|
Colonoscopy
|
Facility
IP
|
$2,780.00
|
|
| Hospital Charge Code |
1376935
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,946.00 |
| Max. Negotiated Rate |
$2,502.00 |
| Rate for Payer: Aetna of IA Commercial |
$2,502.00
|
| Rate for Payer: Aetna of IA Medical Rental Products |
$2,502.00
|
| Rate for Payer: Cash Price |
$2,224.00
|
| Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial |
$2,085.00
|
| Rate for Payer: Medical Associates Commercial |
$2,085.00
|
| Rate for Payer: Midlands Choice Commercial |
$1,946.00
|
| Rate for Payer: United Healthcare Commercial |
$2,502.00
|
|
|
Colonoscopy
|
Facility
OP
|
$2,780.00
|
|
| Hospital Charge Code |
1376935
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,389.44 |
| Max. Negotiated Rate |
$2,502.00 |
| Rate for Payer: Aetna of IA Commercial |
$2,502.00
|
| Rate for Payer: Aetna of IA Medical Rental Products |
$2,502.00
|
| Rate for Payer: Aetna of IA Medicare |
$1,584.60
|
| Rate for Payer: Amerigroup Medicaid |
$1,403.07
|
| Rate for Payer: Amerigroup Medicare |
$1,403.90
|
| Rate for Payer: Cash Price |
$2,224.00
|
| Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial |
$2,085.00
|
| Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS |
$1,390.00
|
| Rate for Payer: Iowa Total Care Managed Medicaid |
$1,389.44
|
| Rate for Payer: Medical Associates Commercial |
$2,085.00
|
| Rate for Payer: Medical Associates Managed Medicare |
$1,390.00
|
| Rate for Payer: Midlands Choice Commercial |
$1,946.00
|
| Rate for Payer: Molina Healthcare Managed Medicaid |
$1,410.85
|
| Rate for Payer: Partners Health Alliance Commercial |
$2,085.00
|
| Rate for Payer: United Healthcare Commercial |
$2,502.00
|
| Rate for Payer: United Healthcare Managed Medicare |
$1,640.20
|
|
|
Colonoscopy Biopsy Charge
|
Facility
IP
|
$199.00
|
|
| Hospital Charge Code |
7825138
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$139.30 |
| Max. Negotiated Rate |
$179.10 |
| Rate for Payer: Aetna of IA Commercial |
$179.10
|
| Rate for Payer: Aetna of IA Medical Rental Products |
$179.10
|
| Rate for Payer: Cash Price |
$159.20
|
| Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial |
$149.25
|
| Rate for Payer: Medical Associates Commercial |
$149.25
|
| Rate for Payer: Midlands Choice Commercial |
$139.30
|
| Rate for Payer: United Healthcare Commercial |
$179.10
|
|
|
Colonoscopy Biopsy Charge
|
Facility
OP
|
$199.00
|
|
| Hospital Charge Code |
7825138
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$99.46 |
| Max. Negotiated Rate |
$179.10 |
| Rate for Payer: Aetna of IA Commercial |
$179.10
|
| Rate for Payer: Aetna of IA Medical Rental Products |
$179.10
|
| Rate for Payer: Aetna of IA Medicare |
$113.43
|
| Rate for Payer: Amerigroup Medicaid |
$100.44
|
| Rate for Payer: Amerigroup Medicare |
$100.50
|
| Rate for Payer: Cash Price |
$159.20
|
| Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial |
$149.25
|
| Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS |
$99.50
|
| Rate for Payer: Iowa Total Care Managed Medicaid |
$99.46
|
| Rate for Payer: Medical Associates Commercial |
$149.25
|
| Rate for Payer: Medical Associates Managed Medicare |
$99.50
|
| Rate for Payer: Midlands Choice Commercial |
$139.30
|
| Rate for Payer: Molina Healthcare Managed Medicaid |
$100.99
|
| Rate for Payer: Partners Health Alliance Commercial |
$149.25
|
| Rate for Payer: United Healthcare Commercial |
$179.10
|
| Rate for Payer: United Healthcare Managed Medicare |
$117.41
|
|
|
Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)
|
Facility
OP
|
$2,522.04
|
|
|
Service Code
|
CPT 45378
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$2,292.76 |
| Max. Negotiated Rate |
$2,522.04 |
| Rate for Payer: Wellmark IA HMO |
$2,292.76
|
| Rate for Payer: Wellmark IA PPO |
$2,522.04
|
|
|
Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids)
|
Facility
OP
|
$2,857.58
|
|
|
Service Code
|
CPT 45398
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,597.80 |
| Max. Negotiated Rate |
$2,857.58 |
| Rate for Payer: Wellmark IA HMO |
$2,597.80
|
| Rate for Payer: Wellmark IA PPO |
$2,857.58
|
|
|
Colonoscopy, flexible; with biopsy, single or multiple
|
Facility
OP
|
$2,522.04
|
|
|
Service Code
|
CPT 45380
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$2,292.76 |
| Max. Negotiated Rate |
$2,522.04 |
| Rate for Payer: Wellmark IA HMO |
$2,292.76
|
| Rate for Payer: Wellmark IA PPO |
$2,522.04
|
|
|
Colonoscopy, flexible; with directed submucosal injection(s), any substance
|
Facility
OP
|
$2,857.58
|
|
|
Service Code
|
CPT 45381
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$2,597.80 |
| Max. Negotiated Rate |
$2,857.58 |
| Rate for Payer: Wellmark IA HMO |
$2,597.80
|
| Rate for Payer: Wellmark IA PPO |
$2,857.58
|
|
|
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique
|
Facility
OP
|
$2,857.58
|
|
|
Service Code
|
CPT 45385
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,597.80 |
| Max. Negotiated Rate |
$2,857.58 |
| Rate for Payer: Wellmark IA HMO |
$2,597.80
|
| Rate for Payer: Wellmark IA PPO |
$2,857.58
|
|
|
Colonoscopy with Biopsy
|
Facility
IP
|
$2,780.00
|
|
| Hospital Charge Code |
1376936
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,946.00 |
| Max. Negotiated Rate |
$2,502.00 |
| Rate for Payer: Aetna of IA Commercial |
$2,502.00
|
| Rate for Payer: Aetna of IA Medical Rental Products |
$2,502.00
|
| Rate for Payer: Cash Price |
$2,224.00
|
| Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial |
$2,085.00
|
| Rate for Payer: Medical Associates Commercial |
$2,085.00
|
| Rate for Payer: Midlands Choice Commercial |
$1,946.00
|
| Rate for Payer: United Healthcare Commercial |
$2,502.00
|
|
|
Colonoscopy with Biopsy
|
Facility
OP
|
$2,780.00
|
|
| Hospital Charge Code |
1376936
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,389.44 |
| Max. Negotiated Rate |
$2,502.00 |
| Rate for Payer: Aetna of IA Commercial |
$2,502.00
|
| Rate for Payer: Aetna of IA Medical Rental Products |
$2,502.00
|
| Rate for Payer: Aetna of IA Medicare |
$1,584.60
|
| Rate for Payer: Amerigroup Medicaid |
$1,403.07
|
| Rate for Payer: Amerigroup Medicare |
$1,403.90
|
| Rate for Payer: Cash Price |
$2,224.00
|
| Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial |
$2,085.00
|
| Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS |
$1,390.00
|
| Rate for Payer: Iowa Total Care Managed Medicaid |
$1,389.44
|
| Rate for Payer: Medical Associates Commercial |
$2,085.00
|
| Rate for Payer: Medical Associates Managed Medicare |
$1,390.00
|
| Rate for Payer: Midlands Choice Commercial |
$1,946.00
|
| Rate for Payer: Molina Healthcare Managed Medicaid |
$1,410.85
|
| Rate for Payer: Partners Health Alliance Commercial |
$2,085.00
|
| Rate for Payer: United Healthcare Commercial |
$2,502.00
|
| Rate for Payer: United Healthcare Managed Medicare |
$1,640.20
|
|
|
Colonoscopy w/polypec/fulgurat
|
Facility
IP
|
$2,780.00
|
|
| Hospital Charge Code |
1376941
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,946.00 |
| Max. Negotiated Rate |
$2,502.00 |
| Rate for Payer: Aetna of IA Commercial |
$2,502.00
|
| Rate for Payer: Aetna of IA Medical Rental Products |
$2,502.00
|
| Rate for Payer: Cash Price |
$2,224.00
|
| Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial |
$2,085.00
|
| Rate for Payer: Medical Associates Commercial |
$2,085.00
|
| Rate for Payer: Midlands Choice Commercial |
$1,946.00
|
| Rate for Payer: United Healthcare Commercial |
$2,502.00
|
|
|
Colonoscopy w/polypec/fulgurat
|
Facility
OP
|
$2,780.00
|
|
| Hospital Charge Code |
1376941
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,389.44 |
| Max. Negotiated Rate |
$2,502.00 |
| Rate for Payer: Aetna of IA Commercial |
$2,502.00
|
| Rate for Payer: Aetna of IA Medical Rental Products |
$2,502.00
|
| Rate for Payer: Aetna of IA Medicare |
$1,584.60
|
| Rate for Payer: Amerigroup Medicaid |
$1,403.07
|
| Rate for Payer: Amerigroup Medicare |
$1,403.90
|
| Rate for Payer: Cash Price |
$2,224.00
|
| Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial |
$2,085.00
|
| Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS |
$1,390.00
|
| Rate for Payer: Iowa Total Care Managed Medicaid |
$1,389.44
|
| Rate for Payer: Medical Associates Commercial |
$2,085.00
|
| Rate for Payer: Medical Associates Managed Medicare |
$1,390.00
|
| Rate for Payer: Midlands Choice Commercial |
$1,946.00
|
| Rate for Payer: Molina Healthcare Managed Medicaid |
$1,410.85
|
| Rate for Payer: Partners Health Alliance Commercial |
$2,085.00
|
| Rate for Payer: United Healthcare Commercial |
$2,502.00
|
| Rate for Payer: United Healthcare Managed Medicare |
$1,640.20
|
|
|
Colonoscopy w/Polypec/Fulgurat
|
Facility
IP
|
$397.00
|
|
| Hospital Charge Code |
8051946
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$277.90 |
| Max. Negotiated Rate |
$357.30 |
| Rate for Payer: Aetna of IA Commercial |
$357.30
|
| Rate for Payer: Aetna of IA Medical Rental Products |
$357.30
|
| Rate for Payer: Cash Price |
$317.60
|
| Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial |
$297.75
|
| Rate for Payer: Medical Associates Commercial |
$297.75
|
| Rate for Payer: Midlands Choice Commercial |
$277.90
|
| Rate for Payer: United Healthcare Commercial |
$357.30
|
|
|
Colonoscopy w/Polypec/Fulgurat
|
Facility
OP
|
$397.00
|
|
| Hospital Charge Code |
8051946
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$198.42 |
| Max. Negotiated Rate |
$357.30 |
| Rate for Payer: Aetna of IA Commercial |
$357.30
|
| Rate for Payer: Aetna of IA Medical Rental Products |
$357.30
|
| Rate for Payer: Aetna of IA Medicare |
$226.29
|
| Rate for Payer: Amerigroup Medicaid |
$200.37
|
| Rate for Payer: Amerigroup Medicare |
$200.48
|
| Rate for Payer: Cash Price |
$317.60
|
| Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial |
$297.75
|
| Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS |
$198.50
|
| Rate for Payer: Iowa Total Care Managed Medicaid |
$198.42
|
| Rate for Payer: Medical Associates Commercial |
$297.75
|
| Rate for Payer: Medical Associates Managed Medicare |
$198.50
|
| Rate for Payer: Midlands Choice Commercial |
$277.90
|
| Rate for Payer: Molina Healthcare Managed Medicaid |
$201.48
|
| Rate for Payer: Partners Health Alliance Commercial |
$297.75
|
| Rate for Payer: United Healthcare Commercial |
$357.30
|
| Rate for Payer: United Healthcare Managed Medicare |
$234.23
|
|
|
Colposcopy of cervix w/loop electrode bx of cervix
|
Professional
|
$1,024.00
|
|
|
Service Code
|
CPT 57460
|
| Hospital Charge Code |
8068975
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$143.94 |
| Max. Negotiated Rate |
$716.80 |
| Rate for Payer: Aetna of IA Medicare |
$143.94
|
| Rate for Payer: Amerigroup Medicaid |
$148.83
|
| Rate for Payer: Cash Price |
$819.20
|
| Rate for Payer: Cash Price |
$819.20
|
| Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial |
$172.73
|
| Rate for Payer: Iowa Total Care Managed Medicaid |
$146.82
|
| Rate for Payer: Medical Associates Commercial |
$273.49
|
| Rate for Payer: Medical Associates Managed Medicare |
$143.94
|
| Rate for Payer: Midlands Choice Commercial |
$716.80
|
| Rate for Payer: Partners Health Alliance Commercial |
$215.91
|
| Rate for Payer: Wellmark IA HMO |
$303.00
|
| Rate for Payer: Wellmark IA PPO |
$355.00
|
|
|
Combined Anterior and Posterior Spinal Fusion With CC
|
Facility
IP
|
$42,774.15
|
|
|
Service Code
|
MS-DRG 454
|
| Hospital Charge Code |
274
|
| Min. Negotiated Rate |
$2,034.00 |
| Max. Negotiated Rate |
$42,774.15 |
| Rate for Payer: Amerigroup Medicaid |
$42,567.51
|
| Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS |
$2,034.00
|
| Rate for Payer: Iowa Total Care Managed Medicaid |
$42,154.23
|
| Rate for Payer: Molina Healthcare Managed Medicaid |
$42,774.15
|
|
|
Combined Anterior and Posterior Spinal Fusion With MCC
|
Facility
IP
|
$63,679.44
|
|
|
Service Code
|
MS-DRG 453
|
| Hospital Charge Code |
273
|
| Min. Negotiated Rate |
$2,034.00 |
| Max. Negotiated Rate |
$63,679.44 |
| Rate for Payer: Amerigroup Medicaid |
$63,371.81
|
| Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS |
$2,034.00
|
| Rate for Payer: Iowa Total Care Managed Medicaid |
$62,756.55
|
| Rate for Payer: Molina Healthcare Managed Medicaid |
$63,679.44
|
|
|
Combined Anterior and Posterior Spinal Fusion Without CC/MCC
|
Facility
IP
|
$34,967.14
|
|
|
Service Code
|
MS-DRG 455
|
| Hospital Charge Code |
275
|
| Min. Negotiated Rate |
$2,034.00 |
| Max. Negotiated Rate |
$34,967.14 |
| Rate for Payer: Amerigroup Medicaid |
$34,798.22
|
| Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS |
$2,034.00
|
| Rate for Payer: Iowa Total Care Managed Medicaid |
$34,460.37
|
| Rate for Payer: Molina Healthcare Managed Medicaid |
$34,967.14
|
|
|
COMPATIBLE
|
Facility
IP
|
$81.00
|
|
|
Service Code
|
CPT 86922
|
| Hospital Charge Code |
5850785
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$56.70 |
| Max. Negotiated Rate |
$72.90 |
| Rate for Payer: Aetna of IA Commercial |
$72.90
|
| Rate for Payer: Aetna of IA Medical Rental Products |
$72.90
|
| Rate for Payer: Cash Price |
$64.80
|
| Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial |
$60.75
|
| Rate for Payer: Medical Associates Commercial |
$60.75
|
| Rate for Payer: Midlands Choice Commercial |
$56.70
|
| Rate for Payer: United Healthcare Commercial |
$72.90
|
|
|
COMPATIBLE
|
Facility
OP
|
$81.00
|
|
|
Service Code
|
CPT 86922
|
| Hospital Charge Code |
5850785
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$40.48 |
| Max. Negotiated Rate |
$107.07 |
| Rate for Payer: Aetna of IA Commercial |
$72.90
|
| Rate for Payer: Aetna of IA Medical Rental Products |
$72.90
|
| Rate for Payer: Aetna of IA Medicare |
$46.17
|
| Rate for Payer: Amerigroup Medicaid |
$40.88
|
| Rate for Payer: Amerigroup Medicare |
$40.90
|
| Rate for Payer: Cash Price |
$64.80
|
| Rate for Payer: Cash Price |
$64.80
|
| Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial |
$60.75
|
| Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS |
$40.50
|
| Rate for Payer: Iowa Total Care Managed Medicaid |
$40.48
|
| Rate for Payer: Medical Associates Commercial |
$60.75
|
| Rate for Payer: Medical Associates Managed Medicare |
$40.50
|
| Rate for Payer: Midlands Choice Commercial |
$56.70
|
| Rate for Payer: Molina Healthcare Managed Medicaid |
$41.11
|
| Rate for Payer: Partners Health Alliance Commercial |
$60.75
|
| Rate for Payer: United Healthcare Commercial |
$72.90
|
| Rate for Payer: United Healthcare Managed Medicare |
$47.79
|
| Rate for Payer: Wellmark IA HMO |
$97.34
|
| Rate for Payer: Wellmark IA PPO |
$107.07
|
|
|
Complement C3 DMCL
|
Facility
IP
|
$98.00
|
|
|
Service Code
|
CPT 86160
|
| Hospital Charge Code |
8037514
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$68.60 |
| Max. Negotiated Rate |
$88.20 |
| Rate for Payer: Aetna of IA Commercial |
$88.20
|
| Rate for Payer: Aetna of IA Medical Rental Products |
$88.20
|
| Rate for Payer: Cash Price |
$78.40
|
| Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial |
$73.50
|
| Rate for Payer: Medical Associates Commercial |
$73.50
|
| Rate for Payer: Midlands Choice Commercial |
$68.60
|
| Rate for Payer: United Healthcare Commercial |
$88.20
|
|
|
Complement C3 DMCL
|
Facility
OP
|
$98.00
|
|
|
Service Code
|
CPT 86160
|
| Hospital Charge Code |
8037514
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$47.12 |
| Max. Negotiated Rate |
$88.20 |
| Rate for Payer: Aetna of IA Commercial |
$88.20
|
| Rate for Payer: Aetna of IA Medical Rental Products |
$88.20
|
| Rate for Payer: Aetna of IA Medicare |
$55.86
|
| Rate for Payer: Amerigroup Medicaid |
$49.46
|
| Rate for Payer: Amerigroup Medicare |
$49.49
|
| Rate for Payer: Cash Price |
$78.40
|
| Rate for Payer: Cash Price |
$78.40
|
| Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial |
$73.50
|
| Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS |
$49.00
|
| Rate for Payer: Iowa Total Care Managed Medicaid |
$48.98
|
| Rate for Payer: Medical Associates Commercial |
$73.50
|
| Rate for Payer: Medical Associates Managed Medicare |
$49.00
|
| Rate for Payer: Midlands Choice Commercial |
$68.60
|
| Rate for Payer: Molina Healthcare Managed Medicaid |
$49.74
|
| Rate for Payer: Partners Health Alliance Commercial |
$73.50
|
| Rate for Payer: United Healthcare Commercial |
$88.20
|
| Rate for Payer: United Healthcare Managed Medicare |
$57.82
|
| Rate for Payer: Wellmark IA HMO |
$47.12
|
| Rate for Payer: Wellmark IA PPO |
$51.83
|
|
|
Complement C4 DMCL
|
Facility
IP
|
$98.00
|
|
|
Service Code
|
CPT 86160
|
| Hospital Charge Code |
8037515
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$68.60 |
| Max. Negotiated Rate |
$88.20 |
| Rate for Payer: Aetna of IA Commercial |
$88.20
|
| Rate for Payer: Aetna of IA Medical Rental Products |
$88.20
|
| Rate for Payer: Cash Price |
$78.40
|
| Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial |
$73.50
|
| Rate for Payer: Medical Associates Commercial |
$73.50
|
| Rate for Payer: Midlands Choice Commercial |
$68.60
|
| Rate for Payer: United Healthcare Commercial |
$88.20
|
|
|
Complement C4 DMCL
|
Facility
OP
|
$98.00
|
|
|
Service Code
|
CPT 86160
|
| Hospital Charge Code |
8037515
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$47.12 |
| Max. Negotiated Rate |
$88.20 |
| Rate for Payer: Aetna of IA Commercial |
$88.20
|
| Rate for Payer: Aetna of IA Medical Rental Products |
$88.20
|
| Rate for Payer: Aetna of IA Medicare |
$55.86
|
| Rate for Payer: Amerigroup Medicaid |
$49.46
|
| Rate for Payer: Amerigroup Medicare |
$49.49
|
| Rate for Payer: Cash Price |
$78.40
|
| Rate for Payer: Cash Price |
$78.40
|
| Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial |
$73.50
|
| Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS |
$49.00
|
| Rate for Payer: Iowa Total Care Managed Medicaid |
$48.98
|
| Rate for Payer: Medical Associates Commercial |
$73.50
|
| Rate for Payer: Medical Associates Managed Medicare |
$49.00
|
| Rate for Payer: Midlands Choice Commercial |
$68.60
|
| Rate for Payer: Molina Healthcare Managed Medicaid |
$49.74
|
| Rate for Payer: Partners Health Alliance Commercial |
$73.50
|
| Rate for Payer: United Healthcare Commercial |
$88.20
|
| Rate for Payer: United Healthcare Managed Medicare |
$57.82
|
| Rate for Payer: Wellmark IA HMO |
$47.12
|
| Rate for Payer: Wellmark IA PPO |
$51.83
|
|
