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Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $30.72
Max. Negotiated Rate $49.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $48.02
Rate for Payer: Altius Auto/Workers Compensation $47.04
Rate for Payer: Altius Commercial $47.04
Rate for Payer: Beech Street Commercial $48.02
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $40.23
Rate for Payer: Cash Price $34.30
Rate for Payer: ChoiceCare Network Commercial $47.53
Rate for Payer: Cigna of WY Commercial $48.02
Rate for Payer: Entrust Commercial $46.55
Rate for Payer: First Choice Health Commercial $46.55
Rate for Payer: Government Employees Health Association (GEHA) Commercial $46.55
Rate for Payer: Government Employees Health Association (GEHA) Medicare $32.34
Rate for Payer: HealthUtah PPO $49.00
Rate for Payer: Idaho Integrated Healthcare Commercial $47.53
Rate for Payer: Multiplan Medicare/VA $30.72
Rate for Payer: One Health Plan of WY PPO $48.02
Rate for Payer: PacificSource Commercial $44.10
Rate for Payer: PHCS PPO $48.02
Rate for Payer: Three Rivers PPO $36.75
Rate for Payer: TriWest Veterans Administration $32.34
Rate for Payer: United Healthcare Commercial $42.63
Rate for Payer: United Healthcare Medicare $32.34
Rate for Payer: WINHealth Partners Commercial $46.55
Rate for Payer: Wise Provider Network Commercial $46.55
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $27.00
Max. Negotiated Rate $49.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $48.02
Rate for Payer: Aetna of WY Medicare $32.34
Rate for Payer: Altius Auto/Workers Compensation $47.04
Rate for Payer: Altius Commercial $47.04
Rate for Payer: Beech Street Commercial $48.02
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $40.23
Rate for Payer: Cash Price $34.30
Rate for Payer: ChoiceCare Network Commercial $47.53
Rate for Payer: Cigna of WY Commercial $48.02
Rate for Payer: Entrust Commercial $46.55
Rate for Payer: First Choice Health Commercial $46.55
Rate for Payer: Government Employees Health Association (GEHA) Commercial $46.55
Rate for Payer: Government Employees Health Association (GEHA) Medicare $28.42
Rate for Payer: HealthUtah PPO $49.00
Rate for Payer: Idaho Integrated Healthcare Commercial $47.53
Rate for Payer: Multiplan Medicare/VA $27.00
Rate for Payer: One Health Plan of WY PPO $48.02
Rate for Payer: PacificSource Commercial $44.10
Rate for Payer: PHCS PPO $48.02
Rate for Payer: Three Rivers PPO $36.75
Rate for Payer: TriWest Veterans Administration $28.42
Rate for Payer: United Healthcare Commercial $42.63
Rate for Payer: United Healthcare Medicare $28.42
Rate for Payer: WINHealth Partners Commercial $48.02
Rate for Payer: Wise Provider Network Commercial $46.55
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $30.72
Max. Negotiated Rate $49.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $48.02
Rate for Payer: Altius Auto/Workers Compensation $47.04
Rate for Payer: Altius Commercial $47.04
Rate for Payer: Beech Street Commercial $48.02
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $40.23
Rate for Payer: Cash Price $34.30
Rate for Payer: ChoiceCare Network Commercial $47.53
Rate for Payer: Cigna of WY Commercial $48.02
Rate for Payer: Entrust Commercial $46.55
Rate for Payer: First Choice Health Commercial $46.55
Rate for Payer: Government Employees Health Association (GEHA) Commercial $46.55
Rate for Payer: Government Employees Health Association (GEHA) Medicare $32.34
Rate for Payer: HealthUtah PPO $49.00
Rate for Payer: Idaho Integrated Healthcare Commercial $47.53
Rate for Payer: Multiplan Medicare/VA $30.72
Rate for Payer: One Health Plan of WY PPO $48.02
Rate for Payer: PacificSource Commercial $44.10
Rate for Payer: PHCS PPO $48.02
Rate for Payer: Three Rivers PPO $36.75
Rate for Payer: TriWest Veterans Administration $32.34
Rate for Payer: United Healthcare Commercial $42.63
Rate for Payer: United Healthcare Medicare $32.34
Rate for Payer: WINHealth Partners Commercial $46.55
Rate for Payer: Wise Provider Network Commercial $46.55
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $30.72
Max. Negotiated Rate $49.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $48.02
Rate for Payer: Altius Auto/Workers Compensation $47.04
Rate for Payer: Altius Commercial $47.04
Rate for Payer: Beech Street Commercial $48.02
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $40.23
Rate for Payer: Cash Price $34.30
Rate for Payer: ChoiceCare Network Commercial $47.53
Rate for Payer: Cigna of WY Commercial $48.02
Rate for Payer: Entrust Commercial $46.55
Rate for Payer: First Choice Health Commercial $46.55
Rate for Payer: Government Employees Health Association (GEHA) Commercial $46.55
Rate for Payer: Government Employees Health Association (GEHA) Medicare $32.34
Rate for Payer: HealthUtah PPO $49.00
Rate for Payer: Idaho Integrated Healthcare Commercial $47.53
Rate for Payer: Multiplan Medicare/VA $30.72
Rate for Payer: One Health Plan of WY PPO $48.02
Rate for Payer: PacificSource Commercial $44.10
Rate for Payer: PHCS PPO $48.02
Rate for Payer: Three Rivers PPO $36.75
Rate for Payer: TriWest Veterans Administration $32.34
Rate for Payer: United Healthcare Commercial $42.63
Rate for Payer: United Healthcare Medicare $32.34
Rate for Payer: WINHealth Partners Commercial $46.55
Rate for Payer: Wise Provider Network Commercial $46.55
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $27.00
Max. Negotiated Rate $49.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $48.02
Rate for Payer: Aetna of WY Medicare $32.34
Rate for Payer: Altius Auto/Workers Compensation $47.04
Rate for Payer: Altius Commercial $47.04
Rate for Payer: Beech Street Commercial $48.02
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $40.23
Rate for Payer: Cash Price $34.30
Rate for Payer: ChoiceCare Network Commercial $47.53
Rate for Payer: Cigna of WY Commercial $48.02
Rate for Payer: Entrust Commercial $46.55
Rate for Payer: First Choice Health Commercial $46.55
Rate for Payer: Government Employees Health Association (GEHA) Commercial $46.55
Rate for Payer: Government Employees Health Association (GEHA) Medicare $28.42
Rate for Payer: HealthUtah PPO $49.00
Rate for Payer: Idaho Integrated Healthcare Commercial $47.53
Rate for Payer: Multiplan Medicare/VA $27.00
Rate for Payer: One Health Plan of WY PPO $48.02
Rate for Payer: PacificSource Commercial $44.10
Rate for Payer: PHCS PPO $48.02
Rate for Payer: Three Rivers PPO $36.75
Rate for Payer: TriWest Veterans Administration $28.42
Rate for Payer: United Healthcare Commercial $42.63
Rate for Payer: United Healthcare Medicare $28.42
Rate for Payer: WINHealth Partners Commercial $48.02
Rate for Payer: Wise Provider Network Commercial $46.55
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $88.71
Max. Negotiated Rate $161.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $157.78
Rate for Payer: Aetna of WY Medicare $106.26
Rate for Payer: Altius Auto/Workers Compensation $154.56
Rate for Payer: Altius Commercial $154.56
Rate for Payer: Beech Street Commercial $157.78
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $132.18
Rate for Payer: Cash Price $112.70
Rate for Payer: ChoiceCare Network Commercial $156.17
Rate for Payer: Cigna of WY Commercial $157.78
Rate for Payer: Entrust Commercial $152.95
Rate for Payer: First Choice Health Commercial $152.95
Rate for Payer: Government Employees Health Association (GEHA) Commercial $152.95
Rate for Payer: Government Employees Health Association (GEHA) Medicare $93.38
Rate for Payer: HealthUtah PPO $161.00
Rate for Payer: Idaho Integrated Healthcare Commercial $156.17
Rate for Payer: Multiplan Medicare/VA $88.71
Rate for Payer: One Health Plan of WY PPO $157.78
Rate for Payer: PacificSource Commercial $144.90
Rate for Payer: PHCS PPO $157.78
Rate for Payer: Three Rivers PPO $120.75
Rate for Payer: TriWest Veterans Administration $93.38
Rate for Payer: United Healthcare Commercial $140.07
Rate for Payer: United Healthcare Medicare $93.38
Rate for Payer: WINHealth Partners Commercial $157.78
Rate for Payer: Wise Provider Network Commercial $152.95
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $100.95
Max. Negotiated Rate $161.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $157.78
Rate for Payer: Altius Auto/Workers Compensation $154.56
Rate for Payer: Altius Commercial $154.56
Rate for Payer: Beech Street Commercial $157.78
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $132.18
Rate for Payer: Cash Price $112.70
Rate for Payer: ChoiceCare Network Commercial $156.17
Rate for Payer: Cigna of WY Commercial $157.78
Rate for Payer: Entrust Commercial $152.95
Rate for Payer: First Choice Health Commercial $152.95
Rate for Payer: Government Employees Health Association (GEHA) Commercial $152.95
Rate for Payer: Government Employees Health Association (GEHA) Medicare $106.26
Rate for Payer: HealthUtah PPO $161.00
Rate for Payer: Idaho Integrated Healthcare Commercial $156.17
Rate for Payer: Multiplan Medicare/VA $100.95
Rate for Payer: One Health Plan of WY PPO $157.78
Rate for Payer: PacificSource Commercial $144.90
Rate for Payer: PHCS PPO $157.78
Rate for Payer: Three Rivers PPO $120.75
Rate for Payer: TriWest Veterans Administration $106.26
Rate for Payer: United Healthcare Commercial $140.07
Rate for Payer: United Healthcare Medicare $106.26
Rate for Payer: WINHealth Partners Commercial $152.95
Rate for Payer: Wise Provider Network Commercial $152.95
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $14.55
Max. Negotiated Rate $23.20
Rate for Payer: Aetna of WY Commercial/Medical Rental $22.74
Rate for Payer: Altius Auto/Workers Compensation $22.27
Rate for Payer: Altius Commercial $22.27
Rate for Payer: Beech Street Commercial $22.74
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $19.05
Rate for Payer: Cash Price $16.24
Rate for Payer: ChoiceCare Network Commercial $22.50
Rate for Payer: Cigna of WY Commercial $22.74
Rate for Payer: Entrust Commercial $22.04
Rate for Payer: First Choice Health Commercial $22.04
Rate for Payer: Government Employees Health Association (GEHA) Commercial $22.04
Rate for Payer: Government Employees Health Association (GEHA) Medicare $15.31
Rate for Payer: HealthUtah PPO $23.20
Rate for Payer: Idaho Integrated Healthcare Commercial $22.50
Rate for Payer: Multiplan Medicare/VA $14.55
Rate for Payer: One Health Plan of WY PPO $22.74
Rate for Payer: PacificSource Commercial $20.88
Rate for Payer: PHCS PPO $22.74
Rate for Payer: Three Rivers PPO $17.40
Rate for Payer: TriWest Veterans Administration $15.31
Rate for Payer: United Healthcare Commercial $20.18
Rate for Payer: United Healthcare Medicare $15.31
Rate for Payer: WINHealth Partners Commercial $22.04
Rate for Payer: Wise Provider Network Commercial $22.04
Hospital Charge Code 27200000S1
Hospital Revenue Code 272
Min. Negotiated Rate $12.78
Max. Negotiated Rate $23.20
Rate for Payer: Aetna of WY Commercial/Medical Rental $22.74
Rate for Payer: Aetna of WY Medicare $15.31
Rate for Payer: Altius Auto/Workers Compensation $22.27
Rate for Payer: Altius Commercial $22.27
Rate for Payer: Beech Street Commercial $22.74
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $19.05
Rate for Payer: Cash Price $16.24
Rate for Payer: ChoiceCare Network Commercial $22.50
Rate for Payer: Cigna of WY Commercial $22.74
Rate for Payer: Entrust Commercial $22.04
Rate for Payer: First Choice Health Commercial $22.04
Rate for Payer: Government Employees Health Association (GEHA) Commercial $22.04
Rate for Payer: Government Employees Health Association (GEHA) Medicare $13.46
Rate for Payer: HealthUtah PPO $23.20
Rate for Payer: Idaho Integrated Healthcare Commercial $22.50
Rate for Payer: Multiplan Medicare/VA $12.78
Rate for Payer: One Health Plan of WY PPO $22.74
Rate for Payer: PacificSource Commercial $20.88
Rate for Payer: PHCS PPO $22.74
Rate for Payer: Three Rivers PPO $17.40
Rate for Payer: TriWest Veterans Administration $13.46
Rate for Payer: United Healthcare Commercial $20.18
Rate for Payer: United Healthcare Medicare $13.46
Rate for Payer: WINHealth Partners Commercial $22.74
Rate for Payer: Wise Provider Network Commercial $22.04
Service Code HCPCS J1080
Hospital Charge Code J1080
Min. Negotiated Rate $37.50
Max. Negotiated Rate $50.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $49.00
Rate for Payer: Beech Street Commercial $47.50
Rate for Payer: Cash Price $35.00
Rate for Payer: ChoiceCare Network Commercial $48.50
Rate for Payer: Cigna of WY Commercial $49.00
Rate for Payer: First Choice Health Commercial $45.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $47.50
Rate for Payer: HealthUtah PPO $50.00
Rate for Payer: Idaho Integrated Healthcare Commercial $48.50
Rate for Payer: One Health Plan of WY PPO $49.00
Rate for Payer: PacificSource Commercial $45.00
Rate for Payer: PHCS PPO $47.50
Rate for Payer: Three Rivers PPO $37.50
Rate for Payer: United Healthcare Commercial $43.50
Rate for Payer: WINHealth Partners Commercial $47.50
Service Code HCPCS J1071
Hospital Revenue Code 636
Min. Negotiated Rate $36.98
Max. Negotiated Rate $58.98
Rate for Payer: Aetna of WY Commercial/Medical Rental $57.80
Rate for Payer: Aetna of WY Commercial/Medical Rental $54.14
Rate for Payer: Aetna of WY Commercial/Medical Rental $54.39
Rate for Payer: Aetna of WY Commercial/Medical Rental $44.62
Rate for Payer: Aetna of WY Commercial/Medical Rental $49.74
Rate for Payer: Altius Auto/Workers Compensation $56.62
Rate for Payer: Altius Auto/Workers Compensation $53.03
Rate for Payer: Altius Auto/Workers Compensation $48.72
Rate for Payer: Altius Auto/Workers Compensation $43.71
Rate for Payer: Altius Auto/Workers Compensation $53.28
Rate for Payer: Altius Commercial $48.72
Rate for Payer: Altius Commercial $53.03
Rate for Payer: Altius Commercial $56.62
Rate for Payer: Altius Commercial $43.71
Rate for Payer: Altius Commercial $53.28
Rate for Payer: Beech Street Commercial $49.74
Rate for Payer: Beech Street Commercial $44.62
Rate for Payer: Beech Street Commercial $54.39
Rate for Payer: Beech Street Commercial $57.80
Rate for Payer: Beech Street Commercial $54.14
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $37.38
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $41.67
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $45.35
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $45.57
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $48.42
Rate for Payer: Cash Price $41.29
Rate for Payer: Cash Price $35.52
Rate for Payer: Cash Price $31.87
Rate for Payer: Cash Price $38.67
Rate for Payer: Cash Price $38.85
Rate for Payer: ChoiceCare Network Commercial $57.21
Rate for Payer: ChoiceCare Network Commercial $44.16
Rate for Payer: ChoiceCare Network Commercial $53.58
Rate for Payer: ChoiceCare Network Commercial $49.23
Rate for Payer: ChoiceCare Network Commercial $53.84
Rate for Payer: Cigna of WY Commercial $57.80
Rate for Payer: Cigna of WY Commercial $49.74
Rate for Payer: Cigna of WY Commercial $54.39
Rate for Payer: Cigna of WY Commercial $54.14
Rate for Payer: Cigna of WY Commercial $44.62
Rate for Payer: Entrust Commercial $43.25
Rate for Payer: Entrust Commercial $56.03
Rate for Payer: Entrust Commercial $52.48
Rate for Payer: Entrust Commercial $48.21
Rate for Payer: Entrust Commercial $52.72
Rate for Payer: First Choice Health Commercial $48.21
Rate for Payer: First Choice Health Commercial $43.25
Rate for Payer: First Choice Health Commercial $56.03
Rate for Payer: First Choice Health Commercial $52.72
Rate for Payer: First Choice Health Commercial $52.48
Rate for Payer: Government Employees Health Association (GEHA) Commercial $56.03
Rate for Payer: Government Employees Health Association (GEHA) Commercial $52.72
Rate for Payer: Government Employees Health Association (GEHA) Commercial $48.21
Rate for Payer: Government Employees Health Association (GEHA) Commercial $52.48
Rate for Payer: Government Employees Health Association (GEHA) Commercial $43.25
Rate for Payer: Government Employees Health Association (GEHA) Medicare $33.50
Rate for Payer: Government Employees Health Association (GEHA) Medicare $30.05
Rate for Payer: Government Employees Health Association (GEHA) Medicare $38.93
Rate for Payer: Government Employees Health Association (GEHA) Medicare $36.63
Rate for Payer: Government Employees Health Association (GEHA) Medicare $36.46
Rate for Payer: HealthUtah PPO $55.50
Rate for Payer: HealthUtah PPO $45.53
Rate for Payer: HealthUtah PPO $50.75
Rate for Payer: HealthUtah PPO $58.98
Rate for Payer: HealthUtah PPO $55.24
Rate for Payer: Idaho Integrated Healthcare Commercial $49.23
Rate for Payer: Idaho Integrated Healthcare Commercial $57.21
Rate for Payer: Idaho Integrated Healthcare Commercial $53.84
Rate for Payer: Idaho Integrated Healthcare Commercial $44.16
Rate for Payer: Idaho Integrated Healthcare Commercial $53.58
Rate for Payer: Multiplan Medicare/VA $34.64
Rate for Payer: Multiplan Medicare/VA $31.82
Rate for Payer: Multiplan Medicare/VA $28.55
Rate for Payer: Multiplan Medicare/VA $34.80
Rate for Payer: Multiplan Medicare/VA $36.98
Rate for Payer: One Health Plan of WY PPO $44.62
Rate for Payer: One Health Plan of WY PPO $49.74
Rate for Payer: One Health Plan of WY PPO $54.14
Rate for Payer: One Health Plan of WY PPO $54.39
Rate for Payer: One Health Plan of WY PPO $57.80
Rate for Payer: PacificSource Commercial $40.98
Rate for Payer: PacificSource Commercial $49.72
Rate for Payer: PacificSource Commercial $45.68
Rate for Payer: PacificSource Commercial $49.95
Rate for Payer: PacificSource Commercial $53.08
Rate for Payer: PHCS PPO $54.39
Rate for Payer: PHCS PPO $57.80
Rate for Payer: PHCS PPO $54.14
Rate for Payer: PHCS PPO $44.62
Rate for Payer: PHCS PPO $49.74
Rate for Payer: Three Rivers PPO $38.06
Rate for Payer: Three Rivers PPO $44.24
Rate for Payer: Three Rivers PPO $41.62
Rate for Payer: Three Rivers PPO $41.43
Rate for Payer: Three Rivers PPO $34.15
Rate for Payer: TriWest Veterans Administration $38.93
Rate for Payer: TriWest Veterans Administration $36.46
Rate for Payer: TriWest Veterans Administration $30.05
Rate for Payer: TriWest Veterans Administration $33.50
Rate for Payer: TriWest Veterans Administration $36.63
Rate for Payer: United Healthcare Commercial $48.28
Rate for Payer: United Healthcare Commercial $51.31
Rate for Payer: United Healthcare Commercial $39.61
Rate for Payer: United Healthcare Commercial $44.15
Rate for Payer: United Healthcare Commercial $48.06
Rate for Payer: United Healthcare Medicare $36.46
Rate for Payer: United Healthcare Medicare $36.63
Rate for Payer: United Healthcare Medicare $33.50
Rate for Payer: United Healthcare Medicare $30.05
Rate for Payer: United Healthcare Medicare $38.93
Rate for Payer: WINHealth Partners Commercial $48.21
Rate for Payer: WINHealth Partners Commercial $52.72
Rate for Payer: WINHealth Partners Commercial $56.03
Rate for Payer: WINHealth Partners Commercial $52.48
Rate for Payer: WINHealth Partners Commercial $43.25
Rate for Payer: Wise Provider Network Commercial $48.21
Rate for Payer: Wise Provider Network Commercial $56.03
Rate for Payer: Wise Provider Network Commercial $52.72
Rate for Payer: Wise Provider Network Commercial $43.25
Rate for Payer: Wise Provider Network Commercial $52.48
Service Code HCPCS J1071
Hospital Revenue Code 636
Min. Negotiated Rate $30.58
Max. Negotiated Rate $55.50
Rate for Payer: Aetna of WY Commercial/Medical Rental $54.39
Rate for Payer: Aetna of WY Commercial/Medical Rental $49.74
Rate for Payer: Aetna of WY Commercial/Medical Rental $44.62
Rate for Payer: Aetna of WY Commercial/Medical Rental $57.80
Rate for Payer: Aetna of WY Commercial/Medical Rental $54.14
Rate for Payer: Aetna of WY Medicare $36.63
Rate for Payer: Aetna of WY Medicare $38.93
Rate for Payer: Aetna of WY Medicare $36.46
Rate for Payer: Aetna of WY Medicare $33.50
Rate for Payer: Aetna of WY Medicare $30.05
Rate for Payer: Altius Auto/Workers Compensation $53.28
Rate for Payer: Altius Auto/Workers Compensation $48.72
Rate for Payer: Altius Auto/Workers Compensation $43.71
Rate for Payer: Altius Auto/Workers Compensation $53.03
Rate for Payer: Altius Auto/Workers Compensation $56.62
Rate for Payer: Altius Commercial $56.62
Rate for Payer: Altius Commercial $48.72
Rate for Payer: Altius Commercial $53.03
Rate for Payer: Altius Commercial $43.71
Rate for Payer: Altius Commercial $53.28
Rate for Payer: Beech Street Commercial $54.39
Rate for Payer: Beech Street Commercial $44.62
Rate for Payer: Beech Street Commercial $54.14
Rate for Payer: Beech Street Commercial $49.74
Rate for Payer: Beech Street Commercial $57.80
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $45.57
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $41.67
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $37.38
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $45.35
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $48.42
Rate for Payer: Cash Price $41.29
Rate for Payer: Cash Price $35.52
Rate for Payer: Cash Price $31.87
Rate for Payer: Cash Price $38.67
Rate for Payer: Cash Price $38.85
Rate for Payer: ChoiceCare Network Commercial $57.21
Rate for Payer: ChoiceCare Network Commercial $53.84
Rate for Payer: ChoiceCare Network Commercial $49.23
Rate for Payer: ChoiceCare Network Commercial $53.58
Rate for Payer: ChoiceCare Network Commercial $44.16
Rate for Payer: Cigna of WY Commercial $44.62
Rate for Payer: Cigna of WY Commercial $49.74
Rate for Payer: Cigna of WY Commercial $54.14
Rate for Payer: Cigna of WY Commercial $54.39
Rate for Payer: Cigna of WY Commercial $57.80
Rate for Payer: Entrust Commercial $43.25
Rate for Payer: Entrust Commercial $48.21
Rate for Payer: Entrust Commercial $52.48
Rate for Payer: Entrust Commercial $56.03
Rate for Payer: Entrust Commercial $52.72
Rate for Payer: First Choice Health Commercial $43.25
Rate for Payer: First Choice Health Commercial $52.72
Rate for Payer: First Choice Health Commercial $56.03
Rate for Payer: First Choice Health Commercial $52.48
Rate for Payer: First Choice Health Commercial $48.21
Rate for Payer: Government Employees Health Association (GEHA) Commercial $52.48
Rate for Payer: Government Employees Health Association (GEHA) Commercial $43.25
Rate for Payer: Government Employees Health Association (GEHA) Commercial $56.03
Rate for Payer: Government Employees Health Association (GEHA) Commercial $52.72
Rate for Payer: Government Employees Health Association (GEHA) Commercial $48.21
Rate for Payer: Government Employees Health Association (GEHA) Medicare $34.21
Rate for Payer: Government Employees Health Association (GEHA) Medicare $26.41
Rate for Payer: Government Employees Health Association (GEHA) Medicare $32.04
Rate for Payer: Government Employees Health Association (GEHA) Medicare $32.19
Rate for Payer: Government Employees Health Association (GEHA) Medicare $29.44
Rate for Payer: HealthUtah PPO $45.53
Rate for Payer: HealthUtah PPO $55.24
Rate for Payer: HealthUtah PPO $50.75
Rate for Payer: HealthUtah PPO $58.98
Rate for Payer: HealthUtah PPO $55.50
Rate for Payer: Idaho Integrated Healthcare Commercial $53.84
Rate for Payer: Idaho Integrated Healthcare Commercial $57.21
Rate for Payer: Idaho Integrated Healthcare Commercial $49.23
Rate for Payer: Idaho Integrated Healthcare Commercial $44.16
Rate for Payer: Idaho Integrated Healthcare Commercial $53.58
Rate for Payer: Multiplan Medicare/VA $32.50
Rate for Payer: Multiplan Medicare/VA $25.09
Rate for Payer: Multiplan Medicare/VA $30.44
Rate for Payer: Multiplan Medicare/VA $30.58
Rate for Payer: Multiplan Medicare/VA $27.96
Rate for Payer: One Health Plan of WY PPO $49.74
Rate for Payer: One Health Plan of WY PPO $44.62
Rate for Payer: One Health Plan of WY PPO $54.14
Rate for Payer: One Health Plan of WY PPO $54.39
Rate for Payer: One Health Plan of WY PPO $57.80
Rate for Payer: PacificSource Commercial $49.72
Rate for Payer: PacificSource Commercial $40.98
Rate for Payer: PacificSource Commercial $49.95
Rate for Payer: PacificSource Commercial $53.08
Rate for Payer: PacificSource Commercial $45.68
Rate for Payer: PHCS PPO $57.80
Rate for Payer: PHCS PPO $49.74
Rate for Payer: PHCS PPO $54.14
Rate for Payer: PHCS PPO $54.39
Rate for Payer: PHCS PPO $44.62
Rate for Payer: Three Rivers PPO $38.06
Rate for Payer: Three Rivers PPO $41.43
Rate for Payer: Three Rivers PPO $34.15
Rate for Payer: Three Rivers PPO $44.24
Rate for Payer: Three Rivers PPO $41.62
Rate for Payer: TriWest Veterans Administration $29.44
Rate for Payer: TriWest Veterans Administration $32.19
Rate for Payer: TriWest Veterans Administration $34.21
Rate for Payer: TriWest Veterans Administration $32.04
Rate for Payer: TriWest Veterans Administration $26.41
Rate for Payer: United Healthcare Commercial $48.28
Rate for Payer: United Healthcare Commercial $44.15
Rate for Payer: United Healthcare Commercial $39.61
Rate for Payer: United Healthcare Commercial $48.06
Rate for Payer: United Healthcare Commercial $51.31
Rate for Payer: United Healthcare Medicare $32.04
Rate for Payer: United Healthcare Medicare $32.19
Rate for Payer: United Healthcare Medicare $26.41
Rate for Payer: United Healthcare Medicare $29.44
Rate for Payer: United Healthcare Medicare $34.21
Rate for Payer: WINHealth Partners Commercial $44.62
Rate for Payer: WINHealth Partners Commercial $54.39
Rate for Payer: WINHealth Partners Commercial $57.80
Rate for Payer: WINHealth Partners Commercial $54.14
Rate for Payer: WINHealth Partners Commercial $49.74
Rate for Payer: Wise Provider Network Commercial $52.48
Rate for Payer: Wise Provider Network Commercial $56.03
Rate for Payer: Wise Provider Network Commercial $48.21
Rate for Payer: Wise Provider Network Commercial $43.25
Rate for Payer: Wise Provider Network Commercial $52.72
Service Code HCPCS 90714
Hospital Revenue Code 636
Min. Negotiated Rate $53.97
Max. Negotiated Rate $97.95
Rate for Payer: Aetna of WY Commercial/Medical Rental $95.99
Rate for Payer: Aetna of WY Medicare $64.65
Rate for Payer: Altius Auto/Workers Compensation $94.03
Rate for Payer: Altius Commercial $94.03
Rate for Payer: Beech Street Commercial $95.99
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $80.42
Rate for Payer: Cash Price $68.56
Rate for Payer: ChoiceCare Network Commercial $95.01
Rate for Payer: Cigna of WY Commercial $95.99
Rate for Payer: Entrust Commercial $93.05
Rate for Payer: First Choice Health Commercial $93.05
Rate for Payer: Government Employees Health Association (GEHA) Commercial $93.05
Rate for Payer: Government Employees Health Association (GEHA) Medicare $56.81
Rate for Payer: HealthUtah PPO $97.95
Rate for Payer: Idaho Integrated Healthcare Commercial $95.01
Rate for Payer: Multiplan Medicare/VA $53.97
Rate for Payer: One Health Plan of WY PPO $95.99
Rate for Payer: PacificSource Commercial $88.16
Rate for Payer: PHCS PPO $95.99
Rate for Payer: Three Rivers PPO $73.46
Rate for Payer: TriWest Veterans Administration $56.81
Rate for Payer: United Healthcare Commercial $85.22
Rate for Payer: United Healthcare Medicare $56.81
Rate for Payer: WINHealth Partners Commercial $95.99
Rate for Payer: Wise Provider Network Commercial $93.05
Service Code HCPCS 90714
Hospital Revenue Code 636
Min. Negotiated Rate $61.41
Max. Negotiated Rate $97.95
Rate for Payer: Aetna of WY Commercial/Medical Rental $95.99
Rate for Payer: Altius Auto/Workers Compensation $94.03
Rate for Payer: Altius Commercial $94.03
Rate for Payer: Beech Street Commercial $95.99
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $80.42
Rate for Payer: Cash Price $68.56
Rate for Payer: ChoiceCare Network Commercial $95.01
Rate for Payer: Cigna of WY Commercial $95.99
Rate for Payer: Entrust Commercial $93.05
Rate for Payer: First Choice Health Commercial $93.05
Rate for Payer: Government Employees Health Association (GEHA) Commercial $93.05
Rate for Payer: Government Employees Health Association (GEHA) Medicare $64.65
Rate for Payer: HealthUtah PPO $97.95
Rate for Payer: Idaho Integrated Healthcare Commercial $95.01
Rate for Payer: Multiplan Medicare/VA $61.41
Rate for Payer: One Health Plan of WY PPO $95.99
Rate for Payer: PacificSource Commercial $88.16
Rate for Payer: PHCS PPO $95.99
Rate for Payer: Three Rivers PPO $73.46
Rate for Payer: TriWest Veterans Administration $64.65
Rate for Payer: United Healthcare Commercial $85.22
Rate for Payer: United Healthcare Medicare $64.65
Rate for Payer: WINHealth Partners Commercial $93.05
Rate for Payer: Wise Provider Network Commercial $93.05
Service Code HCPCS J1670
Hospital Revenue Code 636
Min. Negotiated Rate $416.43
Max. Negotiated Rate $664.17
Rate for Payer: Aetna of WY Commercial/Medical Rental $650.89
Rate for Payer: Altius Auto/Workers Compensation $637.60
Rate for Payer: Altius Commercial $637.60
Rate for Payer: Beech Street Commercial $650.89
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $545.28
Rate for Payer: Cash Price $464.92
Rate for Payer: ChoiceCare Network Commercial $644.24
Rate for Payer: Cigna of WY Commercial $650.89
Rate for Payer: Entrust Commercial $630.96
Rate for Payer: First Choice Health Commercial $630.96
Rate for Payer: Government Employees Health Association (GEHA) Commercial $630.96
Rate for Payer: Government Employees Health Association (GEHA) Medicare $438.35
Rate for Payer: HealthUtah PPO $664.17
Rate for Payer: Idaho Integrated Healthcare Commercial $644.24
Rate for Payer: Multiplan Medicare/VA $416.43
Rate for Payer: One Health Plan of WY PPO $650.89
Rate for Payer: PacificSource Commercial $597.75
Rate for Payer: PHCS PPO $650.89
Rate for Payer: Three Rivers PPO $498.13
Rate for Payer: TriWest Veterans Administration $438.35
Rate for Payer: United Healthcare Commercial $577.83
Rate for Payer: United Healthcare Medicare $438.35
Rate for Payer: WINHealth Partners Commercial $630.96
Rate for Payer: Wise Provider Network Commercial $630.96
Service Code HCPCS J1670
Hospital Revenue Code 636
Min. Negotiated Rate $365.96
Max. Negotiated Rate $664.17
Rate for Payer: Aetna of WY Commercial/Medical Rental $650.89
Rate for Payer: Aetna of WY Medicare $438.35
Rate for Payer: Altius Auto/Workers Compensation $637.60
Rate for Payer: Altius Commercial $637.60
Rate for Payer: Beech Street Commercial $650.89
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $545.28
Rate for Payer: Cash Price $464.92
Rate for Payer: ChoiceCare Network Commercial $644.24
Rate for Payer: Cigna of WY Commercial $650.89
Rate for Payer: Entrust Commercial $630.96
Rate for Payer: First Choice Health Commercial $630.96
Rate for Payer: Government Employees Health Association (GEHA) Commercial $630.96
Rate for Payer: Government Employees Health Association (GEHA) Medicare $385.22
Rate for Payer: HealthUtah PPO $664.17
Rate for Payer: Idaho Integrated Healthcare Commercial $644.24
Rate for Payer: Multiplan Medicare/VA $365.96
Rate for Payer: One Health Plan of WY PPO $650.89
Rate for Payer: PacificSource Commercial $597.75
Rate for Payer: PHCS PPO $650.89
Rate for Payer: Three Rivers PPO $498.13
Rate for Payer: TriWest Veterans Administration $385.22
Rate for Payer: United Healthcare Commercial $577.83
Rate for Payer: United Healthcare Medicare $385.22
Rate for Payer: WINHealth Partners Commercial $650.89
Rate for Payer: Wise Provider Network Commercial $630.96
Service Code HCPCS 90703
Hospital Charge Code 90703
Min. Negotiated Rate $52.50
Max. Negotiated Rate $70.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $68.60
Rate for Payer: Beech Street Commercial $66.50
Rate for Payer: Cash Price $49.00
Rate for Payer: ChoiceCare Network Commercial $67.90
Rate for Payer: Cigna of WY Commercial $68.60
Rate for Payer: First Choice Health Commercial $63.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $66.50
Rate for Payer: HealthUtah PPO $70.00
Rate for Payer: Idaho Integrated Healthcare Commercial $67.90
Rate for Payer: One Health Plan of WY PPO $68.60
Rate for Payer: PacificSource Commercial $63.00
Rate for Payer: PHCS PPO $66.50
Rate for Payer: Three Rivers PPO $52.50
Rate for Payer: United Healthcare Commercial $60.90
Rate for Payer: WINHealth Partners Commercial $70.00
Service Code NDC 0065074114
Hospital Revenue Code 250
Min. Negotiated Rate $8.16
Max. Negotiated Rate $13.01
Rate for Payer: Aetna of WY Commercial/Medical Rental $12.75
Rate for Payer: Altius Auto/Workers Compensation $12.49
Rate for Payer: Altius Commercial $12.49
Rate for Payer: Beech Street Commercial $12.75
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $10.68
Rate for Payer: Cash Price $9.11
Rate for Payer: ChoiceCare Network Commercial $12.62
Rate for Payer: Cigna of WY Commercial $12.75
Rate for Payer: Entrust Commercial $12.36
Rate for Payer: First Choice Health Commercial $12.36
Rate for Payer: Government Employees Health Association (GEHA) Commercial $12.36
Rate for Payer: Government Employees Health Association (GEHA) Medicare $8.59
Rate for Payer: HealthUtah PPO $13.01
Rate for Payer: Idaho Integrated Healthcare Commercial $12.62
Rate for Payer: Multiplan Medicare/VA $8.16
Rate for Payer: One Health Plan of WY PPO $12.75
Rate for Payer: PacificSource Commercial $11.71
Rate for Payer: PHCS PPO $12.75
Rate for Payer: Three Rivers PPO $9.76
Rate for Payer: TriWest Veterans Administration $8.59
Rate for Payer: United Healthcare Commercial $11.32
Rate for Payer: United Healthcare Medicare $8.59
Rate for Payer: WINHealth Partners Commercial $12.36
Rate for Payer: Wise Provider Network Commercial $12.36
Service Code NDC 0065074114
Hospital Revenue Code 250
Min. Negotiated Rate $7.17
Max. Negotiated Rate $13.01
Rate for Payer: Aetna of WY Commercial/Medical Rental $12.75
Rate for Payer: Aetna of WY Medicare $8.59
Rate for Payer: Altius Auto/Workers Compensation $12.49
Rate for Payer: Altius Commercial $12.49
Rate for Payer: Beech Street Commercial $12.75
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $10.68
Rate for Payer: Cash Price $9.11
Rate for Payer: ChoiceCare Network Commercial $12.62
Rate for Payer: Cigna of WY Commercial $12.75
Rate for Payer: Entrust Commercial $12.36
Rate for Payer: First Choice Health Commercial $12.36
Rate for Payer: Government Employees Health Association (GEHA) Commercial $12.36
Rate for Payer: Government Employees Health Association (GEHA) Medicare $7.55
Rate for Payer: HealthUtah PPO $13.01
Rate for Payer: Idaho Integrated Healthcare Commercial $12.62
Rate for Payer: Multiplan Medicare/VA $7.17
Rate for Payer: One Health Plan of WY PPO $12.75
Rate for Payer: PacificSource Commercial $11.71
Rate for Payer: PHCS PPO $12.75
Rate for Payer: Three Rivers PPO $9.76
Rate for Payer: TriWest Veterans Administration $7.55
Rate for Payer: United Healthcare Commercial $11.32
Rate for Payer: United Healthcare Medicare $7.55
Rate for Payer: WINHealth Partners Commercial $12.75
Rate for Payer: Wise Provider Network Commercial $12.36
Service Code NDC 5428812701
Hospital Revenue Code 250
Min. Negotiated Rate $62.70
Max. Negotiated Rate $100.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $98.00
Rate for Payer: Altius Auto/Workers Compensation $96.00
Rate for Payer: Altius Commercial $96.00
Rate for Payer: Beech Street Commercial $98.00
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $82.10
Rate for Payer: Cash Price $70.00
Rate for Payer: ChoiceCare Network Commercial $97.00
Rate for Payer: Cigna of WY Commercial $98.00
Rate for Payer: Entrust Commercial $95.00
Rate for Payer: First Choice Health Commercial $95.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $95.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $66.00
Rate for Payer: HealthUtah PPO $100.00
Rate for Payer: Idaho Integrated Healthcare Commercial $97.00
Rate for Payer: Multiplan Medicare/VA $62.70
Rate for Payer: One Health Plan of WY PPO $98.00
Rate for Payer: PacificSource Commercial $90.00
Rate for Payer: PHCS PPO $98.00
Rate for Payer: Three Rivers PPO $75.00
Rate for Payer: TriWest Veterans Administration $66.00
Rate for Payer: United Healthcare Commercial $87.00
Rate for Payer: United Healthcare Medicare $66.00
Rate for Payer: WINHealth Partners Commercial $95.00
Rate for Payer: Wise Provider Network Commercial $95.00
Service Code NDC 5428812701
Hospital Revenue Code 250
Min. Negotiated Rate $55.10
Max. Negotiated Rate $100.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $98.00
Rate for Payer: Aetna of WY Medicare $66.00
Rate for Payer: Altius Auto/Workers Compensation $96.00
Rate for Payer: Altius Commercial $96.00
Rate for Payer: Beech Street Commercial $98.00
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $82.10
Rate for Payer: Cash Price $70.00
Rate for Payer: ChoiceCare Network Commercial $97.00
Rate for Payer: Cigna of WY Commercial $98.00
Rate for Payer: Entrust Commercial $95.00
Rate for Payer: First Choice Health Commercial $95.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $95.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $58.00
Rate for Payer: HealthUtah PPO $100.00
Rate for Payer: Idaho Integrated Healthcare Commercial $97.00
Rate for Payer: Multiplan Medicare/VA $55.10
Rate for Payer: One Health Plan of WY PPO $98.00
Rate for Payer: PacificSource Commercial $90.00
Rate for Payer: PHCS PPO $98.00
Rate for Payer: Three Rivers PPO $75.00
Rate for Payer: TriWest Veterans Administration $58.00
Rate for Payer: United Healthcare Commercial $87.00
Rate for Payer: United Healthcare Medicare $58.00
Rate for Payer: WINHealth Partners Commercial $98.00
Rate for Payer: Wise Provider Network Commercial $95.00
Service Code NDC 5428812710
Hospital Revenue Code 250
Min. Negotiated Rate $62.70
Max. Negotiated Rate $100.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $98.00
Rate for Payer: Altius Auto/Workers Compensation $96.00
Rate for Payer: Altius Commercial $96.00
Rate for Payer: Beech Street Commercial $98.00
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $82.10
Rate for Payer: Cash Price $70.00
Rate for Payer: ChoiceCare Network Commercial $97.00
Rate for Payer: Cigna of WY Commercial $98.00
Rate for Payer: Entrust Commercial $95.00
Rate for Payer: First Choice Health Commercial $95.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $95.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $66.00
Rate for Payer: HealthUtah PPO $100.00
Rate for Payer: Idaho Integrated Healthcare Commercial $97.00
Rate for Payer: Multiplan Medicare/VA $62.70
Rate for Payer: One Health Plan of WY PPO $98.00
Rate for Payer: PacificSource Commercial $90.00
Rate for Payer: PHCS PPO $98.00
Rate for Payer: Three Rivers PPO $75.00
Rate for Payer: TriWest Veterans Administration $66.00
Rate for Payer: United Healthcare Commercial $87.00
Rate for Payer: United Healthcare Medicare $66.00
Rate for Payer: WINHealth Partners Commercial $95.00
Rate for Payer: Wise Provider Network Commercial $95.00
Service Code NDC 5428812710
Hospital Revenue Code 250
Min. Negotiated Rate $55.10
Max. Negotiated Rate $100.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $98.00
Rate for Payer: Aetna of WY Medicare $66.00
Rate for Payer: Altius Auto/Workers Compensation $96.00
Rate for Payer: Altius Commercial $96.00
Rate for Payer: Beech Street Commercial $98.00
Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial $82.10
Rate for Payer: Cash Price $70.00
Rate for Payer: ChoiceCare Network Commercial $97.00
Rate for Payer: Cigna of WY Commercial $98.00
Rate for Payer: Entrust Commercial $95.00
Rate for Payer: First Choice Health Commercial $95.00
Rate for Payer: Government Employees Health Association (GEHA) Commercial $95.00
Rate for Payer: Government Employees Health Association (GEHA) Medicare $58.00
Rate for Payer: HealthUtah PPO $100.00
Rate for Payer: Idaho Integrated Healthcare Commercial $97.00
Rate for Payer: Multiplan Medicare/VA $55.10
Rate for Payer: One Health Plan of WY PPO $98.00
Rate for Payer: PacificSource Commercial $90.00
Rate for Payer: PHCS PPO $98.00
Rate for Payer: Three Rivers PPO $75.00
Rate for Payer: TriWest Veterans Administration $58.00
Rate for Payer: United Healthcare Commercial $87.00
Rate for Payer: United Healthcare Medicare $58.00
Rate for Payer: WINHealth Partners Commercial $98.00
Rate for Payer: Wise Provider Network Commercial $95.00
Service Code HCPCS 97530
Hospital Charge Code 97530
Min. Negotiated Rate $30.54
Max. Negotiated Rate $296.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $290.08
Rate for Payer: Aetna of WY Medicare $35.93
Rate for Payer: Beech Street Commercial $281.20
Rate for Payer: Cash Price $207.20
Rate for Payer: Cash Price $207.20
Rate for Payer: ChoiceCare Network Commercial $287.12
Rate for Payer: Cigna of WY Commercial $290.08
Rate for Payer: First Choice Health Commercial $266.40
Rate for Payer: Government Employees Health Association (GEHA) Commercial $281.20
Rate for Payer: Government Employees Health Association (GEHA) Medicare $35.93
Rate for Payer: HealthUtah PPO $296.00
Rate for Payer: Idaho Integrated Healthcare Commercial $287.12
Rate for Payer: Multiplan Medicare/VA $30.54
Rate for Payer: One Health Plan of WY PPO $290.08
Rate for Payer: PacificSource Commercial $266.40
Rate for Payer: PHCS PPO $281.20
Rate for Payer: Three Rivers PPO $222.00
Rate for Payer: TriWest Veterans Administration $35.93
Rate for Payer: United Healthcare Commercial $257.52
Rate for Payer: United Healthcare Medicare $35.93
Rate for Payer: WINHealth Partners Commercial $281.20
Service Code HCPCS 96375
Hospital Charge Code 96375
Min. Negotiated Rate $12.73
Max. Negotiated Rate $205.00
Rate for Payer: Aetna of WY Commercial/Medical Rental $200.90
Rate for Payer: Aetna of WY Medicare $14.98
Rate for Payer: Beech Street Commercial $194.75
Rate for Payer: Cash Price $143.50
Rate for Payer: Cash Price $143.50
Rate for Payer: ChoiceCare Network Commercial $198.85
Rate for Payer: Cigna of WY Commercial $200.90
Rate for Payer: First Choice Health Commercial $184.50
Rate for Payer: Government Employees Health Association (GEHA) Commercial $194.75
Rate for Payer: Government Employees Health Association (GEHA) Medicare $14.98
Rate for Payer: HealthUtah PPO $205.00
Rate for Payer: Idaho Integrated Healthcare Commercial $198.85
Rate for Payer: Multiplan Medicare/VA $12.73
Rate for Payer: One Health Plan of WY PPO $200.90
Rate for Payer: PacificSource Commercial $184.50
Rate for Payer: PHCS PPO $194.75
Rate for Payer: Three Rivers PPO $153.75
Rate for Payer: TriWest Veterans Administration $14.98
Rate for Payer: United Healthcare Commercial $178.35
Rate for Payer: United Healthcare Medicare $14.98
Rate for Payer: WINHealth Partners Commercial $194.75