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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
Service Code CPT 74178
Hospital Charge Code 4500782
Hospital Revenue Code 352
Min. Negotiated Rate $1,042.22
Max. Negotiated Rate $2,858.40
Rate for Payer: Aetna of IA Commercial $2,858.40
Rate for Payer: Aetna of IA Medical Rental Products $2,858.40
Rate for Payer: Aetna of IA Medicare $1,810.32
Rate for Payer: Amerigroup Medicaid $1,602.93
Rate for Payer: Amerigroup Medicare $1,603.88
Rate for Payer: Cash Price $2,540.80
Rate for Payer: Cash Price $2,540.80
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $2,382.00
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $1,588.00
Rate for Payer: Iowa Total Care Managed Medicaid $1,587.36
Rate for Payer: Medical Associates Commercial $2,382.00
Rate for Payer: Medical Associates Managed Medicare $1,588.00
Rate for Payer: Midlands Choice Commercial $2,223.20
Rate for Payer: Molina Healthcare Managed Medicaid $1,611.82
Rate for Payer: Molina Healthcare Managed Medicare $1,610.87
Rate for Payer: Oscar Health of IA Commercial $2,382.00
Rate for Payer: Partners Health Alliance Commercial $2,382.00
Rate for Payer: United Healthcare Commercial $2,858.40
Rate for Payer: United Healthcare Managed Medicare $1,873.84
Rate for Payer: Wellmark IA HMO $1,042.22
Rate for Payer: Wellmark IA PPO $1,146.44
Service Code CPT 74178
Hospital Charge Code 4500782
Hospital Revenue Code 352
Min. Negotiated Rate $2,223.20
Max. Negotiated Rate $2,858.40
Rate for Payer: Aetna of IA Commercial $2,858.40
Rate for Payer: Aetna of IA Medical Rental Products $2,858.40
Rate for Payer: Cash Price $2,540.80
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $2,382.00
Rate for Payer: Medical Associates Commercial $2,382.00
Rate for Payer: Midlands Choice Commercial $2,223.20
Rate for Payer: United Healthcare Commercial $2,858.40
Service Code CPT 74160
Hospital Charge Code 8148964
Hospital Revenue Code 352
Min. Negotiated Rate $847.00
Max. Negotiated Rate $1,089.00
Rate for Payer: Aetna of IA Commercial $1,089.00
Rate for Payer: Aetna of IA Medical Rental Products $1,089.00
Rate for Payer: Cash Price $968.00
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $907.50
Rate for Payer: Medical Associates Commercial $907.50
Rate for Payer: Midlands Choice Commercial $847.00
Rate for Payer: United Healthcare Commercial $1,089.00
Service Code CPT 74160
Hospital Charge Code 1167847
Hospital Revenue Code 352
Min. Negotiated Rate $604.76
Max. Negotiated Rate $1,146.44
Rate for Payer: Aetna of IA Commercial $1,089.00
Rate for Payer: Aetna of IA Medical Rental Products $1,089.00
Rate for Payer: Aetna of IA Medicare $689.70
Rate for Payer: Amerigroup Medicaid $610.69
Rate for Payer: Amerigroup Medicare $611.05
Rate for Payer: Cash Price $968.00
Rate for Payer: Cash Price $968.00
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $907.50
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $605.00
Rate for Payer: Iowa Total Care Managed Medicaid $604.76
Rate for Payer: Medical Associates Commercial $907.50
Rate for Payer: Medical Associates Managed Medicare $605.00
Rate for Payer: Midlands Choice Commercial $847.00
Rate for Payer: Molina Healthcare Managed Medicaid $614.08
Rate for Payer: Molina Healthcare Managed Medicare $613.71
Rate for Payer: Oscar Health of IA Commercial $907.50
Rate for Payer: Partners Health Alliance Commercial $907.50
Rate for Payer: United Healthcare Commercial $1,089.00
Rate for Payer: United Healthcare Managed Medicare $713.90
Rate for Payer: Wellmark IA HMO $1,042.22
Rate for Payer: Wellmark IA PPO $1,146.44
Service Code CPT 74160
Hospital Charge Code 8148964
Hospital Revenue Code 352
Min. Negotiated Rate $604.76
Max. Negotiated Rate $1,146.44
Rate for Payer: Aetna of IA Commercial $1,089.00
Rate for Payer: Aetna of IA Medical Rental Products $1,089.00
Rate for Payer: Aetna of IA Medicare $689.70
Rate for Payer: Amerigroup Medicaid $610.69
Rate for Payer: Amerigroup Medicare $611.05
Rate for Payer: Cash Price $968.00
Rate for Payer: Cash Price $968.00
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $907.50
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $605.00
Rate for Payer: Iowa Total Care Managed Medicaid $604.76
Rate for Payer: Medical Associates Commercial $907.50
Rate for Payer: Medical Associates Managed Medicare $605.00
Rate for Payer: Midlands Choice Commercial $847.00
Rate for Payer: Molina Healthcare Managed Medicaid $614.08
Rate for Payer: Molina Healthcare Managed Medicare $613.71
Rate for Payer: Oscar Health of IA Commercial $907.50
Rate for Payer: Partners Health Alliance Commercial $907.50
Rate for Payer: United Healthcare Commercial $1,089.00
Rate for Payer: United Healthcare Managed Medicare $713.90
Rate for Payer: Wellmark IA HMO $1,042.22
Rate for Payer: Wellmark IA PPO $1,146.44
Service Code CPT 74160
Hospital Charge Code 1167847
Hospital Revenue Code 352
Min. Negotiated Rate $847.00
Max. Negotiated Rate $1,089.00
Rate for Payer: Aetna of IA Commercial $1,089.00
Rate for Payer: Aetna of IA Medical Rental Products $1,089.00
Rate for Payer: Cash Price $968.00
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $907.50
Rate for Payer: Medical Associates Commercial $907.50
Rate for Payer: Midlands Choice Commercial $847.00
Rate for Payer: United Healthcare Commercial $1,089.00
Service Code CPT 74150
Hospital Charge Code 1167849
Hospital Revenue Code 352
Min. Negotiated Rate $802.20
Max. Negotiated Rate $1,031.40
Rate for Payer: Aetna of IA Commercial $1,031.40
Rate for Payer: Aetna of IA Medical Rental Products $1,031.40
Rate for Payer: Cash Price $916.80
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $859.50
Rate for Payer: Medical Associates Commercial $859.50
Rate for Payer: Midlands Choice Commercial $802.20
Rate for Payer: United Healthcare Commercial $1,031.40
Service Code CPT 74150
Hospital Charge Code 8148967
Hospital Revenue Code 352
Min. Negotiated Rate $480.50
Max. Negotiated Rate $1,031.40
Rate for Payer: Aetna of IA Commercial $1,031.40
Rate for Payer: Aetna of IA Medical Rental Products $1,031.40
Rate for Payer: Aetna of IA Medicare $653.22
Rate for Payer: Amerigroup Medicaid $578.39
Rate for Payer: Amerigroup Medicare $578.73
Rate for Payer: Cash Price $916.80
Rate for Payer: Cash Price $916.80
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $859.50
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $573.00
Rate for Payer: Iowa Total Care Managed Medicaid $572.77
Rate for Payer: Medical Associates Commercial $859.50
Rate for Payer: Medical Associates Managed Medicare $573.00
Rate for Payer: Midlands Choice Commercial $802.20
Rate for Payer: Molina Healthcare Managed Medicaid $581.60
Rate for Payer: Molina Healthcare Managed Medicare $581.25
Rate for Payer: Oscar Health of IA Commercial $859.50
Rate for Payer: Partners Health Alliance Commercial $859.50
Rate for Payer: United Healthcare Commercial $1,031.40
Rate for Payer: United Healthcare Managed Medicare $676.14
Rate for Payer: Wellmark IA HMO $480.50
Rate for Payer: Wellmark IA PPO $528.55
Service Code CPT 74150
Hospital Charge Code 1167849
Hospital Revenue Code 352
Min. Negotiated Rate $480.50
Max. Negotiated Rate $1,031.40
Rate for Payer: Aetna of IA Commercial $1,031.40
Rate for Payer: Aetna of IA Medical Rental Products $1,031.40
Rate for Payer: Aetna of IA Medicare $653.22
Rate for Payer: Amerigroup Medicaid $578.39
Rate for Payer: Amerigroup Medicare $578.73
Rate for Payer: Cash Price $916.80
Rate for Payer: Cash Price $916.80
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $859.50
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $573.00
Rate for Payer: Iowa Total Care Managed Medicaid $572.77
Rate for Payer: Medical Associates Commercial $859.50
Rate for Payer: Medical Associates Managed Medicare $573.00
Rate for Payer: Midlands Choice Commercial $802.20
Rate for Payer: Molina Healthcare Managed Medicaid $581.60
Rate for Payer: Molina Healthcare Managed Medicare $581.25
Rate for Payer: Oscar Health of IA Commercial $859.50
Rate for Payer: Partners Health Alliance Commercial $859.50
Rate for Payer: United Healthcare Commercial $1,031.40
Rate for Payer: United Healthcare Managed Medicare $676.14
Rate for Payer: Wellmark IA HMO $480.50
Rate for Payer: Wellmark IA PPO $528.55
Service Code CPT 74150
Hospital Charge Code 8148967
Hospital Revenue Code 352
Min. Negotiated Rate $802.20
Max. Negotiated Rate $1,031.40
Rate for Payer: Aetna of IA Commercial $1,031.40
Rate for Payer: Aetna of IA Medical Rental Products $1,031.40
Rate for Payer: Cash Price $916.80
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $859.50
Rate for Payer: Medical Associates Commercial $859.50
Rate for Payer: Midlands Choice Commercial $802.20
Rate for Payer: United Healthcare Commercial $1,031.40
Service Code CPT 74170
Hospital Charge Code 1167845
Hospital Revenue Code 352
Min. Negotiated Rate $835.67
Max. Negotiated Rate $1,504.80
Rate for Payer: Aetna of IA Commercial $1,504.80
Rate for Payer: Aetna of IA Medical Rental Products $1,504.80
Rate for Payer: Aetna of IA Medicare $953.04
Rate for Payer: Amerigroup Medicaid $843.86
Rate for Payer: Amerigroup Medicare $844.36
Rate for Payer: Cash Price $1,337.60
Rate for Payer: Cash Price $1,337.60
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $1,254.00
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $836.00
Rate for Payer: Iowa Total Care Managed Medicaid $835.67
Rate for Payer: Medical Associates Commercial $1,254.00
Rate for Payer: Medical Associates Managed Medicare $836.00
Rate for Payer: Midlands Choice Commercial $1,170.40
Rate for Payer: Molina Healthcare Managed Medicaid $848.54
Rate for Payer: Molina Healthcare Managed Medicare $848.04
Rate for Payer: Oscar Health of IA Commercial $1,254.00
Rate for Payer: Partners Health Alliance Commercial $1,254.00
Rate for Payer: United Healthcare Commercial $1,504.80
Rate for Payer: United Healthcare Managed Medicare $986.48
Rate for Payer: Wellmark IA HMO $1,042.22
Rate for Payer: Wellmark IA PPO $1,146.44
Service Code CPT 74170
Hospital Charge Code 8148961
Hospital Revenue Code 352
Min. Negotiated Rate $1,170.40
Max. Negotiated Rate $1,504.80
Rate for Payer: Aetna of IA Commercial $1,504.80
Rate for Payer: Aetna of IA Medical Rental Products $1,504.80
Rate for Payer: Cash Price $1,337.60
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $1,254.00
Rate for Payer: Medical Associates Commercial $1,254.00
Rate for Payer: Midlands Choice Commercial $1,170.40
Rate for Payer: United Healthcare Commercial $1,504.80
Service Code CPT 74170
Hospital Charge Code 8148961
Hospital Revenue Code 352
Min. Negotiated Rate $835.67
Max. Negotiated Rate $1,504.80
Rate for Payer: Aetna of IA Commercial $1,504.80
Rate for Payer: Aetna of IA Medical Rental Products $1,504.80
Rate for Payer: Aetna of IA Medicare $953.04
Rate for Payer: Amerigroup Medicaid $843.86
Rate for Payer: Amerigroup Medicare $844.36
Rate for Payer: Cash Price $1,337.60
Rate for Payer: Cash Price $1,337.60
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $1,254.00
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $836.00
Rate for Payer: Iowa Total Care Managed Medicaid $835.67
Rate for Payer: Medical Associates Commercial $1,254.00
Rate for Payer: Medical Associates Managed Medicare $836.00
Rate for Payer: Midlands Choice Commercial $1,170.40
Rate for Payer: Molina Healthcare Managed Medicaid $848.54
Rate for Payer: Molina Healthcare Managed Medicare $848.04
Rate for Payer: Oscar Health of IA Commercial $1,254.00
Rate for Payer: Partners Health Alliance Commercial $1,254.00
Rate for Payer: United Healthcare Commercial $1,504.80
Rate for Payer: United Healthcare Managed Medicare $986.48
Rate for Payer: Wellmark IA HMO $1,042.22
Rate for Payer: Wellmark IA PPO $1,146.44
Service Code CPT 74170
Hospital Charge Code 1167845
Hospital Revenue Code 352
Min. Negotiated Rate $1,170.40
Max. Negotiated Rate $1,504.80
Rate for Payer: Aetna of IA Commercial $1,504.80
Rate for Payer: Aetna of IA Medical Rental Products $1,504.80
Rate for Payer: Cash Price $1,337.60
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $1,254.00
Rate for Payer: Medical Associates Commercial $1,254.00
Rate for Payer: Midlands Choice Commercial $1,170.40
Rate for Payer: United Healthcare Commercial $1,504.80
Service Code CPT 75635
Hospital Charge Code 1167851
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 75635
Hospital Charge Code 1167851
Hospital Revenue Code 352
Min. Negotiated Rate $709.28
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 $709.28
Rate for Payer: Wellmark IA PPO $780.21
Service Code CPT 74175
Hospital Charge Code 1167853
Hospital Revenue Code 352
Min. Negotiated Rate $847.00
Max. Negotiated Rate $1,089.00
Rate for Payer: Aetna of IA Commercial $1,089.00
Rate for Payer: Aetna of IA Medical Rental Products $1,089.00
Rate for Payer: Cash Price $968.00
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $907.50
Rate for Payer: Medical Associates Commercial $907.50
Rate for Payer: Midlands Choice Commercial $847.00
Rate for Payer: United Healthcare Commercial $1,089.00
Service Code CPT 74175
Hospital Charge Code 1167853
Hospital Revenue Code 352
Min. Negotiated Rate $604.76
Max. Negotiated Rate $1,089.00
Rate for Payer: Aetna of IA Commercial $1,089.00
Rate for Payer: Aetna of IA Medical Rental Products $1,089.00
Rate for Payer: Aetna of IA Medicare $689.70
Rate for Payer: Amerigroup Medicaid $610.69
Rate for Payer: Amerigroup Medicare $611.05
Rate for Payer: Cash Price $968.00
Rate for Payer: Cash Price $968.00
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $907.50
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $605.00
Rate for Payer: Iowa Total Care Managed Medicaid $604.76
Rate for Payer: Medical Associates Commercial $907.50
Rate for Payer: Medical Associates Managed Medicare $605.00
Rate for Payer: Midlands Choice Commercial $847.00
Rate for Payer: Molina Healthcare Managed Medicaid $614.08
Rate for Payer: Molina Healthcare Managed Medicare $613.71
Rate for Payer: Oscar Health of IA Commercial $907.50
Rate for Payer: Partners Health Alliance Commercial $907.50
Rate for Payer: United Healthcare Commercial $1,089.00
Rate for Payer: United Healthcare Managed Medicare $713.90
Rate for Payer: Wellmark IA HMO $709.28
Rate for Payer: Wellmark IA PPO $780.21
Service Code CPT 74175
Hospital Charge Code 8148958
Hospital Revenue Code 352
Min. Negotiated Rate $847.00
Max. Negotiated Rate $1,089.00
Rate for Payer: Aetna of IA Commercial $1,089.00
Rate for Payer: Aetna of IA Medical Rental Products $1,089.00
Rate for Payer: Cash Price $968.00
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $907.50
Rate for Payer: Medical Associates Commercial $907.50
Rate for Payer: Midlands Choice Commercial $847.00
Rate for Payer: United Healthcare Commercial $1,089.00
Service Code CPT 74175
Hospital Charge Code 8148958
Hospital Revenue Code 352
Min. Negotiated Rate $604.76
Max. Negotiated Rate $1,089.00
Rate for Payer: Aetna of IA Commercial $1,089.00
Rate for Payer: Aetna of IA Medical Rental Products $1,089.00
Rate for Payer: Aetna of IA Medicare $689.70
Rate for Payer: Amerigroup Medicaid $610.69
Rate for Payer: Amerigroup Medicare $611.05
Rate for Payer: Cash Price $968.00
Rate for Payer: Cash Price $968.00
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $907.50
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $605.00
Rate for Payer: Iowa Total Care Managed Medicaid $604.76
Rate for Payer: Medical Associates Commercial $907.50
Rate for Payer: Medical Associates Managed Medicare $605.00
Rate for Payer: Midlands Choice Commercial $847.00
Rate for Payer: Molina Healthcare Managed Medicaid $614.08
Rate for Payer: Molina Healthcare Managed Medicare $613.71
Rate for Payer: Oscar Health of IA Commercial $907.50
Rate for Payer: Partners Health Alliance Commercial $907.50
Rate for Payer: United Healthcare Commercial $1,089.00
Rate for Payer: United Healthcare Managed Medicare $713.90
Rate for Payer: Wellmark IA HMO $709.28
Rate for Payer: Wellmark IA PPO $780.21
Service Code CPT 71275
Hospital Charge Code 7960796
Hospital Revenue Code 352
Min. Negotiated Rate $604.76
Max. Negotiated Rate $1,089.00
Rate for Payer: Aetna of IA Commercial $1,089.00
Rate for Payer: Aetna of IA Medical Rental Products $1,089.00
Rate for Payer: Aetna of IA Medicare $689.70
Rate for Payer: Amerigroup Medicaid $610.69
Rate for Payer: Amerigroup Medicare $611.05
Rate for Payer: Cash Price $968.00
Rate for Payer: Cash Price $968.00
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $907.50
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $605.00
Rate for Payer: Iowa Total Care Managed Medicaid $604.76
Rate for Payer: Medical Associates Commercial $907.50
Rate for Payer: Medical Associates Managed Medicare $605.00
Rate for Payer: Midlands Choice Commercial $847.00
Rate for Payer: Molina Healthcare Managed Medicaid $614.08
Rate for Payer: Molina Healthcare Managed Medicare $613.71
Rate for Payer: Oscar Health of IA Commercial $907.50
Rate for Payer: Partners Health Alliance Commercial $907.50
Rate for Payer: United Healthcare Commercial $1,089.00
Rate for Payer: United Healthcare Managed Medicare $713.90
Rate for Payer: Wellmark IA HMO $709.28
Rate for Payer: Wellmark IA PPO $780.21
Service Code CPT 71275
Hospital Charge Code 7960796
Hospital Revenue Code 352
Min. Negotiated Rate $847.00
Max. Negotiated Rate $1,089.00
Rate for Payer: Aetna of IA Commercial $1,089.00
Rate for Payer: Aetna of IA Medical Rental Products $1,089.00
Rate for Payer: Cash Price $968.00
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $907.50
Rate for Payer: Medical Associates Commercial $907.50
Rate for Payer: Midlands Choice Commercial $847.00
Rate for Payer: United Healthcare Commercial $1,089.00
Service Code CPT 70496
Hospital Charge Code 7960805
Hospital Revenue Code 351
Min. Negotiated Rate $709.28
Max. Negotiated Rate $1,300.50
Rate for Payer: Aetna of IA Commercial $1,300.50
Rate for Payer: Aetna of IA Medical Rental Products $1,300.50
Rate for Payer: Aetna of IA Medicare $823.65
Rate for Payer: Amerigroup Medicaid $729.29
Rate for Payer: Amerigroup Medicare $729.72
Rate for Payer: Cash Price $1,156.00
Rate for Payer: Cash Price $1,156.00
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $1,083.75
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $722.50
Rate for Payer: Iowa Total Care Managed Medicaid $722.21
Rate for Payer: Medical Associates Commercial $1,083.75
Rate for Payer: Medical Associates Managed Medicare $722.50
Rate for Payer: Midlands Choice Commercial $1,011.50
Rate for Payer: Molina Healthcare Managed Medicaid $733.34
Rate for Payer: Molina Healthcare Managed Medicare $732.90
Rate for Payer: Oscar Health of IA Commercial $1,083.75
Rate for Payer: Partners Health Alliance Commercial $1,083.75
Rate for Payer: United Healthcare Commercial $1,300.50
Rate for Payer: United Healthcare Managed Medicare $852.55
Rate for Payer: Wellmark IA HMO $709.28
Rate for Payer: Wellmark IA PPO $780.21
Service Code CPT 70496
Hospital Charge Code 7960805
Hospital Revenue Code 351
Min. Negotiated Rate $1,011.50
Max. Negotiated Rate $1,300.50
Rate for Payer: Aetna of IA Commercial $1,300.50
Rate for Payer: Aetna of IA Medical Rental Products $1,300.50
Rate for Payer: Cash Price $1,156.00
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $1,083.75
Rate for Payer: Medical Associates Commercial $1,083.75
Rate for Payer: Midlands Choice Commercial $1,011.50
Rate for Payer: United Healthcare Commercial $1,300.50