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Service Code HCPCS Q5103
Hospital Charge Code 20049518
Hospital Revenue Code 259
Min. Negotiated Rate $457.54
Max. Negotiated Rate $915.08
Rate for Payer: Aetna of IA Commercial $915.08
Rate for Payer: Aetna of IA Medical Rental Products $915.08
Rate for Payer: Aetna of IA Medicare $579.55
Rate for Payer: Amerigroup Medicaid $586.47
Rate for Payer: Amerigroup Medicare $462.12
Rate for Payer: Cash Price $813.41
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $762.57
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $457.54
Rate for Payer: Iowa Total Care Managed Medicaid $580.77
Rate for Payer: Medical Associates Commercial $762.57
Rate for Payer: Medical Associates Managed Medicare $457.54
Rate for Payer: Midlands Choice Commercial $711.73
Rate for Payer: Molina Healthcare Managed Medicaid $589.31
Rate for Payer: Partners Health Alliance Commercial $526.17
Rate for Payer: United Healthcare Commercial $915.08
Rate for Payer: United Healthcare Managed Medicare $599.89
Service Code CPT 87804
Hospital Charge Code 4110785
Hospital Revenue Code 306
Min. Negotiated Rate $34.03
Max. Negotiated Rate $73.80
Rate for Payer: Aetna of IA Commercial $73.80
Rate for Payer: Aetna of IA Medical Rental Products $73.80
Rate for Payer: Aetna of IA Medicare $46.74
Rate for Payer: Amerigroup Medicaid $47.30
Rate for Payer: Amerigroup Medicare $37.27
Rate for Payer: Cash Price $65.60
Rate for Payer: Cash Price $65.60
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $61.50
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $36.90
Rate for Payer: Iowa Total Care Managed Medicaid $46.84
Rate for Payer: Medical Associates Commercial $61.50
Rate for Payer: Medical Associates Managed Medicare $36.90
Rate for Payer: Midlands Choice Commercial $57.40
Rate for Payer: Molina Healthcare Managed Medicaid $47.53
Rate for Payer: Partners Health Alliance Commercial $42.44
Rate for Payer: United Healthcare Commercial $73.80
Rate for Payer: United Healthcare Managed Medicare $48.38
Rate for Payer: Wellmark IA HMO WHPI $34.03
Rate for Payer: Wellmark IA PPO $37.49
Service Code CPT 87804
Hospital Charge Code 4110785
Hospital Revenue Code 306
Min. Negotiated Rate $57.40
Max. Negotiated Rate $73.80
Rate for Payer: Aetna of IA Commercial $73.80
Rate for Payer: Aetna of IA Medical Rental Products $73.80
Rate for Payer: Cash Price $65.60
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $61.50
Rate for Payer: Medical Associates Commercial $61.50
Rate for Payer: Midlands Choice Commercial $57.40
Rate for Payer: United Healthcare Commercial $73.80
Service Code HCPCS 90653
Hospital Charge Code 28497053
Hospital Revenue Code 259
Min. Negotiated Rate $54.76
Max. Negotiated Rate $109.51
Rate for Payer: Aetna of IA Commercial $109.51
Rate for Payer: Aetna of IA Medical Rental Products $109.51
Rate for Payer: Aetna of IA Medicare $69.36
Rate for Payer: Amerigroup Medicaid $70.19
Rate for Payer: Amerigroup Medicare $55.30
Rate for Payer: Cash Price $97.34
Rate for Payer: Cash Price $97.34
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $91.26
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $54.76
Rate for Payer: Iowa Total Care Managed Medicaid $69.50
Rate for Payer: Medical Associates Commercial $91.26
Rate for Payer: Medical Associates Managed Medicare $54.76
Rate for Payer: Midlands Choice Commercial $85.18
Rate for Payer: Molina Healthcare Managed Medicaid $70.53
Rate for Payer: Partners Health Alliance Commercial $62.97
Rate for Payer: United Healthcare Commercial $109.51
Rate for Payer: United Healthcare Managed Medicare $71.79
Rate for Payer: Wellmark IA HMO WHPI $80.12
Rate for Payer: Wellmark IA PPO $88.25
Service Code HCPCS 90653
Hospital Charge Code 28497053
Hospital Revenue Code 259
Min. Negotiated Rate $85.18
Max. Negotiated Rate $109.51
Rate for Payer: Aetna of IA Commercial $109.51
Rate for Payer: Aetna of IA Medical Rental Products $109.51
Rate for Payer: Cash Price $97.34
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $91.26
Rate for Payer: Medical Associates Commercial $91.26
Rate for Payer: Midlands Choice Commercial $85.18
Rate for Payer: United Healthcare Commercial $109.51
Service Code HCPCS 90656
Hospital Charge Code 28463286
Hospital Revenue Code 259
Min. Negotiated Rate $13.95
Max. Negotiated Rate $88.25
Rate for Payer: Aetna of IA Commercial $27.90
Rate for Payer: Aetna of IA Medical Rental Products $27.90
Rate for Payer: Aetna of IA Medicare $17.67
Rate for Payer: Amerigroup Medicaid $17.88
Rate for Payer: Amerigroup Medicare $14.09
Rate for Payer: Cash Price $24.80
Rate for Payer: Cash Price $24.80
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $23.25
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $13.95
Rate for Payer: Iowa Total Care Managed Medicaid $17.71
Rate for Payer: Medical Associates Commercial $23.25
Rate for Payer: Medical Associates Managed Medicare $13.95
Rate for Payer: Midlands Choice Commercial $21.70
Rate for Payer: Molina Healthcare Managed Medicaid $17.97
Rate for Payer: Partners Health Alliance Commercial $16.04
Rate for Payer: United Healthcare Commercial $27.90
Rate for Payer: United Healthcare Managed Medicare $18.29
Rate for Payer: Wellmark IA HMO WHPI $80.12
Rate for Payer: Wellmark IA PPO $88.25
Service Code HCPCS 90656
Hospital Charge Code 28463286
Hospital Revenue Code 259
Min. Negotiated Rate $21.70
Max. Negotiated Rate $27.90
Rate for Payer: Aetna of IA Commercial $27.90
Rate for Payer: Aetna of IA Medical Rental Products $27.90
Rate for Payer: Cash Price $24.80
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $23.25
Rate for Payer: Medical Associates Commercial $23.25
Rate for Payer: Midlands Choice Commercial $21.70
Rate for Payer: United Healthcare Commercial $27.90
Service Code CPT 96368
Hospital Charge Code 4866839
Hospital Revenue Code 260
Min. Negotiated Rate $46.35
Max. Negotiated Rate $598.25
Rate for Payer: Aetna of IA Commercial $92.70
Rate for Payer: Aetna of IA Medical Rental Products $92.70
Rate for Payer: Aetna of IA Medicare $58.71
Rate for Payer: Amerigroup Medicaid $59.41
Rate for Payer: Amerigroup Medicare $46.81
Rate for Payer: Cash Price $82.40
Rate for Payer: Cash Price $82.40
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $77.25
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $46.35
Rate for Payer: Iowa Total Care Managed Medicaid $58.83
Rate for Payer: Medical Associates Commercial $77.25
Rate for Payer: Medical Associates Managed Medicare $46.35
Rate for Payer: Midlands Choice Commercial $72.10
Rate for Payer: Molina Healthcare Managed Medicaid $59.70
Rate for Payer: Partners Health Alliance Commercial $53.30
Rate for Payer: United Healthcare Commercial $92.70
Rate for Payer: United Healthcare Managed Medicare $60.77
Rate for Payer: Wellmark IA HMO WHPI $543.09
Rate for Payer: Wellmark IA PPO $598.25
Service Code CPT 96368
Hospital Charge Code 4866839
Hospital Revenue Code 260
Min. Negotiated Rate $72.10
Max. Negotiated Rate $92.70
Rate for Payer: Aetna of IA Commercial $92.70
Rate for Payer: Aetna of IA Medical Rental Products $92.70
Rate for Payer: Cash Price $82.40
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $77.25
Rate for Payer: Medical Associates Commercial $77.25
Rate for Payer: Midlands Choice Commercial $72.10
Rate for Payer: United Healthcare Commercial $92.70
Service Code CPT 96368
Hospital Charge Code 6922818
Hospital Revenue Code 260
Min. Negotiated Rate $46.35
Max. Negotiated Rate $598.25
Rate for Payer: Aetna of IA Commercial $92.70
Rate for Payer: Aetna of IA Medical Rental Products $92.70
Rate for Payer: Aetna of IA Medicare $58.71
Rate for Payer: Amerigroup Medicaid $59.41
Rate for Payer: Amerigroup Medicare $46.81
Rate for Payer: Cash Price $82.40
Rate for Payer: Cash Price $82.40
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $77.25
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $46.35
Rate for Payer: Iowa Total Care Managed Medicaid $58.83
Rate for Payer: Medical Associates Commercial $77.25
Rate for Payer: Medical Associates Managed Medicare $46.35
Rate for Payer: Midlands Choice Commercial $72.10
Rate for Payer: Molina Healthcare Managed Medicaid $59.70
Rate for Payer: Partners Health Alliance Commercial $53.30
Rate for Payer: United Healthcare Commercial $92.70
Rate for Payer: United Healthcare Managed Medicare $60.77
Rate for Payer: Wellmark IA HMO WHPI $543.09
Rate for Payer: Wellmark IA PPO $598.25
Service Code CPT 96368
Hospital Charge Code 6922818
Hospital Revenue Code 260
Min. Negotiated Rate $72.10
Max. Negotiated Rate $92.70
Rate for Payer: Aetna of IA Commercial $92.70
Rate for Payer: Aetna of IA Medical Rental Products $92.70
Rate for Payer: Cash Price $82.40
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $77.25
Rate for Payer: Medical Associates Commercial $77.25
Rate for Payer: Midlands Choice Commercial $72.10
Rate for Payer: United Healthcare Commercial $92.70
Service Code CPT 96360
Hospital Charge Code 6922793
Hospital Revenue Code 260
Min. Negotiated Rate $154.80
Max. Negotiated Rate $598.25
Rate for Payer: Aetna of IA Commercial $309.60
Rate for Payer: Aetna of IA Medical Rental Products $309.60
Rate for Payer: Aetna of IA Medicare $196.08
Rate for Payer: Amerigroup Medicaid $198.42
Rate for Payer: Amerigroup Medicare $156.35
Rate for Payer: Cash Price $275.20
Rate for Payer: Cash Price $275.20
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $258.00
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $154.80
Rate for Payer: Iowa Total Care Managed Medicaid $196.49
Rate for Payer: Medical Associates Commercial $258.00
Rate for Payer: Medical Associates Managed Medicare $154.80
Rate for Payer: Midlands Choice Commercial $240.80
Rate for Payer: Molina Healthcare Managed Medicaid $199.38
Rate for Payer: Partners Health Alliance Commercial $178.02
Rate for Payer: United Healthcare Commercial $309.60
Rate for Payer: United Healthcare Managed Medicare $202.96
Rate for Payer: Wellmark IA HMO WHPI $543.09
Rate for Payer: Wellmark IA PPO $598.25
Service Code CPT 96360
Hospital Charge Code 6922793
Hospital Revenue Code 260
Min. Negotiated Rate $240.80
Max. Negotiated Rate $309.60
Rate for Payer: Aetna of IA Commercial $309.60
Rate for Payer: Aetna of IA Medical Rental Products $309.60
Rate for Payer: Cash Price $275.20
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $258.00
Rate for Payer: Medical Associates Commercial $258.00
Rate for Payer: Midlands Choice Commercial $240.80
Rate for Payer: United Healthcare Commercial $309.60
Service Code CPT 96360
Hospital Charge Code 4866847
Hospital Revenue Code 260
Min. Negotiated Rate $240.80
Max. Negotiated Rate $309.60
Rate for Payer: Aetna of IA Commercial $309.60
Rate for Payer: Aetna of IA Medical Rental Products $309.60
Rate for Payer: Cash Price $275.20
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $258.00
Rate for Payer: Medical Associates Commercial $258.00
Rate for Payer: Midlands Choice Commercial $240.80
Rate for Payer: United Healthcare Commercial $309.60
Service Code CPT 96360
Hospital Charge Code 4866847
Hospital Revenue Code 260
Min. Negotiated Rate $154.80
Max. Negotiated Rate $598.25
Rate for Payer: Aetna of IA Commercial $309.60
Rate for Payer: Aetna of IA Medical Rental Products $309.60
Rate for Payer: Aetna of IA Medicare $196.08
Rate for Payer: Amerigroup Medicaid $198.42
Rate for Payer: Amerigroup Medicare $156.35
Rate for Payer: Cash Price $275.20
Rate for Payer: Cash Price $275.20
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $258.00
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $154.80
Rate for Payer: Iowa Total Care Managed Medicaid $196.49
Rate for Payer: Medical Associates Commercial $258.00
Rate for Payer: Medical Associates Managed Medicare $154.80
Rate for Payer: Midlands Choice Commercial $240.80
Rate for Payer: Molina Healthcare Managed Medicaid $199.38
Rate for Payer: Partners Health Alliance Commercial $178.02
Rate for Payer: United Healthcare Commercial $309.60
Rate for Payer: United Healthcare Managed Medicare $202.96
Rate for Payer: Wellmark IA HMO WHPI $543.09
Rate for Payer: Wellmark IA PPO $598.25
Service Code CPT 96361
Hospital Charge Code 6922794
Hospital Revenue Code 260
Min. Negotiated Rate $106.40
Max. Negotiated Rate $136.80
Rate for Payer: Aetna of IA Commercial $136.80
Rate for Payer: Aetna of IA Medical Rental Products $136.80
Rate for Payer: Cash Price $121.60
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $114.00
Rate for Payer: Medical Associates Commercial $114.00
Rate for Payer: Midlands Choice Commercial $106.40
Rate for Payer: United Healthcare Commercial $136.80
Service Code CPT 96361
Hospital Charge Code 6922794
Hospital Revenue Code 260
Min. Negotiated Rate $68.40
Max. Negotiated Rate $690.40
Rate for Payer: Aetna of IA Commercial $136.80
Rate for Payer: Aetna of IA Medical Rental Products $136.80
Rate for Payer: Aetna of IA Medicare $86.64
Rate for Payer: Amerigroup Medicaid $87.67
Rate for Payer: Amerigroup Medicare $69.08
Rate for Payer: Cash Price $121.60
Rate for Payer: Cash Price $121.60
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $114.00
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $68.40
Rate for Payer: Iowa Total Care Managed Medicaid $86.82
Rate for Payer: Medical Associates Commercial $114.00
Rate for Payer: Medical Associates Managed Medicare $68.40
Rate for Payer: Midlands Choice Commercial $106.40
Rate for Payer: Molina Healthcare Managed Medicaid $88.10
Rate for Payer: Partners Health Alliance Commercial $78.66
Rate for Payer: United Healthcare Commercial $136.80
Rate for Payer: United Healthcare Managed Medicare $89.68
Rate for Payer: Wellmark IA HMO WHPI $626.76
Rate for Payer: Wellmark IA PPO $690.40
Service Code CPT 96361
Hospital Charge Code 4866845
Hospital Revenue Code 260
Min. Negotiated Rate $106.40
Max. Negotiated Rate $136.80
Rate for Payer: Aetna of IA Commercial $136.80
Rate for Payer: Aetna of IA Medical Rental Products $136.80
Rate for Payer: Cash Price $121.60
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $114.00
Rate for Payer: Medical Associates Commercial $114.00
Rate for Payer: Midlands Choice Commercial $106.40
Rate for Payer: United Healthcare Commercial $136.80
Service Code CPT 96361
Hospital Charge Code 4866845
Hospital Revenue Code 260
Min. Negotiated Rate $68.40
Max. Negotiated Rate $690.40
Rate for Payer: Aetna of IA Commercial $136.80
Rate for Payer: Aetna of IA Medical Rental Products $136.80
Rate for Payer: Aetna of IA Medicare $86.64
Rate for Payer: Amerigroup Medicaid $87.67
Rate for Payer: Amerigroup Medicare $69.08
Rate for Payer: Cash Price $121.60
Rate for Payer: Cash Price $121.60
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $114.00
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $68.40
Rate for Payer: Iowa Total Care Managed Medicaid $86.82
Rate for Payer: Medical Associates Commercial $114.00
Rate for Payer: Medical Associates Managed Medicare $68.40
Rate for Payer: Midlands Choice Commercial $106.40
Rate for Payer: Molina Healthcare Managed Medicaid $88.10
Rate for Payer: Partners Health Alliance Commercial $78.66
Rate for Payer: United Healthcare Commercial $136.80
Rate for Payer: United Healthcare Managed Medicare $89.68
Rate for Payer: Wellmark IA HMO WHPI $626.76
Rate for Payer: Wellmark IA PPO $690.40
Service Code CPT 96360
Hospital Charge Code 8012935
Hospital Revenue Code 260
Min. Negotiated Rate $154.80
Max. Negotiated Rate $598.25
Rate for Payer: Aetna of IA Commercial $309.60
Rate for Payer: Aetna of IA Medical Rental Products $309.60
Rate for Payer: Aetna of IA Medicare $196.08
Rate for Payer: Amerigroup Medicaid $198.42
Rate for Payer: Amerigroup Medicare $156.35
Rate for Payer: Cash Price $275.20
Rate for Payer: Cash Price $275.20
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $258.00
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $154.80
Rate for Payer: Iowa Total Care Managed Medicaid $196.49
Rate for Payer: Medical Associates Commercial $258.00
Rate for Payer: Medical Associates Managed Medicare $154.80
Rate for Payer: Midlands Choice Commercial $240.80
Rate for Payer: Molina Healthcare Managed Medicaid $199.38
Rate for Payer: Partners Health Alliance Commercial $178.02
Rate for Payer: United Healthcare Commercial $309.60
Rate for Payer: United Healthcare Managed Medicare $202.96
Rate for Payer: Wellmark IA HMO WHPI $543.09
Rate for Payer: Wellmark IA PPO $598.25
Service Code CPT 96360
Hospital Charge Code 8012935
Hospital Revenue Code 260
Min. Negotiated Rate $240.80
Max. Negotiated Rate $309.60
Rate for Payer: Aetna of IA Commercial $309.60
Rate for Payer: Aetna of IA Medical Rental Products $309.60
Rate for Payer: Cash Price $275.20
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $258.00
Rate for Payer: Medical Associates Commercial $258.00
Rate for Payer: Midlands Choice Commercial $240.80
Rate for Payer: United Healthcare Commercial $309.60
Service Code CPT 96361
Hospital Charge Code 8012936
Hospital Revenue Code 260
Min. Negotiated Rate $106.40
Max. Negotiated Rate $136.80
Rate for Payer: Aetna of IA Commercial $136.80
Rate for Payer: Aetna of IA Medical Rental Products $136.80
Rate for Payer: Cash Price $121.60
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $114.00
Rate for Payer: Medical Associates Commercial $114.00
Rate for Payer: Midlands Choice Commercial $106.40
Rate for Payer: United Healthcare Commercial $136.80
Service Code CPT 96361
Hospital Charge Code 8012936
Hospital Revenue Code 260
Min. Negotiated Rate $68.40
Max. Negotiated Rate $690.40
Rate for Payer: Aetna of IA Commercial $136.80
Rate for Payer: Aetna of IA Medical Rental Products $136.80
Rate for Payer: Aetna of IA Medicare $86.64
Rate for Payer: Amerigroup Medicaid $87.67
Rate for Payer: Amerigroup Medicare $69.08
Rate for Payer: Cash Price $121.60
Rate for Payer: Cash Price $121.60
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $114.00
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $68.40
Rate for Payer: Iowa Total Care Managed Medicaid $86.82
Rate for Payer: Medical Associates Commercial $114.00
Rate for Payer: Medical Associates Managed Medicare $68.40
Rate for Payer: Midlands Choice Commercial $106.40
Rate for Payer: Molina Healthcare Managed Medicaid $88.10
Rate for Payer: Partners Health Alliance Commercial $78.66
Rate for Payer: United Healthcare Commercial $136.80
Rate for Payer: United Healthcare Managed Medicare $89.68
Rate for Payer: Wellmark IA HMO WHPI $626.76
Rate for Payer: Wellmark IA PPO $690.40
Service Code CPT 96365
Hospital Charge Code 4866843
Hospital Revenue Code 260
Min. Negotiated Rate $267.40
Max. Negotiated Rate $343.80
Rate for Payer: Aetna of IA Commercial $343.80
Rate for Payer: Aetna of IA Medical Rental Products $343.80
Rate for Payer: Cash Price $305.60
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $286.50
Rate for Payer: Medical Associates Commercial $286.50
Rate for Payer: Midlands Choice Commercial $267.40
Rate for Payer: United Healthcare Commercial $343.80
Service Code CPT 96365
Hospital Charge Code 4866843
Hospital Revenue Code 260
Min. Negotiated Rate $171.90
Max. Negotiated Rate $598.25
Rate for Payer: Aetna of IA Commercial $343.80
Rate for Payer: Aetna of IA Medical Rental Products $343.80
Rate for Payer: Aetna of IA Medicare $217.74
Rate for Payer: Amerigroup Medicaid $220.34
Rate for Payer: Amerigroup Medicare $173.62
Rate for Payer: Cash Price $305.60
Rate for Payer: Cash Price $305.60
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $286.50
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $171.90
Rate for Payer: Iowa Total Care Managed Medicaid $218.20
Rate for Payer: Medical Associates Commercial $286.50
Rate for Payer: Medical Associates Managed Medicare $171.90
Rate for Payer: Midlands Choice Commercial $267.40
Rate for Payer: Molina Healthcare Managed Medicaid $221.41
Rate for Payer: Partners Health Alliance Commercial $197.68
Rate for Payer: United Healthcare Commercial $343.80
Rate for Payer: United Healthcare Managed Medicare $225.38
Rate for Payer: Wellmark IA HMO WHPI $543.09
Rate for Payer: Wellmark IA PPO $598.25