |
$2,547.02
|
| Rate for Payer: First Choice Health Commercial |
$2,339.10
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$2,469.05
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$497.75
|
| Rate for Payer: HealthUtah PPO |
$2,599.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$2,521.03
|
| Rate for Payer: Multiplan Medicare/VA |
$423.09
|
| Rate for Payer: One Health Plan of WY PPO |
$2,547.02
|
| Rate for Payer: PacificSource Commercial |
$2,339.10
|
| Rate for Payer: PHCS PPO |
$2,469.05
|
| Rate for Payer: Three Rivers PPO |
$1,949.25
|
| Rate for Payer: TriWest Veterans Administration |
$497.75
|
| Rate for Payer: United Healthcare Commercial |
$2,261.13
|
| Rate for Payer: United Healthcare Medicare |
$497.75
|
| Rate for Payer: WINHealth Partners Commercial |
$2,209.15
|
|
|
NEURP MAJOR PRPH NRV ARM/LEG OPN OTH/THN SPEC
|
Professional
|
Both
|
$2,599.00
|
|
|
Service Code
|
HCPCS 64708
|
| Hospital Charge Code |
64708
|
| Min. Negotiated Rate |
$423.09 |
| Max. Negotiated Rate |
$2,599.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$2,547.02
|
| Rate for Payer: Aetna of WY Medicare |
$497.75
|
| Rate for Payer: Beech Street Commercial |
$2,469.05
|
| Rate for Payer: Cash Price |
$1,819.30
|
| Rate for Payer: Cash Price |
$1,819.30
|
| Rate for Payer: ChoiceCare Network Commercial |
$2,521.03
|
| Rate for Payer: Cigna of WY Commercial |
$2,547.02
|
| Rate for Payer: First Choice Health Commercial |
$2,339.10
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$2,469.05
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$497.75
|
| Rate for Payer: HealthUtah PPO |
$2,599.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$2,521.03
|
| Rate for Payer: Multiplan Medicare/VA |
$423.09
|
| Rate for Payer: One Health Plan of WY PPO |
$2,547.02
|
| Rate for Payer: PacificSource Commercial |
$2,339.10
|
| Rate for Payer: PHCS PPO |
$2,469.05
|
| Rate for Payer: Three Rivers PPO |
$1,949.25
|
| Rate for Payer: TriWest Veterans Administration |
$497.75
|
| Rate for Payer: United Healthcare Commercial |
$2,261.13
|
| Rate for Payer: United Healthcare Medicare |
$497.75
|
| Rate for Payer: WINHealth Partners Commercial |
$2,209.15
|
|
|
NEURP MAJOR PRPH NRV OPN ARM/LEG BRACH PLEXUS
|
Professional
|
Both
|
$3,687.00
|
|
|
Service Code
|
HCPCS 64713
|
| Hospital Charge Code |
64713
|
| Min. Negotiated Rate |
$656.29 |
| Max. Negotiated Rate |
$3,687.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$3,613.26
|
| Rate for Payer: Aetna of WY Medicare |
$772.11
|
| Rate for Payer: Beech Street Commercial |
$3,502.65
|
| Rate for Payer: Cash Price |
$2,580.90
|
| Rate for Payer: Cash Price |
$2,580.90
|
| Rate for Payer: ChoiceCare Network Commercial |
$3,576.39
|
| Rate for Payer: Cigna of WY Commercial |
$3,613.26
|
| Rate for Payer: First Choice Health Commercial |
$3,318.30
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$3,502.65
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$772.11
|
| Rate for Payer: HealthUtah PPO |
$3,687.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$3,576.39
|
| Rate for Payer: Multiplan Medicare/VA |
$656.29
|
| Rate for Payer: One Health Plan of WY PPO |
$3,613.26
|
| Rate for Payer: PacificSource Commercial |
$3,318.30
|
| Rate for Payer: PHCS PPO |
$3,502.65
|
| Rate for Payer: Three Rivers PPO |
$2,765.25
|
| Rate for Payer: TriWest Veterans Administration |
$772.11
|
| Rate for Payer: United Healthcare Commercial |
$3,207.69
|
| Rate for Payer: United Healthcare Medicare |
$772.11
|
| Rate for Payer: WINHealth Partners Commercial |
$3,133.95
|
|
|
NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2
|
Professional
|
Both
|
$646.00
|
|
|
Service Code
|
HCPCS 0202U
|
| Hospital Charge Code |
0202U
|
| Min. Negotiated Rate |
$354.26 |
| Max. Negotiated Rate |
$646.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$633.08
|
| Rate for Payer: Aetna of WY Medicare |
$416.78
|
| Rate for Payer: Beech Street Commercial |
$613.70
|
| Rate for Payer: Cash Price |
$452.20
|
| Rate for Payer: Cash Price |
$452.20
|
| Rate for Payer: ChoiceCare Network Commercial |
$626.62
|
| Rate for Payer: Cigna of WY Commercial |
$633.08
|
| Rate for Payer: First Choice Health Commercial |
$581.40
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$613.70
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$416.78
|
| Rate for Payer: HealthUtah PPO |
$646.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$626.62
|
| Rate for Payer: Multiplan Medicare/VA |
$354.26
|
| Rate for Payer: One Health Plan of WY PPO |
$633.08
|
| Rate for Payer: PacificSource Commercial |
$581.40
|
| Rate for Payer: PHCS PPO |
$613.70
|
| Rate for Payer: Three Rivers PPO |
$484.50
|
| Rate for Payer: TriWest Veterans Administration |
$416.78
|
| Rate for Payer: United Healthcare Commercial |
$562.02
|
| Rate for Payer: United Healthcare Medicare |
$416.78
|
| Rate for Payer: WINHealth Partners Commercial |
$613.70
|
|
|
NIACINAMIDE 500 MG TABLET [12600]
|
Facility
|
OP
|
$0.10
|
|
|
Service Code
|
NDC 8068101900
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.06 |
| Max. Negotiated Rate |
$0.10 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$0.10
|
| Rate for Payer: Aetna of WY Medicare |
$0.07
|
| Rate for Payer: Altius Auto/Workers Compensation |
$0.10
|
| Rate for Payer: Altius Commercial |
$0.10
|
| Rate for Payer: Beech Street Commercial |
$0.10
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$0.08
|
| Rate for Payer: Cash Price |
$0.07
|
| Rate for Payer: ChoiceCare Network Commercial |
$0.10
|
| Rate for Payer: Cigna of WY Commercial |
$0.10
|
| Rate for Payer: Entrust Commercial |
$0.10
|
| Rate for Payer: First Choice Health Commercial |
$0.10
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$0.10
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$0.06
|
| Rate for Payer: HealthUtah PPO |
$0.10
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$0.10
|
| Rate for Payer: Multiplan Medicare/VA |
$0.06
|
| Rate for Payer: One Health Plan of WY PPO |
$0.10
|
| Rate for Payer: PacificSource Commercial |
$0.09
|
| Rate for Payer: PHCS PPO |
$0.10
|
| Rate for Payer: Three Rivers PPO |
$0.08
|
| Rate for Payer: TriWest Veterans Administration |
$0.06
|
| Rate for Payer: United Healthcare Commercial |
$0.09
|
| Rate for Payer: United Healthcare Medicare |
$0.06
|
| Rate for Payer: WINHealth Partners Commercial |
$0.10
|
| Rate for Payer: Wise Provider Network Commercial |
$0.10
|
|
|
NIACINAMIDE 500 MG TABLET [12600]
|
Facility
|
IP
|
$0.10
|
|
|
Service Code
|
NDC 8068101900
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.06 |
| Max. Negotiated Rate |
$0.10 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$0.10
|
| Rate for Payer: Altius Auto/Workers Compensation |
$0.10
|
| Rate for Payer: Altius Commercial |
$0.10
|
| Rate for Payer: Beech Street Commercial |
$0.10
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$0.08
|
| Rate for Payer: Cash Price |
$0.07
|
| Rate for Payer: ChoiceCare Network Commercial |
$0.10
|
| Rate for Payer: Cigna of WY Commercial |
$0.10
|
| Rate for Payer: Entrust Commercial |
$0.10
|
| Rate for Payer: First Choice Health Commercial |
$0.10
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$0.10
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$0.07
|
| Rate for Payer: HealthUtah PPO |
$0.10
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$0.10
|
| Rate for Payer: Multiplan Medicare/VA |
$0.06
|
| Rate for Payer: One Health Plan of WY PPO |
$0.10
|
| Rate for Payer: PacificSource Commercial |
$0.09
|
| Rate for Payer: PHCS PPO |
$0.10
|
| Rate for Payer: Three Rivers PPO |
$0.08
|
| Rate for Payer: TriWest Veterans Administration |
$0.07
|
| Rate for Payer: United Healthcare Commercial |
$0.09
|
| Rate for Payer: United Healthcare Medicare |
$0.07
|
| Rate for Payer: WINHealth Partners Commercial |
$0.10
|
| Rate for Payer: Wise Provider Network Commercial |
$0.10
|
|
|
NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION [7496]
|
Facility
|
OP
|
$24.57
|
|
|
Service Code
|
HCPCS J2404
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$13.54 |
| Max. Negotiated Rate |
$24.57 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$24.08
|
| Rate for Payer: Aetna of WY Medicare |
$16.22
|
| Rate for Payer: Altius Auto/Workers Compensation |
$23.59
|
| Rate for Payer: Altius Commercial |
$23.59
|
| Rate for Payer: Beech Street Commercial |
$24.08
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$20.17
|
| Rate for Payer: Cash Price |
$17.20
|
| Rate for Payer: ChoiceCare Network Commercial |
$23.83
|
| Rate for Payer: Cigna of WY Commercial |
$24.08
|
| Rate for Payer: Entrust Commercial |
$23.34
|
| Rate for Payer: First Choice Health Commercial |
$23.34
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$23.34
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$14.25
|
| Rate for Payer: HealthUtah PPO |
$24.57
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$23.83
|
| Rate for Payer: Multiplan Medicare/VA |
$13.54
|
| Rate for Payer: One Health Plan of WY PPO |
$24.08
|
| Rate for Payer: PacificSource Commercial |
$22.11
|
| Rate for Payer: PHCS PPO |
$24.08
|
| Rate for Payer: Three Rivers PPO |
$18.43
|
| Rate for Payer: TriWest Veterans Administration |
$14.25
|
| Rate for Payer: United Healthcare Commercial |
$21.38
|
| Rate for Payer: United Healthcare Medicare |
$14.25
|
| Rate for Payer: WINHealth Partners Commercial |
$24.08
|
| Rate for Payer: Wise Provider Network Commercial |
$23.34
|
|
|
NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION [7496]
|
Facility
|
IP
|
$24.57
|
|
|
Service Code
|
HCPCS J2404
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$15.41 |
| Max. Negotiated Rate |
$24.57 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$24.08
|
| Rate for Payer: Altius Auto/Workers Compensation |
$23.59
|
| Rate for Payer: Altius Commercial |
$23.59
|
| Rate for Payer: Beech Street Commercial |
$24.08
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$20.17
|
| Rate for Payer: Cash Price |
$17.20
|
| Rate for Payer: ChoiceCare Network Commercial |
$23.83
|
| Rate for Payer: Cigna of WY Commercial |
$24.08
|
| Rate for Payer: Entrust Commercial |
$23.34
|
| Rate for Payer: First Choice Health Commercial |
$23.34
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$23.34
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$16.22
|
| Rate for Payer: HealthUtah PPO |
$24.57
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$23.83
|
| Rate for Payer: Multiplan Medicare/VA |
$15.41
|
| Rate for Payer: One Health Plan of WY PPO |
$24.08
|
| Rate for Payer: PacificSource Commercial |
$22.11
|
| Rate for Payer: PHCS PPO |
$24.08
|
| Rate for Payer: Three Rivers PPO |
$18.43
|
| Rate for Payer: TriWest Veterans Administration |
$16.22
|
| Rate for Payer: United Healthcare Commercial |
$21.38
|
| Rate for Payer: United Healthcare Medicare |
$16.22
|
| Rate for Payer: WINHealth Partners Commercial |
$23.34
|
| Rate for Payer: Wise Provider Network Commercial |
$23.34
|
|
|
NICOTINE 14 MG/24 HR DAILY TRANSDERMAL PATCH [1938]
|
Facility
|
OP
|
$7.42
|
|
|
Service Code
|
NDC 6050570620
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$4.09 |
| Max. Negotiated Rate |
$7.42 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$7.27
|
| Rate for Payer: Aetna of WY Medicare |
$4.90
|
| Rate for Payer: Altius Auto/Workers Compensation |
$7.12
|
| Rate for Payer: Altius Commercial |
$7.12
|
| Rate for Payer: Beech Street Commercial |
$7.27
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$6.09
|
| Rate for Payer: Cash Price |
$5.19
|
| Rate for Payer: ChoiceCare Network Commercial |
$7.20
|
| Rate for Payer: Cigna of WY Commercial |
$7.27
|
| Rate for Payer: Entrust Commercial |
$7.05
|
| Rate for Payer: First Choice Health Commercial |
$7.05
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$7.05
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$4.30
|
| Rate for Payer: HealthUtah PPO |
$7.42
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$7.20
|
| Rate for Payer: Multiplan Medicare/VA |
$4.09
|
| Rate for Payer: One Health Plan of WY PPO |
$7.27
|
| Rate for Payer: PacificSource Commercial |
$6.68
|
| Rate for Payer: PHCS PPO |
$7.27
|
| Rate for Payer: Three Rivers PPO |
$5.56
|
| Rate for Payer: TriWest Veterans Administration |
$4.30
|
| Rate for Payer: United Healthcare Commercial |
$6.46
|
| Rate for Payer: United Healthcare Medicare |
$4.30
|
| Rate for Payer: WINHealth Partners Commercial |
$7.27
|
| Rate for Payer: Wise Provider Network Commercial |
$7.05
|
|
|
NICOTINE 14 MG/24 HR DAILY TRANSDERMAL PATCH [1938]
|
Facility
|
IP
|
$7.42
|
|
|
Service Code
|
NDC 6050570620
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$4.65 |
| Max. Negotiated Rate |
$7.42 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$7.27
|
| Rate for Payer: Altius Auto/Workers Compensation |
$7.12
|
| Rate for Payer: Altius Commercial |
$7.12
|
| Rate for Payer: Beech Street Commercial |
$7.27
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$6.09
|
| Rate for Payer: Cash Price |
$5.19
|
| Rate for Payer: ChoiceCare Network Commercial |
$7.20
|
| Rate for Payer: Cigna of WY Commercial |
$7.27
|
| Rate for Payer: Entrust Commercial |
$7.05
|
| Rate for Payer: First Choice Health Commercial |
$7.05
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$7.05
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$4.90
|
| Rate for Payer: HealthUtah PPO |
$7.42
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$7.20
|
| Rate for Payer: Multiplan Medicare/VA |
$4.65
|
| Rate for Payer: One Health Plan of WY PPO |
$7.27
|
| Rate for Payer: PacificSource Commercial |
$6.68
|
| Rate for Payer: PHCS PPO |
$7.27
|
| Rate for Payer: Three Rivers PPO |
$5.56
|
| Rate for Payer: TriWest Veterans Administration |
$4.90
|
| Rate for Payer: United Healthcare Commercial |
$6.46
|
| Rate for Payer: United Healthcare Medicare |
$4.90
|
| Rate for Payer: WINHealth Partners Commercial |
$7.05
|
| Rate for Payer: Wise Provider Network Commercial |
$7.05
|
|
|
NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH [14108]
|
Facility
|
IP
|
$7.06
|
|
|
Service Code
|
NDC 8770142790
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$4.43 |
| Max. Negotiated Rate |
$7.06 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$6.92
|
| Rate for Payer: Altius Auto/Workers Compensation |
$6.78
|
| Rate for Payer: Altius Commercial |
$6.78
|
| Rate for Payer: Beech Street Commercial |
$6.92
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$5.80
|
| Rate for Payer: Cash Price |
$4.94
|
| Rate for Payer: ChoiceCare Network Commercial |
$6.85
|
| Rate for Payer: Cigna of WY Commercial |
$6.92
|
| Rate for Payer: Entrust Commercial |
$6.71
|
| Rate for Payer: First Choice Health Commercial |
$6.71
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$6.71
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$4.66
|
| Rate for Payer: HealthUtah PPO |
$7.06
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$6.85
|
| Rate for Payer: Multiplan Medicare/VA |
$4.43
|
| Rate for Payer: One Health Plan of WY PPO |
$6.92
|
| Rate for Payer: PacificSource Commercial |
$6.35
|
| Rate for Payer: PHCS PPO |
$6.92
|
| Rate for Payer: Three Rivers PPO |
$5.30
|
| Rate for Payer: TriWest Veterans Administration |
$4.66
|
| Rate for Payer: United Healthcare Commercial |
$6.14
|
| Rate for Payer: United Healthcare Medicare |
$4.66
|
| Rate for Payer: WINHealth Partners Commercial |
$6.71
|
| Rate for Payer: Wise Provider Network Commercial |
$6.71
|
|
|
NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH [14108]
|
Facility
|
OP
|
$7.06
|
|
|
Service Code
|
NDC 4612235374
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$3.89 |
| Max. Negotiated Rate |
$7.06 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$6.92
|
| Rate for Payer: Aetna of WY Medicare |
$4.66
|
| Rate for Payer: Altius Auto/Workers Compensation |
$6.78
|
| Rate for Payer: Altius Commercial |
$6.78
|
| Rate for Payer: Beech Street Commercial |
$6.92
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$5.80
|
| Rate for Payer: Cash Price |
$4.94
|
| Rate for Payer: ChoiceCare Network Commercial |
$6.85
|
| Rate for Payer: Cigna of WY Commercial |
$6.92
|
| Rate for Payer: Entrust Commercial |
$6.71
|
| Rate for Payer: First Choice Health Commercial |
$6.71
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$6.71
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$4.09
|
| Rate for Payer: HealthUtah PPO |
$7.06
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$6.85
|
| Rate for Payer: Multiplan Medicare/VA |
$3.89
|
| Rate for Payer: One Health Plan of WY PPO |
$6.92
|
| Rate for Payer: PacificSource Commercial |
$6.35
|
| Rate for Payer: PHCS PPO |
$6.92
|
| Rate for Payer: Three Rivers PPO |
$5.30
|
| Rate for Payer: TriWest Veterans Administration |
$4.09
|
| Rate for Payer: United Healthcare Commercial |
$6.14
|
| Rate for Payer: United Healthcare Medicare |
$4.09
|
| Rate for Payer: WINHealth Partners Commercial |
$6.92
|
| Rate for Payer: Wise Provider Network Commercial |
$6.71
|
|
|
NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH [14108]
|
Facility
|
IP
|
$7.06
|
|
|
Service Code
|
NDC 4612235374
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$4.43 |
| Max. Negotiated Rate |
$7.06 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$6.92
|
| Rate for Payer: Altius Auto/Workers Compensation |
$6.78
|
| Rate for Payer: Altius Commercial |
$6.78
|
| Rate for Payer: Beech Street Commercial |
$6.92
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$5.80
|
| Rate for Payer: Cash Price |
$4.94
|
| Rate for Payer: ChoiceCare Network Commercial |
$6.85
|
| Rate for Payer: Cigna of WY Commercial |
$6.92
|
| Rate for Payer: Entrust Commercial |
$6.71
|
| Rate for Payer: First Choice Health Commercial |
$6.71
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$6.71
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$4.66
|
| Rate for Payer: HealthUtah PPO |
$7.06
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$6.85
|
| Rate for Payer: Multiplan Medicare/VA |
$4.43
|
| Rate for Payer: One Health Plan of WY PPO |
$6.92
|
| Rate for Payer: PacificSource Commercial |
$6.35
|
| Rate for Payer: PHCS PPO |
$6.92
|
| Rate for Payer: Three Rivers PPO |
$5.30
|
| Rate for Payer: TriWest Veterans Administration |
$4.66
|
| Rate for Payer: United Healthcare Commercial |
$6.14
|
| Rate for Payer: United Healthcare Medicare |
$4.66
|
| Rate for Payer: WINHealth Partners Commercial |
$6.71
|
| Rate for Payer: Wise Provider Network Commercial |
$6.71
|
|
|
NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH [14108]
|
Facility
|
OP
|
$7.06
|
|
|
Service Code
|
NDC 8770142790
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$3.89 |
| Max. Negotiated Rate |
$7.06 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$6.92
|
| Rate for Payer: Aetna of WY Medicare |
$4.66
|
| Rate for Payer: Altius Auto/Workers Compensation |
$6.78
|
| Rate for Payer: Altius Commercial |
$6.78
|
| Rate for Payer: Beech Street Commercial |
$6.92
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$5.80
|
| Rate for Payer: Cash Price |
$4.94
|
| Rate for Payer: ChoiceCare Network Commercial |
$6.85
|
| Rate for Payer: Cigna of WY Commercial |
$6.92
|
| Rate for Payer: Entrust Commercial |
$6.71
|
| Rate for Payer: First Choice Health Commercial |
$6.71
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$6.71
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$4.09
|
| Rate for Payer: HealthUtah PPO |
$7.06
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$6.85
|
| Rate for Payer: Multiplan Medicare/VA |
$3.89
|
| Rate for Payer: One Health Plan of WY PPO |
$6.92
|
| Rate for Payer: PacificSource Commercial |
$6.35
|
| Rate for Payer: PHCS PPO |
$6.92
|
| Rate for Payer: Three Rivers PPO |
$5.30
|
| Rate for Payer: TriWest Veterans Administration |
$4.09
|
| Rate for Payer: United Healthcare Commercial |
$6.14
|
| Rate for Payer: United Healthcare Medicare |
$4.09
|
| Rate for Payer: WINHealth Partners Commercial |
$6.92
|
| Rate for Payer: Wise Provider Network Commercial |
$6.71
|
|
|
NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH [14108]
|
Facility
|
IP
|
$7.42
|
|
|
Service Code
|
NDC 6050570630
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$4.65 |
| Max. Negotiated Rate |
$7.42 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$7.27
|
| Rate for Payer: Altius Auto/Workers Compensation |
$7.12
|
| Rate for Payer: Altius Commercial |
$7.12
|
| Rate for Payer: Beech Street Commercial |
$7.27
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$6.09
|
| Rate for Payer: Cash Price |
$5.19
|
| Rate for Payer: ChoiceCare Network Commercial |
$7.20
|
| Rate for Payer: Cigna of WY Commercial |
$7.27
|
| Rate for Payer: Entrust Commercial |
$7.05
|
| Rate for Payer: First Choice Health Commercial |
$7.05
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$7.05
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$4.90
|
| Rate for Payer: HealthUtah PPO |
$7.42
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$7.20
|
| Rate for Payer: Multiplan Medicare/VA |
$4.65
|
| Rate for Payer: One Health Plan of WY PPO |
$7.27
|
| Rate for Payer: PacificSource Commercial |
$6.68
|
| Rate for Payer: PHCS PPO |
$7.27
|
| Rate for Payer: Three Rivers PPO |
$5.56
|
| Rate for Payer: TriWest Veterans Administration |
$4.90
|
| Rate for Payer: United Healthcare Commercial |
$6.46
|
| Rate for Payer: United Healthcare Medicare |
$4.90
|
| Rate for Payer: WINHealth Partners Commercial |
$7.05
|
| Rate for Payer: Wise Provider Network Commercial |
$7.05
|
|
|
NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH [14108]
|
Facility
|
OP
|
$7.42
|
|
|
Service Code
|
NDC 6050570630
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$4.09 |
| Max. Negotiated Rate |
$7.42 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$7.27
|
| Rate for Payer: Aetna of WY Medicare |
$4.90
|
| Rate for Payer: Altius Auto/Workers Compensation |
$7.12
|
| Rate for Payer: Altius Commercial |
$7.12
|
| Rate for Payer: Beech Street Commercial |
$7.27
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$6.09
|
| Rate for Payer: Cash Price |
$5.19
|
| Rate for Payer: ChoiceCare Network Commercial |
$7.20
|
| Rate for Payer: Cigna of WY Commercial |
$7.27
|
| Rate for Payer: Entrust Commercial |
$7.05
|
| Rate for Payer: First Choice Health Commercial |
$7.05
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$7.05
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$4.30
|
| Rate for Payer: HealthUtah PPO |
$7.42
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$7.20
|
| Rate for Payer: Multiplan Medicare/VA |
$4.09
|
| Rate for Payer: One Health Plan of WY PPO |
$7.27
|
| Rate for Payer: PacificSource Commercial |
$6.68
|
| Rate for Payer: PHCS PPO |
$7.27
|
| Rate for Payer: Three Rivers PPO |
$5.56
|
| Rate for Payer: TriWest Veterans Administration |
$4.30
|
| Rate for Payer: United Healthcare Commercial |
$6.46
|
| Rate for Payer: United Healthcare Medicare |
$4.30
|
| Rate for Payer: WINHealth Partners Commercial |
$7.27
|
| Rate for Payer: Wise Provider Network Commercial |
$7.05
|
|
