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Service Code CPT 82043
Hospital Charge Code 4019304
Hospital Revenue Code 301
Min. Negotiated Rate $22.32
Max. Negotiated Rate $49.50
Rate for Payer: Aetna of IA Commercial $49.50
Rate for Payer: Aetna of IA Medical Rental Products $49.50
Rate for Payer: Aetna of IA Medicare $31.35
Rate for Payer: Amerigroup Medicaid $27.76
Rate for Payer: Amerigroup Medicare $27.78
Rate for Payer: Cash Price $44.00
Rate for Payer: Cash Price $44.00
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $41.25
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $27.50
Rate for Payer: Iowa Total Care Managed Medicaid $27.49
Rate for Payer: Medical Associates Commercial $41.25
Rate for Payer: Medical Associates Managed Medicare $27.50
Rate for Payer: Midlands Choice Commercial $38.50
Rate for Payer: Molina Healthcare Managed Medicaid $27.91
Rate for Payer: Molina Healthcare Managed Medicare $27.90
Rate for Payer: Oscar Health of IA Commercial $41.25
Rate for Payer: Partners Health Alliance Commercial $41.25
Rate for Payer: United Healthcare Commercial $49.50
Rate for Payer: United Healthcare Managed Medicare $32.45
Rate for Payer: Wellmark IA HMO $22.32
Rate for Payer: Wellmark IA PPO $24.55
Service Code CPT 82043
Hospital Charge Code 8093947
Hospital Revenue Code 301
Min. Negotiated Rate $22.32
Max. Negotiated Rate $49.50
Rate for Payer: Aetna of IA Commercial $49.50
Rate for Payer: Aetna of IA Medical Rental Products $49.50
Rate for Payer: Aetna of IA Medicare $31.35
Rate for Payer: Amerigroup Medicaid $27.76
Rate for Payer: Amerigroup Medicare $27.78
Rate for Payer: Cash Price $44.00
Rate for Payer: Cash Price $44.00
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $41.25
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $27.50
Rate for Payer: Iowa Total Care Managed Medicaid $27.49
Rate for Payer: Medical Associates Commercial $41.25
Rate for Payer: Medical Associates Managed Medicare $27.50
Rate for Payer: Midlands Choice Commercial $38.50
Rate for Payer: Molina Healthcare Managed Medicaid $27.91
Rate for Payer: Molina Healthcare Managed Medicare $27.90
Rate for Payer: Oscar Health of IA Commercial $41.25
Rate for Payer: Partners Health Alliance Commercial $41.25
Rate for Payer: United Healthcare Commercial $49.50
Rate for Payer: United Healthcare Managed Medicare $32.45
Rate for Payer: Wellmark IA HMO $22.32
Rate for Payer: Wellmark IA PPO $24.55
Service Code CPT 84156
Hospital Charge Code 7942974
Hospital Revenue Code 301
Min. Negotiated Rate $20.46
Max. Negotiated Rate $54.90
Rate for Payer: Aetna of IA Commercial $54.90
Rate for Payer: Aetna of IA Medical Rental Products $54.90
Rate for Payer: Aetna of IA Medicare $34.77
Rate for Payer: Amerigroup Medicaid $30.79
Rate for Payer: Amerigroup Medicare $30.80
Rate for Payer: Cash Price $48.80
Rate for Payer: Cash Price $48.80
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $45.75
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $30.50
Rate for Payer: Iowa Total Care Managed Medicaid $30.49
Rate for Payer: Medical Associates Commercial $45.75
Rate for Payer: Medical Associates Managed Medicare $30.50
Rate for Payer: Midlands Choice Commercial $42.70
Rate for Payer: Molina Healthcare Managed Medicaid $30.96
Rate for Payer: Molina Healthcare Managed Medicare $30.94
Rate for Payer: Oscar Health of IA Commercial $45.75
Rate for Payer: Partners Health Alliance Commercial $45.75
Rate for Payer: United Healthcare Commercial $54.90
Rate for Payer: United Healthcare Managed Medicare $35.99
Rate for Payer: Wellmark IA HMO $20.46
Rate for Payer: Wellmark IA PPO $22.51
Service Code CPT 84156
Hospital Charge Code 7942974
Hospital Revenue Code 301
Min. Negotiated Rate $42.70
Max. Negotiated Rate $54.90
Rate for Payer: Aetna of IA Commercial $54.90
Rate for Payer: Aetna of IA Medical Rental Products $54.90
Rate for Payer: Cash Price $48.80
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $45.75
Rate for Payer: Medical Associates Commercial $45.75
Rate for Payer: Midlands Choice Commercial $42.70
Rate for Payer: United Healthcare Commercial $54.90
Service Code CPT 84156
Hospital Charge Code 8419063
Hospital Revenue Code 301
Min. Negotiated Rate $20.46
Max. Negotiated Rate $54.90
Rate for Payer: Aetna of IA Commercial $54.90
Rate for Payer: Aetna of IA Medical Rental Products $54.90
Rate for Payer: Aetna of IA Medicare $34.77
Rate for Payer: Amerigroup Medicaid $30.79
Rate for Payer: Amerigroup Medicare $30.80
Rate for Payer: Cash Price $48.80
Rate for Payer: Cash Price $48.80
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $45.75
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $30.50
Rate for Payer: Iowa Total Care Managed Medicaid $30.49
Rate for Payer: Medical Associates Commercial $45.75
Rate for Payer: Medical Associates Managed Medicare $30.50
Rate for Payer: Midlands Choice Commercial $42.70
Rate for Payer: Molina Healthcare Managed Medicaid $30.96
Rate for Payer: Molina Healthcare Managed Medicare $30.94
Rate for Payer: Oscar Health of IA Commercial $45.75
Rate for Payer: Partners Health Alliance Commercial $45.75
Rate for Payer: United Healthcare Commercial $54.90
Rate for Payer: United Healthcare Managed Medicare $35.99
Rate for Payer: Wellmark IA HMO $20.46
Rate for Payer: Wellmark IA PPO $22.51
Service Code CPT 84156
Hospital Charge Code 8419063
Hospital Revenue Code 301
Min. Negotiated Rate $42.70
Max. Negotiated Rate $54.90
Rate for Payer: Aetna of IA Commercial $54.90
Rate for Payer: Aetna of IA Medical Rental Products $54.90
Rate for Payer: Cash Price $48.80
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $45.75
Rate for Payer: Medical Associates Commercial $45.75
Rate for Payer: Midlands Choice Commercial $42.70
Rate for Payer: United Healthcare Commercial $54.90
Service Code CPT 84156
Hospital Charge Code 4006798
Hospital Revenue Code 301
Min. Negotiated Rate $42.70
Max. Negotiated Rate $54.90
Rate for Payer: Aetna of IA Commercial $54.90
Rate for Payer: Aetna of IA Medical Rental Products $54.90
Rate for Payer: Cash Price $48.80
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $45.75
Rate for Payer: Medical Associates Commercial $45.75
Rate for Payer: Midlands Choice Commercial $42.70
Rate for Payer: United Healthcare Commercial $54.90
Service Code CPT 84156
Hospital Charge Code 4006798
Hospital Revenue Code 301
Min. Negotiated Rate $20.46
Max. Negotiated Rate $54.90
Rate for Payer: Aetna of IA Commercial $54.90
Rate for Payer: Aetna of IA Medical Rental Products $54.90
Rate for Payer: Aetna of IA Medicare $34.77
Rate for Payer: Amerigroup Medicaid $30.79
Rate for Payer: Amerigroup Medicare $30.80
Rate for Payer: Cash Price $48.80
Rate for Payer: Cash Price $48.80
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $45.75
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $30.50
Rate for Payer: Iowa Total Care Managed Medicaid $30.49
Rate for Payer: Medical Associates Commercial $45.75
Rate for Payer: Medical Associates Managed Medicare $30.50
Rate for Payer: Midlands Choice Commercial $42.70
Rate for Payer: Molina Healthcare Managed Medicaid $30.96
Rate for Payer: Molina Healthcare Managed Medicare $30.94
Rate for Payer: Oscar Health of IA Commercial $45.75
Rate for Payer: Partners Health Alliance Commercial $45.75
Rate for Payer: United Healthcare Commercial $54.90
Rate for Payer: United Healthcare Managed Medicare $35.99
Rate for Payer: Wellmark IA HMO $20.46
Rate for Payer: Wellmark IA PPO $22.51
Service Code CPT 84156
Hospital Charge Code 8094266
Hospital Revenue Code 301
Min. Negotiated Rate $20.46
Max. Negotiated Rate $54.90
Rate for Payer: Aetna of IA Commercial $54.90
Rate for Payer: Aetna of IA Medical Rental Products $54.90
Rate for Payer: Aetna of IA Medicare $34.77
Rate for Payer: Amerigroup Medicaid $30.79
Rate for Payer: Amerigroup Medicare $30.80
Rate for Payer: Cash Price $48.80
Rate for Payer: Cash Price $48.80
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $45.75
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $30.50
Rate for Payer: Iowa Total Care Managed Medicaid $30.49
Rate for Payer: Medical Associates Commercial $45.75
Rate for Payer: Medical Associates Managed Medicare $30.50
Rate for Payer: Midlands Choice Commercial $42.70
Rate for Payer: Molina Healthcare Managed Medicaid $30.96
Rate for Payer: Molina Healthcare Managed Medicare $30.94
Rate for Payer: Oscar Health of IA Commercial $45.75
Rate for Payer: Partners Health Alliance Commercial $45.75
Rate for Payer: United Healthcare Commercial $54.90
Rate for Payer: United Healthcare Managed Medicare $35.99
Rate for Payer: Wellmark IA HMO $20.46
Rate for Payer: Wellmark IA PPO $22.51
Service Code CPT 84156
Hospital Charge Code 8094266
Hospital Revenue Code 301
Min. Negotiated Rate $42.70
Max. Negotiated Rate $54.90
Rate for Payer: Aetna of IA Commercial $54.90
Rate for Payer: Aetna of IA Medical Rental Products $54.90
Rate for Payer: Cash Price $48.80
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $45.75
Rate for Payer: Medical Associates Commercial $45.75
Rate for Payer: Midlands Choice Commercial $42.70
Rate for Payer: United Healthcare Commercial $54.90
Service Code CPT 81050
Hospital Charge Code 7942975
Hospital Revenue Code 301
Min. Negotiated Rate $18.90
Max. Negotiated Rate $24.30
Rate for Payer: Aetna of IA Commercial $24.30
Rate for Payer: Aetna of IA Medical Rental Products $24.30
Rate for Payer: Cash Price $21.60
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $20.25
Rate for Payer: Medical Associates Commercial $20.25
Rate for Payer: Midlands Choice Commercial $18.90
Rate for Payer: United Healthcare Commercial $24.30
Service Code CPT 81050
Hospital Charge Code 7942975
Hospital Revenue Code 301
Min. Negotiated Rate $13.49
Max. Negotiated Rate $24.55
Rate for Payer: Aetna of IA Commercial $24.30
Rate for Payer: Aetna of IA Medical Rental Products $24.30
Rate for Payer: Aetna of IA Medicare $15.39
Rate for Payer: Amerigroup Medicaid $13.63
Rate for Payer: Amerigroup Medicare $13.64
Rate for Payer: Cash Price $21.60
Rate for Payer: Cash Price $21.60
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $20.25
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $13.50
Rate for Payer: Iowa Total Care Managed Medicaid $13.49
Rate for Payer: Medical Associates Commercial $20.25
Rate for Payer: Medical Associates Managed Medicare $13.50
Rate for Payer: Midlands Choice Commercial $18.90
Rate for Payer: Molina Healthcare Managed Medicaid $13.70
Rate for Payer: Molina Healthcare Managed Medicare $13.69
Rate for Payer: Oscar Health of IA Commercial $20.25
Rate for Payer: Partners Health Alliance Commercial $20.25
Rate for Payer: United Healthcare Commercial $24.30
Rate for Payer: United Healthcare Managed Medicare $15.93
Rate for Payer: Wellmark IA HMO $22.32
Rate for Payer: Wellmark IA PPO $24.55
Service Code CPT 81050
Hospital Charge Code 8093948
Hospital Revenue Code 301
Min. Negotiated Rate $13.49
Max. Negotiated Rate $24.55
Rate for Payer: Aetna of IA Commercial $24.30
Rate for Payer: Aetna of IA Medical Rental Products $24.30
Rate for Payer: Aetna of IA Medicare $15.39
Rate for Payer: Amerigroup Medicaid $13.63
Rate for Payer: Amerigroup Medicare $13.64
Rate for Payer: Cash Price $21.60
Rate for Payer: Cash Price $21.60
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $20.25
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $13.50
Rate for Payer: Iowa Total Care Managed Medicaid $13.49
Rate for Payer: Medical Associates Commercial $20.25
Rate for Payer: Medical Associates Managed Medicare $13.50
Rate for Payer: Midlands Choice Commercial $18.90
Rate for Payer: Molina Healthcare Managed Medicaid $13.70
Rate for Payer: Molina Healthcare Managed Medicare $13.69
Rate for Payer: Oscar Health of IA Commercial $20.25
Rate for Payer: Partners Health Alliance Commercial $20.25
Rate for Payer: United Healthcare Commercial $24.30
Rate for Payer: United Healthcare Managed Medicare $15.93
Rate for Payer: Wellmark IA HMO $22.32
Rate for Payer: Wellmark IA PPO $24.55
Service Code CPT 81050
Hospital Charge Code 8093948
Hospital Revenue Code 301
Min. Negotiated Rate $18.90
Max. Negotiated Rate $24.30
Rate for Payer: Aetna of IA Commercial $24.30
Rate for Payer: Aetna of IA Medical Rental Products $24.30
Rate for Payer: Cash Price $21.60
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $20.25
Rate for Payer: Medical Associates Commercial $20.25
Rate for Payer: Midlands Choice Commercial $18.90
Rate for Payer: United Healthcare Commercial $24.30
Hospital Charge Code 8026116
Hospital Revenue Code 278
Min. Negotiated Rate $71.97
Max. Negotiated Rate $129.60
Rate for Payer: Aetna of IA Commercial $129.60
Rate for Payer: Aetna of IA Medical Rental Products $129.60
Rate for Payer: Aetna of IA Medicare $82.08
Rate for Payer: Amerigroup Medicaid $72.68
Rate for Payer: Amerigroup Medicare $72.72
Rate for Payer: Cash Price $115.20
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $108.00
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $72.00
Rate for Payer: Iowa Total Care Managed Medicaid $71.97
Rate for Payer: Medical Associates Commercial $108.00
Rate for Payer: Medical Associates Managed Medicare $72.00
Rate for Payer: Midlands Choice Commercial $100.80
Rate for Payer: Molina Healthcare Managed Medicaid $73.08
Rate for Payer: Molina Healthcare Managed Medicare $73.04
Rate for Payer: Oscar Health of IA Commercial $108.00
Rate for Payer: Partners Health Alliance Commercial $108.00
Rate for Payer: United Healthcare Commercial $129.60
Rate for Payer: United Healthcare Managed Medicare $84.96
Hospital Charge Code 8026116
Hospital Revenue Code 278
Min. Negotiated Rate $100.80
Max. Negotiated Rate $129.60
Rate for Payer: Aetna of IA Commercial $129.60
Rate for Payer: Aetna of IA Medical Rental Products $129.60
Rate for Payer: Cash Price $115.20
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $108.00
Rate for Payer: Medical Associates Commercial $108.00
Rate for Payer: Midlands Choice Commercial $100.80
Rate for Payer: United Healthcare Commercial $129.60
Service Code CPT C1780
Hospital Charge Code 8026123
Hospital Revenue Code 278
Min. Negotiated Rate $2,842.86
Max. Negotiated Rate $5,119.20
Rate for Payer: Medical Associates Managed Medicare $2,844.00
Rate for Payer: Aetna of IA Commercial $5,119.20
Rate for Payer: Aetna of IA Medical Rental Products $5,119.20
Rate for Payer: Aetna of IA Medicare $3,242.16
Rate for Payer: Amerigroup Medicaid $2,870.73
Rate for Payer: Amerigroup Medicare $2,872.44
Rate for Payer: Cash Price $4,550.40
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $4,266.00
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $2,844.00
Rate for Payer: Iowa Total Care Managed Medicaid $2,842.86
Rate for Payer: Medical Associates Commercial $4,266.00
Rate for Payer: Midlands Choice Commercial $3,981.60
Rate for Payer: Molina Healthcare Managed Medicaid $2,886.66
Rate for Payer: Molina Healthcare Managed Medicare $2,884.95
Rate for Payer: Oscar Health of IA Commercial $4,266.00
Rate for Payer: Partners Health Alliance Commercial $4,266.00
Rate for Payer: United Healthcare Commercial $5,119.20
Rate for Payer: United Healthcare Managed Medicare $3,355.92
Service Code CPT C1780
Hospital Charge Code 8026123
Hospital Revenue Code 278
Min. Negotiated Rate $3,981.60
Max. Negotiated Rate $5,119.20
Rate for Payer: Aetna of IA Commercial $5,119.20
Rate for Payer: Aetna of IA Medical Rental Products $5,119.20
Rate for Payer: Cash Price $4,550.40
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $4,266.00
Rate for Payer: Medical Associates Commercial $4,266.00
Rate for Payer: Midlands Choice Commercial $3,981.60
Rate for Payer: United Healthcare Commercial $5,119.20
Service Code CPT C1778
Hospital Charge Code 8026097
Hospital Revenue Code 278
Min. Negotiated Rate $1,070.57
Max. Negotiated Rate $1,927.80
Rate for Payer: Aetna of IA Commercial $1,927.80
Rate for Payer: Aetna of IA Medical Rental Products $1,927.80
Rate for Payer: Aetna of IA Medicare $1,220.94
Rate for Payer: Amerigroup Medicaid $1,081.07
Rate for Payer: Amerigroup Medicare $1,081.71
Rate for Payer: Cash Price $1,713.60
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $1,606.50
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $1,071.00
Rate for Payer: Iowa Total Care Managed Medicaid $1,070.57
Rate for Payer: Medical Associates Commercial $1,606.50
Rate for Payer: Medical Associates Managed Medicare $1,071.00
Rate for Payer: Midlands Choice Commercial $1,499.40
Rate for Payer: Molina Healthcare Managed Medicaid $1,087.06
Rate for Payer: Molina Healthcare Managed Medicare $1,086.42
Rate for Payer: Oscar Health of IA Commercial $1,606.50
Rate for Payer: Partners Health Alliance Commercial $1,606.50
Rate for Payer: United Healthcare Commercial $1,927.80
Rate for Payer: United Healthcare Managed Medicare $1,263.78
Service Code CPT C1778
Hospital Charge Code 8026097
Hospital Revenue Code 278
Min. Negotiated Rate $1,499.40
Max. Negotiated Rate $1,927.80
Rate for Payer: Aetna of IA Commercial $1,927.80
Rate for Payer: Aetna of IA Medical Rental Products $1,927.80
Rate for Payer: Cash Price $1,713.60
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $1,606.50
Rate for Payer: Medical Associates Commercial $1,606.50
Rate for Payer: Midlands Choice Commercial $1,499.40
Rate for Payer: United Healthcare Commercial $1,927.80
Service Code HCPCS A9270
Hospital Charge Code 10426971
Hospital Revenue Code 259
Min. Negotiated Rate $1.81
Max. Negotiated Rate $3.26
Rate for Payer: Aetna of IA Commercial $3.26
Rate for Payer: Aetna of IA Medical Rental Products $3.26
Rate for Payer: Aetna of IA Medicare $2.06
Rate for Payer: Amerigroup Medicaid $1.83
Rate for Payer: Amerigroup Medicare $1.83
Rate for Payer: Cash Price $2.89
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $2.72
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $1.81
Rate for Payer: Iowa Total Care Managed Medicaid $1.81
Rate for Payer: Medical Associates Commercial $2.72
Rate for Payer: Medical Associates Managed Medicare $1.81
Rate for Payer: Midlands Choice Commercial $2.53
Rate for Payer: Molina Healthcare Managed Medicaid $1.84
Rate for Payer: Molina Healthcare Managed Medicare $1.84
Rate for Payer: Oscar Health of IA Commercial $2.72
Rate for Payer: Partners Health Alliance Commercial $2.72
Rate for Payer: United Healthcare Commercial $3.26
Rate for Payer: United Healthcare Managed Medicare $2.14
Service Code HCPCS A9270
Hospital Charge Code 10426971
Hospital Revenue Code 259
Min. Negotiated Rate $2.53
Max. Negotiated Rate $3.26
Rate for Payer: Aetna of IA Commercial $3.26
Rate for Payer: Aetna of IA Medical Rental Products $3.26
Rate for Payer: Cash Price $2.89
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $2.72
Rate for Payer: Medical Associates Commercial $2.72
Rate for Payer: Midlands Choice Commercial $2.53
Rate for Payer: United Healthcare Commercial $3.26
Service Code CPT 76817
Hospital Charge Code 8300844
Hospital Revenue Code 402
Min. Negotiated Rate $275.80
Max. Negotiated Rate $354.60
Rate for Payer: Aetna of IA Commercial $354.60
Rate for Payer: Aetna of IA Medical Rental Products $354.60
Rate for Payer: Cash Price $315.20
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $295.50
Rate for Payer: Medical Associates Commercial $295.50
Rate for Payer: Midlands Choice Commercial $275.80
Rate for Payer: United Healthcare Commercial $354.60
Service Code CPT 76817
Hospital Charge Code 8300844
Hospital Revenue Code 402
Min. Negotiated Rate $169.88
Max. Negotiated Rate $354.60
Rate for Payer: Aetna of IA Commercial $354.60
Rate for Payer: Aetna of IA Medical Rental Products $354.60
Rate for Payer: Aetna of IA Medicare $224.58
Rate for Payer: Amerigroup Medicaid $198.85
Rate for Payer: Amerigroup Medicare $198.97
Rate for Payer: Cash Price $315.20
Rate for Payer: Cash Price $315.20
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $295.50
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $197.00
Rate for Payer: Iowa Total Care Managed Medicaid $196.92
Rate for Payer: Medical Associates Commercial $295.50
Rate for Payer: Medical Associates Managed Medicare $197.00
Rate for Payer: Midlands Choice Commercial $275.80
Rate for Payer: Molina Healthcare Managed Medicaid $199.96
Rate for Payer: Molina Healthcare Managed Medicare $199.84
Rate for Payer: Oscar Health of IA Commercial $295.50
Rate for Payer: Partners Health Alliance Commercial $295.50
Rate for Payer: United Healthcare Commercial $354.60
Rate for Payer: United Healthcare Managed Medicare $232.46
Rate for Payer: Wellmark IA HMO $169.88
Rate for Payer: Wellmark IA PPO $186.87
Service Code CPT 76706
Hospital Charge Code 8606883
Hospital Revenue Code 402
Min. Negotiated Rate $364.70
Max. Negotiated Rate $468.90
Rate for Payer: Aetna of IA Commercial $468.90
Rate for Payer: Aetna of IA Medical Rental Products $468.90
Rate for Payer: Cash Price $416.80
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $390.75
Rate for Payer: Medical Associates Commercial $390.75
Rate for Payer: Midlands Choice Commercial $364.70
Rate for Payer: United Healthcare Commercial $468.90