|
CATHETER EPIDURAL TUN-L-XL
|
Facility
|
IP
|
$267.36
|
|
| Hospital Charge Code |
2500195
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$154.94 |
| Max. Negotiated Rate |
$267.36 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$262.01
|
| Rate for Payer: Aetna of WY Medicare |
$171.11
|
| Rate for Payer: Altius Commercial |
$256.67
|
| Rate for Payer: Beech Street Commercial |
$262.01
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$259.34
|
| Rate for Payer: Cash Price |
$187.16
|
| Rate for Payer: ChoiceCare Network Commercial |
$259.34
|
| Rate for Payer: Cigna of WY Commercial |
$262.01
|
| Rate for Payer: Entrust Commercial |
$253.99
|
| Rate for Payer: First Choice Health Commercial |
$253.99
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$253.99
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$163.09
|
| Rate for Payer: HealthUtah PPO |
$267.36
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$259.34
|
| Rate for Payer: Multiplan Medicare/VA |
$154.94
|
| Rate for Payer: One Health Plan of WY PPO |
$262.01
|
| Rate for Payer: PacificSource Commercial |
$240.62
|
| Rate for Payer: PHCS PPO |
$262.01
|
| Rate for Payer: Three Rivers PPO |
$200.52
|
| Rate for Payer: TriWest Veterans Administration |
$163.09
|
| Rate for Payer: United Healthcare Commercial |
$255.33
|
| Rate for Payer: United Healthcare Medicare |
$163.09
|
| Rate for Payer: WINHealth Partners Commercial |
$253.99
|
| Rate for Payer: Wise Provider Network Commercial |
$253.99
|
|
|
CATHETER FOLEY 2 WAY 30CC 22FR
|
Facility
|
IP
|
$7.08
|
|
| Hospital Charge Code |
2750131
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.10 |
| Max. Negotiated Rate |
$7.08 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$6.94
|
| Rate for Payer: Aetna of WY Medicare |
$4.53
|
| Rate for Payer: Altius Commercial |
$6.80
|
| Rate for Payer: Beech Street Commercial |
$6.94
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$6.87
|
| Rate for Payer: Cash Price |
$4.96
|
| Rate for Payer: ChoiceCare Network Commercial |
$6.87
|
| Rate for Payer: Cigna of WY Commercial |
$6.94
|
| Rate for Payer: Entrust Commercial |
$6.73
|
| Rate for Payer: First Choice Health Commercial |
$6.73
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$6.73
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$4.32
|
| Rate for Payer: HealthUtah PPO |
$7.08
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$6.87
|
| Rate for Payer: Multiplan Medicare/VA |
$4.10
|
| Rate for Payer: One Health Plan of WY PPO |
$6.94
|
| Rate for Payer: PacificSource Commercial |
$6.37
|
| Rate for Payer: PHCS PPO |
$6.94
|
| Rate for Payer: Three Rivers PPO |
$5.31
|
| Rate for Payer: TriWest Veterans Administration |
$4.32
|
| Rate for Payer: United Healthcare Commercial |
$6.76
|
| Rate for Payer: United Healthcare Medicare |
$4.32
|
| Rate for Payer: WINHealth Partners Commercial |
$6.73
|
| Rate for Payer: Wise Provider Network Commercial |
$6.73
|
|
|
CATHETER FOLEY 2 WAY 30CC 22FR
|
Facility
|
OP
|
$7.08
|
|
| Hospital Charge Code |
2750131
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.83 |
| Max. Negotiated Rate |
$7.08 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$6.94
|
| Rate for Payer: Aetna of WY Medicare |
$4.67
|
| Rate for Payer: Altius Commercial |
$6.80
|
| Rate for Payer: Beech Street Commercial |
$6.94
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$6.87
|
| Rate for Payer: Cash Price |
$4.96
|
| Rate for Payer: ChoiceCare Network Commercial |
$6.87
|
| Rate for Payer: Cigna of WY Commercial |
$6.94
|
| Rate for Payer: Entrust Commercial |
$6.73
|
| Rate for Payer: First Choice Health Commercial |
$6.73
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$6.73
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$4.04
|
| Rate for Payer: HealthUtah PPO |
$7.08
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$6.87
|
| Rate for Payer: Multiplan Medicare/VA |
$3.83
|
| Rate for Payer: One Health Plan of WY PPO |
$6.94
|
| Rate for Payer: PacificSource Commercial |
$6.37
|
| Rate for Payer: PHCS PPO |
$6.94
|
| Rate for Payer: Three Rivers PPO |
$5.31
|
| Rate for Payer: TriWest Veterans Administration |
$4.04
|
| Rate for Payer: United Healthcare Commercial |
$6.76
|
| Rate for Payer: United Healthcare Medicare |
$4.04
|
| Rate for Payer: WINHealth Partners Commercial |
$6.94
|
| Rate for Payer: Wise Provider Network Commercial |
$6.73
|
|
|
CATHETER FOLEY 2 WAY 3CC 10FR
|
Facility
|
OP
|
$20.02
|
|
| Hospital Charge Code |
2750013
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.84 |
| Max. Negotiated Rate |
$20.02 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$19.62
|
| Rate for Payer: Aetna of WY Medicare |
$13.21
|
| Rate for Payer: Altius Commercial |
$19.22
|
| Rate for Payer: Beech Street Commercial |
$19.62
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$19.42
|
| Rate for Payer: Cash Price |
$14.01
|
| Rate for Payer: ChoiceCare Network Commercial |
$19.42
|
| Rate for Payer: Cigna of WY Commercial |
$19.62
|
| Rate for Payer: Entrust Commercial |
$19.02
|
| Rate for Payer: First Choice Health Commercial |
$19.02
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$19.02
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$11.41
|
| Rate for Payer: HealthUtah PPO |
$20.02
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$19.42
|
| Rate for Payer: Multiplan Medicare/VA |
$10.84
|
| Rate for Payer: One Health Plan of WY PPO |
$19.62
|
| Rate for Payer: PacificSource Commercial |
$18.02
|
| Rate for Payer: PHCS PPO |
$19.62
|
| Rate for Payer: Three Rivers PPO |
$15.02
|
| Rate for Payer: TriWest Veterans Administration |
$11.41
|
| Rate for Payer: United Healthcare Commercial |
$19.12
|
| Rate for Payer: United Healthcare Medicare |
$11.41
|
| Rate for Payer: WINHealth Partners Commercial |
$19.62
|
| Rate for Payer: Wise Provider Network Commercial |
$19.02
|
|
|
CATHETER FOLEY 2 WAY 3CC 10FR
|
Facility
|
IP
|
$20.02
|
|
| Hospital Charge Code |
2750013
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$11.60 |
| Max. Negotiated Rate |
$20.02 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$19.62
|
| Rate for Payer: Aetna of WY Medicare |
$12.81
|
| Rate for Payer: Altius Commercial |
$19.22
|
| Rate for Payer: Beech Street Commercial |
$19.62
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$19.42
|
| Rate for Payer: Cash Price |
$14.01
|
| Rate for Payer: ChoiceCare Network Commercial |
$19.42
|
| Rate for Payer: Cigna of WY Commercial |
$19.62
|
| Rate for Payer: Entrust Commercial |
$19.02
|
| Rate for Payer: First Choice Health Commercial |
$19.02
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$19.02
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$12.21
|
| Rate for Payer: HealthUtah PPO |
$20.02
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$19.42
|
| Rate for Payer: Multiplan Medicare/VA |
$11.60
|
| Rate for Payer: One Health Plan of WY PPO |
$19.62
|
| Rate for Payer: PacificSource Commercial |
$18.02
|
| Rate for Payer: PHCS PPO |
$19.62
|
| Rate for Payer: Three Rivers PPO |
$15.02
|
| Rate for Payer: TriWest Veterans Administration |
$12.21
|
| Rate for Payer: United Healthcare Commercial |
$19.12
|
| Rate for Payer: United Healthcare Medicare |
$12.21
|
| Rate for Payer: WINHealth Partners Commercial |
$19.02
|
| Rate for Payer: Wise Provider Network Commercial |
$19.02
|
|
|
CATHETER FOLEY 2 WAY 3CC 8FR
|
Facility
|
IP
|
$19.20
|
|
| Hospital Charge Code |
2750026
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$11.13 |
| Max. Negotiated Rate |
$19.20 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$18.82
|
| Rate for Payer: Aetna of WY Medicare |
$12.29
|
| Rate for Payer: Altius Commercial |
$18.43
|
| Rate for Payer: Beech Street Commercial |
$18.82
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$18.62
|
| Rate for Payer: Cash Price |
$13.44
|
| Rate for Payer: ChoiceCare Network Commercial |
$18.62
|
| Rate for Payer: Cigna of WY Commercial |
$18.82
|
| Rate for Payer: Entrust Commercial |
$18.24
|
| Rate for Payer: First Choice Health Commercial |
$18.24
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$18.24
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$11.71
|
| Rate for Payer: HealthUtah PPO |
$19.20
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$18.62
|
| Rate for Payer: Multiplan Medicare/VA |
$11.13
|
| Rate for Payer: One Health Plan of WY PPO |
$18.82
|
| Rate for Payer: PacificSource Commercial |
$17.28
|
| Rate for Payer: PHCS PPO |
$18.82
|
| Rate for Payer: Three Rivers PPO |
$14.40
|
| Rate for Payer: TriWest Veterans Administration |
$11.71
|
| Rate for Payer: United Healthcare Commercial |
$18.34
|
| Rate for Payer: United Healthcare Medicare |
$11.71
|
| Rate for Payer: WINHealth Partners Commercial |
$18.24
|
| Rate for Payer: Wise Provider Network Commercial |
$18.24
|
|
|
CATHETER FOLEY 2 WAY 3CC 8FR
|
Facility
|
OP
|
$19.20
|
|
| Hospital Charge Code |
2750026
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$10.40 |
| Max. Negotiated Rate |
$19.20 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$18.82
|
| Rate for Payer: Aetna of WY Medicare |
$12.67
|
| Rate for Payer: Altius Commercial |
$18.43
|
| Rate for Payer: Beech Street Commercial |
$18.82
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$18.62
|
| Rate for Payer: Cash Price |
$13.44
|
| Rate for Payer: ChoiceCare Network Commercial |
$18.62
|
| Rate for Payer: Cigna of WY Commercial |
$18.82
|
| Rate for Payer: Entrust Commercial |
$18.24
|
| Rate for Payer: First Choice Health Commercial |
$18.24
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$18.24
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$10.94
|
| Rate for Payer: HealthUtah PPO |
$19.20
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$18.62
|
| Rate for Payer: Multiplan Medicare/VA |
$10.40
|
| Rate for Payer: One Health Plan of WY PPO |
$18.82
|
| Rate for Payer: PacificSource Commercial |
$17.28
|
| Rate for Payer: PHCS PPO |
$18.82
|
| Rate for Payer: Three Rivers PPO |
$14.40
|
| Rate for Payer: TriWest Veterans Administration |
$10.94
|
| Rate for Payer: United Healthcare Commercial |
$18.34
|
| Rate for Payer: United Healthcare Medicare |
$10.94
|
| Rate for Payer: WINHealth Partners Commercial |
$18.82
|
| Rate for Payer: Wise Provider Network Commercial |
$18.24
|
|
|
CATHETER FOLEY 2 WAY 5CC 12FR
|
Facility
|
OP
|
$5.67
|
|
| Hospital Charge Code |
2750014
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3.07 |
| Max. Negotiated Rate |
$5.67 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$5.56
|
| Rate for Payer: Aetna of WY Medicare |
$3.74
|
| Rate for Payer: Altius Commercial |
$5.44
|
| Rate for Payer: Beech Street Commercial |
$5.56
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$5.50
|
| Rate for Payer: Cash Price |
$3.97
|
| Rate for Payer: ChoiceCare Network Commercial |
$5.50
|
| Rate for Payer: Cigna of WY Commercial |
$5.56
|
| Rate for Payer: Entrust Commercial |
$5.39
|
| Rate for Payer: First Choice Health Commercial |
$5.39
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$5.39
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$3.23
|
| Rate for Payer: HealthUtah PPO |
$5.67
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$5.50
|
| Rate for Payer: Multiplan Medicare/VA |
$3.07
|
| Rate for Payer: One Health Plan of WY PPO |
$5.56
|
| Rate for Payer: PacificSource Commercial |
$5.10
|
| Rate for Payer: PHCS PPO |
$5.56
|
| Rate for Payer: Three Rivers PPO |
$4.25
|
| Rate for Payer: TriWest Veterans Administration |
$3.23
|
| Rate for Payer: United Healthcare Commercial |
$5.41
|
| Rate for Payer: United Healthcare Medicare |
$3.23
|
| Rate for Payer: WINHealth Partners Commercial |
$5.56
|
| Rate for Payer: Wise Provider Network Commercial |
$5.39
|
|
|
CATHETER FOLEY 2 WAY 5CC 12FR
|
Facility
|
IP
|
$5.67
|
|
| Hospital Charge Code |
2750014
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3.29 |
| Max. Negotiated Rate |
$5.67 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$5.56
|
| Rate for Payer: Aetna of WY Medicare |
$3.63
|
| Rate for Payer: Altius Commercial |
$5.44
|
| Rate for Payer: Beech Street Commercial |
$5.56
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$5.50
|
| Rate for Payer: Cash Price |
$3.97
|
| Rate for Payer: ChoiceCare Network Commercial |
$5.50
|
| Rate for Payer: Cigna of WY Commercial |
$5.56
|
| Rate for Payer: Entrust Commercial |
$5.39
|
| Rate for Payer: First Choice Health Commercial |
$5.39
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$5.39
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$3.46
|
| Rate for Payer: HealthUtah PPO |
$5.67
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$5.50
|
| Rate for Payer: Multiplan Medicare/VA |
$3.29
|
| Rate for Payer: One Health Plan of WY PPO |
$5.56
|
| Rate for Payer: PacificSource Commercial |
$5.10
|
| Rate for Payer: PHCS PPO |
$5.56
|
| Rate for Payer: Three Rivers PPO |
$4.25
|
| Rate for Payer: TriWest Veterans Administration |
$3.46
|
| Rate for Payer: United Healthcare Commercial |
$5.41
|
| Rate for Payer: United Healthcare Medicare |
$3.46
|
| Rate for Payer: WINHealth Partners Commercial |
$5.39
|
| Rate for Payer: Wise Provider Network Commercial |
$5.39
|
|
|
CATHETER FOLEY 2 WAY 5CC 14FR
|
Facility
|
OP
|
$5.67
|
|
| Hospital Charge Code |
2750015
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3.07 |
| Max. Negotiated Rate |
$5.67 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$5.56
|
| Rate for Payer: Aetna of WY Medicare |
$3.74
|
| Rate for Payer: Altius Commercial |
$5.44
|
| Rate for Payer: Beech Street Commercial |
$5.56
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$5.50
|
| Rate for Payer: Cash Price |
$3.97
|
| Rate for Payer: ChoiceCare Network Commercial |
$5.50
|
| Rate for Payer: Cigna of WY Commercial |
$5.56
|
| Rate for Payer: Entrust Commercial |
$5.39
|
| Rate for Payer: First Choice Health Commercial |
$5.39
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$5.39
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$3.23
|
| Rate for Payer: HealthUtah PPO |
$5.67
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$5.50
|
| Rate for Payer: Multiplan Medicare/VA |
$3.07
|
| Rate for Payer: One Health Plan of WY PPO |
$5.56
|
| Rate for Payer: PacificSource Commercial |
$5.10
|
| Rate for Payer: PHCS PPO |
$5.56
|
| Rate for Payer: Three Rivers PPO |
$4.25
|
| Rate for Payer: TriWest Veterans Administration |
$3.23
|
| Rate for Payer: United Healthcare Commercial |
$5.41
|
| Rate for Payer: United Healthcare Medicare |
$3.23
|
| Rate for Payer: WINHealth Partners Commercial |
$5.56
|
| Rate for Payer: Wise Provider Network Commercial |
$5.39
|
|
|
CATHETER FOLEY 2 WAY 5CC 14FR
|
Facility
|
IP
|
$5.67
|
|
| Hospital Charge Code |
2750015
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3.29 |
| Max. Negotiated Rate |
$5.67 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$5.56
|
| Rate for Payer: Aetna of WY Medicare |
$3.63
|
| Rate for Payer: Altius Commercial |
$5.44
|
| Rate for Payer: Beech Street Commercial |
$5.56
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$5.50
|
| Rate for Payer: Cash Price |
$3.97
|
| Rate for Payer: ChoiceCare Network Commercial |
$5.50
|
| Rate for Payer: Cigna of WY Commercial |
$5.56
|
| Rate for Payer: Entrust Commercial |
$5.39
|
| Rate for Payer: First Choice Health Commercial |
$5.39
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$5.39
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$3.46
|
| Rate for Payer: HealthUtah PPO |
$5.67
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$5.50
|
| Rate for Payer: Multiplan Medicare/VA |
$3.29
|
| Rate for Payer: One Health Plan of WY PPO |
$5.56
|
| Rate for Payer: PacificSource Commercial |
$5.10
|
| Rate for Payer: PHCS PPO |
$5.56
|
| Rate for Payer: Three Rivers PPO |
$4.25
|
| Rate for Payer: TriWest Veterans Administration |
$3.46
|
| Rate for Payer: United Healthcare Commercial |
$5.41
|
| Rate for Payer: United Healthcare Medicare |
$3.46
|
| Rate for Payer: WINHealth Partners Commercial |
$5.39
|
| Rate for Payer: Wise Provider Network Commercial |
$5.39
|
|
|
CATHETER FOLEY 2 WAY 5CC 16FR
|
Facility
|
OP
|
$5.67
|
|
| Hospital Charge Code |
2750016
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.07 |
| Max. Negotiated Rate |
$5.67 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$5.56
|
| Rate for Payer: Aetna of WY Medicare |
$3.74
|
| Rate for Payer: Altius Commercial |
$5.44
|
| Rate for Payer: Beech Street Commercial |
$5.56
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$5.50
|
| Rate for Payer: Cash Price |
$3.97
|
| Rate for Payer: ChoiceCare Network Commercial |
$5.50
|
| Rate for Payer: Cigna of WY Commercial |
$5.56
|
| Rate for Payer: Entrust Commercial |
$5.39
|
| Rate for Payer: First Choice Health Commercial |
$5.39
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$5.39
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$3.23
|
| Rate for Payer: HealthUtah PPO |
$5.67
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$5.50
|
| Rate for Payer: Multiplan Medicare/VA |
$3.07
|
| Rate for Payer: One Health Plan of WY PPO |
$5.56
|
| Rate for Payer: PacificSource Commercial |
$5.10
|
| Rate for Payer: PHCS PPO |
$5.56
|
| Rate for Payer: Three Rivers PPO |
$4.25
|
| Rate for Payer: TriWest Veterans Administration |
$3.23
|
| Rate for Payer: United Healthcare Commercial |
$5.41
|
| Rate for Payer: United Healthcare Medicare |
$3.23
|
| Rate for Payer: WINHealth Partners Commercial |
$5.56
|
| Rate for Payer: Wise Provider Network Commercial |
$5.39
|
|
|
CATHETER FOLEY 2 WAY 5CC 16FR
|
Facility
|
IP
|
$5.67
|
|
| Hospital Charge Code |
2750016
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.29 |
| Max. Negotiated Rate |
$5.67 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$5.56
|
| Rate for Payer: Aetna of WY Medicare |
$3.63
|
| Rate for Payer: Altius Commercial |
$5.44
|
| Rate for Payer: Beech Street Commercial |
$5.56
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$5.50
|
| Rate for Payer: Cash Price |
$3.97
|
| Rate for Payer: ChoiceCare Network Commercial |
$5.50
|
| Rate for Payer: Cigna of WY Commercial |
$5.56
|
| Rate for Payer: Entrust Commercial |
$5.39
|
| Rate for Payer: First Choice Health Commercial |
$5.39
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$5.39
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$3.46
|
| Rate for Payer: HealthUtah PPO |
$5.67
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$5.50
|
| Rate for Payer: Multiplan Medicare/VA |
$3.29
|
| Rate for Payer: One Health Plan of WY PPO |
$5.56
|
| Rate for Payer: PacificSource Commercial |
$5.10
|
| Rate for Payer: PHCS PPO |
$5.56
|
| Rate for Payer: Three Rivers PPO |
$4.25
|
| Rate for Payer: TriWest Veterans Administration |
$3.46
|
| Rate for Payer: United Healthcare Commercial |
$5.41
|
| Rate for Payer: United Healthcare Medicare |
$3.46
|
| Rate for Payer: WINHealth Partners Commercial |
$5.39
|
| Rate for Payer: Wise Provider Network Commercial |
$5.39
|
|
|
CATHETER FOLEY 2 WAY 5CC 16FR SILICONE
|
Facility
|
IP
|
$23.23
|
|
| Hospital Charge Code |
2750146
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$13.46 |
| Max. Negotiated Rate |
$23.23 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$22.77
|
| Rate for Payer: Aetna of WY Medicare |
$14.87
|
| Rate for Payer: Altius Commercial |
$22.30
|
| Rate for Payer: Beech Street Commercial |
$22.77
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$22.53
|
| Rate for Payer: Cash Price |
$16.26
|
| Rate for Payer: ChoiceCare Network Commercial |
$22.53
|
| Rate for Payer: Cigna of WY Commercial |
$22.77
|
| Rate for Payer: Entrust Commercial |
$22.07
|
| Rate for Payer: First Choice Health Commercial |
$22.07
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$22.07
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$14.17
|
| Rate for Payer: HealthUtah PPO |
$23.23
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$22.53
|
| Rate for Payer: Multiplan Medicare/VA |
$13.46
|
| Rate for Payer: One Health Plan of WY PPO |
$22.77
|
| Rate for Payer: PacificSource Commercial |
$20.91
|
| Rate for Payer: PHCS PPO |
$22.77
|
| Rate for Payer: Three Rivers PPO |
$17.42
|
| Rate for Payer: TriWest Veterans Administration |
$14.17
|
| Rate for Payer: United Healthcare Commercial |
$22.18
|
| Rate for Payer: United Healthcare Medicare |
$14.17
|
| Rate for Payer: WINHealth Partners Commercial |
$22.07
|
| Rate for Payer: Wise Provider Network Commercial |
$22.07
|
|
|
CATHETER FOLEY 2 WAY 5CC 16FR SILICONE
|
Facility
|
OP
|
$23.23
|
|
| Hospital Charge Code |
2750146
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$12.58 |
| Max. Negotiated Rate |
$23.23 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$22.77
|
| Rate for Payer: Aetna of WY Medicare |
$15.33
|
| Rate for Payer: Altius Commercial |
$22.30
|
| Rate for Payer: Beech Street Commercial |
$22.77
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$22.53
|
| Rate for Payer: Cash Price |
$16.26
|
| Rate for Payer: ChoiceCare Network Commercial |
$22.53
|
| Rate for Payer: Cigna of WY Commercial |
$22.77
|
| Rate for Payer: Entrust Commercial |
$22.07
|
| Rate for Payer: First Choice Health Commercial |
$22.07
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$22.07
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$13.24
|
| Rate for Payer: HealthUtah PPO |
$23.23
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$22.53
|
| Rate for Payer: Multiplan Medicare/VA |
$12.58
|
| Rate for Payer: One Health Plan of WY PPO |
$22.77
|
| Rate for Payer: PacificSource Commercial |
$20.91
|
| Rate for Payer: PHCS PPO |
$22.77
|
| Rate for Payer: Three Rivers PPO |
$17.42
|
| Rate for Payer: TriWest Veterans Administration |
$13.24
|
| Rate for Payer: United Healthcare Commercial |
$22.18
|
| Rate for Payer: United Healthcare Medicare |
$13.24
|
| Rate for Payer: WINHealth Partners Commercial |
$22.77
|
| Rate for Payer: Wise Provider Network Commercial |
$22.07
|
|
|
CATHETER FOLEY 2 WAY 5CC 18FR
|
Facility
|
OP
|
$5.67
|
|
| Hospital Charge Code |
2750017
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3.07 |
| Max. Negotiated Rate |
$5.67 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$5.56
|
| Rate for Payer: Aetna of WY Medicare |
$3.74
|
| Rate for Payer: Altius Commercial |
$5.44
|
| Rate for Payer: Beech Street Commercial |
$5.56
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$5.50
|
| Rate for Payer: Cash Price |
$3.97
|
| Rate for Payer: ChoiceCare Network Commercial |
$5.50
|
| Rate for Payer: Cigna of WY Commercial |
$5.56
|
| Rate for Payer: Entrust Commercial |
$5.39
|
| Rate for Payer: First Choice Health Commercial |
$5.39
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$5.39
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$3.23
|
| Rate for Payer: HealthUtah PPO |
$5.67
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$5.50
|
| Rate for Payer: Multiplan Medicare/VA |
$3.07
|
| Rate for Payer: One Health Plan of WY PPO |
$5.56
|
| Rate for Payer: PacificSource Commercial |
$5.10
|
| Rate for Payer: PHCS PPO |
$5.56
|
| Rate for Payer: Three Rivers PPO |
$4.25
|
| Rate for Payer: TriWest Veterans Administration |
$3.23
|
| Rate for Payer: United Healthcare Commercial |
$5.41
|
| Rate for Payer: United Healthcare Medicare |
$3.23
|
| Rate for Payer: WINHealth Partners Commercial |
$5.56
|
| Rate for Payer: Wise Provider Network Commercial |
$5.39
|
|
|
CATHETER FOLEY 2 WAY 5CC 18FR
|
Facility
|
IP
|
$5.67
|
|
| Hospital Charge Code |
2750017
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3.29 |
| Max. Negotiated Rate |
$5.67 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$5.56
|
| Rate for Payer: Aetna of WY Medicare |
$3.63
|
| Rate for Payer: Altius Commercial |
$5.44
|
| Rate for Payer: Beech Street Commercial |
$5.56
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$5.50
|
| Rate for Payer: Cash Price |
$3.97
|
| Rate for Payer: ChoiceCare Network Commercial |
$5.50
|
| Rate for Payer: Cigna of WY Commercial |
$5.56
|
| Rate for Payer: Entrust Commercial |
$5.39
|
| Rate for Payer: First Choice Health Commercial |
$5.39
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$5.39
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$3.46
|
| Rate for Payer: HealthUtah PPO |
$5.67
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$5.50
|
| Rate for Payer: Multiplan Medicare/VA |
$3.29
|
| Rate for Payer: One Health Plan of WY PPO |
$5.56
|
| Rate for Payer: PacificSource Commercial |
$5.10
|
| Rate for Payer: PHCS PPO |
$5.56
|
| Rate for Payer: Three Rivers PPO |
$4.25
|
| Rate for Payer: TriWest Veterans Administration |
$3.46
|
| Rate for Payer: United Healthcare Commercial |
$5.41
|
| Rate for Payer: United Healthcare Medicare |
$3.46
|
| Rate for Payer: WINHealth Partners Commercial |
$5.39
|
| Rate for Payer: Wise Provider Network Commercial |
$5.39
|
|
|
CATHETER FOLEY 2 WAY 5CC 18FR SILICONE
|
Facility
|
IP
|
$23.23
|
|
| Hospital Charge Code |
2750147
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$13.46 |
| Max. Negotiated Rate |
$23.23 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$22.77
|
| Rate for Payer: Aetna of WY Medicare |
$14.87
|
| Rate for Payer: Altius Commercial |
$22.30
|
| Rate for Payer: Beech Street Commercial |
$22.77
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$22.53
|
| Rate for Payer: Cash Price |
$16.26
|
| Rate for Payer: ChoiceCare Network Commercial |
$22.53
|
| Rate for Payer: Cigna of WY Commercial |
$22.77
|
| Rate for Payer: Entrust Commercial |
$22.07
|
| Rate for Payer: First Choice Health Commercial |
$22.07
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$22.07
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$14.17
|
| Rate for Payer: HealthUtah PPO |
$23.23
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$22.53
|
| Rate for Payer: Multiplan Medicare/VA |
$13.46
|
| Rate for Payer: One Health Plan of WY PPO |
$22.77
|
| Rate for Payer: PacificSource Commercial |
$20.91
|
| Rate for Payer: PHCS PPO |
$22.77
|
| Rate for Payer: Three Rivers PPO |
$17.42
|
| Rate for Payer: TriWest Veterans Administration |
$14.17
|
| Rate for Payer: United Healthcare Commercial |
$22.18
|
| Rate for Payer: United Healthcare Medicare |
$14.17
|
| Rate for Payer: WINHealth Partners Commercial |
$22.07
|
| Rate for Payer: Wise Provider Network Commercial |
$22.07
|
|
|
CATHETER FOLEY 2 WAY 5CC 18FR SILICONE
|
Facility
|
OP
|
$23.23
|
|
| Hospital Charge Code |
2750147
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$12.58 |
| Max. Negotiated Rate |
$23.23 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$22.77
|
| Rate for Payer: Aetna of WY Medicare |
$15.33
|
| Rate for Payer: Altius Commercial |
$22.30
|
| Rate for Payer: Beech Street Commercial |
$22.77
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$22.53
|
| Rate for Payer: Cash Price |
$16.26
|
| Rate for Payer: ChoiceCare Network Commercial |
$22.53
|
| Rate for Payer: Cigna of WY Commercial |
$22.77
|
| Rate for Payer: Entrust Commercial |
$22.07
|
| Rate for Payer: First Choice Health Commercial |
$22.07
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$22.07
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$13.24
|
| Rate for Payer: HealthUtah PPO |
$23.23
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$22.53
|
| Rate for Payer: Multiplan Medicare/VA |
$12.58
|
| Rate for Payer: One Health Plan of WY PPO |
$22.77
|
| Rate for Payer: PacificSource Commercial |
$20.91
|
| Rate for Payer: PHCS PPO |
$22.77
|
| Rate for Payer: Three Rivers PPO |
$17.42
|
| Rate for Payer: TriWest Veterans Administration |
$13.24
|
| Rate for Payer: United Healthcare Commercial |
$22.18
|
| Rate for Payer: United Healthcare Medicare |
$13.24
|
| Rate for Payer: WINHealth Partners Commercial |
$22.77
|
| Rate for Payer: Wise Provider Network Commercial |
$22.07
|
|
|
CATHETER FOLEY 2 WAY 5CC 20FR
|
Facility
|
IP
|
$7.08
|
|
| Hospital Charge Code |
2750018
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$4.10 |
| Max. Negotiated Rate |
$7.08 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$6.94
|
| Rate for Payer: Aetna of WY Medicare |
$4.53
|
| Rate for Payer: Altius Commercial |
$6.80
|
| Rate for Payer: Beech Street Commercial |
$6.94
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$6.87
|
| Rate for Payer: Cash Price |
$4.96
|
| Rate for Payer: ChoiceCare Network Commercial |
$6.87
|
| Rate for Payer: Cigna of WY Commercial |
$6.94
|
| Rate for Payer: Entrust Commercial |
$6.73
|
| Rate for Payer: First Choice Health Commercial |
$6.73
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$6.73
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$4.32
|
| Rate for Payer: HealthUtah PPO |
$7.08
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$6.87
|
| Rate for Payer: Multiplan Medicare/VA |
$4.10
|
| Rate for Payer: One Health Plan of WY PPO |
$6.94
|
| Rate for Payer: PacificSource Commercial |
$6.37
|
| Rate for Payer: PHCS PPO |
$6.94
|
| Rate for Payer: Three Rivers PPO |
$5.31
|
| Rate for Payer: TriWest Veterans Administration |
$4.32
|
| Rate for Payer: United Healthcare Commercial |
$6.76
|
| Rate for Payer: United Healthcare Medicare |
$4.32
|
| Rate for Payer: WINHealth Partners Commercial |
$6.73
|
| Rate for Payer: Wise Provider Network Commercial |
$6.73
|
|
|
CATHETER FOLEY 2 WAY 5CC 20FR
|
Facility
|
OP
|
$7.08
|
|
| Hospital Charge Code |
2750018
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3.83 |
| Max. Negotiated Rate |
$7.08 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$6.94
|
| Rate for Payer: Aetna of WY Medicare |
$4.67
|
| Rate for Payer: Altius Commercial |
$6.80
|
| Rate for Payer: Beech Street Commercial |
$6.94
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$6.87
|
| Rate for Payer: Cash Price |
$4.96
|
| Rate for Payer: ChoiceCare Network Commercial |
$6.87
|
| Rate for Payer: Cigna of WY Commercial |
$6.94
|
| Rate for Payer: Entrust Commercial |
$6.73
|
| Rate for Payer: First Choice Health Commercial |
$6.73
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$6.73
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$4.04
|
| Rate for Payer: HealthUtah PPO |
$7.08
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$6.87
|
| Rate for Payer: Multiplan Medicare/VA |
$3.83
|
| Rate for Payer: One Health Plan of WY PPO |
$6.94
|
| Rate for Payer: PacificSource Commercial |
$6.37
|
| Rate for Payer: PHCS PPO |
$6.94
|
| Rate for Payer: Three Rivers PPO |
$5.31
|
| Rate for Payer: TriWest Veterans Administration |
$4.04
|
| Rate for Payer: United Healthcare Commercial |
$6.76
|
| Rate for Payer: United Healthcare Medicare |
$4.04
|
| Rate for Payer: WINHealth Partners Commercial |
$6.94
|
| Rate for Payer: Wise Provider Network Commercial |
$6.73
|
|
|
CATHETER FOLEY 2 WAY 5CC 22FR
|
Facility
|
IP
|
$5.67
|
|
| Hospital Charge Code |
2750019
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.29 |
| Max. Negotiated Rate |
$5.67 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$5.56
|
| Rate for Payer: Aetna of WY Medicare |
$3.63
|
| Rate for Payer: Altius Commercial |
$5.44
|
| Rate for Payer: Beech Street Commercial |
$5.56
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$5.50
|
| Rate for Payer: Cash Price |
$3.97
|
| Rate for Payer: ChoiceCare Network Commercial |
$5.50
|
| Rate for Payer: Cigna of WY Commercial |
$5.56
|
| Rate for Payer: Entrust Commercial |
$5.39
|
| Rate for Payer: First Choice Health Commercial |
$5.39
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$5.39
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$3.46
|
| Rate for Payer: HealthUtah PPO |
$5.67
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$5.50
|
| Rate for Payer: Multiplan Medicare/VA |
$3.29
|
| Rate for Payer: One Health Plan of WY PPO |
$5.56
|
| Rate for Payer: PacificSource Commercial |
$5.10
|
| Rate for Payer: PHCS PPO |
$5.56
|
| Rate for Payer: Three Rivers PPO |
$4.25
|
| Rate for Payer: TriWest Veterans Administration |
$3.46
|
| Rate for Payer: United Healthcare Commercial |
$5.41
|
| Rate for Payer: United Healthcare Medicare |
$3.46
|
| Rate for Payer: WINHealth Partners Commercial |
$5.39
|
| Rate for Payer: Wise Provider Network Commercial |
$5.39
|
|
|
CATHETER FOLEY 2 WAY 5CC 22FR
|
Facility
|
OP
|
$5.67
|
|
| Hospital Charge Code |
2750019
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.07 |
| Max. Negotiated Rate |
$5.67 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$5.56
|
| Rate for Payer: Aetna of WY Medicare |
$3.74
|
| Rate for Payer: Altius Commercial |
$5.44
|
| Rate for Payer: Beech Street Commercial |
$5.56
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$5.50
|
| Rate for Payer: Cash Price |
$3.97
|
| Rate for Payer: ChoiceCare Network Commercial |
$5.50
|
| Rate for Payer: Cigna of WY Commercial |
$5.56
|
| Rate for Payer: Entrust Commercial |
$5.39
|
| Rate for Payer: First Choice Health Commercial |
$5.39
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$5.39
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$3.23
|
| Rate for Payer: HealthUtah PPO |
$5.67
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$5.50
|
| Rate for Payer: Multiplan Medicare/VA |
$3.07
|
| Rate for Payer: One Health Plan of WY PPO |
$5.56
|
| Rate for Payer: PacificSource Commercial |
$5.10
|
| Rate for Payer: PHCS PPO |
$5.56
|
| Rate for Payer: Three Rivers PPO |
$4.25
|
| Rate for Payer: TriWest Veterans Administration |
$3.23
|
| Rate for Payer: United Healthcare Commercial |
$5.41
|
| Rate for Payer: United Healthcare Medicare |
$3.23
|
| Rate for Payer: WINHealth Partners Commercial |
$5.56
|
| Rate for Payer: Wise Provider Network Commercial |
$5.39
|
|
|
CATHETER FOLEY 2 WAY 5CC 24FR
|
Facility
|
OP
|
$5.67
|
|
| Hospital Charge Code |
2750025
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3.07 |
| Max. Negotiated Rate |
$5.67 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$5.56
|
| Rate for Payer: Aetna of WY Medicare |
$3.74
|
| Rate for Payer: Altius Commercial |
$5.44
|
| Rate for Payer: Beech Street Commercial |
$5.56
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$5.50
|
| Rate for Payer: Cash Price |
$3.97
|
| Rate for Payer: ChoiceCare Network Commercial |
$5.50
|
| Rate for Payer: Cigna of WY Commercial |
$5.56
|
| Rate for Payer: Entrust Commercial |
$5.39
|
| Rate for Payer: First Choice Health Commercial |
$5.39
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$5.39
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$3.23
|
| Rate for Payer: HealthUtah PPO |
$5.67
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$5.50
|
| Rate for Payer: Multiplan Medicare/VA |
$3.07
|
| Rate for Payer: One Health Plan of WY PPO |
$5.56
|
| Rate for Payer: PacificSource Commercial |
$5.10
|
| Rate for Payer: PHCS PPO |
$5.56
|
| Rate for Payer: Three Rivers PPO |
$4.25
|
| Rate for Payer: TriWest Veterans Administration |
$3.23
|
| Rate for Payer: United Healthcare Commercial |
$5.41
|
| Rate for Payer: United Healthcare Medicare |
$3.23
|
| Rate for Payer: WINHealth Partners Commercial |
$5.56
|
| Rate for Payer: Wise Provider Network Commercial |
$5.39
|
|
|
CATHETER FOLEY 2 WAY 5CC 24FR
|
Facility
|
IP
|
$5.67
|
|
| Hospital Charge Code |
2750025
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3.29 |
| Max. Negotiated Rate |
$5.67 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$5.56
|
| Rate for Payer: Aetna of WY Medicare |
$3.63
|
| Rate for Payer: Altius Commercial |
$5.44
|
| Rate for Payer: Beech Street Commercial |
$5.56
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$5.50
|
| Rate for Payer: Cash Price |
$3.97
|
| Rate for Payer: ChoiceCare Network Commercial |
$5.50
|
| Rate for Payer: Cigna of WY Commercial |
$5.56
|
| Rate for Payer: Entrust Commercial |
$5.39
|
| Rate for Payer: First Choice Health Commercial |
$5.39
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$5.39
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$3.46
|
| Rate for Payer: HealthUtah PPO |
$5.67
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$5.50
|
| Rate for Payer: Multiplan Medicare/VA |
$3.29
|
| Rate for Payer: One Health Plan of WY PPO |
$5.56
|
| Rate for Payer: PacificSource Commercial |
$5.10
|
| Rate for Payer: PHCS PPO |
$5.56
|
| Rate for Payer: Three Rivers PPO |
$4.25
|
| Rate for Payer: TriWest Veterans Administration |
$3.46
|
| Rate for Payer: United Healthcare Commercial |
$5.41
|
| Rate for Payer: United Healthcare Medicare |
$3.46
|
| Rate for Payer: WINHealth Partners Commercial |
$5.39
|
| Rate for Payer: Wise Provider Network Commercial |
$5.39
|
|
