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Service Code CPT 73702
Hospital Charge Code 1168008
Hospital Revenue Code 352
Min. Negotiated Rate $1,114.40
Max. Negotiated Rate $1,432.80
Rate for Payer: Aetna of IA Commercial $1,432.80
Rate for Payer: Aetna of IA Medical Rental Products $1,432.80
Rate for Payer: Cash Price $1,273.60
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $1,194.00
Rate for Payer: Medical Associates Commercial $1,194.00
Rate for Payer: Midlands Choice Commercial $1,114.40
Rate for Payer: United Healthcare Commercial $1,432.80
Service Code CPT 73702
Hospital Charge Code 1168008
Hospital Revenue Code 352
Min. Negotiated Rate $795.68
Max. Negotiated Rate $1,432.80
Rate for Payer: Aetna of IA Commercial $1,432.80
Rate for Payer: Aetna of IA Medical Rental Products $1,432.80
Rate for Payer: Aetna of IA Medicare $907.44
Rate for Payer: Amerigroup Medicaid $803.48
Rate for Payer: Amerigroup Medicare $803.96
Rate for Payer: Cash Price $1,273.60
Rate for Payer: Cash Price $1,273.60
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $1,194.00
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $796.00
Rate for Payer: Iowa Total Care Managed Medicaid $795.68
Rate for Payer: Medical Associates Commercial $1,194.00
Rate for Payer: Medical Associates Managed Medicare $796.00
Rate for Payer: Midlands Choice Commercial $1,114.40
Rate for Payer: Molina Healthcare Managed Medicaid $807.94
Rate for Payer: Molina Healthcare Managed Medicare $807.46
Rate for Payer: Oscar Health of IA Commercial $1,194.00
Rate for Payer: Partners Health Alliance Commercial $1,194.00
Rate for Payer: United Healthcare Commercial $1,432.80
Rate for Payer: United Healthcare Managed Medicare $939.28
Rate for Payer: Wellmark IA HMO $1,042.22
Rate for Payer: Wellmark IA PPO $1,146.44
Service Code CPT 73702
Hospital Charge Code 1168010
Hospital Revenue Code 352
Min. Negotiated Rate $1,114.40
Max. Negotiated Rate $1,432.80
Rate for Payer: Aetna of IA Commercial $1,432.80
Rate for Payer: Aetna of IA Medical Rental Products $1,432.80
Rate for Payer: Cash Price $1,273.60
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $1,194.00
Rate for Payer: Medical Associates Commercial $1,194.00
Rate for Payer: Midlands Choice Commercial $1,114.40
Rate for Payer: United Healthcare Commercial $1,432.80
Service Code CPT 73702
Hospital Charge Code 1168010
Hospital Revenue Code 352
Min. Negotiated Rate $795.68
Max. Negotiated Rate $1,432.80
Rate for Payer: Wellmark IA HMO $1,042.22
Rate for Payer: Aetna of IA Commercial $1,432.80
Rate for Payer: Aetna of IA Medical Rental Products $1,432.80
Rate for Payer: Aetna of IA Medicare $907.44
Rate for Payer: Amerigroup Medicaid $803.48
Rate for Payer: Amerigroup Medicare $803.96
Rate for Payer: Cash Price $1,273.60
Rate for Payer: Cash Price $1,273.60
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $1,194.00
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $796.00
Rate for Payer: Iowa Total Care Managed Medicaid $795.68
Rate for Payer: Medical Associates Commercial $1,194.00
Rate for Payer: Medical Associates Managed Medicare $796.00
Rate for Payer: Midlands Choice Commercial $1,114.40
Rate for Payer: Molina Healthcare Managed Medicaid $807.94
Rate for Payer: Molina Healthcare Managed Medicare $807.46
Rate for Payer: Oscar Health of IA Commercial $1,194.00
Rate for Payer: Partners Health Alliance Commercial $1,194.00
Rate for Payer: United Healthcare Commercial $1,432.80
Rate for Payer: United Healthcare Managed Medicare $939.28
Rate for Payer: Wellmark IA PPO $1,146.44
Service Code CPT 73701
Hospital Charge Code 1168034
Hospital Revenue Code 352
Min. Negotiated Rate $717.71
Max. Negotiated Rate $1,292.40
Rate for Payer: Aetna of IA Commercial $1,292.40
Rate for Payer: Aetna of IA Medical Rental Products $1,292.40
Rate for Payer: Aetna of IA Medicare $818.52
Rate for Payer: Amerigroup Medicaid $724.75
Rate for Payer: Amerigroup Medicare $725.18
Rate for Payer: Cash Price $1,148.80
Rate for Payer: Cash Price $1,148.80
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $1,077.00
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $718.00
Rate for Payer: Iowa Total Care Managed Medicaid $717.71
Rate for Payer: Medical Associates Commercial $1,077.00
Rate for Payer: Medical Associates Managed Medicare $718.00
Rate for Payer: Midlands Choice Commercial $1,005.20
Rate for Payer: Molina Healthcare Managed Medicaid $728.77
Rate for Payer: Molina Healthcare Managed Medicare $728.34
Rate for Payer: Oscar Health of IA Commercial $1,077.00
Rate for Payer: Partners Health Alliance Commercial $1,077.00
Rate for Payer: United Healthcare Commercial $1,292.40
Rate for Payer: United Healthcare Managed Medicare $847.24
Rate for Payer: Wellmark IA HMO $1,042.22
Rate for Payer: Wellmark IA PPO $1,146.44
Service Code CPT 73701
Hospital Charge Code 1168034
Hospital Revenue Code 352
Min. Negotiated Rate $1,005.20
Max. Negotiated Rate $1,292.40
Rate for Payer: Aetna of IA Commercial $1,292.40
Rate for Payer: Aetna of IA Medical Rental Products $1,292.40
Rate for Payer: Cash Price $1,148.80
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $1,077.00
Rate for Payer: Medical Associates Commercial $1,077.00
Rate for Payer: Midlands Choice Commercial $1,005.20
Rate for Payer: United Healthcare Commercial $1,292.40
Service Code CPT 73701
Hospital Charge Code 1168036
Hospital Revenue Code 352
Min. Negotiated Rate $717.71
Max. Negotiated Rate $1,292.40
Rate for Payer: Aetna of IA Commercial $1,292.40
Rate for Payer: Aetna of IA Medical Rental Products $1,292.40
Rate for Payer: Aetna of IA Medicare $818.52
Rate for Payer: Amerigroup Medicaid $724.75
Rate for Payer: Amerigroup Medicare $725.18
Rate for Payer: Cash Price $1,148.80
Rate for Payer: Cash Price $1,148.80
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $1,077.00
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $718.00
Rate for Payer: Iowa Total Care Managed Medicaid $717.71
Rate for Payer: Medical Associates Commercial $1,077.00
Rate for Payer: Medical Associates Managed Medicare $718.00
Rate for Payer: Midlands Choice Commercial $1,005.20
Rate for Payer: Molina Healthcare Managed Medicaid $728.77
Rate for Payer: Molina Healthcare Managed Medicare $728.34
Rate for Payer: Oscar Health of IA Commercial $1,077.00
Rate for Payer: Partners Health Alliance Commercial $1,077.00
Rate for Payer: United Healthcare Commercial $1,292.40
Rate for Payer: United Healthcare Managed Medicare $847.24
Rate for Payer: Wellmark IA HMO $1,042.22
Rate for Payer: Wellmark IA PPO $1,146.44
Service Code CPT 73701
Hospital Charge Code 1168036
Hospital Revenue Code 352
Min. Negotiated Rate $1,005.20
Max. Negotiated Rate $1,292.40
Rate for Payer: Aetna of IA Commercial $1,292.40
Rate for Payer: Aetna of IA Medical Rental Products $1,292.40
Rate for Payer: Cash Price $1,148.80
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $1,077.00
Rate for Payer: Medical Associates Commercial $1,077.00
Rate for Payer: Midlands Choice Commercial $1,005.20
Rate for Payer: United Healthcare Commercial $1,292.40
Service Code CPT 73700
Hospital Charge Code 1168040
Hospital Revenue Code 352
Min. Negotiated Rate $784.70
Max. Negotiated Rate $1,008.90
Rate for Payer: Aetna of IA Commercial $1,008.90
Rate for Payer: Aetna of IA Medical Rental Products $1,008.90
Rate for Payer: Cash Price $896.80
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $840.75
Rate for Payer: Medical Associates Commercial $840.75
Rate for Payer: Midlands Choice Commercial $784.70
Rate for Payer: United Healthcare Commercial $1,008.90
Service Code CPT 73700
Hospital Charge Code 1168040
Hospital Revenue Code 352
Min. Negotiated Rate $480.50
Max. Negotiated Rate $1,008.90
Rate for Payer: Aetna of IA Commercial $1,008.90
Rate for Payer: Aetna of IA Medical Rental Products $1,008.90
Rate for Payer: Aetna of IA Medicare $638.97
Rate for Payer: Amerigroup Medicaid $565.77
Rate for Payer: Amerigroup Medicare $566.10
Rate for Payer: Cash Price $896.80
Rate for Payer: Cash Price $896.80
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $840.75
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $560.50
Rate for Payer: Iowa Total Care Managed Medicaid $560.28
Rate for Payer: Medical Associates Commercial $840.75
Rate for Payer: Medical Associates Managed Medicare $560.50
Rate for Payer: Midlands Choice Commercial $784.70
Rate for Payer: Molina Healthcare Managed Medicaid $568.91
Rate for Payer: Molina Healthcare Managed Medicare $568.57
Rate for Payer: Oscar Health of IA Commercial $840.75
Rate for Payer: Partners Health Alliance Commercial $840.75
Rate for Payer: United Healthcare Commercial $1,008.90
Rate for Payer: United Healthcare Managed Medicare $661.39
Rate for Payer: Wellmark IA HMO $480.50
Rate for Payer: Wellmark IA PPO $528.55
Service Code CPT 73700
Hospital Charge Code 1168042
Hospital Revenue Code 352
Min. Negotiated Rate $784.70
Max. Negotiated Rate $1,008.90
Rate for Payer: Aetna of IA Commercial $1,008.90
Rate for Payer: Aetna of IA Medical Rental Products $1,008.90
Rate for Payer: Cash Price $896.80
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $840.75
Rate for Payer: Medical Associates Commercial $840.75
Rate for Payer: Midlands Choice Commercial $784.70
Rate for Payer: United Healthcare Commercial $1,008.90
Service Code CPT 73700
Hospital Charge Code 1168042
Hospital Revenue Code 352
Min. Negotiated Rate $480.50
Max. Negotiated Rate $1,008.90
Rate for Payer: Aetna of IA Commercial $1,008.90
Rate for Payer: Aetna of IA Medical Rental Products $1,008.90
Rate for Payer: Aetna of IA Medicare $638.97
Rate for Payer: Amerigroup Medicaid $565.77
Rate for Payer: Amerigroup Medicare $566.10
Rate for Payer: Cash Price $896.80
Rate for Payer: Cash Price $896.80
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $840.75
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $560.50
Rate for Payer: Iowa Total Care Managed Medicaid $560.28
Rate for Payer: Medical Associates Commercial $840.75
Rate for Payer: Medical Associates Managed Medicare $560.50
Rate for Payer: Midlands Choice Commercial $784.70
Rate for Payer: Molina Healthcare Managed Medicaid $568.91
Rate for Payer: Molina Healthcare Managed Medicare $568.57
Rate for Payer: Oscar Health of IA Commercial $840.75
Rate for Payer: Partners Health Alliance Commercial $840.75
Rate for Payer: United Healthcare Commercial $1,008.90
Rate for Payer: United Healthcare Managed Medicare $661.39
Rate for Payer: Wellmark IA HMO $480.50
Rate for Payer: Wellmark IA PPO $528.55
Service Code CPT 73702
Hospital Charge Code 1168028
Hospital Revenue Code 352
Min. Negotiated Rate $795.68
Max. Negotiated Rate $1,432.80
Rate for Payer: Aetna of IA Commercial $1,432.80
Rate for Payer: Aetna of IA Medical Rental Products $1,432.80
Rate for Payer: Aetna of IA Medicare $907.44
Rate for Payer: Amerigroup Medicaid $803.48
Rate for Payer: Amerigroup Medicare $803.96
Rate for Payer: Cash Price $1,273.60
Rate for Payer: Cash Price $1,273.60
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $1,194.00
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $796.00
Rate for Payer: Iowa Total Care Managed Medicaid $795.68
Rate for Payer: Medical Associates Commercial $1,194.00
Rate for Payer: Medical Associates Managed Medicare $796.00
Rate for Payer: Midlands Choice Commercial $1,114.40
Rate for Payer: Molina Healthcare Managed Medicaid $807.94
Rate for Payer: Molina Healthcare Managed Medicare $807.46
Rate for Payer: Oscar Health of IA Commercial $1,194.00
Rate for Payer: Partners Health Alliance Commercial $1,194.00
Rate for Payer: United Healthcare Commercial $1,432.80
Rate for Payer: United Healthcare Managed Medicare $939.28
Rate for Payer: Wellmark IA HMO $1,042.22
Rate for Payer: Wellmark IA PPO $1,146.44
Service Code CPT 73702
Hospital Charge Code 1168028
Hospital Revenue Code 352
Min. Negotiated Rate $1,114.40
Max. Negotiated Rate $1,432.80
Rate for Payer: Aetna of IA Commercial $1,432.80
Rate for Payer: Aetna of IA Medical Rental Products $1,432.80
Rate for Payer: Cash Price $1,273.60
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $1,194.00
Rate for Payer: Medical Associates Commercial $1,194.00
Rate for Payer: Midlands Choice Commercial $1,114.40
Rate for Payer: United Healthcare Commercial $1,432.80
Service Code CPT 73702
Hospital Charge Code 1168030
Hospital Revenue Code 352
Min. Negotiated Rate $1,114.40
Max. Negotiated Rate $1,432.80
Rate for Payer: Aetna of IA Commercial $1,432.80
Rate for Payer: Aetna of IA Medical Rental Products $1,432.80
Rate for Payer: Cash Price $1,273.60
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $1,194.00
Rate for Payer: Medical Associates Commercial $1,194.00
Rate for Payer: Midlands Choice Commercial $1,114.40
Rate for Payer: United Healthcare Commercial $1,432.80
Service Code CPT 73702
Hospital Charge Code 1168030
Hospital Revenue Code 352
Min. Negotiated Rate $795.68
Max. Negotiated Rate $1,432.80
Rate for Payer: Aetna of IA Commercial $1,432.80
Rate for Payer: Aetna of IA Medical Rental Products $1,432.80
Rate for Payer: Aetna of IA Medicare $907.44
Rate for Payer: Amerigroup Medicaid $803.48
Rate for Payer: Amerigroup Medicare $803.96
Rate for Payer: Cash Price $1,273.60
Rate for Payer: Cash Price $1,273.60
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $1,194.00
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $796.00
Rate for Payer: Iowa Total Care Managed Medicaid $795.68
Rate for Payer: Medical Associates Commercial $1,194.00
Rate for Payer: Medical Associates Managed Medicare $796.00
Rate for Payer: Midlands Choice Commercial $1,114.40
Rate for Payer: Molina Healthcare Managed Medicaid $807.94
Rate for Payer: Molina Healthcare Managed Medicare $807.46
Rate for Payer: Oscar Health of IA Commercial $1,194.00
Rate for Payer: Partners Health Alliance Commercial $1,194.00
Rate for Payer: United Healthcare Commercial $1,432.80
Rate for Payer: United Healthcare Managed Medicare $939.28
Rate for Payer: Wellmark IA HMO $1,042.22
Rate for Payer: Wellmark IA PPO $1,146.44
Service Code CPT 73201
Hospital Charge Code 1168052
Hospital Revenue Code 350
Min. Negotiated Rate $1,005.20
Max. Negotiated Rate $1,292.40
Rate for Payer: Aetna of IA Commercial $1,292.40
Rate for Payer: Aetna of IA Medical Rental Products $1,292.40
Rate for Payer: Cash Price $1,148.80
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $1,077.00
Rate for Payer: Medical Associates Commercial $1,077.00
Rate for Payer: Midlands Choice Commercial $1,005.20
Rate for Payer: United Healthcare Commercial $1,292.40
Service Code CPT 73201
Hospital Charge Code 1168052
Hospital Revenue Code 350
Min. Negotiated Rate $717.71
Max. Negotiated Rate $1,292.40
Rate for Payer: Aetna of IA Commercial $1,292.40
Rate for Payer: Aetna of IA Medical Rental Products $1,292.40
Rate for Payer: Aetna of IA Medicare $818.52
Rate for Payer: Amerigroup Medicaid $724.75
Rate for Payer: Amerigroup Medicare $725.18
Rate for Payer: Cash Price $1,148.80
Rate for Payer: Cash Price $1,148.80
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $1,077.00
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $718.00
Rate for Payer: Iowa Total Care Managed Medicaid $717.71
Rate for Payer: Medical Associates Commercial $1,077.00
Rate for Payer: Medical Associates Managed Medicare $718.00
Rate for Payer: Midlands Choice Commercial $1,005.20
Rate for Payer: Molina Healthcare Managed Medicaid $728.77
Rate for Payer: Molina Healthcare Managed Medicare $728.34
Rate for Payer: Oscar Health of IA Commercial $1,077.00
Rate for Payer: Partners Health Alliance Commercial $1,077.00
Rate for Payer: United Healthcare Commercial $1,292.40
Rate for Payer: United Healthcare Managed Medicare $847.24
Rate for Payer: Wellmark IA HMO $1,042.22
Rate for Payer: Wellmark IA PPO $1,146.44
Service Code CPT 73201
Hospital Charge Code 1168054
Hospital Revenue Code 350
Min. Negotiated Rate $717.71
Max. Negotiated Rate $1,292.40
Rate for Payer: Aetna of IA Commercial $1,292.40
Rate for Payer: Aetna of IA Medical Rental Products $1,292.40
Rate for Payer: Aetna of IA Medicare $818.52
Rate for Payer: Amerigroup Medicaid $724.75
Rate for Payer: Amerigroup Medicare $725.18
Rate for Payer: Cash Price $1,148.80
Rate for Payer: Cash Price $1,148.80
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $1,077.00
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $718.00
Rate for Payer: Iowa Total Care Managed Medicaid $717.71
Rate for Payer: Medical Associates Commercial $1,077.00
Rate for Payer: Medical Associates Managed Medicare $718.00
Rate for Payer: Midlands Choice Commercial $1,005.20
Rate for Payer: Molina Healthcare Managed Medicaid $728.77
Rate for Payer: Molina Healthcare Managed Medicare $728.34
Rate for Payer: Oscar Health of IA Commercial $1,077.00
Rate for Payer: Partners Health Alliance Commercial $1,077.00
Rate for Payer: United Healthcare Commercial $1,292.40
Rate for Payer: United Healthcare Managed Medicare $847.24
Rate for Payer: Wellmark IA HMO $1,042.22
Rate for Payer: Wellmark IA PPO $1,146.44
Service Code CPT 73201
Hospital Charge Code 1168054
Hospital Revenue Code 350
Min. Negotiated Rate $1,005.20
Max. Negotiated Rate $1,292.40
Rate for Payer: Aetna of IA Commercial $1,292.40
Rate for Payer: Aetna of IA Medical Rental Products $1,292.40
Rate for Payer: Cash Price $1,148.80
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $1,077.00
Rate for Payer: Medical Associates Commercial $1,077.00
Rate for Payer: Midlands Choice Commercial $1,005.20
Rate for Payer: United Healthcare Commercial $1,292.40
Service Code CPT 73200
Hospital Charge Code 1168058
Hospital Revenue Code 350
Min. Negotiated Rate $784.70
Max. Negotiated Rate $1,008.90
Rate for Payer: Aetna of IA Commercial $1,008.90
Rate for Payer: Aetna of IA Medical Rental Products $1,008.90
Rate for Payer: Cash Price $896.80
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $840.75
Rate for Payer: Medical Associates Commercial $840.75
Rate for Payer: Midlands Choice Commercial $784.70
Rate for Payer: United Healthcare Commercial $1,008.90
Service Code CPT 73200
Hospital Charge Code 1168058
Hospital Revenue Code 350
Min. Negotiated Rate $480.50
Max. Negotiated Rate $1,008.90
Rate for Payer: Aetna of IA Commercial $1,008.90
Rate for Payer: Aetna of IA Medical Rental Products $1,008.90
Rate for Payer: Aetna of IA Medicare $638.97
Rate for Payer: Amerigroup Medicaid $565.77
Rate for Payer: Amerigroup Medicare $566.10
Rate for Payer: Cash Price $896.80
Rate for Payer: Cash Price $896.80
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $840.75
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $560.50
Rate for Payer: Iowa Total Care Managed Medicaid $560.28
Rate for Payer: Medical Associates Commercial $840.75
Rate for Payer: Medical Associates Managed Medicare $560.50
Rate for Payer: Midlands Choice Commercial $784.70
Rate for Payer: Molina Healthcare Managed Medicaid $568.91
Rate for Payer: Molina Healthcare Managed Medicare $568.57
Rate for Payer: Oscar Health of IA Commercial $840.75
Rate for Payer: Partners Health Alliance Commercial $840.75
Rate for Payer: United Healthcare Commercial $1,008.90
Rate for Payer: United Healthcare Managed Medicare $661.39
Rate for Payer: Wellmark IA HMO $480.50
Rate for Payer: Wellmark IA PPO $528.55
Service Code CPT 73200
Hospital Charge Code 1168060
Hospital Revenue Code 350
Min. Negotiated Rate $784.70
Max. Negotiated Rate $1,008.90
Rate for Payer: Aetna of IA Commercial $1,008.90
Rate for Payer: Aetna of IA Medical Rental Products $1,008.90
Rate for Payer: Cash Price $896.80
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $840.75
Rate for Payer: Medical Associates Commercial $840.75
Rate for Payer: Midlands Choice Commercial $784.70
Rate for Payer: United Healthcare Commercial $1,008.90
Service Code CPT 73200
Hospital Charge Code 1168060
Hospital Revenue Code 350
Min. Negotiated Rate $480.50
Max. Negotiated Rate $1,008.90
Rate for Payer: Aetna of IA Commercial $1,008.90
Rate for Payer: Aetna of IA Medical Rental Products $1,008.90
Rate for Payer: Aetna of IA Medicare $638.97
Rate for Payer: Amerigroup Medicaid $565.77
Rate for Payer: Amerigroup Medicare $566.10
Rate for Payer: Cash Price $896.80
Rate for Payer: Cash Price $896.80
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $840.75
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $560.50
Rate for Payer: Iowa Total Care Managed Medicaid $560.28
Rate for Payer: Medical Associates Commercial $840.75
Rate for Payer: Medical Associates Managed Medicare $560.50
Rate for Payer: Midlands Choice Commercial $784.70
Rate for Payer: Molina Healthcare Managed Medicaid $568.91
Rate for Payer: Molina Healthcare Managed Medicare $568.57
Rate for Payer: Oscar Health of IA Commercial $840.75
Rate for Payer: Partners Health Alliance Commercial $840.75
Rate for Payer: United Healthcare Commercial $1,008.90
Rate for Payer: United Healthcare Managed Medicare $661.39
Rate for Payer: Wellmark IA HMO $480.50
Rate for Payer: Wellmark IA PPO $528.55
Service Code CPT 73202
Hospital Charge Code 1168046
Hospital Revenue Code 352
Min. Negotiated Rate $660.24
Max. Negotiated Rate $1,188.90
Rate for Payer: Aetna of IA Commercial $1,188.90
Rate for Payer: Aetna of IA Medical Rental Products $1,188.90
Rate for Payer: Aetna of IA Medicare $752.97
Rate for Payer: Amerigroup Medicaid $666.71
Rate for Payer: Amerigroup Medicare $667.10
Rate for Payer: Cash Price $1,056.80
Rate for Payer: Cash Price $1,056.80
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial $990.75
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS $660.50
Rate for Payer: Iowa Total Care Managed Medicaid $660.24
Rate for Payer: Medical Associates Commercial $990.75
Rate for Payer: Medical Associates Managed Medicare $660.50
Rate for Payer: Midlands Choice Commercial $924.70
Rate for Payer: Molina Healthcare Managed Medicaid $670.41
Rate for Payer: Molina Healthcare Managed Medicare $670.01
Rate for Payer: Oscar Health of IA Commercial $990.75
Rate for Payer: Partners Health Alliance Commercial $990.75
Rate for Payer: United Healthcare Commercial $1,188.90
Rate for Payer: United Healthcare Managed Medicare $779.39
Rate for Payer: Wellmark IA HMO $1,042.22
Rate for Payer: Wellmark IA PPO $1,146.44