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Service Code CPT 86141
Hospital Charge Code 8519232
Hospital Revenue Code 300
Min. Negotiated Rate $30.49
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 $47.12
Rate for Payer: Wellmark IA PPO $51.83
Service Code CPT 86141
Hospital Charge Code 8519232
Hospital Revenue Code 300
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 82575
Hospital Charge Code 633609
Hospital Revenue Code 301
Min. Negotiated Rate $63.00
Max. Negotiated Rate $81.00
Rate for Payer: Aetna of IA Commercial $81.00
Rate for Payer: Aetna of IA Medical Rental Products $81.00
Rate for Payer: Cash Price $72.00
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $67.50
Rate for Payer: Medical Associates Commercial $67.50
Rate for Payer: Midlands Choice Commercial $63.00
Rate for Payer: United Healthcare Commercial $81.00
Service Code CPT 82575
Hospital Charge Code 633609
Hospital Revenue Code 301
Min. Negotiated Rate $44.98
Max. Negotiated Rate $81.00
Rate for Payer: Aetna of IA Commercial $81.00
Rate for Payer: Aetna of IA Medical Rental Products $81.00
Rate for Payer: Aetna of IA Medicare $51.30
Rate for Payer: Amerigroup Medicaid $45.42
Rate for Payer: Amerigroup Medicare $45.45
Rate for Payer: Cash Price $72.00
Rate for Payer: Cash Price $72.00
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $67.50
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $45.00
Rate for Payer: Iowa Total Care Managed Medicaid $44.98
Rate for Payer: Medical Associates Commercial $67.50
Rate for Payer: Medical Associates Managed Medicare $45.00
Rate for Payer: Midlands Choice Commercial $63.00
Rate for Payer: Molina Healthcare Managed Medicaid $45.68
Rate for Payer: Molina Healthcare Managed Medicare $45.65
Rate for Payer: Oscar Health of IA Commercial $67.50
Rate for Payer: Partners Health Alliance Commercial $67.50
Rate for Payer: United Healthcare Commercial $81.00
Rate for Payer: United Healthcare Managed Medicare $53.10
Rate for Payer: Wellmark IA HMO $45.88
Rate for Payer: Wellmark IA PPO $50.47
Service Code CPT 82565
Hospital Charge Code 4010820
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 82565
Hospital Charge Code 4010820
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 82570
Hospital Charge Code 1634894
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 82570
Hospital Charge Code 1634894
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 82575
Hospital Charge Code 8788868
Hospital Revenue Code 301
Min. Negotiated Rate $44.98
Max. Negotiated Rate $81.00
Rate for Payer: Medical Associates Commercial $67.50
Rate for Payer: Aetna of IA Commercial $81.00
Rate for Payer: Aetna of IA Medical Rental Products $81.00
Rate for Payer: Aetna of IA Medicare $51.30
Rate for Payer: Amerigroup Medicaid $45.42
Rate for Payer: Amerigroup Medicare $45.45
Rate for Payer: Cash Price $72.00
Rate for Payer: Cash Price $72.00
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $67.50
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $45.00
Rate for Payer: Iowa Total Care Managed Medicaid $44.98
Rate for Payer: Medical Associates Managed Medicare $45.00
Rate for Payer: Midlands Choice Commercial $63.00
Rate for Payer: Molina Healthcare Managed Medicaid $45.68
Rate for Payer: Molina Healthcare Managed Medicare $45.65
Rate for Payer: Oscar Health of IA Commercial $67.50
Rate for Payer: Partners Health Alliance Commercial $67.50
Rate for Payer: United Healthcare Commercial $81.00
Rate for Payer: United Healthcare Managed Medicare $53.10
Rate for Payer: Wellmark IA HMO $45.88
Rate for Payer: Wellmark IA PPO $50.47
Service Code CPT 82575
Hospital Charge Code 8788868
Hospital Revenue Code 301
Min. Negotiated Rate $63.00
Max. Negotiated Rate $81.00
Rate for Payer: Aetna of IA Commercial $81.00
Rate for Payer: Aetna of IA Medical Rental Products $81.00
Rate for Payer: Cash Price $72.00
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $67.50
Rate for Payer: Medical Associates Commercial $67.50
Rate for Payer: Midlands Choice Commercial $63.00
Rate for Payer: United Healthcare Commercial $81.00
Service Code CPT 82570
Hospital Charge Code 8435061
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 82570
Hospital Charge Code 8435061
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 82570
Hospital Charge Code 8040998
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 82570
Hospital Charge Code 8040998
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 99291
Hospital Charge Code 7982749
Hospital Revenue Code 981
Min. Negotiated Rate $195.19
Max. Negotiated Rate $351.34
Rate for Payer: Aetna of IA Medicare $195.19
Rate for Payer: Amerigroup Medicaid $201.83
Rate for Payer: Cash Price $543.20
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $234.23
Rate for Payer: Iowa Total Care Managed Medicaid $199.09
Rate for Payer: Medical Associates Commercial $351.34
Rate for Payer: Medical Associates Managed Medicare $195.19
Rate for Payer: Midlands Choice Commercial $314.33
Rate for Payer: Oscar Health of IA Commercial $331.82
Rate for Payer: Partners Health Alliance Commercial $292.78
Service Code CPT 99292
Hospital Charge Code 7982747
Hospital Revenue Code 981
Min. Negotiated Rate $98.04
Max. Negotiated Rate $238.70
Rate for Payer: Aetna of IA Medicare $98.04
Rate for Payer: Amerigroup Medicaid $101.37
Rate for Payer: Cash Price $272.80
Rate for Payer: Cash Price $272.80
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $117.65
Rate for Payer: Iowa Total Care Managed Medicaid $100.00
Rate for Payer: Medical Associates Commercial $176.47
Rate for Payer: Medical Associates Managed Medicare $98.04
Rate for Payer: Midlands Choice Commercial $238.70
Rate for Payer: Oscar Health of IA Commercial $166.67
Rate for Payer: Partners Health Alliance Commercial $147.06
Service Code CPT 87328
Hospital Charge Code 8059690
Hospital Revenue Code 306
Min. Negotiated Rate $79.80
Max. Negotiated Rate $102.60
Rate for Payer: Aetna of IA Commercial $102.60
Rate for Payer: Aetna of IA Medical Rental Products $102.60
Rate for Payer: Cash Price $91.20
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $85.50
Rate for Payer: Medical Associates Commercial $85.50
Rate for Payer: Midlands Choice Commercial $79.80
Rate for Payer: United Healthcare Commercial $102.60
Service Code CPT 87328
Hospital Charge Code 4022856
Hospital Revenue Code 306
Min. Negotiated Rate $31.00
Max. Negotiated Rate $102.60
Rate for Payer: Aetna of IA Commercial $102.60
Rate for Payer: Aetna of IA Medical Rental Products $102.60
Rate for Payer: Aetna of IA Medicare $64.98
Rate for Payer: Amerigroup Medicaid $57.54
Rate for Payer: Amerigroup Medicare $57.57
Rate for Payer: Cash Price $91.20
Rate for Payer: Cash Price $91.20
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $85.50
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $57.00
Rate for Payer: Iowa Total Care Managed Medicaid $56.98
Rate for Payer: Medical Associates Commercial $85.50
Rate for Payer: Medical Associates Managed Medicare $57.00
Rate for Payer: Midlands Choice Commercial $79.80
Rate for Payer: Molina Healthcare Managed Medicaid $57.86
Rate for Payer: Molina Healthcare Managed Medicare $57.82
Rate for Payer: Oscar Health of IA Commercial $85.50
Rate for Payer: Partners Health Alliance Commercial $85.50
Rate for Payer: United Healthcare Commercial $102.60
Rate for Payer: United Healthcare Managed Medicare $67.26
Rate for Payer: Wellmark IA HMO $31.00
Rate for Payer: Wellmark IA PPO $34.10
Service Code CPT 87328
Hospital Charge Code 4022856
Hospital Revenue Code 306
Min. Negotiated Rate $79.80
Max. Negotiated Rate $102.60
Rate for Payer: Aetna of IA Commercial $102.60
Rate for Payer: Aetna of IA Medical Rental Products $102.60
Rate for Payer: Cash Price $91.20
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $85.50
Rate for Payer: Medical Associates Commercial $85.50
Rate for Payer: Midlands Choice Commercial $79.80
Rate for Payer: United Healthcare Commercial $102.60
Service Code CPT 87328
Hospital Charge Code 8059690
Hospital Revenue Code 306
Min. Negotiated Rate $31.00
Max. Negotiated Rate $102.60
Rate for Payer: Aetna of IA Commercial $102.60
Rate for Payer: Aetna of IA Medical Rental Products $102.60
Rate for Payer: Aetna of IA Medicare $64.98
Rate for Payer: Amerigroup Medicaid $57.54
Rate for Payer: Amerigroup Medicare $57.57
Rate for Payer: Cash Price $91.20
Rate for Payer: Cash Price $91.20
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $85.50
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $57.00
Rate for Payer: Iowa Total Care Managed Medicaid $56.98
Rate for Payer: Medical Associates Commercial $85.50
Rate for Payer: Medical Associates Managed Medicare $57.00
Rate for Payer: Midlands Choice Commercial $79.80
Rate for Payer: Molina Healthcare Managed Medicaid $57.86
Rate for Payer: Molina Healthcare Managed Medicare $57.82
Rate for Payer: Oscar Health of IA Commercial $85.50
Rate for Payer: Partners Health Alliance Commercial $85.50
Rate for Payer: United Healthcare Commercial $102.60
Rate for Payer: United Healthcare Managed Medicare $67.26
Rate for Payer: Wellmark IA HMO $31.00
Rate for Payer: Wellmark IA PPO $34.10
Service Code CPT 87272
Hospital Charge Code 8037702
Hospital Revenue Code 306
Min. Negotiated Rate $31.00
Max. Negotiated Rate $102.60
Rate for Payer: Aetna of IA Commercial $102.60
Rate for Payer: Aetna of IA Medical Rental Products $102.60
Rate for Payer: Aetna of IA Medicare $64.98
Rate for Payer: Amerigroup Medicaid $57.54
Rate for Payer: Amerigroup Medicare $57.57
Rate for Payer: Cash Price $91.20
Rate for Payer: Cash Price $91.20
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $85.50
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $57.00
Rate for Payer: Iowa Total Care Managed Medicaid $56.98
Rate for Payer: Medical Associates Commercial $85.50
Rate for Payer: Medical Associates Managed Medicare $57.00
Rate for Payer: Midlands Choice Commercial $79.80
Rate for Payer: Molina Healthcare Managed Medicaid $57.86
Rate for Payer: Molina Healthcare Managed Medicare $57.82
Rate for Payer: Oscar Health of IA Commercial $85.50
Rate for Payer: Partners Health Alliance Commercial $85.50
Rate for Payer: United Healthcare Commercial $102.60
Rate for Payer: United Healthcare Managed Medicare $67.26
Rate for Payer: Wellmark IA HMO $31.00
Rate for Payer: Wellmark IA PPO $34.10
Service Code CPT 87272
Hospital Charge Code 8037702
Hospital Revenue Code 306
Min. Negotiated Rate $79.80
Max. Negotiated Rate $102.60
Rate for Payer: Aetna of IA Commercial $102.60
Rate for Payer: Aetna of IA Medical Rental Products $102.60
Rate for Payer: Cash Price $91.20
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $85.50
Rate for Payer: Medical Associates Commercial $85.50
Rate for Payer: Midlands Choice Commercial $79.80
Rate for Payer: United Healthcare Commercial $102.60
Service Code CPT 74177
Hospital Charge Code 4500785
Hospital Revenue Code 352
Min. Negotiated Rate $1,042.22
Max. Negotiated Rate $2,178.00
Rate for Payer: Aetna of IA Commercial $2,178.00
Rate for Payer: Aetna of IA Medical Rental Products $2,178.00
Rate for Payer: Aetna of IA Medicare $1,379.40
Rate for Payer: Amerigroup Medicaid $1,221.37
Rate for Payer: Amerigroup Medicare $1,222.10
Rate for Payer: Cash Price $1,936.00
Rate for Payer: Cash Price $1,936.00
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $1,815.00
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $1,210.00
Rate for Payer: Iowa Total Care Managed Medicaid $1,209.52
Rate for Payer: Medical Associates Commercial $1,815.00
Rate for Payer: Medical Associates Managed Medicare $1,210.00
Rate for Payer: Midlands Choice Commercial $1,694.00
Rate for Payer: Molina Healthcare Managed Medicaid $1,228.15
Rate for Payer: Molina Healthcare Managed Medicare $1,227.42
Rate for Payer: Oscar Health of IA Commercial $1,815.00
Rate for Payer: Partners Health Alliance Commercial $1,815.00
Rate for Payer: United Healthcare Commercial $2,178.00
Rate for Payer: United Healthcare Managed Medicare $1,427.80
Rate for Payer: Wellmark IA HMO $1,042.22
Rate for Payer: Wellmark IA PPO $1,146.44
Service Code CPT 74177
Hospital Charge Code 4500785
Hospital Revenue Code 352
Min. Negotiated Rate $1,694.00
Max. Negotiated Rate $2,178.00
Rate for Payer: Aetna of IA Commercial $2,178.00
Rate for Payer: Aetna of IA Medical Rental Products $2,178.00
Rate for Payer: Cash Price $1,936.00
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $1,815.00
Rate for Payer: Medical Associates Commercial $1,815.00
Rate for Payer: Midlands Choice Commercial $1,694.00
Rate for Payer: United Healthcare Commercial $2,178.00
Service Code CPT 74176
Hospital Charge Code 4500788
Hospital Revenue Code 352
Min. Negotiated Rate $929.63
Max. Negotiated Rate $1,674.00
Rate for Payer: Aetna of IA Commercial $1,674.00
Rate for Payer: Aetna of IA Medical Rental Products $1,674.00
Rate for Payer: Aetna of IA Medicare $1,060.20
Rate for Payer: Amerigroup Medicaid $938.74
Rate for Payer: Amerigroup Medicare $939.30
Rate for Payer: Cash Price $1,488.00
Rate for Payer: Cash Price $1,488.00
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $1,395.00
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $930.00
Rate for Payer: Iowa Total Care Managed Medicaid $929.63
Rate for Payer: Medical Associates Commercial $1,395.00
Rate for Payer: Medical Associates Managed Medicare $930.00
Rate for Payer: Midlands Choice Commercial $1,302.00
Rate for Payer: Molina Healthcare Managed Medicaid $943.95
Rate for Payer: Molina Healthcare Managed Medicare $943.39
Rate for Payer: Oscar Health of IA Commercial $1,395.00
Rate for Payer: Partners Health Alliance Commercial $1,395.00
Rate for Payer: United Healthcare Commercial $1,674.00
Rate for Payer: United Healthcare Managed Medicare $1,097.40
Rate for Payer: Wellmark IA HMO $1,042.22
Rate for Payer: Wellmark IA PPO $1,146.44