|
Ceruloplasmin DMCL
|
Facility
|
OP
|
$139.00
|
|
|
Service Code
|
CPT 82390
|
| Hospital Charge Code |
8037510
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$30.49 |
| Max. Negotiated Rate |
$125.10 |
| Rate for Payer: Aetna of IA Commercial |
$125.10
|
| Rate for Payer: Aetna of IA Medical Rental Products |
$125.10
|
| Rate for Payer: Aetna of IA Medicare |
$79.23
|
| Rate for Payer: Amerigroup Medicaid |
$80.18
|
| Rate for Payer: Amerigroup Medicare |
$63.18
|
| Rate for Payer: Cash Price |
$111.20
|
| Rate for Payer: Cash Price |
$111.20
|
| Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial |
$104.25
|
| Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS |
$62.55
|
| Rate for Payer: Iowa Total Care Managed Medicaid |
$79.40
|
| Rate for Payer: Medical Associates Commercial |
$104.25
|
| Rate for Payer: Medical Associates Managed Medicare |
$62.55
|
| Rate for Payer: Midlands Choice Commercial |
$97.30
|
| Rate for Payer: Molina Healthcare Managed Medicaid |
$80.56
|
| Rate for Payer: Partners Health Alliance Commercial |
$71.93
|
| Rate for Payer: United Healthcare Commercial |
$125.10
|
| Rate for Payer: United Healthcare Managed Medicare |
$82.01
|
| Rate for Payer: Wellmark IA HMO WHPI |
$30.49
|
| Rate for Payer: Wellmark IA PPO |
$33.58
|
|
|
CERUMEN REMOVAL
|
Professional
|
Both
|
$132.00
|
|
|
Service Code
|
CPT 69210
|
| Hospital Charge Code |
7982759
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$45.40 |
| Max. Negotiated Rate |
$108.00 |
| Rate for Payer: Amerigroup Medicaid |
$45.85
|
| Rate for Payer: Cash Price |
$105.60
|
| Rate for Payer: Cash Price |
$105.60
|
| Rate for Payer: Iowa Total Care Managed Medicaid |
$45.40
|
| Rate for Payer: Medical Associates Commercial |
$99.00
|
| Rate for Payer: Midlands Choice Commercial |
$92.40
|
| Rate for Payer: Molina Healthcare Managed Medicaid |
$45.62
|
| Rate for Payer: Partners Health Alliance Commercial |
$99.00
|
| Rate for Payer: United Healthcare Commercial |
$72.00
|
| Rate for Payer: Wellmark IA HMO WHPI |
$91.80
|
| Rate for Payer: Wellmark IA PPO |
$108.00
|
|
|
CERVICAL SPINAL FUSION WITH CC
|
Facility
|
IP
|
$26,966.02
|
|
|
Service Code
|
MSDRG 472
|
| Min. Negotiated Rate |
$26,575.20 |
| Max. Negotiated Rate |
$26,966.02 |
| Rate for Payer: Amerigroup Medicaid |
$26,835.74
|
| Rate for Payer: Iowa Total Care Managed Medicaid |
$26,575.20
|
| Rate for Payer: Molina Healthcare Managed Medicaid |
$26,966.02
|
|
|
CERVICAL SPINAL FUSION WITH MCC
|
Facility
|
IP
|
$45,930.85
|
|
|
Service Code
|
MSDRG 471
|
| Min. Negotiated Rate |
$45,265.17 |
| Max. Negotiated Rate |
$45,930.85 |
| Rate for Payer: Amerigroup Medicaid |
$45,708.95
|
| Rate for Payer: Iowa Total Care Managed Medicaid |
$45,265.17
|
| Rate for Payer: Molina Healthcare Managed Medicaid |
$45,930.85
|
|
|
CERVICAL SPINAL FUSION WITHOUT CC/MCC
|
Facility
|
IP
|
$21,017.49
|
|
|
Service Code
|
MSDRG 473
|
| Min. Negotiated Rate |
$20,712.88 |
| Max. Negotiated Rate |
$21,017.49 |
| Rate for Payer: Amerigroup Medicaid |
$20,915.94
|
| Rate for Payer: Iowa Total Care Managed Medicaid |
$20,712.88
|
| Rate for Payer: Molina Healthcare Managed Medicaid |
$21,017.49
|
|
|
CESAREAN SECTION WITHOUT STERILIZATION WITH CC
|
Facility
|
IP
|
$10,985.03
|
|
|
Service Code
|
MSDRG 787
|
| Min. Negotiated Rate |
$10,825.82 |
| Max. Negotiated Rate |
$10,985.03 |
| Rate for Payer: Amerigroup Medicaid |
$10,931.96
|
| Rate for Payer: Iowa Total Care Managed Medicaid |
$10,825.82
|
| Rate for Payer: Molina Healthcare Managed Medicaid |
$10,985.03
|
|
|
CESAREAN SECTION WITHOUT STERILIZATION WITH MCC
|
Facility
|
IP
|
$12,817.00
|
|
|
Service Code
|
MSDRG 786
|
| Min. Negotiated Rate |
$12,631.24 |
| Max. Negotiated Rate |
$12,817.00 |
| Rate for Payer: Amerigroup Medicaid |
$12,755.07
|
| Rate for Payer: Iowa Total Care Managed Medicaid |
$12,631.24
|
| Rate for Payer: Molina Healthcare Managed Medicaid |
$12,817.00
|
|
|
CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC
|
Facility
|
IP
|
$9,785.87
|
|
|
Service Code
|
MSDRG 788
|
| Min. Negotiated Rate |
$9,644.04 |
| Max. Negotiated Rate |
$9,785.87 |
| Rate for Payer: Amerigroup Medicaid |
$9,738.59
|
| Rate for Payer: Iowa Total Care Managed Medicaid |
$9,644.04
|
| Rate for Payer: Molina Healthcare Managed Medicaid |
$9,785.87
|
|
|
CESAREAN SECTION WITH STERILIZATION WITH CC
|
Facility
|
IP
|
$10,397.27
|
|
|
Service Code
|
MSDRG 784
|
| Min. Negotiated Rate |
$10,246.58 |
| Max. Negotiated Rate |
$10,397.27 |
| Rate for Payer: Amerigroup Medicaid |
$10,347.04
|
| Rate for Payer: Iowa Total Care Managed Medicaid |
$10,246.58
|
| Rate for Payer: Molina Healthcare Managed Medicaid |
$10,397.27
|
|
|
CESAREAN SECTION WITH STERILIZATION WITH MCC
|
Facility
|
IP
|
$12,998.28
|
|
|
Service Code
|
MSDRG 783
|
| Min. Negotiated Rate |
$12,809.89 |
| Max. Negotiated Rate |
$12,998.28 |
| Rate for Payer: Amerigroup Medicaid |
$12,935.48
|
| Rate for Payer: Iowa Total Care Managed Medicaid |
$12,809.89
|
| Rate for Payer: Molina Healthcare Managed Medicaid |
$12,998.28
|
|
|
CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC
|
Facility
|
IP
|
$9,218.37
|
|
|
Service Code
|
MSDRG 785
|
| Min. Negotiated Rate |
$9,084.77 |
| Max. Negotiated Rate |
$9,218.37 |
| Rate for Payer: Amerigroup Medicaid |
$9,173.84
|
| Rate for Payer: Iowa Total Care Managed Medicaid |
$9,084.77
|
| Rate for Payer: Molina Healthcare Managed Medicaid |
$9,218.37
|
|
|
cetirizine 10 mg Tab [VDMC]
|
Facility
|
OP
|
$1.52
|
|
|
Service Code
|
HCPCS A9270
|
| Hospital Charge Code |
10376958
|
|
Hospital Revenue Code
|
259
|
| Min. Negotiated Rate |
$0.68 |
| Max. Negotiated Rate |
$1.37 |
| Rate for Payer: Aetna of IA Commercial |
$1.37
|
| Rate for Payer: Aetna of IA Medical Rental Products |
$1.37
|
| Rate for Payer: Aetna of IA Medicare |
$0.86
|
| Rate for Payer: Amerigroup Medicaid |
$0.87
|
| Rate for Payer: Amerigroup Medicare |
$0.69
|
| Rate for Payer: Cash Price |
$1.21
|
| Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial |
$1.14
|
| Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS |
$0.68
|
| Rate for Payer: Iowa Total Care Managed Medicaid |
$0.87
|
| Rate for Payer: Medical Associates Commercial |
$1.14
|
| Rate for Payer: Medical Associates Managed Medicare |
$0.68
|
| Rate for Payer: Midlands Choice Commercial |
$1.06
|
| Rate for Payer: Molina Healthcare Managed Medicaid |
$0.88
|
| Rate for Payer: Partners Health Alliance Commercial |
$0.78
|
| Rate for Payer: United Healthcare Commercial |
$1.37
|
| Rate for Payer: United Healthcare Managed Medicare |
$0.89
|
|
|
cetirizine 10 mg Tab [VDMC]
|
Facility
|
IP
|
$1.52
|
|
|
Service Code
|
HCPCS A9270
|
| Hospital Charge Code |
10376958
|
|
Hospital Revenue Code
|
259
|
| Min. Negotiated Rate |
$1.06 |
| Max. Negotiated Rate |
$1.37 |
| Rate for Payer: Aetna of IA Commercial |
$1.37
|
| Rate for Payer: Aetna of IA Medical Rental Products |
$1.37
|
| Rate for Payer: Cash Price |
$1.21
|
| Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial |
$1.14
|
| Rate for Payer: Medical Associates Commercial |
$1.14
|
| Rate for Payer: Midlands Choice Commercial |
$1.06
|
| Rate for Payer: United Healthcare Commercial |
$1.37
|
|
|
cetirizine 5mg/5ml 120 ml bottle [VDMC]
|
Facility
|
IP
|
$14.53
|
|
|
Service Code
|
HCPCS A9270
|
| Hospital Charge Code |
16005974
|
|
Hospital Revenue Code
|
259
|
| Min. Negotiated Rate |
$10.17 |
| Max. Negotiated Rate |
$13.07 |
| Rate for Payer: Aetna of IA Commercial |
$13.07
|
| Rate for Payer: Aetna of IA Medical Rental Products |
$13.07
|
| Rate for Payer: Cash Price |
$11.62
|
| Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial |
$10.89
|
| Rate for Payer: Medical Associates Commercial |
$10.89
|
| Rate for Payer: Midlands Choice Commercial |
$10.17
|
| Rate for Payer: United Healthcare Commercial |
$13.07
|
|
|
cetirizine 5mg/5ml 120 ml bottle [VDMC]
|
Facility
|
OP
|
$14.53
|
|
|
Service Code
|
HCPCS A9270
|
| Hospital Charge Code |
16005974
|
|
Hospital Revenue Code
|
259
|
| Min. Negotiated Rate |
$6.54 |
| Max. Negotiated Rate |
$13.07 |
| Rate for Payer: Aetna of IA Commercial |
$13.07
|
| Rate for Payer: Aetna of IA Medical Rental Products |
$13.07
|
| Rate for Payer: Aetna of IA Medicare |
$8.28
|
| Rate for Payer: Amerigroup Medicaid |
$8.38
|
| Rate for Payer: Amerigroup Medicare |
$6.60
|
| Rate for Payer: Cash Price |
$11.62
|
| Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial |
$10.89
|
| Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS |
$6.54
|
| Rate for Payer: Iowa Total Care Managed Medicaid |
$8.30
|
| Rate for Payer: Medical Associates Commercial |
$10.89
|
| Rate for Payer: Medical Associates Managed Medicare |
$6.54
|
| Rate for Payer: Midlands Choice Commercial |
$10.17
|
| Rate for Payer: Molina Healthcare Managed Medicaid |
$8.42
|
| Rate for Payer: Partners Health Alliance Commercial |
$7.52
|
| Rate for Payer: United Healthcare Commercial |
$13.07
|
| Rate for Payer: United Healthcare Managed Medicare |
$8.57
|
|
|
cevimeline 30 mg Cap [VDMC]
|
Facility
|
IP
|
$4.33
|
|
|
Service Code
|
HCPCS A9270
|
| Hospital Charge Code |
10377098
|
|
Hospital Revenue Code
|
259
|
| Min. Negotiated Rate |
$3.03 |
| Max. Negotiated Rate |
$3.89 |
| Rate for Payer: Aetna of IA Commercial |
$3.89
|
| Rate for Payer: Aetna of IA Medical Rental Products |
$3.89
|
| Rate for Payer: Cash Price |
$3.46
|
| Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial |
$3.24
|
| Rate for Payer: Medical Associates Commercial |
$3.24
|
| Rate for Payer: Midlands Choice Commercial |
$3.03
|
| Rate for Payer: United Healthcare Commercial |
$3.89
|
|
|
cevimeline 30 mg Cap [VDMC]
|
Facility
|
OP
|
$4.33
|
|
|
Service Code
|
HCPCS A9270
|
| Hospital Charge Code |
10377098
|
|
Hospital Revenue Code
|
259
|
| Min. Negotiated Rate |
$1.95 |
| Max. Negotiated Rate |
$3.89 |
| Rate for Payer: Aetna of IA Commercial |
$3.89
|
| Rate for Payer: Aetna of IA Medical Rental Products |
$3.89
|
| Rate for Payer: Aetna of IA Medicare |
$2.47
|
| Rate for Payer: Amerigroup Medicaid |
$2.50
|
| Rate for Payer: Amerigroup Medicare |
$1.97
|
| Rate for Payer: Cash Price |
$3.46
|
| Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial |
$3.24
|
| Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS |
$1.95
|
| Rate for Payer: Iowa Total Care Managed Medicaid |
$2.47
|
| Rate for Payer: Medical Associates Commercial |
$3.24
|
| Rate for Payer: Medical Associates Managed Medicare |
$1.95
|
| Rate for Payer: Midlands Choice Commercial |
$3.03
|
| Rate for Payer: Molina Healthcare Managed Medicaid |
$2.51
|
| Rate for Payer: Partners Health Alliance Commercial |
$2.24
|
| Rate for Payer: United Healthcare Commercial |
$3.89
|
| Rate for Payer: United Healthcare Managed Medicare |
$2.55
|
|
|
CGM Setup Training Monitoring for at least 72 hours
|
Facility
|
OP
|
$140.00
|
|
|
Service Code
|
CPT 95249
|
| Hospital Charge Code |
6591070
|
|
Hospital Revenue Code
|
920
|
| Min. Negotiated Rate |
$63.00 |
| Max. Negotiated Rate |
$224.93 |
| Rate for Payer: Aetna of IA Commercial |
$126.00
|
| Rate for Payer: Aetna of IA Medical Rental Products |
$126.00
|
| Rate for Payer: Aetna of IA Medicare |
$79.80
|
| Rate for Payer: Amerigroup Medicaid |
$80.75
|
| Rate for Payer: Amerigroup Medicare |
$63.63
|
| Rate for Payer: Cash Price |
$112.00
|
| Rate for Payer: Cash Price |
$112.00
|
| Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial |
$105.00
|
| 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 |
$79.97
|
| Rate for Payer: Medical Associates Commercial |
$105.00
|
| Rate for Payer: Medical Associates Managed Medicare |
$63.00
|
| Rate for Payer: Midlands Choice Commercial |
$98.00
|
| Rate for Payer: Molina Healthcare Managed Medicaid |
$81.14
|
| Rate for Payer: Partners Health Alliance Commercial |
$72.45
|
| Rate for Payer: United Healthcare Commercial |
$126.00
|
| Rate for Payer: United Healthcare Managed Medicare |
$82.60
|
| Rate for Payer: Wellmark IA HMO WHPI |
$204.19
|
| Rate for Payer: Wellmark IA PPO |
$224.93
|
|
|
CGM Setup Training Monitoring for at least 72 hours
|
Facility
|
IP
|
$140.00
|
|
|
Service Code
|
CPT 95249
|
| Hospital Charge Code |
6591070
|
|
Hospital Revenue Code
|
920
|
| Min. Negotiated Rate |
$98.00 |
| Max. Negotiated Rate |
$126.00 |
| Rate for Payer: Aetna of IA Commercial |
$126.00
|
| Rate for Payer: Aetna of IA Medical Rental Products |
$126.00
|
| Rate for Payer: Cash Price |
$112.00
|
| Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial |
$105.00
|
| Rate for Payer: Medical Associates Commercial |
$105.00
|
| Rate for Payer: Midlands Choice Commercial |
$98.00
|
| Rate for Payer: United Healthcare Commercial |
$126.00
|
|
|
CHANGE GASTROSTOMY TUBE
|
Facility
|
IP
|
$517.00
|
|
|
Service Code
|
CPT 43760
|
| Hospital Charge Code |
4864966
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$361.90 |
| Max. Negotiated Rate |
$465.30 |
| Rate for Payer: Aetna of IA Commercial |
$465.30
|
| Rate for Payer: Aetna of IA Medical Rental Products |
$465.30
|
| Rate for Payer: Cash Price |
$413.60
|
| Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial |
$387.75
|
| Rate for Payer: Medical Associates Commercial |
$387.75
|
| Rate for Payer: Midlands Choice Commercial |
$361.90
|
| Rate for Payer: United Healthcare Commercial |
$465.30
|
|
|
CHANGE GASTROSTOMY TUBE
|
Facility
|
OP
|
$517.00
|
|
|
Service Code
|
CPT 43760
|
| Hospital Charge Code |
4864966
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$232.65 |
| Max. Negotiated Rate |
$465.30 |
| Rate for Payer: Aetna of IA Commercial |
$465.30
|
| Rate for Payer: Aetna of IA Medical Rental Products |
$465.30
|
| Rate for Payer: Aetna of IA Medicare |
$294.69
|
| Rate for Payer: Amerigroup Medicaid |
$298.21
|
| Rate for Payer: Amerigroup Medicare |
$234.98
|
| Rate for Payer: Cash Price |
$413.60
|
| Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial |
$387.75
|
| Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS |
$232.65
|
| Rate for Payer: Iowa Total Care Managed Medicaid |
$295.31
|
| Rate for Payer: Medical Associates Commercial |
$387.75
|
| Rate for Payer: Medical Associates Managed Medicare |
$232.65
|
| Rate for Payer: Midlands Choice Commercial |
$361.90
|
| Rate for Payer: Molina Healthcare Managed Medicaid |
$299.65
|
| Rate for Payer: Partners Health Alliance Commercial |
$267.55
|
| Rate for Payer: United Healthcare Commercial |
$465.30
|
| Rate for Payer: United Healthcare Managed Medicare |
$305.03
|
|
|
CHANGE GASTROSTOMY TUBE
|
Professional
|
Both
|
$1,621.00
|
|
|
Service Code
|
CPT 43760
|
| Hospital Charge Code |
7822793
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$842.00 |
| Max. Negotiated Rate |
$1,215.75 |
| Rate for Payer: Cash Price |
$1,296.80
|
| Rate for Payer: Cash Price |
$1,296.80
|
| Rate for Payer: Medical Associates Commercial |
$1,215.75
|
| Rate for Payer: Midlands Choice Commercial |
$1,134.70
|
| Rate for Payer: Partners Health Alliance Commercial |
$1,215.75
|
| Rate for Payer: Wellmark IA HMO WHPI |
$842.00
|
| Rate for Payer: Wellmark IA PPO |
$1,028.00
|
|
|
CHANGE OF BLADDER TUBE
|
Facility
|
OP
|
$397.00
|
|
|
Service Code
|
CPT 51705
|
| Hospital Charge Code |
4863329
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$178.65 |
| 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 |
$228.99
|
| Rate for Payer: Amerigroup Medicare |
$180.44
|
| Rate for Payer: Cash Price |
$317.60
|
| 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 |
$178.65
|
| Rate for Payer: Iowa Total Care Managed Medicaid |
$226.77
|
| Rate for Payer: Medical Associates Commercial |
$297.75
|
| Rate for Payer: Medical Associates Managed Medicare |
$178.65
|
| Rate for Payer: Midlands Choice Commercial |
$277.90
|
| Rate for Payer: Molina Healthcare Managed Medicaid |
$230.10
|
| Rate for Payer: Partners Health Alliance Commercial |
$205.45
|
| Rate for Payer: United Healthcare Commercial |
$357.30
|
| Rate for Payer: United Healthcare Managed Medicare |
$234.23
|
| Rate for Payer: Wellmark IA HMO WHPI |
$243.19
|
| Rate for Payer: Wellmark IA PPO |
$267.88
|
|
|
CHANGE OF BLADDER TUBE
|
Professional
|
Both
|
$302.00
|
|
|
Service Code
|
CPT 51705
|
| Hospital Charge Code |
7822797
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$82.51 |
| Max. Negotiated Rate |
$226.50 |
| Rate for Payer: Amerigroup Medicaid |
$83.32
|
| Rate for Payer: Cash Price |
$241.60
|
| Rate for Payer: Cash Price |
$241.60
|
| Rate for Payer: Iowa Total Care Managed Medicaid |
$82.51
|
| Rate for Payer: Medical Associates Commercial |
$226.50
|
| Rate for Payer: Midlands Choice Commercial |
$211.40
|
| Rate for Payer: Molina Healthcare Managed Medicaid |
$82.91
|
| Rate for Payer: Partners Health Alliance Commercial |
$226.50
|
| Rate for Payer: United Healthcare Commercial |
$143.70
|
| Rate for Payer: Wellmark IA HMO WHPI |
$183.50
|
| Rate for Payer: Wellmark IA PPO |
$215.90
|
|
|
CHANGE OF BLADDER TUBE
|
Facility
|
IP
|
$397.00
|
|
|
Service Code
|
CPT 51705
|
| Hospital Charge Code |
4863329
|
|
Hospital Revenue Code
|
450
|
| 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
|
|
