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Service Code NDC 42858-0750-40
Hospital Charge Code 10372146
Hospital Revenue Code 259
Min. Negotiated Rate $63.50
Max. Negotiated Rate $114.34
Rate for Payer: Aetna of IA Commercial $114.34
Rate for Payer: Aetna of IA Medical Rental Products $114.34
Rate for Payer: Aetna of IA Medicare $72.42
Rate for Payer: Amerigroup Medicaid $64.12
Rate for Payer: Amerigroup Medicare $64.16
Rate for Payer: Cash Price $101.64
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $95.29
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $63.52
Rate for Payer: Iowa Total Care Managed Medicaid $63.50
Rate for Payer: Medical Associates Commercial $95.29
Rate for Payer: Medical Associates Managed Medicare $63.52
Rate for Payer: Midlands Choice Commercial $88.94
Rate for Payer: Molina Healthcare Managed Medicaid $64.48
Rate for Payer: Molina Healthcare Managed Medicare $64.44
Rate for Payer: Oscar Health of IA Commercial $95.29
Rate for Payer: Partners Health Alliance Commercial $95.29
Rate for Payer: United Healthcare Commercial $114.34
Rate for Payer: United Healthcare Managed Medicare $74.96
Service Code NDC 42858-0750-40
Hospital Charge Code 10372146
Hospital Revenue Code 259
Min. Negotiated Rate $88.94
Max. Negotiated Rate $114.34
Rate for Payer: Aetna of IA Commercial $114.34
Rate for Payer: Aetna of IA Medical Rental Products $114.34
Rate for Payer: Cash Price $101.64
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $95.29
Rate for Payer: Medical Associates Commercial $95.29
Rate for Payer: Midlands Choice Commercial $88.94
Rate for Payer: United Healthcare Commercial $114.34
Service Code HCPCS A9270
Hospital Charge Code 10372272
Hospital Revenue Code 259
Min. Negotiated Rate $1.55
Max. Negotiated Rate $2.80
Rate for Payer: Aetna of IA Commercial $2.80
Rate for Payer: Aetna of IA Medical Rental Products $2.80
Rate for Payer: Aetna of IA Medicare $1.77
Rate for Payer: Amerigroup Medicaid $1.57
Rate for Payer: Amerigroup Medicare $1.57
Rate for Payer: Cash Price $2.49
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $2.33
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $1.56
Rate for Payer: Iowa Total Care Managed Medicaid $1.55
Rate for Payer: Medical Associates Commercial $2.33
Rate for Payer: Medical Associates Managed Medicare $1.56
Rate for Payer: Midlands Choice Commercial $2.18
Rate for Payer: Molina Healthcare Managed Medicaid $1.58
Rate for Payer: Molina Healthcare Managed Medicare $1.58
Rate for Payer: Oscar Health of IA Commercial $2.33
Rate for Payer: Partners Health Alliance Commercial $2.33
Rate for Payer: United Healthcare Commercial $2.80
Rate for Payer: United Healthcare Managed Medicare $1.83
Service Code HCPCS A9270
Hospital Charge Code 10372272
Hospital Revenue Code 259
Min. Negotiated Rate $2.18
Max. Negotiated Rate $2.80
Rate for Payer: Aetna of IA Commercial $2.80
Rate for Payer: Aetna of IA Medical Rental Products $2.80
Rate for Payer: Cash Price $2.49
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $2.33
Rate for Payer: Medical Associates Commercial $2.33
Rate for Payer: Midlands Choice Commercial $2.18
Rate for Payer: United Healthcare Commercial $2.80
Service Code HCPCS A9270
Hospital Charge Code 10372414
Hospital Revenue Code 259
Min. Negotiated Rate $3.10
Max. Negotiated Rate $3.99
Rate for Payer: Aetna of IA Commercial $3.99
Rate for Payer: Aetna of IA Medical Rental Products $3.99
Rate for Payer: Cash Price $3.55
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $3.32
Rate for Payer: Medical Associates Commercial $3.32
Rate for Payer: Midlands Choice Commercial $3.10
Rate for Payer: United Healthcare Commercial $3.99
Service Code HCPCS A9270
Hospital Charge Code 10372414
Hospital Revenue Code 259
Min. Negotiated Rate $2.21
Max. Negotiated Rate $3.99
Rate for Payer: Aetna of IA Commercial $3.99
Rate for Payer: Aetna of IA Medical Rental Products $3.99
Rate for Payer: Aetna of IA Medicare $2.53
Rate for Payer: Amerigroup Medicaid $2.24
Rate for Payer: Amerigroup Medicare $2.24
Rate for Payer: Cash Price $3.55
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $3.32
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $2.22
Rate for Payer: Iowa Total Care Managed Medicaid $2.21
Rate for Payer: Medical Associates Commercial $3.32
Rate for Payer: Medical Associates Managed Medicare $2.22
Rate for Payer: Midlands Choice Commercial $3.10
Rate for Payer: Molina Healthcare Managed Medicaid $2.25
Rate for Payer: Molina Healthcare Managed Medicare $2.25
Rate for Payer: Oscar Health of IA Commercial $3.32
Rate for Payer: Partners Health Alliance Commercial $3.32
Rate for Payer: United Healthcare Commercial $3.99
Rate for Payer: United Healthcare Managed Medicare $2.61
Service Code HCPCS A9270
Hospital Charge Code 10372343
Hospital Revenue Code 259
Min. Negotiated Rate $1.58
Max. Negotiated Rate $2.03
Rate for Payer: Aetna of IA Commercial $2.03
Rate for Payer: Aetna of IA Medical Rental Products $2.03
Rate for Payer: Cash Price $1.81
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $1.70
Rate for Payer: Medical Associates Commercial $1.70
Rate for Payer: Midlands Choice Commercial $1.58
Rate for Payer: United Healthcare Commercial $2.03
Service Code HCPCS A9270
Hospital Charge Code 10372343
Hospital Revenue Code 259
Min. Negotiated Rate $1.13
Max. Negotiated Rate $2.03
Rate for Payer: Aetna of IA Commercial $2.03
Rate for Payer: Aetna of IA Medical Rental Products $2.03
Rate for Payer: Aetna of IA Medicare $1.29
Rate for Payer: Amerigroup Medicaid $1.14
Rate for Payer: Amerigroup Medicare $1.14
Rate for Payer: Cash Price $1.81
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $1.70
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $1.13
Rate for Payer: Iowa Total Care Managed Medicaid $1.13
Rate for Payer: Medical Associates Commercial $1.70
Rate for Payer: Medical Associates Managed Medicare $1.13
Rate for Payer: Midlands Choice Commercial $1.58
Rate for Payer: Molina Healthcare Managed Medicaid $1.15
Rate for Payer: Molina Healthcare Managed Medicare $1.15
Rate for Payer: Oscar Health of IA Commercial $1.70
Rate for Payer: Partners Health Alliance Commercial $1.70
Rate for Payer: United Healthcare Commercial $2.03
Rate for Payer: United Healthcare Managed Medicare $1.33
Service Code HCPCS A9270
Hospital Charge Code 10372556
Hospital Revenue Code 259
Min. Negotiated Rate $0.75
Max. Negotiated Rate $0.96
Rate for Payer: Aetna of IA Commercial $0.96
Rate for Payer: Aetna of IA Medical Rental Products $0.96
Rate for Payer: Cash Price $0.86
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $0.80
Rate for Payer: Medical Associates Commercial $0.80
Rate for Payer: Midlands Choice Commercial $0.75
Rate for Payer: United Healthcare Commercial $0.96
Service Code HCPCS A9270
Hospital Charge Code 10372556
Hospital Revenue Code 259
Min. Negotiated Rate $0.53
Max. Negotiated Rate $0.96
Rate for Payer: Aetna of IA Commercial $0.96
Rate for Payer: Aetna of IA Medical Rental Products $0.96
Rate for Payer: Aetna of IA Medicare $0.61
Rate for Payer: Amerigroup Medicaid $0.54
Rate for Payer: Amerigroup Medicare $0.54
Rate for Payer: Cash Price $0.86
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $0.80
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $0.54
Rate for Payer: Iowa Total Care Managed Medicaid $0.53
Rate for Payer: Medical Associates Commercial $0.80
Rate for Payer: Medical Associates Managed Medicare $0.54
Rate for Payer: Midlands Choice Commercial $0.75
Rate for Payer: Molina Healthcare Managed Medicaid $0.54
Rate for Payer: Molina Healthcare Managed Medicare $0.54
Rate for Payer: Oscar Health of IA Commercial $0.80
Rate for Payer: Partners Health Alliance Commercial $0.80
Rate for Payer: United Healthcare Commercial $0.96
Rate for Payer: United Healthcare Managed Medicare $0.63
Service Code CPT 86304
Hospital Charge Code 8037505
Hospital Revenue Code 302
Min. Negotiated Rate $119.00
Max. Negotiated Rate $153.00
Rate for Payer: Aetna of IA Commercial $153.00
Rate for Payer: Aetna of IA Medical Rental Products $153.00
Rate for Payer: Cash Price $136.00
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $127.50
Rate for Payer: Medical Associates Commercial $127.50
Rate for Payer: Midlands Choice Commercial $119.00
Rate for Payer: United Healthcare Commercial $153.00
Service Code CPT 86304
Hospital Charge Code 8037505
Hospital Revenue Code 302
Min. Negotiated Rate $31.00
Max. Negotiated Rate $153.00
Rate for Payer: Aetna of IA Commercial $153.00
Rate for Payer: Aetna of IA Medical Rental Products $153.00
Rate for Payer: Aetna of IA Medicare $96.90
Rate for Payer: Amerigroup Medicaid $85.80
Rate for Payer: Amerigroup Medicare $85.85
Rate for Payer: Cash Price $136.00
Rate for Payer: Cash Price $136.00
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $127.50
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $85.00
Rate for Payer: Iowa Total Care Managed Medicaid $84.97
Rate for Payer: Medical Associates Commercial $127.50
Rate for Payer: Medical Associates Managed Medicare $85.00
Rate for Payer: Midlands Choice Commercial $119.00
Rate for Payer: Molina Healthcare Managed Medicaid $86.28
Rate for Payer: Molina Healthcare Managed Medicare $86.22
Rate for Payer: Oscar Health of IA Commercial $127.50
Rate for Payer: Partners Health Alliance Commercial $127.50
Rate for Payer: United Healthcare Commercial $153.00
Rate for Payer: United Healthcare Managed Medicare $100.30
Rate for Payer: Wellmark IA HMO $31.00
Rate for Payer: Wellmark IA PPO $34.10
Service Code CPT 86300
Hospital Charge Code 8519168
Hospital Revenue Code 301
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 CPT 86300
Hospital Charge Code 8519168
Hospital Revenue Code 301
Min. Negotiated Rate $31.00
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 $41.39
Rate for Payer: Amerigroup Medicare $41.41
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 $41.00
Rate for Payer: Iowa Total Care Managed Medicaid $40.98
Rate for Payer: Medical Associates Commercial $61.50
Rate for Payer: Medical Associates Managed Medicare $41.00
Rate for Payer: Midlands Choice Commercial $57.40
Rate for Payer: Molina Healthcare Managed Medicaid $41.62
Rate for Payer: Molina Healthcare Managed Medicare $41.59
Rate for Payer: Oscar Health of IA Commercial $61.50
Rate for Payer: Partners Health Alliance Commercial $61.50
Rate for Payer: United Healthcare Commercial $73.80
Rate for Payer: United Healthcare Managed Medicare $48.38
Rate for Payer: Wellmark IA HMO $31.00
Rate for Payer: Wellmark IA PPO $34.10
Service Code CPT 86301
Hospital Charge Code 8037506
Hospital Revenue Code 302
Min. Negotiated Rate $31.00
Max. Negotiated Rate $153.00
Rate for Payer: Aetna of IA Commercial $153.00
Rate for Payer: Aetna of IA Medical Rental Products $153.00
Rate for Payer: Aetna of IA Medicare $96.90
Rate for Payer: Amerigroup Medicaid $85.80
Rate for Payer: Amerigroup Medicare $85.85
Rate for Payer: Cash Price $136.00
Rate for Payer: Cash Price $136.00
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $127.50
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $85.00
Rate for Payer: Iowa Total Care Managed Medicaid $84.97
Rate for Payer: Medical Associates Commercial $127.50
Rate for Payer: Medical Associates Managed Medicare $85.00
Rate for Payer: Midlands Choice Commercial $119.00
Rate for Payer: Molina Healthcare Managed Medicaid $86.28
Rate for Payer: Molina Healthcare Managed Medicare $86.22
Rate for Payer: Oscar Health of IA Commercial $127.50
Rate for Payer: Partners Health Alliance Commercial $127.50
Rate for Payer: United Healthcare Commercial $153.00
Rate for Payer: United Healthcare Managed Medicare $100.30
Rate for Payer: Wellmark IA HMO $31.00
Rate for Payer: Wellmark IA PPO $34.10
Service Code CPT 86301
Hospital Charge Code 8037506
Hospital Revenue Code 302
Min. Negotiated Rate $119.00
Max. Negotiated Rate $153.00
Rate for Payer: Aetna of IA Commercial $153.00
Rate for Payer: Aetna of IA Medical Rental Products $153.00
Rate for Payer: Cash Price $136.00
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $127.50
Rate for Payer: Medical Associates Commercial $127.50
Rate for Payer: Midlands Choice Commercial $119.00
Rate for Payer: United Healthcare Commercial $153.00
Service Code CPT 86300
Hospital Charge Code 8519159
Hospital Revenue Code 301
Min. Negotiated Rate $31.00
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 $41.39
Rate for Payer: Amerigroup Medicare $41.41
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 $41.00
Rate for Payer: Iowa Total Care Managed Medicaid $40.98
Rate for Payer: Medical Associates Commercial $61.50
Rate for Payer: Medical Associates Managed Medicare $41.00
Rate for Payer: Midlands Choice Commercial $57.40
Rate for Payer: Molina Healthcare Managed Medicaid $41.62
Rate for Payer: Molina Healthcare Managed Medicare $41.59
Rate for Payer: Oscar Health of IA Commercial $61.50
Rate for Payer: Partners Health Alliance Commercial $61.50
Rate for Payer: United Healthcare Commercial $73.80
Rate for Payer: United Healthcare Managed Medicare $48.38
Rate for Payer: Wellmark IA HMO $31.00
Rate for Payer: Wellmark IA PPO $34.10
Service Code CPT 86300
Hospital Charge Code 8519159
Hospital Revenue Code 301
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 CPT C1713
Hospital Charge Code 8046631
Hospital Revenue Code 278
Min. Negotiated Rate $28.49
Max. Negotiated Rate $51.30
Rate for Payer: Aetna of IA Commercial $51.30
Rate for Payer: Aetna of IA Medical Rental Products $51.30
Rate for Payer: Aetna of IA Medicare $32.49
Rate for Payer: Amerigroup Medicaid $28.77
Rate for Payer: Amerigroup Medicare $28.78
Rate for Payer: Cash Price $45.60
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $42.75
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $28.50
Rate for Payer: Iowa Total Care Managed Medicaid $28.49
Rate for Payer: Medical Associates Commercial $42.75
Rate for Payer: Medical Associates Managed Medicare $28.50
Rate for Payer: Midlands Choice Commercial $39.90
Rate for Payer: Molina Healthcare Managed Medicaid $28.93
Rate for Payer: Molina Healthcare Managed Medicare $28.91
Rate for Payer: Oscar Health of IA Commercial $42.75
Rate for Payer: Partners Health Alliance Commercial $42.75
Rate for Payer: United Healthcare Commercial $51.30
Rate for Payer: United Healthcare Managed Medicare $33.63
Service Code CPT C1713
Hospital Charge Code 8046631
Hospital Revenue Code 278
Min. Negotiated Rate $39.90
Max. Negotiated Rate $51.30
Rate for Payer: Aetna of IA Commercial $51.30
Rate for Payer: Aetna of IA Medical Rental Products $51.30
Rate for Payer: Cash Price $45.60
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $42.75
Rate for Payer: Medical Associates Commercial $42.75
Rate for Payer: Midlands Choice Commercial $39.90
Rate for Payer: United Healthcare Commercial $51.30
Service Code CPT A6261
Hospital Charge Code 8013712
Hospital Revenue Code 272
Min. Negotiated Rate $62.97
Max. Negotiated Rate $113.40
Rate for Payer: Aetna of IA Commercial $113.40
Rate for Payer: Aetna of IA Medical Rental Products $113.40
Rate for Payer: Aetna of IA Medicare $71.82
Rate for Payer: Amerigroup Medicaid $63.59
Rate for Payer: Amerigroup Medicare $63.63
Rate for Payer: Cash Price $100.80
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $94.50
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $63.00
Rate for Payer: Iowa Total Care Managed Medicaid $62.97
Rate for Payer: Medical Associates Commercial $94.50
Rate for Payer: Medical Associates Managed Medicare $63.00
Rate for Payer: Midlands Choice Commercial $88.20
Rate for Payer: Molina Healthcare Managed Medicaid $63.94
Rate for Payer: Molina Healthcare Managed Medicare $63.91
Rate for Payer: Oscar Health of IA Commercial $94.50
Rate for Payer: Partners Health Alliance Commercial $94.50
Rate for Payer: United Healthcare Commercial $113.40
Rate for Payer: United Healthcare Managed Medicare $74.34
Service Code CPT A6261
Hospital Charge Code 8013712
Hospital Revenue Code 272
Min. Negotiated Rate $88.20
Max. Negotiated Rate $113.40
Rate for Payer: Aetna of IA Commercial $113.40
Rate for Payer: Aetna of IA Medical Rental Products $113.40
Rate for Payer: Cash Price $100.80
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $94.50
Rate for Payer: Medical Associates Commercial $94.50
Rate for Payer: Midlands Choice Commercial $88.20
Rate for Payer: United Healthcare Commercial $113.40
Service Code HCPCS A9270
Hospital Charge Code 10372627
Hospital Revenue Code 259
Min. Negotiated Rate $0.80
Max. Negotiated Rate $1.44
Rate for Payer: Aetna of IA Commercial $1.44
Rate for Payer: Aetna of IA Medical Rental Products $1.44
Rate for Payer: Aetna of IA Medicare $0.91
Rate for Payer: Amerigroup Medicaid $0.81
Rate for Payer: Amerigroup Medicare $0.81
Rate for Payer: Cash Price $1.28
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $1.20
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $0.80
Rate for Payer: Iowa Total Care Managed Medicaid $0.80
Rate for Payer: Medical Associates Commercial $1.20
Rate for Payer: Medical Associates Managed Medicare $0.80
Rate for Payer: Midlands Choice Commercial $1.12
Rate for Payer: Molina Healthcare Managed Medicaid $0.81
Rate for Payer: Molina Healthcare Managed Medicare $0.81
Rate for Payer: Oscar Health of IA Commercial $1.20
Rate for Payer: Partners Health Alliance Commercial $1.20
Rate for Payer: United Healthcare Commercial $1.44
Rate for Payer: United Healthcare Managed Medicare $0.94
Service Code HCPCS A9270
Hospital Charge Code 10372627
Hospital Revenue Code 259
Min. Negotiated Rate $1.12
Max. Negotiated Rate $1.44
Rate for Payer: Aetna of IA Commercial $1.44
Rate for Payer: Aetna of IA Medical Rental Products $1.44
Rate for Payer: Cash Price $1.28
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $1.20
Rate for Payer: Medical Associates Commercial $1.20
Rate for Payer: Midlands Choice Commercial $1.12
Rate for Payer: United Healthcare Commercial $1.44
Service Code HCPCS J0706
Hospital Charge Code 10372698
Hospital Revenue Code 259
Min. Negotiated Rate $53.90
Max. Negotiated Rate $97.06
Rate for Payer: Aetna of IA Commercial $97.06
Rate for Payer: Aetna of IA Medical Rental Products $97.06
Rate for Payer: Aetna of IA Medicare $61.47
Rate for Payer: Amerigroup Medicaid $54.43
Rate for Payer: Amerigroup Medicare $54.46
Rate for Payer: Cash Price $86.27
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $80.88
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $53.92
Rate for Payer: Iowa Total Care Managed Medicaid $53.90
Rate for Payer: Medical Associates Commercial $80.88
Rate for Payer: Medical Associates Managed Medicare $53.92
Rate for Payer: Midlands Choice Commercial $75.49
Rate for Payer: Molina Healthcare Managed Medicaid $54.73
Rate for Payer: Molina Healthcare Managed Medicare $54.70
Rate for Payer: Oscar Health of IA Commercial $80.88
Rate for Payer: Partners Health Alliance Commercial $80.88
Rate for Payer: United Healthcare Commercial $97.06
Rate for Payer: United Healthcare Managed Medicare $63.63