hospital_name last_updated_on version hospital_location hospital_address license_number|NV "To the best of its knowledge and belief, the hospital has included all applicable standard charge information in accordance with the requirements of 45 CFR 180.50, and the information encoded is true, accurate, and complete as of the date indicated." general_contract_provisions Boulder City Hospital 7/8/2025 2.0.0 Boulder City Hospital "999 Adams Blvd, Boulder City, NV 89005" 880065829 TRUE De-Identified Minimum Reimbursement. Items and services that do not easily translate to an individual line are not included. description code|1 code|1|type code|2 code|2|type code|3 code|3|type modifiers setting drug_unit_of_measurement drug_type_of_measurement standard_charge|gross standard_charge|discounted_cash payer_name plan_name standard_charge|negotiated_dollar standard_charge|negotiated_percentage standard_charge|negotiated_algorithm estimated_amount standard_charge|methodology standard_charge|min standard_charge|max additional_generic_notes .Glucose Fasting 82947 CPT 4010275 LOCAL 301 RC outpatient 82 70 Aetna PPO 38 38% of all negotiated rates 51 percent of total billed charges 51 82 .Glucose Fasting 82947 CPT 4010275 LOCAL 301 RC outpatient 82 70 Aetna Medicare HMO 26 26% of all negotiated rates 61 percent of total billed charges 61 82 .Glucose Fasting 82947 CPT 4010275 LOCAL 301 RC outpatient 82 70 Alignment Medicare HMO 39 39% of all negotiated rates 50 percent of total billed charges 50 82 .Glucose Fasting 82947 CPT 4010275 LOCAL 301 RC outpatient 82 70 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 33 percent of total billed charges 33 82 .Glucose Fasting 82947 CPT 4010275 LOCAL 301 RC outpatient 82 70 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 41 percent of total billed charges 41 82 .Glucose Fasting 82947 CPT 4010275 LOCAL 301 RC outpatient 82 70 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 50 percent of total billed charges 50 82 .Glucose Fasting 82947 CPT 4010275 LOCAL 301 RC outpatient 82 70 Cigna PPO 68 68% of all negotiated rates 26 percent of total billed charges 26 82 .Glucose Fasting 82947 CPT 4010275 LOCAL 301 RC outpatient 82 70 Coalition PPO 49 49% of all negotiated rates 42 percent of total billed charges 42 82 .Glucose Fasting 82947 CPT 4010275 LOCAL 301 RC outpatient 82 70 Coventry PPO 75 75% of all negotiated rates 20 percent of total billed charges 20 82 .Glucose Fasting 82947 CPT 4010275 LOCAL 301 RC outpatient 82 70 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 16 percent of total billed charges 16 82 .Glucose Fasting 82947 CPT 4010275 LOCAL 301 RC outpatient 82 70 Humana-Commerical PPO 70 70% of all negotiated rates 25 percent of total billed charges 25 82 .Glucose Fasting 82947 CPT 4010275 LOCAL 301 RC outpatient 82 70 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 50 percent of total billed charges 50 82 .Glucose Fasting 82947 CPT 4010275 LOCAL 301 RC outpatient 82 70 Multiplan PPO 80 80% of all negotiated rates 16 percent of total billed charges 16 82 .Glucose Fasting 82947 CPT 4010275 LOCAL 301 RC outpatient 82 70 One Health PPO 55 55% of all negotiated rates 37 percent of total billed charges 37 82 .Glucose Fasting 82947 CPT 4010275 LOCAL 301 RC outpatient 82 70 Optum Medicare HMO 39 39% of all negotiated rates 50 percent of total billed charges 50 82 .Glucose Fasting 82947 CPT 4010275 LOCAL 301 RC outpatient 82 70 P3 HMO 39 39% of all negotiated rates 50 percent of total billed charges 50 82 .Glucose Fasting 82947 CPT 4010275 LOCAL 301 RC outpatient 82 70 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 25 percent of total billed charges 25 82 .Glucose Fasting 82947 CPT 4010275 LOCAL 301 RC outpatient 82 70 Select Health HMO 41 41% of all negotiated rates 48 percent of total billed charges 48 82 .Glucose Fasting 82947 CPT 4010275 LOCAL 301 RC outpatient 82 70 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 54 percent of total billed charges 54 82 .Glucose Fasting 82947 CPT 4010275 LOCAL 301 RC outpatient 82 70 Sierra/HPN HMO 60 60% of all negotiated rates 33 percent of total billed charges 33 82 .Glucose Fasting 82947 CPT 4010275 LOCAL 301 RC outpatient 82 70 Silversummit Medicare HMO 39 39% of all negotiated rates 50 percent of total billed charges 50 82 .Glucose Fasting 82947 CPT 4010275 LOCAL 301 RC outpatient 82 70 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 53 percent of total billed charges 53 82 .Glucose Fasting 82947 CPT 4010275 LOCAL 301 RC outpatient 82 70 Teachers Trust PPO 65 65% of all negotiated rates 29 percent of total billed charges 29 82 .Glucose Fasting 82947 CPT 4010275 LOCAL 301 RC outpatient 82 70 TriWest PPO 30 30% of all negotiated rates 57 percent of total billed charges 57 82 .Glucose Fasting 82947 CPT 4010275 LOCAL 301 RC outpatient 82 70 UHN-Universal Health Network PPO 70 70% of all negotiated rates 25 percent of total billed charges 25 82 .Glucose Fasting 82947 CPT 4010275 LOCAL 301 RC outpatient 82 70 United Healthcare PPO 60 60% of all negotiated rates 33 percent of total billed charges 33 82 .Glucose Fasting 82947 CPT 4010275 LOCAL 301 RC outpatient 82 70 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 78 Coinsurance and deductible may apply .Glucose Fasting 82947 CPT 4010275 LOCAL 301 RC outpatient 82 70 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 78 Coinsurance and deductible may apply .Glucose Fasting 82947 CPT 4010275 LOCAL 301 RC outpatient 82 70 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 78 Coinsurance and deductible may apply 36569 INSERT PICC CATH CHARGE 36569 CPT 3026568 LOCAL 360 RC outpatient 5555 4721 Aetna Medicare HMO 26 26% of all negotiated rates 4110 percent of total billed charges 4110 5555 36569 INSERT PICC CATH CHARGE 36569 CPT 3026568 LOCAL 360 RC outpatient 5555 4721 Alignment Medicare HMO 39 39% of all negotiated rates 3388 percent of total billed charges 3388 5555 36569 INSERT PICC CATH CHARGE 36569 CPT 3026568 LOCAL 360 RC outpatient 5555 4721 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 2222 percent of total billed charges 2222 5555 36569 INSERT PICC CATH CHARGE 36569 CPT 3026568 LOCAL 360 RC outpatient 5555 4721 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 2777 percent of total billed charges 2777 5555 36569 INSERT PICC CATH CHARGE 36569 CPT 3026568 LOCAL 360 RC outpatient 5555 4721 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 3388 percent of total billed charges 3388 5555 36569 INSERT PICC CATH CHARGE 36569 CPT 3026568 LOCAL 360 RC outpatient 5555 4721 Cigna PPO 68 68% of all negotiated rates 1777 percent of total billed charges 1777 5555 36569 INSERT PICC CATH CHARGE 36569 CPT 3026568 LOCAL 360 RC outpatient 5555 4721 Coventry PPO 75 75% of all negotiated rates 1389 percent of total billed charges 1389 5555 36569 INSERT PICC CATH CHARGE 36569 CPT 3026568 LOCAL 360 RC outpatient 5555 4721 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 1111 percent of total billed charges 1111 5555 36569 INSERT PICC CATH CHARGE 36569 CPT 3026568 LOCAL 360 RC outpatient 5555 4721 Humana-Commerical PPO 70 70% of all negotiated rates 1666 percent of total billed charges 1666 5555 36569 INSERT PICC CATH CHARGE 36569 CPT 3026568 LOCAL 360 RC outpatient 5555 4721 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 3388 percent of total billed charges 3388 5555 36569 INSERT PICC CATH CHARGE 36569 CPT 3026568 LOCAL 360 RC outpatient 5555 4721 Multiplan PPO 80 80% of all negotiated rates 1111 percent of total billed charges 1111 5555 36569 INSERT PICC CATH CHARGE 36569 CPT 3026568 LOCAL 360 RC outpatient 5555 4721 Multiplan HMO 80 80% of all negotiated rates 1111 percent of total billed charges 1111 5555 36569 INSERT PICC CATH CHARGE 36569 CPT 3026568 LOCAL 360 RC outpatient 5555 4721 Optum Medicare HMO 39 39% of all negotiated rates 3388 percent of total billed charges 3388 5555 36569 INSERT PICC CATH CHARGE 36569 CPT 3026568 LOCAL 360 RC outpatient 5555 4721 P3 HMO 39 39% of all negotiated rates 3388 percent of total billed charges 3388 5555 36569 INSERT PICC CATH CHARGE 36569 CPT 3026568 LOCAL 360 RC outpatient 5555 4721 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 1666 percent of total billed charges 1666 5555 36569 INSERT PICC CATH CHARGE 36569 CPT 3026568 LOCAL 360 RC outpatient 5555 4721 Saint Mary's Health Plan HMO 70 70% of all negotiated rates 1666 percent of total billed charges 1666 5555 36569 INSERT PICC CATH CHARGE 36569 CPT 3026568 LOCAL 360 RC outpatient 5555 4721 Select Health HMO 41 41% of all negotiated rates 3277 percent of total billed charges 3277 5555 36569 INSERT PICC CATH CHARGE 36569 CPT 3026568 LOCAL 360 RC outpatient 5555 4721 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 3694 percent of total billed charges 3694 5555 36569 INSERT PICC CATH CHARGE 36569 CPT 3026568 LOCAL 360 RC outpatient 5555 4721 Sierra/HPN HMO 60 60% of all negotiated rates 2222 percent of total billed charges 2222 5555 36569 INSERT PICC CATH CHARGE 36569 CPT 3026568 LOCAL 360 RC outpatient 5555 4721 Silversummit Medicare HMO 39 39% of all negotiated rates 3388 percent of total billed charges 3388 5555 36569 INSERT PICC CATH CHARGE 36569 CPT 3026568 LOCAL 360 RC outpatient 5555 4721 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 3610 percent of total billed charges 3610 5555 36569 INSERT PICC CATH CHARGE 36569 CPT 3026568 LOCAL 360 RC outpatient 5555 4721 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 3610 percent of total billed charges 3610 5555 36569 INSERT PICC CATH CHARGE 36569 CPT 3026568 LOCAL 360 RC outpatient 5555 4721 TriWest PPO 30 30% of all negotiated rates 3888 percent of total billed charges 3888 5555 36569 INSERT PICC CATH CHARGE 36569 CPT 3026568 LOCAL 360 RC outpatient 5555 4721 TriWest PPO 30 30% of all negotiated rates 3888 percent of total billed charges 3888 5555 36569 INSERT PICC CATH CHARGE 36569 CPT 3026568 LOCAL 360 RC outpatient 5555 4721 UHN-Universal Health Network PPO 70 70% of all negotiated rates 1666 percent of total billed charges 1666 5555 36569 INSERT PICC CATH CHARGE 36569 CPT 3026568 LOCAL 360 RC outpatient 5555 4721 Aetna PPO 750 case rate 750 case rate 750 5290 Coinsurance and deductible may apply 36569 INSERT PICC CATH CHARGE 36569 CPT 3026568 LOCAL 360 RC outpatient 5555 4721 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 88 fee schedule 88 5290 Coinsurance and deductible may apply 36569 INSERT PICC CATH CHARGE 36569 CPT 3026568 LOCAL 360 RC outpatient 5555 4721 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 88 fee schedule 88 5290 Coinsurance and deductible may apply 36569 INSERT PICC CATH CHARGE 36569 CPT 3026568 LOCAL 360 RC outpatient 5555 4721 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 88 fee schedule 88 5290 Coinsurance and deductible may apply 36569 INSERT PICC CATH CHARGE 36569 CPT 3026568 LOCAL 360 RC outpatient 5555 4721 Teachers Trust PPO 700 case rate 700 case rate 700 5290 Coinsurance and deductible may apply 90832 INDIV/FAMILY 30 MIN THERA 90832 CPT 4142013 LOCAL 914 RC outpatient 486 413 Aetna PPO 38 38% of all negotiated rates 301 percent of total billed charges 301 486 90832 INDIV/FAMILY 30 MIN THERA 90832 CPT 4142013 LOCAL 914 RC outpatient 486 413 Aetna Medicare HMO 26 26% of all negotiated rates 360 percent of total billed charges 360 486 90832 INDIV/FAMILY 30 MIN THERA 90832 CPT 4142013 LOCAL 914 RC outpatient 486 413 Alignment Medicare HMO 39 39% of all negotiated rates 297 percent of total billed charges 297 486 90832 INDIV/FAMILY 30 MIN THERA 90832 CPT 4142013 LOCAL 914 RC outpatient 486 413 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 194 percent of total billed charges 194 486 90832 INDIV/FAMILY 30 MIN THERA 90832 CPT 4142013 LOCAL 914 RC outpatient 486 413 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 243 percent of total billed charges 243 486 90832 INDIV/FAMILY 30 MIN THERA 90832 CPT 4142013 LOCAL 914 RC outpatient 486 413 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 297 percent of total billed charges 297 486 90832 INDIV/FAMILY 30 MIN THERA 90832 CPT 4142013 LOCAL 914 RC outpatient 486 413 Cigna PPO 68 68% of all negotiated rates 156 percent of total billed charges 156 486 90832 INDIV/FAMILY 30 MIN THERA 90832 CPT 4142013 LOCAL 914 RC outpatient 486 413 Coalition PPO 59 59% of all negotiated rates 199 percent of total billed charges 199 486 90832 INDIV/FAMILY 30 MIN THERA 90832 CPT 4142013 LOCAL 914 RC outpatient 486 413 Coventry PPO 75 75% of all negotiated rates 122 percent of total billed charges 122 486 90832 INDIV/FAMILY 30 MIN THERA 90832 CPT 4142013 LOCAL 914 RC outpatient 486 413 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 97 percent of total billed charges 97 486 90832 INDIV/FAMILY 30 MIN THERA 90832 CPT 4142013 LOCAL 914 RC outpatient 486 413 Humana-Commerical PPO 70 70% of all negotiated rates 146 percent of total billed charges 146 486 90832 INDIV/FAMILY 30 MIN THERA 90832 CPT 4142013 LOCAL 914 RC outpatient 486 413 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 297 percent of total billed charges 297 486 90832 INDIV/FAMILY 30 MIN THERA 90832 CPT 4142013 LOCAL 914 RC outpatient 486 413 Multiplan PPO 80 80% of all negotiated rates 97 percent of total billed charges 97 486 90832 INDIV/FAMILY 30 MIN THERA 90832 CPT 4142013 LOCAL 914 RC outpatient 486 413 One Health PPO 55 55% of all negotiated rates 219 percent of total billed charges 219 486 90832 INDIV/FAMILY 30 MIN THERA 90832 CPT 4142013 LOCAL 914 RC outpatient 486 413 Optum Medicare HMO 39 39% of all negotiated rates 297 percent of total billed charges 297 486 90832 INDIV/FAMILY 30 MIN THERA 90832 CPT 4142013 LOCAL 914 RC outpatient 486 413 P3 HMO 39 39% of all negotiated rates 297 percent of total billed charges 297 486 90832 INDIV/FAMILY 30 MIN THERA 90832 CPT 4142013 LOCAL 914 RC outpatient 486 413 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 146 percent of total billed charges 146 486 90832 INDIV/FAMILY 30 MIN THERA 90832 CPT 4142013 LOCAL 914 RC outpatient 486 413 Select Health HMO 41 41% of all negotiated rates 287 percent of total billed charges 287 486 90832 INDIV/FAMILY 30 MIN THERA 90832 CPT 4142013 LOCAL 914 RC outpatient 486 413 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 323 percent of total billed charges 323 486 90832 INDIV/FAMILY 30 MIN THERA 90832 CPT 4142013 LOCAL 914 RC outpatient 486 413 Sierra/HPN HMO 60 60% of all negotiated rates 194 percent of total billed charges 194 486 90832 INDIV/FAMILY 30 MIN THERA 90832 CPT 4142013 LOCAL 914 RC outpatient 486 413 Silversummit Medicare HMO 39 39% of all negotiated rates 297 percent of total billed charges 297 486 90832 INDIV/FAMILY 30 MIN THERA 90832 CPT 4142013 LOCAL 914 RC outpatient 486 413 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 316 percent of total billed charges 316 486 90832 INDIV/FAMILY 30 MIN THERA 90832 CPT 4142013 LOCAL 914 RC outpatient 486 413 Teachers Trust PPO 65 65% of all negotiated rates 170 percent of total billed charges 170 486 90832 INDIV/FAMILY 30 MIN THERA 90832 CPT 4142013 LOCAL 914 RC outpatient 486 413 TriWest PPO 30 30% of all negotiated rates 340 percent of total billed charges 340 486 90832 INDIV/FAMILY 30 MIN THERA 90832 CPT 4142013 LOCAL 914 RC outpatient 486 413 UHN-Universal Health Network PPO 70 70% of all negotiated rates 146 percent of total billed charges 146 486 90832 INDIV/FAMILY 30 MIN THERA 90832 CPT 4142013 LOCAL 914 RC outpatient 486 413 United Healthcare PPO 60 60% of all negotiated rates 194 percent of total billed charges 194 486 90832 INDIV/FAMILY 30 MIN THERA 90832 CPT 4142013 LOCAL 914 RC outpatient 486 413 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 55.77 fee schedule 55.77 463 Coinsurance and deductible may apply 90832 INDIV/FAMILY 30 MIN THERA 90832 CPT 4142013 LOCAL 914 RC outpatient 486 413 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 55.77 fee schedule 55.77 463 Coinsurance and deductible may apply 90832 INDIV/FAMILY 30 MIN THERA 90832 CPT 4142013 LOCAL 914 RC outpatient 486 413 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 56 fee schedule 56 463 Coinsurance and deductible may apply 90834 INDIV/FAMILY 45 MIN THERA 90834 CPT 4142015 LOCAL 914 RC outpatient 486 413 Aetna PPO 38 38% of all negotiated rates 301 percent of total billed charges 301 486 90834 INDIV/FAMILY 45 MIN THERA 90834 CPT 4142015 LOCAL 914 RC outpatient 486 413 Aetna Medicare HMO 26 26% of all negotiated rates 360 percent of total billed charges 360 486 90834 INDIV/FAMILY 45 MIN THERA 90834 CPT 4142015 LOCAL 914 RC outpatient 486 413 Alignment Medicare HMO 39 39% of all negotiated rates 297 percent of total billed charges 297 486 90834 INDIV/FAMILY 45 MIN THERA 90834 CPT 4142015 LOCAL 914 RC outpatient 486 413 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 194 percent of total billed charges 194 486 90834 INDIV/FAMILY 45 MIN THERA 90834 CPT 4142015 LOCAL 914 RC outpatient 486 413 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 243 percent of total billed charges 243 486 90834 INDIV/FAMILY 45 MIN THERA 90834 CPT 4142015 LOCAL 914 RC outpatient 486 413 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 297 percent of total billed charges 297 486 90834 INDIV/FAMILY 45 MIN THERA 90834 CPT 4142015 LOCAL 914 RC outpatient 486 413 Cigna PPO 68 68% of all negotiated rates 156 percent of total billed charges 156 486 90834 INDIV/FAMILY 45 MIN THERA 90834 CPT 4142015 LOCAL 914 RC outpatient 486 413 Coalition PPO 59 59% of all negotiated rates 199 percent of total billed charges 199 486 90834 INDIV/FAMILY 45 MIN THERA 90834 CPT 4142015 LOCAL 914 RC outpatient 486 413 Coventry PPO 75 75% of all negotiated rates 122 percent of total billed charges 122 486 90834 INDIV/FAMILY 45 MIN THERA 90834 CPT 4142015 LOCAL 914 RC outpatient 486 413 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 97 percent of total billed charges 97 486 90834 INDIV/FAMILY 45 MIN THERA 90834 CPT 4142015 LOCAL 914 RC outpatient 486 413 Humana-Commerical PPO 70 70% of all negotiated rates 146 percent of total billed charges 146 486 90834 INDIV/FAMILY 45 MIN THERA 90834 CPT 4142015 LOCAL 914 RC outpatient 486 413 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 297 percent of total billed charges 297 486 90834 INDIV/FAMILY 45 MIN THERA 90834 CPT 4142015 LOCAL 914 RC outpatient 486 413 Multiplan PPO 80 80% of all negotiated rates 97 percent of total billed charges 97 486 90834 INDIV/FAMILY 45 MIN THERA 90834 CPT 4142015 LOCAL 914 RC outpatient 486 413 One Health PPO 55 55% of all negotiated rates 219 percent of total billed charges 219 486 90834 INDIV/FAMILY 45 MIN THERA 90834 CPT 4142015 LOCAL 914 RC outpatient 486 413 Optum Medicare HMO 39 39% of all negotiated rates 297 percent of total billed charges 297 486 90834 INDIV/FAMILY 45 MIN THERA 90834 CPT 4142015 LOCAL 914 RC outpatient 486 413 P3 HMO 39 39% of all negotiated rates 297 percent of total billed charges 297 486 90834 INDIV/FAMILY 45 MIN THERA 90834 CPT 4142015 LOCAL 914 RC outpatient 486 413 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 146 percent of total billed charges 146 486 90834 INDIV/FAMILY 45 MIN THERA 90834 CPT 4142015 LOCAL 914 RC outpatient 486 413 Select Health HMO 41 41% of all negotiated rates 287 percent of total billed charges 287 486 90834 INDIV/FAMILY 45 MIN THERA 90834 CPT 4142015 LOCAL 914 RC outpatient 486 413 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 323 percent of total billed charges 323 486 90834 INDIV/FAMILY 45 MIN THERA 90834 CPT 4142015 LOCAL 914 RC outpatient 486 413 Sierra/HPN HMO 60 60% of all negotiated rates 194 percent of total billed charges 194 486 90834 INDIV/FAMILY 45 MIN THERA 90834 CPT 4142015 LOCAL 914 RC outpatient 486 413 Silversummit Medicare HMO 39 39% of all negotiated rates 297 percent of total billed charges 297 486 90834 INDIV/FAMILY 45 MIN THERA 90834 CPT 4142015 LOCAL 914 RC outpatient 486 413 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 316 percent of total billed charges 316 486 90834 INDIV/FAMILY 45 MIN THERA 90834 CPT 4142015 LOCAL 914 RC outpatient 486 413 Teachers Trust PPO 65 65% of all negotiated rates 170 percent of total billed charges 170 486 90834 INDIV/FAMILY 45 MIN THERA 90834 CPT 4142015 LOCAL 914 RC outpatient 486 413 TriWest PPO 30 30% of all negotiated rates 340 percent of total billed charges 340 486 90834 INDIV/FAMILY 45 MIN THERA 90834 CPT 4142015 LOCAL 914 RC outpatient 486 413 UHN-Universal Health Network PPO 70 70% of all negotiated rates 146 percent of total billed charges 146 486 90834 INDIV/FAMILY 45 MIN THERA 90834 CPT 4142015 LOCAL 914 RC outpatient 486 413 United Healthcare PPO 60 60% of all negotiated rates 194 percent of total billed charges 194 486 90834 INDIV/FAMILY 45 MIN THERA 90834 CPT 4142015 LOCAL 914 RC outpatient 486 413 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 73.93 fee schedule 73.93 463 Coinsurance and deductible may apply 90834 INDIV/FAMILY 45 MIN THERA 90834 CPT 4142015 LOCAL 914 RC outpatient 486 413 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 73.93 fee schedule 73.93 463 Coinsurance and deductible may apply 90834 INDIV/FAMILY 45 MIN THERA 90834 CPT 4142015 LOCAL 914 RC outpatient 486 413 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 74 fee schedule 74 463 Coinsurance and deductible may apply 90845 PSYCHOANALYSIS CHARGE 90845 CPT 3070200 LOCAL 914 RC outpatient 1694 1440 Aetna PPO 38 38% of all negotiated rates 1050 percent of total billed charges 1050 1694 90845 PSYCHOANALYSIS CHARGE 90845 CPT 3070200 LOCAL 914 RC outpatient 1694 1440 Aetna Medicare HMO 26 26% of all negotiated rates 1253 percent of total billed charges 1253 1694 90845 PSYCHOANALYSIS CHARGE 90845 CPT 3070200 LOCAL 914 RC outpatient 1694 1440 Alignment Medicare HMO 39 39% of all negotiated rates 1033 percent of total billed charges 1033 1694 90845 PSYCHOANALYSIS CHARGE 90845 CPT 3070200 LOCAL 914 RC outpatient 1694 1440 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 677 percent of total billed charges 677 1694 90845 PSYCHOANALYSIS CHARGE 90845 CPT 3070200 LOCAL 914 RC outpatient 1694 1440 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 847 percent of total billed charges 847 1694 90845 PSYCHOANALYSIS CHARGE 90845 CPT 3070200 LOCAL 914 RC outpatient 1694 1440 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 1033 percent of total billed charges 1033 1694 90845 PSYCHOANALYSIS CHARGE 90845 CPT 3070200 LOCAL 914 RC outpatient 1694 1440 Cigna PPO 68 68% of all negotiated rates 542 percent of total billed charges 542 1694 90845 PSYCHOANALYSIS CHARGE 90845 CPT 3070200 LOCAL 914 RC outpatient 1694 1440 Coalition PPO 59 59% of all negotiated rates 694 percent of total billed charges 694 1694 90845 PSYCHOANALYSIS CHARGE 90845 CPT 3070200 LOCAL 914 RC outpatient 1694 1440 Coventry PPO 75 75% of all negotiated rates 423 percent of total billed charges 423 1694 90845 PSYCHOANALYSIS CHARGE 90845 CPT 3070200 LOCAL 914 RC outpatient 1694 1440 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 339 percent of total billed charges 339 1694 90845 PSYCHOANALYSIS CHARGE 90845 CPT 3070200 LOCAL 914 RC outpatient 1694 1440 Humana-Commerical PPO 70 70% of all negotiated rates 508 percent of total billed charges 508 1694 90845 PSYCHOANALYSIS CHARGE 90845 CPT 3070200 LOCAL 914 RC outpatient 1694 1440 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 1033 percent of total billed charges 1033 1694 90845 PSYCHOANALYSIS CHARGE 90845 CPT 3070200 LOCAL 914 RC outpatient 1694 1440 Multiplan PPO 80 80% of all negotiated rates 339 percent of total billed charges 339 1694 90845 PSYCHOANALYSIS CHARGE 90845 CPT 3070200 LOCAL 914 RC outpatient 1694 1440 One Health PPO 55 55% of all negotiated rates 762 percent of total billed charges 762 1694 90845 PSYCHOANALYSIS CHARGE 90845 CPT 3070200 LOCAL 914 RC outpatient 1694 1440 Optum Medicare HMO 39 39% of all negotiated rates 1033 percent of total billed charges 1033 1694 90845 PSYCHOANALYSIS CHARGE 90845 CPT 3070200 LOCAL 914 RC outpatient 1694 1440 P3 HMO 39 39% of all negotiated rates 1033 percent of total billed charges 1033 1694 90845 PSYCHOANALYSIS CHARGE 90845 CPT 3070200 LOCAL 914 RC outpatient 1694 1440 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 508 percent of total billed charges 508 1694 90845 PSYCHOANALYSIS CHARGE 90845 CPT 3070200 LOCAL 914 RC outpatient 1694 1440 Select Health HMO 41 41% of all negotiated rates 999 percent of total billed charges 999 1694 90845 PSYCHOANALYSIS CHARGE 90845 CPT 3070200 LOCAL 914 RC outpatient 1694 1440 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 1126 percent of total billed charges 1126 1694 90845 PSYCHOANALYSIS CHARGE 90845 CPT 3070200 LOCAL 914 RC outpatient 1694 1440 Sierra/HPN HMO 60 60% of all negotiated rates 677 percent of total billed charges 677 1694 90845 PSYCHOANALYSIS CHARGE 90845 CPT 3070200 LOCAL 914 RC outpatient 1694 1440 Silversummit Medicare HMO 39 39% of all negotiated rates 1033 percent of total billed charges 1033 1694 90845 PSYCHOANALYSIS CHARGE 90845 CPT 3070200 LOCAL 914 RC outpatient 1694 1440 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 1101 percent of total billed charges 1101 1694 90845 PSYCHOANALYSIS CHARGE 90845 CPT 3070200 LOCAL 914 RC outpatient 1694 1440 Teachers Trust PPO 65 65% of all negotiated rates 593 percent of total billed charges 593 1694 90845 PSYCHOANALYSIS CHARGE 90845 CPT 3070200 LOCAL 914 RC outpatient 1694 1440 TriWest PPO 30 30% of all negotiated rates 1186 percent of total billed charges 1186 1694 90845 PSYCHOANALYSIS CHARGE 90845 CPT 3070200 LOCAL 914 RC outpatient 1694 1440 UHN-Universal Health Network PPO 70 70% of all negotiated rates 508 percent of total billed charges 508 1694 90845 PSYCHOANALYSIS CHARGE 90845 CPT 3070200 LOCAL 914 RC outpatient 1694 1440 United Healthcare PPO 60 60% of all negotiated rates 677 percent of total billed charges 677 1694 90845 PSYCHOANALYSIS CHARGE 90845 CPT 3070200 LOCAL 914 RC outpatient 1694 1440 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 79 fee schedule 79 1613 Coinsurance and deductible may apply 90845 PSYCHOANALYSIS CHARGE 90845 CPT 3070200 LOCAL 914 RC outpatient 1694 1440 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 79 fee schedule 79 1613 Coinsurance and deductible may apply 90845 PSYCHOANALYSIS CHARGE 90845 CPT 3070200 LOCAL 914 RC outpatient 1694 1440 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 79 fee schedule 79 1613 Coinsurance and deductible may apply 90846 FAMILY PSYCHOTHERAPY W/O CHARGE 90846 CPT 3070210 LOCAL 916 RC outpatient 1960 1666 Aetna PPO 38 38% of all negotiated rates 1215 percent of total billed charges 1215 1960 90846 FAMILY PSYCHOTHERAPY W/O CHARGE 90846 CPT 3070210 LOCAL 916 RC outpatient 1960 1666 Aetna Medicare HMO 26 26% of all negotiated rates 1451 percent of total billed charges 1451 1960 90846 FAMILY PSYCHOTHERAPY W/O CHARGE 90846 CPT 3070210 LOCAL 916 RC outpatient 1960 1666 Alignment Medicare HMO 39 39% of all negotiated rates 1196 percent of total billed charges 1196 1960 90846 FAMILY PSYCHOTHERAPY W/O CHARGE 90846 CPT 3070210 LOCAL 916 RC outpatient 1960 1666 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 784 percent of total billed charges 784 1960 90846 FAMILY PSYCHOTHERAPY W/O CHARGE 90846 CPT 3070210 LOCAL 916 RC outpatient 1960 1666 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 980 percent of total billed charges 980 1960 90846 FAMILY PSYCHOTHERAPY W/O CHARGE 90846 CPT 3070210 LOCAL 916 RC outpatient 1960 1666 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 1196 percent of total billed charges 1196 1960 90846 FAMILY PSYCHOTHERAPY W/O CHARGE 90846 CPT 3070210 LOCAL 916 RC outpatient 1960 1666 Cigna PPO 68 68% of all negotiated rates 627 percent of total billed charges 627 1960 90846 FAMILY PSYCHOTHERAPY W/O CHARGE 90846 CPT 3070210 LOCAL 916 RC outpatient 1960 1666 Coalition PPO 59 59% of all negotiated rates 804 percent of total billed charges 804 1960 90846 FAMILY PSYCHOTHERAPY W/O CHARGE 90846 CPT 3070210 LOCAL 916 RC outpatient 1960 1666 Coventry PPO 75 75% of all negotiated rates 490 percent of total billed charges 490 1960 90846 FAMILY PSYCHOTHERAPY W/O CHARGE 90846 CPT 3070210 LOCAL 916 RC outpatient 1960 1666 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 392 percent of total billed charges 392 1960 90846 FAMILY PSYCHOTHERAPY W/O CHARGE 90846 CPT 3070210 LOCAL 916 RC outpatient 1960 1666 Humana-Commerical PPO 70 70% of all negotiated rates 588 percent of total billed charges 588 1960 90846 FAMILY PSYCHOTHERAPY W/O CHARGE 90846 CPT 3070210 LOCAL 916 RC outpatient 1960 1666 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 1196 percent of total billed charges 1196 1960 90846 FAMILY PSYCHOTHERAPY W/O CHARGE 90846 CPT 3070210 LOCAL 916 RC outpatient 1960 1666 Multiplan PPO 80 80% of all negotiated rates 392 percent of total billed charges 392 1960 90846 FAMILY PSYCHOTHERAPY W/O CHARGE 90846 CPT 3070210 LOCAL 916 RC outpatient 1960 1666 One Health PPO 55 55% of all negotiated rates 882 percent of total billed charges 882 1960 90846 FAMILY PSYCHOTHERAPY W/O CHARGE 90846 CPT 3070210 LOCAL 916 RC outpatient 1960 1666 Optum Medicare HMO 39 39% of all negotiated rates 1196 percent of total billed charges 1196 1960 90846 FAMILY PSYCHOTHERAPY W/O CHARGE 90846 CPT 3070210 LOCAL 916 RC outpatient 1960 1666 P3 HMO 39 39% of all negotiated rates 1196 percent of total billed charges 1196 1960 90846 FAMILY PSYCHOTHERAPY W/O CHARGE 90846 CPT 3070210 LOCAL 916 RC outpatient 1960 1666 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 588 percent of total billed charges 588 1960 90846 FAMILY PSYCHOTHERAPY W/O CHARGE 90846 CPT 3070210 LOCAL 916 RC outpatient 1960 1666 Select Health HMO 41 41% of all negotiated rates 1157 percent of total billed charges 1157 1960 90846 FAMILY PSYCHOTHERAPY W/O CHARGE 90846 CPT 3070210 LOCAL 916 RC outpatient 1960 1666 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 1304 percent of total billed charges 1304 1960 90846 FAMILY PSYCHOTHERAPY W/O CHARGE 90846 CPT 3070210 LOCAL 916 RC outpatient 1960 1666 Sierra/HPN HMO 60 60% of all negotiated rates 784 percent of total billed charges 784 1960 90846 FAMILY PSYCHOTHERAPY W/O CHARGE 90846 CPT 3070210 LOCAL 916 RC outpatient 1960 1666 Silversummit Medicare HMO 39 39% of all negotiated rates 1196 percent of total billed charges 1196 1960 90846 FAMILY PSYCHOTHERAPY W/O CHARGE 90846 CPT 3070210 LOCAL 916 RC outpatient 1960 1666 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 1274 percent of total billed charges 1274 1960 90846 FAMILY PSYCHOTHERAPY W/O CHARGE 90846 CPT 3070210 LOCAL 916 RC outpatient 1960 1666 Teachers Trust PPO 65 65% of all negotiated rates 686 percent of total billed charges 686 1960 90846 FAMILY PSYCHOTHERAPY W/O CHARGE 90846 CPT 3070210 LOCAL 916 RC outpatient 1960 1666 TriWest PPO 30 30% of all negotiated rates 1372 percent of total billed charges 1372 1960 90846 FAMILY PSYCHOTHERAPY W/O CHARGE 90846 CPT 3070210 LOCAL 916 RC outpatient 1960 1666 UHN-Universal Health Network PPO 70 70% of all negotiated rates 588 percent of total billed charges 588 1960 90846 FAMILY PSYCHOTHERAPY W/O CHARGE 90846 CPT 3070210 LOCAL 916 RC outpatient 1960 1666 United Healthcare PPO 60 60% of all negotiated rates 784 percent of total billed charges 784 1960 90847 FAMILY PSYCHOTHERAPY CONJ CHARGE 90847 CPT 3070215 LOCAL 916 RC outpatient 1960 1666 Aetna PPO 38 38% of all negotiated rates 1215 percent of total billed charges 1215 1960 90847 FAMILY PSYCHOTHERAPY CONJ CHARGE 90847 CPT 3070215 LOCAL 916 RC outpatient 1960 1666 Aetna Medicare HMO 26 26% of all negotiated rates 1451 percent of total billed charges 1451 1960 90847 FAMILY PSYCHOTHERAPY CONJ CHARGE 90847 CPT 3070215 LOCAL 916 RC outpatient 1960 1666 Alignment Medicare HMO 39 39% of all negotiated rates 1196 percent of total billed charges 1196 1960 90847 FAMILY PSYCHOTHERAPY CONJ CHARGE 90847 CPT 3070215 LOCAL 916 RC outpatient 1960 1666 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 784 percent of total billed charges 784 1960 90847 FAMILY PSYCHOTHERAPY CONJ CHARGE 90847 CPT 3070215 LOCAL 916 RC outpatient 1960 1666 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 980 percent of total billed charges 980 1960 90847 FAMILY PSYCHOTHERAPY CONJ CHARGE 90847 CPT 3070215 LOCAL 916 RC outpatient 1960 1666 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 1196 percent of total billed charges 1196 1960 90847 FAMILY PSYCHOTHERAPY CONJ CHARGE 90847 CPT 3070215 LOCAL 916 RC outpatient 1960 1666 Cigna PPO 68 68% of all negotiated rates 627 percent of total billed charges 627 1960 90847 FAMILY PSYCHOTHERAPY CONJ CHARGE 90847 CPT 3070215 LOCAL 916 RC outpatient 1960 1666 Coalition PPO 59 59% of all negotiated rates 804 percent of total billed charges 804 1960 90847 FAMILY PSYCHOTHERAPY CONJ CHARGE 90847 CPT 3070215 LOCAL 916 RC outpatient 1960 1666 Coventry PPO 75 75% of all negotiated rates 490 percent of total billed charges 490 1960 90847 FAMILY PSYCHOTHERAPY CONJ CHARGE 90847 CPT 3070215 LOCAL 916 RC outpatient 1960 1666 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 392 percent of total billed charges 392 1960 90847 FAMILY PSYCHOTHERAPY CONJ CHARGE 90847 CPT 3070215 LOCAL 916 RC outpatient 1960 1666 Humana-Commerical PPO 70 70% of all negotiated rates 588 percent of total billed charges 588 1960 90847 FAMILY PSYCHOTHERAPY CONJ CHARGE 90847 CPT 3070215 LOCAL 916 RC outpatient 1960 1666 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 1196 percent of total billed charges 1196 1960 90847 FAMILY PSYCHOTHERAPY CONJ CHARGE 90847 CPT 3070215 LOCAL 916 RC outpatient 1960 1666 Multiplan PPO 80 80% of all negotiated rates 392 percent of total billed charges 392 1960 90847 FAMILY PSYCHOTHERAPY CONJ CHARGE 90847 CPT 3070215 LOCAL 916 RC outpatient 1960 1666 One Health PPO 55 55% of all negotiated rates 882 percent of total billed charges 882 1960 90847 FAMILY PSYCHOTHERAPY CONJ CHARGE 90847 CPT 3070215 LOCAL 916 RC outpatient 1960 1666 Optum Medicare HMO 39 39% of all negotiated rates 1196 percent of total billed charges 1196 1960 90847 FAMILY PSYCHOTHERAPY CONJ CHARGE 90847 CPT 3070215 LOCAL 916 RC outpatient 1960 1666 P3 HMO 39 39% of all negotiated rates 1196 percent of total billed charges 1196 1960 90847 FAMILY PSYCHOTHERAPY CONJ CHARGE 90847 CPT 3070215 LOCAL 916 RC outpatient 1960 1666 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 588 percent of total billed charges 588 1960 90847 FAMILY PSYCHOTHERAPY CONJ CHARGE 90847 CPT 3070215 LOCAL 916 RC outpatient 1960 1666 Select Health HMO 41 41% of all negotiated rates 1157 percent of total billed charges 1157 1960 90847 FAMILY PSYCHOTHERAPY CONJ CHARGE 90847 CPT 3070215 LOCAL 916 RC outpatient 1960 1666 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 1304 percent of total billed charges 1304 1960 90847 FAMILY PSYCHOTHERAPY CONJ CHARGE 90847 CPT 3070215 LOCAL 916 RC outpatient 1960 1666 Sierra/HPN HMO 60 60% of all negotiated rates 784 percent of total billed charges 784 1960 90847 FAMILY PSYCHOTHERAPY CONJ CHARGE 90847 CPT 3070215 LOCAL 916 RC outpatient 1960 1666 Silversummit Medicare HMO 39 39% of all negotiated rates 1196 percent of total billed charges 1196 1960 90847 FAMILY PSYCHOTHERAPY CONJ CHARGE 90847 CPT 3070215 LOCAL 916 RC outpatient 1960 1666 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 1274 percent of total billed charges 1274 1960 90847 FAMILY PSYCHOTHERAPY CONJ CHARGE 90847 CPT 3070215 LOCAL 916 RC outpatient 1960 1666 Teachers Trust PPO 65 65% of all negotiated rates 686 percent of total billed charges 686 1960 90847 FAMILY PSYCHOTHERAPY CONJ CHARGE 90847 CPT 3070215 LOCAL 916 RC outpatient 1960 1666 TriWest PPO 30 30% of all negotiated rates 1372 percent of total billed charges 1372 1960 90847 FAMILY PSYCHOTHERAPY CONJ CHARGE 90847 CPT 3070215 LOCAL 916 RC outpatient 1960 1666 UHN-Universal Health Network PPO 70 70% of all negotiated rates 588 percent of total billed charges 588 1960 90847 FAMILY PSYCHOTHERAPY CONJ CHARGE 90847 CPT 3070215 LOCAL 916 RC outpatient 1960 1666 United Healthcare PPO 60 60% of all negotiated rates 784 percent of total billed charges 784 1960 90847 FAMILY PSYCHOTHERAPY CONJ CHARGE 90847 CPT 3070215 LOCAL 916 RC outpatient 1960 1666 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 92 fee schedule 92 1867 Coinsurance and deductible may apply 90847 FAMILY PSYCHOTHERAPY CONJ CHARGE 90847 CPT 3070215 LOCAL 916 RC outpatient 1960 1666 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 92 fee schedule 92 1867 Coinsurance and deductible may apply 90847 FAMILY PSYCHOTHERAPY CONJ CHARGE 90847 CPT 3070215 LOCAL 916 RC outpatient 1960 1666 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 92 fee schedule 92 1867 Coinsurance and deductible may apply 90849 MULTI-FAMILY GROUP PSYCH CHARGE 90849 CPT 3070220 LOCAL 915 RC outpatient 933 793 Aetna PPO 38 38% of all negotiated rates 579 percent of total billed charges 579 933 90849 MULTI-FAMILY GROUP PSYCH CHARGE 90849 CPT 3070220 LOCAL 915 RC outpatient 933 793 Aetna Medicare HMO 26 26% of all negotiated rates 691 percent of total billed charges 691 933 90849 MULTI-FAMILY GROUP PSYCH CHARGE 90849 CPT 3070220 LOCAL 915 RC outpatient 933 793 Alignment Medicare HMO 39 39% of all negotiated rates 569 percent of total billed charges 569 933 90849 MULTI-FAMILY GROUP PSYCH CHARGE 90849 CPT 3070220 LOCAL 915 RC outpatient 933 793 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 373 percent of total billed charges 373 933 90849 MULTI-FAMILY GROUP PSYCH CHARGE 90849 CPT 3070220 LOCAL 915 RC outpatient 933 793 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 467 percent of total billed charges 467 933 90849 MULTI-FAMILY GROUP PSYCH CHARGE 90849 CPT 3070220 LOCAL 915 RC outpatient 933 793 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 569 percent of total billed charges 569 933 90849 MULTI-FAMILY GROUP PSYCH CHARGE 90849 CPT 3070220 LOCAL 915 RC outpatient 933 793 Cigna PPO 68 68% of all negotiated rates 299 percent of total billed charges 299 933 90849 MULTI-FAMILY GROUP PSYCH CHARGE 90849 CPT 3070220 LOCAL 915 RC outpatient 933 793 Coalition PPO 59 59% of all negotiated rates 383 percent of total billed charges 383 933 90849 MULTI-FAMILY GROUP PSYCH CHARGE 90849 CPT 3070220 LOCAL 915 RC outpatient 933 793 Coventry PPO 75 75% of all negotiated rates 233 percent of total billed charges 233 933 90849 MULTI-FAMILY GROUP PSYCH CHARGE 90849 CPT 3070220 LOCAL 915 RC outpatient 933 793 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 187 percent of total billed charges 187 933 90849 MULTI-FAMILY GROUP PSYCH CHARGE 90849 CPT 3070220 LOCAL 915 RC outpatient 933 793 Humana-Commerical PPO 70 70% of all negotiated rates 280 percent of total billed charges 280 933 90849 MULTI-FAMILY GROUP PSYCH CHARGE 90849 CPT 3070220 LOCAL 915 RC outpatient 933 793 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 569 percent of total billed charges 569 933 90849 MULTI-FAMILY GROUP PSYCH CHARGE 90849 CPT 3070220 LOCAL 915 RC outpatient 933 793 Multiplan PPO 80 80% of all negotiated rates 187 percent of total billed charges 187 933 90849 MULTI-FAMILY GROUP PSYCH CHARGE 90849 CPT 3070220 LOCAL 915 RC outpatient 933 793 One Health PPO 55 55% of all negotiated rates 420 percent of total billed charges 420 933 90849 MULTI-FAMILY GROUP PSYCH CHARGE 90849 CPT 3070220 LOCAL 915 RC outpatient 933 793 Optum Medicare HMO 39 39% of all negotiated rates 569 percent of total billed charges 569 933 90849 MULTI-FAMILY GROUP PSYCH CHARGE 90849 CPT 3070220 LOCAL 915 RC outpatient 933 793 P3 HMO 39 39% of all negotiated rates 569 percent of total billed charges 569 933 90849 MULTI-FAMILY GROUP PSYCH CHARGE 90849 CPT 3070220 LOCAL 915 RC outpatient 933 793 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 280 percent of total billed charges 280 933 90849 MULTI-FAMILY GROUP PSYCH CHARGE 90849 CPT 3070220 LOCAL 915 RC outpatient 933 793 Select Health HMO 41 41% of all negotiated rates 551 percent of total billed charges 551 933 90849 MULTI-FAMILY GROUP PSYCH CHARGE 90849 CPT 3070220 LOCAL 915 RC outpatient 933 793 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 621 percent of total billed charges 621 933 90849 MULTI-FAMILY GROUP PSYCH CHARGE 90849 CPT 3070220 LOCAL 915 RC outpatient 933 793 Sierra/HPN HMO 60 60% of all negotiated rates 373 percent of total billed charges 373 933 90849 MULTI-FAMILY GROUP PSYCH CHARGE 90849 CPT 3070220 LOCAL 915 RC outpatient 933 793 Silversummit Medicare HMO 39 39% of all negotiated rates 569 percent of total billed charges 569 933 90849 MULTI-FAMILY GROUP PSYCH CHARGE 90849 CPT 3070220 LOCAL 915 RC outpatient 933 793 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 607 percent of total billed charges 607 933 90849 MULTI-FAMILY GROUP PSYCH CHARGE 90849 CPT 3070220 LOCAL 915 RC outpatient 933 793 Teachers Trust PPO 65 65% of all negotiated rates 327 percent of total billed charges 327 933 90849 MULTI-FAMILY GROUP PSYCH CHARGE 90849 CPT 3070220 LOCAL 915 RC outpatient 933 793 TriWest PPO 30 30% of all negotiated rates 653 percent of total billed charges 653 933 90849 MULTI-FAMILY GROUP PSYCH CHARGE 90849 CPT 3070220 LOCAL 915 RC outpatient 933 793 UHN-Universal Health Network PPO 70 70% of all negotiated rates 280 percent of total billed charges 280 933 90849 MULTI-FAMILY GROUP PSYCH CHARGE 90849 CPT 3070220 LOCAL 915 RC outpatient 933 793 United Healthcare PPO 60 60% of all negotiated rates 373 percent of total billed charges 373 933 90853 GROUP PSYCHTX CHARGE 90853 CPT 3070225 LOCAL 915 RC outpatient 933 793 Aetna PPO 38 38% of all negotiated rates 579 percent of total billed charges 579 933 90853 GROUP PSYCHTX CHARGE 90853 CPT 3070225 LOCAL 915 RC outpatient 933 793 Aetna Medicare HMO 26 26% of all negotiated rates 691 percent of total billed charges 691 933 90853 GROUP PSYCHTX CHARGE 90853 CPT 3070225 LOCAL 915 RC outpatient 933 793 Alignment Medicare HMO 39 39% of all negotiated rates 569 percent of total billed charges 569 933 90853 GROUP PSYCHTX CHARGE 90853 CPT 3070225 LOCAL 915 RC outpatient 933 793 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 373 percent of total billed charges 373 933 90853 GROUP PSYCHTX CHARGE 90853 CPT 3070225 LOCAL 915 RC outpatient 933 793 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 467 percent of total billed charges 467 933 90853 GROUP PSYCHTX CHARGE 90853 CPT 3070225 LOCAL 915 RC outpatient 933 793 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 569 percent of total billed charges 569 933 90853 GROUP PSYCHTX CHARGE 90853 CPT 3070225 LOCAL 915 RC outpatient 933 793 Cigna PPO 68 68% of all negotiated rates 299 percent of total billed charges 299 933 90853 GROUP PSYCHTX CHARGE 90853 CPT 3070225 LOCAL 915 RC outpatient 933 793 Coalition PPO 59 59% of all negotiated rates 383 percent of total billed charges 383 933 90853 GROUP PSYCHTX CHARGE 90853 CPT 3070225 LOCAL 915 RC outpatient 933 793 Coventry PPO 75 75% of all negotiated rates 233 percent of total billed charges 233 933 90853 GROUP PSYCHTX CHARGE 90853 CPT 3070225 LOCAL 915 RC outpatient 933 793 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 187 percent of total billed charges 187 933 90853 GROUP PSYCHTX CHARGE 90853 CPT 3070225 LOCAL 915 RC outpatient 933 793 Humana-Commerical PPO 70 70% of all negotiated rates 280 percent of total billed charges 280 933 90853 GROUP PSYCHTX CHARGE 90853 CPT 3070225 LOCAL 915 RC outpatient 933 793 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 569 percent of total billed charges 569 933 90853 GROUP PSYCHTX CHARGE 90853 CPT 3070225 LOCAL 915 RC outpatient 933 793 Multiplan PPO 80 80% of all negotiated rates 187 percent of total billed charges 187 933 90853 GROUP PSYCHTX CHARGE 90853 CPT 3070225 LOCAL 915 RC outpatient 933 793 One Health PPO 55 55% of all negotiated rates 420 percent of total billed charges 420 933 90853 GROUP PSYCHTX CHARGE 90853 CPT 3070225 LOCAL 915 RC outpatient 933 793 Optum Medicare HMO 39 39% of all negotiated rates 569 percent of total billed charges 569 933 90853 GROUP PSYCHTX CHARGE 90853 CPT 3070225 LOCAL 915 RC outpatient 933 793 P3 HMO 39 39% of all negotiated rates 569 percent of total billed charges 569 933 90853 GROUP PSYCHTX CHARGE 90853 CPT 3070225 LOCAL 915 RC outpatient 933 793 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 280 percent of total billed charges 280 933 90853 GROUP PSYCHTX CHARGE 90853 CPT 3070225 LOCAL 915 RC outpatient 933 793 Select Health HMO 41 41% of all negotiated rates 551 percent of total billed charges 551 933 90853 GROUP PSYCHTX CHARGE 90853 CPT 3070225 LOCAL 915 RC outpatient 933 793 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 621 percent of total billed charges 621 933 90853 GROUP PSYCHTX CHARGE 90853 CPT 3070225 LOCAL 915 RC outpatient 933 793 Sierra/HPN HMO 60 60% of all negotiated rates 373 percent of total billed charges 373 933 90853 GROUP PSYCHTX CHARGE 90853 CPT 3070225 LOCAL 915 RC outpatient 933 793 Silversummit Medicare HMO 39 39% of all negotiated rates 569 percent of total billed charges 569 933 90853 GROUP PSYCHTX CHARGE 90853 CPT 3070225 LOCAL 915 RC outpatient 933 793 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 607 percent of total billed charges 607 933 90853 GROUP PSYCHTX CHARGE 90853 CPT 3070225 LOCAL 915 RC outpatient 933 793 Teachers Trust PPO 65 65% of all negotiated rates 327 percent of total billed charges 327 933 90853 GROUP PSYCHTX CHARGE 90853 CPT 3070225 LOCAL 915 RC outpatient 933 793 TriWest PPO 30 30% of all negotiated rates 653 percent of total billed charges 653 933 90853 GROUP PSYCHTX CHARGE 90853 CPT 3070225 LOCAL 915 RC outpatient 933 793 UHN-Universal Health Network PPO 70 70% of all negotiated rates 280 percent of total billed charges 280 933 90853 GROUP PSYCHTX CHARGE 90853 CPT 3070225 LOCAL 915 RC outpatient 933 793 United Healthcare PPO 60 60% of all negotiated rates 373 percent of total billed charges 373 933 90853 GROUP PSYCHTX CHARGE 90853 CPT 3070225 LOCAL 915 RC outpatient 933 793 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 22 fee schedule 22 889 Coinsurance and deductible may apply 90853 GROUP PSYCHTX CHARGE 90853 CPT 3070225 LOCAL 915 RC outpatient 933 793 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 22 fee schedule 22 889 Coinsurance and deductible may apply 90853 GROUP PSYCHTX CHARGE 90853 CPT 3070225 LOCAL 915 RC outpatient 933 793 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 22 fee schedule 22 889 Coinsurance and deductible may apply 90853 GROUP THERAPY 90853 CPT 4148531 LOCAL 915 RC outpatient 303 258 Aetna PPO 38 38% of all negotiated rates 188 percent of total billed charges 188 303 90853 GROUP THERAPY 90853 CPT 4148531 LOCAL 915 RC outpatient 303 258 Aetna Medicare HMO 26 26% of all negotiated rates 225 percent of total billed charges 225 303 90853 GROUP THERAPY 90853 CPT 4148531 LOCAL 915 RC outpatient 303 258 Alignment Medicare HMO 39 39% of all negotiated rates 185 percent of total billed charges 185 303 90853 GROUP THERAPY 90853 CPT 4148531 LOCAL 915 RC outpatient 303 258 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 121 percent of total billed charges 121 303 90853 GROUP THERAPY 90853 CPT 4148531 LOCAL 915 RC outpatient 303 258 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 152 percent of total billed charges 152 303 90853 GROUP THERAPY 90853 CPT 4148531 LOCAL 915 RC outpatient 303 258 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 185 percent of total billed charges 185 303 90853 GROUP THERAPY 90853 CPT 4148531 LOCAL 915 RC outpatient 303 258 Cigna PPO 68 68% of all negotiated rates 97 percent of total billed charges 97 303 90853 GROUP THERAPY 90853 CPT 4148531 LOCAL 915 RC outpatient 303 258 Coalition PPO 59 59% of all negotiated rates 124 percent of total billed charges 124 303 90853 GROUP THERAPY 90853 CPT 4148531 LOCAL 915 RC outpatient 303 258 Coventry PPO 75 75% of all negotiated rates 76 percent of total billed charges 76 303 90853 GROUP THERAPY 90853 CPT 4148531 LOCAL 915 RC outpatient 303 258 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 61 percent of total billed charges 61 303 90853 GROUP THERAPY 90853 CPT 4148531 LOCAL 915 RC outpatient 303 258 Humana-Commerical PPO 70 70% of all negotiated rates 91 percent of total billed charges 91 303 90853 GROUP THERAPY 90853 CPT 4148531 LOCAL 915 RC outpatient 303 258 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 185 percent of total billed charges 185 303 90853 GROUP THERAPY 90853 CPT 4148531 LOCAL 915 RC outpatient 303 258 Multiplan PPO 80 80% of all negotiated rates 61 percent of total billed charges 61 303 90853 GROUP THERAPY 90853 CPT 4148531 LOCAL 915 RC outpatient 303 258 One Health PPO 55 55% of all negotiated rates 137 percent of total billed charges 137 303 90853 GROUP THERAPY 90853 CPT 4148531 LOCAL 915 RC outpatient 303 258 Optum Medicare HMO 39 39% of all negotiated rates 185 percent of total billed charges 185 303 90853 GROUP THERAPY 90853 CPT 4148531 LOCAL 915 RC outpatient 303 258 P3 HMO 39 39% of all negotiated rates 185 percent of total billed charges 185 303 90853 GROUP THERAPY 90853 CPT 4148531 LOCAL 915 RC outpatient 303 258 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 91 percent of total billed charges 91 303 90853 GROUP THERAPY 90853 CPT 4148531 LOCAL 915 RC outpatient 303 258 Select Health HMO 41 41% of all negotiated rates 179 percent of total billed charges 179 303 90853 GROUP THERAPY 90853 CPT 4148531 LOCAL 915 RC outpatient 303 258 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 202 percent of total billed charges 202 303 90853 GROUP THERAPY 90853 CPT 4148531 LOCAL 915 RC outpatient 303 258 Sierra/HPN HMO 60 60% of all negotiated rates 121 percent of total billed charges 121 303 90853 GROUP THERAPY 90853 CPT 4148531 LOCAL 915 RC outpatient 303 258 Silversummit Medicare HMO 39 39% of all negotiated rates 185 percent of total billed charges 185 303 90853 GROUP THERAPY 90853 CPT 4148531 LOCAL 915 RC outpatient 303 258 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 197 percent of total billed charges 197 303 90853 GROUP THERAPY 90853 CPT 4148531 LOCAL 915 RC outpatient 303 258 Teachers Trust PPO 65 65% of all negotiated rates 106 percent of total billed charges 106 303 90853 GROUP THERAPY 90853 CPT 4148531 LOCAL 915 RC outpatient 303 258 TriWest PPO 30 30% of all negotiated rates 212 percent of total billed charges 212 303 90853 GROUP THERAPY 90853 CPT 4148531 LOCAL 915 RC outpatient 303 258 UHN-Universal Health Network PPO 70 70% of all negotiated rates 91 percent of total billed charges 91 303 90853 GROUP THERAPY 90853 CPT 4148531 LOCAL 915 RC outpatient 303 258 United Healthcare PPO 60 60% of all negotiated rates 121 percent of total billed charges 121 303 90853 GROUP THERAPY 90853 CPT 4148531 LOCAL 915 RC outpatient 303 258 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 22 fee schedule 22 289 Coinsurance and deductible may apply 90853 GROUP THERAPY 90853 CPT 4148531 LOCAL 915 RC outpatient 303 258 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 22 fee schedule 22 289 Coinsurance and deductible may apply 90853 GROUP THERAPY 90853 CPT 4148531 LOCAL 915 RC outpatient 303 258 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 22 fee schedule 22 289 Coinsurance and deductible may apply 90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE 90865 CPT 3070230 LOCAL 914 RC outpatient 1694 1440 Aetna PPO 38 38% of all negotiated rates 1050 percent of total billed charges 1050 1694 90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE 90865 CPT 3070230 LOCAL 914 RC outpatient 1694 1440 Aetna Medicare HMO 26 26% of all negotiated rates 1253 percent of total billed charges 1253 1694 90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE 90865 CPT 3070230 LOCAL 914 RC outpatient 1694 1440 Alignment Medicare HMO 39 39% of all negotiated rates 1033 percent of total billed charges 1033 1694 90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE 90865 CPT 3070230 LOCAL 914 RC outpatient 1694 1440 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 677 percent of total billed charges 677 1694 90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE 90865 CPT 3070230 LOCAL 914 RC outpatient 1694 1440 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 847 percent of total billed charges 847 1694 90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE 90865 CPT 3070230 LOCAL 914 RC outpatient 1694 1440 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 1033 percent of total billed charges 1033 1694 90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE 90865 CPT 3070230 LOCAL 914 RC outpatient 1694 1440 Cigna PPO 68 68% of all negotiated rates 542 percent of total billed charges 542 1694 90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE 90865 CPT 3070230 LOCAL 914 RC outpatient 1694 1440 Coalition PPO 59 59% of all negotiated rates 694 percent of total billed charges 694 1694 90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE 90865 CPT 3070230 LOCAL 914 RC outpatient 1694 1440 Coventry PPO 75 75% of all negotiated rates 423 percent of total billed charges 423 1694 90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE 90865 CPT 3070230 LOCAL 914 RC outpatient 1694 1440 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 339 percent of total billed charges 339 1694 90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE 90865 CPT 3070230 LOCAL 914 RC outpatient 1694 1440 Humana-Commerical PPO 70 70% of all negotiated rates 508 percent of total billed charges 508 1694 90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE 90865 CPT 3070230 LOCAL 914 RC outpatient 1694 1440 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 1033 percent of total billed charges 1033 1694 90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE 90865 CPT 3070230 LOCAL 914 RC outpatient 1694 1440 Multiplan PPO 80 80% of all negotiated rates 339 percent of total billed charges 339 1694 90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE 90865 CPT 3070230 LOCAL 914 RC outpatient 1694 1440 One Health PPO 55 55% of all negotiated rates 762 percent of total billed charges 762 1694 90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE 90865 CPT 3070230 LOCAL 914 RC outpatient 1694 1440 Optum Medicare HMO 39 39% of all negotiated rates 1033 percent of total billed charges 1033 1694 90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE 90865 CPT 3070230 LOCAL 914 RC outpatient 1694 1440 P3 HMO 39 39% of all negotiated rates 1033 percent of total billed charges 1033 1694 90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE 90865 CPT 3070230 LOCAL 914 RC outpatient 1694 1440 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 508 percent of total billed charges 508 1694 90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE 90865 CPT 3070230 LOCAL 914 RC outpatient 1694 1440 Select Health HMO 41 41% of all negotiated rates 999 percent of total billed charges 999 1694 90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE 90865 CPT 3070230 LOCAL 914 RC outpatient 1694 1440 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 1126 percent of total billed charges 1126 1694 90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE 90865 CPT 3070230 LOCAL 914 RC outpatient 1694 1440 Sierra/HPN HMO 60 60% of all negotiated rates 677 percent of total billed charges 677 1694 90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE 90865 CPT 3070230 LOCAL 914 RC outpatient 1694 1440 Silversummit Medicare HMO 39 39% of all negotiated rates 1033 percent of total billed charges 1033 1694 90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE 90865 CPT 3070230 LOCAL 914 RC outpatient 1694 1440 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 1101 percent of total billed charges 1101 1694 90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE 90865 CPT 3070230 LOCAL 914 RC outpatient 1694 1440 Teachers Trust PPO 65 65% of all negotiated rates 593 percent of total billed charges 593 1694 90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE 90865 CPT 3070230 LOCAL 914 RC outpatient 1694 1440 TriWest PPO 30 30% of all negotiated rates 1186 percent of total billed charges 1186 1694 90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE 90865 CPT 3070230 LOCAL 914 RC outpatient 1694 1440 UHN-Universal Health Network PPO 70 70% of all negotiated rates 508 percent of total billed charges 508 1694 90865 NARCOSYNTHESIS FOR PSYCH/ CHARGE 90865 CPT 3070230 LOCAL 914 RC outpatient 1694 1440 United Healthcare PPO 60 60% of all negotiated rates 677 percent of total billed charges 677 1694 90867 THERAPEUTIC REPETITIVE TM CHARGE 90867 CPT 3070235 LOCAL 901 RC outpatient 1247 1060 Aetna PPO 38 38% of all negotiated rates 773 percent of total billed charges 773 1247 90867 THERAPEUTIC REPETITIVE TM CHARGE 90867 CPT 3070235 LOCAL 901 RC outpatient 1247 1060 Aetna Medicare HMO 26 26% of all negotiated rates 923 percent of total billed charges 923 1247 90867 THERAPEUTIC REPETITIVE TM CHARGE 90867 CPT 3070235 LOCAL 901 RC outpatient 1247 1060 Alignment Medicare HMO 39 39% of all negotiated rates 761 percent of total billed charges 761 1247 90867 THERAPEUTIC REPETITIVE TM CHARGE 90867 CPT 3070235 LOCAL 901 RC outpatient 1247 1060 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 499 percent of total billed charges 499 1247 90867 THERAPEUTIC REPETITIVE TM CHARGE 90867 CPT 3070235 LOCAL 901 RC outpatient 1247 1060 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 624 percent of total billed charges 624 1247 90867 THERAPEUTIC REPETITIVE TM CHARGE 90867 CPT 3070235 LOCAL 901 RC outpatient 1247 1060 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 761 percent of total billed charges 761 1247 90867 THERAPEUTIC REPETITIVE TM CHARGE 90867 CPT 3070235 LOCAL 901 RC outpatient 1247 1060 Cigna PPO 68 68% of all negotiated rates 399 percent of total billed charges 399 1247 90867 THERAPEUTIC REPETITIVE TM CHARGE 90867 CPT 3070235 LOCAL 901 RC outpatient 1247 1060 Coalition PPO 59 59% of all negotiated rates 511 percent of total billed charges 511 1247 90867 THERAPEUTIC REPETITIVE TM CHARGE 90867 CPT 3070235 LOCAL 901 RC outpatient 1247 1060 Coventry PPO 75 75% of all negotiated rates 312 percent of total billed charges 312 1247 90867 THERAPEUTIC REPETITIVE TM CHARGE 90867 CPT 3070235 LOCAL 901 RC outpatient 1247 1060 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 249 percent of total billed charges 249 1247 90867 THERAPEUTIC REPETITIVE TM CHARGE 90867 CPT 3070235 LOCAL 901 RC outpatient 1247 1060 Humana-Commerical PPO 70 70% of all negotiated rates 374 percent of total billed charges 374 1247 90867 THERAPEUTIC REPETITIVE TM CHARGE 90867 CPT 3070235 LOCAL 901 RC outpatient 1247 1060 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 761 percent of total billed charges 761 1247 90867 THERAPEUTIC REPETITIVE TM CHARGE 90867 CPT 3070235 LOCAL 901 RC outpatient 1247 1060 Multiplan PPO 80 80% of all negotiated rates 249 percent of total billed charges 249 1247 90867 THERAPEUTIC REPETITIVE TM CHARGE 90867 CPT 3070235 LOCAL 901 RC outpatient 1247 1060 One Health PPO 55 55% of all negotiated rates 561 percent of total billed charges 561 1247 90867 THERAPEUTIC REPETITIVE TM CHARGE 90867 CPT 3070235 LOCAL 901 RC outpatient 1247 1060 Optum Medicare HMO 39 39% of all negotiated rates 761 percent of total billed charges 761 1247 90867 THERAPEUTIC REPETITIVE TM CHARGE 90867 CPT 3070235 LOCAL 901 RC outpatient 1247 1060 P3 HMO 39 39% of all negotiated rates 761 percent of total billed charges 761 1247 90867 THERAPEUTIC REPETITIVE TM CHARGE 90867 CPT 3070235 LOCAL 901 RC outpatient 1247 1060 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 374 percent of total billed charges 374 1247 90867 THERAPEUTIC REPETITIVE TM CHARGE 90867 CPT 3070235 LOCAL 901 RC outpatient 1247 1060 Select Health HMO 41 41% of all negotiated rates 736 percent of total billed charges 736 1247 90867 THERAPEUTIC REPETITIVE TM CHARGE 90867 CPT 3070235 LOCAL 901 RC outpatient 1247 1060 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 830 percent of total billed charges 830 1247 90867 THERAPEUTIC REPETITIVE TM CHARGE 90867 CPT 3070235 LOCAL 901 RC outpatient 1247 1060 Sierra/HPN HMO 60 60% of all negotiated rates 499 percent of total billed charges 499 1247 90867 THERAPEUTIC REPETITIVE TM CHARGE 90867 CPT 3070235 LOCAL 901 RC outpatient 1247 1060 Silversummit Medicare HMO 39 39% of all negotiated rates 761 percent of total billed charges 761 1247 90867 THERAPEUTIC REPETITIVE TM CHARGE 90867 CPT 3070235 LOCAL 901 RC outpatient 1247 1060 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 811 percent of total billed charges 811 1247 90867 THERAPEUTIC REPETITIVE TM CHARGE 90867 CPT 3070235 LOCAL 901 RC outpatient 1247 1060 Teachers Trust PPO 65 65% of all negotiated rates 437 percent of total billed charges 437 1247 90867 THERAPEUTIC REPETITIVE TM CHARGE 90867 CPT 3070235 LOCAL 901 RC outpatient 1247 1060 TriWest PPO 30 30% of all negotiated rates 873 percent of total billed charges 873 1247 90867 THERAPEUTIC REPETITIVE TM CHARGE 90867 CPT 3070235 LOCAL 901 RC outpatient 1247 1060 UHN-Universal Health Network PPO 70 70% of all negotiated rates 374 percent of total billed charges 374 1247 90867 THERAPEUTIC REPETITIVE TM CHARGE 90867 CPT 3070235 LOCAL 901 RC outpatient 1247 1060 United Healthcare PPO 60 60% of all negotiated rates 499 percent of total billed charges 499 1247 90867 THERAPEUTIC REPETITIVE TM CHARGE 90867 CPT 3070235 LOCAL 901 RC outpatient 1247 1060 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 353.92 fee schedule 353.92 1188 Coinsurance and deductible may apply 90867 THERAPEUTIC REPETITIVE TM CHARGE 90867 CPT 3070235 LOCAL 901 RC outpatient 1247 1060 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 353.92 fee schedule 353.92 1188 Coinsurance and deductible may apply 90867 THERAPEUTIC REPETITIVE TM CHARGE 90867 CPT 3070235 LOCAL 901 RC outpatient 1247 1060 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 354 fee schedule 354 1188 Coinsurance and deductible may apply 90868 THERAPEUTIC REPRTITIVE TM CHARGE 90868 CPT 3070240 LOCAL 901 RC outpatient 1247 1060 Aetna PPO 38 38% of all negotiated rates 773 percent of total billed charges 773 1247 90868 THERAPEUTIC REPRTITIVE TM CHARGE 90868 CPT 3070240 LOCAL 901 RC outpatient 1247 1060 Aetna Medicare HMO 26 26% of all negotiated rates 923 percent of total billed charges 923 1247 90868 THERAPEUTIC REPRTITIVE TM CHARGE 90868 CPT 3070240 LOCAL 901 RC outpatient 1247 1060 Alignment Medicare HMO 39 39% of all negotiated rates 761 percent of total billed charges 761 1247 90868 THERAPEUTIC REPRTITIVE TM CHARGE 90868 CPT 3070240 LOCAL 901 RC outpatient 1247 1060 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 499 percent of total billed charges 499 1247 90868 THERAPEUTIC REPRTITIVE TM CHARGE 90868 CPT 3070240 LOCAL 901 RC outpatient 1247 1060 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 624 percent of total billed charges 624 1247 90868 THERAPEUTIC REPRTITIVE TM CHARGE 90868 CPT 3070240 LOCAL 901 RC outpatient 1247 1060 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 761 percent of total billed charges 761 1247 90868 THERAPEUTIC REPRTITIVE TM CHARGE 90868 CPT 3070240 LOCAL 901 RC outpatient 1247 1060 Cigna PPO 68 68% of all negotiated rates 399 percent of total billed charges 399 1247 90868 THERAPEUTIC REPRTITIVE TM CHARGE 90868 CPT 3070240 LOCAL 901 RC outpatient 1247 1060 Coalition PPO 59 59% of all negotiated rates 511 percent of total billed charges 511 1247 90868 THERAPEUTIC REPRTITIVE TM CHARGE 90868 CPT 3070240 LOCAL 901 RC outpatient 1247 1060 Coventry PPO 75 75% of all negotiated rates 312 percent of total billed charges 312 1247 90868 THERAPEUTIC REPRTITIVE TM CHARGE 90868 CPT 3070240 LOCAL 901 RC outpatient 1247 1060 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 249 percent of total billed charges 249 1247 90868 THERAPEUTIC REPRTITIVE TM CHARGE 90868 CPT 3070240 LOCAL 901 RC outpatient 1247 1060 Humana-Commerical PPO 70 70% of all negotiated rates 374 percent of total billed charges 374 1247 90868 THERAPEUTIC REPRTITIVE TM CHARGE 90868 CPT 3070240 LOCAL 901 RC outpatient 1247 1060 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 761 percent of total billed charges 761 1247 90868 THERAPEUTIC REPRTITIVE TM CHARGE 90868 CPT 3070240 LOCAL 901 RC outpatient 1247 1060 Multiplan PPO 80 80% of all negotiated rates 249 percent of total billed charges 249 1247 90868 THERAPEUTIC REPRTITIVE TM CHARGE 90868 CPT 3070240 LOCAL 901 RC outpatient 1247 1060 One Health PPO 55 55% of all negotiated rates 561 percent of total billed charges 561 1247 90868 THERAPEUTIC REPRTITIVE TM CHARGE 90868 CPT 3070240 LOCAL 901 RC outpatient 1247 1060 Optum Medicare HMO 39 39% of all negotiated rates 761 percent of total billed charges 761 1247 90868 THERAPEUTIC REPRTITIVE TM CHARGE 90868 CPT 3070240 LOCAL 901 RC outpatient 1247 1060 P3 HMO 39 39% of all negotiated rates 761 percent of total billed charges 761 1247 90868 THERAPEUTIC REPRTITIVE TM CHARGE 90868 CPT 3070240 LOCAL 901 RC outpatient 1247 1060 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 374 percent of total billed charges 374 1247 90868 THERAPEUTIC REPRTITIVE TM CHARGE 90868 CPT 3070240 LOCAL 901 RC outpatient 1247 1060 Select Health HMO 41 41% of all negotiated rates 736 percent of total billed charges 736 1247 90868 THERAPEUTIC REPRTITIVE TM CHARGE 90868 CPT 3070240 LOCAL 901 RC outpatient 1247 1060 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 830 percent of total billed charges 830 1247 90868 THERAPEUTIC REPRTITIVE TM CHARGE 90868 CPT 3070240 LOCAL 901 RC outpatient 1247 1060 Sierra/HPN HMO 60 60% of all negotiated rates 499 percent of total billed charges 499 1247 90868 THERAPEUTIC REPRTITIVE TM CHARGE 90868 CPT 3070240 LOCAL 901 RC outpatient 1247 1060 Silversummit Medicare HMO 39 39% of all negotiated rates 761 percent of total billed charges 761 1247 90868 THERAPEUTIC REPRTITIVE TM CHARGE 90868 CPT 3070240 LOCAL 901 RC outpatient 1247 1060 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 811 percent of total billed charges 811 1247 90868 THERAPEUTIC REPRTITIVE TM CHARGE 90868 CPT 3070240 LOCAL 901 RC outpatient 1247 1060 Teachers Trust PPO 65 65% of all negotiated rates 437 percent of total billed charges 437 1247 90868 THERAPEUTIC REPRTITIVE TM CHARGE 90868 CPT 3070240 LOCAL 901 RC outpatient 1247 1060 TriWest PPO 30 30% of all negotiated rates 873 percent of total billed charges 873 1247 90868 THERAPEUTIC REPRTITIVE TM CHARGE 90868 CPT 3070240 LOCAL 901 RC outpatient 1247 1060 UHN-Universal Health Network PPO 70 70% of all negotiated rates 374 percent of total billed charges 374 1247 90868 THERAPEUTIC REPRTITIVE TM CHARGE 90868 CPT 3070240 LOCAL 901 RC outpatient 1247 1060 United Healthcare PPO 60 60% of all negotiated rates 499 percent of total billed charges 499 1247 90868 THERAPEUTIC REPRTITIVE TM CHARGE 90868 CPT 3070240 LOCAL 901 RC outpatient 1247 1060 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 122.76 fee schedule 122.76 1188 Coinsurance and deductible may apply 90868 THERAPEUTIC REPRTITIVE TM CHARGE 90868 CPT 3070240 LOCAL 901 RC outpatient 1247 1060 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 122.76 fee schedule 122.76 1188 Coinsurance and deductible may apply 90868 THERAPEUTIC REPRTITIVE TM CHARGE 90868 CPT 3070240 LOCAL 901 RC outpatient 1247 1060 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 123 fee schedule 123 1188 Coinsurance and deductible may apply 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 Aetna PPO 38 38% of all negotiated rates 1430 percent of total billed charges 1430 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 Aetna PPO 38 38% of all negotiated rates 1430 percent of total billed charges 1430 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 Aetna Medicare HMO 26 26% of all negotiated rates 1706 percent of total billed charges 1706 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 Aetna Medicare HMO 26 26% of all negotiated rates 1706 percent of total billed charges 1706 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 Alignment Medicare HMO 39 39% of all negotiated rates 1407 percent of total billed charges 1407 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 Alignment Medicare HMO 39 39% of all negotiated rates 1407 percent of total billed charges 1407 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 922 percent of total billed charges 922 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 922 percent of total billed charges 922 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 1153 percent of total billed charges 1153 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 1153 percent of total billed charges 1153 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 1407 percent of total billed charges 1407 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 1407 percent of total billed charges 1407 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 Cigna PPO 68 68% of all negotiated rates 738 percent of total billed charges 738 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 Cigna PPO 68 68% of all negotiated rates 738 percent of total billed charges 738 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 Coalition PPO 59 59% of all negotiated rates 945 percent of total billed charges 945 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 Coalition PPO 59 59% of all negotiated rates 945 percent of total billed charges 945 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 Coventry PPO 75 75% of all negotiated rates 576 percent of total billed charges 576 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 Coventry PPO 75 75% of all negotiated rates 576 percent of total billed charges 576 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 461 percent of total billed charges 461 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 461 percent of total billed charges 461 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 Humana-Commerical PPO 70 70% of all negotiated rates 692 percent of total billed charges 692 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 Humana-Commerical PPO 70 70% of all negotiated rates 692 percent of total billed charges 692 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 1407 percent of total billed charges 1407 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 1407 percent of total billed charges 1407 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 Multiplan PPO 80 80% of all negotiated rates 461 percent of total billed charges 461 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 Multiplan PPO 80 80% of all negotiated rates 461 percent of total billed charges 461 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 One Health PPO 55 55% of all negotiated rates 1038 percent of total billed charges 1038 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 One Health PPO 55 55% of all negotiated rates 1038 percent of total billed charges 1038 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 Optum Medicare HMO 39 39% of all negotiated rates 1407 percent of total billed charges 1407 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 Optum Medicare HMO 39 39% of all negotiated rates 1407 percent of total billed charges 1407 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 P3 HMO 39 39% of all negotiated rates 1407 percent of total billed charges 1407 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 P3 HMO 39 39% of all negotiated rates 1407 percent of total billed charges 1407 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 692 percent of total billed charges 692 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 692 percent of total billed charges 692 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 Select Health HMO 41 41% of all negotiated rates 1360 percent of total billed charges 1360 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 Select Health HMO 41 41% of all negotiated rates 1360 percent of total billed charges 1360 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 1533 percent of total billed charges 1533 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 1533 percent of total billed charges 1533 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 Sierra/HPN HMO 60 60% of all negotiated rates 922 percent of total billed charges 922 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 Sierra/HPN HMO 60 60% of all negotiated rates 922 percent of total billed charges 922 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 Silversummit Medicare HMO 39 39% of all negotiated rates 1407 percent of total billed charges 1407 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 Silversummit Medicare HMO 39 39% of all negotiated rates 1407 percent of total billed charges 1407 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 1499 percent of total billed charges 1499 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 1499 percent of total billed charges 1499 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 Teachers Trust PPO 65 65% of all negotiated rates 807 percent of total billed charges 807 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 Teachers Trust PPO 65 65% of all negotiated rates 807 percent of total billed charges 807 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 TriWest PPO 30 30% of all negotiated rates 1614 percent of total billed charges 1614 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 TriWest PPO 30 30% of all negotiated rates 1614 percent of total billed charges 1614 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 UHN-Universal Health Network PPO 70 70% of all negotiated rates 692 percent of total billed charges 692 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 UHN-Universal Health Network PPO 70 70% of all negotiated rates 692 percent of total billed charges 692 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 United Healthcare PPO 60 60% of all negotiated rates 922 percent of total billed charges 922 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 United Healthcare PPO 60 60% of all negotiated rates 922 percent of total billed charges 922 2306 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 117 fee schedule 117 2196 Coinsurance and deductible may apply 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 117 fee schedule 117 2196 Coinsurance and deductible may apply 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 117 fee schedule 117 2196 Coinsurance and deductible may apply 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 117 fee schedule 117 2196 Coinsurance and deductible may apply 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 117 fee schedule 117 2196 Coinsurance and deductible may apply 93307 ECHOCARDIOGRAM 2D M CHARGE 93307 CPT 4183077 LOCAL 483 RC outpatient 2306 1960 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 117 fee schedule 117 2196 Coinsurance and deductible may apply 96360 IV HYDRATION INFUSION 31 CHARGE 96360 CPT 3272100 LOCAL 260 RC outpatient 1153 980 Aetna PPO 38 38% of all negotiated rates 715 percent of total billed charges 715 1153 96360 IV HYDRATION INFUSION 31 CHARGE 96360 CPT 3272100 LOCAL 260 RC outpatient 1153 980 Aetna Medicare HMO 26 26% of all negotiated rates 853 percent of total billed charges 853 1153 96360 IV HYDRATION INFUSION 31 CHARGE 96360 CPT 3272100 LOCAL 260 RC outpatient 1153 980 Alignment Medicare HMO 39 39% of all negotiated rates 703 percent of total billed charges 703 1153 96360 IV HYDRATION INFUSION 31 CHARGE 96360 CPT 3272100 LOCAL 260 RC outpatient 1153 980 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 461 percent of total billed charges 461 1153 96360 IV HYDRATION INFUSION 31 CHARGE 96360 CPT 3272100 LOCAL 260 RC outpatient 1153 980 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 576 percent of total billed charges 576 1153 96360 IV HYDRATION INFUSION 31 CHARGE 96360 CPT 3272100 LOCAL 260 RC outpatient 1153 980 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 703 percent of total billed charges 703 1153 96360 IV HYDRATION INFUSION 31 CHARGE 96360 CPT 3272100 LOCAL 260 RC outpatient 1153 980 Cigna PPO 68 68% of all negotiated rates 369 percent of total billed charges 369 1153 96360 IV HYDRATION INFUSION 31 CHARGE 96360 CPT 3272100 LOCAL 260 RC outpatient 1153 980 Coalition PPO 49 49% of all negotiated rates 588 percent of total billed charges 588 1153 96360 IV HYDRATION INFUSION 31 CHARGE 96360 CPT 3272100 LOCAL 260 RC outpatient 1153 980 Coventry PPO 75 75% of all negotiated rates 288 percent of total billed charges 288 1153 96360 IV HYDRATION INFUSION 31 CHARGE 96360 CPT 3272100 LOCAL 260 RC outpatient 1153 980 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 231 percent of total billed charges 231 1153 96360 IV HYDRATION INFUSION 31 CHARGE 96360 CPT 3272100 LOCAL 260 RC outpatient 1153 980 Humana-Commerical PPO 70 70% of all negotiated rates 346 percent of total billed charges 346 1153 96360 IV HYDRATION INFUSION 31 CHARGE 96360 CPT 3272100 LOCAL 260 RC outpatient 1153 980 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 703 percent of total billed charges 703 1153 96360 IV HYDRATION INFUSION 31 CHARGE 96360 CPT 3272100 LOCAL 260 RC outpatient 1153 980 Multiplan PPO 80 80% of all negotiated rates 231 percent of total billed charges 231 1153 96360 IV HYDRATION INFUSION 31 CHARGE 96360 CPT 3272100 LOCAL 260 RC outpatient 1153 980 One Health PPO 55 55% of all negotiated rates 519 percent of total billed charges 519 1153 96360 IV HYDRATION INFUSION 31 CHARGE 96360 CPT 3272100 LOCAL 260 RC outpatient 1153 980 Optum Medicare HMO 39 39% of all negotiated rates 703 percent of total billed charges 703 1153 96360 IV HYDRATION INFUSION 31 CHARGE 96360 CPT 3272100 LOCAL 260 RC outpatient 1153 980 P3 HMO 39 39% of all negotiated rates 703 percent of total billed charges 703 1153 96360 IV HYDRATION INFUSION 31 CHARGE 96360 CPT 3272100 LOCAL 260 RC outpatient 1153 980 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 346 percent of total billed charges 346 1153 96360 IV HYDRATION INFUSION 31 CHARGE 96360 CPT 3272100 LOCAL 260 RC outpatient 1153 980 Select Health HMO 41 41% of all negotiated rates 680 percent of total billed charges 680 1153 96360 IV HYDRATION INFUSION 31 CHARGE 96360 CPT 3272100 LOCAL 260 RC outpatient 1153 980 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 767 percent of total billed charges 767 1153 96360 IV HYDRATION INFUSION 31 CHARGE 96360 CPT 3272100 LOCAL 260 RC outpatient 1153 980 Sierra/HPN HMO 60 60% of all negotiated rates 461 percent of total billed charges 461 1153 96360 IV HYDRATION INFUSION 31 CHARGE 96360 CPT 3272100 LOCAL 260 RC outpatient 1153 980 Silversummit Medicare HMO 39 39% of all negotiated rates 703 percent of total billed charges 703 1153 96360 IV HYDRATION INFUSION 31 CHARGE 96360 CPT 3272100 LOCAL 260 RC outpatient 1153 980 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 749 percent of total billed charges 749 1153 96360 IV HYDRATION INFUSION 31 CHARGE 96360 CPT 3272100 LOCAL 260 RC outpatient 1153 980 Teachers Trust PPO 65 65% of all negotiated rates 404 percent of total billed charges 404 1153 96360 IV HYDRATION INFUSION 31 CHARGE 96360 CPT 3272100 LOCAL 260 RC outpatient 1153 980 TriWest PPO 30 30% of all negotiated rates 807 percent of total billed charges 807 1153 96360 IV HYDRATION INFUSION 31 CHARGE 96360 CPT 3272100 LOCAL 260 RC outpatient 1153 980 UHN-Universal Health Network PPO 70 70% of all negotiated rates 346 percent of total billed charges 346 1153 96360 IV HYDRATION INFUSION 31 CHARGE 96360 CPT 3272100 LOCAL 260 RC outpatient 1153 980 United Healthcare PPO 60 60% of all negotiated rates 461 percent of total billed charges 461 1153 96360 IV HYDRATION INFUSION 31 CHARGE 96360 CPT 3272100 LOCAL 260 RC outpatient 1153 980 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 51 fee schedule 51 1098 Coinsurance and deductible may apply 96360 IV HYDRATION INFUSION 31 CHARGE 96360 CPT 3272100 LOCAL 260 RC outpatient 1153 980 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 51 fee schedule 51 1098 Coinsurance and deductible may apply 96360 IV HYDRATION INFUSION 31 CHARGE 96360 CPT 3272100 LOCAL 260 RC outpatient 1153 980 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 51 fee schedule 51 1098 Coinsurance and deductible may apply 96361 IV HYDRATION INFUSION EA CHARGE 96361 CPT 3272110 LOCAL 260 RC outpatient 423 360 Aetna PPO 38 38% of all negotiated rates 262 percent of total billed charges 262 423 96361 IV HYDRATION INFUSION EA CHARGE 96361 CPT 3272110 LOCAL 260 RC outpatient 423 360 Aetna Medicare HMO 26 26% of all negotiated rates 313 percent of total billed charges 313 423 96361 IV HYDRATION INFUSION EA CHARGE 96361 CPT 3272110 LOCAL 260 RC outpatient 423 360 Alignment Medicare HMO 39 39% of all negotiated rates 258 percent of total billed charges 258 423 96361 IV HYDRATION INFUSION EA CHARGE 96361 CPT 3272110 LOCAL 260 RC outpatient 423 360 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 169 percent of total billed charges 169 423 96361 IV HYDRATION INFUSION EA CHARGE 96361 CPT 3272110 LOCAL 260 RC outpatient 423 360 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 212 percent of total billed charges 212 423 96361 IV HYDRATION INFUSION EA CHARGE 96361 CPT 3272110 LOCAL 260 RC outpatient 423 360 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 258 percent of total billed charges 258 423 96361 IV HYDRATION INFUSION EA CHARGE 96361 CPT 3272110 LOCAL 260 RC outpatient 423 360 Cigna PPO 68 68% of all negotiated rates 135 percent of total billed charges 135 423 96361 IV HYDRATION INFUSION EA CHARGE 96361 CPT 3272110 LOCAL 260 RC outpatient 423 360 Coalition PPO 49 49% of all negotiated rates 216 percent of total billed charges 216 423 96361 IV HYDRATION INFUSION EA CHARGE 96361 CPT 3272110 LOCAL 260 RC outpatient 423 360 Coventry PPO 75 75% of all negotiated rates 106 percent of total billed charges 106 423 96361 IV HYDRATION INFUSION EA CHARGE 96361 CPT 3272110 LOCAL 260 RC outpatient 423 360 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 85 percent of total billed charges 85 423 96361 IV HYDRATION INFUSION EA CHARGE 96361 CPT 3272110 LOCAL 260 RC outpatient 423 360 Humana-Commerical PPO 70 70% of all negotiated rates 127 percent of total billed charges 127 423 96361 IV HYDRATION INFUSION EA CHARGE 96361 CPT 3272110 LOCAL 260 RC outpatient 423 360 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 258 percent of total billed charges 258 423 96361 IV HYDRATION INFUSION EA CHARGE 96361 CPT 3272110 LOCAL 260 RC outpatient 423 360 Multiplan PPO 80 80% of all negotiated rates 85 percent of total billed charges 85 423 96361 IV HYDRATION INFUSION EA CHARGE 96361 CPT 3272110 LOCAL 260 RC outpatient 423 360 One Health PPO 55 55% of all negotiated rates 190 percent of total billed charges 190 423 96361 IV HYDRATION INFUSION EA CHARGE 96361 CPT 3272110 LOCAL 260 RC outpatient 423 360 Optum Medicare HMO 39 39% of all negotiated rates 258 percent of total billed charges 258 423 96361 IV HYDRATION INFUSION EA CHARGE 96361 CPT 3272110 LOCAL 260 RC outpatient 423 360 P3 HMO 39 39% of all negotiated rates 258 percent of total billed charges 258 423 96361 IV HYDRATION INFUSION EA CHARGE 96361 CPT 3272110 LOCAL 260 RC outpatient 423 360 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 127 percent of total billed charges 127 423 96361 IV HYDRATION INFUSION EA CHARGE 96361 CPT 3272110 LOCAL 260 RC outpatient 423 360 Select Health HMO 41 41% of all negotiated rates 250 percent of total billed charges 250 423 96361 IV HYDRATION INFUSION EA CHARGE 96361 CPT 3272110 LOCAL 260 RC outpatient 423 360 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 281 percent of total billed charges 281 423 96361 IV HYDRATION INFUSION EA CHARGE 96361 CPT 3272110 LOCAL 260 RC outpatient 423 360 Sierra/HPN HMO 60 60% of all negotiated rates 169 percent of total billed charges 169 423 96361 IV HYDRATION INFUSION EA CHARGE 96361 CPT 3272110 LOCAL 260 RC outpatient 423 360 Silversummit Medicare HMO 39 39% of all negotiated rates 258 percent of total billed charges 258 423 96361 IV HYDRATION INFUSION EA CHARGE 96361 CPT 3272110 LOCAL 260 RC outpatient 423 360 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 275 percent of total billed charges 275 423 96361 IV HYDRATION INFUSION EA CHARGE 96361 CPT 3272110 LOCAL 260 RC outpatient 423 360 Teachers Trust PPO 65 65% of all negotiated rates 148 percent of total billed charges 148 423 96361 IV HYDRATION INFUSION EA CHARGE 96361 CPT 3272110 LOCAL 260 RC outpatient 423 360 TriWest PPO 30 30% of all negotiated rates 296 percent of total billed charges 296 423 96361 IV HYDRATION INFUSION EA CHARGE 96361 CPT 3272110 LOCAL 260 RC outpatient 423 360 UHN-Universal Health Network PPO 70 70% of all negotiated rates 127 percent of total billed charges 127 423 96361 IV HYDRATION INFUSION EA CHARGE 96361 CPT 3272110 LOCAL 260 RC outpatient 423 360 United Healthcare PPO 60 60% of all negotiated rates 169 percent of total billed charges 169 423 96361 IV HYDRATION INFUSION EA CHARGE 96361 CPT 3272110 LOCAL 260 RC outpatient 423 360 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 13 fee schedule 13 403 Coinsurance and deductible may apply 96361 IV HYDRATION INFUSION EA CHARGE 96361 CPT 3272110 LOCAL 260 RC outpatient 423 360 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 13 fee schedule 13 403 Coinsurance and deductible may apply 96361 IV HYDRATION INFUSION EA CHARGE 96361 CPT 3272110 LOCAL 260 RC outpatient 423 360 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 13 fee schedule 13 403 Coinsurance and deductible may apply 96365 OUT PATIENT IV THERAPY ST CHARGE 96365 CPT 3026365 LOCAL 260 RC outpatient 680 578 Aetna PPO 38 38% of all negotiated rates 422 percent of total billed charges 422 680 96365 OUT PATIENT IV THERAPY ST CHARGE 96365 CPT 3026365 LOCAL 260 RC outpatient 680 578 Aetna Medicare HMO 26 26% of all negotiated rates 503 percent of total billed charges 503 680 96365 OUT PATIENT IV THERAPY ST CHARGE 96365 CPT 3026365 LOCAL 260 RC outpatient 680 578 Alignment Medicare HMO 39 39% of all negotiated rates 415 percent of total billed charges 415 680 96365 OUT PATIENT IV THERAPY ST CHARGE 96365 CPT 3026365 LOCAL 260 RC outpatient 680 578 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 272 percent of total billed charges 272 680 96365 OUT PATIENT IV THERAPY ST CHARGE 96365 CPT 3026365 LOCAL 260 RC outpatient 680 578 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 340 percent of total billed charges 340 680 96365 OUT PATIENT IV THERAPY ST CHARGE 96365 CPT 3026365 LOCAL 260 RC outpatient 680 578 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 415 percent of total billed charges 415 680 96365 OUT PATIENT IV THERAPY ST CHARGE 96365 CPT 3026365 LOCAL 260 RC outpatient 680 578 Cigna PPO 68 68% of all negotiated rates 218 percent of total billed charges 218 680 96365 OUT PATIENT IV THERAPY ST CHARGE 96365 CPT 3026365 LOCAL 260 RC outpatient 680 578 Coalition PPO 49 49% of all negotiated rates 347 percent of total billed charges 347 680 96365 OUT PATIENT IV THERAPY ST CHARGE 96365 CPT 3026365 LOCAL 260 RC outpatient 680 578 Coventry PPO 75 75% of all negotiated rates 170 percent of total billed charges 170 680 96365 OUT PATIENT IV THERAPY ST CHARGE 96365 CPT 3026365 LOCAL 260 RC outpatient 680 578 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 136 percent of total billed charges 136 680 96365 OUT PATIENT IV THERAPY ST CHARGE 96365 CPT 3026365 LOCAL 260 RC outpatient 680 578 Humana-Commerical PPO 70 70% of all negotiated rates 204 percent of total billed charges 204 680 96365 OUT PATIENT IV THERAPY ST CHARGE 96365 CPT 3026365 LOCAL 260 RC outpatient 680 578 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 415 percent of total billed charges 415 680 96365 OUT PATIENT IV THERAPY ST CHARGE 96365 CPT 3026365 LOCAL 260 RC outpatient 680 578 Multiplan PPO 80 80% of all negotiated rates 136 percent of total billed charges 136 680 96365 OUT PATIENT IV THERAPY ST CHARGE 96365 CPT 3026365 LOCAL 260 RC outpatient 680 578 One Health PPO 55 55% of all negotiated rates 306 percent of total billed charges 306 680 96365 OUT PATIENT IV THERAPY ST CHARGE 96365 CPT 3026365 LOCAL 260 RC outpatient 680 578 Optum Medicare HMO 39 39% of all negotiated rates 415 percent of total billed charges 415 680 96365 OUT PATIENT IV THERAPY ST CHARGE 96365 CPT 3026365 LOCAL 260 RC outpatient 680 578 P3 HMO 39 39% of all negotiated rates 415 percent of total billed charges 415 680 96365 OUT PATIENT IV THERAPY ST CHARGE 96365 CPT 3026365 LOCAL 260 RC outpatient 680 578 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 204 percent of total billed charges 204 680 96365 OUT PATIENT IV THERAPY ST CHARGE 96365 CPT 3026365 LOCAL 260 RC outpatient 680 578 Select Health HMO 41 41% of all negotiated rates 401 percent of total billed charges 401 680 96365 OUT PATIENT IV THERAPY ST CHARGE 96365 CPT 3026365 LOCAL 260 RC outpatient 680 578 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 452 percent of total billed charges 452 680 96365 OUT PATIENT IV THERAPY ST CHARGE 96365 CPT 3026365 LOCAL 260 RC outpatient 680 578 Sierra/HPN HMO 60 60% of all negotiated rates 272 percent of total billed charges 272 680 96365 OUT PATIENT IV THERAPY ST CHARGE 96365 CPT 3026365 LOCAL 260 RC outpatient 680 578 Silversummit Medicare HMO 39 39% of all negotiated rates 415 percent of total billed charges 415 680 96365 OUT PATIENT IV THERAPY ST CHARGE 96365 CPT 3026365 LOCAL 260 RC outpatient 680 578 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 442 percent of total billed charges 442 680 96365 OUT PATIENT IV THERAPY ST CHARGE 96365 CPT 3026365 LOCAL 260 RC outpatient 680 578 Teachers Trust PPO 65 65% of all negotiated rates 238 percent of total billed charges 238 680 96365 OUT PATIENT IV THERAPY ST CHARGE 96365 CPT 3026365 LOCAL 260 RC outpatient 680 578 TriWest PPO 30 30% of all negotiated rates 476 percent of total billed charges 476 680 96365 OUT PATIENT IV THERAPY ST CHARGE 96365 CPT 3026365 LOCAL 260 RC outpatient 680 578 UHN-Universal Health Network PPO 70 70% of all negotiated rates 204 percent of total billed charges 204 680 96365 OUT PATIENT IV THERAPY ST CHARGE 96365 CPT 3026365 LOCAL 260 RC outpatient 680 578 United Healthcare PPO 60 60% of all negotiated rates 272 percent of total billed charges 272 680 96365 OUT PATIENT IV THERAPY ST CHARGE 96365 CPT 3026365 LOCAL 260 RC outpatient 680 578 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 61 fee schedule 61 648 Coinsurance and deductible may apply 96365 OUT PATIENT IV THERAPY ST CHARGE 96365 CPT 3026365 LOCAL 260 RC outpatient 680 578 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 61 fee schedule 61 648 Coinsurance and deductible may apply 96365 OUT PATIENT IV THERAPY ST CHARGE 96365 CPT 3026365 LOCAL 260 RC outpatient 680 578 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 61 fee schedule 61 648 Coinsurance and deductible may apply 96366 OUTPATIENT IV THERAPY ADD CHARGE 96366 CPT 3276366 LOCAL 260 RC outpatient 138 117 Aetna PPO 38 38% of all negotiated rates 85 percent of total billed charges 85 138 96366 OUTPATIENT IV THERAPY ADD CHARGE 96366 CPT 3276366 LOCAL 260 RC outpatient 138 117 Aetna Medicare HMO 26 26% of all negotiated rates 102 percent of total billed charges 102 138 96366 OUTPATIENT IV THERAPY ADD CHARGE 96366 CPT 3276366 LOCAL 260 RC outpatient 138 117 Alignment Medicare HMO 39 39% of all negotiated rates 84 percent of total billed charges 84 138 96366 OUTPATIENT IV THERAPY ADD CHARGE 96366 CPT 3276366 LOCAL 260 RC outpatient 138 117 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 55 percent of total billed charges 55 138 96366 OUTPATIENT IV THERAPY ADD CHARGE 96366 CPT 3276366 LOCAL 260 RC outpatient 138 117 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 69 percent of total billed charges 69 138 96366 OUTPATIENT IV THERAPY ADD CHARGE 96366 CPT 3276366 LOCAL 260 RC outpatient 138 117 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 84 percent of total billed charges 84 138 96366 OUTPATIENT IV THERAPY ADD CHARGE 96366 CPT 3276366 LOCAL 260 RC outpatient 138 117 Cigna PPO 68 68% of all negotiated rates 44 percent of total billed charges 44 138 96366 OUTPATIENT IV THERAPY ADD CHARGE 96366 CPT 3276366 LOCAL 260 RC outpatient 138 117 Coalition PPO 49 49% of all negotiated rates 70 percent of total billed charges 70 138 96366 OUTPATIENT IV THERAPY ADD CHARGE 96366 CPT 3276366 LOCAL 260 RC outpatient 138 117 Coventry PPO 75 75% of all negotiated rates 34 percent of total billed charges 34 138 96366 OUTPATIENT IV THERAPY ADD CHARGE 96366 CPT 3276366 LOCAL 260 RC outpatient 138 117 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 28 percent of total billed charges 28 138 96366 OUTPATIENT IV THERAPY ADD CHARGE 96366 CPT 3276366 LOCAL 260 RC outpatient 138 117 Humana-Commerical PPO 70 70% of all negotiated rates 41 percent of total billed charges 41 138 96366 OUTPATIENT IV THERAPY ADD CHARGE 96366 CPT 3276366 LOCAL 260 RC outpatient 138 117 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 84 percent of total billed charges 84 138 96366 OUTPATIENT IV THERAPY ADD CHARGE 96366 CPT 3276366 LOCAL 260 RC outpatient 138 117 Multiplan PPO 80 80% of all negotiated rates 28 percent of total billed charges 28 138 96366 OUTPATIENT IV THERAPY ADD CHARGE 96366 CPT 3276366 LOCAL 260 RC outpatient 138 117 One Health PPO 55 55% of all negotiated rates 62 percent of total billed charges 62 138 96366 OUTPATIENT IV THERAPY ADD CHARGE 96366 CPT 3276366 LOCAL 260 RC outpatient 138 117 Optum Medicare HMO 39 39% of all negotiated rates 84 percent of total billed charges 84 138 96366 OUTPATIENT IV THERAPY ADD CHARGE 96366 CPT 3276366 LOCAL 260 RC outpatient 138 117 P3 HMO 39 39% of all negotiated rates 84 percent of total billed charges 84 138 96366 OUTPATIENT IV THERAPY ADD CHARGE 96366 CPT 3276366 LOCAL 260 RC outpatient 138 117 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 41 percent of total billed charges 41 138 96366 OUTPATIENT IV THERAPY ADD CHARGE 96366 CPT 3276366 LOCAL 260 RC outpatient 138 117 Select Health HMO 41 41% of all negotiated rates 81 percent of total billed charges 81 138 96366 OUTPATIENT IV THERAPY ADD CHARGE 96366 CPT 3276366 LOCAL 260 RC outpatient 138 117 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 91 percent of total billed charges 91 138 96366 OUTPATIENT IV THERAPY ADD CHARGE 96366 CPT 3276366 LOCAL 260 RC outpatient 138 117 Sierra/HPN HMO 60 60% of all negotiated rates 55 percent of total billed charges 55 138 96366 OUTPATIENT IV THERAPY ADD CHARGE 96366 CPT 3276366 LOCAL 260 RC outpatient 138 117 Silversummit Medicare HMO 39 39% of all negotiated rates 84 percent of total billed charges 84 138 96366 OUTPATIENT IV THERAPY ADD CHARGE 96366 CPT 3276366 LOCAL 260 RC outpatient 138 117 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 89 percent of total billed charges 89 138 96366 OUTPATIENT IV THERAPY ADD CHARGE 96366 CPT 3276366 LOCAL 260 RC outpatient 138 117 Teachers Trust PPO 65 65% of all negotiated rates 48 percent of total billed charges 48 138 96366 OUTPATIENT IV THERAPY ADD CHARGE 96366 CPT 3276366 LOCAL 260 RC outpatient 138 117 TriWest PPO 30 30% of all negotiated rates 96 percent of total billed charges 96 138 96366 OUTPATIENT IV THERAPY ADD CHARGE 96366 CPT 3276366 LOCAL 260 RC outpatient 138 117 UHN-Universal Health Network PPO 70 70% of all negotiated rates 41 percent of total billed charges 41 138 96366 OUTPATIENT IV THERAPY ADD CHARGE 96366 CPT 3276366 LOCAL 260 RC outpatient 138 117 United Healthcare PPO 60 60% of all negotiated rates 55 percent of total billed charges 55 138 96366 OUTPATIENT IV THERAPY ADD CHARGE 96366 CPT 3276366 LOCAL 260 RC outpatient 138 117 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 16 fee schedule 16 131 Coinsurance and deductible may apply 96366 OUTPATIENT IV THERAPY ADD CHARGE 96366 CPT 3276366 LOCAL 260 RC outpatient 138 117 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 16 fee schedule 16 131 Coinsurance and deductible may apply 96366 OUTPATIENT IV THERAPY ADD CHARGE 96366 CPT 3276366 LOCAL 260 RC outpatient 138 117 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 16 fee schedule 16 131 Coinsurance and deductible may apply "96367 IV THERAPY PROPHYLAXIS,AD CHARGE" 96367 CPT 3275600 LOCAL 260 RC outpatient 305 259 Aetna PPO 38 38% of all negotiated rates 189 percent of total billed charges 189 305 "96367 IV THERAPY PROPHYLAXIS,AD CHARGE" 96367 CPT 3275600 LOCAL 260 RC outpatient 305 259 Aetna Medicare HMO 26 26% of all negotiated rates 225 percent of total billed charges 225 305 "96367 IV THERAPY PROPHYLAXIS,AD CHARGE" 96367 CPT 3275600 LOCAL 260 RC outpatient 305 259 Alignment Medicare HMO 39 39% of all negotiated rates 186 percent of total billed charges 186 305 "96367 IV THERAPY PROPHYLAXIS,AD CHARGE" 96367 CPT 3275600 LOCAL 260 RC outpatient 305 259 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 122 percent of total billed charges 122 305 "96367 IV THERAPY PROPHYLAXIS,AD CHARGE" 96367 CPT 3275600 LOCAL 260 RC outpatient 305 259 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 152 percent of total billed charges 152 305 "96367 IV THERAPY PROPHYLAXIS,AD CHARGE" 96367 CPT 3275600 LOCAL 260 RC outpatient 305 259 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 186 percent of total billed charges 186 305 "96367 IV THERAPY PROPHYLAXIS,AD CHARGE" 96367 CPT 3275600 LOCAL 260 RC outpatient 305 259 Cigna PPO 68 68% of all negotiated rates 97 percent of total billed charges 97 305 "96367 IV THERAPY PROPHYLAXIS,AD CHARGE" 96367 CPT 3275600 LOCAL 260 RC outpatient 305 259 Coalition PPO 49 49% of all negotiated rates 155 percent of total billed charges 155 305 "96367 IV THERAPY PROPHYLAXIS,AD CHARGE" 96367 CPT 3275600 LOCAL 260 RC outpatient 305 259 Coventry PPO 75 75% of all negotiated rates 76 percent of total billed charges 76 305 "96367 IV THERAPY PROPHYLAXIS,AD CHARGE" 96367 CPT 3275600 LOCAL 260 RC outpatient 305 259 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 61 percent of total billed charges 61 305 "96367 IV THERAPY PROPHYLAXIS,AD CHARGE" 96367 CPT 3275600 LOCAL 260 RC outpatient 305 259 Humana-Commerical PPO 70 70% of all negotiated rates 91 percent of total billed charges 91 305 "96367 IV THERAPY PROPHYLAXIS,AD CHARGE" 96367 CPT 3275600 LOCAL 260 RC outpatient 305 259 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 186 percent of total billed charges 186 305 "96367 IV THERAPY PROPHYLAXIS,AD CHARGE" 96367 CPT 3275600 LOCAL 260 RC outpatient 305 259 Multiplan PPO 80 80% of all negotiated rates 61 percent of total billed charges 61 305 "96367 IV THERAPY PROPHYLAXIS,AD CHARGE" 96367 CPT 3275600 LOCAL 260 RC outpatient 305 259 One Health PPO 55 55% of all negotiated rates 137 percent of total billed charges 137 305 "96367 IV THERAPY PROPHYLAXIS,AD CHARGE" 96367 CPT 3275600 LOCAL 260 RC outpatient 305 259 Optum Medicare HMO 39 39% of all negotiated rates 186 percent of total billed charges 186 305 "96367 IV THERAPY PROPHYLAXIS,AD CHARGE" 96367 CPT 3275600 LOCAL 260 RC outpatient 305 259 P3 HMO 39 39% of all negotiated rates 186 percent of total billed charges 186 305 "96367 IV THERAPY PROPHYLAXIS,AD CHARGE" 96367 CPT 3275600 LOCAL 260 RC outpatient 305 259 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 91 percent of total billed charges 91 305 "96367 IV THERAPY PROPHYLAXIS,AD CHARGE" 96367 CPT 3275600 LOCAL 260 RC outpatient 305 259 Select Health HMO 41 41% of all negotiated rates 180 percent of total billed charges 180 305 "96367 IV THERAPY PROPHYLAXIS,AD CHARGE" 96367 CPT 3275600 LOCAL 260 RC outpatient 305 259 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 202 percent of total billed charges 202 305 "96367 IV THERAPY PROPHYLAXIS,AD CHARGE" 96367 CPT 3275600 LOCAL 260 RC outpatient 305 259 Sierra/HPN HMO 60 60% of all negotiated rates 122 percent of total billed charges 122 305 "96367 IV THERAPY PROPHYLAXIS,AD CHARGE" 96367 CPT 3275600 LOCAL 260 RC outpatient 305 259 Silversummit Medicare HMO 39 39% of all negotiated rates 186 percent of total billed charges 186 305 "96367 IV THERAPY PROPHYLAXIS,AD CHARGE" 96367 CPT 3275600 LOCAL 260 RC outpatient 305 259 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 198 percent of total billed charges 198 305 "96367 IV THERAPY PROPHYLAXIS,AD CHARGE" 96367 CPT 3275600 LOCAL 260 RC outpatient 305 259 Teachers Trust PPO 65 65% of all negotiated rates 107 percent of total billed charges 107 305 "96367 IV THERAPY PROPHYLAXIS,AD CHARGE" 96367 CPT 3275600 LOCAL 260 RC outpatient 305 259 TriWest PPO 30 30% of all negotiated rates 213 percent of total billed charges 213 305 "96367 IV THERAPY PROPHYLAXIS,AD CHARGE" 96367 CPT 3275600 LOCAL 260 RC outpatient 305 259 UHN-Universal Health Network PPO 70 70% of all negotiated rates 91 percent of total billed charges 91 305 "96367 IV THERAPY PROPHYLAXIS,AD CHARGE" 96367 CPT 3275600 LOCAL 260 RC outpatient 305 259 United Healthcare PPO 60 60% of all negotiated rates 122 percent of total billed charges 122 305 "96367 IV THERAPY PROPHYLAXIS,AD CHARGE" 96367 CPT 3275600 LOCAL 260 RC outpatient 305 259 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 27 fee schedule 27 290 Coinsurance and deductible may apply "96367 IV THERAPY PROPHYLAXIS,AD CHARGE" 96367 CPT 3275600 LOCAL 260 RC outpatient 305 259 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 27 fee schedule 27 290 Coinsurance and deductible may apply "96367 IV THERAPY PROPHYLAXIS,AD CHARGE" 96367 CPT 3275600 LOCAL 260 RC outpatient 305 259 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 27 fee schedule 27 290 Coinsurance and deductible may apply ABG ANALYSIS 82803 CPT 4167002 LOCAL 301 RC outpatient 1250 1062 Aetna PPO 38 38% of all negotiated rates 775 percent of total billed charges 775 1250 ABG ANALYSIS 82803 CPT 4167002 LOCAL 301 RC outpatient 1250 1062 Aetna Medicare HMO 26 26% of all negotiated rates 925 percent of total billed charges 925 1250 ABG ANALYSIS 82803 CPT 4167002 LOCAL 301 RC outpatient 1250 1062 Alignment Medicare HMO 39 39% of all negotiated rates 762 percent of total billed charges 762 1250 ABG ANALYSIS 82803 CPT 4167002 LOCAL 301 RC outpatient 1250 1062 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 500 percent of total billed charges 500 1250 ABG ANALYSIS 82803 CPT 4167002 LOCAL 301 RC outpatient 1250 1062 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 625 percent of total billed charges 625 1250 ABG ANALYSIS 82803 CPT 4167002 LOCAL 301 RC outpatient 1250 1062 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 762 percent of total billed charges 762 1250 ABG ANALYSIS 82803 CPT 4167002 LOCAL 301 RC outpatient 1250 1062 Cigna PPO 68 68% of all negotiated rates 400 percent of total billed charges 400 1250 ABG ANALYSIS 82803 CPT 4167002 LOCAL 301 RC outpatient 1250 1062 Coalition PPO 49 49% of all negotiated rates 637 percent of total billed charges 637 1250 ABG ANALYSIS 82803 CPT 4167002 LOCAL 301 RC outpatient 1250 1062 Coventry PPO 75 75% of all negotiated rates 312 percent of total billed charges 312 1250 ABG ANALYSIS 82803 CPT 4167002 LOCAL 301 RC outpatient 1250 1062 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 250 percent of total billed charges 250 1250 ABG ANALYSIS 82803 CPT 4167002 LOCAL 301 RC outpatient 1250 1062 Humana-Commerical PPO 70 70% of all negotiated rates 375 percent of total billed charges 375 1250 ABG ANALYSIS 82803 CPT 4167002 LOCAL 301 RC outpatient 1250 1062 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 762 percent of total billed charges 762 1250 ABG ANALYSIS 82803 CPT 4167002 LOCAL 301 RC outpatient 1250 1062 Multiplan PPO 80 80% of all negotiated rates 250 percent of total billed charges 250 1250 ABG ANALYSIS 82803 CPT 4167002 LOCAL 301 RC outpatient 1250 1062 One Health PPO 55 55% of all negotiated rates 562 percent of total billed charges 562 1250 ABG ANALYSIS 82803 CPT 4167002 LOCAL 301 RC outpatient 1250 1062 Optum Medicare HMO 39 39% of all negotiated rates 762 percent of total billed charges 762 1250 ABG ANALYSIS 82803 CPT 4167002 LOCAL 301 RC outpatient 1250 1062 P3 HMO 39 39% of all negotiated rates 762 percent of total billed charges 762 1250 ABG ANALYSIS 82803 CPT 4167002 LOCAL 301 RC outpatient 1250 1062 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 375 percent of total billed charges 375 1250 ABG ANALYSIS 82803 CPT 4167002 LOCAL 301 RC outpatient 1250 1062 Select Health HMO 41 41% of all negotiated rates 737 percent of total billed charges 737 1250 ABG ANALYSIS 82803 CPT 4167002 LOCAL 301 RC outpatient 1250 1062 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 831 percent of total billed charges 831 1250 ABG ANALYSIS 82803 CPT 4167002 LOCAL 301 RC outpatient 1250 1062 Sierra/HPN HMO 60 60% of all negotiated rates 500 percent of total billed charges 500 1250 ABG ANALYSIS 82803 CPT 4167002 LOCAL 301 RC outpatient 1250 1062 Silversummit Medicare HMO 39 39% of all negotiated rates 762 percent of total billed charges 762 1250 ABG ANALYSIS 82803 CPT 4167002 LOCAL 301 RC outpatient 1250 1062 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 812 percent of total billed charges 812 1250 ABG ANALYSIS 82803 CPT 4167002 LOCAL 301 RC outpatient 1250 1062 Teachers Trust PPO 65 65% of all negotiated rates 437 percent of total billed charges 437 1250 ABG ANALYSIS 82803 CPT 4167002 LOCAL 301 RC outpatient 1250 1062 TriWest PPO 30 30% of all negotiated rates 875 percent of total billed charges 875 1250 ABG ANALYSIS 82803 CPT 4167002 LOCAL 301 RC outpatient 1250 1062 UHN-Universal Health Network PPO 70 70% of all negotiated rates 375 percent of total billed charges 375 1250 ABG ANALYSIS 82803 CPT 4167002 LOCAL 301 RC outpatient 1250 1062 United Healthcare PPO 60 60% of all negotiated rates 500 percent of total billed charges 500 1250 ABG ANALYSIS 82803 CPT 4167002 LOCAL 301 RC outpatient 1250 1062 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 13 fee schedule 13 1190 Coinsurance and deductible may apply ABG ANALYSIS 82803 CPT 4167002 LOCAL 301 RC outpatient 1250 1062 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 13 fee schedule 13 1190 Coinsurance and deductible may apply ABG ANALYSIS 82803 CPT 4167002 LOCAL 301 RC outpatient 1250 1062 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 13 fee schedule 13 1190 Coinsurance and deductible may apply Albumin Level 82040 CPT 4000407 LOCAL 301 RC outpatient 103 87 Aetna PPO 38 38% of all negotiated rates 64 percent of total billed charges 64 103 Albumin Level 82040 CPT 4000407 LOCAL 301 RC outpatient 103 87 Aetna Medicare HMO 26 26% of all negotiated rates 76 percent of total billed charges 76 103 Albumin Level 82040 CPT 4000407 LOCAL 301 RC outpatient 103 87 Alignment Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 103 Albumin Level 82040 CPT 4000407 LOCAL 301 RC outpatient 103 87 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 41 percent of total billed charges 41 103 Albumin Level 82040 CPT 4000407 LOCAL 301 RC outpatient 103 87 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 51 percent of total billed charges 51 103 Albumin Level 82040 CPT 4000407 LOCAL 301 RC outpatient 103 87 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 103 Albumin Level 82040 CPT 4000407 LOCAL 301 RC outpatient 103 87 Cigna PPO 68 68% of all negotiated rates 33 percent of total billed charges 33 103 Albumin Level 82040 CPT 4000407 LOCAL 301 RC outpatient 103 87 Coalition PPO 49 49% of all negotiated rates 52 percent of total billed charges 52 103 Albumin Level 82040 CPT 4000407 LOCAL 301 RC outpatient 103 87 Coventry PPO 75 75% of all negotiated rates 26 percent of total billed charges 26 103 Albumin Level 82040 CPT 4000407 LOCAL 301 RC outpatient 103 87 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 21 percent of total billed charges 21 103 Albumin Level 82040 CPT 4000407 LOCAL 301 RC outpatient 103 87 Humana-Commerical PPO 70 70% of all negotiated rates 31 percent of total billed charges 31 103 Albumin Level 82040 CPT 4000407 LOCAL 301 RC outpatient 103 87 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 103 Albumin Level 82040 CPT 4000407 LOCAL 301 RC outpatient 103 87 Multiplan PPO 80 80% of all negotiated rates 21 percent of total billed charges 21 103 Albumin Level 82040 CPT 4000407 LOCAL 301 RC outpatient 103 87 One Health PPO 55 55% of all negotiated rates 46 percent of total billed charges 46 103 Albumin Level 82040 CPT 4000407 LOCAL 301 RC outpatient 103 87 Optum Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 103 Albumin Level 82040 CPT 4000407 LOCAL 301 RC outpatient 103 87 P3 HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 103 Albumin Level 82040 CPT 4000407 LOCAL 301 RC outpatient 103 87 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 31 percent of total billed charges 31 103 Albumin Level 82040 CPT 4000407 LOCAL 301 RC outpatient 103 87 Select Health HMO 41 41% of all negotiated rates 61 percent of total billed charges 61 103 Albumin Level 82040 CPT 4000407 LOCAL 301 RC outpatient 103 87 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 68 percent of total billed charges 68 103 Albumin Level 82040 CPT 4000407 LOCAL 301 RC outpatient 103 87 Sierra/HPN HMO 60 60% of all negotiated rates 41 percent of total billed charges 41 103 Albumin Level 82040 CPT 4000407 LOCAL 301 RC outpatient 103 87 Silversummit Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 103 Albumin Level 82040 CPT 4000407 LOCAL 301 RC outpatient 103 87 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 67 percent of total billed charges 67 103 Albumin Level 82040 CPT 4000407 LOCAL 301 RC outpatient 103 87 Teachers Trust PPO 65 65% of all negotiated rates 36 percent of total billed charges 36 103 Albumin Level 82040 CPT 4000407 LOCAL 301 RC outpatient 103 87 TriWest PPO 30 30% of all negotiated rates 72 percent of total billed charges 72 103 Albumin Level 82040 CPT 4000407 LOCAL 301 RC outpatient 103 87 UHN-Universal Health Network PPO 70 70% of all negotiated rates 31 percent of total billed charges 31 103 Albumin Level 82040 CPT 4000407 LOCAL 301 RC outpatient 103 87 United Healthcare PPO 60 60% of all negotiated rates 41 percent of total billed charges 41 103 Albumin Level 82040 CPT 4000407 LOCAL 301 RC outpatient 103 87 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 98 Coinsurance and deductible may apply Albumin Level 82040 CPT 4000407 LOCAL 301 RC outpatient 103 87 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 98 Coinsurance and deductible may apply Albumin Level 82040 CPT 4000407 LOCAL 301 RC outpatient 103 87 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 98 Coinsurance and deductible may apply Alkaline Phosphatase 84075 CPT 4000751 LOCAL 301 RC outpatient 106 90 Aetna PPO 38 38% of all negotiated rates 66 percent of total billed charges 66 106 Alkaline Phosphatase 84075 CPT 4000751 LOCAL 301 RC outpatient 106 90 Aetna Medicare HMO 26 26% of all negotiated rates 78 percent of total billed charges 78 106 Alkaline Phosphatase 84075 CPT 4000751 LOCAL 301 RC outpatient 106 90 Alignment Medicare HMO 39 39% of all negotiated rates 65 percent of total billed charges 65 106 Alkaline Phosphatase 84075 CPT 4000751 LOCAL 301 RC outpatient 106 90 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 42 percent of total billed charges 42 106 Alkaline Phosphatase 84075 CPT 4000751 LOCAL 301 RC outpatient 106 90 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 53 percent of total billed charges 53 106 Alkaline Phosphatase 84075 CPT 4000751 LOCAL 301 RC outpatient 106 90 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 65 percent of total billed charges 65 106 Alkaline Phosphatase 84075 CPT 4000751 LOCAL 301 RC outpatient 106 90 Cigna PPO 68 68% of all negotiated rates 34 percent of total billed charges 34 106 Alkaline Phosphatase 84075 CPT 4000751 LOCAL 301 RC outpatient 106 90 Coalition PPO 49 49% of all negotiated rates 54 percent of total billed charges 54 106 Alkaline Phosphatase 84075 CPT 4000751 LOCAL 301 RC outpatient 106 90 Coventry PPO 75 75% of all negotiated rates 27 percent of total billed charges 27 106 Alkaline Phosphatase 84075 CPT 4000751 LOCAL 301 RC outpatient 106 90 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 21 percent of total billed charges 21 106 Alkaline Phosphatase 84075 CPT 4000751 LOCAL 301 RC outpatient 106 90 Humana-Commerical PPO 70 70% of all negotiated rates 32 percent of total billed charges 32 106 Alkaline Phosphatase 84075 CPT 4000751 LOCAL 301 RC outpatient 106 90 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 65 percent of total billed charges 65 106 Alkaline Phosphatase 84075 CPT 4000751 LOCAL 301 RC outpatient 106 90 Multiplan PPO 80 80% of all negotiated rates 21 percent of total billed charges 21 106 Alkaline Phosphatase 84075 CPT 4000751 LOCAL 301 RC outpatient 106 90 One Health PPO 55 55% of all negotiated rates 48 percent of total billed charges 48 106 Alkaline Phosphatase 84075 CPT 4000751 LOCAL 301 RC outpatient 106 90 Optum Medicare HMO 39 39% of all negotiated rates 65 percent of total billed charges 65 106 Alkaline Phosphatase 84075 CPT 4000751 LOCAL 301 RC outpatient 106 90 P3 HMO 39 39% of all negotiated rates 65 percent of total billed charges 65 106 Alkaline Phosphatase 84075 CPT 4000751 LOCAL 301 RC outpatient 106 90 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 32 percent of total billed charges 32 106 Alkaline Phosphatase 84075 CPT 4000751 LOCAL 301 RC outpatient 106 90 Select Health HMO 41 41% of all negotiated rates 63 percent of total billed charges 63 106 Alkaline Phosphatase 84075 CPT 4000751 LOCAL 301 RC outpatient 106 90 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 71 percent of total billed charges 71 106 Alkaline Phosphatase 84075 CPT 4000751 LOCAL 301 RC outpatient 106 90 Sierra/HPN HMO 60 60% of all negotiated rates 42 percent of total billed charges 42 106 Alkaline Phosphatase 84075 CPT 4000751 LOCAL 301 RC outpatient 106 90 Silversummit Medicare HMO 39 39% of all negotiated rates 65 percent of total billed charges 65 106 Alkaline Phosphatase 84075 CPT 4000751 LOCAL 301 RC outpatient 106 90 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 69 percent of total billed charges 69 106 Alkaline Phosphatase 84075 CPT 4000751 LOCAL 301 RC outpatient 106 90 Teachers Trust PPO 65 65% of all negotiated rates 37 percent of total billed charges 37 106 Alkaline Phosphatase 84075 CPT 4000751 LOCAL 301 RC outpatient 106 90 TriWest PPO 30 30% of all negotiated rates 74 percent of total billed charges 74 106 Alkaline Phosphatase 84075 CPT 4000751 LOCAL 301 RC outpatient 106 90 UHN-Universal Health Network PPO 70 70% of all negotiated rates 32 percent of total billed charges 32 106 Alkaline Phosphatase 84075 CPT 4000751 LOCAL 301 RC outpatient 106 90 United Healthcare PPO 60 60% of all negotiated rates 42 percent of total billed charges 42 106 Alkaline Phosphatase 84075 CPT 4000751 LOCAL 301 RC outpatient 106 90 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 4 fee schedule 4 101 Coinsurance and deductible may apply Alkaline Phosphatase 84075 CPT 4000751 LOCAL 301 RC outpatient 106 90 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 4 fee schedule 4 101 Coinsurance and deductible may apply Alkaline Phosphatase 84075 CPT 4000751 LOCAL 301 RC outpatient 106 90 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 4 fee schedule 4 101 Coinsurance and deductible may apply Allergen Specific IgE 86003 CPT 4010057SO LOCAL 301 RC outpatient 44 37 Aetna PPO 38 38% of all negotiated rates 27 percent of total billed charges 27 44 Allergen Specific IgE 86003 CPT 4010057SO LOCAL 301 RC outpatient 44 37 Aetna Medicare HMO 26 26% of all negotiated rates 33 percent of total billed charges 33 44 Allergen Specific IgE 86003 CPT 4010057SO LOCAL 301 RC outpatient 44 37 Alignment Medicare HMO 39 39% of all negotiated rates 27 percent of total billed charges 27 44 Allergen Specific IgE 86003 CPT 4010057SO LOCAL 301 RC outpatient 44 37 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 18 percent of total billed charges 18 44 Allergen Specific IgE 86003 CPT 4010057SO LOCAL 301 RC outpatient 44 37 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 22 percent of total billed charges 22 44 Allergen Specific IgE 86003 CPT 4010057SO LOCAL 301 RC outpatient 44 37 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 27 percent of total billed charges 27 44 Allergen Specific IgE 86003 CPT 4010057SO LOCAL 301 RC outpatient 44 37 Cigna PPO 68 68% of all negotiated rates 14 percent of total billed charges 14 44 Allergen Specific IgE 86003 CPT 4010057SO LOCAL 301 RC outpatient 44 37 Coalition PPO 49 49% of all negotiated rates 22 percent of total billed charges 22 44 Allergen Specific IgE 86003 CPT 4010057SO LOCAL 301 RC outpatient 44 37 Coventry PPO 75 75% of all negotiated rates 11 percent of total billed charges 11 44 Allergen Specific IgE 86003 CPT 4010057SO LOCAL 301 RC outpatient 44 37 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 9 percent of total billed charges 9 44 Allergen Specific IgE 86003 CPT 4010057SO LOCAL 301 RC outpatient 44 37 Humana-Commerical PPO 70 70% of all negotiated rates 13 percent of total billed charges 13 44 Allergen Specific IgE 86003 CPT 4010057SO LOCAL 301 RC outpatient 44 37 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 27 percent of total billed charges 27 44 Allergen Specific IgE 86003 CPT 4010057SO LOCAL 301 RC outpatient 44 37 Multiplan PPO 80 80% of all negotiated rates 9 percent of total billed charges 9 44 Allergen Specific IgE 86003 CPT 4010057SO LOCAL 301 RC outpatient 44 37 One Health PPO 55 55% of all negotiated rates 20 percent of total billed charges 20 44 Allergen Specific IgE 86003 CPT 4010057SO LOCAL 301 RC outpatient 44 37 Optum Medicare HMO 39 39% of all negotiated rates 27 percent of total billed charges 27 44 Allergen Specific IgE 86003 CPT 4010057SO LOCAL 301 RC outpatient 44 37 P3 HMO 39 39% of all negotiated rates 27 percent of total billed charges 27 44 Allergen Specific IgE 86003 CPT 4010057SO LOCAL 301 RC outpatient 44 37 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 13 percent of total billed charges 13 44 Allergen Specific IgE 86003 CPT 4010057SO LOCAL 301 RC outpatient 44 37 Select Health HMO 41 41% of all negotiated rates 26 percent of total billed charges 26 44 Allergen Specific IgE 86003 CPT 4010057SO LOCAL 301 RC outpatient 44 37 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 29 percent of total billed charges 29 44 Allergen Specific IgE 86003 CPT 4010057SO LOCAL 301 RC outpatient 44 37 Sierra/HPN HMO 60 60% of all negotiated rates 18 percent of total billed charges 18 44 Allergen Specific IgE 86003 CPT 4010057SO LOCAL 301 RC outpatient 44 37 Silversummit Medicare HMO 39 39% of all negotiated rates 27 percent of total billed charges 27 44 Allergen Specific IgE 86003 CPT 4010057SO LOCAL 301 RC outpatient 44 37 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 29 percent of total billed charges 29 44 Allergen Specific IgE 86003 CPT 4010057SO LOCAL 301 RC outpatient 44 37 Teachers Trust PPO 65 65% of all negotiated rates 15 percent of total billed charges 15 44 Allergen Specific IgE 86003 CPT 4010057SO LOCAL 301 RC outpatient 44 37 TriWest PPO 30 30% of all negotiated rates 31 percent of total billed charges 31 44 Allergen Specific IgE 86003 CPT 4010057SO LOCAL 301 RC outpatient 44 37 UHN-Universal Health Network PPO 70 70% of all negotiated rates 13 percent of total billed charges 13 44 Allergen Specific IgE 86003 CPT 4010057SO LOCAL 301 RC outpatient 44 37 United Healthcare PPO 60 60% of all negotiated rates 18 percent of total billed charges 18 44 Allergen Specific IgE 86003 CPT 4010057SO LOCAL 301 RC outpatient 44 37 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 4 fee schedule 4 42 Coinsurance and deductible may apply Allergen Specific IgE 86003 CPT 4010057SO LOCAL 301 RC outpatient 44 37 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 4 fee schedule 4 42 Coinsurance and deductible may apply Allergen Specific IgE 86003 CPT 4010057SO LOCAL 301 RC outpatient 44 37 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 4 fee schedule 4 42 Coinsurance and deductible may apply ALT 84460 CPT 4004605 LOCAL 301 RC outpatient 107 91 Aetna PPO 38 38% of all negotiated rates 66 percent of total billed charges 66 107 ALT 84460 CPT 4004605 LOCAL 301 RC outpatient 107 91 Aetna Medicare HMO 26 26% of all negotiated rates 79 percent of total billed charges 79 107 ALT 84460 CPT 4004605 LOCAL 301 RC outpatient 107 91 Alignment Medicare HMO 39 39% of all negotiated rates 65 percent of total billed charges 65 107 ALT 84460 CPT 4004605 LOCAL 301 RC outpatient 107 91 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 43 percent of total billed charges 43 107 ALT 84460 CPT 4004605 LOCAL 301 RC outpatient 107 91 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 54 percent of total billed charges 54 107 ALT 84460 CPT 4004605 LOCAL 301 RC outpatient 107 91 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 65 percent of total billed charges 65 107 ALT 84460 CPT 4004605 LOCAL 301 RC outpatient 107 91 Cigna PPO 68 68% of all negotiated rates 34 percent of total billed charges 34 107 ALT 84460 CPT 4004605 LOCAL 301 RC outpatient 107 91 Coalition PPO 49 49% of all negotiated rates 55 percent of total billed charges 55 107 ALT 84460 CPT 4004605 LOCAL 301 RC outpatient 107 91 Coventry PPO 75 75% of all negotiated rates 27 percent of total billed charges 27 107 ALT 84460 CPT 4004605 LOCAL 301 RC outpatient 107 91 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 21 percent of total billed charges 21 107 ALT 84460 CPT 4004605 LOCAL 301 RC outpatient 107 91 Humana-Commerical PPO 70 70% of all negotiated rates 32 percent of total billed charges 32 107 ALT 84460 CPT 4004605 LOCAL 301 RC outpatient 107 91 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 65 percent of total billed charges 65 107 ALT 84460 CPT 4004605 LOCAL 301 RC outpatient 107 91 Multiplan PPO 80 80% of all negotiated rates 21 percent of total billed charges 21 107 ALT 84460 CPT 4004605 LOCAL 301 RC outpatient 107 91 One Health PPO 55 55% of all negotiated rates 48 percent of total billed charges 48 107 ALT 84460 CPT 4004605 LOCAL 301 RC outpatient 107 91 Optum Medicare HMO 39 39% of all negotiated rates 65 percent of total billed charges 65 107 ALT 84460 CPT 4004605 LOCAL 301 RC outpatient 107 91 P3 HMO 39 39% of all negotiated rates 65 percent of total billed charges 65 107 ALT 84460 CPT 4004605 LOCAL 301 RC outpatient 107 91 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 32 percent of total billed charges 32 107 ALT 84460 CPT 4004605 LOCAL 301 RC outpatient 107 91 Select Health HMO 41 41% of all negotiated rates 63 percent of total billed charges 63 107 ALT 84460 CPT 4004605 LOCAL 301 RC outpatient 107 91 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 71 percent of total billed charges 71 107 ALT 84460 CPT 4004605 LOCAL 301 RC outpatient 107 91 Sierra/HPN HMO 60 60% of all negotiated rates 43 percent of total billed charges 43 107 ALT 84460 CPT 4004605 LOCAL 301 RC outpatient 107 91 Silversummit Medicare HMO 39 39% of all negotiated rates 65 percent of total billed charges 65 107 ALT 84460 CPT 4004605 LOCAL 301 RC outpatient 107 91 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 70 percent of total billed charges 70 107 ALT 84460 CPT 4004605 LOCAL 301 RC outpatient 107 91 Teachers Trust PPO 65 65% of all negotiated rates 37 percent of total billed charges 37 107 ALT 84460 CPT 4004605 LOCAL 301 RC outpatient 107 91 TriWest PPO 30 30% of all negotiated rates 75 percent of total billed charges 75 107 ALT 84460 CPT 4004605 LOCAL 301 RC outpatient 107 91 UHN-Universal Health Network PPO 70 70% of all negotiated rates 32 percent of total billed charges 32 107 ALT 84460 CPT 4004605 LOCAL 301 RC outpatient 107 91 United Healthcare PPO 60 60% of all negotiated rates 43 percent of total billed charges 43 107 ALT 84460 CPT 4004605 LOCAL 301 RC outpatient 107 91 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 4 fee schedule 4 102 Coinsurance and deductible may apply ALT 84460 CPT 4004605 LOCAL 301 RC outpatient 107 91 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 4 fee schedule 4 102 Coinsurance and deductible may apply ALT 84460 CPT 4004605 LOCAL 301 RC outpatient 107 91 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 4 fee schedule 4 102 Coinsurance and deductible may apply Ammonia Level 82140 CPT 4001405 LOCAL 301 RC outpatient 368 312 Aetna PPO 38 38% of all negotiated rates 228 percent of total billed charges 228 368 Ammonia Level 82140 CPT 4001405 LOCAL 301 RC outpatient 368 312 Aetna Medicare HMO 26 26% of all negotiated rates 272 percent of total billed charges 272 368 Ammonia Level 82140 CPT 4001405 LOCAL 301 RC outpatient 368 312 Alignment Medicare HMO 39 39% of all negotiated rates 224 percent of total billed charges 224 368 Ammonia Level 82140 CPT 4001405 LOCAL 301 RC outpatient 368 312 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 147 percent of total billed charges 147 368 Ammonia Level 82140 CPT 4001405 LOCAL 301 RC outpatient 368 312 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 184 percent of total billed charges 184 368 Ammonia Level 82140 CPT 4001405 LOCAL 301 RC outpatient 368 312 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 224 percent of total billed charges 224 368 Ammonia Level 82140 CPT 4001405 LOCAL 301 RC outpatient 368 312 Cigna PPO 68 68% of all negotiated rates 118 percent of total billed charges 118 368 Ammonia Level 82140 CPT 4001405 LOCAL 301 RC outpatient 368 312 Coalition PPO 49 49% of all negotiated rates 187 percent of total billed charges 187 368 Ammonia Level 82140 CPT 4001405 LOCAL 301 RC outpatient 368 312 Coventry PPO 75 75% of all negotiated rates 92 percent of total billed charges 92 368 Ammonia Level 82140 CPT 4001405 LOCAL 301 RC outpatient 368 312 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 74 percent of total billed charges 74 368 Ammonia Level 82140 CPT 4001405 LOCAL 301 RC outpatient 368 312 Humana-Commerical PPO 70 70% of all negotiated rates 110 percent of total billed charges 110 368 Ammonia Level 82140 CPT 4001405 LOCAL 301 RC outpatient 368 312 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 224 percent of total billed charges 224 368 Ammonia Level 82140 CPT 4001405 LOCAL 301 RC outpatient 368 312 Multiplan PPO 80 80% of all negotiated rates 74 percent of total billed charges 74 368 Ammonia Level 82140 CPT 4001405 LOCAL 301 RC outpatient 368 312 One Health PPO 55 55% of all negotiated rates 165 percent of total billed charges 165 368 Ammonia Level 82140 CPT 4001405 LOCAL 301 RC outpatient 368 312 Optum Medicare HMO 39 39% of all negotiated rates 224 percent of total billed charges 224 368 Ammonia Level 82140 CPT 4001405 LOCAL 301 RC outpatient 368 312 P3 HMO 39 39% of all negotiated rates 224 percent of total billed charges 224 368 Ammonia Level 82140 CPT 4001405 LOCAL 301 RC outpatient 368 312 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 110 percent of total billed charges 110 368 Ammonia Level 82140 CPT 4001405 LOCAL 301 RC outpatient 368 312 Select Health HMO 41 41% of all negotiated rates 217 percent of total billed charges 217 368 Ammonia Level 82140 CPT 4001405 LOCAL 301 RC outpatient 368 312 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 244 percent of total billed charges 244 368 Ammonia Level 82140 CPT 4001405 LOCAL 301 RC outpatient 368 312 Sierra/HPN HMO 60 60% of all negotiated rates 147 percent of total billed charges 147 368 Ammonia Level 82140 CPT 4001405 LOCAL 301 RC outpatient 368 312 Silversummit Medicare HMO 39 39% of all negotiated rates 224 percent of total billed charges 224 368 Ammonia Level 82140 CPT 4001405 LOCAL 301 RC outpatient 368 312 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 239 percent of total billed charges 239 368 Ammonia Level 82140 CPT 4001405 LOCAL 301 RC outpatient 368 312 Teachers Trust PPO 65 65% of all negotiated rates 129 percent of total billed charges 129 368 Ammonia Level 82140 CPT 4001405 LOCAL 301 RC outpatient 368 312 TriWest PPO 30 30% of all negotiated rates 257 percent of total billed charges 257 368 Ammonia Level 82140 CPT 4001405 LOCAL 301 RC outpatient 368 312 UHN-Universal Health Network PPO 70 70% of all negotiated rates 110 percent of total billed charges 110 368 Ammonia Level 82140 CPT 4001405 LOCAL 301 RC outpatient 368 312 United Healthcare PPO 60 60% of all negotiated rates 147 percent of total billed charges 147 368 Ammonia Level 82140 CPT 4001405 LOCAL 301 RC outpatient 368 312 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 10 fee schedule 10 350 Coinsurance and deductible may apply Ammonia Level 82140 CPT 4001405 LOCAL 301 RC outpatient 368 312 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 10 fee schedule 10 350 Coinsurance and deductible may apply Ammonia Level 82140 CPT 4001405 LOCAL 301 RC outpatient 368 312 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 10 fee schedule 10 350 Coinsurance and deductible may apply Amylase Level 82150 CPT 4001504 LOCAL 301 RC outpatient 146 124 Aetna PPO 38 38% of all negotiated rates 90 percent of total billed charges 90 146 Amylase Level 82150 CPT 4001504 LOCAL 301 RC outpatient 146 124 Aetna Medicare HMO 26 26% of all negotiated rates 108 percent of total billed charges 108 146 Amylase Level 82150 CPT 4001504 LOCAL 301 RC outpatient 146 124 Alignment Medicare HMO 39 39% of all negotiated rates 89 percent of total billed charges 89 146 Amylase Level 82150 CPT 4001504 LOCAL 301 RC outpatient 146 124 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 58 percent of total billed charges 58 146 Amylase Level 82150 CPT 4001504 LOCAL 301 RC outpatient 146 124 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 73 percent of total billed charges 73 146 Amylase Level 82150 CPT 4001504 LOCAL 301 RC outpatient 146 124 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 89 percent of total billed charges 89 146 Amylase Level 82150 CPT 4001504 LOCAL 301 RC outpatient 146 124 Cigna PPO 68 68% of all negotiated rates 47 percent of total billed charges 47 146 Amylase Level 82150 CPT 4001504 LOCAL 301 RC outpatient 146 124 Coalition PPO 49 49% of all negotiated rates 74 percent of total billed charges 74 146 Amylase Level 82150 CPT 4001504 LOCAL 301 RC outpatient 146 124 Coventry PPO 75 75% of all negotiated rates 36 percent of total billed charges 36 146 Amylase Level 82150 CPT 4001504 LOCAL 301 RC outpatient 146 124 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 29 percent of total billed charges 29 146 Amylase Level 82150 CPT 4001504 LOCAL 301 RC outpatient 146 124 Humana-Commerical PPO 70 70% of all negotiated rates 44 percent of total billed charges 44 146 Amylase Level 82150 CPT 4001504 LOCAL 301 RC outpatient 146 124 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 89 percent of total billed charges 89 146 Amylase Level 82150 CPT 4001504 LOCAL 301 RC outpatient 146 124 Multiplan PPO 80 80% of all negotiated rates 29 percent of total billed charges 29 146 Amylase Level 82150 CPT 4001504 LOCAL 301 RC outpatient 146 124 One Health PPO 55 55% of all negotiated rates 66 percent of total billed charges 66 146 Amylase Level 82150 CPT 4001504 LOCAL 301 RC outpatient 146 124 Optum Medicare HMO 39 39% of all negotiated rates 89 percent of total billed charges 89 146 Amylase Level 82150 CPT 4001504 LOCAL 301 RC outpatient 146 124 P3 HMO 39 39% of all negotiated rates 89 percent of total billed charges 89 146 Amylase Level 82150 CPT 4001504 LOCAL 301 RC outpatient 146 124 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 44 percent of total billed charges 44 146 Amylase Level 82150 CPT 4001504 LOCAL 301 RC outpatient 146 124 Select Health HMO 41 41% of all negotiated rates 86 percent of total billed charges 86 146 Amylase Level 82150 CPT 4001504 LOCAL 301 RC outpatient 146 124 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 97 percent of total billed charges 97 146 Amylase Level 82150 CPT 4001504 LOCAL 301 RC outpatient 146 124 Sierra/HPN HMO 60 60% of all negotiated rates 58 percent of total billed charges 58 146 Amylase Level 82150 CPT 4001504 LOCAL 301 RC outpatient 146 124 Silversummit Medicare HMO 39 39% of all negotiated rates 89 percent of total billed charges 89 146 Amylase Level 82150 CPT 4001504 LOCAL 301 RC outpatient 146 124 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 95 percent of total billed charges 95 146 Amylase Level 82150 CPT 4001504 LOCAL 301 RC outpatient 146 124 Teachers Trust PPO 65 65% of all negotiated rates 51 percent of total billed charges 51 146 Amylase Level 82150 CPT 4001504 LOCAL 301 RC outpatient 146 124 TriWest PPO 30 30% of all negotiated rates 102 percent of total billed charges 102 146 Amylase Level 82150 CPT 4001504 LOCAL 301 RC outpatient 146 124 UHN-Universal Health Network PPO 70 70% of all negotiated rates 44 percent of total billed charges 44 146 Amylase Level 82150 CPT 4001504 LOCAL 301 RC outpatient 146 124 United Healthcare PPO 60 60% of all negotiated rates 58 percent of total billed charges 58 146 Amylase Level 82150 CPT 4001504 LOCAL 301 RC outpatient 146 124 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 4 fee schedule 4 139 Coinsurance and deductible may apply Amylase Level 82150 CPT 4001504 LOCAL 301 RC outpatient 146 124 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 4 fee schedule 4 139 Coinsurance and deductible may apply Amylase Level 82150 CPT 4001504 LOCAL 301 RC outpatient 146 124 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 4 fee schedule 4 139 Coinsurance and deductible may apply ANA Titer and Pattern Rflx 86039 CPT 4010114SO LOCAL 301 RC outpatient 67 57 Aetna PPO 38 38% of all negotiated rates 42 percent of total billed charges 42 67 ANA Titer and Pattern Rflx 86039 CPT 4010114SO LOCAL 301 RC outpatient 67 57 Aetna Medicare HMO 26 26% of all negotiated rates 50 percent of total billed charges 50 67 ANA Titer and Pattern Rflx 86039 CPT 4010114SO LOCAL 301 RC outpatient 67 57 Alignment Medicare HMO 39 39% of all negotiated rates 41 percent of total billed charges 41 67 ANA Titer and Pattern Rflx 86039 CPT 4010114SO LOCAL 301 RC outpatient 67 57 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 27 percent of total billed charges 27 67 ANA Titer and Pattern Rflx 86039 CPT 4010114SO LOCAL 301 RC outpatient 67 57 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 34 percent of total billed charges 34 67 ANA Titer and Pattern Rflx 86039 CPT 4010114SO LOCAL 301 RC outpatient 67 57 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 41 percent of total billed charges 41 67 ANA Titer and Pattern Rflx 86039 CPT 4010114SO LOCAL 301 RC outpatient 67 57 Cigna PPO 68 68% of all negotiated rates 22 percent of total billed charges 22 67 ANA Titer and Pattern Rflx 86039 CPT 4010114SO LOCAL 301 RC outpatient 67 57 Coalition PPO 49 49% of all negotiated rates 34 percent of total billed charges 34 67 ANA Titer and Pattern Rflx 86039 CPT 4010114SO LOCAL 301 RC outpatient 67 57 Coventry PPO 75 75% of all negotiated rates 17 percent of total billed charges 17 67 ANA Titer and Pattern Rflx 86039 CPT 4010114SO LOCAL 301 RC outpatient 67 57 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 13 percent of total billed charges 13 67 ANA Titer and Pattern Rflx 86039 CPT 4010114SO LOCAL 301 RC outpatient 67 57 Humana-Commerical PPO 70 70% of all negotiated rates 20 percent of total billed charges 20 67 ANA Titer and Pattern Rflx 86039 CPT 4010114SO LOCAL 301 RC outpatient 67 57 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 41 percent of total billed charges 41 67 ANA Titer and Pattern Rflx 86039 CPT 4010114SO LOCAL 301 RC outpatient 67 57 Multiplan PPO 80 80% of all negotiated rates 13 percent of total billed charges 13 67 ANA Titer and Pattern Rflx 86039 CPT 4010114SO LOCAL 301 RC outpatient 67 57 One Health PPO 55 55% of all negotiated rates 30 percent of total billed charges 30 67 ANA Titer and Pattern Rflx 86039 CPT 4010114SO LOCAL 301 RC outpatient 67 57 Optum Medicare HMO 39 39% of all negotiated rates 41 percent of total billed charges 41 67 ANA Titer and Pattern Rflx 86039 CPT 4010114SO LOCAL 301 RC outpatient 67 57 P3 HMO 39 39% of all negotiated rates 41 percent of total billed charges 41 67 ANA Titer and Pattern Rflx 86039 CPT 4010114SO LOCAL 301 RC outpatient 67 57 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 20 percent of total billed charges 20 67 ANA Titer and Pattern Rflx 86039 CPT 4010114SO LOCAL 301 RC outpatient 67 57 Select Health HMO 41 41% of all negotiated rates 40 percent of total billed charges 40 67 ANA Titer and Pattern Rflx 86039 CPT 4010114SO LOCAL 301 RC outpatient 67 57 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 45 percent of total billed charges 45 67 ANA Titer and Pattern Rflx 86039 CPT 4010114SO LOCAL 301 RC outpatient 67 57 Sierra/HPN HMO 60 60% of all negotiated rates 27 percent of total billed charges 27 67 ANA Titer and Pattern Rflx 86039 CPT 4010114SO LOCAL 301 RC outpatient 67 57 Silversummit Medicare HMO 39 39% of all negotiated rates 41 percent of total billed charges 41 67 ANA Titer and Pattern Rflx 86039 CPT 4010114SO LOCAL 301 RC outpatient 67 57 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 44 percent of total billed charges 44 67 ANA Titer and Pattern Rflx 86039 CPT 4010114SO LOCAL 301 RC outpatient 67 57 Teachers Trust PPO 65 65% of all negotiated rates 24 percent of total billed charges 24 67 ANA Titer and Pattern Rflx 86039 CPT 4010114SO LOCAL 301 RC outpatient 67 57 TriWest PPO 30 30% of all negotiated rates 47 percent of total billed charges 47 67 ANA Titer and Pattern Rflx 86039 CPT 4010114SO LOCAL 301 RC outpatient 67 57 UHN-Universal Health Network PPO 70 70% of all negotiated rates 20 percent of total billed charges 20 67 ANA Titer and Pattern Rflx 86039 CPT 4010114SO LOCAL 301 RC outpatient 67 57 United Healthcare PPO 60 60% of all negotiated rates 27 percent of total billed charges 27 67 ANA Titer and Pattern Rflx 86039 CPT 4010114SO LOCAL 301 RC outpatient 67 57 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 8 fee schedule 8 64 Coinsurance and deductible may apply ANA Titer and Pattern Rflx 86039 CPT 4010114SO LOCAL 301 RC outpatient 67 57 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 8 fee schedule 8 64 Coinsurance and deductible may apply ANA Titer and Pattern Rflx 86039 CPT 4010114SO LOCAL 301 RC outpatient 67 57 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 8 fee schedule 8 64 Coinsurance and deductible may apply Antibody ID 86077 CPT 4000282SO LOCAL 301 RC outpatient 327 278 Aetna PPO 38 38% of all negotiated rates 202 percent of total billed charges 202 327 Antibody ID 86077 CPT 4000282SO LOCAL 301 RC outpatient 327 278 Aetna Medicare HMO 26 26% of all negotiated rates 242 percent of total billed charges 242 327 Antibody ID 86077 CPT 4000282SO LOCAL 301 RC outpatient 327 278 Alignment Medicare HMO 39 39% of all negotiated rates 199 percent of total billed charges 199 327 Antibody ID 86077 CPT 4000282SO LOCAL 301 RC outpatient 327 278 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 131 percent of total billed charges 131 327 Antibody ID 86077 CPT 4000282SO LOCAL 301 RC outpatient 327 278 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 163 percent of total billed charges 163 327 Antibody ID 86077 CPT 4000282SO LOCAL 301 RC outpatient 327 278 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 199 percent of total billed charges 199 327 Antibody ID 86077 CPT 4000282SO LOCAL 301 RC outpatient 327 278 Cigna PPO 68 68% of all negotiated rates 104 percent of total billed charges 104 327 Antibody ID 86077 CPT 4000282SO LOCAL 301 RC outpatient 327 278 Coalition PPO 49 49% of all negotiated rates 167 percent of total billed charges 167 327 Antibody ID 86077 CPT 4000282SO LOCAL 301 RC outpatient 327 278 Coventry PPO 75 75% of all negotiated rates 82 percent of total billed charges 82 327 Antibody ID 86077 CPT 4000282SO LOCAL 301 RC outpatient 327 278 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 65 percent of total billed charges 65 327 Antibody ID 86077 CPT 4000282SO LOCAL 301 RC outpatient 327 278 Humana-Commerical PPO 70 70% of all negotiated rates 98 percent of total billed charges 98 327 Antibody ID 86077 CPT 4000282SO LOCAL 301 RC outpatient 327 278 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 199 percent of total billed charges 199 327 Antibody ID 86077 CPT 4000282SO LOCAL 301 RC outpatient 327 278 Multiplan PPO 80 80% of all negotiated rates 65 percent of total billed charges 65 327 Antibody ID 86077 CPT 4000282SO LOCAL 301 RC outpatient 327 278 One Health PPO 55 55% of all negotiated rates 147 percent of total billed charges 147 327 Antibody ID 86077 CPT 4000282SO LOCAL 301 RC outpatient 327 278 Optum Medicare HMO 39 39% of all negotiated rates 199 percent of total billed charges 199 327 Antibody ID 86077 CPT 4000282SO LOCAL 301 RC outpatient 327 278 P3 HMO 39 39% of all negotiated rates 199 percent of total billed charges 199 327 Antibody ID 86077 CPT 4000282SO LOCAL 301 RC outpatient 327 278 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 98 percent of total billed charges 98 327 Antibody ID 86077 CPT 4000282SO LOCAL 301 RC outpatient 327 278 Select Health HMO 41 41% of all negotiated rates 193 percent of total billed charges 193 327 Antibody ID 86077 CPT 4000282SO LOCAL 301 RC outpatient 327 278 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 217 percent of total billed charges 217 327 Antibody ID 86077 CPT 4000282SO LOCAL 301 RC outpatient 327 278 Sierra/HPN HMO 60 60% of all negotiated rates 131 percent of total billed charges 131 327 Antibody ID 86077 CPT 4000282SO LOCAL 301 RC outpatient 327 278 Silversummit Medicare HMO 39 39% of all negotiated rates 199 percent of total billed charges 199 327 Antibody ID 86077 CPT 4000282SO LOCAL 301 RC outpatient 327 278 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 212 percent of total billed charges 212 327 Antibody ID 86077 CPT 4000282SO LOCAL 301 RC outpatient 327 278 Teachers Trust PPO 65 65% of all negotiated rates 114 percent of total billed charges 114 327 Antibody ID 86077 CPT 4000282SO LOCAL 301 RC outpatient 327 278 TriWest PPO 30 30% of all negotiated rates 229 percent of total billed charges 229 327 Antibody ID 86077 CPT 4000282SO LOCAL 301 RC outpatient 327 278 UHN-Universal Health Network PPO 70 70% of all negotiated rates 98 percent of total billed charges 98 327 Antibody ID 86077 CPT 4000282SO LOCAL 301 RC outpatient 327 278 United Healthcare PPO 60 60% of all negotiated rates 131 percent of total billed charges 131 327 Antibody ID 86077 CPT 4000282SO LOCAL 301 RC outpatient 327 278 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 26 fee schedule 26 311 Coinsurance and deductible may apply Antibody ID 86077 CPT 4000282SO LOCAL 301 RC outpatient 327 278 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 26 fee schedule 26 311 Coinsurance and deductible may apply Antibody ID 86077 CPT 4000282SO LOCAL 301 RC outpatient 327 278 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 26 fee schedule 26 311 Coinsurance and deductible may apply Appendectomy Laparoscopic 44970 CPT 49044970 LOCAL 360 RC outpatient 7976 6779 Aetna Medicare HMO 26 26% of all negotiated rates 5902 percent of total billed charges 5902 7976 Appendectomy Laparoscopic 44970 CPT 49044970 LOCAL 360 RC outpatient 7976 6779 Alignment Medicare HMO 39 39% of all negotiated rates 4865 percent of total billed charges 4865 7976 Appendectomy Laparoscopic 44970 CPT 49044970 LOCAL 360 RC outpatient 7976 6779 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 3190 percent of total billed charges 3190 7976 Appendectomy Laparoscopic 44970 CPT 49044970 LOCAL 360 RC outpatient 7976 6779 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 3988 percent of total billed charges 3988 7976 Appendectomy Laparoscopic 44970 CPT 49044970 LOCAL 360 RC outpatient 7976 6779 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 4865 percent of total billed charges 4865 7976 Appendectomy Laparoscopic 44970 CPT 49044970 LOCAL 360 RC outpatient 7976 6779 Cigna PPO 68 68% of all negotiated rates 2552 percent of total billed charges 2552 7976 Appendectomy Laparoscopic 44970 CPT 49044970 LOCAL 360 RC outpatient 7976 6779 Coventry PPO 75 75% of all negotiated rates 1994 percent of total billed charges 1994 7976 Appendectomy Laparoscopic 44970 CPT 49044970 LOCAL 360 RC outpatient 7976 6779 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 1595 percent of total billed charges 1595 7976 Appendectomy Laparoscopic 44970 CPT 49044970 LOCAL 360 RC outpatient 7976 6779 Humana-Commerical PPO 70 70% of all negotiated rates 2393 percent of total billed charges 2393 7976 Appendectomy Laparoscopic 44970 CPT 49044970 LOCAL 360 RC outpatient 7976 6779 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 4865 percent of total billed charges 4865 7976 Appendectomy Laparoscopic 44970 CPT 49044970 LOCAL 360 RC outpatient 7976 6779 Multiplan PPO 80 80% of all negotiated rates 1595 percent of total billed charges 1595 7976 Appendectomy Laparoscopic 44970 CPT 49044970 LOCAL 360 RC outpatient 7976 6779 Optum Medicare HMO 39 39% of all negotiated rates 4865 percent of total billed charges 4865 7976 Appendectomy Laparoscopic 44970 CPT 49044970 LOCAL 360 RC outpatient 7976 6779 P3 HMO 39 39% of all negotiated rates 4865 percent of total billed charges 4865 7976 Appendectomy Laparoscopic 44970 CPT 49044970 LOCAL 360 RC outpatient 7976 6779 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 2393 percent of total billed charges 2393 7976 Appendectomy Laparoscopic 44970 CPT 49044970 LOCAL 360 RC outpatient 7976 6779 Select Health HMO 41 41% of all negotiated rates 4706 percent of total billed charges 4706 7976 Appendectomy Laparoscopic 44970 CPT 49044970 LOCAL 360 RC outpatient 7976 6779 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 5304 percent of total billed charges 5304 7976 Appendectomy Laparoscopic 44970 CPT 49044970 LOCAL 360 RC outpatient 7976 6779 Sierra/HPN HMO 60 60% of all negotiated rates 3190 percent of total billed charges 3190 7976 Appendectomy Laparoscopic 44970 CPT 49044970 LOCAL 360 RC outpatient 7976 6779 Silversummit Medicare HMO 39 39% of all negotiated rates 4865 percent of total billed charges 4865 7976 Appendectomy Laparoscopic 44970 CPT 49044970 LOCAL 360 RC outpatient 7976 6779 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 5184 percent of total billed charges 5184 7976 Appendectomy Laparoscopic 44970 CPT 49044970 LOCAL 360 RC outpatient 7976 6779 TriWest PPO 30 30% of all negotiated rates 5583 percent of total billed charges 5583 7976 Appendectomy Laparoscopic 44970 CPT 49044970 LOCAL 360 RC outpatient 7976 6779 UHN-Universal Health Network PPO 70 70% of all negotiated rates 2393 percent of total billed charges 2393 7976 Appendectomy Laparoscopic 44970 CPT 49044970 LOCAL 360 RC outpatient 7976 6779 Aetna PPO 1150 case rate 1150 case rate 1150 7596 Coinsurance and deductible may apply Appendectomy Laparoscopic 44970 CPT 49044970 LOCAL 360 RC outpatient 7976 6779 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 567 fee schedule 567 7596 Coinsurance and deductible may apply Appendectomy Laparoscopic 44970 CPT 49044970 LOCAL 360 RC outpatient 7976 6779 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 567 fee schedule 567 7596 Coinsurance and deductible may apply Appendectomy Laparoscopic 44970 CPT 49044970 LOCAL 360 RC outpatient 7976 6779 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 567 fee schedule 567 7596 Coinsurance and deductible may apply Appendectomy Laparoscopic 44970 CPT 49044970 LOCAL 360 RC outpatient 7976 6779 Teachers Trust PPO 1505 case rate 1505 case rate 1505 7596 Coinsurance and deductible may apply Arthrodesis Tarsal Joint 28730 CPT 49028730 LOCAL 490 RC outpatient 10075 8564 Aetna Medicare HMO 26 26% of all negotiated rates 7455 percent of total billed charges 7455 10075 Arthrodesis Tarsal Joint 28730 CPT 49028730 LOCAL 490 RC outpatient 10075 8564 Alignment Medicare HMO 39 39% of all negotiated rates 6146 percent of total billed charges 6146 10075 Arthrodesis Tarsal Joint 28730 CPT 49028730 LOCAL 490 RC outpatient 10075 8564 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 4030 percent of total billed charges 4030 10075 Arthrodesis Tarsal Joint 28730 CPT 49028730 LOCAL 490 RC outpatient 10075 8564 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 5037 percent of total billed charges 5037 10075 Arthrodesis Tarsal Joint 28730 CPT 49028730 LOCAL 490 RC outpatient 10075 8564 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 6146 percent of total billed charges 6146 10075 Arthrodesis Tarsal Joint 28730 CPT 49028730 LOCAL 490 RC outpatient 10075 8564 Coventry PPO 75 75% of all negotiated rates 2519 percent of total billed charges 2519 10075 Arthrodesis Tarsal Joint 28730 CPT 49028730 LOCAL 490 RC outpatient 10075 8564 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 2015 percent of total billed charges 2015 10075 Arthrodesis Tarsal Joint 28730 CPT 49028730 LOCAL 490 RC outpatient 10075 8564 Humana-Commerical PPO 46 46% of all negotiated rates 5440 percent of total billed charges 5440 10075 Arthrodesis Tarsal Joint 28730 CPT 49028730 LOCAL 490 RC outpatient 10075 8564 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 6146 percent of total billed charges 6146 10075 Arthrodesis Tarsal Joint 28730 CPT 49028730 LOCAL 490 RC outpatient 10075 8564 Multiplan PPO 80 80% of all negotiated rates 2015 percent of total billed charges 2015 10075 Arthrodesis Tarsal Joint 28730 CPT 49028730 LOCAL 490 RC outpatient 10075 8564 Optum Medicare HMO 39 39% of all negotiated rates 6146 percent of total billed charges 6146 10075 Arthrodesis Tarsal Joint 28730 CPT 49028730 LOCAL 490 RC outpatient 10075 8564 P3 HMO 39 39% of all negotiated rates 6146 percent of total billed charges 6146 10075 Arthrodesis Tarsal Joint 28730 CPT 49028730 LOCAL 490 RC outpatient 10075 8564 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 3526 percent of total billed charges 3526 10075 Arthrodesis Tarsal Joint 28730 CPT 49028730 LOCAL 490 RC outpatient 10075 8564 Select Health HMO 41 41% of all negotiated rates 5944 percent of total billed charges 5944 10075 Arthrodesis Tarsal Joint 28730 CPT 49028730 LOCAL 490 RC outpatient 10075 8564 Silversummit Medicare HMO 39 39% of all negotiated rates 6146 percent of total billed charges 6146 10075 Arthrodesis Tarsal Joint 28730 CPT 49028730 LOCAL 490 RC outpatient 10075 8564 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 6549 percent of total billed charges 6549 10075 Arthrodesis Tarsal Joint 28730 CPT 49028730 LOCAL 490 RC outpatient 10075 8564 TriWest PPO 30 30% of all negotiated rates 7052 percent of total billed charges 7052 10075 Arthrodesis Tarsal Joint 28730 CPT 49028730 LOCAL 490 RC outpatient 10075 8564 UHN-Universal Health Network PPO 65 65% of all negotiated rates 3526 percent of total billed charges 3526 10075 Arthrodesis Tarsal Joint 28730 CPT 49028730 LOCAL 490 RC outpatient 10075 8564 Aetna PPO 1350 case rate 1350 case rate 1350 9595 Coinsurance and deductible may apply Arthrodesis Tarsal Joint 28730 CPT 49028730 LOCAL 490 RC outpatient 10075 8564 Anthem Medicaid HMO 2792 NV Medicaid SDS Rate 2792 fee schedule 2792 9595 Coinsurance and deductible may apply Arthrodesis Tarsal Joint 28730 CPT 49028730 LOCAL 490 RC outpatient 10075 8564 Cigna PPO 1427 case rate 1427 case rate 1427 9595 Coinsurance and deductible may apply Arthrodesis Tarsal Joint 28730 CPT 49028730 LOCAL 490 RC outpatient 10075 8564 Coalition PPO 1321 Coalition grouper rate 1321 case rate 1321 9595 Coinsurance and deductible may apply Arthrodesis Tarsal Joint 28730 CPT 49028730 LOCAL 490 RC outpatient 10075 8564 HPN Medicaid HMO 2792 NV Medicaid SDS Rate 2792 fee schedule 2792 9595 Coinsurance and deductible may apply Arthrodesis Tarsal Joint 28730 CPT 49028730 LOCAL 490 RC outpatient 10075 8564 Molina Medicaid HMO 2792 NV Medicaid SDS Rate 2792 case rate 2792 9595 Coinsurance and deductible may apply Arthrodesis Tarsal Joint 28730 CPT 49028730 LOCAL 490 RC outpatient 10075 8564 One Health PPO 2818 case rate 2818 case rate 2818 9595 Coinsurance and deductible may apply Arthrodesis Tarsal Joint 28730 CPT 49028730 LOCAL 490 RC outpatient 10075 8564 Sierra Healthcare Options PPO 1427 case rate 1427 case rate 1427 9595 Coinsurance and deductible may apply Arthrodesis Tarsal Joint 28730 CPT 49028730 LOCAL 490 RC outpatient 10075 8564 Sierra/HPN HMO 1427 case rate 1427 case rate 1427 9595 Coinsurance and deductible may apply Arthrodesis Tarsal Joint 28730 CPT 49028730 LOCAL 490 RC outpatient 10075 8564 Teachers Trust PPO 1321 Teachers grouper rate 1321 case rate 1321 9595 Coinsurance and deductible may apply Arthrodesis Tarsal Joint 28730 CPT 49028730 LOCAL 490 RC outpatient 10075 8564 United Healthcare PPO 2818 case rate 2818 case rate 2818 9595 Coinsurance and deductible may apply Arthrodesis Tendon Lengthening 28737 CPT 49028737 LOCAL 490 RC outpatient 8969 7624 Aetna Medicare HMO 26 26% of all negotiated rates 6637 percent of total billed charges 6637 8969 Arthrodesis Tendon Lengthening 28737 CPT 49028737 LOCAL 490 RC outpatient 8969 7624 Alignment Medicare HMO 39 39% of all negotiated rates 5471 percent of total billed charges 5471 8969 Arthrodesis Tendon Lengthening 28737 CPT 49028737 LOCAL 490 RC outpatient 8969 7624 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 3588 percent of total billed charges 3588 8969 Arthrodesis Tendon Lengthening 28737 CPT 49028737 LOCAL 490 RC outpatient 8969 7624 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 4485 percent of total billed charges 4485 8969 Arthrodesis Tendon Lengthening 28737 CPT 49028737 LOCAL 490 RC outpatient 8969 7624 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 5471 percent of total billed charges 5471 8969 Arthrodesis Tendon Lengthening 28737 CPT 49028737 LOCAL 490 RC outpatient 8969 7624 Coventry PPO 75 75% of all negotiated rates 2242 percent of total billed charges 2242 8969 Arthrodesis Tendon Lengthening 28737 CPT 49028737 LOCAL 490 RC outpatient 8969 7624 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 1794 percent of total billed charges 1794 8969 Arthrodesis Tendon Lengthening 28737 CPT 49028737 LOCAL 490 RC outpatient 8969 7624 Humana-Commerical PPO 46 46% of all negotiated rates 4843 percent of total billed charges 4843 8969 Arthrodesis Tendon Lengthening 28737 CPT 49028737 LOCAL 490 RC outpatient 8969 7624 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 5471 percent of total billed charges 5471 8969 Arthrodesis Tendon Lengthening 28737 CPT 49028737 LOCAL 490 RC outpatient 8969 7624 Multiplan PPO 80 80% of all negotiated rates 1794 percent of total billed charges 1794 8969 Arthrodesis Tendon Lengthening 28737 CPT 49028737 LOCAL 490 RC outpatient 8969 7624 Optum Medicare HMO 39 39% of all negotiated rates 5471 percent of total billed charges 5471 8969 Arthrodesis Tendon Lengthening 28737 CPT 49028737 LOCAL 490 RC outpatient 8969 7624 P3 HMO 39 39% of all negotiated rates 5471 percent of total billed charges 5471 8969 Arthrodesis Tendon Lengthening 28737 CPT 49028737 LOCAL 490 RC outpatient 8969 7624 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 3139 percent of total billed charges 3139 8969 Arthrodesis Tendon Lengthening 28737 CPT 49028737 LOCAL 490 RC outpatient 8969 7624 Select Health HMO 41 41% of all negotiated rates 5292 percent of total billed charges 5292 8969 Arthrodesis Tendon Lengthening 28737 CPT 49028737 LOCAL 490 RC outpatient 8969 7624 Silversummit Medicare HMO 39 39% of all negotiated rates 5471 percent of total billed charges 5471 8969 Arthrodesis Tendon Lengthening 28737 CPT 49028737 LOCAL 490 RC outpatient 8969 7624 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 5830 percent of total billed charges 5830 8969 Arthrodesis Tendon Lengthening 28737 CPT 49028737 LOCAL 490 RC outpatient 8969 7624 TriWest PPO 30 30% of all negotiated rates 6278 percent of total billed charges 6278 8969 Arthrodesis Tendon Lengthening 28737 CPT 49028737 LOCAL 490 RC outpatient 8969 7624 UHN-Universal Health Network PPO 65 65% of all negotiated rates 3139 percent of total billed charges 3139 8969 Arthrodesis Tendon Lengthening 28737 CPT 49028737 LOCAL 490 RC outpatient 8969 7624 Aetna PPO 1550 case rate 1550 case rate 1550 8542 Coinsurance and deductible may apply Arthrodesis Tendon Lengthening 28737 CPT 49028737 LOCAL 490 RC outpatient 8969 7624 Anthem Medicaid HMO 2792 NV Medicaid SDS Rate 2792 fee schedule 2792 8542 Coinsurance and deductible may apply Arthrodesis Tendon Lengthening 28737 CPT 49028737 LOCAL 490 RC outpatient 8969 7624 Cigna PPO 1625 case rate 1625 case rate 1625 8542 Coinsurance and deductible may apply Arthrodesis Tendon Lengthening 28737 CPT 49028737 LOCAL 490 RC outpatient 8969 7624 Coalition PPO 1505 Coalition grouper rate 1505 case rate 1505 8542 Coinsurance and deductible may apply Arthrodesis Tendon Lengthening 28737 CPT 49028737 LOCAL 490 RC outpatient 8969 7624 HPN Medicaid HMO 2792 NV Medicaid SDS Rate 2792 fee schedule 2792 8542 Coinsurance and deductible may apply Arthrodesis Tendon Lengthening 28737 CPT 49028737 LOCAL 490 RC outpatient 8969 7624 Molina Medicaid HMO 2792 NV Medicaid SDS Rate 2792 case rate 2792 8542 Coinsurance and deductible may apply Arthrodesis Tendon Lengthening 28737 CPT 49028737 LOCAL 490 RC outpatient 8969 7624 One Health PPO 2818 case rate 2818 case rate 2818 8542 Coinsurance and deductible may apply Arthrodesis Tendon Lengthening 28737 CPT 49028737 LOCAL 490 RC outpatient 8969 7624 Sierra Healthcare Options PPO 1625 case rate 1625 case rate 1625 8542 Coinsurance and deductible may apply Arthrodesis Tendon Lengthening 28737 CPT 49028737 LOCAL 490 RC outpatient 8969 7624 Sierra/HPN HMO 1625 case rate 1625 case rate 1625 8542 Coinsurance and deductible may apply Arthrodesis Tendon Lengthening 28737 CPT 49028737 LOCAL 490 RC outpatient 8969 7624 Teachers Trust PPO 1505 Teachers grouper rate 1505 case rate 1505 8542 Coinsurance and deductible may apply Arthrodesis Tendon Lengthening 28737 CPT 49028737 LOCAL 490 RC outpatient 8969 7624 United Healthcare PPO 2818 case rate 2818 case rate 2818 8542 Coinsurance and deductible may apply Arthrodesis Thumb 26841 CPT 49026841 LOCAL 490 RC outpatient 6174 5248 Aetna Medicare HMO 26 26% of all negotiated rates 4569 percent of total billed charges 4569 6174 Arthrodesis Thumb 26841 CPT 49026841 LOCAL 490 RC outpatient 6174 5248 Alignment Medicare HMO 39 39% of all negotiated rates 3766 percent of total billed charges 3766 6174 Arthrodesis Thumb 26841 CPT 49026841 LOCAL 490 RC outpatient 6174 5248 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 2470 percent of total billed charges 2470 6174 Arthrodesis Thumb 26841 CPT 49026841 LOCAL 490 RC outpatient 6174 5248 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 3087 percent of total billed charges 3087 6174 Arthrodesis Thumb 26841 CPT 49026841 LOCAL 490 RC outpatient 6174 5248 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 3766 percent of total billed charges 3766 6174 Arthrodesis Thumb 26841 CPT 49026841 LOCAL 490 RC outpatient 6174 5248 Coventry PPO 75 75% of all negotiated rates 1544 percent of total billed charges 1544 6174 Arthrodesis Thumb 26841 CPT 49026841 LOCAL 490 RC outpatient 6174 5248 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 1235 percent of total billed charges 1235 6174 Arthrodesis Thumb 26841 CPT 49026841 LOCAL 490 RC outpatient 6174 5248 Humana-Commerical PPO 46 46% of all negotiated rates 3334 percent of total billed charges 3334 6174 Arthrodesis Thumb 26841 CPT 49026841 LOCAL 490 RC outpatient 6174 5248 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 3766 percent of total billed charges 3766 6174 Arthrodesis Thumb 26841 CPT 49026841 LOCAL 490 RC outpatient 6174 5248 Multiplan PPO 80 80% of all negotiated rates 1235 percent of total billed charges 1235 6174 Arthrodesis Thumb 26841 CPT 49026841 LOCAL 490 RC outpatient 6174 5248 Optum Medicare HMO 39 39% of all negotiated rates 3766 percent of total billed charges 3766 6174 Arthrodesis Thumb 26841 CPT 49026841 LOCAL 490 RC outpatient 6174 5248 P3 HMO 39 39% of all negotiated rates 3766 percent of total billed charges 3766 6174 Arthrodesis Thumb 26841 CPT 49026841 LOCAL 490 RC outpatient 6174 5248 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 2161 percent of total billed charges 2161 6174 Arthrodesis Thumb 26841 CPT 49026841 LOCAL 490 RC outpatient 6174 5248 Select Health HMO 41 41% of all negotiated rates 3643 percent of total billed charges 3643 6174 Arthrodesis Thumb 26841 CPT 49026841 LOCAL 490 RC outpatient 6174 5248 Silversummit Medicare HMO 39 39% of all negotiated rates 3766 percent of total billed charges 3766 6174 Arthrodesis Thumb 26841 CPT 49026841 LOCAL 490 RC outpatient 6174 5248 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 4013 percent of total billed charges 4013 6174 Arthrodesis Thumb 26841 CPT 49026841 LOCAL 490 RC outpatient 6174 5248 TriWest PPO 30 30% of all negotiated rates 4322 percent of total billed charges 4322 6174 Arthrodesis Thumb 26841 CPT 49026841 LOCAL 490 RC outpatient 6174 5248 UHN-Universal Health Network PPO 65 65% of all negotiated rates 2161 percent of total billed charges 2161 6174 Arthrodesis Thumb 26841 CPT 49026841 LOCAL 490 RC outpatient 6174 5248 Aetna PPO 1350 case rate 1350 case rate 1350 5880 Coinsurance and deductible may apply Arthrodesis Thumb 26841 CPT 49026841 LOCAL 490 RC outpatient 6174 5248 Anthem Medicaid HMO 1059 NV Medicaid SDS Rate 1059 fee schedule 1059 5880 Coinsurance and deductible may apply Arthrodesis Thumb 26841 CPT 49026841 LOCAL 490 RC outpatient 6174 5248 Cigna PPO 1427 case rate 1427 case rate 1427 5880 Coinsurance and deductible may apply Arthrodesis Thumb 26841 CPT 49026841 LOCAL 490 RC outpatient 6174 5248 Coalition PPO 1321 Coalition grouper rate 1321 case rate 1321 5880 Coinsurance and deductible may apply Arthrodesis Thumb 26841 CPT 49026841 LOCAL 490 RC outpatient 6174 5248 HPN Medicaid HMO 1059 NV Medicaid SDS Rate 1059 fee schedule 1059 5880 Coinsurance and deductible may apply Arthrodesis Thumb 26841 CPT 49026841 LOCAL 490 RC outpatient 6174 5248 Molina Medicaid HMO 1059 NV Medicaid SDS Rate 1059 case rate 1059 5880 Coinsurance and deductible may apply Arthrodesis Thumb 26841 CPT 49026841 LOCAL 490 RC outpatient 6174 5248 One Health PPO 1441 case rate 1441 case rate 1441 5880 Coinsurance and deductible may apply Arthrodesis Thumb 26841 CPT 49026841 LOCAL 490 RC outpatient 6174 5248 Sierra Healthcare Options PPO 1427 case rate 1427 case rate 1427 5880 Coinsurance and deductible may apply Arthrodesis Thumb 26841 CPT 49026841 LOCAL 490 RC outpatient 6174 5248 Sierra/HPN HMO 1427 case rate 1427 case rate 1427 5880 Coinsurance and deductible may apply Arthrodesis Thumb 26841 CPT 49026841 LOCAL 490 RC outpatient 6174 5248 Teachers Trust PPO 1321 Teachers grouper rate 1321 case rate 1321 5880 Coinsurance and deductible may apply Arthrodesis Thumb 26841 CPT 49026841 LOCAL 490 RC outpatient 6174 5248 United Healthcare PPO 1441 case rate 1441 case rate 1441 5880 Coinsurance and deductible may apply Arthrodesis Tibiofibular Joint 27871 CPT 49027871 LOCAL 490 RC outpatient 14543 12361 Aetna Medicare HMO 26 26% of all negotiated rates 10761 percent of total billed charges 10761 14543 Arthrodesis Tibiofibular Joint 27871 CPT 49027871 LOCAL 490 RC outpatient 14543 12361 Alignment Medicare HMO 39 39% of all negotiated rates 8871 percent of total billed charges 8871 14543 Arthrodesis Tibiofibular Joint 27871 CPT 49027871 LOCAL 490 RC outpatient 14543 12361 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 5817 percent of total billed charges 5817 14543 Arthrodesis Tibiofibular Joint 27871 CPT 49027871 LOCAL 490 RC outpatient 14543 12361 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 7271 percent of total billed charges 7271 14543 Arthrodesis Tibiofibular Joint 27871 CPT 49027871 LOCAL 490 RC outpatient 14543 12361 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 8871 percent of total billed charges 8871 14543 Arthrodesis Tibiofibular Joint 27871 CPT 49027871 LOCAL 490 RC outpatient 14543 12361 Coventry PPO 75 75% of all negotiated rates 3636 percent of total billed charges 3636 14543 Arthrodesis Tibiofibular Joint 27871 CPT 49027871 LOCAL 490 RC outpatient 14543 12361 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 2909 percent of total billed charges 2909 14543 Arthrodesis Tibiofibular Joint 27871 CPT 49027871 LOCAL 490 RC outpatient 14543 12361 Humana-Commerical PPO 46 46% of all negotiated rates 7853 percent of total billed charges 7853 14543 Arthrodesis Tibiofibular Joint 27871 CPT 49027871 LOCAL 490 RC outpatient 14543 12361 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 8871 percent of total billed charges 8871 14543 Arthrodesis Tibiofibular Joint 27871 CPT 49027871 LOCAL 490 RC outpatient 14543 12361 Multiplan PPO 80 80% of all negotiated rates 2909 percent of total billed charges 2909 14543 Arthrodesis Tibiofibular Joint 27871 CPT 49027871 LOCAL 490 RC outpatient 14543 12361 Optum Medicare HMO 39 39% of all negotiated rates 8871 percent of total billed charges 8871 14543 Arthrodesis Tibiofibular Joint 27871 CPT 49027871 LOCAL 490 RC outpatient 14543 12361 P3 HMO 39 39% of all negotiated rates 8871 percent of total billed charges 8871 14543 Arthrodesis Tibiofibular Joint 27871 CPT 49027871 LOCAL 490 RC outpatient 14543 12361 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 5090 percent of total billed charges 5090 14543 Arthrodesis Tibiofibular Joint 27871 CPT 49027871 LOCAL 490 RC outpatient 14543 12361 Select Health HMO 41 41% of all negotiated rates 8580 percent of total billed charges 8580 14543 Arthrodesis Tibiofibular Joint 27871 CPT 49027871 LOCAL 490 RC outpatient 14543 12361 Silversummit Medicare HMO 39 39% of all negotiated rates 8871 percent of total billed charges 8871 14543 Arthrodesis Tibiofibular Joint 27871 CPT 49027871 LOCAL 490 RC outpatient 14543 12361 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 9453 percent of total billed charges 9453 14543 Arthrodesis Tibiofibular Joint 27871 CPT 49027871 LOCAL 490 RC outpatient 14543 12361 TriWest PPO 30 30% of all negotiated rates 10180 percent of total billed charges 10180 14543 Arthrodesis Tibiofibular Joint 27871 CPT 49027871 LOCAL 490 RC outpatient 14543 12361 UHN-Universal Health Network PPO 65 65% of all negotiated rates 5090 percent of total billed charges 5090 14543 Arthrodesis Tibiofibular Joint 27871 CPT 49027871 LOCAL 490 RC outpatient 14543 12361 Aetna PPO 1350 case rate 1350 case rate 1350 13850 Coinsurance and deductible may apply Arthrodesis Tibiofibular Joint 27871 CPT 49027871 LOCAL 490 RC outpatient 14543 12361 Anthem Medicaid HMO 2792 NV Medicaid SDS Rate 2792 fee schedule 2792 13850 Coinsurance and deductible may apply Arthrodesis Tibiofibular Joint 27871 CPT 49027871 LOCAL 490 RC outpatient 14543 12361 Cigna PPO 1427 case rate 1427 case rate 1427 13850 Coinsurance and deductible may apply Arthrodesis Tibiofibular Joint 27871 CPT 49027871 LOCAL 490 RC outpatient 14543 12361 Coalition PPO 1321 Coalition grouper rate 1321 case rate 1321 13850 Coinsurance and deductible may apply Arthrodesis Tibiofibular Joint 27871 CPT 49027871 LOCAL 490 RC outpatient 14543 12361 HPN Medicaid HMO 2792 NV Medicaid SDS Rate 2792 fee schedule 2792 13850 Coinsurance and deductible may apply Arthrodesis Tibiofibular Joint 27871 CPT 49027871 LOCAL 490 RC outpatient 14543 12361 Molina Medicaid HMO 2792 NV Medicaid SDS Rate 2792 case rate 2792 13850 Coinsurance and deductible may apply Arthrodesis Tibiofibular Joint 27871 CPT 49027871 LOCAL 490 RC outpatient 14543 12361 One Health PPO 2818 case rate 2818 case rate 2818 13850 Coinsurance and deductible may apply Arthrodesis Tibiofibular Joint 27871 CPT 49027871 LOCAL 490 RC outpatient 14543 12361 Sierra Healthcare Options PPO 1427 case rate 1427 case rate 1427 13850 Coinsurance and deductible may apply Arthrodesis Tibiofibular Joint 27871 CPT 49027871 LOCAL 490 RC outpatient 14543 12361 Sierra/HPN HMO 1427 case rate 1427 case rate 1427 13850 Coinsurance and deductible may apply Arthrodesis Tibiofibular Joint 27871 CPT 49027871 LOCAL 490 RC outpatient 14543 12361 Teachers Trust PPO 1321 Teachers grouper rate 1321 case rate 1321 13850 Coinsurance and deductible may apply Arthrodesis Tibiofibular Joint 27871 CPT 49027871 LOCAL 490 RC outpatient 14543 12361 United Healthcare PPO 2818 case rate 2818 case rate 2818 13850 Coinsurance and deductible may apply Arthroplasty Shoulder 23472 CPT 36023472 LOCAL 360 RC outpatient 7779 6613 Aetna Medicare HMO 26 26% of all negotiated rates 5757 percent of total billed charges 5757 7779 Arthroplasty Shoulder 23472 CPT 36023472 LOCAL 360 RC outpatient 7779 6613 Alignment Medicare HMO 39 39% of all negotiated rates 4745 percent of total billed charges 4745 7779 Arthroplasty Shoulder 23472 CPT 36023472 LOCAL 360 RC outpatient 7779 6613 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 3112 percent of total billed charges 3112 7779 Arthroplasty Shoulder 23472 CPT 36023472 LOCAL 360 RC outpatient 7779 6613 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 3890 percent of total billed charges 3890 7779 Arthroplasty Shoulder 23472 CPT 36023472 LOCAL 360 RC outpatient 7779 6613 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 4745 percent of total billed charges 4745 7779 Arthroplasty Shoulder 23472 CPT 36023472 LOCAL 360 RC outpatient 7779 6613 Cigna PPO 68 68% of all negotiated rates 2489 percent of total billed charges 2489 7779 Arthroplasty Shoulder 23472 CPT 36023472 LOCAL 360 RC outpatient 7779 6613 Coventry PPO 75 75% of all negotiated rates 1945 percent of total billed charges 1945 7779 Arthroplasty Shoulder 23472 CPT 36023472 LOCAL 360 RC outpatient 7779 6613 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 1556 percent of total billed charges 1556 7779 Arthroplasty Shoulder 23472 CPT 36023472 LOCAL 360 RC outpatient 7779 6613 Humana-Commerical PPO 70 70% of all negotiated rates 2334 percent of total billed charges 2334 7779 Arthroplasty Shoulder 23472 CPT 36023472 LOCAL 360 RC outpatient 7779 6613 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 4745 percent of total billed charges 4745 7779 Arthroplasty Shoulder 23472 CPT 36023472 LOCAL 360 RC outpatient 7779 6613 Optum Medicare HMO 39 39% of all negotiated rates 4745 percent of total billed charges 4745 7779 Arthroplasty Shoulder 23472 CPT 36023472 LOCAL 360 RC outpatient 7779 6613 P3 HMO 39 39% of all negotiated rates 4745 percent of total billed charges 4745 7779 Arthroplasty Shoulder 23472 CPT 36023472 LOCAL 360 RC outpatient 7779 6613 Select Health HMO 41 41% of all negotiated rates 4590 percent of total billed charges 4590 7779 Arthroplasty Shoulder 23472 CPT 36023472 LOCAL 360 RC outpatient 7779 6613 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 5173 percent of total billed charges 5173 7779 Arthroplasty Shoulder 23472 CPT 36023472 LOCAL 360 RC outpatient 7779 6613 Sierra/HPN HMO 60 60% of all negotiated rates 3112 percent of total billed charges 3112 7779 Arthroplasty Shoulder 23472 CPT 36023472 LOCAL 360 RC outpatient 7779 6613 Silversummit Medicare HMO 39 39% of all negotiated rates 4745 percent of total billed charges 4745 7779 Arthroplasty Shoulder 23472 CPT 36023472 LOCAL 360 RC outpatient 7779 6613 UHN-Universal Health Network PPO 70 70% of all negotiated rates 2334 percent of total billed charges 2334 7779 Arthroplasty Shoulder 23472 CPT 36023472 LOCAL 360 RC outpatient 7779 6613 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 1392 fee schedule 1392 7409 Coinsurance and deductible may apply Arthroplasty Shoulder 23472 CPT 36023472 LOCAL 360 RC outpatient 7779 6613 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 1392 fee schedule 1392 7409 Coinsurance and deductible may apply Arthroplasty Shoulder 23472 CPT 36023472 LOCAL 360 RC outpatient 7779 6613 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 1392 fee schedule 1392 7409 Coinsurance and deductible may apply Arthroplasty Shoulder 23472 CPT 36023472 LOCAL 360 RC outpatient 7779 6613 Teachers Trust PPO 2090 case rate 2090 case rate 2090 7409 Coinsurance and deductible may apply Arthroscopy Ankle 29897 CPT 49029897 LOCAL 490 RC outpatient 2766 2351 Aetna Medicare HMO 26 26% of all negotiated rates 2047 percent of total billed charges 2047 2766 Arthroscopy Ankle 29897 CPT 49029897 LOCAL 490 RC outpatient 2766 2351 Alignment Medicare HMO 39 39% of all negotiated rates 1687 percent of total billed charges 1687 2766 Arthroscopy Ankle 29897 CPT 49029897 LOCAL 490 RC outpatient 2766 2351 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 1106 percent of total billed charges 1106 2766 Arthroscopy Ankle 29897 CPT 49029897 LOCAL 490 RC outpatient 2766 2351 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 1383 percent of total billed charges 1383 2766 Arthroscopy Ankle 29897 CPT 49029897 LOCAL 490 RC outpatient 2766 2351 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 1687 percent of total billed charges 1687 2766 Arthroscopy Ankle 29897 CPT 49029897 LOCAL 490 RC outpatient 2766 2351 Coventry PPO 75 75% of all negotiated rates 691 percent of total billed charges 691 2766 Arthroscopy Ankle 29897 CPT 49029897 LOCAL 490 RC outpatient 2766 2351 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 553 percent of total billed charges 553 2766 Arthroscopy Ankle 29897 CPT 49029897 LOCAL 490 RC outpatient 2766 2351 Humana-Commerical PPO 46 46% of all negotiated rates 1493 percent of total billed charges 1493 2766 Arthroscopy Ankle 29897 CPT 49029897 LOCAL 490 RC outpatient 2766 2351 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 1687 percent of total billed charges 1687 2766 Arthroscopy Ankle 29897 CPT 49029897 LOCAL 490 RC outpatient 2766 2351 Multiplan PPO 80 80% of all negotiated rates 553 percent of total billed charges 553 2766 Arthroscopy Ankle 29897 CPT 49029897 LOCAL 490 RC outpatient 2766 2351 Optum Medicare HMO 39 39% of all negotiated rates 1687 percent of total billed charges 1687 2766 Arthroscopy Ankle 29897 CPT 49029897 LOCAL 490 RC outpatient 2766 2351 P3 HMO 39 39% of all negotiated rates 1687 percent of total billed charges 1687 2766 Arthroscopy Ankle 29897 CPT 49029897 LOCAL 490 RC outpatient 2766 2351 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 968 percent of total billed charges 968 2766 Arthroscopy Ankle 29897 CPT 49029897 LOCAL 490 RC outpatient 2766 2351 Select Health HMO 41 41% of all negotiated rates 1632 percent of total billed charges 1632 2766 Arthroscopy Ankle 29897 CPT 49029897 LOCAL 490 RC outpatient 2766 2351 Silversummit Medicare HMO 39 39% of all negotiated rates 1687 percent of total billed charges 1687 2766 Arthroscopy Ankle 29897 CPT 49029897 LOCAL 490 RC outpatient 2766 2351 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 1798 percent of total billed charges 1798 2766 Arthroscopy Ankle 29897 CPT 49029897 LOCAL 490 RC outpatient 2766 2351 TriWest PPO 30 30% of all negotiated rates 1936 percent of total billed charges 1936 2766 Arthroscopy Ankle 29897 CPT 49029897 LOCAL 490 RC outpatient 2766 2351 UHN-Universal Health Network PPO 65 65% of all negotiated rates 968 percent of total billed charges 968 2766 Arthroscopy Ankle 29897 CPT 49029897 LOCAL 490 RC outpatient 2766 2351 Aetna PPO 1150 case rate 1150 case rate 1150 2634 Coinsurance and deductible may apply Arthroscopy Ankle 29897 CPT 49029897 LOCAL 490 RC outpatient 2766 2351 Anthem Medicaid HMO 1059 NV Medicaid SDS Rate 1059 fee schedule 1059 2634 Coinsurance and deductible may apply Arthroscopy Ankle 29897 CPT 49029897 LOCAL 490 RC outpatient 2766 2351 Cigna PPO 1157 case rate 1157 case rate 1157 2634 Coinsurance and deductible may apply Arthroscopy Ankle 29897 CPT 49029897 LOCAL 490 RC outpatient 2766 2351 Coalition PPO 1071 Coalition grouper rate 1071 case rate 1071 2634 Coinsurance and deductible may apply Arthroscopy Ankle 29897 CPT 49029897 LOCAL 490 RC outpatient 2766 2351 HPN Medicaid HMO 1059 NV Medicaid SDS Rate 1059 fee schedule 1059 2634 Coinsurance and deductible may apply Arthroscopy Ankle 29897 CPT 49029897 LOCAL 490 RC outpatient 2766 2351 Molina Medicaid HMO 1059 NV Medicaid SDS Rate 1059 case rate 1059 2634 Coinsurance and deductible may apply Arthroscopy Ankle 29897 CPT 49029897 LOCAL 490 RC outpatient 2766 2351 One Health PPO 1441 case rate 1441 case rate 1441 2634 Coinsurance and deductible may apply Arthroscopy Ankle 29897 CPT 49029897 LOCAL 490 RC outpatient 2766 2351 Sierra Healthcare Options PPO 1157 case rate 1157 case rate 1157 2634 Coinsurance and deductible may apply Arthroscopy Ankle 29897 CPT 49029897 LOCAL 490 RC outpatient 2766 2351 Sierra/HPN HMO 1157 case rate 1157 case rate 1157 2634 Coinsurance and deductible may apply Arthroscopy Ankle 29897 CPT 49029897 LOCAL 490 RC outpatient 2766 2351 Teachers Trust PPO 1071 Teachers grouper rate 1071 case rate 1071 2634 Coinsurance and deductible may apply Arthroscopy Ankle 29897 CPT 49029897 LOCAL 490 RC outpatient 2766 2351 United Healthcare PPO 1441 case rate 1441 case rate 1441 2634 Coinsurance and deductible may apply ARTHROSCOPY ANKLE P SYNOVECTOMY 29895 29895 CPT 49029895 LOCAL 490 RC outpatient 3492 2968 Aetna Medicare HMO 26 26% of all negotiated rates 2584 percent of total billed charges 2584 3492 ARTHROSCOPY ANKLE P SYNOVECTOMY 29895 29895 CPT 49029895 LOCAL 490 RC outpatient 3492 2968 Alignment Medicare HMO 39 39% of all negotiated rates 2130 percent of total billed charges 2130 3492 ARTHROSCOPY ANKLE P SYNOVECTOMY 29895 29895 CPT 49029895 LOCAL 490 RC outpatient 3492 2968 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 1397 percent of total billed charges 1397 3492 ARTHROSCOPY ANKLE P SYNOVECTOMY 29895 29895 CPT 49029895 LOCAL 490 RC outpatient 3492 2968 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 1746 percent of total billed charges 1746 3492 ARTHROSCOPY ANKLE P SYNOVECTOMY 29895 29895 CPT 49029895 LOCAL 490 RC outpatient 3492 2968 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 2130 percent of total billed charges 2130 3492 ARTHROSCOPY ANKLE P SYNOVECTOMY 29895 29895 CPT 49029895 LOCAL 490 RC outpatient 3492 2968 Coventry PPO 75 75% of all negotiated rates 873 percent of total billed charges 873 3492 ARTHROSCOPY ANKLE P SYNOVECTOMY 29895 29895 CPT 49029895 LOCAL 490 RC outpatient 3492 2968 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 698 percent of total billed charges 698 3492 ARTHROSCOPY ANKLE P SYNOVECTOMY 29895 29895 CPT 49029895 LOCAL 490 RC outpatient 3492 2968 Humana-Commerical PPO 46 46% of all negotiated rates 1886 percent of total billed charges 1886 3492 ARTHROSCOPY ANKLE P SYNOVECTOMY 29895 29895 CPT 49029895 LOCAL 490 RC outpatient 3492 2968 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 2130 percent of total billed charges 2130 3492 ARTHROSCOPY ANKLE P SYNOVECTOMY 29895 29895 CPT 49029895 LOCAL 490 RC outpatient 3492 2968 Multiplan PPO 80 80% of all negotiated rates 698 percent of total billed charges 698 3492 ARTHROSCOPY ANKLE P SYNOVECTOMY 29895 29895 CPT 49029895 LOCAL 490 RC outpatient 3492 2968 Optum Medicare HMO 39 39% of all negotiated rates 2130 percent of total billed charges 2130 3492 ARTHROSCOPY ANKLE P SYNOVECTOMY 29895 29895 CPT 49029895 LOCAL 490 RC outpatient 3492 2968 P3 HMO 39 39% of all negotiated rates 2130 percent of total billed charges 2130 3492 ARTHROSCOPY ANKLE P SYNOVECTOMY 29895 29895 CPT 49029895 LOCAL 490 RC outpatient 3492 2968 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 1222 percent of total billed charges 1222 3492 ARTHROSCOPY ANKLE P SYNOVECTOMY 29895 29895 CPT 49029895 LOCAL 490 RC outpatient 3492 2968 Select Health HMO 41 41% of all negotiated rates 2060 percent of total billed charges 2060 3492 ARTHROSCOPY ANKLE P SYNOVECTOMY 29895 29895 CPT 49029895 LOCAL 490 RC outpatient 3492 2968 Silversummit Medicare HMO 39 39% of all negotiated rates 2130 percent of total billed charges 2130 3492 ARTHROSCOPY ANKLE P SYNOVECTOMY 29895 29895 CPT 49029895 LOCAL 490 RC outpatient 3492 2968 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 2270 percent of total billed charges 2270 3492 ARTHROSCOPY ANKLE P SYNOVECTOMY 29895 29895 CPT 49029895 LOCAL 490 RC outpatient 3492 2968 TriWest PPO 30 30% of all negotiated rates 2445 percent of total billed charges 2445 3492 ARTHROSCOPY ANKLE P SYNOVECTOMY 29895 29895 CPT 49029895 LOCAL 490 RC outpatient 3492 2968 UHN-Universal Health Network PPO 65 65% of all negotiated rates 1222 percent of total billed charges 1222 3492 ARTHROSCOPY ANKLE P SYNOVECTOMY 29895 29895 CPT 49029895 LOCAL 490 RC outpatient 3492 2968 Aetna PPO 1150 case rate 1150 case rate 1150 3326 Coinsurance and deductible may apply ARTHROSCOPY ANKLE P SYNOVECTOMY 29895 29895 CPT 49029895 LOCAL 490 RC outpatient 3492 2968 Anthem Medicaid HMO 1059 NV Medicaid SDS Rate 1059 fee schedule 1059 3326 Coinsurance and deductible may apply ARTHROSCOPY ANKLE P SYNOVECTOMY 29895 29895 CPT 49029895 LOCAL 490 RC outpatient 3492 2968 Cigna PPO 1157 case rate 1157 case rate 1157 3326 Coinsurance and deductible may apply ARTHROSCOPY ANKLE P SYNOVECTOMY 29895 29895 CPT 49029895 LOCAL 490 RC outpatient 3492 2968 Coalition PPO 1071 Coalition grouper rate 1071 case rate 1071 3326 Coinsurance and deductible may apply ARTHROSCOPY ANKLE P SYNOVECTOMY 29895 29895 CPT 49029895 LOCAL 490 RC outpatient 3492 2968 HPN Medicaid HMO 1059 NV Medicaid SDS Rate 1059 fee schedule 1059 3326 Coinsurance and deductible may apply ARTHROSCOPY ANKLE P SYNOVECTOMY 29895 29895 CPT 49029895 LOCAL 490 RC outpatient 3492 2968 Molina Medicaid HMO 1059 NV Medicaid SDS Rate 1059 case rate 1059 3326 Coinsurance and deductible may apply ARTHROSCOPY ANKLE P SYNOVECTOMY 29895 29895 CPT 49029895 LOCAL 490 RC outpatient 3492 2968 One Health PPO 1441 case rate 1441 case rate 1441 3326 Coinsurance and deductible may apply ARTHROSCOPY ANKLE P SYNOVECTOMY 29895 29895 CPT 49029895 LOCAL 490 RC outpatient 3492 2968 Sierra Healthcare Options PPO 1157 case rate 1157 case rate 1157 3326 Coinsurance and deductible may apply ARTHROSCOPY ANKLE P SYNOVECTOMY 29895 29895 CPT 49029895 LOCAL 490 RC outpatient 3492 2968 Sierra/HPN HMO 1157 case rate 1157 case rate 1157 3326 Coinsurance and deductible may apply ARTHROSCOPY ANKLE P SYNOVECTOMY 29895 29895 CPT 49029895 LOCAL 490 RC outpatient 3492 2968 Teachers Trust PPO 1071 Teachers grouper rate 1071 case rate 1071 3326 Coinsurance and deductible may apply ARTHROSCOPY ANKLE P SYNOVECTOMY 29895 29895 CPT 49029895 LOCAL 490 RC outpatient 3492 2968 United Healthcare PPO 1441 case rate 1441 case rate 1441 3326 Coinsurance and deductible may apply Arthroscopy Elbow 29830 CPT 49029830 LOCAL 490 RC outpatient 12137 10316 Aetna Medicare HMO 26 26% of all negotiated rates 8981 percent of total billed charges 8981 12137 Arthroscopy Elbow 29830 CPT 49029830 LOCAL 490 RC outpatient 12137 10316 Alignment Medicare HMO 39 39% of all negotiated rates 7404 percent of total billed charges 7404 12137 Arthroscopy Elbow 29830 CPT 49029830 LOCAL 490 RC outpatient 12137 10316 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 4855 percent of total billed charges 4855 12137 Arthroscopy Elbow 29830 CPT 49029830 LOCAL 490 RC outpatient 12137 10316 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 6068 percent of total billed charges 6068 12137 Arthroscopy Elbow 29830 CPT 49029830 LOCAL 490 RC outpatient 12137 10316 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 7404 percent of total billed charges 7404 12137 Arthroscopy Elbow 29830 CPT 49029830 LOCAL 490 RC outpatient 12137 10316 Coventry PPO 75 75% of all negotiated rates 3034 percent of total billed charges 3034 12137 Arthroscopy Elbow 29830 CPT 49029830 LOCAL 490 RC outpatient 12137 10316 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 2427 percent of total billed charges 2427 12137 Arthroscopy Elbow 29830 CPT 49029830 LOCAL 490 RC outpatient 12137 10316 Humana-Commerical PPO 46 46% of all negotiated rates 6554 percent of total billed charges 6554 12137 Arthroscopy Elbow 29830 CPT 49029830 LOCAL 490 RC outpatient 12137 10316 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 7404 percent of total billed charges 7404 12137 Arthroscopy Elbow 29830 CPT 49029830 LOCAL 490 RC outpatient 12137 10316 Multiplan PPO 80 80% of all negotiated rates 2427 percent of total billed charges 2427 12137 Arthroscopy Elbow 29830 CPT 49029830 LOCAL 490 RC outpatient 12137 10316 Optum Medicare HMO 39 39% of all negotiated rates 7404 percent of total billed charges 7404 12137 Arthroscopy Elbow 29830 CPT 49029830 LOCAL 490 RC outpatient 12137 10316 P3 HMO 39 39% of all negotiated rates 7404 percent of total billed charges 7404 12137 Arthroscopy Elbow 29830 CPT 49029830 LOCAL 490 RC outpatient 12137 10316 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 4248 percent of total billed charges 4248 12137 Arthroscopy Elbow 29830 CPT 49029830 LOCAL 490 RC outpatient 12137 10316 Select Health HMO 41 41% of all negotiated rates 7161 percent of total billed charges 7161 12137 Arthroscopy Elbow 29830 CPT 49029830 LOCAL 490 RC outpatient 12137 10316 Silversummit Medicare HMO 39 39% of all negotiated rates 7404 percent of total billed charges 7404 12137 Arthroscopy Elbow 29830 CPT 49029830 LOCAL 490 RC outpatient 12137 10316 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 7889 percent of total billed charges 7889 12137 Arthroscopy Elbow 29830 CPT 49029830 LOCAL 490 RC outpatient 12137 10316 TriWest PPO 30 30% of all negotiated rates 8496 percent of total billed charges 8496 12137 Arthroscopy Elbow 29830 CPT 49029830 LOCAL 490 RC outpatient 12137 10316 UHN-Universal Health Network PPO 65 65% of all negotiated rates 4248 percent of total billed charges 4248 12137 Arthroscopy Elbow 29830 CPT 49029830 LOCAL 490 RC outpatient 12137 10316 Aetna PPO 1150 case rate 1150 case rate 1150 11559 Coinsurance and deductible may apply Arthroscopy Elbow 29830 CPT 49029830 LOCAL 490 RC outpatient 12137 10316 Anthem Medicaid HMO 643 NV Medicaid SDS Rate 643 fee schedule 643 11559 Coinsurance and deductible may apply Arthroscopy Elbow 29830 CPT 49029830 LOCAL 490 RC outpatient 12137 10316 Cigna PPO 1157 case rate 1157 case rate 1157 11559 Coinsurance and deductible may apply Arthroscopy Elbow 29830 CPT 49029830 LOCAL 490 RC outpatient 12137 10316 Coalition PPO 1071 Coalition grouper rate 1071 case rate 1071 11559 Coinsurance and deductible may apply Arthroscopy Elbow 29830 CPT 49029830 LOCAL 490 RC outpatient 12137 10316 HPN Medicaid HMO 643 NV Medicaid SDS Rate 643 fee schedule 643 11559 Coinsurance and deductible may apply Arthroscopy Elbow 29830 CPT 49029830 LOCAL 490 RC outpatient 12137 10316 Molina Medicaid HMO 643 NV Medicaid SDS Rate 643 case rate 643 11559 Coinsurance and deductible may apply Arthroscopy Elbow 29830 CPT 49029830 LOCAL 490 RC outpatient 12137 10316 One Health PPO 2818 case rate 2818 case rate 2818 11559 Coinsurance and deductible may apply Arthroscopy Elbow 29830 CPT 49029830 LOCAL 490 RC outpatient 12137 10316 Sierra Healthcare Options PPO 1157 case rate 1157 case rate 1157 11559 Coinsurance and deductible may apply Arthroscopy Elbow 29830 CPT 49029830 LOCAL 490 RC outpatient 12137 10316 Sierra/HPN HMO 1157 case rate 1157 case rate 1157 11559 Coinsurance and deductible may apply Arthroscopy Elbow 29830 CPT 49029830 LOCAL 490 RC outpatient 12137 10316 Teachers Trust PPO 1071 Teachers grouper rate 1071 case rate 1071 11559 Coinsurance and deductible may apply Arthroscopy Elbow 29830 CPT 49029830 LOCAL 490 RC outpatient 12137 10316 United Healthcare PPO 2818 case rate 2818 case rate 2818 11559 Coinsurance and deductible may apply Arthroscopy Knee 29870 CPT 49029870 LOCAL 490 RC outpatient 6013 5111 Aetna Medicare HMO 26 26% of all negotiated rates 4450 percent of total billed charges 4450 6013 Arthroscopy Knee 29870 CPT 49029870 LOCAL 490 RC outpatient 6013 5111 Alignment Medicare HMO 39 39% of all negotiated rates 3668 percent of total billed charges 3668 6013 Arthroscopy Knee 29870 CPT 49029870 LOCAL 490 RC outpatient 6013 5111 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 2405 percent of total billed charges 2405 6013 Arthroscopy Knee 29870 CPT 49029870 LOCAL 490 RC outpatient 6013 5111 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 3007 percent of total billed charges 3007 6013 Arthroscopy Knee 29870 CPT 49029870 LOCAL 490 RC outpatient 6013 5111 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 3668 percent of total billed charges 3668 6013 Arthroscopy Knee 29870 CPT 49029870 LOCAL 490 RC outpatient 6013 5111 Coventry PPO 75 75% of all negotiated rates 1503 percent of total billed charges 1503 6013 Arthroscopy Knee 29870 CPT 49029870 LOCAL 490 RC outpatient 6013 5111 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 1203 percent of total billed charges 1203 6013 Arthroscopy Knee 29870 CPT 49029870 LOCAL 490 RC outpatient 6013 5111 Humana-Commerical PPO 46 46% of all negotiated rates 3247 percent of total billed charges 3247 6013 Arthroscopy Knee 29870 CPT 49029870 LOCAL 490 RC outpatient 6013 5111 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 3668 percent of total billed charges 3668 6013 Arthroscopy Knee 29870 CPT 49029870 LOCAL 490 RC outpatient 6013 5111 Multiplan PPO 80 80% of all negotiated rates 1203 percent of total billed charges 1203 6013 Arthroscopy Knee 29870 CPT 49029870 LOCAL 490 RC outpatient 6013 5111 Optum Medicare HMO 39 39% of all negotiated rates 3668 percent of total billed charges 3668 6013 Arthroscopy Knee 29870 CPT 49029870 LOCAL 490 RC outpatient 6013 5111 P3 HMO 39 39% of all negotiated rates 3668 percent of total billed charges 3668 6013 Arthroscopy Knee 29870 CPT 49029870 LOCAL 490 RC outpatient 6013 5111 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 2105 percent of total billed charges 2105 6013 Arthroscopy Knee 29870 CPT 49029870 LOCAL 490 RC outpatient 6013 5111 Select Health HMO 41 41% of all negotiated rates 3548 percent of total billed charges 3548 6013 Arthroscopy Knee 29870 CPT 49029870 LOCAL 490 RC outpatient 6013 5111 Silversummit Medicare HMO 39 39% of all negotiated rates 3668 percent of total billed charges 3668 6013 Arthroscopy Knee 29870 CPT 49029870 LOCAL 490 RC outpatient 6013 5111 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 3909 percent of total billed charges 3909 6013 Arthroscopy Knee 29870 CPT 49029870 LOCAL 490 RC outpatient 6013 5111 TriWest PPO 30 30% of all negotiated rates 4209 percent of total billed charges 4209 6013 Arthroscopy Knee 29870 CPT 49029870 LOCAL 490 RC outpatient 6013 5111 UHN-Universal Health Network PPO 65 65% of all negotiated rates 2105 percent of total billed charges 2105 6013 Arthroscopy Knee 29870 CPT 49029870 LOCAL 490 RC outpatient 6013 5111 Aetna PPO 1150 case rate 1150 case rate 1150 5727 Coinsurance and deductible may apply Arthroscopy Knee 29870 CPT 49029870 LOCAL 490 RC outpatient 6013 5111 Anthem Medicaid HMO 1059 NV Medicaid SDS Rate 1059 fee schedule 1059 5727 Coinsurance and deductible may apply Arthroscopy Knee 29870 CPT 49029870 LOCAL 490 RC outpatient 6013 5111 Cigna PPO 1157 case rate 1157 case rate 1157 5727 Coinsurance and deductible may apply Arthroscopy Knee 29870 CPT 49029870 LOCAL 490 RC outpatient 6013 5111 Coalition PPO 1071 Coalition grouper rate 1071 case rate 1071 5727 Coinsurance and deductible may apply Arthroscopy Knee 29870 CPT 49029870 LOCAL 490 RC outpatient 6013 5111 HPN Medicaid HMO 1059 NV Medicaid SDS Rate 1059 fee schedule 1059 5727 Coinsurance and deductible may apply Arthroscopy Knee 29870 CPT 49029870 LOCAL 490 RC outpatient 6013 5111 Molina Medicaid HMO 1059 NV Medicaid SDS Rate 1059 case rate 1059 5727 Coinsurance and deductible may apply Arthroscopy Knee 29870 CPT 49029870 LOCAL 490 RC outpatient 6013 5111 One Health PPO 1441 case rate 1441 case rate 1441 5727 Coinsurance and deductible may apply Arthroscopy Knee 29870 CPT 49029870 LOCAL 490 RC outpatient 6013 5111 Sierra Healthcare Options PPO 1157 case rate 1157 case rate 1157 5727 Coinsurance and deductible may apply Arthroscopy Knee 29870 CPT 49029870 LOCAL 490 RC outpatient 6013 5111 Sierra/HPN HMO 1157 case rate 1157 case rate 1157 5727 Coinsurance and deductible may apply Arthroscopy Knee 29870 CPT 49029870 LOCAL 490 RC outpatient 6013 5111 Teachers Trust PPO 1071 Teachers grouper rate 1071 case rate 1071 5727 Coinsurance and deductible may apply Arthroscopy Knee 29870 CPT 49029870 LOCAL 490 RC outpatient 6013 5111 United Healthcare PPO 1441 case rate 1441 case rate 1441 5727 Coinsurance and deductible may apply Arthroscopy Shoulder 29805 CPT 49029805 LOCAL 490 RC outpatient 4243 3607 Aetna Medicare HMO 26 26% of all negotiated rates 3140 percent of total billed charges 3140 4243 Arthroscopy Shoulder 29805 CPT 49029805 LOCAL 490 RC outpatient 4243 3607 Alignment Medicare HMO 39 39% of all negotiated rates 2588 percent of total billed charges 2588 4243 Arthroscopy Shoulder 29805 CPT 49029805 LOCAL 490 RC outpatient 4243 3607 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 1697 percent of total billed charges 1697 4243 Arthroscopy Shoulder 29805 CPT 49029805 LOCAL 490 RC outpatient 4243 3607 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 2122 percent of total billed charges 2122 4243 Arthroscopy Shoulder 29805 CPT 49029805 LOCAL 490 RC outpatient 4243 3607 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 2588 percent of total billed charges 2588 4243 Arthroscopy Shoulder 29805 CPT 49029805 LOCAL 490 RC outpatient 4243 3607 Coventry PPO 75 75% of all negotiated rates 1061 percent of total billed charges 1061 4243 Arthroscopy Shoulder 29805 CPT 49029805 LOCAL 490 RC outpatient 4243 3607 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 849 percent of total billed charges 849 4243 Arthroscopy Shoulder 29805 CPT 49029805 LOCAL 490 RC outpatient 4243 3607 Humana-Commerical PPO 46 46% of all negotiated rates 2291 percent of total billed charges 2291 4243 Arthroscopy Shoulder 29805 CPT 49029805 LOCAL 490 RC outpatient 4243 3607 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 2588 percent of total billed charges 2588 4243 Arthroscopy Shoulder 29805 CPT 49029805 LOCAL 490 RC outpatient 4243 3607 Multiplan PPO 80 80% of all negotiated rates 849 percent of total billed charges 849 4243 Arthroscopy Shoulder 29805 CPT 49029805 LOCAL 490 RC outpatient 4243 3607 Optum Medicare HMO 39 39% of all negotiated rates 2588 percent of total billed charges 2588 4243 Arthroscopy Shoulder 29805 CPT 49029805 LOCAL 490 RC outpatient 4243 3607 P3 HMO 39 39% of all negotiated rates 2588 percent of total billed charges 2588 4243 Arthroscopy Shoulder 29805 CPT 49029805 LOCAL 490 RC outpatient 4243 3607 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 1485 percent of total billed charges 1485 4243 Arthroscopy Shoulder 29805 CPT 49029805 LOCAL 490 RC outpatient 4243 3607 Select Health HMO 41 41% of all negotiated rates 2503 percent of total billed charges 2503 4243 Arthroscopy Shoulder 29805 CPT 49029805 LOCAL 490 RC outpatient 4243 3607 Silversummit Medicare HMO 39 39% of all negotiated rates 2588 percent of total billed charges 2588 4243 Arthroscopy Shoulder 29805 CPT 49029805 LOCAL 490 RC outpatient 4243 3607 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 2758 percent of total billed charges 2758 4243 Arthroscopy Shoulder 29805 CPT 49029805 LOCAL 490 RC outpatient 4243 3607 TriWest PPO 30 30% of all negotiated rates 2970 percent of total billed charges 2970 4243 Arthroscopy Shoulder 29805 CPT 49029805 LOCAL 490 RC outpatient 4243 3607 UHN-Universal Health Network PPO 65 65% of all negotiated rates 1485 percent of total billed charges 1485 4243 Arthroscopy Shoulder 29805 CPT 49029805 LOCAL 490 RC outpatient 4243 3607 Aetna PPO 1150 case rate 1150 case rate 1150 4041 Coinsurance and deductible may apply Arthroscopy Shoulder 29805 CPT 49029805 LOCAL 490 RC outpatient 4243 3607 Anthem Medicaid HMO 1059 NV Medicaid SDS Rate 1059 fee schedule 1059 4041 Coinsurance and deductible may apply Arthroscopy Shoulder 29805 CPT 49029805 LOCAL 490 RC outpatient 4243 3607 Cigna PPO 1157 case rate 1157 case rate 1157 4041 Coinsurance and deductible may apply Arthroscopy Shoulder 29805 CPT 49029805 LOCAL 490 RC outpatient 4243 3607 Coalition PPO 1071 Coalition grouper rate 1071 case rate 1071 4041 Coinsurance and deductible may apply Arthroscopy Shoulder 29805 CPT 49029805 LOCAL 490 RC outpatient 4243 3607 HPN Medicaid HMO 1059 NV Medicaid SDS Rate 1059 fee schedule 1059 4041 Coinsurance and deductible may apply Arthroscopy Shoulder 29805 CPT 49029805 LOCAL 490 RC outpatient 4243 3607 Molina Medicaid HMO 1059 NV Medicaid SDS Rate 1059 case rate 1059 4041 Coinsurance and deductible may apply Arthroscopy Shoulder 29805 CPT 49029805 LOCAL 490 RC outpatient 4243 3607 One Health PPO 1441 case rate 1441 case rate 1441 4041 Coinsurance and deductible may apply Arthroscopy Shoulder 29805 CPT 49029805 LOCAL 490 RC outpatient 4243 3607 Sierra Healthcare Options PPO 1157 case rate 1157 case rate 1157 4041 Coinsurance and deductible may apply Arthroscopy Shoulder 29805 CPT 49029805 LOCAL 490 RC outpatient 4243 3607 Sierra/HPN HMO 1157 case rate 1157 case rate 1157 4041 Coinsurance and deductible may apply Arthroscopy Shoulder 29805 CPT 49029805 LOCAL 490 RC outpatient 4243 3607 Teachers Trust PPO 1071 Teachers grouper rate 1071 case rate 1071 4041 Coinsurance and deductible may apply Arthroscopy Shoulder 29805 CPT 49029805 LOCAL 490 RC outpatient 4243 3607 United Healthcare PPO 1441 case rate 1441 case rate 1441 4041 Coinsurance and deductible may apply Arthroscopy Shoulder with Bicep Tendon Repair 29828 CPT 49029828 LOCAL 490 RC outpatient 3056 2597 Aetna Medicare HMO 26 26% of all negotiated rates 2261 percent of total billed charges 2261 3056 Arthroscopy Shoulder with Bicep Tendon Repair 29828 CPT 49029828 LOCAL 490 RC outpatient 3056 2597 Alignment Medicare HMO 39 39% of all negotiated rates 1864 percent of total billed charges 1864 3056 Arthroscopy Shoulder with Bicep Tendon Repair 29828 CPT 49029828 LOCAL 490 RC outpatient 3056 2597 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 1222 percent of total billed charges 1222 3056 Arthroscopy Shoulder with Bicep Tendon Repair 29828 CPT 49029828 LOCAL 490 RC outpatient 3056 2597 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 1528 percent of total billed charges 1528 3056 Arthroscopy Shoulder with Bicep Tendon Repair 29828 CPT 49029828 LOCAL 490 RC outpatient 3056 2597 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 1864 percent of total billed charges 1864 3056 Arthroscopy Shoulder with Bicep Tendon Repair 29828 CPT 49029828 LOCAL 490 RC outpatient 3056 2597 Coventry PPO 75 75% of all negotiated rates 764 percent of total billed charges 764 3056 Arthroscopy Shoulder with Bicep Tendon Repair 29828 CPT 49029828 LOCAL 490 RC outpatient 3056 2597 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 611 percent of total billed charges 611 3056 Arthroscopy Shoulder with Bicep Tendon Repair 29828 CPT 49029828 LOCAL 490 RC outpatient 3056 2597 Humana-Commerical PPO 46 46% of all negotiated rates 1650 percent of total billed charges 1650 3056 Arthroscopy Shoulder with Bicep Tendon Repair 29828 CPT 49029828 LOCAL 490 RC outpatient 3056 2597 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 1864 percent of total billed charges 1864 3056 Arthroscopy Shoulder with Bicep Tendon Repair 29828 CPT 49029828 LOCAL 490 RC outpatient 3056 2597 Multiplan PPO 80 80% of all negotiated rates 611 percent of total billed charges 611 3056 Arthroscopy Shoulder with Bicep Tendon Repair 29828 CPT 49029828 LOCAL 490 RC outpatient 3056 2597 Optum Medicare HMO 39 39% of all negotiated rates 1864 percent of total billed charges 1864 3056 Arthroscopy Shoulder with Bicep Tendon Repair 29828 CPT 49029828 LOCAL 490 RC outpatient 3056 2597 P3 HMO 39 39% of all negotiated rates 1864 percent of total billed charges 1864 3056 Arthroscopy Shoulder with Bicep Tendon Repair 29828 CPT 49029828 LOCAL 490 RC outpatient 3056 2597 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 1069 percent of total billed charges 1069 3056 Arthroscopy Shoulder with Bicep Tendon Repair 29828 CPT 49029828 LOCAL 490 RC outpatient 3056 2597 Select Health HMO 41 41% of all negotiated rates 1803 percent of total billed charges 1803 3056 Arthroscopy Shoulder with Bicep Tendon Repair 29828 CPT 49029828 LOCAL 490 RC outpatient 3056 2597 Silversummit Medicare HMO 39 39% of all negotiated rates 1864 percent of total billed charges 1864 3056 Arthroscopy Shoulder with Bicep Tendon Repair 29828 CPT 49029828 LOCAL 490 RC outpatient 3056 2597 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 1986 percent of total billed charges 1986 3056 Arthroscopy Shoulder with Bicep Tendon Repair 29828 CPT 49029828 LOCAL 490 RC outpatient 3056 2597 TriWest PPO 30 30% of all negotiated rates 2139 percent of total billed charges 2139 3056 Arthroscopy Shoulder with Bicep Tendon Repair 29828 CPT 49029828 LOCAL 490 RC outpatient 3056 2597 UHN-Universal Health Network PPO 65 65% of all negotiated rates 1069 percent of total billed charges 1069 3056 Arthroscopy Shoulder with Bicep Tendon Repair 29828 CPT 49029828 LOCAL 490 RC outpatient 3056 2597 Aetna PPO 1150 case rate 1150 case rate 1150 2910 Coinsurance and deductible may apply Arthroscopy Shoulder with Bicep Tendon Repair 29828 CPT 49029828 LOCAL 490 RC outpatient 3056 2597 Cigna PPO 2266 case rate 2266 case rate 2266 2910 Coinsurance and deductible may apply Arthroscopy Shoulder with Bicep Tendon Repair 29828 CPT 49029828 LOCAL 490 RC outpatient 3056 2597 Coalition PPO 939 Coalition grouper rate 939 case rate 939 2910 Coinsurance and deductible may apply Arthroscopy Shoulder with Bicep Tendon Repair 29828 CPT 49029828 LOCAL 490 RC outpatient 3056 2597 One Health PPO 2818 case rate 2818 case rate 2818 2910 Coinsurance and deductible may apply Arthroscopy Shoulder with Bicep Tendon Repair 29828 CPT 49029828 LOCAL 490 RC outpatient 3056 2597 Sierra Healthcare Options PPO 2266 case rate 2266 case rate 2266 2910 Coinsurance and deductible may apply Arthroscopy Shoulder with Bicep Tendon Repair 29828 CPT 49029828 LOCAL 490 RC outpatient 3056 2597 Sierra/HPN HMO 2266 case rate 2266 case rate 2266 2910 Coinsurance and deductible may apply Arthroscopy Shoulder with Bicep Tendon Repair 29828 CPT 49029828 LOCAL 490 RC outpatient 3056 2597 Teachers Trust PPO 939 Teachers grouper rate 939 case rate 939 2910 Coinsurance and deductible may apply Arthroscopy Shoulder with Bicep Tendon Repair 29828 CPT 49029828 LOCAL 490 RC outpatient 3056 2597 United Healthcare PPO 2818 case rate 2818 case rate 2818 2910 Coinsurance and deductible may apply Arthroscopy Shoulder with Subacromial Decompression and Rota 29827 CPT 36029827 LOCAL 360 RC outpatient 4549 3866 Aetna Medicare HMO 26 26% of all negotiated rates 3366 percent of total billed charges 3366 4549 Arthroscopy Shoulder with Subacromial Decompression and Rota 29827 CPT 36029827 LOCAL 360 RC outpatient 4549 3866 Alignment Medicare HMO 39 39% of all negotiated rates 2775 percent of total billed charges 2775 4549 Arthroscopy Shoulder with Subacromial Decompression and Rota 29827 CPT 36029827 LOCAL 360 RC outpatient 4549 3866 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 1819 percent of total billed charges 1819 4549 Arthroscopy Shoulder with Subacromial Decompression and Rota 29827 CPT 36029827 LOCAL 360 RC outpatient 4549 3866 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 2274 percent of total billed charges 2274 4549 Arthroscopy Shoulder with Subacromial Decompression and Rota 29827 CPT 36029827 LOCAL 360 RC outpatient 4549 3866 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 2775 percent of total billed charges 2775 4549 Arthroscopy Shoulder with Subacromial Decompression and Rota 29827 CPT 36029827 LOCAL 360 RC outpatient 4549 3866 Cigna PPO 68 68% of all negotiated rates 1456 percent of total billed charges 1456 4549 Arthroscopy Shoulder with Subacromial Decompression and Rota 29827 CPT 36029827 LOCAL 360 RC outpatient 4549 3866 Coventry PPO 75 75% of all negotiated rates 1137 percent of total billed charges 1137 4549 Arthroscopy Shoulder with Subacromial Decompression and Rota 29827 CPT 36029827 LOCAL 360 RC outpatient 4549 3866 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 910 percent of total billed charges 910 4549 Arthroscopy Shoulder with Subacromial Decompression and Rota 29827 CPT 36029827 LOCAL 360 RC outpatient 4549 3866 Humana-Commerical PPO 70 70% of all negotiated rates 1365 percent of total billed charges 1365 4549 Arthroscopy Shoulder with Subacromial Decompression and Rota 29827 CPT 36029827 LOCAL 360 RC outpatient 4549 3866 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 2775 percent of total billed charges 2775 4549 Arthroscopy Shoulder with Subacromial Decompression and Rota 29827 CPT 36029827 LOCAL 360 RC outpatient 4549 3866 Multiplan PPO 80 80% of all negotiated rates 910 percent of total billed charges 910 4549 Arthroscopy Shoulder with Subacromial Decompression and Rota 29827 CPT 36029827 LOCAL 360 RC outpatient 4549 3866 Optum Medicare HMO 39 39% of all negotiated rates 2775 percent of total billed charges 2775 4549 Arthroscopy Shoulder with Subacromial Decompression and Rota 29827 CPT 36029827 LOCAL 360 RC outpatient 4549 3866 P3 HMO 39 39% of all negotiated rates 2775 percent of total billed charges 2775 4549 Arthroscopy Shoulder with Subacromial Decompression and Rota 29827 CPT 36029827 LOCAL 360 RC outpatient 4549 3866 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 1365 percent of total billed charges 1365 4549 Arthroscopy Shoulder with Subacromial Decompression and Rota 29827 CPT 36029827 LOCAL 360 RC outpatient 4549 3866 Select Health HMO 41 41% of all negotiated rates 2684 percent of total billed charges 2684 4549 Arthroscopy Shoulder with Subacromial Decompression and Rota 29827 CPT 36029827 LOCAL 360 RC outpatient 4549 3866 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 3025 percent of total billed charges 3025 4549 Arthroscopy Shoulder with Subacromial Decompression and Rota 29827 CPT 36029827 LOCAL 360 RC outpatient 4549 3866 Sierra/HPN HMO 60 60% of all negotiated rates 1819 percent of total billed charges 1819 4549 Arthroscopy Shoulder with Subacromial Decompression and Rota 29827 CPT 36029827 LOCAL 360 RC outpatient 4549 3866 Silversummit Medicare HMO 39 39% of all negotiated rates 2775 percent of total billed charges 2775 4549 Arthroscopy Shoulder with Subacromial Decompression and Rota 29827 CPT 36029827 LOCAL 360 RC outpatient 4549 3866 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 2957 percent of total billed charges 2957 4549 Arthroscopy Shoulder with Subacromial Decompression and Rota 29827 CPT 36029827 LOCAL 360 RC outpatient 4549 3866 TriWest PPO 30 30% of all negotiated rates 3184 percent of total billed charges 3184 4549 Arthroscopy Shoulder with Subacromial Decompression and Rota 29827 CPT 36029827 LOCAL 360 RC outpatient 4549 3866 UHN-Universal Health Network PPO 70 70% of all negotiated rates 1365 percent of total billed charges 1365 4549 Arthroscopy Shoulder with Subacromial Decompression and Rota 29827 CPT 36029827 LOCAL 360 RC outpatient 4549 3866 Aetna PPO 1550 case rate 1550 case rate 1550 4332 Coinsurance and deductible may apply Arthroscopy Shoulder with Subacromial Decompression and Rota 29827 CPT 36029827 LOCAL 360 RC outpatient 4549 3866 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 1023 fee schedule 1023 4332 Coinsurance and deductible may apply Arthroscopy Shoulder with Subacromial Decompression and Rota 29827 CPT 36029827 LOCAL 360 RC outpatient 4549 3866 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 1023 fee schedule 1023 4332 Coinsurance and deductible may apply Arthroscopy Shoulder with Subacromial Decompression and Rota 29827 CPT 36029827 LOCAL 360 RC outpatient 4549 3866 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 1023 fee schedule 1023 4332 Coinsurance and deductible may apply Arthroscopy Shoulder with Subacromial Decompression and Rota 29827 CPT 36029827 LOCAL 360 RC outpatient 4549 3866 Teachers Trust PPO 1505 case rate 1505 case rate 1505 4332 Coinsurance and deductible may apply Basic Metabolic Panel 9 80048 CPT 4000061 LOCAL 301 RC outpatient 175 149 Aetna PPO 38 38% of all negotiated rates 109 percent of total billed charges 109 175 Basic Metabolic Panel 9 80048 CPT 4000061 LOCAL 301 RC outpatient 175 149 Aetna Medicare HMO 26 26% of all negotiated rates 130 percent of total billed charges 130 175 Basic Metabolic Panel 9 80048 CPT 4000061 LOCAL 301 RC outpatient 175 149 Alignment Medicare HMO 39 39% of all negotiated rates 107 percent of total billed charges 107 175 Basic Metabolic Panel 9 80048 CPT 4000061 LOCAL 301 RC outpatient 175 149 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 70 percent of total billed charges 70 175 Basic Metabolic Panel 9 80048 CPT 4000061 LOCAL 301 RC outpatient 175 149 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 88 percent of total billed charges 88 175 Basic Metabolic Panel 9 80048 CPT 4000061 LOCAL 301 RC outpatient 175 149 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 107 percent of total billed charges 107 175 Basic Metabolic Panel 9 80048 CPT 4000061 LOCAL 301 RC outpatient 175 149 Cigna PPO 68 68% of all negotiated rates 56 percent of total billed charges 56 175 Basic Metabolic Panel 9 80048 CPT 4000061 LOCAL 301 RC outpatient 175 149 Coalition PPO 49 49% of all negotiated rates 89 percent of total billed charges 89 175 Basic Metabolic Panel 9 80048 CPT 4000061 LOCAL 301 RC outpatient 175 149 Coventry PPO 75 75% of all negotiated rates 44 percent of total billed charges 44 175 Basic Metabolic Panel 9 80048 CPT 4000061 LOCAL 301 RC outpatient 175 149 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 35 percent of total billed charges 35 175 Basic Metabolic Panel 9 80048 CPT 4000061 LOCAL 301 RC outpatient 175 149 Humana-Commerical PPO 70 70% of all negotiated rates 53 percent of total billed charges 53 175 Basic Metabolic Panel 9 80048 CPT 4000061 LOCAL 301 RC outpatient 175 149 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 107 percent of total billed charges 107 175 Basic Metabolic Panel 9 80048 CPT 4000061 LOCAL 301 RC outpatient 175 149 Multiplan PPO 80 80% of all negotiated rates 35 percent of total billed charges 35 175 Basic Metabolic Panel 9 80048 CPT 4000061 LOCAL 301 RC outpatient 175 149 One Health PPO 55 55% of all negotiated rates 79 percent of total billed charges 79 175 Basic Metabolic Panel 9 80048 CPT 4000061 LOCAL 301 RC outpatient 175 149 Optum Medicare HMO 39 39% of all negotiated rates 107 percent of total billed charges 107 175 Basic Metabolic Panel 9 80048 CPT 4000061 LOCAL 301 RC outpatient 175 149 P3 HMO 39 39% of all negotiated rates 107 percent of total billed charges 107 175 Basic Metabolic Panel 9 80048 CPT 4000061 LOCAL 301 RC outpatient 175 149 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 53 percent of total billed charges 53 175 Basic Metabolic Panel 9 80048 CPT 4000061 LOCAL 301 RC outpatient 175 149 Select Health HMO 41 41% of all negotiated rates 103 percent of total billed charges 103 175 Basic Metabolic Panel 9 80048 CPT 4000061 LOCAL 301 RC outpatient 175 149 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 117 percent of total billed charges 117 175 Basic Metabolic Panel 9 80048 CPT 4000061 LOCAL 301 RC outpatient 175 149 Sierra/HPN HMO 60 60% of all negotiated rates 70 percent of total billed charges 70 175 Basic Metabolic Panel 9 80048 CPT 4000061 LOCAL 301 RC outpatient 175 149 Silversummit Medicare HMO 39 39% of all negotiated rates 107 percent of total billed charges 107 175 Basic Metabolic Panel 9 80048 CPT 4000061 LOCAL 301 RC outpatient 175 149 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 114 percent of total billed charges 114 175 Basic Metabolic Panel 9 80048 CPT 4000061 LOCAL 301 RC outpatient 175 149 Teachers Trust PPO 65 65% of all negotiated rates 61 percent of total billed charges 61 175 Basic Metabolic Panel 9 80048 CPT 4000061 LOCAL 301 RC outpatient 175 149 TriWest PPO 30 30% of all negotiated rates 123 percent of total billed charges 123 175 Basic Metabolic Panel 9 80048 CPT 4000061 LOCAL 301 RC outpatient 175 149 UHN-Universal Health Network PPO 70 70% of all negotiated rates 53 percent of total billed charges 53 175 Basic Metabolic Panel 9 80048 CPT 4000061 LOCAL 301 RC outpatient 175 149 United Healthcare PPO 60 60% of all negotiated rates 70 percent of total billed charges 70 175 Basic Metabolic Panel 9 80048 CPT 4000061 LOCAL 301 RC outpatient 175 149 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 6 fee schedule 6 167 Coinsurance and deductible may apply Basic Metabolic Panel 9 80048 CPT 4000061 LOCAL 301 RC outpatient 175 149 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 6 fee schedule 6 167 Coinsurance and deductible may apply Basic Metabolic Panel 9 80048 CPT 4000061 LOCAL 301 RC outpatient 175 149 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 6 fee schedule 6 167 Coinsurance and deductible may apply Bilirubin Direct 82248 CPT 4002510SO LOCAL 301 RC outpatient 104 88 Aetna PPO 38 38% of all negotiated rates 64 percent of total billed charges 64 104 Bilirubin Direct 82248 CPT 4002510SO LOCAL 301 RC outpatient 104 88 Aetna Medicare HMO 26 26% of all negotiated rates 77 percent of total billed charges 77 104 Bilirubin Direct 82248 CPT 4002510SO LOCAL 301 RC outpatient 104 88 Alignment Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Bilirubin Direct 82248 CPT 4002510SO LOCAL 301 RC outpatient 104 88 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 42 percent of total billed charges 42 104 Bilirubin Direct 82248 CPT 4002510SO LOCAL 301 RC outpatient 104 88 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 52 percent of total billed charges 52 104 Bilirubin Direct 82248 CPT 4002510SO LOCAL 301 RC outpatient 104 88 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Bilirubin Direct 82248 CPT 4002510SO LOCAL 301 RC outpatient 104 88 Cigna PPO 68 68% of all negotiated rates 33 percent of total billed charges 33 104 Bilirubin Direct 82248 CPT 4002510SO LOCAL 301 RC outpatient 104 88 Coalition PPO 49 49% of all negotiated rates 53 percent of total billed charges 53 104 Bilirubin Direct 82248 CPT 4002510SO LOCAL 301 RC outpatient 104 88 Coventry PPO 75 75% of all negotiated rates 26 percent of total billed charges 26 104 Bilirubin Direct 82248 CPT 4002510SO LOCAL 301 RC outpatient 104 88 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 21 percent of total billed charges 21 104 Bilirubin Direct 82248 CPT 4002510SO LOCAL 301 RC outpatient 104 88 Humana-Commerical PPO 70 70% of all negotiated rates 31 percent of total billed charges 31 104 Bilirubin Direct 82248 CPT 4002510SO LOCAL 301 RC outpatient 104 88 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Bilirubin Direct 82248 CPT 4002510SO LOCAL 301 RC outpatient 104 88 Multiplan PPO 80 80% of all negotiated rates 21 percent of total billed charges 21 104 Bilirubin Direct 82248 CPT 4002510SO LOCAL 301 RC outpatient 104 88 One Health PPO 55 55% of all negotiated rates 47 percent of total billed charges 47 104 Bilirubin Direct 82248 CPT 4002510SO LOCAL 301 RC outpatient 104 88 Optum Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Bilirubin Direct 82248 CPT 4002510SO LOCAL 301 RC outpatient 104 88 P3 HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Bilirubin Direct 82248 CPT 4002510SO LOCAL 301 RC outpatient 104 88 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 31 percent of total billed charges 31 104 Bilirubin Direct 82248 CPT 4002510SO LOCAL 301 RC outpatient 104 88 Select Health HMO 41 41% of all negotiated rates 61 percent of total billed charges 61 104 Bilirubin Direct 82248 CPT 4002510SO LOCAL 301 RC outpatient 104 88 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 69 percent of total billed charges 69 104 Bilirubin Direct 82248 CPT 4002510SO LOCAL 301 RC outpatient 104 88 Sierra/HPN HMO 60 60% of all negotiated rates 42 percent of total billed charges 42 104 Bilirubin Direct 82248 CPT 4002510SO LOCAL 301 RC outpatient 104 88 Silversummit Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Bilirubin Direct 82248 CPT 4002510SO LOCAL 301 RC outpatient 104 88 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 68 percent of total billed charges 68 104 Bilirubin Direct 82248 CPT 4002510SO LOCAL 301 RC outpatient 104 88 Teachers Trust PPO 65 65% of all negotiated rates 36 percent of total billed charges 36 104 Bilirubin Direct 82248 CPT 4002510SO LOCAL 301 RC outpatient 104 88 TriWest PPO 30 30% of all negotiated rates 73 percent of total billed charges 73 104 Bilirubin Direct 82248 CPT 4002510SO LOCAL 301 RC outpatient 104 88 UHN-Universal Health Network PPO 70 70% of all negotiated rates 31 percent of total billed charges 31 104 Bilirubin Direct 82248 CPT 4002510SO LOCAL 301 RC outpatient 104 88 United Healthcare PPO 60 60% of all negotiated rates 42 percent of total billed charges 42 104 Bilirubin Direct 82248 CPT 4002510SO LOCAL 301 RC outpatient 104 88 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 99 Coinsurance and deductible may apply Bilirubin Direct 82248 CPT 4002510SO LOCAL 301 RC outpatient 104 88 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 99 Coinsurance and deductible may apply Bilirubin Direct 82248 CPT 4002510SO LOCAL 301 RC outpatient 104 88 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 99 Coinsurance and deductible may apply Bilirubin Total 82247 CPT 4002502SO LOCAL 301 RC outpatient 104 88 Aetna PPO 38 38% of all negotiated rates 64 percent of total billed charges 64 104 Bilirubin Total 82247 CPT 4002502SO LOCAL 301 RC outpatient 104 88 Aetna Medicare HMO 26 26% of all negotiated rates 77 percent of total billed charges 77 104 Bilirubin Total 82247 CPT 4002502SO LOCAL 301 RC outpatient 104 88 Alignment Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Bilirubin Total 82247 CPT 4002502SO LOCAL 301 RC outpatient 104 88 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 42 percent of total billed charges 42 104 Bilirubin Total 82247 CPT 4002502SO LOCAL 301 RC outpatient 104 88 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 52 percent of total billed charges 52 104 Bilirubin Total 82247 CPT 4002502SO LOCAL 301 RC outpatient 104 88 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Bilirubin Total 82247 CPT 4002502SO LOCAL 301 RC outpatient 104 88 Cigna PPO 68 68% of all negotiated rates 33 percent of total billed charges 33 104 Bilirubin Total 82247 CPT 4002502SO LOCAL 301 RC outpatient 104 88 Coalition PPO 49 49% of all negotiated rates 53 percent of total billed charges 53 104 Bilirubin Total 82247 CPT 4002502SO LOCAL 301 RC outpatient 104 88 Coventry PPO 75 75% of all negotiated rates 26 percent of total billed charges 26 104 Bilirubin Total 82247 CPT 4002502SO LOCAL 301 RC outpatient 104 88 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 21 percent of total billed charges 21 104 Bilirubin Total 82247 CPT 4002502SO LOCAL 301 RC outpatient 104 88 Humana-Commerical PPO 70 70% of all negotiated rates 31 percent of total billed charges 31 104 Bilirubin Total 82247 CPT 4002502SO LOCAL 301 RC outpatient 104 88 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Bilirubin Total 82247 CPT 4002502SO LOCAL 301 RC outpatient 104 88 Multiplan PPO 80 80% of all negotiated rates 21 percent of total billed charges 21 104 Bilirubin Total 82247 CPT 4002502SO LOCAL 301 RC outpatient 104 88 One Health PPO 55 55% of all negotiated rates 47 percent of total billed charges 47 104 Bilirubin Total 82247 CPT 4002502SO LOCAL 301 RC outpatient 104 88 Optum Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Bilirubin Total 82247 CPT 4002502SO LOCAL 301 RC outpatient 104 88 P3 HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Bilirubin Total 82247 CPT 4002502SO LOCAL 301 RC outpatient 104 88 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 31 percent of total billed charges 31 104 Bilirubin Total 82247 CPT 4002502SO LOCAL 301 RC outpatient 104 88 Select Health HMO 41 41% of all negotiated rates 61 percent of total billed charges 61 104 Bilirubin Total 82247 CPT 4002502SO LOCAL 301 RC outpatient 104 88 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 69 percent of total billed charges 69 104 Bilirubin Total 82247 CPT 4002502SO LOCAL 301 RC outpatient 104 88 Sierra/HPN HMO 60 60% of all negotiated rates 42 percent of total billed charges 42 104 Bilirubin Total 82247 CPT 4002502SO LOCAL 301 RC outpatient 104 88 Silversummit Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Bilirubin Total 82247 CPT 4002502SO LOCAL 301 RC outpatient 104 88 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 68 percent of total billed charges 68 104 Bilirubin Total 82247 CPT 4002502SO LOCAL 301 RC outpatient 104 88 Teachers Trust PPO 65 65% of all negotiated rates 36 percent of total billed charges 36 104 Bilirubin Total 82247 CPT 4002502SO LOCAL 301 RC outpatient 104 88 TriWest PPO 30 30% of all negotiated rates 73 percent of total billed charges 73 104 Bilirubin Total 82247 CPT 4002502SO LOCAL 301 RC outpatient 104 88 UHN-Universal Health Network PPO 70 70% of all negotiated rates 31 percent of total billed charges 31 104 Bilirubin Total 82247 CPT 4002502SO LOCAL 301 RC outpatient 104 88 United Healthcare PPO 60 60% of all negotiated rates 42 percent of total billed charges 42 104 Bilirubin Total 82247 CPT 4002502SO LOCAL 301 RC outpatient 104 88 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 99 Coinsurance and deductible may apply Bilirubin Total 82247 CPT 4002502SO LOCAL 301 RC outpatient 104 88 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 99 Coinsurance and deductible may apply Bilirubin Total 82247 CPT 4002502SO LOCAL 301 RC outpatient 104 88 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 99 Coinsurance and deductible may apply Blood Urea Nitrogen 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 33 percent of total billed charges 33 82 Blood Urea Nitrogen 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 41 percent of total billed charges 41 82 Blood Urea Nitrogen 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 50 percent of total billed charges 50 82 Blood Urea Nitrogen 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 Cigna PPO 68 68% of all negotiated rates 26 percent of total billed charges 26 82 Blood Urea Nitrogen 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 Coalition PPO 49 49% of all negotiated rates 42 percent of total billed charges 42 82 Blood Urea Nitrogen 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 Coventry PPO 75 75% of all negotiated rates 20 percent of total billed charges 20 82 Blood Urea Nitrogen 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 16 percent of total billed charges 16 82 Blood Urea Nitrogen 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 Humana-Commerical PPO 70 70% of all negotiated rates 25 percent of total billed charges 25 82 Blood Urea Nitrogen 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 50 percent of total billed charges 50 82 Blood Urea Nitrogen 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 Multiplan PPO 80 80% of all negotiated rates 16 percent of total billed charges 16 82 Blood Urea Nitrogen 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 One Health PPO 55 55% of all negotiated rates 37 percent of total billed charges 37 82 Blood Urea Nitrogen 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 Optum Medicare HMO 39 39% of all negotiated rates 50 percent of total billed charges 50 82 Blood Urea Nitrogen 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 P3 HMO 39 39% of all negotiated rates 50 percent of total billed charges 50 82 Blood Urea Nitrogen 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 25 percent of total billed charges 25 82 Blood Urea Nitrogen 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 Select Health HMO 41 41% of all negotiated rates 48 percent of total billed charges 48 82 Blood Urea Nitrogen 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 54 percent of total billed charges 54 82 Blood Urea Nitrogen 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 Sierra/HPN HMO 60 60% of all negotiated rates 33 percent of total billed charges 33 82 Blood Urea Nitrogen 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 Silversummit Medicare HMO 39 39% of all negotiated rates 50 percent of total billed charges 50 82 Blood Urea Nitrogen 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 53 percent of total billed charges 53 82 Blood Urea Nitrogen 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 Teachers Trust PPO 65 65% of all negotiated rates 29 percent of total billed charges 29 82 Blood Urea Nitrogen 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 TriWest PPO 30 30% of all negotiated rates 57 percent of total billed charges 57 82 Blood Urea Nitrogen 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 UHN-Universal Health Network PPO 70 70% of all negotiated rates 25 percent of total billed charges 25 82 Blood Urea Nitrogen 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 United Healthcare PPO 60 60% of all negotiated rates 33 percent of total billed charges 33 82 Blood Urea Nitrogen 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 78 Coinsurance and deductible may apply Blood Urea Nitrogen 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 78 Coinsurance and deductible may apply Blood Urea Nitrogen 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 78 Coinsurance and deductible may apply Brain Natriuretic Peptide 83880 CPT 4007400 LOCAL 301 RC outpatient 461 392 Aetna PPO 38 38% of all negotiated rates 286 percent of total billed charges 286 461 Brain Natriuretic Peptide 83880 CPT 4007400 LOCAL 301 RC outpatient 461 392 Aetna Medicare HMO 26 26% of all negotiated rates 341 percent of total billed charges 341 461 Brain Natriuretic Peptide 83880 CPT 4007400 LOCAL 301 RC outpatient 461 392 Alignment Medicare HMO 39 39% of all negotiated rates 281 percent of total billed charges 281 461 Brain Natriuretic Peptide 83880 CPT 4007400 LOCAL 301 RC outpatient 461 392 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 184 percent of total billed charges 184 461 Brain Natriuretic Peptide 83880 CPT 4007400 LOCAL 301 RC outpatient 461 392 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 230 percent of total billed charges 230 461 Brain Natriuretic Peptide 83880 CPT 4007400 LOCAL 301 RC outpatient 461 392 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 281 percent of total billed charges 281 461 Brain Natriuretic Peptide 83880 CPT 4007400 LOCAL 301 RC outpatient 461 392 Cigna PPO 68 68% of all negotiated rates 148 percent of total billed charges 148 461 Brain Natriuretic Peptide 83880 CPT 4007400 LOCAL 301 RC outpatient 461 392 Coalition PPO 49 49% of all negotiated rates 235 percent of total billed charges 235 461 Brain Natriuretic Peptide 83880 CPT 4007400 LOCAL 301 RC outpatient 461 392 Coventry PPO 75 75% of all negotiated rates 115 percent of total billed charges 115 461 Brain Natriuretic Peptide 83880 CPT 4007400 LOCAL 301 RC outpatient 461 392 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 92 percent of total billed charges 92 461 Brain Natriuretic Peptide 83880 CPT 4007400 LOCAL 301 RC outpatient 461 392 Humana-Commerical PPO 70 70% of all negotiated rates 138 percent of total billed charges 138 461 Brain Natriuretic Peptide 83880 CPT 4007400 LOCAL 301 RC outpatient 461 392 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 281 percent of total billed charges 281 461 Brain Natriuretic Peptide 83880 CPT 4007400 LOCAL 301 RC outpatient 461 392 Multiplan PPO 80 80% of all negotiated rates 92 percent of total billed charges 92 461 Brain Natriuretic Peptide 83880 CPT 4007400 LOCAL 301 RC outpatient 461 392 One Health PPO 55 55% of all negotiated rates 207 percent of total billed charges 207 461 Brain Natriuretic Peptide 83880 CPT 4007400 LOCAL 301 RC outpatient 461 392 Optum Medicare HMO 39 39% of all negotiated rates 281 percent of total billed charges 281 461 Brain Natriuretic Peptide 83880 CPT 4007400 LOCAL 301 RC outpatient 461 392 P3 HMO 39 39% of all negotiated rates 281 percent of total billed charges 281 461 Brain Natriuretic Peptide 83880 CPT 4007400 LOCAL 301 RC outpatient 461 392 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 138 percent of total billed charges 138 461 Brain Natriuretic Peptide 83880 CPT 4007400 LOCAL 301 RC outpatient 461 392 Select Health HMO 41 41% of all negotiated rates 272 percent of total billed charges 272 461 Brain Natriuretic Peptide 83880 CPT 4007400 LOCAL 301 RC outpatient 461 392 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 307 percent of total billed charges 307 461 Brain Natriuretic Peptide 83880 CPT 4007400 LOCAL 301 RC outpatient 461 392 Sierra/HPN HMO 60 60% of all negotiated rates 184 percent of total billed charges 184 461 Brain Natriuretic Peptide 83880 CPT 4007400 LOCAL 301 RC outpatient 461 392 Silversummit Medicare HMO 39 39% of all negotiated rates 281 percent of total billed charges 281 461 Brain Natriuretic Peptide 83880 CPT 4007400 LOCAL 301 RC outpatient 461 392 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 300 percent of total billed charges 300 461 Brain Natriuretic Peptide 83880 CPT 4007400 LOCAL 301 RC outpatient 461 392 Teachers Trust PPO 65 65% of all negotiated rates 161 percent of total billed charges 161 461 Brain Natriuretic Peptide 83880 CPT 4007400 LOCAL 301 RC outpatient 461 392 TriWest PPO 30 30% of all negotiated rates 323 percent of total billed charges 323 461 Brain Natriuretic Peptide 83880 CPT 4007400 LOCAL 301 RC outpatient 461 392 UHN-Universal Health Network PPO 70 70% of all negotiated rates 138 percent of total billed charges 138 461 Brain Natriuretic Peptide 83880 CPT 4007400 LOCAL 301 RC outpatient 461 392 United Healthcare PPO 60 60% of all negotiated rates 184 percent of total billed charges 184 461 Brain Natriuretic Peptide 83880 CPT 4007400 LOCAL 301 RC outpatient 461 392 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 23 fee schedule 23 439 Coinsurance and deductible may apply Brain Natriuretic Peptide 83880 CPT 4007400 LOCAL 301 RC outpatient 461 392 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 23 fee schedule 23 439 Coinsurance and deductible may apply Brain Natriuretic Peptide 83880 CPT 4007400 LOCAL 301 RC outpatient 461 392 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 23 fee schedule 23 439 Coinsurance and deductible may apply BUN 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 Aetna PPO 38 38% of all negotiated rates 51 percent of total billed charges 51 82 BUN 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 Aetna Medicare HMO 26 26% of all negotiated rates 61 percent of total billed charges 61 82 BUN 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 Alignment Medicare HMO 39 39% of all negotiated rates 50 percent of total billed charges 50 82 BUN 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 33 percent of total billed charges 33 82 BUN 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 41 percent of total billed charges 41 82 BUN 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 50 percent of total billed charges 50 82 BUN 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 Cigna PPO 68 68% of all negotiated rates 26 percent of total billed charges 26 82 BUN 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 Coalition PPO 49 49% of all negotiated rates 42 percent of total billed charges 42 82 BUN 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 Coventry PPO 75 75% of all negotiated rates 20 percent of total billed charges 20 82 BUN 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 16 percent of total billed charges 16 82 BUN 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 Humana-Commerical PPO 70 70% of all negotiated rates 25 percent of total billed charges 25 82 BUN 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 50 percent of total billed charges 50 82 BUN 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 Multiplan PPO 80 80% of all negotiated rates 16 percent of total billed charges 16 82 BUN 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 One Health PPO 55 55% of all negotiated rates 37 percent of total billed charges 37 82 BUN 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 Optum Medicare HMO 39 39% of all negotiated rates 50 percent of total billed charges 50 82 BUN 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 P3 HMO 39 39% of all negotiated rates 50 percent of total billed charges 50 82 BUN 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 25 percent of total billed charges 25 82 BUN 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 Select Health HMO 41 41% of all negotiated rates 48 percent of total billed charges 48 82 BUN 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 54 percent of total billed charges 54 82 BUN 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 Sierra/HPN HMO 60 60% of all negotiated rates 33 percent of total billed charges 33 82 BUN 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 Silversummit Medicare HMO 39 39% of all negotiated rates 50 percent of total billed charges 50 82 BUN 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 53 percent of total billed charges 53 82 BUN 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 Teachers Trust PPO 65 65% of all negotiated rates 29 percent of total billed charges 29 82 BUN 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 TriWest PPO 30 30% of all negotiated rates 57 percent of total billed charges 57 82 BUN 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 UHN-Universal Health Network PPO 70 70% of all negotiated rates 25 percent of total billed charges 25 82 BUN 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 United Healthcare PPO 60 60% of all negotiated rates 33 percent of total billed charges 33 82 BUN 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 78 Coinsurance and deductible may apply BUN 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 78 Coinsurance and deductible may apply BUN 84520 CPT 4005206 LOCAL 301 RC outpatient 82 70 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 78 Coinsurance and deductible may apply Bunionectomy Akin 28298 CPT 49028298 LOCAL 490 RC outpatient 5349 4546 Aetna Medicare HMO 26 26% of all negotiated rates 3958 percent of total billed charges 3958 5349 Bunionectomy Akin 28298 CPT 49028298 LOCAL 490 RC outpatient 5349 4546 Alignment Medicare HMO 39 39% of all negotiated rates 3263 percent of total billed charges 3263 5349 Bunionectomy Akin 28298 CPT 49028298 LOCAL 490 RC outpatient 5349 4546 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 2139 percent of total billed charges 2139 5349 Bunionectomy Akin 28298 CPT 49028298 LOCAL 490 RC outpatient 5349 4546 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 2674 percent of total billed charges 2674 5349 Bunionectomy Akin 28298 CPT 49028298 LOCAL 490 RC outpatient 5349 4546 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 3263 percent of total billed charges 3263 5349 Bunionectomy Akin 28298 CPT 49028298 LOCAL 490 RC outpatient 5349 4546 Coventry PPO 75 75% of all negotiated rates 1337 percent of total billed charges 1337 5349 Bunionectomy Akin 28298 CPT 49028298 LOCAL 490 RC outpatient 5349 4546 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 1070 percent of total billed charges 1070 5349 Bunionectomy Akin 28298 CPT 49028298 LOCAL 490 RC outpatient 5349 4546 Humana-Commerical PPO 46 46% of all negotiated rates 2888 percent of total billed charges 2888 5349 Bunionectomy Akin 28298 CPT 49028298 LOCAL 490 RC outpatient 5349 4546 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 3263 percent of total billed charges 3263 5349 Bunionectomy Akin 28298 CPT 49028298 LOCAL 490 RC outpatient 5349 4546 Multiplan PPO 80 80% of all negotiated rates 1070 percent of total billed charges 1070 5349 Bunionectomy Akin 28298 CPT 49028298 LOCAL 490 RC outpatient 5349 4546 Optum Medicare HMO 39 39% of all negotiated rates 3263 percent of total billed charges 3263 5349 Bunionectomy Akin 28298 CPT 49028298 LOCAL 490 RC outpatient 5349 4546 P3 HMO 39 39% of all negotiated rates 3263 percent of total billed charges 3263 5349 Bunionectomy Akin 28298 CPT 49028298 LOCAL 490 RC outpatient 5349 4546 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 1872 percent of total billed charges 1872 5349 Bunionectomy Akin 28298 CPT 49028298 LOCAL 490 RC outpatient 5349 4546 Select Health HMO 41 41% of all negotiated rates 3156 percent of total billed charges 3156 5349 Bunionectomy Akin 28298 CPT 49028298 LOCAL 490 RC outpatient 5349 4546 Silversummit Medicare HMO 39 39% of all negotiated rates 3263 percent of total billed charges 3263 5349 Bunionectomy Akin 28298 CPT 49028298 LOCAL 490 RC outpatient 5349 4546 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 3477 percent of total billed charges 3477 5349 Bunionectomy Akin 28298 CPT 49028298 LOCAL 490 RC outpatient 5349 4546 TriWest PPO 30 30% of all negotiated rates 3744 percent of total billed charges 3744 5349 Bunionectomy Akin 28298 CPT 49028298 LOCAL 490 RC outpatient 5349 4546 UHN-Universal Health Network PPO 65 65% of all negotiated rates 1872 percent of total billed charges 1872 5349 Bunionectomy Akin 28298 CPT 49028298 LOCAL 490 RC outpatient 5349 4546 Aetna PPO 1150 case rate 1150 case rate 1150 5094 Coinsurance and deductible may apply Bunionectomy Akin 28298 CPT 49028298 LOCAL 490 RC outpatient 5349 4546 Anthem Medicaid HMO 1059 NV Medicaid SDS Rate 1059 fee schedule 1059 5094 Coinsurance and deductible may apply Bunionectomy Akin 28298 CPT 49028298 LOCAL 490 RC outpatient 5349 4546 Cigna PPO 1157 case rate 1157 case rate 1157 5094 Coinsurance and deductible may apply Bunionectomy Akin 28298 CPT 49028298 LOCAL 490 RC outpatient 5349 4546 Coalition PPO 1071 Coalition grouper rate 1071 case rate 1071 5094 Coinsurance and deductible may apply Bunionectomy Akin 28298 CPT 49028298 LOCAL 490 RC outpatient 5349 4546 HPN Medicaid HMO 1059 NV Medicaid SDS Rate 1059 fee schedule 1059 5094 Coinsurance and deductible may apply Bunionectomy Akin 28298 CPT 49028298 LOCAL 490 RC outpatient 5349 4546 Molina Medicaid HMO 1059 NV Medicaid SDS Rate 1059 case rate 1059 5094 Coinsurance and deductible may apply Bunionectomy Akin 28298 CPT 49028298 LOCAL 490 RC outpatient 5349 4546 One Health PPO 1441 case rate 1441 case rate 1441 5094 Coinsurance and deductible may apply Bunionectomy Akin 28298 CPT 49028298 LOCAL 490 RC outpatient 5349 4546 Sierra Healthcare Options PPO 1157 case rate 1157 case rate 1157 5094 Coinsurance and deductible may apply Bunionectomy Akin 28298 CPT 49028298 LOCAL 490 RC outpatient 5349 4546 Sierra/HPN HMO 1157 case rate 1157 case rate 1157 5094 Coinsurance and deductible may apply Bunionectomy Akin 28298 CPT 49028298 LOCAL 490 RC outpatient 5349 4546 Teachers Trust PPO 1071 Teachers grouper rate 1071 case rate 1071 5094 Coinsurance and deductible may apply Bunionectomy Akin 28298 CPT 49028298 LOCAL 490 RC outpatient 5349 4546 United Healthcare PPO 1441 case rate 1441 case rate 1441 5094 Coinsurance and deductible may apply Bunionectomy with Osteotomy 28310 CPT 49028310 LOCAL 490 RC outpatient 1956 1663 Aetna Medicare HMO 26 26% of all negotiated rates 1448 percent of total billed charges 1448 1956 Bunionectomy with Osteotomy 28310 CPT 49028310 LOCAL 490 RC outpatient 1956 1663 Alignment Medicare HMO 39 39% of all negotiated rates 1193 percent of total billed charges 1193 1956 Bunionectomy with Osteotomy 28310 CPT 49028310 LOCAL 490 RC outpatient 1956 1663 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 782 percent of total billed charges 782 1956 Bunionectomy with Osteotomy 28310 CPT 49028310 LOCAL 490 RC outpatient 1956 1663 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 978 percent of total billed charges 978 1956 Bunionectomy with Osteotomy 28310 CPT 49028310 LOCAL 490 RC outpatient 1956 1663 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 1193 percent of total billed charges 1193 1956 Bunionectomy with Osteotomy 28310 CPT 49028310 LOCAL 490 RC outpatient 1956 1663 Coventry PPO 75 75% of all negotiated rates 489 percent of total billed charges 489 1956 Bunionectomy with Osteotomy 28310 CPT 49028310 LOCAL 490 RC outpatient 1956 1663 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 391 percent of total billed charges 391 1956 Bunionectomy with Osteotomy 28310 CPT 49028310 LOCAL 490 RC outpatient 1956 1663 Humana-Commerical PPO 46 46% of all negotiated rates 1056 percent of total billed charges 1056 1956 Bunionectomy with Osteotomy 28310 CPT 49028310 LOCAL 490 RC outpatient 1956 1663 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 1193 percent of total billed charges 1193 1956 Bunionectomy with Osteotomy 28310 CPT 49028310 LOCAL 490 RC outpatient 1956 1663 Multiplan PPO 80 80% of all negotiated rates 391 percent of total billed charges 391 1956 Bunionectomy with Osteotomy 28310 CPT 49028310 LOCAL 490 RC outpatient 1956 1663 Optum Medicare HMO 39 39% of all negotiated rates 1193 percent of total billed charges 1193 1956 Bunionectomy with Osteotomy 28310 CPT 49028310 LOCAL 490 RC outpatient 1956 1663 P3 HMO 39 39% of all negotiated rates 1193 percent of total billed charges 1193 1956 Bunionectomy with Osteotomy 28310 CPT 49028310 LOCAL 490 RC outpatient 1956 1663 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 685 percent of total billed charges 685 1956 Bunionectomy with Osteotomy 28310 CPT 49028310 LOCAL 490 RC outpatient 1956 1663 Select Health HMO 41 41% of all negotiated rates 1154 percent of total billed charges 1154 1956 Bunionectomy with Osteotomy 28310 CPT 49028310 LOCAL 490 RC outpatient 1956 1663 Silversummit Medicare HMO 39 39% of all negotiated rates 1193 percent of total billed charges 1193 1956 Bunionectomy with Osteotomy 28310 CPT 49028310 LOCAL 490 RC outpatient 1956 1663 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 1271 percent of total billed charges 1271 1956 Bunionectomy with Osteotomy 28310 CPT 49028310 LOCAL 490 RC outpatient 1956 1663 TriWest PPO 30 30% of all negotiated rates 1369 percent of total billed charges 1369 1956 Bunionectomy with Osteotomy 28310 CPT 49028310 LOCAL 490 RC outpatient 1956 1663 UHN-Universal Health Network PPO 65 65% of all negotiated rates 685 percent of total billed charges 685 1956 Bunionectomy with Osteotomy 28310 CPT 49028310 LOCAL 490 RC outpatient 1956 1663 Aetna PPO 1150 case rate 1150 case rate 1150 1863 Coinsurance and deductible may apply Bunionectomy with Osteotomy 28310 CPT 49028310 LOCAL 490 RC outpatient 1956 1663 Anthem Medicaid HMO 1059 NV Medicaid SDS Rate 1059 fee schedule 1059 1863 Coinsurance and deductible may apply Bunionectomy with Osteotomy 28310 CPT 49028310 LOCAL 490 RC outpatient 1956 1663 Cigna PPO 1157 case rate 1157 case rate 1157 1863 Coinsurance and deductible may apply Bunionectomy with Osteotomy 28310 CPT 49028310 LOCAL 490 RC outpatient 1956 1663 Coalition PPO 1071 Coalition grouper rate 1071 case rate 1071 1863 Coinsurance and deductible may apply Bunionectomy with Osteotomy 28310 CPT 49028310 LOCAL 490 RC outpatient 1956 1663 HPN Medicaid HMO 1059 NV Medicaid SDS Rate 1059 fee schedule 1059 1863 Coinsurance and deductible may apply Bunionectomy with Osteotomy 28310 CPT 49028310 LOCAL 490 RC outpatient 1956 1663 Molina Medicaid HMO 1059 NV Medicaid SDS Rate 1059 case rate 1059 1863 Coinsurance and deductible may apply Bunionectomy with Osteotomy 28310 CPT 49028310 LOCAL 490 RC outpatient 1956 1663 One Health PPO 1273 case rate 1273 case rate 1273 1863 Coinsurance and deductible may apply Bunionectomy with Osteotomy 28310 CPT 49028310 LOCAL 490 RC outpatient 1956 1663 Sierra Healthcare Options PPO 1157 case rate 1157 case rate 1157 1863 Coinsurance and deductible may apply Bunionectomy with Osteotomy 28310 CPT 49028310 LOCAL 490 RC outpatient 1956 1663 Sierra/HPN HMO 1157 case rate 1157 case rate 1157 1863 Coinsurance and deductible may apply Bunionectomy with Osteotomy 28310 CPT 49028310 LOCAL 490 RC outpatient 1956 1663 Teachers Trust PPO 1071 Teachers grouper rate 1071 case rate 1071 1863 Coinsurance and deductible may apply Bunionectomy with Osteotomy 28310 CPT 49028310 LOCAL 490 RC outpatient 1956 1663 United Healthcare PPO 1273 case rate 1273 case rate 1273 1863 Coinsurance and deductible may apply C. Diff by Xpert 87493 CPT 4010301 LOCAL 306 RC outpatient 124 105 Aetna PPO 38 38% of all negotiated rates 77 percent of total billed charges 77 124 C. Diff by Xpert 87493 CPT 4010301 LOCAL 306 RC outpatient 124 105 Aetna Medicare HMO 26 26% of all negotiated rates 92 percent of total billed charges 92 124 C. Diff by Xpert 87493 CPT 4010301 LOCAL 306 RC outpatient 124 105 Alignment Medicare HMO 39 39% of all negotiated rates 76 percent of total billed charges 76 124 C. Diff by Xpert 87493 CPT 4010301 LOCAL 306 RC outpatient 124 105 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 50 percent of total billed charges 50 124 C. Diff by Xpert 87493 CPT 4010301 LOCAL 306 RC outpatient 124 105 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 62 percent of total billed charges 62 124 C. Diff by Xpert 87493 CPT 4010301 LOCAL 306 RC outpatient 124 105 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 76 percent of total billed charges 76 124 C. Diff by Xpert 87493 CPT 4010301 LOCAL 306 RC outpatient 124 105 Cigna PPO 68 68% of all negotiated rates 40 percent of total billed charges 40 124 C. Diff by Xpert 87493 CPT 4010301 LOCAL 306 RC outpatient 124 105 Coalition PPO 49 49% of all negotiated rates 63 percent of total billed charges 63 124 C. Diff by Xpert 87493 CPT 4010301 LOCAL 306 RC outpatient 124 105 Coventry PPO 75 75% of all negotiated rates 31 percent of total billed charges 31 124 C. Diff by Xpert 87493 CPT 4010301 LOCAL 306 RC outpatient 124 105 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 25 percent of total billed charges 25 124 C. Diff by Xpert 87493 CPT 4010301 LOCAL 306 RC outpatient 124 105 Humana-Commerical PPO 70 70% of all negotiated rates 37 percent of total billed charges 37 124 C. Diff by Xpert 87493 CPT 4010301 LOCAL 306 RC outpatient 124 105 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 76 percent of total billed charges 76 124 C. Diff by Xpert 87493 CPT 4010301 LOCAL 306 RC outpatient 124 105 Multiplan PPO 80 80% of all negotiated rates 25 percent of total billed charges 25 124 C. Diff by Xpert 87493 CPT 4010301 LOCAL 306 RC outpatient 124 105 One Health PPO 55 55% of all negotiated rates 56 percent of total billed charges 56 124 C. Diff by Xpert 87493 CPT 4010301 LOCAL 306 RC outpatient 124 105 Optum Medicare HMO 39 39% of all negotiated rates 76 percent of total billed charges 76 124 C. Diff by Xpert 87493 CPT 4010301 LOCAL 306 RC outpatient 124 105 P3 HMO 39 39% of all negotiated rates 76 percent of total billed charges 76 124 C. Diff by Xpert 87493 CPT 4010301 LOCAL 306 RC outpatient 124 105 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 37 percent of total billed charges 37 124 C. Diff by Xpert 87493 CPT 4010301 LOCAL 306 RC outpatient 124 105 Select Health HMO 41 41% of all negotiated rates 73 percent of total billed charges 73 124 C. Diff by Xpert 87493 CPT 4010301 LOCAL 306 RC outpatient 124 105 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 82 percent of total billed charges 82 124 C. Diff by Xpert 87493 CPT 4010301 LOCAL 306 RC outpatient 124 105 Sierra/HPN HMO 60 60% of all negotiated rates 50 percent of total billed charges 50 124 C. Diff by Xpert 87493 CPT 4010301 LOCAL 306 RC outpatient 124 105 Silversummit Medicare HMO 39 39% of all negotiated rates 76 percent of total billed charges 76 124 C. Diff by Xpert 87493 CPT 4010301 LOCAL 306 RC outpatient 124 105 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 81 percent of total billed charges 81 124 C. Diff by Xpert 87493 CPT 4010301 LOCAL 306 RC outpatient 124 105 Teachers Trust PPO 65 65% of all negotiated rates 43 percent of total billed charges 43 124 C. Diff by Xpert 87493 CPT 4010301 LOCAL 306 RC outpatient 124 105 TriWest PPO 30 30% of all negotiated rates 87 percent of total billed charges 87 124 C. Diff by Xpert 87493 CPT 4010301 LOCAL 306 RC outpatient 124 105 UHN-Universal Health Network PPO 70 70% of all negotiated rates 37 percent of total billed charges 37 124 C. Diff by Xpert 87493 CPT 4010301 LOCAL 306 RC outpatient 124 105 United Healthcare PPO 60 60% of all negotiated rates 50 percent of total billed charges 50 124 C. Diff by Xpert 87493 CPT 4010301 LOCAL 306 RC outpatient 124 105 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 24 fee schedule 24 118 Coinsurance and deductible may apply C. Diff by Xpert 87493 CPT 4010301 LOCAL 306 RC outpatient 124 105 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 24 fee schedule 24 118 Coinsurance and deductible may apply C. Diff by Xpert 87493 CPT 4010301 LOCAL 306 RC outpatient 124 105 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 24 fee schedule 24 118 Coinsurance and deductible may apply Calcium Level 82310 CPT 4003104 LOCAL 301 RC outpatient 106 90 Aetna PPO 38 38% of all negotiated rates 66 percent of total billed charges 66 106 Calcium Level 82310 CPT 4003104 LOCAL 301 RC outpatient 106 90 Aetna Medicare HMO 26 26% of all negotiated rates 78 percent of total billed charges 78 106 Calcium Level 82310 CPT 4003104 LOCAL 301 RC outpatient 106 90 Alignment Medicare HMO 39 39% of all negotiated rates 65 percent of total billed charges 65 106 Calcium Level 82310 CPT 4003104 LOCAL 301 RC outpatient 106 90 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 42 percent of total billed charges 42 106 Calcium Level 82310 CPT 4003104 LOCAL 301 RC outpatient 106 90 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 53 percent of total billed charges 53 106 Calcium Level 82310 CPT 4003104 LOCAL 301 RC outpatient 106 90 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 65 percent of total billed charges 65 106 Calcium Level 82310 CPT 4003104 LOCAL 301 RC outpatient 106 90 Cigna PPO 68 68% of all negotiated rates 34 percent of total billed charges 34 106 Calcium Level 82310 CPT 4003104 LOCAL 301 RC outpatient 106 90 Coalition PPO 49 49% of all negotiated rates 54 percent of total billed charges 54 106 Calcium Level 82310 CPT 4003104 LOCAL 301 RC outpatient 106 90 Coventry PPO 75 75% of all negotiated rates 27 percent of total billed charges 27 106 Calcium Level 82310 CPT 4003104 LOCAL 301 RC outpatient 106 90 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 21 percent of total billed charges 21 106 Calcium Level 82310 CPT 4003104 LOCAL 301 RC outpatient 106 90 Humana-Commerical PPO 70 70% of all negotiated rates 32 percent of total billed charges 32 106 Calcium Level 82310 CPT 4003104 LOCAL 301 RC outpatient 106 90 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 65 percent of total billed charges 65 106 Calcium Level 82310 CPT 4003104 LOCAL 301 RC outpatient 106 90 Multiplan PPO 80 80% of all negotiated rates 21 percent of total billed charges 21 106 Calcium Level 82310 CPT 4003104 LOCAL 301 RC outpatient 106 90 One Health PPO 55 55% of all negotiated rates 48 percent of total billed charges 48 106 Calcium Level 82310 CPT 4003104 LOCAL 301 RC outpatient 106 90 Optum Medicare HMO 39 39% of all negotiated rates 65 percent of total billed charges 65 106 Calcium Level 82310 CPT 4003104 LOCAL 301 RC outpatient 106 90 P3 HMO 39 39% of all negotiated rates 65 percent of total billed charges 65 106 Calcium Level 82310 CPT 4003104 LOCAL 301 RC outpatient 106 90 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 32 percent of total billed charges 32 106 Calcium Level 82310 CPT 4003104 LOCAL 301 RC outpatient 106 90 Select Health HMO 41 41% of all negotiated rates 63 percent of total billed charges 63 106 Calcium Level 82310 CPT 4003104 LOCAL 301 RC outpatient 106 90 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 71 percent of total billed charges 71 106 Calcium Level 82310 CPT 4003104 LOCAL 301 RC outpatient 106 90 Sierra/HPN HMO 60 60% of all negotiated rates 42 percent of total billed charges 42 106 Calcium Level 82310 CPT 4003104 LOCAL 301 RC outpatient 106 90 Silversummit Medicare HMO 39 39% of all negotiated rates 65 percent of total billed charges 65 106 Calcium Level 82310 CPT 4003104 LOCAL 301 RC outpatient 106 90 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 69 percent of total billed charges 69 106 Calcium Level 82310 CPT 4003104 LOCAL 301 RC outpatient 106 90 Teachers Trust PPO 65 65% of all negotiated rates 37 percent of total billed charges 37 106 Calcium Level 82310 CPT 4003104 LOCAL 301 RC outpatient 106 90 TriWest PPO 30 30% of all negotiated rates 74 percent of total billed charges 74 106 Calcium Level 82310 CPT 4003104 LOCAL 301 RC outpatient 106 90 UHN-Universal Health Network PPO 70 70% of all negotiated rates 32 percent of total billed charges 32 106 Calcium Level 82310 CPT 4003104 LOCAL 301 RC outpatient 106 90 United Healthcare PPO 60 60% of all negotiated rates 42 percent of total billed charges 42 106 Calcium Level 82310 CPT 4003104 LOCAL 301 RC outpatient 106 90 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 4 fee schedule 4 101 Coinsurance and deductible may apply Calcium Level 82310 CPT 4003104 LOCAL 301 RC outpatient 106 90 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 4 fee schedule 4 101 Coinsurance and deductible may apply Calcium Level 82310 CPT 4003104 LOCAL 301 RC outpatient 106 90 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 4 fee schedule 4 101 Coinsurance and deductible may apply Carbon Dioxide Level 82374 CPT 4003740 LOCAL 301 RC outpatient 171 145 Aetna PPO 38 38% of all negotiated rates 106 percent of total billed charges 106 171 Carbon Dioxide Level 82374 CPT 4003740 LOCAL 301 RC outpatient 171 145 Aetna Medicare HMO 26 26% of all negotiated rates 127 percent of total billed charges 127 171 Carbon Dioxide Level 82374 CPT 4003740 LOCAL 301 RC outpatient 171 145 Alignment Medicare HMO 39 39% of all negotiated rates 104 percent of total billed charges 104 171 Carbon Dioxide Level 82374 CPT 4003740 LOCAL 301 RC outpatient 171 145 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 68 percent of total billed charges 68 171 Carbon Dioxide Level 82374 CPT 4003740 LOCAL 301 RC outpatient 171 145 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 86 percent of total billed charges 86 171 Carbon Dioxide Level 82374 CPT 4003740 LOCAL 301 RC outpatient 171 145 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 104 percent of total billed charges 104 171 Carbon Dioxide Level 82374 CPT 4003740 LOCAL 301 RC outpatient 171 145 Cigna PPO 68 68% of all negotiated rates 55 percent of total billed charges 55 171 Carbon Dioxide Level 82374 CPT 4003740 LOCAL 301 RC outpatient 171 145 Coalition PPO 49 49% of all negotiated rates 87 percent of total billed charges 87 171 Carbon Dioxide Level 82374 CPT 4003740 LOCAL 301 RC outpatient 171 145 Coventry PPO 75 75% of all negotiated rates 43 percent of total billed charges 43 171 Carbon Dioxide Level 82374 CPT 4003740 LOCAL 301 RC outpatient 171 145 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 34 percent of total billed charges 34 171 Carbon Dioxide Level 82374 CPT 4003740 LOCAL 301 RC outpatient 171 145 Humana-Commerical PPO 70 70% of all negotiated rates 51 percent of total billed charges 51 171 Carbon Dioxide Level 82374 CPT 4003740 LOCAL 301 RC outpatient 171 145 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 104 percent of total billed charges 104 171 Carbon Dioxide Level 82374 CPT 4003740 LOCAL 301 RC outpatient 171 145 Multiplan PPO 80 80% of all negotiated rates 34 percent of total billed charges 34 171 Carbon Dioxide Level 82374 CPT 4003740 LOCAL 301 RC outpatient 171 145 One Health PPO 55 55% of all negotiated rates 77 percent of total billed charges 77 171 Carbon Dioxide Level 82374 CPT 4003740 LOCAL 301 RC outpatient 171 145 Optum Medicare HMO 39 39% of all negotiated rates 104 percent of total billed charges 104 171 Carbon Dioxide Level 82374 CPT 4003740 LOCAL 301 RC outpatient 171 145 P3 HMO 39 39% of all negotiated rates 104 percent of total billed charges 104 171 Carbon Dioxide Level 82374 CPT 4003740 LOCAL 301 RC outpatient 171 145 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 51 percent of total billed charges 51 171 Carbon Dioxide Level 82374 CPT 4003740 LOCAL 301 RC outpatient 171 145 Select Health HMO 41 41% of all negotiated rates 101 percent of total billed charges 101 171 Carbon Dioxide Level 82374 CPT 4003740 LOCAL 301 RC outpatient 171 145 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 114 percent of total billed charges 114 171 Carbon Dioxide Level 82374 CPT 4003740 LOCAL 301 RC outpatient 171 145 Sierra/HPN HMO 60 60% of all negotiated rates 68 percent of total billed charges 68 171 Carbon Dioxide Level 82374 CPT 4003740 LOCAL 301 RC outpatient 171 145 Silversummit Medicare HMO 39 39% of all negotiated rates 104 percent of total billed charges 104 171 Carbon Dioxide Level 82374 CPT 4003740 LOCAL 301 RC outpatient 171 145 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 111 percent of total billed charges 111 171 Carbon Dioxide Level 82374 CPT 4003740 LOCAL 301 RC outpatient 171 145 Teachers Trust PPO 65 65% of all negotiated rates 60 percent of total billed charges 60 171 Carbon Dioxide Level 82374 CPT 4003740 LOCAL 301 RC outpatient 171 145 TriWest PPO 30 30% of all negotiated rates 120 percent of total billed charges 120 171 Carbon Dioxide Level 82374 CPT 4003740 LOCAL 301 RC outpatient 171 145 UHN-Universal Health Network PPO 70 70% of all negotiated rates 51 percent of total billed charges 51 171 Carbon Dioxide Level 82374 CPT 4003740 LOCAL 301 RC outpatient 171 145 United Healthcare PPO 60 60% of all negotiated rates 68 percent of total billed charges 68 171 Carbon Dioxide Level 82374 CPT 4003740 LOCAL 301 RC outpatient 171 145 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 163 Coinsurance and deductible may apply Carbon Dioxide Level 82374 CPT 4003740 LOCAL 301 RC outpatient 171 145 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 163 Coinsurance and deductible may apply Carbon Dioxide Level 82374 CPT 4003740 LOCAL 301 RC outpatient 171 145 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 163 Coinsurance and deductible may apply Carpal Tunnel Release 64721 CPT 49064721 LOCAL 490 RC outpatient 3557 3024 Aetna Medicare HMO 26 26% of all negotiated rates 2632 percent of total billed charges 2632 3557 Carpal Tunnel Release 64721 CPT 49064721 LOCAL 490 RC outpatient 3557 3024 Alignment Medicare HMO 39 39% of all negotiated rates 2170 percent of total billed charges 2170 3557 Carpal Tunnel Release 64721 CPT 49064721 LOCAL 490 RC outpatient 3557 3024 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 1423 percent of total billed charges 1423 3557 Carpal Tunnel Release 64721 CPT 49064721 LOCAL 490 RC outpatient 3557 3024 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 1779 percent of total billed charges 1779 3557 Carpal Tunnel Release 64721 CPT 49064721 LOCAL 490 RC outpatient 3557 3024 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 2170 percent of total billed charges 2170 3557 Carpal Tunnel Release 64721 CPT 49064721 LOCAL 490 RC outpatient 3557 3024 Coventry PPO 75 75% of all negotiated rates 889 percent of total billed charges 889 3557 Carpal Tunnel Release 64721 CPT 49064721 LOCAL 490 RC outpatient 3557 3024 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 711 percent of total billed charges 711 3557 Carpal Tunnel Release 64721 CPT 49064721 LOCAL 490 RC outpatient 3557 3024 Humana-Commerical PPO 46 46% of all negotiated rates 1921 percent of total billed charges 1921 3557 Carpal Tunnel Release 64721 CPT 49064721 LOCAL 490 RC outpatient 3557 3024 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 2170 percent of total billed charges 2170 3557 Carpal Tunnel Release 64721 CPT 49064721 LOCAL 490 RC outpatient 3557 3024 Multiplan PPO 80 80% of all negotiated rates 711 percent of total billed charges 711 3557 Carpal Tunnel Release 64721 CPT 49064721 LOCAL 490 RC outpatient 3557 3024 Optum Medicare HMO 39 39% of all negotiated rates 2170 percent of total billed charges 2170 3557 Carpal Tunnel Release 64721 CPT 49064721 LOCAL 490 RC outpatient 3557 3024 P3 HMO 39 39% of all negotiated rates 2170 percent of total billed charges 2170 3557 Carpal Tunnel Release 64721 CPT 49064721 LOCAL 490 RC outpatient 3557 3024 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 1245 percent of total billed charges 1245 3557 Carpal Tunnel Release 64721 CPT 49064721 LOCAL 490 RC outpatient 3557 3024 Select Health HMO 41 41% of all negotiated rates 2099 percent of total billed charges 2099 3557 Carpal Tunnel Release 64721 CPT 49064721 LOCAL 490 RC outpatient 3557 3024 Silversummit Medicare HMO 39 39% of all negotiated rates 2170 percent of total billed charges 2170 3557 Carpal Tunnel Release 64721 CPT 49064721 LOCAL 490 RC outpatient 3557 3024 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 2312 percent of total billed charges 2312 3557 Carpal Tunnel Release 64721 CPT 49064721 LOCAL 490 RC outpatient 3557 3024 TriWest PPO 30 30% of all negotiated rates 2490 percent of total billed charges 2490 3557 Carpal Tunnel Release 64721 CPT 49064721 LOCAL 490 RC outpatient 3557 3024 UHN-Universal Health Network PPO 65 65% of all negotiated rates 1245 percent of total billed charges 1245 3557 Carpal Tunnel Release 64721 CPT 49064721 LOCAL 490 RC outpatient 3557 3024 Aetna PPO 950 case rate 950 case rate 950 3388 Coinsurance and deductible may apply Carpal Tunnel Release 64721 CPT 49064721 LOCAL 490 RC outpatient 3557 3024 Anthem Medicaid HMO 615 NV Medicaid SDS Rate 615 fee schedule 615 3388 Coinsurance and deductible may apply Carpal Tunnel Release 64721 CPT 49064721 LOCAL 490 RC outpatient 3557 3024 Cigna PPO 1014 case rate 1014 case rate 1014 3388 Coinsurance and deductible may apply Carpal Tunnel Release 64721 CPT 49064721 LOCAL 490 RC outpatient 3557 3024 Coalition PPO 939 Coalition grouper rate 939 case rate 939 3388 Coinsurance and deductible may apply Carpal Tunnel Release 64721 CPT 49064721 LOCAL 490 RC outpatient 3557 3024 HPN Medicaid HMO 615 NV Medicaid SDS Rate 615 fee schedule 615 3388 Coinsurance and deductible may apply Carpal Tunnel Release 64721 CPT 49064721 LOCAL 490 RC outpatient 3557 3024 Molina Medicaid HMO 615 NV Medicaid SDS Rate 615 case rate 615 3388 Coinsurance and deductible may apply Carpal Tunnel Release 64721 CPT 49064721 LOCAL 490 RC outpatient 3557 3024 One Health PPO 1273 case rate 1273 case rate 1273 3388 Coinsurance and deductible may apply Carpal Tunnel Release 64721 CPT 49064721 LOCAL 490 RC outpatient 3557 3024 Sierra Healthcare Options PPO 1014 case rate 1014 case rate 1014 3388 Coinsurance and deductible may apply Carpal Tunnel Release 64721 CPT 49064721 LOCAL 490 RC outpatient 3557 3024 Sierra/HPN HMO 1014 case rate 1014 case rate 1014 3388 Coinsurance and deductible may apply Carpal Tunnel Release 64721 CPT 49064721 LOCAL 490 RC outpatient 3557 3024 Teachers Trust PPO 939 Teachers grouper rate 939 case rate 939 3388 Coinsurance and deductible may apply Carpal Tunnel Release 64721 CPT 49064721 LOCAL 490 RC outpatient 3557 3024 United Healthcare PPO 1273 case rate 1273 case rate 1273 3388 Coinsurance and deductible may apply CBC w/ Auto Diff 10 85025 CPT 4000222 LOCAL 305 RC outpatient 277 236 Aetna PPO 38 38% of all negotiated rates 172 percent of total billed charges 172 277 CBC w/ Auto Diff 10 85025 CPT 4000222 LOCAL 305 RC outpatient 277 236 Aetna Medicare HMO 26 26% of all negotiated rates 205 percent of total billed charges 205 277 CBC w/ Auto Diff 10 85025 CPT 4000222 LOCAL 305 RC outpatient 277 236 Alignment Medicare HMO 39 39% of all negotiated rates 169 percent of total billed charges 169 277 CBC w/ Auto Diff 10 85025 CPT 4000222 LOCAL 305 RC outpatient 277 236 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 111 percent of total billed charges 111 277 CBC w/ Auto Diff 10 85025 CPT 4000222 LOCAL 305 RC outpatient 277 236 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 139 percent of total billed charges 139 277 CBC w/ Auto Diff 10 85025 CPT 4000222 LOCAL 305 RC outpatient 277 236 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 169 percent of total billed charges 169 277 CBC w/ Auto Diff 10 85025 CPT 4000222 LOCAL 305 RC outpatient 277 236 Cigna PPO 68 68% of all negotiated rates 89 percent of total billed charges 89 277 CBC w/ Auto Diff 10 85025 CPT 4000222 LOCAL 305 RC outpatient 277 236 Coalition PPO 49 49% of all negotiated rates 141 percent of total billed charges 141 277 CBC w/ Auto Diff 10 85025 CPT 4000222 LOCAL 305 RC outpatient 277 236 Coventry PPO 75 75% of all negotiated rates 69 percent of total billed charges 69 277 CBC w/ Auto Diff 10 85025 CPT 4000222 LOCAL 305 RC outpatient 277 236 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 55 percent of total billed charges 55 277 CBC w/ Auto Diff 10 85025 CPT 4000222 LOCAL 305 RC outpatient 277 236 Humana-Commerical PPO 70 70% of all negotiated rates 83 percent of total billed charges 83 277 CBC w/ Auto Diff 10 85025 CPT 4000222 LOCAL 305 RC outpatient 277 236 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 169 percent of total billed charges 169 277 CBC w/ Auto Diff 10 85025 CPT 4000222 LOCAL 305 RC outpatient 277 236 Multiplan PPO 80 80% of all negotiated rates 55 percent of total billed charges 55 277 CBC w/ Auto Diff 10 85025 CPT 4000222 LOCAL 305 RC outpatient 277 236 One Health PPO 55 55% of all negotiated rates 125 percent of total billed charges 125 277 CBC w/ Auto Diff 10 85025 CPT 4000222 LOCAL 305 RC outpatient 277 236 Optum Medicare HMO 39 39% of all negotiated rates 169 percent of total billed charges 169 277 CBC w/ Auto Diff 10 85025 CPT 4000222 LOCAL 305 RC outpatient 277 236 P3 HMO 39 39% of all negotiated rates 169 percent of total billed charges 169 277 CBC w/ Auto Diff 10 85025 CPT 4000222 LOCAL 305 RC outpatient 277 236 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 83 percent of total billed charges 83 277 CBC w/ Auto Diff 10 85025 CPT 4000222 LOCAL 305 RC outpatient 277 236 Select Health HMO 41 41% of all negotiated rates 164 percent of total billed charges 164 277 CBC w/ Auto Diff 10 85025 CPT 4000222 LOCAL 305 RC outpatient 277 236 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 184 percent of total billed charges 184 277 CBC w/ Auto Diff 10 85025 CPT 4000222 LOCAL 305 RC outpatient 277 236 Sierra/HPN HMO 60 60% of all negotiated rates 111 percent of total billed charges 111 277 CBC w/ Auto Diff 10 85025 CPT 4000222 LOCAL 305 RC outpatient 277 236 Silversummit Medicare HMO 39 39% of all negotiated rates 169 percent of total billed charges 169 277 CBC w/ Auto Diff 10 85025 CPT 4000222 LOCAL 305 RC outpatient 277 236 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 180 percent of total billed charges 180 277 CBC w/ Auto Diff 10 85025 CPT 4000222 LOCAL 305 RC outpatient 277 236 Teachers Trust PPO 65 65% of all negotiated rates 97 percent of total billed charges 97 277 CBC w/ Auto Diff 10 85025 CPT 4000222 LOCAL 305 RC outpatient 277 236 TriWest PPO 30 30% of all negotiated rates 194 percent of total billed charges 194 277 CBC w/ Auto Diff 10 85025 CPT 4000222 LOCAL 305 RC outpatient 277 236 UHN-Universal Health Network PPO 70 70% of all negotiated rates 83 percent of total billed charges 83 277 CBC w/ Auto Diff 10 85025 CPT 4000222 LOCAL 305 RC outpatient 277 236 United Healthcare PPO 60 60% of all negotiated rates 111 percent of total billed charges 111 277 CBC w/ Auto Diff 10 85025 CPT 4000222 LOCAL 305 RC outpatient 277 236 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 5 fee schedule 5 264 Coinsurance and deductible may apply CBC w/ Auto Diff 10 85025 CPT 4000222 LOCAL 305 RC outpatient 277 236 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 5 fee schedule 5 264 Coinsurance and deductible may apply CBC w/ Auto Diff 10 85025 CPT 4000222 LOCAL 305 RC outpatient 277 236 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 5 fee schedule 5 264 Coinsurance and deductible may apply CBC w/ Auto Diff 6 85027 CPT 4000222SO LOCAL 305 RC outpatient 106 90 Aetna PPO 38 38% of all negotiated rates 66 percent of total billed charges 66 106 CBC w/ Auto Diff 6 85027 CPT 4000222SO LOCAL 305 RC outpatient 106 90 Aetna Medicare HMO 26 26% of all negotiated rates 78 percent of total billed charges 78 106 CBC w/ Auto Diff 6 85027 CPT 4000222SO LOCAL 305 RC outpatient 106 90 Alignment Medicare HMO 39 39% of all negotiated rates 65 percent of total billed charges 65 106 CBC w/ Auto Diff 6 85027 CPT 4000222SO LOCAL 305 RC outpatient 106 90 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 42 percent of total billed charges 42 106 CBC w/ Auto Diff 6 85027 CPT 4000222SO LOCAL 305 RC outpatient 106 90 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 53 percent of total billed charges 53 106 CBC w/ Auto Diff 6 85027 CPT 4000222SO LOCAL 305 RC outpatient 106 90 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 65 percent of total billed charges 65 106 CBC w/ Auto Diff 6 85027 CPT 4000222SO LOCAL 305 RC outpatient 106 90 Cigna PPO 68 68% of all negotiated rates 34 percent of total billed charges 34 106 CBC w/ Auto Diff 6 85027 CPT 4000222SO LOCAL 305 RC outpatient 106 90 Coalition PPO 49 49% of all negotiated rates 54 percent of total billed charges 54 106 CBC w/ Auto Diff 6 85027 CPT 4000222SO LOCAL 305 RC outpatient 106 90 Coventry PPO 75 75% of all negotiated rates 27 percent of total billed charges 27 106 CBC w/ Auto Diff 6 85027 CPT 4000222SO LOCAL 305 RC outpatient 106 90 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 21 percent of total billed charges 21 106 CBC w/ Auto Diff 6 85027 CPT 4000222SO LOCAL 305 RC outpatient 106 90 Humana-Commerical PPO 70 70% of all negotiated rates 32 percent of total billed charges 32 106 CBC w/ Auto Diff 6 85027 CPT 4000222SO LOCAL 305 RC outpatient 106 90 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 65 percent of total billed charges 65 106 CBC w/ Auto Diff 6 85027 CPT 4000222SO LOCAL 305 RC outpatient 106 90 Multiplan PPO 80 80% of all negotiated rates 21 percent of total billed charges 21 106 CBC w/ Auto Diff 6 85027 CPT 4000222SO LOCAL 305 RC outpatient 106 90 One Health PPO 55 55% of all negotiated rates 48 percent of total billed charges 48 106 CBC w/ Auto Diff 6 85027 CPT 4000222SO LOCAL 305 RC outpatient 106 90 Optum Medicare HMO 39 39% of all negotiated rates 65 percent of total billed charges 65 106 CBC w/ Auto Diff 6 85027 CPT 4000222SO LOCAL 305 RC outpatient 106 90 P3 HMO 39 39% of all negotiated rates 65 percent of total billed charges 65 106 CBC w/ Auto Diff 6 85027 CPT 4000222SO LOCAL 305 RC outpatient 106 90 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 32 percent of total billed charges 32 106 CBC w/ Auto Diff 6 85027 CPT 4000222SO LOCAL 305 RC outpatient 106 90 Select Health HMO 41 41% of all negotiated rates 63 percent of total billed charges 63 106 CBC w/ Auto Diff 6 85027 CPT 4000222SO LOCAL 305 RC outpatient 106 90 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 71 percent of total billed charges 71 106 CBC w/ Auto Diff 6 85027 CPT 4000222SO LOCAL 305 RC outpatient 106 90 Sierra/HPN HMO 60 60% of all negotiated rates 42 percent of total billed charges 42 106 CBC w/ Auto Diff 6 85027 CPT 4000222SO LOCAL 305 RC outpatient 106 90 Silversummit Medicare HMO 39 39% of all negotiated rates 65 percent of total billed charges 65 106 CBC w/ Auto Diff 6 85027 CPT 4000222SO LOCAL 305 RC outpatient 106 90 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 69 percent of total billed charges 69 106 CBC w/ Auto Diff 6 85027 CPT 4000222SO LOCAL 305 RC outpatient 106 90 Teachers Trust PPO 65 65% of all negotiated rates 37 percent of total billed charges 37 106 CBC w/ Auto Diff 6 85027 CPT 4000222SO LOCAL 305 RC outpatient 106 90 TriWest PPO 30 30% of all negotiated rates 74 percent of total billed charges 74 106 CBC w/ Auto Diff 6 85027 CPT 4000222SO LOCAL 305 RC outpatient 106 90 UHN-Universal Health Network PPO 70 70% of all negotiated rates 32 percent of total billed charges 32 106 CBC w/ Auto Diff 6 85027 CPT 4000222SO LOCAL 305 RC outpatient 106 90 United Healthcare PPO 60 60% of all negotiated rates 42 percent of total billed charges 42 106 CBC w/ Auto Diff 6 85027 CPT 4000222SO LOCAL 305 RC outpatient 106 90 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 4 fee schedule 4 101 Coinsurance and deductible may apply CBC w/ Auto Diff 6 85027 CPT 4000222SO LOCAL 305 RC outpatient 106 90 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 4 fee schedule 4 101 Coinsurance and deductible may apply CBC w/ Auto Diff 6 85027 CPT 4000222SO LOCAL 305 RC outpatient 106 90 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 4 fee schedule 4 101 Coinsurance and deductible may apply Chlamydia and Gonorrhoeae 0353U CPT 4010303SO LOCAL 300 RC outpatient 233 198 Aetna PPO 38 38% of all negotiated rates 145 percent of total billed charges 145 233 Chlamydia and Gonorrhoeae 0353U CPT 4010303SO LOCAL 300 RC outpatient 233 198 Aetna Medicare HMO 26 26% of all negotiated rates 172 percent of total billed charges 172 233 Chlamydia and Gonorrhoeae 0353U CPT 4010303SO LOCAL 300 RC outpatient 233 198 Alignment Medicare HMO 39 39% of all negotiated rates 142 percent of total billed charges 142 233 Chlamydia and Gonorrhoeae 0353U CPT 4010303SO LOCAL 300 RC outpatient 233 198 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 93 percent of total billed charges 93 233 Chlamydia and Gonorrhoeae 0353U CPT 4010303SO LOCAL 300 RC outpatient 233 198 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 117 percent of total billed charges 117 233 Chlamydia and Gonorrhoeae 0353U CPT 4010303SO LOCAL 300 RC outpatient 233 198 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 142 percent of total billed charges 142 233 Chlamydia and Gonorrhoeae 0353U CPT 4010303SO LOCAL 300 RC outpatient 233 198 Cigna PPO 68 68% of all negotiated rates 75 percent of total billed charges 75 233 Chlamydia and Gonorrhoeae 0353U CPT 4010303SO LOCAL 300 RC outpatient 233 198 Coalition PPO 49 49% of all negotiated rates 119 percent of total billed charges 119 233 Chlamydia and Gonorrhoeae 0353U CPT 4010303SO LOCAL 300 RC outpatient 233 198 Coventry PPO 75 75% of all negotiated rates 58 percent of total billed charges 58 233 Chlamydia and Gonorrhoeae 0353U CPT 4010303SO LOCAL 300 RC outpatient 233 198 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 47 percent of total billed charges 47 233 Chlamydia and Gonorrhoeae 0353U CPT 4010303SO LOCAL 300 RC outpatient 233 198 Humana-Commerical PPO 70 70% of all negotiated rates 70 percent of total billed charges 70 233 Chlamydia and Gonorrhoeae 0353U CPT 4010303SO LOCAL 300 RC outpatient 233 198 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 142 percent of total billed charges 142 233 Chlamydia and Gonorrhoeae 0353U CPT 4010303SO LOCAL 300 RC outpatient 233 198 Multiplan PPO 80 80% of all negotiated rates 47 percent of total billed charges 47 233 Chlamydia and Gonorrhoeae 0353U CPT 4010303SO LOCAL 300 RC outpatient 233 198 One Health PPO 55 55% of all negotiated rates 105 percent of total billed charges 105 233 Chlamydia and Gonorrhoeae 0353U CPT 4010303SO LOCAL 300 RC outpatient 233 198 Optum Medicare HMO 39 39% of all negotiated rates 142 percent of total billed charges 142 233 Chlamydia and Gonorrhoeae 0353U CPT 4010303SO LOCAL 300 RC outpatient 233 198 P3 HMO 39 39% of all negotiated rates 142 percent of total billed charges 142 233 Chlamydia and Gonorrhoeae 0353U CPT 4010303SO LOCAL 300 RC outpatient 233 198 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 70 percent of total billed charges 70 233 Chlamydia and Gonorrhoeae 0353U CPT 4010303SO LOCAL 300 RC outpatient 233 198 Select Health HMO 41 41% of all negotiated rates 138 percent of total billed charges 138 233 Chlamydia and Gonorrhoeae 0353U CPT 4010303SO LOCAL 300 RC outpatient 233 198 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 155 percent of total billed charges 155 233 Chlamydia and Gonorrhoeae 0353U CPT 4010303SO LOCAL 300 RC outpatient 233 198 Sierra/HPN HMO 60 60% of all negotiated rates 93 percent of total billed charges 93 233 Chlamydia and Gonorrhoeae 0353U CPT 4010303SO LOCAL 300 RC outpatient 233 198 Silversummit Medicare HMO 39 39% of all negotiated rates 142 percent of total billed charges 142 233 Chlamydia and Gonorrhoeae 0353U CPT 4010303SO LOCAL 300 RC outpatient 233 198 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 152 percent of total billed charges 152 233 Chlamydia and Gonorrhoeae 0353U CPT 4010303SO LOCAL 300 RC outpatient 233 198 Teachers Trust PPO 65 65% of all negotiated rates 82 percent of total billed charges 82 233 Chlamydia and Gonorrhoeae 0353U CPT 4010303SO LOCAL 300 RC outpatient 233 198 TriWest PPO 30 30% of all negotiated rates 163 percent of total billed charges 163 233 Chlamydia and Gonorrhoeae 0353U CPT 4010303SO LOCAL 300 RC outpatient 233 198 UHN-Universal Health Network PPO 70 70% of all negotiated rates 70 percent of total billed charges 70 233 Chlamydia and Gonorrhoeae 0353U CPT 4010303SO LOCAL 300 RC outpatient 233 198 United Healthcare PPO 60 60% of all negotiated rates 93 percent of total billed charges 93 233 Cholecystectomy Laparoscopic 47562 CPT 49047562 LOCAL 490 RC outpatient 8495 7220 Aetna Medicare HMO 26 26% of all negotiated rates 6286 percent of total billed charges 6286 8495 Cholecystectomy Laparoscopic 47562 CPT 49047562 LOCAL 490 RC outpatient 8495 7220 Alignment Medicare HMO 39 39% of all negotiated rates 5182 percent of total billed charges 5182 8495 Cholecystectomy Laparoscopic 47562 CPT 49047562 LOCAL 490 RC outpatient 8495 7220 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 3398 percent of total billed charges 3398 8495 Cholecystectomy Laparoscopic 47562 CPT 49047562 LOCAL 490 RC outpatient 8495 7220 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 4247 percent of total billed charges 4247 8495 Cholecystectomy Laparoscopic 47562 CPT 49047562 LOCAL 490 RC outpatient 8495 7220 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 5182 percent of total billed charges 5182 8495 Cholecystectomy Laparoscopic 47562 CPT 49047562 LOCAL 490 RC outpatient 8495 7220 Coventry PPO 75 75% of all negotiated rates 2124 percent of total billed charges 2124 8495 Cholecystectomy Laparoscopic 47562 CPT 49047562 LOCAL 490 RC outpatient 8495 7220 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 1699 percent of total billed charges 1699 8495 Cholecystectomy Laparoscopic 47562 CPT 49047562 LOCAL 490 RC outpatient 8495 7220 Humana-Commerical PPO 46 46% of all negotiated rates 4587 percent of total billed charges 4587 8495 Cholecystectomy Laparoscopic 47562 CPT 49047562 LOCAL 490 RC outpatient 8495 7220 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 5182 percent of total billed charges 5182 8495 Cholecystectomy Laparoscopic 47562 CPT 49047562 LOCAL 490 RC outpatient 8495 7220 Multiplan PPO 80 80% of all negotiated rates 1699 percent of total billed charges 1699 8495 Cholecystectomy Laparoscopic 47562 CPT 49047562 LOCAL 490 RC outpatient 8495 7220 Optum Medicare HMO 39 39% of all negotiated rates 5182 percent of total billed charges 5182 8495 Cholecystectomy Laparoscopic 47562 CPT 49047562 LOCAL 490 RC outpatient 8495 7220 P3 HMO 39 39% of all negotiated rates 5182 percent of total billed charges 5182 8495 Cholecystectomy Laparoscopic 47562 CPT 49047562 LOCAL 490 RC outpatient 8495 7220 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 2973 percent of total billed charges 2973 8495 Cholecystectomy Laparoscopic 47562 CPT 49047562 LOCAL 490 RC outpatient 8495 7220 Select Health HMO 41 41% of all negotiated rates 5012 percent of total billed charges 5012 8495 Cholecystectomy Laparoscopic 47562 CPT 49047562 LOCAL 490 RC outpatient 8495 7220 Silversummit Medicare HMO 39 39% of all negotiated rates 5182 percent of total billed charges 5182 8495 Cholecystectomy Laparoscopic 47562 CPT 49047562 LOCAL 490 RC outpatient 8495 7220 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 5521 percent of total billed charges 5521 8495 Cholecystectomy Laparoscopic 47562 CPT 49047562 LOCAL 490 RC outpatient 8495 7220 TriWest PPO 30 30% of all negotiated rates 5946 percent of total billed charges 5946 8495 Cholecystectomy Laparoscopic 47562 CPT 49047562 LOCAL 490 RC outpatient 8495 7220 UHN-Universal Health Network PPO 65 65% of all negotiated rates 2973 percent of total billed charges 2973 8495 Cholecystectomy Laparoscopic 47562 CPT 49047562 LOCAL 490 RC outpatient 8495 7220 Aetna PPO 1550 case rate 1550 case rate 1550 8090 Coinsurance and deductible may apply Cholecystectomy Laparoscopic 47562 CPT 49047562 LOCAL 490 RC outpatient 8495 7220 Anthem Medicaid HMO 1590 NV Medicaid SDS Rate 1590 fee schedule 1590 8090 Coinsurance and deductible may apply Cholecystectomy Laparoscopic 47562 CPT 49047562 LOCAL 490 RC outpatient 8495 7220 Cigna PPO 1625 case rate 1625 case rate 1625 8090 Coinsurance and deductible may apply Cholecystectomy Laparoscopic 47562 CPT 49047562 LOCAL 490 RC outpatient 8495 7220 Coalition PPO 1505 Coalition grouper rate 1505 case rate 1505 8090 Coinsurance and deductible may apply Cholecystectomy Laparoscopic 47562 CPT 49047562 LOCAL 490 RC outpatient 8495 7220 HPN Medicaid HMO 1590 NV Medicaid SDS Rate 1590 fee schedule 1590 8090 Coinsurance and deductible may apply Cholecystectomy Laparoscopic 47562 CPT 49047562 LOCAL 490 RC outpatient 8495 7220 Molina Medicaid HMO 1590 NV Medicaid SDS Rate 1590 case rate 1590 8090 Coinsurance and deductible may apply Cholecystectomy Laparoscopic 47562 CPT 49047562 LOCAL 490 RC outpatient 8495 7220 One Health PPO 2818 case rate 2818 case rate 2818 8090 Coinsurance and deductible may apply Cholecystectomy Laparoscopic 47562 CPT 49047562 LOCAL 490 RC outpatient 8495 7220 Sierra Healthcare Options PPO 1625 case rate 1625 case rate 1625 8090 Coinsurance and deductible may apply Cholecystectomy Laparoscopic 47562 CPT 49047562 LOCAL 490 RC outpatient 8495 7220 Sierra/HPN HMO 1625 case rate 1625 case rate 1625 8090 Coinsurance and deductible may apply Cholecystectomy Laparoscopic 47562 CPT 49047562 LOCAL 490 RC outpatient 8495 7220 Teachers Trust PPO 1505 Teachers grouper rate 1505 case rate 1505 8090 Coinsurance and deductible may apply Cholecystectomy Laparoscopic 47562 CPT 49047562 LOCAL 490 RC outpatient 8495 7220 United Healthcare PPO 2818 case rate 2818 case rate 2818 8090 Coinsurance and deductible may apply Cholesterol HDL 83718 CPT 4008541 LOCAL 301 RC outpatient 170 145 Aetna PPO 38 38% of all negotiated rates 105 percent of total billed charges 105 170 Cholesterol HDL 83718 CPT 4008541 LOCAL 301 RC outpatient 170 145 Aetna Medicare HMO 26 26% of all negotiated rates 126 percent of total billed charges 126 170 Cholesterol HDL 83718 CPT 4008541 LOCAL 301 RC outpatient 170 145 Alignment Medicare HMO 39 39% of all negotiated rates 104 percent of total billed charges 104 170 Cholesterol HDL 83718 CPT 4008541 LOCAL 301 RC outpatient 170 145 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 68 percent of total billed charges 68 170 Cholesterol HDL 83718 CPT 4008541 LOCAL 301 RC outpatient 170 145 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 85 percent of total billed charges 85 170 Cholesterol HDL 83718 CPT 4008541 LOCAL 301 RC outpatient 170 145 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 104 percent of total billed charges 104 170 Cholesterol HDL 83718 CPT 4008541 LOCAL 301 RC outpatient 170 145 Cigna PPO 68 68% of all negotiated rates 54 percent of total billed charges 54 170 Cholesterol HDL 83718 CPT 4008541 LOCAL 301 RC outpatient 170 145 Coalition PPO 49 49% of all negotiated rates 87 percent of total billed charges 87 170 Cholesterol HDL 83718 CPT 4008541 LOCAL 301 RC outpatient 170 145 Coventry PPO 75 75% of all negotiated rates 43 percent of total billed charges 43 170 Cholesterol HDL 83718 CPT 4008541 LOCAL 301 RC outpatient 170 145 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 34 percent of total billed charges 34 170 Cholesterol HDL 83718 CPT 4008541 LOCAL 301 RC outpatient 170 145 Humana-Commerical PPO 70 70% of all negotiated rates 51 percent of total billed charges 51 170 Cholesterol HDL 83718 CPT 4008541 LOCAL 301 RC outpatient 170 145 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 104 percent of total billed charges 104 170 Cholesterol HDL 83718 CPT 4008541 LOCAL 301 RC outpatient 170 145 Multiplan PPO 80 80% of all negotiated rates 34 percent of total billed charges 34 170 Cholesterol HDL 83718 CPT 4008541 LOCAL 301 RC outpatient 170 145 One Health PPO 55 55% of all negotiated rates 77 percent of total billed charges 77 170 Cholesterol HDL 83718 CPT 4008541 LOCAL 301 RC outpatient 170 145 Optum Medicare HMO 39 39% of all negotiated rates 104 percent of total billed charges 104 170 Cholesterol HDL 83718 CPT 4008541 LOCAL 301 RC outpatient 170 145 P3 HMO 39 39% of all negotiated rates 104 percent of total billed charges 104 170 Cholesterol HDL 83718 CPT 4008541 LOCAL 301 RC outpatient 170 145 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 51 percent of total billed charges 51 170 Cholesterol HDL 83718 CPT 4008541 LOCAL 301 RC outpatient 170 145 Select Health HMO 41 41% of all negotiated rates 100 percent of total billed charges 100 170 Cholesterol HDL 83718 CPT 4008541 LOCAL 301 RC outpatient 170 145 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 113 percent of total billed charges 113 170 Cholesterol HDL 83718 CPT 4008541 LOCAL 301 RC outpatient 170 145 Sierra/HPN HMO 60 60% of all negotiated rates 68 percent of total billed charges 68 170 Cholesterol HDL 83718 CPT 4008541 LOCAL 301 RC outpatient 170 145 Silversummit Medicare HMO 39 39% of all negotiated rates 104 percent of total billed charges 104 170 Cholesterol HDL 83718 CPT 4008541 LOCAL 301 RC outpatient 170 145 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 111 percent of total billed charges 111 170 Cholesterol HDL 83718 CPT 4008541 LOCAL 301 RC outpatient 170 145 Teachers Trust PPO 65 65% of all negotiated rates 60 percent of total billed charges 60 170 Cholesterol HDL 83718 CPT 4008541 LOCAL 301 RC outpatient 170 145 TriWest PPO 30 30% of all negotiated rates 119 percent of total billed charges 119 170 Cholesterol HDL 83718 CPT 4008541 LOCAL 301 RC outpatient 170 145 UHN-Universal Health Network PPO 70 70% of all negotiated rates 51 percent of total billed charges 51 170 Cholesterol HDL 83718 CPT 4008541 LOCAL 301 RC outpatient 170 145 United Healthcare PPO 60 60% of all negotiated rates 68 percent of total billed charges 68 170 Cholesterol HDL 83718 CPT 4008541 LOCAL 301 RC outpatient 170 145 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 6 fee schedule 6 162 Coinsurance and deductible may apply Cholesterol HDL 83718 CPT 4008541 LOCAL 301 RC outpatient 170 145 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 6 fee schedule 6 162 Coinsurance and deductible may apply Cholesterol HDL 83718 CPT 4008541 LOCAL 301 RC outpatient 170 145 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 6 fee schedule 6 162 Coinsurance and deductible may apply Cholesterol Total 82465 CPT 4004656 LOCAL 301 RC outpatient 91 78 Aetna PPO 38 38% of all negotiated rates 57 percent of total billed charges 57 91 Cholesterol Total 82465 CPT 4004656 LOCAL 301 RC outpatient 91 78 Aetna Medicare HMO 26 26% of all negotiated rates 68 percent of total billed charges 68 91 Cholesterol Total 82465 CPT 4004656 LOCAL 301 RC outpatient 91 78 Alignment Medicare HMO 39 39% of all negotiated rates 56 percent of total billed charges 56 91 Cholesterol Total 82465 CPT 4004656 LOCAL 301 RC outpatient 91 78 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 37 percent of total billed charges 37 91 Cholesterol Total 82465 CPT 4004656 LOCAL 301 RC outpatient 91 78 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 46 percent of total billed charges 46 91 Cholesterol Total 82465 CPT 4004656 LOCAL 301 RC outpatient 91 78 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 56 percent of total billed charges 56 91 Cholesterol Total 82465 CPT 4004656 LOCAL 301 RC outpatient 91 78 Cigna PPO 68 68% of all negotiated rates 29 percent of total billed charges 29 91 Cholesterol Total 82465 CPT 4004656 LOCAL 301 RC outpatient 91 78 Coalition PPO 49 49% of all negotiated rates 47 percent of total billed charges 47 91 Cholesterol Total 82465 CPT 4004656 LOCAL 301 RC outpatient 91 78 Coventry PPO 75 75% of all negotiated rates 23 percent of total billed charges 23 91 Cholesterol Total 82465 CPT 4004656 LOCAL 301 RC outpatient 91 78 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 18 percent of total billed charges 18 91 Cholesterol Total 82465 CPT 4004656 LOCAL 301 RC outpatient 91 78 Humana-Commerical PPO 70 70% of all negotiated rates 27 percent of total billed charges 27 91 Cholesterol Total 82465 CPT 4004656 LOCAL 301 RC outpatient 91 78 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 56 percent of total billed charges 56 91 Cholesterol Total 82465 CPT 4004656 LOCAL 301 RC outpatient 91 78 Multiplan PPO 80 80% of all negotiated rates 18 percent of total billed charges 18 91 Cholesterol Total 82465 CPT 4004656 LOCAL 301 RC outpatient 91 78 One Health PPO 55 55% of all negotiated rates 41 percent of total billed charges 41 91 Cholesterol Total 82465 CPT 4004656 LOCAL 301 RC outpatient 91 78 Optum Medicare HMO 39 39% of all negotiated rates 56 percent of total billed charges 56 91 Cholesterol Total 82465 CPT 4004656 LOCAL 301 RC outpatient 91 78 P3 HMO 39 39% of all negotiated rates 56 percent of total billed charges 56 91 Cholesterol Total 82465 CPT 4004656 LOCAL 301 RC outpatient 91 78 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 27 percent of total billed charges 27 91 Cholesterol Total 82465 CPT 4004656 LOCAL 301 RC outpatient 91 78 Select Health HMO 41 41% of all negotiated rates 54 percent of total billed charges 54 91 Cholesterol Total 82465 CPT 4004656 LOCAL 301 RC outpatient 91 78 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 61 percent of total billed charges 61 91 Cholesterol Total 82465 CPT 4004656 LOCAL 301 RC outpatient 91 78 Sierra/HPN HMO 60 60% of all negotiated rates 37 percent of total billed charges 37 91 Cholesterol Total 82465 CPT 4004656 LOCAL 301 RC outpatient 91 78 Silversummit Medicare HMO 39 39% of all negotiated rates 56 percent of total billed charges 56 91 Cholesterol Total 82465 CPT 4004656 LOCAL 301 RC outpatient 91 78 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 59 percent of total billed charges 59 91 Cholesterol Total 82465 CPT 4004656 LOCAL 301 RC outpatient 91 78 Teachers Trust PPO 65 65% of all negotiated rates 32 percent of total billed charges 32 91 Cholesterol Total 82465 CPT 4004656 LOCAL 301 RC outpatient 91 78 TriWest PPO 30 30% of all negotiated rates 64 percent of total billed charges 64 91 Cholesterol Total 82465 CPT 4004656 LOCAL 301 RC outpatient 91 78 UHN-Universal Health Network PPO 70 70% of all negotiated rates 27 percent of total billed charges 27 91 Cholesterol Total 82465 CPT 4004656 LOCAL 301 RC outpatient 91 78 United Healthcare PPO 60 60% of all negotiated rates 37 percent of total billed charges 37 91 Cholesterol Total 82465 CPT 4004656 LOCAL 301 RC outpatient 91 78 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 87 Coinsurance and deductible may apply Cholesterol Total 82465 CPT 4004656 LOCAL 301 RC outpatient 91 78 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 87 Coinsurance and deductible may apply Cholesterol Total 82465 CPT 4004656 LOCAL 301 RC outpatient 91 78 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 87 Coinsurance and deductible may apply CLSD TX POST HIP ARTHRO W 27265 CPT 3230001 LOCAL 490 RC outpatient 1567 1332 Aetna Medicare HMO 26 26% of all negotiated rates 1159 percent of total billed charges 1159 1567 CLSD TX POST HIP ARTHRO W 27265 CPT 3230001 LOCAL 490 RC outpatient 1567 1332 Alignment Medicare HMO 39 39% of all negotiated rates 956 percent of total billed charges 956 1567 CLSD TX POST HIP ARTHRO W 27265 CPT 3230001 LOCAL 490 RC outpatient 1567 1332 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 627 percent of total billed charges 627 1567 CLSD TX POST HIP ARTHRO W 27265 CPT 3230001 LOCAL 490 RC outpatient 1567 1332 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 783 percent of total billed charges 783 1567 CLSD TX POST HIP ARTHRO W 27265 CPT 3230001 LOCAL 490 RC outpatient 1567 1332 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 956 percent of total billed charges 956 1567 CLSD TX POST HIP ARTHRO W 27265 CPT 3230001 LOCAL 490 RC outpatient 1567 1332 Coventry PPO 75 75% of all negotiated rates 392 percent of total billed charges 392 1567 CLSD TX POST HIP ARTHRO W 27265 CPT 3230001 LOCAL 490 RC outpatient 1567 1332 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 313 percent of total billed charges 313 1567 CLSD TX POST HIP ARTHRO W 27265 CPT 3230001 LOCAL 490 RC outpatient 1567 1332 Humana-Commerical PPO 46 46% of all negotiated rates 846 percent of total billed charges 846 1567 CLSD TX POST HIP ARTHRO W 27265 CPT 3230001 LOCAL 490 RC outpatient 1567 1332 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 956 percent of total billed charges 956 1567 CLSD TX POST HIP ARTHRO W 27265 CPT 3230001 LOCAL 490 RC outpatient 1567 1332 Multiplan PPO 80 80% of all negotiated rates 313 percent of total billed charges 313 1567 CLSD TX POST HIP ARTHRO W 27265 CPT 3230001 LOCAL 490 RC outpatient 1567 1332 Optum Medicare HMO 39 39% of all negotiated rates 956 percent of total billed charges 956 1567 CLSD TX POST HIP ARTHRO W 27265 CPT 3230001 LOCAL 490 RC outpatient 1567 1332 P3 HMO 39 39% of all negotiated rates 956 percent of total billed charges 956 1567 CLSD TX POST HIP ARTHRO W 27265 CPT 3230001 LOCAL 490 RC outpatient 1567 1332 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 548 percent of total billed charges 548 1567 CLSD TX POST HIP ARTHRO W 27265 CPT 3230001 LOCAL 490 RC outpatient 1567 1332 Select Health HMO 41 41% of all negotiated rates 924 percent of total billed charges 924 1567 CLSD TX POST HIP ARTHRO W 27265 CPT 3230001 LOCAL 490 RC outpatient 1567 1332 Silversummit Medicare HMO 39 39% of all negotiated rates 956 percent of total billed charges 956 1567 CLSD TX POST HIP ARTHRO W 27265 CPT 3230001 LOCAL 490 RC outpatient 1567 1332 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 1018 percent of total billed charges 1018 1567 CLSD TX POST HIP ARTHRO W 27265 CPT 3230001 LOCAL 490 RC outpatient 1567 1332 TriWest PPO 30 30% of all negotiated rates 1097 percent of total billed charges 1097 1567 CLSD TX POST HIP ARTHRO W 27265 CPT 3230001 LOCAL 490 RC outpatient 1567 1332 UHN-Universal Health Network PPO 65 65% of all negotiated rates 548 percent of total billed charges 548 1567 CLSD TX POST HIP ARTHRO W 27265 CPT 3230001 LOCAL 490 RC outpatient 1567 1332 Aetna PPO 750 case rate 750 case rate 750 1492 Coinsurance and deductible may apply CLSD TX POST HIP ARTHRO W 27265 CPT 3230001 LOCAL 490 RC outpatient 1567 1332 Anthem Medicaid HMO 105 NV Medicaid SDS Rate 105 fee schedule 105 1492 Coinsurance and deductible may apply CLSD TX POST HIP ARTHRO W 27265 CPT 3230001 LOCAL 490 RC outpatient 1567 1332 Cigna PPO 756 case rate 756 case rate 756 1492 Coinsurance and deductible may apply CLSD TX POST HIP ARTHRO W 27265 CPT 3230001 LOCAL 490 RC outpatient 1567 1332 Coalition PPO 700 Coalition grouper rate 700 case rate 700 1492 Coinsurance and deductible may apply CLSD TX POST HIP ARTHRO W 27265 CPT 3230001 LOCAL 490 RC outpatient 1567 1332 HPN Medicaid HMO 105 NV Medicaid SDS Rate 105 fee schedule 105 1492 Coinsurance and deductible may apply CLSD TX POST HIP ARTHRO W 27265 CPT 3230001 LOCAL 490 RC outpatient 1567 1332 Molina Medicaid HMO 105 NV Medicaid SDS Rate 105 case rate 105 1492 Coinsurance and deductible may apply CLSD TX POST HIP ARTHRO W 27265 CPT 3230001 LOCAL 490 RC outpatient 1567 1332 One Health PPO 474 case rate 474 case rate 474 1492 Coinsurance and deductible may apply CLSD TX POST HIP ARTHRO W 27265 CPT 3230001 LOCAL 490 RC outpatient 1567 1332 Sierra Healthcare Options PPO 756 case rate 756 case rate 756 1492 Coinsurance and deductible may apply CLSD TX POST HIP ARTHRO W 27265 CPT 3230001 LOCAL 490 RC outpatient 1567 1332 Sierra/HPN HMO 756 case rate 756 case rate 756 1492 Coinsurance and deductible may apply CLSD TX POST HIP ARTHRO W 27265 CPT 3230001 LOCAL 490 RC outpatient 1567 1332 Teachers Trust PPO 700 Teachers grouper rate 700 case rate 700 1492 Coinsurance and deductible may apply CLSD TX POST HIP ARTHRO W 27265 CPT 3230001 LOCAL 490 RC outpatient 1567 1332 United Healthcare PPO 474 case rate 474 case rate 474 1492 Coinsurance and deductible may apply Colonoscopy 45378 CPT 49045378 LOCAL 490 RC outpatient 2422 2059 Aetna Medicare HMO 26 26% of all negotiated rates 1793 percent of total billed charges 1793 2422 Colonoscopy 45378 CPT 49045378 LOCAL 490 RC outpatient 2422 2059 Alignment Medicare HMO 39 39% of all negotiated rates 1478 percent of total billed charges 1478 2422 Colonoscopy 45378 CPT 49045378 LOCAL 490 RC outpatient 2422 2059 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 969 percent of total billed charges 969 2422 Colonoscopy 45378 CPT 49045378 LOCAL 490 RC outpatient 2422 2059 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 1211 percent of total billed charges 1211 2422 Colonoscopy 45378 CPT 49045378 LOCAL 490 RC outpatient 2422 2059 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 1478 percent of total billed charges 1478 2422 Colonoscopy 45378 CPT 49045378 LOCAL 490 RC outpatient 2422 2059 Coventry PPO 75 75% of all negotiated rates 606 percent of total billed charges 606 2422 Colonoscopy 45378 CPT 49045378 LOCAL 490 RC outpatient 2422 2059 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 484 percent of total billed charges 484 2422 Colonoscopy 45378 CPT 49045378 LOCAL 490 RC outpatient 2422 2059 Humana-Commerical PPO 46 46% of all negotiated rates 1308 percent of total billed charges 1308 2422 Colonoscopy 45378 CPT 49045378 LOCAL 490 RC outpatient 2422 2059 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 1478 percent of total billed charges 1478 2422 Colonoscopy 45378 CPT 49045378 LOCAL 490 RC outpatient 2422 2059 Multiplan PPO 80 80% of all negotiated rates 484 percent of total billed charges 484 2422 Colonoscopy 45378 CPT 49045378 LOCAL 490 RC outpatient 2422 2059 Optum Medicare HMO 39 39% of all negotiated rates 1478 percent of total billed charges 1478 2422 Colonoscopy 45378 CPT 49045378 LOCAL 490 RC outpatient 2422 2059 P3 HMO 39 39% of all negotiated rates 1478 percent of total billed charges 1478 2422 Colonoscopy 45378 CPT 49045378 LOCAL 490 RC outpatient 2422 2059 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 848 percent of total billed charges 848 2422 Colonoscopy 45378 CPT 49045378 LOCAL 490 RC outpatient 2422 2059 Select Health HMO 41 41% of all negotiated rates 1429 percent of total billed charges 1429 2422 Colonoscopy 45378 CPT 49045378 LOCAL 490 RC outpatient 2422 2059 Silversummit Medicare HMO 39 39% of all negotiated rates 1478 percent of total billed charges 1478 2422 Colonoscopy 45378 CPT 49045378 LOCAL 490 RC outpatient 2422 2059 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 1575 percent of total billed charges 1575 2422 Colonoscopy 45378 CPT 49045378 LOCAL 490 RC outpatient 2422 2059 TriWest PPO 30 30% of all negotiated rates 1696 percent of total billed charges 1696 2422 Colonoscopy 45378 CPT 49045378 LOCAL 490 RC outpatient 2422 2059 UHN-Universal Health Network PPO 65 65% of all negotiated rates 848 percent of total billed charges 848 2422 Colonoscopy 45378 CPT 49045378 LOCAL 490 RC outpatient 2422 2059 Aetna PPO 950 case rate 950 case rate 950 2307 Coinsurance and deductible may apply Colonoscopy 45378 CPT 49045378 LOCAL 490 RC outpatient 2422 2059 Anthem Medicaid HMO 333 NV Medicaid SDS Rate 333 fee schedule 333 2307 Coinsurance and deductible may apply Colonoscopy 45378 CPT 49045378 LOCAL 490 RC outpatient 2422 2059 Cigna PPO 1014 case rate 1014 case rate 1014 2307 Coinsurance and deductible may apply Colonoscopy 45378 CPT 49045378 LOCAL 490 RC outpatient 2422 2059 Coalition PPO 939 Coalition grouper rate 939 case rate 939 2307 Coinsurance and deductible may apply Colonoscopy 45378 CPT 49045378 LOCAL 490 RC outpatient 2422 2059 HPN Medicaid HMO 333 NV Medicaid SDS Rate 333 fee schedule 333 2307 Coinsurance and deductible may apply Colonoscopy 45378 CPT 49045378 LOCAL 490 RC outpatient 2422 2059 Molina Medicaid HMO 333 NV Medicaid SDS Rate 333 case rate 333 2307 Coinsurance and deductible may apply Colonoscopy 45378 CPT 49045378 LOCAL 490 RC outpatient 2422 2059 One Health PPO 1061 case rate 1061 case rate 1061 2307 Coinsurance and deductible may apply Colonoscopy 45378 CPT 49045378 LOCAL 490 RC outpatient 2422 2059 Sierra Healthcare Options PPO 1014 case rate 1014 case rate 1014 2307 Coinsurance and deductible may apply Colonoscopy 45378 CPT 49045378 LOCAL 490 RC outpatient 2422 2059 Sierra/HPN HMO 1014 case rate 1014 case rate 1014 2307 Coinsurance and deductible may apply Colonoscopy 45378 CPT 49045378 LOCAL 490 RC outpatient 2422 2059 Teachers Trust PPO 939 Teachers grouper rate 939 case rate 939 2307 Coinsurance and deductible may apply Colonoscopy 45378 CPT 49045378 LOCAL 490 RC outpatient 2422 2059 United Healthcare PPO 1061 case rate 1061 case rate 1061 2307 Coinsurance and deductible may apply Colonoscopy Screening 45378 CPT 49010121 LOCAL 490 RC outpatient 2265 1925 Aetna Medicare HMO 26 26% of all negotiated rates 1676 percent of total billed charges 1676 2265 Colonoscopy Screening 45378 CPT 49010121 LOCAL 490 RC outpatient 2265 1925 Alignment Medicare HMO 39 39% of all negotiated rates 1382 percent of total billed charges 1382 2265 Colonoscopy Screening 45378 CPT 49010121 LOCAL 490 RC outpatient 2265 1925 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 906 percent of total billed charges 906 2265 Colonoscopy Screening 45378 CPT 49010121 LOCAL 490 RC outpatient 2265 1925 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 1132 percent of total billed charges 1132 2265 Colonoscopy Screening 45378 CPT 49010121 LOCAL 490 RC outpatient 2265 1925 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 1382 percent of total billed charges 1382 2265 Colonoscopy Screening 45378 CPT 49010121 LOCAL 490 RC outpatient 2265 1925 Coventry PPO 75 75% of all negotiated rates 566 percent of total billed charges 566 2265 Colonoscopy Screening 45378 CPT 49010121 LOCAL 490 RC outpatient 2265 1925 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 453 percent of total billed charges 453 2265 Colonoscopy Screening 45378 CPT 49010121 LOCAL 490 RC outpatient 2265 1925 Humana-Commerical PPO 46 46% of all negotiated rates 1223 percent of total billed charges 1223 2265 Colonoscopy Screening 45378 CPT 49010121 LOCAL 490 RC outpatient 2265 1925 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 1382 percent of total billed charges 1382 2265 Colonoscopy Screening 45378 CPT 49010121 LOCAL 490 RC outpatient 2265 1925 Multiplan PPO 80 80% of all negotiated rates 453 percent of total billed charges 453 2265 Colonoscopy Screening 45378 CPT 49010121 LOCAL 490 RC outpatient 2265 1925 Optum Medicare HMO 39 39% of all negotiated rates 1382 percent of total billed charges 1382 2265 Colonoscopy Screening 45378 CPT 49010121 LOCAL 490 RC outpatient 2265 1925 P3 HMO 39 39% of all negotiated rates 1382 percent of total billed charges 1382 2265 Colonoscopy Screening 45378 CPT 49010121 LOCAL 490 RC outpatient 2265 1925 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 793 percent of total billed charges 793 2265 Colonoscopy Screening 45378 CPT 49010121 LOCAL 490 RC outpatient 2265 1925 Select Health HMO 41 41% of all negotiated rates 1336 percent of total billed charges 1336 2265 Colonoscopy Screening 45378 CPT 49010121 LOCAL 490 RC outpatient 2265 1925 Silversummit Medicare HMO 39 39% of all negotiated rates 1382 percent of total billed charges 1382 2265 Colonoscopy Screening 45378 CPT 49010121 LOCAL 490 RC outpatient 2265 1925 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 1472 percent of total billed charges 1472 2265 Colonoscopy Screening 45378 CPT 49010121 LOCAL 490 RC outpatient 2265 1925 TriWest PPO 30 30% of all negotiated rates 1585 percent of total billed charges 1585 2265 Colonoscopy Screening 45378 CPT 49010121 LOCAL 490 RC outpatient 2265 1925 UHN-Universal Health Network PPO 65 65% of all negotiated rates 793 percent of total billed charges 793 2265 Colonoscopy Screening 45378 CPT 49010121 LOCAL 490 RC outpatient 2265 1925 Aetna PPO 950 case rate 950 case rate 950 2157 Coinsurance and deductible may apply Colonoscopy Screening 45378 CPT 49010121 LOCAL 490 RC outpatient 2265 1925 Anthem Medicaid HMO 333 NV Medicaid SDS Rate 333 fee schedule 333 2157 Coinsurance and deductible may apply Colonoscopy Screening 45378 CPT 49010121 LOCAL 490 RC outpatient 2265 1925 Cigna PPO 1014 case rate 1014 case rate 1014 2157 Coinsurance and deductible may apply Colonoscopy Screening 45378 CPT 49010121 LOCAL 490 RC outpatient 2265 1925 Coalition PPO 939 Coalition grouper rate 939 case rate 939 2157 Coinsurance and deductible may apply Colonoscopy Screening 45378 CPT 49010121 LOCAL 490 RC outpatient 2265 1925 HPN Medicaid HMO 333 NV Medicaid SDS Rate 333 fee schedule 333 2157 Coinsurance and deductible may apply Colonoscopy Screening 45378 CPT 49010121 LOCAL 490 RC outpatient 2265 1925 Molina Medicaid HMO 333 NV Medicaid SDS Rate 333 case rate 333 2157 Coinsurance and deductible may apply Colonoscopy Screening 45378 CPT 49010121 LOCAL 490 RC outpatient 2265 1925 One Health PPO 1061 case rate 1061 case rate 1061 2157 Coinsurance and deductible may apply Colonoscopy Screening 45378 CPT 49010121 LOCAL 490 RC outpatient 2265 1925 Sierra Healthcare Options PPO 1014 case rate 1014 case rate 1014 2157 Coinsurance and deductible may apply Colonoscopy Screening 45378 CPT 49010121 LOCAL 490 RC outpatient 2265 1925 Sierra/HPN HMO 1014 case rate 1014 case rate 1014 2157 Coinsurance and deductible may apply Colonoscopy Screening 45378 CPT 49010121 LOCAL 490 RC outpatient 2265 1925 Teachers Trust PPO 939 Teachers grouper rate 939 case rate 939 2157 Coinsurance and deductible may apply Colonoscopy Screening 45378 CPT 49010121 LOCAL 490 RC outpatient 2265 1925 United Healthcare PPO 1061 case rate 1061 case rate 1061 2157 Coinsurance and deductible may apply Colonoscopy Screening High Risk 49010105 LOCAL 490 RC outpatient 2287 1944 Aetna Medicare HMO 26 26% of all negotiated rates 1692 percent of total billed charges 1692 2287 Colonoscopy Screening High Risk 49010105 LOCAL 490 RC outpatient 2287 1944 Alignment Medicare HMO 39 39% of all negotiated rates 1395 percent of total billed charges 1395 2287 Colonoscopy Screening High Risk 49010105 LOCAL 490 RC outpatient 2287 1944 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 915 percent of total billed charges 915 2287 Colonoscopy Screening High Risk 49010105 LOCAL 490 RC outpatient 2287 1944 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 1143 percent of total billed charges 1143 2287 Colonoscopy Screening High Risk 49010105 LOCAL 490 RC outpatient 2287 1944 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 1395 percent of total billed charges 1395 2287 Colonoscopy Screening High Risk 49010105 LOCAL 490 RC outpatient 2287 1944 Coventry PPO 75 75% of all negotiated rates 572 percent of total billed charges 572 2287 Colonoscopy Screening High Risk 49010105 LOCAL 490 RC outpatient 2287 1944 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 457 percent of total billed charges 457 2287 Colonoscopy Screening High Risk 49010105 LOCAL 490 RC outpatient 2287 1944 Humana-Commerical PPO 46 46% of all negotiated rates 1235 percent of total billed charges 1235 2287 Colonoscopy Screening High Risk 49010105 LOCAL 490 RC outpatient 2287 1944 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 1395 percent of total billed charges 1395 2287 Colonoscopy Screening High Risk 49010105 LOCAL 490 RC outpatient 2287 1944 Optum Medicare HMO 39 39% of all negotiated rates 1395 percent of total billed charges 1395 2287 Colonoscopy Screening High Risk 49010105 LOCAL 490 RC outpatient 2287 1944 P3 HMO 39 39% of all negotiated rates 1395 percent of total billed charges 1395 2287 Colonoscopy Screening High Risk 49010105 LOCAL 490 RC outpatient 2287 1944 Select Health HMO 41 41% of all negotiated rates 1349 percent of total billed charges 1349 2287 Colonoscopy Screening High Risk 49010105 LOCAL 490 RC outpatient 2287 1944 Silversummit Medicare HMO 39 39% of all negotiated rates 1395 percent of total billed charges 1395 2287 Colonoscopy Screening High Risk 49010105 LOCAL 490 RC outpatient 2287 1944 UHN-Universal Health Network PPO 65 65% of all negotiated rates 800 percent of total billed charges 800 2287 Colonoscopy with Biopsy 45380 CPT 49045380 LOCAL 490 RC outpatient 2466 2096 Aetna Medicare HMO 26 26% of all negotiated rates 1825 percent of total billed charges 1825 2466 Colonoscopy with Biopsy 45380 CPT 49045380 LOCAL 490 RC outpatient 2466 2096 Alignment Medicare HMO 39 39% of all negotiated rates 1505 percent of total billed charges 1505 2466 Colonoscopy with Biopsy 45380 CPT 49045380 LOCAL 490 RC outpatient 2466 2096 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 987 percent of total billed charges 987 2466 Colonoscopy with Biopsy 45380 CPT 49045380 LOCAL 490 RC outpatient 2466 2096 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 1233 percent of total billed charges 1233 2466 Colonoscopy with Biopsy 45380 CPT 49045380 LOCAL 490 RC outpatient 2466 2096 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 1505 percent of total billed charges 1505 2466 Colonoscopy with Biopsy 45380 CPT 49045380 LOCAL 490 RC outpatient 2466 2096 Coventry PPO 75 75% of all negotiated rates 617 percent of total billed charges 617 2466 Colonoscopy with Biopsy 45380 CPT 49045380 LOCAL 490 RC outpatient 2466 2096 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 493 percent of total billed charges 493 2466 Colonoscopy with Biopsy 45380 CPT 49045380 LOCAL 490 RC outpatient 2466 2096 Humana-Commerical PPO 46 46% of all negotiated rates 1332 percent of total billed charges 1332 2466 Colonoscopy with Biopsy 45380 CPT 49045380 LOCAL 490 RC outpatient 2466 2096 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 1505 percent of total billed charges 1505 2466 Colonoscopy with Biopsy 45380 CPT 49045380 LOCAL 490 RC outpatient 2466 2096 Multiplan PPO 80 80% of all negotiated rates 493 percent of total billed charges 493 2466 Colonoscopy with Biopsy 45380 CPT 49045380 LOCAL 490 RC outpatient 2466 2096 Optum Medicare HMO 39 39% of all negotiated rates 1505 percent of total billed charges 1505 2466 Colonoscopy with Biopsy 45380 CPT 49045380 LOCAL 490 RC outpatient 2466 2096 P3 HMO 39 39% of all negotiated rates 1505 percent of total billed charges 1505 2466 Colonoscopy with Biopsy 45380 CPT 49045380 LOCAL 490 RC outpatient 2466 2096 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 863 percent of total billed charges 863 2466 Colonoscopy with Biopsy 45380 CPT 49045380 LOCAL 490 RC outpatient 2466 2096 Select Health HMO 41 41% of all negotiated rates 1455 percent of total billed charges 1455 2466 Colonoscopy with Biopsy 45380 CPT 49045380 LOCAL 490 RC outpatient 2466 2096 Silversummit Medicare HMO 39 39% of all negotiated rates 1505 percent of total billed charges 1505 2466 Colonoscopy with Biopsy 45380 CPT 49045380 LOCAL 490 RC outpatient 2466 2096 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 1603 percent of total billed charges 1603 2466 Colonoscopy with Biopsy 45380 CPT 49045380 LOCAL 490 RC outpatient 2466 2096 TriWest PPO 30 30% of all negotiated rates 1727 percent of total billed charges 1727 2466 Colonoscopy with Biopsy 45380 CPT 49045380 LOCAL 490 RC outpatient 2466 2096 UHN-Universal Health Network PPO 65 65% of all negotiated rates 863 percent of total billed charges 863 2466 Colonoscopy with Biopsy 45380 CPT 49045380 LOCAL 490 RC outpatient 2466 2096 Aetna PPO 950 case rate 950 case rate 950 2349 Coinsurance and deductible may apply Colonoscopy with Biopsy 45380 CPT 49045380 LOCAL 490 RC outpatient 2466 2096 Anthem Medicaid HMO 333 NV Medicaid SDS Rate 333 fee schedule 333 2349 Coinsurance and deductible may apply Colonoscopy with Biopsy 45380 CPT 49045380 LOCAL 490 RC outpatient 2466 2096 Cigna PPO 1014 case rate 1014 case rate 1014 2349 Coinsurance and deductible may apply Colonoscopy with Biopsy 45380 CPT 49045380 LOCAL 490 RC outpatient 2466 2096 Coalition PPO 939 Coalition grouper rate 939 case rate 939 2349 Coinsurance and deductible may apply Colonoscopy with Biopsy 45380 CPT 49045380 LOCAL 490 RC outpatient 2466 2096 HPN Medicaid HMO 333 NV Medicaid SDS Rate 333 fee schedule 333 2349 Coinsurance and deductible may apply Colonoscopy with Biopsy 45380 CPT 49045380 LOCAL 490 RC outpatient 2466 2096 Molina Medicaid HMO 333 NV Medicaid SDS Rate 333 case rate 333 2349 Coinsurance and deductible may apply Colonoscopy with Biopsy 45380 CPT 49045380 LOCAL 490 RC outpatient 2466 2096 One Health PPO 1061 case rate 1061 case rate 1061 2349 Coinsurance and deductible may apply Colonoscopy with Biopsy 45380 CPT 49045380 LOCAL 490 RC outpatient 2466 2096 Sierra Healthcare Options PPO 1014 case rate 1014 case rate 1014 2349 Coinsurance and deductible may apply Colonoscopy with Biopsy 45380 CPT 49045380 LOCAL 490 RC outpatient 2466 2096 Sierra/HPN HMO 1014 case rate 1014 case rate 1014 2349 Coinsurance and deductible may apply Colonoscopy with Biopsy 45380 CPT 49045380 LOCAL 490 RC outpatient 2466 2096 Teachers Trust PPO 939 Teachers grouper rate 939 case rate 939 2349 Coinsurance and deductible may apply Colonoscopy with Biopsy 45380 CPT 49045380 LOCAL 490 RC outpatient 2466 2096 United Healthcare PPO 1061 case rate 1061 case rate 1061 2349 Coinsurance and deductible may apply Colonoscopy with Dilation 45386 CPT 49045386 LOCAL 490 RC outpatient 1871 1590 Aetna Medicare HMO 26 26% of all negotiated rates 1385 percent of total billed charges 1385 1871 Colonoscopy with Dilation 45386 CPT 49045386 LOCAL 490 RC outpatient 1871 1590 Alignment Medicare HMO 39 39% of all negotiated rates 1141 percent of total billed charges 1141 1871 Colonoscopy with Dilation 45386 CPT 49045386 LOCAL 490 RC outpatient 1871 1590 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 748 percent of total billed charges 748 1871 Colonoscopy with Dilation 45386 CPT 49045386 LOCAL 490 RC outpatient 1871 1590 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 936 percent of total billed charges 936 1871 Colonoscopy with Dilation 45386 CPT 49045386 LOCAL 490 RC outpatient 1871 1590 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 1141 percent of total billed charges 1141 1871 Colonoscopy with Dilation 45386 CPT 49045386 LOCAL 490 RC outpatient 1871 1590 Coventry PPO 75 75% of all negotiated rates 468 percent of total billed charges 468 1871 Colonoscopy with Dilation 45386 CPT 49045386 LOCAL 490 RC outpatient 1871 1590 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 374 percent of total billed charges 374 1871 Colonoscopy with Dilation 45386 CPT 49045386 LOCAL 490 RC outpatient 1871 1590 Humana-Commerical PPO 46 46% of all negotiated rates 1010 percent of total billed charges 1010 1871 Colonoscopy with Dilation 45386 CPT 49045386 LOCAL 490 RC outpatient 1871 1590 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 1141 percent of total billed charges 1141 1871 Colonoscopy with Dilation 45386 CPT 49045386 LOCAL 490 RC outpatient 1871 1590 Multiplan PPO 80 80% of all negotiated rates 374 percent of total billed charges 374 1871 Colonoscopy with Dilation 45386 CPT 49045386 LOCAL 490 RC outpatient 1871 1590 Optum Medicare HMO 39 39% of all negotiated rates 1141 percent of total billed charges 1141 1871 Colonoscopy with Dilation 45386 CPT 49045386 LOCAL 490 RC outpatient 1871 1590 P3 HMO 39 39% of all negotiated rates 1141 percent of total billed charges 1141 1871 Colonoscopy with Dilation 45386 CPT 49045386 LOCAL 490 RC outpatient 1871 1590 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 655 percent of total billed charges 655 1871 Colonoscopy with Dilation 45386 CPT 49045386 LOCAL 490 RC outpatient 1871 1590 Select Health HMO 41 41% of all negotiated rates 1104 percent of total billed charges 1104 1871 Colonoscopy with Dilation 45386 CPT 49045386 LOCAL 490 RC outpatient 1871 1590 Silversummit Medicare HMO 39 39% of all negotiated rates 1141 percent of total billed charges 1141 1871 Colonoscopy with Dilation 45386 CPT 49045386 LOCAL 490 RC outpatient 1871 1590 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 1216 percent of total billed charges 1216 1871 Colonoscopy with Dilation 45386 CPT 49045386 LOCAL 490 RC outpatient 1871 1590 TriWest PPO 30 30% of all negotiated rates 1310 percent of total billed charges 1310 1871 Colonoscopy with Dilation 45386 CPT 49045386 LOCAL 490 RC outpatient 1871 1590 UHN-Universal Health Network PPO 65 65% of all negotiated rates 655 percent of total billed charges 655 1871 Colonoscopy with Dilation 45386 CPT 49045386 LOCAL 490 RC outpatient 1871 1590 Aetna PPO 950 case rate 950 case rate 950 1782 Coinsurance and deductible may apply Colonoscopy with Dilation 45386 CPT 49045386 LOCAL 490 RC outpatient 1871 1590 Anthem Medicaid HMO 333 NV Medicaid SDS Rate 333 fee schedule 333 1782 Coinsurance and deductible may apply Colonoscopy with Dilation 45386 CPT 49045386 LOCAL 490 RC outpatient 1871 1590 Cigna PPO 1014 case rate 1014 case rate 1014 1782 Coinsurance and deductible may apply Colonoscopy with Dilation 45386 CPT 49045386 LOCAL 490 RC outpatient 1871 1590 Coalition PPO 939 Coalition grouper rate 939 case rate 939 1782 Coinsurance and deductible may apply Colonoscopy with Dilation 45386 CPT 49045386 LOCAL 490 RC outpatient 1871 1590 HPN Medicaid HMO 333 NV Medicaid SDS Rate 333 fee schedule 333 1782 Coinsurance and deductible may apply Colonoscopy with Dilation 45386 CPT 49045386 LOCAL 490 RC outpatient 1871 1590 Molina Medicaid HMO 333 NV Medicaid SDS Rate 333 case rate 333 1782 Coinsurance and deductible may apply Colonoscopy with Dilation 45386 CPT 49045386 LOCAL 490 RC outpatient 1871 1590 One Health PPO 1061 case rate 1061 case rate 1061 1782 Coinsurance and deductible may apply Colonoscopy with Dilation 45386 CPT 49045386 LOCAL 490 RC outpatient 1871 1590 Sierra Healthcare Options PPO 1014 case rate 1014 case rate 1014 1782 Coinsurance and deductible may apply Colonoscopy with Dilation 45386 CPT 49045386 LOCAL 490 RC outpatient 1871 1590 Sierra/HPN HMO 1014 case rate 1014 case rate 1014 1782 Coinsurance and deductible may apply Colonoscopy with Dilation 45386 CPT 49045386 LOCAL 490 RC outpatient 1871 1590 Teachers Trust PPO 939 Teachers grouper rate 939 case rate 939 1782 Coinsurance and deductible may apply Colonoscopy with Dilation 45386 CPT 49045386 LOCAL 490 RC outpatient 1871 1590 United Healthcare PPO 1061 case rate 1061 case rate 1061 1782 Coinsurance and deductible may apply Colonoscopy with Lesion Removal 45384 CPT 49045384 LOCAL 490 RC outpatient 2543 2162 Aetna Medicare HMO 26 26% of all negotiated rates 1882 percent of total billed charges 1882 2543 Colonoscopy with Lesion Removal 45384 CPT 49045384 LOCAL 490 RC outpatient 2543 2162 Alignment Medicare HMO 39 39% of all negotiated rates 1551 percent of total billed charges 1551 2543 Colonoscopy with Lesion Removal 45384 CPT 49045384 LOCAL 490 RC outpatient 2543 2162 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 1017 percent of total billed charges 1017 2543 Colonoscopy with Lesion Removal 45384 CPT 49045384 LOCAL 490 RC outpatient 2543 2162 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 1272 percent of total billed charges 1272 2543 Colonoscopy with Lesion Removal 45384 CPT 49045384 LOCAL 490 RC outpatient 2543 2162 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 1551 percent of total billed charges 1551 2543 Colonoscopy with Lesion Removal 45384 CPT 49045384 LOCAL 490 RC outpatient 2543 2162 Coventry PPO 75 75% of all negotiated rates 636 percent of total billed charges 636 2543 Colonoscopy with Lesion Removal 45384 CPT 49045384 LOCAL 490 RC outpatient 2543 2162 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 509 percent of total billed charges 509 2543 Colonoscopy with Lesion Removal 45384 CPT 49045384 LOCAL 490 RC outpatient 2543 2162 Humana-Commerical PPO 46 46% of all negotiated rates 1373 percent of total billed charges 1373 2543 Colonoscopy with Lesion Removal 45384 CPT 49045384 LOCAL 490 RC outpatient 2543 2162 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 1551 percent of total billed charges 1551 2543 Colonoscopy with Lesion Removal 45384 CPT 49045384 LOCAL 490 RC outpatient 2543 2162 Multiplan PPO 80 80% of all negotiated rates 509 percent of total billed charges 509 2543 Colonoscopy with Lesion Removal 45384 CPT 49045384 LOCAL 490 RC outpatient 2543 2162 Optum Medicare HMO 39 39% of all negotiated rates 1551 percent of total billed charges 1551 2543 Colonoscopy with Lesion Removal 45384 CPT 49045384 LOCAL 490 RC outpatient 2543 2162 P3 HMO 39 39% of all negotiated rates 1551 percent of total billed charges 1551 2543 Colonoscopy with Lesion Removal 45384 CPT 49045384 LOCAL 490 RC outpatient 2543 2162 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 890 percent of total billed charges 890 2543 Colonoscopy with Lesion Removal 45384 CPT 49045384 LOCAL 490 RC outpatient 2543 2162 Select Health HMO 41 41% of all negotiated rates 1500 percent of total billed charges 1500 2543 Colonoscopy with Lesion Removal 45384 CPT 49045384 LOCAL 490 RC outpatient 2543 2162 Silversummit Medicare HMO 39 39% of all negotiated rates 1551 percent of total billed charges 1551 2543 Colonoscopy with Lesion Removal 45384 CPT 49045384 LOCAL 490 RC outpatient 2543 2162 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 1653 percent of total billed charges 1653 2543 Colonoscopy with Lesion Removal 45384 CPT 49045384 LOCAL 490 RC outpatient 2543 2162 TriWest PPO 30 30% of all negotiated rates 1780 percent of total billed charges 1780 2543 Colonoscopy with Lesion Removal 45384 CPT 49045384 LOCAL 490 RC outpatient 2543 2162 UHN-Universal Health Network PPO 65 65% of all negotiated rates 890 percent of total billed charges 890 2543 Colonoscopy with Lesion Removal 45384 CPT 49045384 LOCAL 490 RC outpatient 2543 2162 Aetna PPO 950 case rate 950 case rate 950 2422 Coinsurance and deductible may apply Colonoscopy with Lesion Removal 45384 CPT 49045384 LOCAL 490 RC outpatient 2543 2162 Anthem Medicaid HMO 333 NV Medicaid SDS Rate 333 fee schedule 333 2422 Coinsurance and deductible may apply Colonoscopy with Lesion Removal 45384 CPT 49045384 LOCAL 490 RC outpatient 2543 2162 Cigna PPO 1014 case rate 1014 case rate 1014 2422 Coinsurance and deductible may apply Colonoscopy with Lesion Removal 45384 CPT 49045384 LOCAL 490 RC outpatient 2543 2162 Coalition PPO 939 Coalition grouper rate 939 case rate 939 2422 Coinsurance and deductible may apply Colonoscopy with Lesion Removal 45384 CPT 49045384 LOCAL 490 RC outpatient 2543 2162 HPN Medicaid HMO 333 NV Medicaid SDS Rate 333 fee schedule 333 2422 Coinsurance and deductible may apply Colonoscopy with Lesion Removal 45384 CPT 49045384 LOCAL 490 RC outpatient 2543 2162 Molina Medicaid HMO 333 NV Medicaid SDS Rate 333 case rate 333 2422 Coinsurance and deductible may apply Colonoscopy with Lesion Removal 45384 CPT 49045384 LOCAL 490 RC outpatient 2543 2162 One Health PPO 1061 case rate 1061 case rate 1061 2422 Coinsurance and deductible may apply Colonoscopy with Lesion Removal 45384 CPT 49045384 LOCAL 490 RC outpatient 2543 2162 Sierra Healthcare Options PPO 1014 case rate 1014 case rate 1014 2422 Coinsurance and deductible may apply Colonoscopy with Lesion Removal 45384 CPT 49045384 LOCAL 490 RC outpatient 2543 2162 Sierra/HPN HMO 1014 case rate 1014 case rate 1014 2422 Coinsurance and deductible may apply Colonoscopy with Lesion Removal 45384 CPT 49045384 LOCAL 490 RC outpatient 2543 2162 Teachers Trust PPO 939 Teachers grouper rate 939 case rate 939 2422 Coinsurance and deductible may apply Colonoscopy with Lesion Removal 45384 CPT 49045384 LOCAL 490 RC outpatient 2543 2162 United Healthcare PPO 1061 case rate 1061 case rate 1061 2422 Coinsurance and deductible may apply "COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE" 44389 CPT 49044389 LOCAL 409 RC outpatient 3629 3084 Aetna PPO 38 38% of all negotiated rates 2250 percent of total billed charges 2250 3629 "COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE" 44389 CPT 49044389 LOCAL 409 RC outpatient 3629 3084 Aetna Medicare HMO 26 26% of all negotiated rates 2685 percent of total billed charges 2685 3629 "COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE" 44389 CPT 49044389 LOCAL 409 RC outpatient 3629 3084 Alignment Medicare HMO 39 39% of all negotiated rates 2214 percent of total billed charges 2214 3629 "COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE" 44389 CPT 49044389 LOCAL 409 RC outpatient 3629 3084 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 1452 percent of total billed charges 1452 3629 "COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE" 44389 CPT 49044389 LOCAL 409 RC outpatient 3629 3084 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 1814 percent of total billed charges 1814 3629 "COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE" 44389 CPT 49044389 LOCAL 409 RC outpatient 3629 3084 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 2214 percent of total billed charges 2214 3629 "COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE" 44389 CPT 49044389 LOCAL 409 RC outpatient 3629 3084 Cigna PPO 68 68% of all negotiated rates 1161 percent of total billed charges 1161 3629 "COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE" 44389 CPT 49044389 LOCAL 409 RC outpatient 3629 3084 Coventry PPO 75 75% of all negotiated rates 907 percent of total billed charges 907 3629 "COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE" 44389 CPT 49044389 LOCAL 409 RC outpatient 3629 3084 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 726 percent of total billed charges 726 3629 "COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE" 44389 CPT 49044389 LOCAL 409 RC outpatient 3629 3084 Humana-Commerical PPO 70 70% of all negotiated rates 1089 percent of total billed charges 1089 3629 "COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE" 44389 CPT 49044389 LOCAL 409 RC outpatient 3629 3084 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 2214 percent of total billed charges 2214 3629 "COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE" 44389 CPT 49044389 LOCAL 409 RC outpatient 3629 3084 Multiplan PPO 80 80% of all negotiated rates 726 percent of total billed charges 726 3629 "COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE" 44389 CPT 49044389 LOCAL 409 RC outpatient 3629 3084 Optum Medicare HMO 39 39% of all negotiated rates 2214 percent of total billed charges 2214 3629 "COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE" 44389 CPT 49044389 LOCAL 409 RC outpatient 3629 3084 P3 HMO 39 39% of all negotiated rates 2214 percent of total billed charges 2214 3629 "COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE" 44389 CPT 49044389 LOCAL 409 RC outpatient 3629 3084 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 1089 percent of total billed charges 1089 3629 "COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE" 44389 CPT 49044389 LOCAL 409 RC outpatient 3629 3084 Select Health HMO 41 41% of all negotiated rates 2141 percent of total billed charges 2141 3629 "COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE" 44389 CPT 49044389 LOCAL 409 RC outpatient 3629 3084 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 2413 percent of total billed charges 2413 3629 "COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE" 44389 CPT 49044389 LOCAL 409 RC outpatient 3629 3084 Sierra/HPN HMO 60 60% of all negotiated rates 1452 percent of total billed charges 1452 3629 "COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE" 44389 CPT 49044389 LOCAL 409 RC outpatient 3629 3084 Silversummit Medicare HMO 39 39% of all negotiated rates 2214 percent of total billed charges 2214 3629 "COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE" 44389 CPT 49044389 LOCAL 409 RC outpatient 3629 3084 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 2359 percent of total billed charges 2359 3629 "COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE" 44389 CPT 49044389 LOCAL 409 RC outpatient 3629 3084 Teachers Trust PPO 65 65% of all negotiated rates 1270 percent of total billed charges 1270 3629 "COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE" 44389 CPT 49044389 LOCAL 409 RC outpatient 3629 3084 TriWest PPO 30 30% of all negotiated rates 2540 percent of total billed charges 2540 3629 "COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE" 44389 CPT 49044389 LOCAL 409 RC outpatient 3629 3084 UHN-Universal Health Network PPO 70 70% of all negotiated rates 1089 percent of total billed charges 1089 3629 "COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE" 44389 CPT 49044389 LOCAL 409 RC outpatient 3629 3084 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 175 fee schedule 175 3456 Coinsurance and deductible may apply "COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE" 44389 CPT 49044389 LOCAL 409 RC outpatient 3629 3084 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 175 fee schedule 175 3456 Coinsurance and deductible may apply "COLONSCOPY THROUGH STOMA, WITH BIOPSY CHARGE" 44389 CPT 49044389 LOCAL 409 RC outpatient 3629 3084 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 175 fee schedule 175 3456 Coinsurance and deductible may apply Comprehensive Metabolic Panel 12 80053 CPT 4000194 LOCAL 301 RC outpatient 872 741 Aetna PPO 38 38% of all negotiated rates 540 percent of total billed charges 540 872 Comprehensive Metabolic Panel 12 80053 CPT 4000194 LOCAL 301 RC outpatient 872 741 Aetna Medicare HMO 26 26% of all negotiated rates 645 percent of total billed charges 645 872 Comprehensive Metabolic Panel 12 80053 CPT 4000194 LOCAL 301 RC outpatient 872 741 Alignment Medicare HMO 39 39% of all negotiated rates 532 percent of total billed charges 532 872 Comprehensive Metabolic Panel 12 80053 CPT 4000194 LOCAL 301 RC outpatient 872 741 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 349 percent of total billed charges 349 872 Comprehensive Metabolic Panel 12 80053 CPT 4000194 LOCAL 301 RC outpatient 872 741 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 436 percent of total billed charges 436 872 Comprehensive Metabolic Panel 12 80053 CPT 4000194 LOCAL 301 RC outpatient 872 741 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 532 percent of total billed charges 532 872 Comprehensive Metabolic Panel 12 80053 CPT 4000194 LOCAL 301 RC outpatient 872 741 Cigna PPO 68 68% of all negotiated rates 279 percent of total billed charges 279 872 Comprehensive Metabolic Panel 12 80053 CPT 4000194 LOCAL 301 RC outpatient 872 741 Coalition PPO 49 49% of all negotiated rates 444 percent of total billed charges 444 872 Comprehensive Metabolic Panel 12 80053 CPT 4000194 LOCAL 301 RC outpatient 872 741 Coventry PPO 75 75% of all negotiated rates 218 percent of total billed charges 218 872 Comprehensive Metabolic Panel 12 80053 CPT 4000194 LOCAL 301 RC outpatient 872 741 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 174 percent of total billed charges 174 872 Comprehensive Metabolic Panel 12 80053 CPT 4000194 LOCAL 301 RC outpatient 872 741 Humana-Commerical PPO 70 70% of all negotiated rates 261 percent of total billed charges 261 872 Comprehensive Metabolic Panel 12 80053 CPT 4000194 LOCAL 301 RC outpatient 872 741 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 532 percent of total billed charges 532 872 Comprehensive Metabolic Panel 12 80053 CPT 4000194 LOCAL 301 RC outpatient 872 741 Multiplan PPO 80 80% of all negotiated rates 174 percent of total billed charges 174 872 Comprehensive Metabolic Panel 12 80053 CPT 4000194 LOCAL 301 RC outpatient 872 741 One Health PPO 55 55% of all negotiated rates 392 percent of total billed charges 392 872 Comprehensive Metabolic Panel 12 80053 CPT 4000194 LOCAL 301 RC outpatient 872 741 Optum Medicare HMO 39 39% of all negotiated rates 532 percent of total billed charges 532 872 Comprehensive Metabolic Panel 12 80053 CPT 4000194 LOCAL 301 RC outpatient 872 741 P3 HMO 39 39% of all negotiated rates 532 percent of total billed charges 532 872 Comprehensive Metabolic Panel 12 80053 CPT 4000194 LOCAL 301 RC outpatient 872 741 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 261 percent of total billed charges 261 872 Comprehensive Metabolic Panel 12 80053 CPT 4000194 LOCAL 301 RC outpatient 872 741 Select Health HMO 41 41% of all negotiated rates 514 percent of total billed charges 514 872 Comprehensive Metabolic Panel 12 80053 CPT 4000194 LOCAL 301 RC outpatient 872 741 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 580 percent of total billed charges 580 872 Comprehensive Metabolic Panel 12 80053 CPT 4000194 LOCAL 301 RC outpatient 872 741 Sierra/HPN HMO 60 60% of all negotiated rates 349 percent of total billed charges 349 872 Comprehensive Metabolic Panel 12 80053 CPT 4000194 LOCAL 301 RC outpatient 872 741 Silversummit Medicare HMO 39 39% of all negotiated rates 532 percent of total billed charges 532 872 Comprehensive Metabolic Panel 12 80053 CPT 4000194 LOCAL 301 RC outpatient 872 741 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 566 percent of total billed charges 566 872 Comprehensive Metabolic Panel 12 80053 CPT 4000194 LOCAL 301 RC outpatient 872 741 Teachers Trust PPO 65 65% of all negotiated rates 305 percent of total billed charges 305 872 Comprehensive Metabolic Panel 12 80053 CPT 4000194 LOCAL 301 RC outpatient 872 741 TriWest PPO 30 30% of all negotiated rates 610 percent of total billed charges 610 872 Comprehensive Metabolic Panel 12 80053 CPT 4000194 LOCAL 301 RC outpatient 872 741 UHN-Universal Health Network PPO 70 70% of all negotiated rates 261 percent of total billed charges 261 872 Comprehensive Metabolic Panel 12 80053 CPT 4000194 LOCAL 301 RC outpatient 872 741 United Healthcare PPO 60 60% of all negotiated rates 349 percent of total billed charges 349 872 Comprehensive Metabolic Panel 12 80053 CPT 4000194 LOCAL 301 RC outpatient 872 741 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 7 fee schedule 7 830 Coinsurance and deductible may apply Comprehensive Metabolic Panel 12 80053 CPT 4000194 LOCAL 301 RC outpatient 872 741 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 7 fee schedule 7 830 Coinsurance and deductible may apply Comprehensive Metabolic Panel 12 80053 CPT 4000194 LOCAL 301 RC outpatient 872 741 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 7 fee schedule 7 830 Coinsurance and deductible may apply Creatine Kinase 82550 CPT 4005515 LOCAL 301 RC outpatient 133 113 Aetna PPO 38 38% of all negotiated rates 83 percent of total billed charges 83 133 Creatine Kinase 82550 CPT 4005515 LOCAL 301 RC outpatient 133 113 Aetna Medicare HMO 26 26% of all negotiated rates 99 percent of total billed charges 99 133 Creatine Kinase 82550 CPT 4005515 LOCAL 301 RC outpatient 133 113 Alignment Medicare HMO 39 39% of all negotiated rates 81 percent of total billed charges 81 133 Creatine Kinase 82550 CPT 4005515 LOCAL 301 RC outpatient 133 113 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 53 percent of total billed charges 53 133 Creatine Kinase 82550 CPT 4005515 LOCAL 301 RC outpatient 133 113 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 67 percent of total billed charges 67 133 Creatine Kinase 82550 CPT 4005515 LOCAL 301 RC outpatient 133 113 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 81 percent of total billed charges 81 133 Creatine Kinase 82550 CPT 4005515 LOCAL 301 RC outpatient 133 113 Cigna PPO 68 68% of all negotiated rates 43 percent of total billed charges 43 133 Creatine Kinase 82550 CPT 4005515 LOCAL 301 RC outpatient 133 113 Coalition PPO 49 49% of all negotiated rates 68 percent of total billed charges 68 133 Creatine Kinase 82550 CPT 4005515 LOCAL 301 RC outpatient 133 113 Coventry PPO 75 75% of all negotiated rates 33 percent of total billed charges 33 133 Creatine Kinase 82550 CPT 4005515 LOCAL 301 RC outpatient 133 113 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 27 percent of total billed charges 27 133 Creatine Kinase 82550 CPT 4005515 LOCAL 301 RC outpatient 133 113 Humana-Commerical PPO 70 70% of all negotiated rates 40 percent of total billed charges 40 133 Creatine Kinase 82550 CPT 4005515 LOCAL 301 RC outpatient 133 113 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 81 percent of total billed charges 81 133 Creatine Kinase 82550 CPT 4005515 LOCAL 301 RC outpatient 133 113 Multiplan PPO 80 80% of all negotiated rates 27 percent of total billed charges 27 133 Creatine Kinase 82550 CPT 4005515 LOCAL 301 RC outpatient 133 113 One Health PPO 55 55% of all negotiated rates 60 percent of total billed charges 60 133 Creatine Kinase 82550 CPT 4005515 LOCAL 301 RC outpatient 133 113 Optum Medicare HMO 39 39% of all negotiated rates 81 percent of total billed charges 81 133 Creatine Kinase 82550 CPT 4005515 LOCAL 301 RC outpatient 133 113 P3 HMO 39 39% of all negotiated rates 81 percent of total billed charges 81 133 Creatine Kinase 82550 CPT 4005515 LOCAL 301 RC outpatient 133 113 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 40 percent of total billed charges 40 133 Creatine Kinase 82550 CPT 4005515 LOCAL 301 RC outpatient 133 113 Select Health HMO 41 41% of all negotiated rates 79 percent of total billed charges 79 133 Creatine Kinase 82550 CPT 4005515 LOCAL 301 RC outpatient 133 113 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 89 percent of total billed charges 89 133 Creatine Kinase 82550 CPT 4005515 LOCAL 301 RC outpatient 133 113 Sierra/HPN HMO 60 60% of all negotiated rates 53 percent of total billed charges 53 133 Creatine Kinase 82550 CPT 4005515 LOCAL 301 RC outpatient 133 113 Silversummit Medicare HMO 39 39% of all negotiated rates 81 percent of total billed charges 81 133 Creatine Kinase 82550 CPT 4005515 LOCAL 301 RC outpatient 133 113 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 87 percent of total billed charges 87 133 Creatine Kinase 82550 CPT 4005515 LOCAL 301 RC outpatient 133 113 Teachers Trust PPO 65 65% of all negotiated rates 47 percent of total billed charges 47 133 Creatine Kinase 82550 CPT 4005515 LOCAL 301 RC outpatient 133 113 TriWest PPO 30 30% of all negotiated rates 93 percent of total billed charges 93 133 Creatine Kinase 82550 CPT 4005515 LOCAL 301 RC outpatient 133 113 UHN-Universal Health Network PPO 70 70% of all negotiated rates 40 percent of total billed charges 40 133 Creatine Kinase 82550 CPT 4005515 LOCAL 301 RC outpatient 133 113 United Healthcare PPO 60 60% of all negotiated rates 53 percent of total billed charges 53 133 Creatine Kinase 82550 CPT 4005515 LOCAL 301 RC outpatient 133 113 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 4 fee schedule 4 127 Coinsurance and deductible may apply Creatine Kinase 82550 CPT 4005515 LOCAL 301 RC outpatient 133 113 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 4 fee schedule 4 127 Coinsurance and deductible may apply Creatine Kinase 82550 CPT 4005515 LOCAL 301 RC outpatient 133 113 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 4 fee schedule 4 127 Coinsurance and deductible may apply Creatinine 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 Aetna PPO 38 38% of all negotiated rates 65 percent of total billed charges 65 105 Creatinine 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 Aetna Medicare HMO 26 26% of all negotiated rates 78 percent of total billed charges 78 105 Creatinine 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 Alignment Medicare HMO 39 39% of all negotiated rates 64 percent of total billed charges 64 105 Creatinine 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 42 percent of total billed charges 42 105 Creatinine 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 53 percent of total billed charges 53 105 Creatinine 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 64 percent of total billed charges 64 105 Creatinine 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 Cigna PPO 68 68% of all negotiated rates 34 percent of total billed charges 34 105 Creatinine 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 Coalition PPO 49 49% of all negotiated rates 54 percent of total billed charges 54 105 Creatinine 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 Coventry PPO 75 75% of all negotiated rates 26 percent of total billed charges 26 105 Creatinine 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 21 percent of total billed charges 21 105 Creatinine 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 Humana-Commerical PPO 70 70% of all negotiated rates 32 percent of total billed charges 32 105 Creatinine 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 64 percent of total billed charges 64 105 Creatinine 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 Multiplan PPO 80 80% of all negotiated rates 21 percent of total billed charges 21 105 Creatinine 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 One Health PPO 55 55% of all negotiated rates 47 percent of total billed charges 47 105 Creatinine 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 Optum Medicare HMO 39 39% of all negotiated rates 64 percent of total billed charges 64 105 Creatinine 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 P3 HMO 39 39% of all negotiated rates 64 percent of total billed charges 64 105 Creatinine 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 32 percent of total billed charges 32 105 Creatinine 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 Select Health HMO 41 41% of all negotiated rates 62 percent of total billed charges 62 105 Creatinine 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 70 percent of total billed charges 70 105 Creatinine 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 Sierra/HPN HMO 60 60% of all negotiated rates 42 percent of total billed charges 42 105 Creatinine 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 Silversummit Medicare HMO 39 39% of all negotiated rates 64 percent of total billed charges 64 105 Creatinine 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 68 percent of total billed charges 68 105 Creatinine 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 Teachers Trust PPO 65 65% of all negotiated rates 37 percent of total billed charges 37 105 Creatinine 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 TriWest PPO 30 30% of all negotiated rates 74 percent of total billed charges 74 105 Creatinine 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 UHN-Universal Health Network PPO 70 70% of all negotiated rates 32 percent of total billed charges 32 105 Creatinine 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 United Healthcare PPO 60 60% of all negotiated rates 42 percent of total billed charges 42 105 Creatinine 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 4 fee schedule 4 100 Coinsurance and deductible may apply Creatinine 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 4 fee schedule 4 100 Coinsurance and deductible may apply Creatinine 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 4 fee schedule 4 100 Coinsurance and deductible may apply Creatinine Level 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 Aetna PPO 38 38% of all negotiated rates 65 percent of total billed charges 65 105 Creatinine Level 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 Aetna Medicare HMO 26 26% of all negotiated rates 78 percent of total billed charges 78 105 Creatinine Level 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 Alignment Medicare HMO 39 39% of all negotiated rates 64 percent of total billed charges 64 105 Creatinine Level 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 42 percent of total billed charges 42 105 Creatinine Level 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 53 percent of total billed charges 53 105 Creatinine Level 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 64 percent of total billed charges 64 105 Creatinine Level 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 Cigna PPO 68 68% of all negotiated rates 34 percent of total billed charges 34 105 Creatinine Level 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 Coalition PPO 49 49% of all negotiated rates 54 percent of total billed charges 54 105 Creatinine Level 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 Coventry PPO 75 75% of all negotiated rates 26 percent of total billed charges 26 105 Creatinine Level 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 21 percent of total billed charges 21 105 Creatinine Level 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 Humana-Commerical PPO 70 70% of all negotiated rates 32 percent of total billed charges 32 105 Creatinine Level 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 64 percent of total billed charges 64 105 Creatinine Level 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 Multiplan PPO 80 80% of all negotiated rates 21 percent of total billed charges 21 105 Creatinine Level 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 One Health PPO 55 55% of all negotiated rates 47 percent of total billed charges 47 105 Creatinine Level 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 Optum Medicare HMO 39 39% of all negotiated rates 64 percent of total billed charges 64 105 Creatinine Level 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 P3 HMO 39 39% of all negotiated rates 64 percent of total billed charges 64 105 Creatinine Level 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 32 percent of total billed charges 32 105 Creatinine Level 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 Select Health HMO 41 41% of all negotiated rates 62 percent of total billed charges 62 105 Creatinine Level 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 70 percent of total billed charges 70 105 Creatinine Level 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 Sierra/HPN HMO 60 60% of all negotiated rates 42 percent of total billed charges 42 105 Creatinine Level 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 Silversummit Medicare HMO 39 39% of all negotiated rates 64 percent of total billed charges 64 105 Creatinine Level 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 68 percent of total billed charges 68 105 Creatinine Level 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 Teachers Trust PPO 65 65% of all negotiated rates 37 percent of total billed charges 37 105 Creatinine Level 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 TriWest PPO 30 30% of all negotiated rates 74 percent of total billed charges 74 105 Creatinine Level 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 UHN-Universal Health Network PPO 70 70% of all negotiated rates 32 percent of total billed charges 32 105 Creatinine Level 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 United Healthcare PPO 60 60% of all negotiated rates 42 percent of total billed charges 42 105 Creatinine Level 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 4 fee schedule 4 100 Coinsurance and deductible may apply Creatinine Level 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 4 fee schedule 4 100 Coinsurance and deductible may apply Creatinine Level 82565 CPT 4005653 LOCAL 301 RC outpatient 105 89 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 4 fee schedule 4 100 Coinsurance and deductible may apply Creatinine Level Urine 82570 CPT 4005651 LOCAL 301 RC outpatient 95 80 Aetna PPO 38 38% of all negotiated rates 59 percent of total billed charges 59 95 Creatinine Level Urine 82570 CPT 4005651 LOCAL 301 RC outpatient 95 80 Aetna Medicare HMO 26 26% of all negotiated rates 70 percent of total billed charges 70 95 Creatinine Level Urine 82570 CPT 4005651 LOCAL 301 RC outpatient 95 80 Alignment Medicare HMO 39 39% of all negotiated rates 58 percent of total billed charges 58 95 Creatinine Level Urine 82570 CPT 4005651 LOCAL 301 RC outpatient 95 80 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 38 percent of total billed charges 38 95 Creatinine Level Urine 82570 CPT 4005651 LOCAL 301 RC outpatient 95 80 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 47 percent of total billed charges 47 95 Creatinine Level Urine 82570 CPT 4005651 LOCAL 301 RC outpatient 95 80 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 58 percent of total billed charges 58 95 Creatinine Level Urine 82570 CPT 4005651 LOCAL 301 RC outpatient 95 80 Cigna PPO 68 68% of all negotiated rates 30 percent of total billed charges 30 95 Creatinine Level Urine 82570 CPT 4005651 LOCAL 301 RC outpatient 95 80 Coalition PPO 49 49% of all negotiated rates 48 percent of total billed charges 48 95 Creatinine Level Urine 82570 CPT 4005651 LOCAL 301 RC outpatient 95 80 Coventry PPO 75 75% of all negotiated rates 24 percent of total billed charges 24 95 Creatinine Level Urine 82570 CPT 4005651 LOCAL 301 RC outpatient 95 80 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 19 percent of total billed charges 19 95 Creatinine Level Urine 82570 CPT 4005651 LOCAL 301 RC outpatient 95 80 Humana-Commerical PPO 70 70% of all negotiated rates 28 percent of total billed charges 28 95 Creatinine Level Urine 82570 CPT 4005651 LOCAL 301 RC outpatient 95 80 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 58 percent of total billed charges 58 95 Creatinine Level Urine 82570 CPT 4005651 LOCAL 301 RC outpatient 95 80 Multiplan PPO 80 80% of all negotiated rates 19 percent of total billed charges 19 95 Creatinine Level Urine 82570 CPT 4005651 LOCAL 301 RC outpatient 95 80 One Health PPO 55 55% of all negotiated rates 43 percent of total billed charges 43 95 Creatinine Level Urine 82570 CPT 4005651 LOCAL 301 RC outpatient 95 80 Optum Medicare HMO 39 39% of all negotiated rates 58 percent of total billed charges 58 95 Creatinine Level Urine 82570 CPT 4005651 LOCAL 301 RC outpatient 95 80 P3 HMO 39 39% of all negotiated rates 58 percent of total billed charges 58 95 Creatinine Level Urine 82570 CPT 4005651 LOCAL 301 RC outpatient 95 80 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 28 percent of total billed charges 28 95 Creatinine Level Urine 82570 CPT 4005651 LOCAL 301 RC outpatient 95 80 Select Health HMO 41 41% of all negotiated rates 56 percent of total billed charges 56 95 Creatinine Level Urine 82570 CPT 4005651 LOCAL 301 RC outpatient 95 80 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 63 percent of total billed charges 63 95 Creatinine Level Urine 82570 CPT 4005651 LOCAL 301 RC outpatient 95 80 Sierra/HPN HMO 60 60% of all negotiated rates 38 percent of total billed charges 38 95 Creatinine Level Urine 82570 CPT 4005651 LOCAL 301 RC outpatient 95 80 Silversummit Medicare HMO 39 39% of all negotiated rates 58 percent of total billed charges 58 95 Creatinine Level Urine 82570 CPT 4005651 LOCAL 301 RC outpatient 95 80 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 61 percent of total billed charges 61 95 Creatinine Level Urine 82570 CPT 4005651 LOCAL 301 RC outpatient 95 80 Teachers Trust PPO 65 65% of all negotiated rates 33 percent of total billed charges 33 95 Creatinine Level Urine 82570 CPT 4005651 LOCAL 301 RC outpatient 95 80 TriWest PPO 30 30% of all negotiated rates 66 percent of total billed charges 66 95 Creatinine Level Urine 82570 CPT 4005651 LOCAL 301 RC outpatient 95 80 UHN-Universal Health Network PPO 70 70% of all negotiated rates 28 percent of total billed charges 28 95 Creatinine Level Urine 82570 CPT 4005651 LOCAL 301 RC outpatient 95 80 United Healthcare PPO 60 60% of all negotiated rates 38 percent of total billed charges 38 95 Creatinine Level Urine 82570 CPT 4005651 LOCAL 301 RC outpatient 95 80 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 4 fee schedule 4 90 Coinsurance and deductible may apply Creatinine Level Urine 82570 CPT 4005651 LOCAL 301 RC outpatient 95 80 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 4 fee schedule 4 90 Coinsurance and deductible may apply Creatinine Level Urine 82570 CPT 4005651 LOCAL 301 RC outpatient 95 80 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 4 fee schedule 4 90 Coinsurance and deductible may apply Crossmatch 86922 CPT 4000684 LOCAL 300 RC outpatient 364 310 Aetna PPO 38 38% of all negotiated rates 226 percent of total billed charges 226 364 Crossmatch 86922 CPT 4000684 LOCAL 300 RC outpatient 364 310 Aetna Medicare HMO 26 26% of all negotiated rates 270 percent of total billed charges 270 364 Crossmatch 86922 CPT 4000684 LOCAL 300 RC outpatient 364 310 Alignment Medicare HMO 39 39% of all negotiated rates 222 percent of total billed charges 222 364 Crossmatch 86922 CPT 4000684 LOCAL 300 RC outpatient 364 310 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 146 percent of total billed charges 146 364 Crossmatch 86922 CPT 4000684 LOCAL 300 RC outpatient 364 310 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 182 percent of total billed charges 182 364 Crossmatch 86922 CPT 4000684 LOCAL 300 RC outpatient 364 310 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 222 percent of total billed charges 222 364 Crossmatch 86922 CPT 4000684 LOCAL 300 RC outpatient 364 310 Cigna PPO 68 68% of all negotiated rates 117 percent of total billed charges 117 364 Crossmatch 86922 CPT 4000684 LOCAL 300 RC outpatient 364 310 Coalition PPO 49 49% of all negotiated rates 186 percent of total billed charges 186 364 Crossmatch 86922 CPT 4000684 LOCAL 300 RC outpatient 364 310 Coventry PPO 75 75% of all negotiated rates 91 percent of total billed charges 91 364 Crossmatch 86922 CPT 4000684 LOCAL 300 RC outpatient 364 310 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 73 percent of total billed charges 73 364 Crossmatch 86922 CPT 4000684 LOCAL 300 RC outpatient 364 310 Humana-Commerical PPO 70 70% of all negotiated rates 109 percent of total billed charges 109 364 Crossmatch 86922 CPT 4000684 LOCAL 300 RC outpatient 364 310 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 222 percent of total billed charges 222 364 Crossmatch 86922 CPT 4000684 LOCAL 300 RC outpatient 364 310 Multiplan PPO 80 80% of all negotiated rates 73 percent of total billed charges 73 364 Crossmatch 86922 CPT 4000684 LOCAL 300 RC outpatient 364 310 One Health PPO 55 55% of all negotiated rates 164 percent of total billed charges 164 364 Crossmatch 86922 CPT 4000684 LOCAL 300 RC outpatient 364 310 Optum Medicare HMO 39 39% of all negotiated rates 222 percent of total billed charges 222 364 Crossmatch 86922 CPT 4000684 LOCAL 300 RC outpatient 364 310 P3 HMO 39 39% of all negotiated rates 222 percent of total billed charges 222 364 Crossmatch 86922 CPT 4000684 LOCAL 300 RC outpatient 364 310 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 109 percent of total billed charges 109 364 Crossmatch 86922 CPT 4000684 LOCAL 300 RC outpatient 364 310 Select Health HMO 41 41% of all negotiated rates 215 percent of total billed charges 215 364 Crossmatch 86922 CPT 4000684 LOCAL 300 RC outpatient 364 310 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 242 percent of total billed charges 242 364 Crossmatch 86922 CPT 4000684 LOCAL 300 RC outpatient 364 310 Sierra/HPN HMO 60 60% of all negotiated rates 146 percent of total billed charges 146 364 Crossmatch 86922 CPT 4000684 LOCAL 300 RC outpatient 364 310 Silversummit Medicare HMO 39 39% of all negotiated rates 222 percent of total billed charges 222 364 Crossmatch 86922 CPT 4000684 LOCAL 300 RC outpatient 364 310 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 237 percent of total billed charges 237 364 Crossmatch 86922 CPT 4000684 LOCAL 300 RC outpatient 364 310 Teachers Trust PPO 65 65% of all negotiated rates 128 percent of total billed charges 128 364 Crossmatch 86922 CPT 4000684 LOCAL 300 RC outpatient 364 310 TriWest PPO 30 30% of all negotiated rates 255 percent of total billed charges 255 364 Crossmatch 86922 CPT 4000684 LOCAL 300 RC outpatient 364 310 UHN-Universal Health Network PPO 70 70% of all negotiated rates 109 percent of total billed charges 109 364 Crossmatch 86922 CPT 4000684 LOCAL 300 RC outpatient 364 310 United Healthcare PPO 60 60% of all negotiated rates 146 percent of total billed charges 146 364 Crossmatch 86922 CPT 4000684 LOCAL 300 RC outpatient 364 310 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 19 fee schedule 19 347 Coinsurance and deductible may apply Crossmatch 86922 CPT 4000684 LOCAL 300 RC outpatient 364 310 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 19 fee schedule 19 347 Coinsurance and deductible may apply Crossmatch 86922 CPT 4000684 LOCAL 300 RC outpatient 364 310 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 19 fee schedule 19 347 Coinsurance and deductible may apply CSF Glucose 82947 CPT 4009471 LOCAL 301 RC outpatient 82 70 Aetna PPO 38 38% of all negotiated rates 51 percent of total billed charges 51 82 CSF Glucose 82947 CPT 4009471 LOCAL 301 RC outpatient 82 70 Aetna Medicare HMO 26 26% of all negotiated rates 61 percent of total billed charges 61 82 CSF Glucose 82947 CPT 4009471 LOCAL 301 RC outpatient 82 70 Alignment Medicare HMO 39 39% of all negotiated rates 50 percent of total billed charges 50 82 CSF Glucose 82947 CPT 4009471 LOCAL 301 RC outpatient 82 70 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 33 percent of total billed charges 33 82 CSF Glucose 82947 CPT 4009471 LOCAL 301 RC outpatient 82 70 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 41 percent of total billed charges 41 82 CSF Glucose 82947 CPT 4009471 LOCAL 301 RC outpatient 82 70 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 50 percent of total billed charges 50 82 CSF Glucose 82947 CPT 4009471 LOCAL 301 RC outpatient 82 70 Cigna PPO 68 68% of all negotiated rates 26 percent of total billed charges 26 82 CSF Glucose 82947 CPT 4009471 LOCAL 301 RC outpatient 82 70 Coalition PPO 49 49% of all negotiated rates 42 percent of total billed charges 42 82 CSF Glucose 82947 CPT 4009471 LOCAL 301 RC outpatient 82 70 Coventry PPO 75 75% of all negotiated rates 20 percent of total billed charges 20 82 CSF Glucose 82947 CPT 4009471 LOCAL 301 RC outpatient 82 70 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 16 percent of total billed charges 16 82 CSF Glucose 82947 CPT 4009471 LOCAL 301 RC outpatient 82 70 Humana-Commerical PPO 70 70% of all negotiated rates 25 percent of total billed charges 25 82 CSF Glucose 82947 CPT 4009471 LOCAL 301 RC outpatient 82 70 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 50 percent of total billed charges 50 82 CSF Glucose 82947 CPT 4009471 LOCAL 301 RC outpatient 82 70 Multiplan PPO 80 80% of all negotiated rates 16 percent of total billed charges 16 82 CSF Glucose 82947 CPT 4009471 LOCAL 301 RC outpatient 82 70 One Health PPO 55 55% of all negotiated rates 37 percent of total billed charges 37 82 CSF Glucose 82947 CPT 4009471 LOCAL 301 RC outpatient 82 70 Optum Medicare HMO 39 39% of all negotiated rates 50 percent of total billed charges 50 82 CSF Glucose 82947 CPT 4009471 LOCAL 301 RC outpatient 82 70 P3 HMO 39 39% of all negotiated rates 50 percent of total billed charges 50 82 CSF Glucose 82947 CPT 4009471 LOCAL 301 RC outpatient 82 70 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 25 percent of total billed charges 25 82 CSF Glucose 82947 CPT 4009471 LOCAL 301 RC outpatient 82 70 Select Health HMO 41 41% of all negotiated rates 48 percent of total billed charges 48 82 CSF Glucose 82947 CPT 4009471 LOCAL 301 RC outpatient 82 70 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 54 percent of total billed charges 54 82 CSF Glucose 82947 CPT 4009471 LOCAL 301 RC outpatient 82 70 Sierra/HPN HMO 60 60% of all negotiated rates 33 percent of total billed charges 33 82 CSF Glucose 82947 CPT 4009471 LOCAL 301 RC outpatient 82 70 Silversummit Medicare HMO 39 39% of all negotiated rates 50 percent of total billed charges 50 82 CSF Glucose 82947 CPT 4009471 LOCAL 301 RC outpatient 82 70 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 53 percent of total billed charges 53 82 CSF Glucose 82947 CPT 4009471 LOCAL 301 RC outpatient 82 70 Teachers Trust PPO 65 65% of all negotiated rates 29 percent of total billed charges 29 82 CSF Glucose 82947 CPT 4009471 LOCAL 301 RC outpatient 82 70 TriWest PPO 30 30% of all negotiated rates 57 percent of total billed charges 57 82 CSF Glucose 82947 CPT 4009471 LOCAL 301 RC outpatient 82 70 UHN-Universal Health Network PPO 70 70% of all negotiated rates 25 percent of total billed charges 25 82 CSF Glucose 82947 CPT 4009471 LOCAL 301 RC outpatient 82 70 United Healthcare PPO 60 60% of all negotiated rates 33 percent of total billed charges 33 82 CSF Glucose 82947 CPT 4009471 LOCAL 301 RC outpatient 82 70 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 78 Coinsurance and deductible may apply CSF Glucose 82947 CPT 4009471 LOCAL 301 RC outpatient 82 70 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 78 Coinsurance and deductible may apply CSF Glucose 82947 CPT 4009471 LOCAL 301 RC outpatient 82 70 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 78 Coinsurance and deductible may apply CSF Protein 84157 CPT 4001552 LOCAL 301 RC outpatient 206 175 Aetna PPO 38 38% of all negotiated rates 128 percent of total billed charges 128 206 CSF Protein 84157 CPT 4001552 LOCAL 301 RC outpatient 206 175 Aetna Medicare HMO 26 26% of all negotiated rates 152 percent of total billed charges 152 206 CSF Protein 84157 CPT 4001552 LOCAL 301 RC outpatient 206 175 Alignment Medicare HMO 39 39% of all negotiated rates 126 percent of total billed charges 126 206 CSF Protein 84157 CPT 4001552 LOCAL 301 RC outpatient 206 175 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 82 percent of total billed charges 82 206 CSF Protein 84157 CPT 4001552 LOCAL 301 RC outpatient 206 175 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 103 percent of total billed charges 103 206 CSF Protein 84157 CPT 4001552 LOCAL 301 RC outpatient 206 175 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 126 percent of total billed charges 126 206 CSF Protein 84157 CPT 4001552 LOCAL 301 RC outpatient 206 175 Cigna PPO 68 68% of all negotiated rates 66 percent of total billed charges 66 206 CSF Protein 84157 CPT 4001552 LOCAL 301 RC outpatient 206 175 Coalition PPO 49 49% of all negotiated rates 105 percent of total billed charges 105 206 CSF Protein 84157 CPT 4001552 LOCAL 301 RC outpatient 206 175 Coventry PPO 75 75% of all negotiated rates 51 percent of total billed charges 51 206 CSF Protein 84157 CPT 4001552 LOCAL 301 RC outpatient 206 175 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 41 percent of total billed charges 41 206 CSF Protein 84157 CPT 4001552 LOCAL 301 RC outpatient 206 175 Humana-Commerical PPO 70 70% of all negotiated rates 62 percent of total billed charges 62 206 CSF Protein 84157 CPT 4001552 LOCAL 301 RC outpatient 206 175 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 126 percent of total billed charges 126 206 CSF Protein 84157 CPT 4001552 LOCAL 301 RC outpatient 206 175 Multiplan PPO 80 80% of all negotiated rates 41 percent of total billed charges 41 206 CSF Protein 84157 CPT 4001552 LOCAL 301 RC outpatient 206 175 One Health PPO 55 55% of all negotiated rates 93 percent of total billed charges 93 206 CSF Protein 84157 CPT 4001552 LOCAL 301 RC outpatient 206 175 Optum Medicare HMO 39 39% of all negotiated rates 126 percent of total billed charges 126 206 CSF Protein 84157 CPT 4001552 LOCAL 301 RC outpatient 206 175 P3 HMO 39 39% of all negotiated rates 126 percent of total billed charges 126 206 CSF Protein 84157 CPT 4001552 LOCAL 301 RC outpatient 206 175 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 62 percent of total billed charges 62 206 CSF Protein 84157 CPT 4001552 LOCAL 301 RC outpatient 206 175 Select Health HMO 41 41% of all negotiated rates 121 percent of total billed charges 121 206 CSF Protein 84157 CPT 4001552 LOCAL 301 RC outpatient 206 175 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 137 percent of total billed charges 137 206 CSF Protein 84157 CPT 4001552 LOCAL 301 RC outpatient 206 175 Sierra/HPN HMO 60 60% of all negotiated rates 82 percent of total billed charges 82 206 CSF Protein 84157 CPT 4001552 LOCAL 301 RC outpatient 206 175 Silversummit Medicare HMO 39 39% of all negotiated rates 126 percent of total billed charges 126 206 CSF Protein 84157 CPT 4001552 LOCAL 301 RC outpatient 206 175 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 134 percent of total billed charges 134 206 CSF Protein 84157 CPT 4001552 LOCAL 301 RC outpatient 206 175 Teachers Trust PPO 65 65% of all negotiated rates 72 percent of total billed charges 72 206 CSF Protein 84157 CPT 4001552 LOCAL 301 RC outpatient 206 175 TriWest PPO 30 30% of all negotiated rates 144 percent of total billed charges 144 206 CSF Protein 84157 CPT 4001552 LOCAL 301 RC outpatient 206 175 UHN-Universal Health Network PPO 70 70% of all negotiated rates 62 percent of total billed charges 62 206 CSF Protein 84157 CPT 4001552 LOCAL 301 RC outpatient 206 175 United Healthcare PPO 60 60% of all negotiated rates 82 percent of total billed charges 82 206 CSF Protein 84157 CPT 4001552 LOCAL 301 RC outpatient 206 175 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 196 Coinsurance and deductible may apply CSF Protein 84157 CPT 4001552 LOCAL 301 RC outpatient 206 175 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 196 Coinsurance and deductible may apply CSF Protein 84157 CPT 4001552 LOCAL 301 RC outpatient 206 175 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 196 Coinsurance and deductible may apply CT Abdomen +Pelvis w/ + w/o Cont 74178 CPT 4060104 LOCAL 352 RC outpatient 4674 3973 Aetna Medicare HMO 26 26% of all negotiated rates 3458 percent of total billed charges 3458 4674 CT Abdomen +Pelvis w/ + w/o Cont 74178 CPT 4060104 LOCAL 352 RC outpatient 4674 3973 Alignment Medicare HMO 39 39% of all negotiated rates 2851 percent of total billed charges 2851 4674 CT Abdomen +Pelvis w/ + w/o Cont 74178 CPT 4060104 LOCAL 352 RC outpatient 4674 3973 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 1869 percent of total billed charges 1869 4674 CT Abdomen +Pelvis w/ + w/o Cont 74178 CPT 4060104 LOCAL 352 RC outpatient 4674 3973 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 2337 percent of total billed charges 2337 4674 CT Abdomen +Pelvis w/ + w/o Cont 74178 CPT 4060104 LOCAL 352 RC outpatient 4674 3973 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 2851 percent of total billed charges 2851 4674 CT Abdomen +Pelvis w/ + w/o Cont 74178 CPT 4060104 LOCAL 352 RC outpatient 4674 3973 Coventry PPO 75 75% of all negotiated rates 1168 percent of total billed charges 1168 4674 CT Abdomen +Pelvis w/ + w/o Cont 74178 CPT 4060104 LOCAL 352 RC outpatient 4674 3973 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 935 percent of total billed charges 935 4674 CT Abdomen +Pelvis w/ + w/o Cont 74178 CPT 4060104 LOCAL 352 RC outpatient 4674 3973 Humana-Commerical PPO 70 70% of all negotiated rates 1402 percent of total billed charges 1402 4674 CT Abdomen +Pelvis w/ + w/o Cont 74178 CPT 4060104 LOCAL 352 RC outpatient 4674 3973 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 2851 percent of total billed charges 2851 4674 CT Abdomen +Pelvis w/ + w/o Cont 74178 CPT 4060104 LOCAL 352 RC outpatient 4674 3973 Multiplan PPO 80 80% of all negotiated rates 935 percent of total billed charges 935 4674 CT Abdomen +Pelvis w/ + w/o Cont 74178 CPT 4060104 LOCAL 352 RC outpatient 4674 3973 Optum Medicare HMO 39 39% of all negotiated rates 2851 percent of total billed charges 2851 4674 CT Abdomen +Pelvis w/ + w/o Cont 74178 CPT 4060104 LOCAL 352 RC outpatient 4674 3973 P3 HMO 39 39% of all negotiated rates 2851 percent of total billed charges 2851 4674 CT Abdomen +Pelvis w/ + w/o Cont 74178 CPT 4060104 LOCAL 352 RC outpatient 4674 3973 Select Health HMO 41 41% of all negotiated rates 2757 percent of total billed charges 2757 4674 CT Abdomen +Pelvis w/ + w/o Cont 74178 CPT 4060104 LOCAL 352 RC both 4674 3973 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 3108 percent of total billed charges 3108 4674 CT Abdomen +Pelvis w/ + w/o Cont 74178 CPT 4060104 LOCAL 352 RC both 4674 3973 Sierra/HPN HMO 60 60% of all negotiated rates 1869 percent of total billed charges 1869 4674 CT Abdomen +Pelvis w/ + w/o Cont 74178 CPT 4060104 LOCAL 352 RC outpatient 4674 3973 Silversummit Medicare HMO 39 39% of all negotiated rates 2851 percent of total billed charges 2851 4674 CT Abdomen +Pelvis w/ + w/o Cont 74178 CPT 4060104 LOCAL 352 RC outpatient 4674 3973 TriWest PPO 30 30% of all negotiated rates 3271 percent of total billed charges 3271 4674 CT Abdomen +Pelvis w/ + w/o Cont 74178 CPT 4060104 LOCAL 352 RC outpatient 4674 3973 United Healthcare PPO 60 60% of all negotiated rates 1869 percent of total billed charges 1869 4674 CT Abdomen +Pelvis w/ + w/o Cont 74178 CPT 4060104 LOCAL 352 RC outpatient 4674 3973 Aetna PPO 425 case rate 425 case rate 425 4451 Coinsurance and deductible may apply CT Abdomen +Pelvis w/ + w/o Cont 74178 CPT 4060104 LOCAL 352 RC both 4674 3973 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 294 fee schedule 294 4451 Coinsurance and deductible may apply CT Abdomen +Pelvis w/ + w/o Cont 74178 CPT 4060104 LOCAL 352 RC both 4674 3973 Cigna PPO 632.07 case rate 632 case rate 632 4451 Coinsurance and deductible may apply CT Abdomen +Pelvis w/ + w/o Cont 74178 CPT 4060104 LOCAL 352 RC both 4674 3973 Coalition PPO 861 case rate 861 case rate 861 4451 Coinsurance and deductible may apply CT Abdomen +Pelvis w/ + w/o Cont 74178 CPT 4060104 LOCAL 352 RC both 4674 3973 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 294 fee schedule 294 4451 Coinsurance and deductible may apply CT Abdomen +Pelvis w/ + w/o Cont 74178 CPT 4060104 LOCAL 352 RC both 4674 3973 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 294 fee schedule 294 4451 Coinsurance and deductible may apply CT Abdomen +Pelvis w/ + w/o Cont 74178 CPT 4060104 LOCAL 352 RC outpatient 4674 3973 One Health PPO 694 case rate 694 case rate 694 4451 Coinsurance and deductible may apply CT Abdomen +Pelvis w/ + w/o Cont 74178 CPT 4060104 LOCAL 352 RC outpatient 4674 3973 Saint Mary's Health Plan PPO 521 case rate 521 percent of total billed charges 521 4451 Coinsurance and deductible may apply CT Abdomen +Pelvis w/ + w/o Cont 74178 CPT 4060104 LOCAL 352 RC outpatient 4674 3973 Southpoint (Gaghan South) PPO 701.79 case rate 702 case rate 702 4451 Coinsurance and deductible may apply CT Abdomen +Pelvis w/ + w/o Cont 74178 CPT 4060104 LOCAL 352 RC outpatient 4674 3973 Teachers Trust PPO 707 case rate 707 case rate 707 4451 Coinsurance and deductible may apply CT Abdomen +Pelvis w/ + w/o Cont 74178 CPT 4060104 LOCAL 352 RC outpatient 4674 3973 UHN-Universal Health Network PPO 831.09 case rate 831 case rate 831 4451 Coinsurance and deductible may apply CT Angio Head 70496 CPT 4060510 LOCAL 351 RC outpatient 4996 4247 Aetna Medicare HMO 26 26% of all negotiated rates 3697 percent of total billed charges 3697 4996 CT Angio Head 70496 CPT 4060510 LOCAL 351 RC outpatient 4996 4247 Alignment Medicare HMO 39 39% of all negotiated rates 3047 percent of total billed charges 3047 4996 CT Angio Head 70496 CPT 4060510 LOCAL 351 RC outpatient 4996 4247 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 1998 percent of total billed charges 1998 4996 CT Angio Head 70496 CPT 4060510 LOCAL 351 RC outpatient 4996 4247 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 2498 percent of total billed charges 2498 4996 CT Angio Head 70496 CPT 4060510 LOCAL 351 RC outpatient 4996 4247 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 3047 percent of total billed charges 3047 4996 CT Angio Head 70496 CPT 4060510 LOCAL 351 RC outpatient 4996 4247 Coventry PPO 75 75% of all negotiated rates 1249 percent of total billed charges 1249 4996 CT Angio Head 70496 CPT 4060510 LOCAL 351 RC outpatient 4996 4247 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 999 percent of total billed charges 999 4996 CT Angio Head 70496 CPT 4060510 LOCAL 351 RC outpatient 4996 4247 Humana-Commerical PPO 70 70% of all negotiated rates 1499 percent of total billed charges 1499 4996 CT Angio Head 70496 CPT 4060510 LOCAL 351 RC outpatient 4996 4247 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 3047 percent of total billed charges 3047 4996 CT Angio Head 70496 CPT 4060510 LOCAL 351 RC outpatient 4996 4247 Multiplan PPO 80 80% of all negotiated rates 999 percent of total billed charges 999 4996 CT Angio Head 70496 CPT 4060510 LOCAL 351 RC outpatient 4996 4247 Optum Medicare HMO 39 39% of all negotiated rates 3047 percent of total billed charges 3047 4996 CT Angio Head 70496 CPT 4060510 LOCAL 351 RC outpatient 4996 4247 P3 HMO 39 39% of all negotiated rates 3047 percent of total billed charges 3047 4996 CT Angio Head 70496 CPT 4060510 LOCAL 351 RC outpatient 4996 4247 Select Health HMO 41 41% of all negotiated rates 2948 percent of total billed charges 2948 4996 CT Angio Head 70496 CPT 4060510 LOCAL 351 RC both 4996 4247 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 3322 percent of total billed charges 3322 4996 CT Angio Head 70496 CPT 4060510 LOCAL 351 RC both 4996 4247 Sierra/HPN HMO 60 60% of all negotiated rates 1998 percent of total billed charges 1998 4996 CT Angio Head 70496 CPT 4060510 LOCAL 351 RC outpatient 4996 4247 Silversummit Medicare HMO 39 39% of all negotiated rates 3047 percent of total billed charges 3047 4996 CT Angio Head 70496 CPT 4060510 LOCAL 351 RC outpatient 4996 4247 TriWest PPO 30 30% of all negotiated rates 3497 percent of total billed charges 3497 4996 CT Angio Head 70496 CPT 4060510 LOCAL 351 RC outpatient 4996 4247 United Healthcare PPO 60 60% of all negotiated rates 1998 percent of total billed charges 1998 4996 CT Angio Head 70496 CPT 4060510 LOCAL 351 RC outpatient 4996 4247 Aetna PPO 425 case rate 425 case rate 425 4758 Coinsurance and deductible may apply CT Angio Head 70496 CPT 4060510 LOCAL 351 RC both 4996 4247 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 382 fee schedule 382 4758 Coinsurance and deductible may apply CT Angio Head 70496 CPT 4060510 LOCAL 351 RC both 4996 4247 Cigna PPO 632.07 case rate 632 case rate 632 4758 Coinsurance and deductible may apply CT Angio Head 70496 CPT 4060510 LOCAL 351 RC both 4996 4247 Coalition PPO 861 case rate 861 case rate 861 4758 Coinsurance and deductible may apply CT Angio Head 70496 CPT 4060510 LOCAL 351 RC both 4996 4247 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 382 fee schedule 382 4758 Coinsurance and deductible may apply CT Angio Head 70496 CPT 4060510 LOCAL 351 RC both 4996 4247 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 382 fee schedule 382 4758 Coinsurance and deductible may apply CT Angio Head 70496 CPT 4060510 LOCAL 351 RC outpatient 4996 4247 One Health PPO 694 case rate 694 case rate 694 4758 Coinsurance and deductible may apply CT Angio Head 70496 CPT 4060510 LOCAL 351 RC outpatient 4996 4247 Saint Mary's Health Plan PPO 521 case rate 521 percent of total billed charges 521 4758 Coinsurance and deductible may apply CT Angio Head 70496 CPT 4060510 LOCAL 351 RC outpatient 4996 4247 Southpoint (Gaghan South) PPO 701.79 case rate 702 case rate 702 4758 Coinsurance and deductible may apply CT Angio Head 70496 CPT 4060510 LOCAL 351 RC outpatient 4996 4247 Teachers Trust PPO 707 case rate 707 case rate 707 4758 Coinsurance and deductible may apply CT Angio Head 70496 CPT 4060510 LOCAL 351 RC outpatient 4996 4247 UHN-Universal Health Network PPO 831.09 case rate 831 case rate 831 4758 Coinsurance and deductible may apply CT Angio Neck w/ Cont 70492 CPT 4060492 LOCAL 350 RC outpatient 4849 4122 Aetna Medicare HMO 26 26% of all negotiated rates 3588 percent of total billed charges 3588 4849 CT Angio Neck w/ Cont 70492 CPT 4060492 LOCAL 350 RC outpatient 4849 4122 Alignment Medicare HMO 39 39% of all negotiated rates 2958 percent of total billed charges 2958 4849 CT Angio Neck w/ Cont 70492 CPT 4060492 LOCAL 350 RC outpatient 4849 4122 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 1940 percent of total billed charges 1940 4849 CT Angio Neck w/ Cont 70492 CPT 4060492 LOCAL 350 RC outpatient 4849 4122 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 2424 percent of total billed charges 2424 4849 CT Angio Neck w/ Cont 70492 CPT 4060492 LOCAL 350 RC outpatient 4849 4122 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 2958 percent of total billed charges 2958 4849 CT Angio Neck w/ Cont 70492 CPT 4060492 LOCAL 350 RC outpatient 4849 4122 Coventry PPO 75 75% of all negotiated rates 1212 percent of total billed charges 1212 4849 CT Angio Neck w/ Cont 70492 CPT 4060492 LOCAL 350 RC outpatient 4849 4122 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 970 percent of total billed charges 970 4849 CT Angio Neck w/ Cont 70492 CPT 4060492 LOCAL 350 RC outpatient 4849 4122 Humana-Commerical PPO 70 70% of all negotiated rates 1455 percent of total billed charges 1455 4849 CT Angio Neck w/ Cont 70492 CPT 4060492 LOCAL 350 RC outpatient 4849 4122 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 2958 percent of total billed charges 2958 4849 CT Angio Neck w/ Cont 70492 CPT 4060492 LOCAL 350 RC outpatient 4849 4122 Multiplan PPO 80 80% of all negotiated rates 970 percent of total billed charges 970 4849 CT Angio Neck w/ Cont 70492 CPT 4060492 LOCAL 350 RC outpatient 4849 4122 Optum Medicare HMO 39 39% of all negotiated rates 2958 percent of total billed charges 2958 4849 CT Angio Neck w/ Cont 70492 CPT 4060492 LOCAL 350 RC outpatient 4849 4122 P3 HMO 39 39% of all negotiated rates 2958 percent of total billed charges 2958 4849 CT Angio Neck w/ Cont 70492 CPT 4060492 LOCAL 350 RC outpatient 4849 4122 Select Health HMO 41 41% of all negotiated rates 2861 percent of total billed charges 2861 4849 CT Angio Neck w/ Cont 70492 CPT 4060492 LOCAL 350 RC both 4849 4122 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 3225 percent of total billed charges 3225 4849 CT Angio Neck w/ Cont 70492 CPT 4060492 LOCAL 350 RC both 4849 4122 Sierra/HPN HMO 60 60% of all negotiated rates 1940 percent of total billed charges 1940 4849 CT Angio Neck w/ Cont 70492 CPT 4060492 LOCAL 350 RC outpatient 4849 4122 Silversummit Medicare HMO 39 39% of all negotiated rates 2958 percent of total billed charges 2958 4849 CT Angio Neck w/ Cont 70492 CPT 4060492 LOCAL 350 RC outpatient 4849 4122 TriWest PPO 30 30% of all negotiated rates 3394 percent of total billed charges 3394 4849 CT Angio Neck w/ Cont 70492 CPT 4060492 LOCAL 350 RC outpatient 4849 4122 United Healthcare PPO 60 60% of all negotiated rates 1940 percent of total billed charges 1940 4849 CT Angio Neck w/ Cont 70492 CPT 4060492 LOCAL 350 RC outpatient 4849 4122 Aetna PPO 425 case rate 425 case rate 425 4618 Coinsurance and deductible may apply CT Angio Neck w/ Cont 70492 CPT 4060492 LOCAL 350 RC both 4849 4122 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 233 fee schedule 233 4618 Coinsurance and deductible may apply CT Angio Neck w/ Cont 70492 CPT 4060492 LOCAL 350 RC both 4849 4122 Cigna PPO 632.07 case rate 632 case rate 632 4618 Coinsurance and deductible may apply CT Angio Neck w/ Cont 70492 CPT 4060492 LOCAL 350 RC both 4849 4122 Coalition PPO 861 case rate 861 case rate 861 4618 Coinsurance and deductible may apply CT Angio Neck w/ Cont 70492 CPT 4060492 LOCAL 350 RC both 4849 4122 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 233 fee schedule 233 4618 Coinsurance and deductible may apply CT Angio Neck w/ Cont 70492 CPT 4060492 LOCAL 350 RC both 4849 4122 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 233 fee schedule 233 4618 Coinsurance and deductible may apply CT Angio Neck w/ Cont 70492 CPT 4060492 LOCAL 350 RC outpatient 4849 4122 One Health PPO 694 case rate 694 case rate 694 4618 Coinsurance and deductible may apply CT Angio Neck w/ Cont 70492 CPT 4060492 LOCAL 350 RC outpatient 4849 4122 Saint Mary's Health Plan PPO 521 case rate 521 percent of total billed charges 521 4618 Coinsurance and deductible may apply CT Angio Neck w/ Cont 70492 CPT 4060492 LOCAL 350 RC outpatient 4849 4122 Southpoint (Gaghan South) PPO 701.79 case rate 702 case rate 702 4618 Coinsurance and deductible may apply CT Angio Neck w/ Cont 70492 CPT 4060492 LOCAL 350 RC outpatient 4849 4122 Teachers Trust PPO 707 case rate 707 case rate 707 4618 Coinsurance and deductible may apply CT Angio Neck w/ Cont 70492 CPT 4060492 LOCAL 350 RC outpatient 4849 4122 UHN-Universal Health Network PPO 831.09 case rate 831 case rate 831 4618 Coinsurance and deductible may apply CT Chest w/ + w/o Cont 71270 CPT 4062703 LOCAL 352 RC outpatient 4849 4122 Aetna Medicare HMO 26 26% of all negotiated rates 3588 percent of total billed charges 3588 4849 CT Chest w/ + w/o Cont 71270 CPT 4062703 LOCAL 352 RC outpatient 4849 4122 Alignment Medicare HMO 39 39% of all negotiated rates 2958 percent of total billed charges 2958 4849 CT Chest w/ + w/o Cont 71270 CPT 4062703 LOCAL 352 RC outpatient 4849 4122 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 1940 percent of total billed charges 1940 4849 CT Chest w/ + w/o Cont 71270 CPT 4062703 LOCAL 352 RC outpatient 4849 4122 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 2424 percent of total billed charges 2424 4849 CT Chest w/ + w/o Cont 71270 CPT 4062703 LOCAL 352 RC outpatient 4849 4122 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 2958 percent of total billed charges 2958 4849 CT Chest w/ + w/o Cont 71270 CPT 4062703 LOCAL 352 RC outpatient 4849 4122 Coventry PPO 75 75% of all negotiated rates 1212 percent of total billed charges 1212 4849 CT Chest w/ + w/o Cont 71270 CPT 4062703 LOCAL 352 RC outpatient 4849 4122 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 970 percent of total billed charges 970 4849 CT Chest w/ + w/o Cont 71270 CPT 4062703 LOCAL 352 RC outpatient 4849 4122 Humana-Commerical PPO 70 70% of all negotiated rates 1455 percent of total billed charges 1455 4849 CT Chest w/ + w/o Cont 71270 CPT 4062703 LOCAL 352 RC outpatient 4849 4122 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 2958 percent of total billed charges 2958 4849 CT Chest w/ + w/o Cont 71270 CPT 4062703 LOCAL 352 RC outpatient 4849 4122 Multiplan PPO 80 80% of all negotiated rates 970 percent of total billed charges 970 4849 CT Chest w/ + w/o Cont 71270 CPT 4062703 LOCAL 352 RC outpatient 4849 4122 Optum Medicare HMO 39 39% of all negotiated rates 2958 percent of total billed charges 2958 4849 CT Chest w/ + w/o Cont 71270 CPT 4062703 LOCAL 352 RC outpatient 4849 4122 P3 HMO 39 39% of all negotiated rates 2958 percent of total billed charges 2958 4849 CT Chest w/ + w/o Cont 71270 CPT 4062703 LOCAL 352 RC outpatient 4849 4122 Select Health HMO 41 41% of all negotiated rates 2861 percent of total billed charges 2861 4849 CT Chest w/ + w/o Cont 71270 CPT 4062703 LOCAL 352 RC both 4849 4122 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 3225 percent of total billed charges 3225 4849 CT Chest w/ + w/o Cont 71270 CPT 4062703 LOCAL 352 RC both 4849 4122 Sierra/HPN HMO 60 60% of all negotiated rates 1940 percent of total billed charges 1940 4849 CT Chest w/ + w/o Cont 71270 CPT 4062703 LOCAL 352 RC outpatient 4849 4122 Silversummit Medicare HMO 39 39% of all negotiated rates 2958 percent of total billed charges 2958 4849 CT Chest w/ + w/o Cont 71270 CPT 4062703 LOCAL 352 RC outpatient 4849 4122 TriWest PPO 30 30% of all negotiated rates 3394 percent of total billed charges 3394 4849 CT Chest w/ + w/o Cont 71270 CPT 4062703 LOCAL 352 RC outpatient 4849 4122 United Healthcare PPO 60 60% of all negotiated rates 1940 percent of total billed charges 1940 4849 CT Chest w/ + w/o Cont 71270 CPT 4062703 LOCAL 352 RC outpatient 4849 4122 Aetna PPO 425 case rate 425 case rate 425 4618 Coinsurance and deductible may apply CT Chest w/ + w/o Cont 71270 CPT 4062703 LOCAL 352 RC both 4849 4122 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 234 fee schedule 234 4618 Coinsurance and deductible may apply CT Chest w/ + w/o Cont 71270 CPT 4062703 LOCAL 352 RC both 4849 4122 Cigna PPO 632.07 case rate 632 case rate 632 4618 Coinsurance and deductible may apply CT Chest w/ + w/o Cont 71270 CPT 4062703 LOCAL 352 RC both 4849 4122 Coalition PPO 861 case rate 861 case rate 861 4618 Coinsurance and deductible may apply CT Chest w/ + w/o Cont 71270 CPT 4062703 LOCAL 352 RC both 4849 4122 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 234 fee schedule 234 4618 Coinsurance and deductible may apply CT Chest w/ + w/o Cont 71270 CPT 4062703 LOCAL 352 RC both 4849 4122 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 234 fee schedule 234 4618 Coinsurance and deductible may apply CT Chest w/ + w/o Cont 71270 CPT 4062703 LOCAL 352 RC outpatient 4849 4122 One Health PPO 694 case rate 694 case rate 694 4618 Coinsurance and deductible may apply CT Chest w/ + w/o Cont 71270 CPT 4062703 LOCAL 352 RC outpatient 4849 4122 Saint Mary's Health Plan PPO 521 case rate 521 percent of total billed charges 521 4618 Coinsurance and deductible may apply CT Chest w/ + w/o Cont 71270 CPT 4062703 LOCAL 352 RC outpatient 4849 4122 Southpoint (Gaghan South) PPO 701.79 case rate 702 case rate 702 4618 Coinsurance and deductible may apply CT Chest w/ + w/o Cont 71270 CPT 4062703 LOCAL 352 RC outpatient 4849 4122 Teachers Trust PPO 707 case rate 707 case rate 707 4618 Coinsurance and deductible may apply CT Chest w/ + w/o Cont 71270 CPT 4062703 LOCAL 352 RC outpatient 4849 4122 UHN-Universal Health Network PPO 831.09 case rate 831 case rate 831 4618 Coinsurance and deductible may apply CT Head or Brain w/ + w/o Cont 70470 CPT 4064700 LOCAL 351 RC outpatient 4849 4122 Aetna Medicare HMO 26 26% of all negotiated rates 3588 percent of total billed charges 3588 4849 CT Head or Brain w/ + w/o Cont 70470 CPT 4064700 LOCAL 351 RC outpatient 4849 4122 Alignment Medicare HMO 39 39% of all negotiated rates 2958 percent of total billed charges 2958 4849 CT Head or Brain w/ + w/o Cont 70470 CPT 4064700 LOCAL 351 RC outpatient 4849 4122 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 1940 percent of total billed charges 1940 4849 CT Head or Brain w/ + w/o Cont 70470 CPT 4064700 LOCAL 351 RC outpatient 4849 4122 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 2424 percent of total billed charges 2424 4849 CT Head or Brain w/ + w/o Cont 70470 CPT 4064700 LOCAL 351 RC outpatient 4849 4122 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 2958 percent of total billed charges 2958 4849 CT Head or Brain w/ + w/o Cont 70470 CPT 4064700 LOCAL 351 RC outpatient 4849 4122 Coventry PPO 75 75% of all negotiated rates 1212 percent of total billed charges 1212 4849 CT Head or Brain w/ + w/o Cont 70470 CPT 4064700 LOCAL 351 RC outpatient 4849 4122 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 970 percent of total billed charges 970 4849 CT Head or Brain w/ + w/o Cont 70470 CPT 4064700 LOCAL 351 RC outpatient 4849 4122 Humana-Commerical PPO 70 70% of all negotiated rates 1455 percent of total billed charges 1455 4849 CT Head or Brain w/ + w/o Cont 70470 CPT 4064700 LOCAL 351 RC outpatient 4849 4122 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 2958 percent of total billed charges 2958 4849 CT Head or Brain w/ + w/o Cont 70470 CPT 4064700 LOCAL 351 RC outpatient 4849 4122 Multiplan PPO 80 80% of all negotiated rates 970 percent of total billed charges 970 4849 CT Head or Brain w/ + w/o Cont 70470 CPT 4064700 LOCAL 351 RC outpatient 4849 4122 Optum Medicare HMO 39 39% of all negotiated rates 2958 percent of total billed charges 2958 4849 CT Head or Brain w/ + w/o Cont 70470 CPT 4064700 LOCAL 351 RC outpatient 4849 4122 P3 HMO 39 39% of all negotiated rates 2958 percent of total billed charges 2958 4849 CT Head or Brain w/ + w/o Cont 70470 CPT 4064700 LOCAL 351 RC outpatient 4849 4122 Select Health HMO 41 41% of all negotiated rates 2861 percent of total billed charges 2861 4849 CT Head or Brain w/ + w/o Cont 70470 CPT 4064700 LOCAL 351 RC both 4849 4122 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 3225 percent of total billed charges 3225 4849 CT Head or Brain w/ + w/o Cont 70470 CPT 4064700 LOCAL 351 RC both 4849 4122 Sierra/HPN HMO 60 60% of all negotiated rates 1940 percent of total billed charges 1940 4849 CT Head or Brain w/ + w/o Cont 70470 CPT 4064700 LOCAL 351 RC outpatient 4849 4122 Silversummit Medicare HMO 39 39% of all negotiated rates 2958 percent of total billed charges 2958 4849 CT Head or Brain w/ + w/o Cont 70470 CPT 4064700 LOCAL 351 RC outpatient 4849 4122 TriWest PPO 30 30% of all negotiated rates 3394 percent of total billed charges 3394 4849 CT Head or Brain w/ + w/o Cont 70470 CPT 4064700 LOCAL 351 RC outpatient 4849 4122 United Healthcare PPO 60 60% of all negotiated rates 1940 percent of total billed charges 1940 4849 CT Head or Brain w/ + w/o Cont 70470 CPT 4064700 LOCAL 351 RC outpatient 4849 4122 Aetna PPO 425 case rate 425 case rate 425 4618 Coinsurance and deductible may apply CT Head or Brain w/ + w/o Cont 70470 CPT 4064700 LOCAL 351 RC both 4849 4122 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 148 fee schedule 148 4618 Coinsurance and deductible may apply CT Head or Brain w/ + w/o Cont 70470 CPT 4064700 LOCAL 351 RC both 4849 4122 Cigna PPO 632.07 case rate 632 case rate 632 4618 Coinsurance and deductible may apply CT Head or Brain w/ + w/o Cont 70470 CPT 4064700 LOCAL 351 RC both 4849 4122 Coalition PPO 861 case rate 861 case rate 861 4618 Coinsurance and deductible may apply CT Head or Brain w/ + w/o Cont 70470 CPT 4064700 LOCAL 351 RC both 4849 4122 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 148 fee schedule 148 4618 Coinsurance and deductible may apply CT Head or Brain w/ + w/o Cont 70470 CPT 4064700 LOCAL 351 RC both 4849 4122 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 148 fee schedule 148 4618 Coinsurance and deductible may apply CT Head or Brain w/ + w/o Cont 70470 CPT 4064700 LOCAL 351 RC outpatient 4849 4122 One Health PPO 694 case rate 694 case rate 694 4618 Coinsurance and deductible may apply CT Head or Brain w/ + w/o Cont 70470 CPT 4064700 LOCAL 351 RC outpatient 4849 4122 Saint Mary's Health Plan PPO 521 case rate 521 percent of total billed charges 521 4618 Coinsurance and deductible may apply CT Head or Brain w/ + w/o Cont 70470 CPT 4064700 LOCAL 351 RC outpatient 4849 4122 Southpoint (Gaghan South) PPO 701.79 case rate 702 case rate 702 4618 Coinsurance and deductible may apply CT Head or Brain w/ + w/o Cont 70470 CPT 4064700 LOCAL 351 RC outpatient 4849 4122 Teachers Trust PPO 707 case rate 707 case rate 707 4618 Coinsurance and deductible may apply CT Head or Brain w/ + w/o Cont 70470 CPT 4064700 LOCAL 351 RC outpatient 4849 4122 UHN-Universal Health Network PPO 831.09 case rate 831 case rate 831 4618 Coinsurance and deductible may apply CT Maxillofacial w/ + w/o Cont 70488 CPT 4064882 LOCAL 351 RC outpatient 4849 4122 Aetna Medicare HMO 26 26% of all negotiated rates 3588 percent of total billed charges 3588 4849 CT Maxillofacial w/ + w/o Cont 70488 CPT 4064882 LOCAL 351 RC outpatient 4849 4122 Alignment Medicare HMO 39 39% of all negotiated rates 2958 percent of total billed charges 2958 4849 CT Maxillofacial w/ + w/o Cont 70488 CPT 4064882 LOCAL 351 RC outpatient 4849 4122 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 1940 percent of total billed charges 1940 4849 CT Maxillofacial w/ + w/o Cont 70488 CPT 4064882 LOCAL 351 RC outpatient 4849 4122 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 2424 percent of total billed charges 2424 4849 CT Maxillofacial w/ + w/o Cont 70488 CPT 4064882 LOCAL 351 RC outpatient 4849 4122 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 2958 percent of total billed charges 2958 4849 CT Maxillofacial w/ + w/o Cont 70488 CPT 4064882 LOCAL 351 RC outpatient 4849 4122 Coventry PPO 75 75% of all negotiated rates 1212 percent of total billed charges 1212 4849 CT Maxillofacial w/ + w/o Cont 70488 CPT 4064882 LOCAL 351 RC outpatient 4849 4122 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 970 percent of total billed charges 970 4849 CT Maxillofacial w/ + w/o Cont 70488 CPT 4064882 LOCAL 351 RC outpatient 4849 4122 Humana-Commerical PPO 70 70% of all negotiated rates 1455 percent of total billed charges 1455 4849 CT Maxillofacial w/ + w/o Cont 70488 CPT 4064882 LOCAL 351 RC outpatient 4849 4122 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 2958 percent of total billed charges 2958 4849 CT Maxillofacial w/ + w/o Cont 70488 CPT 4064882 LOCAL 351 RC outpatient 4849 4122 Multiplan PPO 80 80% of all negotiated rates 970 percent of total billed charges 970 4849 CT Maxillofacial w/ + w/o Cont 70488 CPT 4064882 LOCAL 351 RC outpatient 4849 4122 Optum Medicare HMO 39 39% of all negotiated rates 2958 percent of total billed charges 2958 4849 CT Maxillofacial w/ + w/o Cont 70488 CPT 4064882 LOCAL 351 RC outpatient 4849 4122 P3 HMO 39 39% of all negotiated rates 2958 percent of total billed charges 2958 4849 CT Maxillofacial w/ + w/o Cont 70488 CPT 4064882 LOCAL 351 RC outpatient 4849 4122 Select Health HMO 41 41% of all negotiated rates 2861 percent of total billed charges 2861 4849 CT Maxillofacial w/ + w/o Cont 70488 CPT 4064882 LOCAL 351 RC both 4849 4122 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 3225 percent of total billed charges 3225 4849 CT Maxillofacial w/ + w/o Cont 70488 CPT 4064882 LOCAL 351 RC both 4849 4122 Sierra/HPN HMO 60 60% of all negotiated rates 1940 percent of total billed charges 1940 4849 CT Maxillofacial w/ + w/o Cont 70488 CPT 4064882 LOCAL 351 RC outpatient 4849 4122 Silversummit Medicare HMO 39 39% of all negotiated rates 2958 percent of total billed charges 2958 4849 CT Maxillofacial w/ + w/o Cont 70488 CPT 4064882 LOCAL 351 RC outpatient 4849 4122 TriWest PPO 30 30% of all negotiated rates 3394 percent of total billed charges 3394 4849 CT Maxillofacial w/ + w/o Cont 70488 CPT 4064882 LOCAL 351 RC outpatient 4849 4122 United Healthcare PPO 60 60% of all negotiated rates 1940 percent of total billed charges 1940 4849 CT Maxillofacial w/ + w/o Cont 70488 CPT 4064882 LOCAL 351 RC outpatient 4849 4122 Aetna PPO 425 case rate 425 case rate 425 4618 Coinsurance and deductible may apply CT Maxillofacial w/ + w/o Cont 70488 CPT 4064882 LOCAL 351 RC both 4849 4122 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 243 fee schedule 243 4618 Coinsurance and deductible may apply CT Maxillofacial w/ + w/o Cont 70488 CPT 4064882 LOCAL 351 RC both 4849 4122 Cigna PPO 632.07 case rate 632 case rate 632 4618 Coinsurance and deductible may apply CT Maxillofacial w/ + w/o Cont 70488 CPT 4064882 LOCAL 351 RC both 4849 4122 Coalition PPO 861 case rate 861 case rate 861 4618 Coinsurance and deductible may apply CT Maxillofacial w/ + w/o Cont 70488 CPT 4064882 LOCAL 351 RC both 4849 4122 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 243 fee schedule 243 4618 Coinsurance and deductible may apply CT Maxillofacial w/ + w/o Cont 70488 CPT 4064882 LOCAL 351 RC both 4849 4122 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 243 fee schedule 243 4618 Coinsurance and deductible may apply CT Maxillofacial w/ + w/o Cont 70488 CPT 4064882 LOCAL 351 RC outpatient 4849 4122 One Health PPO 694 case rate 694 case rate 694 4618 Coinsurance and deductible may apply CT Maxillofacial w/ + w/o Cont 70488 CPT 4064882 LOCAL 351 RC outpatient 4849 4122 Saint Mary's Health Plan PPO 521 case rate 521 percent of total billed charges 521 4618 Coinsurance and deductible may apply CT Maxillofacial w/ + w/o Cont 70488 CPT 4064882 LOCAL 351 RC outpatient 4849 4122 Southpoint (Gaghan South) PPO 701.79 case rate 702 case rate 702 4618 Coinsurance and deductible may apply CT Maxillofacial w/ + w/o Cont 70488 CPT 4064882 LOCAL 351 RC outpatient 4849 4122 Teachers Trust PPO 707 case rate 707 case rate 707 4618 Coinsurance and deductible may apply CT Maxillofacial w/ + w/o Cont 70488 CPT 4064882 LOCAL 351 RC outpatient 4849 4122 UHN-Universal Health Network PPO 831.09 case rate 831 case rate 831 4618 Coinsurance and deductible may apply CT Pelvis w/ + w/o Cont 72194 CPT 4061944 LOCAL 352 RC outpatient 4849 4122 Aetna Medicare HMO 26 26% of all negotiated rates 3588 percent of total billed charges 3588 4849 CT Pelvis w/ + w/o Cont 72194 CPT 4061944 LOCAL 352 RC outpatient 4849 4122 Alignment Medicare HMO 39 39% of all negotiated rates 2958 percent of total billed charges 2958 4849 CT Pelvis w/ + w/o Cont 72194 CPT 4061944 LOCAL 352 RC outpatient 4849 4122 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 1940 percent of total billed charges 1940 4849 CT Pelvis w/ + w/o Cont 72194 CPT 4061944 LOCAL 352 RC outpatient 4849 4122 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 2424 percent of total billed charges 2424 4849 CT Pelvis w/ + w/o Cont 72194 CPT 4061944 LOCAL 352 RC outpatient 4849 4122 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 2958 percent of total billed charges 2958 4849 CT Pelvis w/ + w/o Cont 72194 CPT 4061944 LOCAL 352 RC outpatient 4849 4122 Coventry PPO 75 75% of all negotiated rates 1212 percent of total billed charges 1212 4849 CT Pelvis w/ + w/o Cont 72194 CPT 4061944 LOCAL 352 RC outpatient 4849 4122 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 970 percent of total billed charges 970 4849 CT Pelvis w/ + w/o Cont 72194 CPT 4061944 LOCAL 352 RC outpatient 4849 4122 Humana-Commerical PPO 70 70% of all negotiated rates 1455 percent of total billed charges 1455 4849 CT Pelvis w/ + w/o Cont 72194 CPT 4061944 LOCAL 352 RC outpatient 4849 4122 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 2958 percent of total billed charges 2958 4849 CT Pelvis w/ + w/o Cont 72194 CPT 4061944 LOCAL 352 RC outpatient 4849 4122 Multiplan PPO 80 80% of all negotiated rates 970 percent of total billed charges 970 4849 CT Pelvis w/ + w/o Cont 72194 CPT 4061944 LOCAL 352 RC outpatient 4849 4122 Optum Medicare HMO 39 39% of all negotiated rates 2958 percent of total billed charges 2958 4849 CT Pelvis w/ + w/o Cont 72194 CPT 4061944 LOCAL 352 RC outpatient 4849 4122 P3 HMO 39 39% of all negotiated rates 2958 percent of total billed charges 2958 4849 CT Pelvis w/ + w/o Cont 72194 CPT 4061944 LOCAL 352 RC outpatient 4849 4122 Select Health HMO 41 41% of all negotiated rates 2861 percent of total billed charges 2861 4849 CT Pelvis w/ + w/o Cont 72194 CPT 4061944 LOCAL 352 RC both 4849 4122 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 3225 percent of total billed charges 3225 4849 CT Pelvis w/ + w/o Cont 72194 CPT 4061944 LOCAL 352 RC both 4849 4122 Sierra/HPN HMO 60 60% of all negotiated rates 1940 percent of total billed charges 1940 4849 CT Pelvis w/ + w/o Cont 72194 CPT 4061944 LOCAL 352 RC outpatient 4849 4122 Silversummit Medicare HMO 39 39% of all negotiated rates 2958 percent of total billed charges 2958 4849 CT Pelvis w/ + w/o Cont 72194 CPT 4061944 LOCAL 352 RC outpatient 4849 4122 TriWest PPO 30 30% of all negotiated rates 3394 percent of total billed charges 3394 4849 CT Pelvis w/ + w/o Cont 72194 CPT 4061944 LOCAL 352 RC outpatient 4849 4122 United Healthcare PPO 60 60% of all negotiated rates 1940 percent of total billed charges 1940 4849 CT Pelvis w/ + w/o Cont 72194 CPT 4061944 LOCAL 352 RC outpatient 4849 4122 Aetna PPO 425 case rate 425 case rate 425 4618 Coinsurance and deductible may apply CT Pelvis w/ + w/o Cont 72194 CPT 4061944 LOCAL 352 RC both 4849 4122 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 228 fee schedule 228 4618 Coinsurance and deductible may apply CT Pelvis w/ + w/o Cont 72194 CPT 4061944 LOCAL 352 RC both 4849 4122 Cigna PPO 632.07 case rate 632 case rate 632 4618 Coinsurance and deductible may apply CT Pelvis w/ + w/o Cont 72194 CPT 4061944 LOCAL 352 RC both 4849 4122 Coalition PPO 861 case rate 861 case rate 861 4618 Coinsurance and deductible may apply CT Pelvis w/ + w/o Cont 72194 CPT 4061944 LOCAL 352 RC both 4849 4122 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 228 fee schedule 228 4618 Coinsurance and deductible may apply CT Pelvis w/ + w/o Cont 72194 CPT 4061944 LOCAL 352 RC both 4849 4122 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 228 fee schedule 228 4618 Coinsurance and deductible may apply CT Pelvis w/ + w/o Cont 72194 CPT 4061944 LOCAL 352 RC outpatient 4849 4122 One Health PPO 694 case rate 694 case rate 694 4618 Coinsurance and deductible may apply CT Pelvis w/ + w/o Cont 72194 CPT 4061944 LOCAL 352 RC outpatient 4849 4122 Saint Mary's Health Plan PPO 521 case rate 521 percent of total billed charges 521 4618 Coinsurance and deductible may apply CT Pelvis w/ + w/o Cont 72194 CPT 4061944 LOCAL 352 RC outpatient 4849 4122 Southpoint (Gaghan South) PPO 701.79 case rate 702 case rate 702 4618 Coinsurance and deductible may apply CT Pelvis w/ + w/o Cont 72194 CPT 4061944 LOCAL 352 RC outpatient 4849 4122 Teachers Trust PPO 707 case rate 707 case rate 707 4618 Coinsurance and deductible may apply CT Pelvis w/ + w/o Cont 72194 CPT 4061944 LOCAL 352 RC outpatient 4849 4122 UHN-Universal Health Network PPO 831.09 case rate 831 case rate 831 4618 Coinsurance and deductible may apply CT Sinus Ltd 70486 CPT 4064366 LOCAL 350 RC outpatient 2554 2171 Aetna Medicare HMO 26 26% of all negotiated rates 1890 percent of total billed charges 1890 2554 CT Sinus Ltd 70486 CPT 4064366 LOCAL 350 RC outpatient 2554 2171 Alignment Medicare HMO 39 39% of all negotiated rates 1558 percent of total billed charges 1558 2554 CT Sinus Ltd 70486 CPT 4064366 LOCAL 350 RC outpatient 2554 2171 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 1021 percent of total billed charges 1021 2554 CT Sinus Ltd 70486 CPT 4064366 LOCAL 350 RC outpatient 2554 2171 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 1277 percent of total billed charges 1277 2554 CT Sinus Ltd 70486 CPT 4064366 LOCAL 350 RC outpatient 2554 2171 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 1558 percent of total billed charges 1558 2554 CT Sinus Ltd 70486 CPT 4064366 LOCAL 350 RC outpatient 2554 2171 Coventry PPO 75 75% of all negotiated rates 638 percent of total billed charges 638 2554 CT Sinus Ltd 70486 CPT 4064366 LOCAL 350 RC outpatient 2554 2171 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 511 percent of total billed charges 511 2554 CT Sinus Ltd 70486 CPT 4064366 LOCAL 350 RC outpatient 2554 2171 Humana-Commerical PPO 70 70% of all negotiated rates 766 percent of total billed charges 766 2554 CT Sinus Ltd 70486 CPT 4064366 LOCAL 350 RC outpatient 2554 2171 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 1558 percent of total billed charges 1558 2554 CT Sinus Ltd 70486 CPT 4064366 LOCAL 350 RC outpatient 2554 2171 Multiplan PPO 80 80% of all negotiated rates 511 percent of total billed charges 511 2554 CT Sinus Ltd 70486 CPT 4064366 LOCAL 350 RC outpatient 2554 2171 Optum Medicare HMO 39 39% of all negotiated rates 1558 percent of total billed charges 1558 2554 CT Sinus Ltd 70486 CPT 4064366 LOCAL 350 RC outpatient 2554 2171 P3 HMO 39 39% of all negotiated rates 1558 percent of total billed charges 1558 2554 CT Sinus Ltd 70486 CPT 4064366 LOCAL 350 RC outpatient 2554 2171 Select Health HMO 41 41% of all negotiated rates 1507 percent of total billed charges 1507 2554 CT Sinus Ltd 70486 CPT 4064366 LOCAL 350 RC both 2554 2171 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 1698 percent of total billed charges 1698 2554 CT Sinus Ltd 70486 CPT 4064366 LOCAL 350 RC both 2554 2171 Sierra/HPN HMO 60 60% of all negotiated rates 1021 percent of total billed charges 1021 2554 CT Sinus Ltd 70486 CPT 4064366 LOCAL 350 RC outpatient 2554 2171 Silversummit Medicare HMO 39 39% of all negotiated rates 1558 percent of total billed charges 1558 2554 CT Sinus Ltd 70486 CPT 4064366 LOCAL 350 RC outpatient 2554 2171 TriWest PPO 30 30% of all negotiated rates 1788 percent of total billed charges 1788 2554 CT Sinus Ltd 70486 CPT 4064366 LOCAL 350 RC outpatient 2554 2171 United Healthcare PPO 60 60% of all negotiated rates 1021 percent of total billed charges 1021 2554 CT Sinus Ltd 70486 CPT 4064366 LOCAL 350 RC outpatient 2554 2171 Aetna PPO 425 case rate 425 case rate 425 2432 Coinsurance and deductible may apply CT Sinus Ltd 70486 CPT 4064366 LOCAL 350 RC both 2554 2171 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 159 fee schedule 159 2432 Coinsurance and deductible may apply CT Sinus Ltd 70486 CPT 4064366 LOCAL 350 RC both 2554 2171 Cigna PPO 632.07 case rate 632 case rate 632 2432 Coinsurance and deductible may apply CT Sinus Ltd 70486 CPT 4064366 LOCAL 350 RC both 2554 2171 Coalition PPO 861 case rate 861 case rate 861 2432 Coinsurance and deductible may apply CT Sinus Ltd 70486 CPT 4064366 LOCAL 350 RC both 2554 2171 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 159 fee schedule 159 2432 Coinsurance and deductible may apply CT Sinus Ltd 70486 CPT 4064366 LOCAL 350 RC both 2554 2171 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 159 fee schedule 159 2432 Coinsurance and deductible may apply CT Sinus Ltd 70486 CPT 4064366 LOCAL 350 RC outpatient 2554 2171 One Health PPO 694 case rate 694 case rate 694 2432 Coinsurance and deductible may apply CT Sinus Ltd 70486 CPT 4064366 LOCAL 350 RC outpatient 2554 2171 Saint Mary's Health Plan PPO 521 case rate 521 percent of total billed charges 521 2432 Coinsurance and deductible may apply CT Sinus Ltd 70486 CPT 4064366 LOCAL 350 RC outpatient 2554 2171 Southpoint (Gaghan South) PPO 701.79 case rate 702 case rate 702 2432 Coinsurance and deductible may apply CT Sinus Ltd 70486 CPT 4064366 LOCAL 350 RC outpatient 2554 2171 Teachers Trust PPO 707 case rate 707 case rate 707 2432 Coinsurance and deductible may apply CT Sinus Ltd 70486 CPT 4064366 LOCAL 350 RC outpatient 2554 2171 UHN-Universal Health Network PPO 831.09 case rate 831 case rate 831 2432 Coinsurance and deductible may apply CT Spine Cervical w/ + w/o Cont 72127 CPT 4062127 LOCAL 350 RC outpatient 3807 3236 Aetna Medicare HMO 26 26% of all negotiated rates 2817 percent of total billed charges 2817 3807 CT Spine Cervical w/ + w/o Cont 72127 CPT 4062127 LOCAL 350 RC outpatient 3807 3236 Alignment Medicare HMO 39 39% of all negotiated rates 2322 percent of total billed charges 2322 3807 CT Spine Cervical w/ + w/o Cont 72127 CPT 4062127 LOCAL 350 RC outpatient 3807 3236 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 1523 percent of total billed charges 1523 3807 CT Spine Cervical w/ + w/o Cont 72127 CPT 4062127 LOCAL 350 RC outpatient 3807 3236 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 1904 percent of total billed charges 1904 3807 CT Spine Cervical w/ + w/o Cont 72127 CPT 4062127 LOCAL 350 RC outpatient 3807 3236 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 2322 percent of total billed charges 2322 3807 CT Spine Cervical w/ + w/o Cont 72127 CPT 4062127 LOCAL 350 RC outpatient 3807 3236 Coventry PPO 75 75% of all negotiated rates 952 percent of total billed charges 952 3807 CT Spine Cervical w/ + w/o Cont 72127 CPT 4062127 LOCAL 350 RC outpatient 3807 3236 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 761 percent of total billed charges 761 3807 CT Spine Cervical w/ + w/o Cont 72127 CPT 4062127 LOCAL 350 RC outpatient 3807 3236 Humana-Commerical PPO 70 70% of all negotiated rates 1142 percent of total billed charges 1142 3807 CT Spine Cervical w/ + w/o Cont 72127 CPT 4062127 LOCAL 350 RC outpatient 3807 3236 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 2322 percent of total billed charges 2322 3807 CT Spine Cervical w/ + w/o Cont 72127 CPT 4062127 LOCAL 350 RC outpatient 3807 3236 Multiplan PPO 80 80% of all negotiated rates 761 percent of total billed charges 761 3807 CT Spine Cervical w/ + w/o Cont 72127 CPT 4062127 LOCAL 350 RC outpatient 3807 3236 Optum Medicare HMO 39 39% of all negotiated rates 2322 percent of total billed charges 2322 3807 CT Spine Cervical w/ + w/o Cont 72127 CPT 4062127 LOCAL 350 RC outpatient 3807 3236 P3 HMO 39 39% of all negotiated rates 2322 percent of total billed charges 2322 3807 CT Spine Cervical w/ + w/o Cont 72127 CPT 4062127 LOCAL 350 RC outpatient 3807 3236 Select Health HMO 41 41% of all negotiated rates 2246 percent of total billed charges 2246 3807 CT Spine Cervical w/ + w/o Cont 72127 CPT 4062127 LOCAL 350 RC both 3807 3236 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 2532 percent of total billed charges 2532 3807 CT Spine Cervical w/ + w/o Cont 72127 CPT 4062127 LOCAL 350 RC both 3807 3236 Sierra/HPN HMO 60 60% of all negotiated rates 1523 percent of total billed charges 1523 3807 CT Spine Cervical w/ + w/o Cont 72127 CPT 4062127 LOCAL 350 RC outpatient 3807 3236 Silversummit Medicare HMO 39 39% of all negotiated rates 2322 percent of total billed charges 2322 3807 CT Spine Cervical w/ + w/o Cont 72127 CPT 4062127 LOCAL 350 RC outpatient 3807 3236 TriWest PPO 30 30% of all negotiated rates 2665 percent of total billed charges 2665 3807 CT Spine Cervical w/ + w/o Cont 72127 CPT 4062127 LOCAL 350 RC outpatient 3807 3236 United Healthcare PPO 60 60% of all negotiated rates 1523 percent of total billed charges 1523 3807 CT Spine Cervical w/ + w/o Cont 72127 CPT 4062127 LOCAL 350 RC outpatient 3807 3236 Aetna PPO 425 case rate 425 case rate 425 3626 Coinsurance and deductible may apply CT Spine Cervical w/ + w/o Cont 72127 CPT 4062127 LOCAL 350 RC both 3807 3236 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 235 fee schedule 235 3626 Coinsurance and deductible may apply CT Spine Cervical w/ + w/o Cont 72127 CPT 4062127 LOCAL 350 RC both 3807 3236 Cigna PPO 632.07 case rate 632 case rate 632 3626 Coinsurance and deductible may apply CT Spine Cervical w/ + w/o Cont 72127 CPT 4062127 LOCAL 350 RC both 3807 3236 Coalition PPO 861 case rate 861 case rate 861 3626 Coinsurance and deductible may apply CT Spine Cervical w/ + w/o Cont 72127 CPT 4062127 LOCAL 350 RC both 3807 3236 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 235 fee schedule 235 3626 Coinsurance and deductible may apply CT Spine Cervical w/ + w/o Cont 72127 CPT 4062127 LOCAL 350 RC both 3807 3236 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 235 fee schedule 235 3626 Coinsurance and deductible may apply CT Spine Cervical w/ + w/o Cont 72127 CPT 4062127 LOCAL 350 RC outpatient 3807 3236 One Health PPO 694 case rate 694 case rate 694 3626 Coinsurance and deductible may apply CT Spine Cervical w/ + w/o Cont 72127 CPT 4062127 LOCAL 350 RC outpatient 3807 3236 Saint Mary's Health Plan PPO 521 case rate 521 percent of total billed charges 521 3626 Coinsurance and deductible may apply CT Spine Cervical w/ + w/o Cont 72127 CPT 4062127 LOCAL 350 RC outpatient 3807 3236 Southpoint (Gaghan South) PPO 701.79 case rate 702 case rate 702 3626 Coinsurance and deductible may apply CT Spine Cervical w/ + w/o Cont 72127 CPT 4062127 LOCAL 350 RC outpatient 3807 3236 Teachers Trust PPO 707 case rate 707 case rate 707 3626 Coinsurance and deductible may apply CT Spine Cervical w/ + w/o Cont 72127 CPT 4062127 LOCAL 350 RC outpatient 3807 3236 UHN-Universal Health Network PPO 831.09 case rate 831 case rate 831 3626 Coinsurance and deductible may apply CT Spine Cervical w/ Cont 72126 CPT 4061276 LOCAL 352 RC outpatient 3654 3106 Aetna Medicare HMO 26 26% of all negotiated rates 2704 percent of total billed charges 2704 3654 CT Spine Cervical w/ Cont 72126 CPT 4061276 LOCAL 352 RC outpatient 3654 3106 Alignment Medicare HMO 39 39% of all negotiated rates 2229 percent of total billed charges 2229 3654 CT Spine Cervical w/ Cont 72126 CPT 4061276 LOCAL 352 RC outpatient 3654 3106 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 1462 percent of total billed charges 1462 3654 CT Spine Cervical w/ Cont 72126 CPT 4061276 LOCAL 352 RC outpatient 3654 3106 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 1827 percent of total billed charges 1827 3654 CT Spine Cervical w/ Cont 72126 CPT 4061276 LOCAL 352 RC outpatient 3654 3106 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 2229 percent of total billed charges 2229 3654 CT Spine Cervical w/ Cont 72126 CPT 4061276 LOCAL 352 RC outpatient 3654 3106 Coventry PPO 75 75% of all negotiated rates 914 percent of total billed charges 914 3654 CT Spine Cervical w/ Cont 72126 CPT 4061276 LOCAL 352 RC outpatient 3654 3106 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 731 percent of total billed charges 731 3654 CT Spine Cervical w/ Cont 72126 CPT 4061276 LOCAL 352 RC outpatient 3654 3106 Humana-Commerical PPO 70 70% of all negotiated rates 1096 percent of total billed charges 1096 3654 CT Spine Cervical w/ Cont 72126 CPT 4061276 LOCAL 352 RC outpatient 3654 3106 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 2229 percent of total billed charges 2229 3654 CT Spine Cervical w/ Cont 72126 CPT 4061276 LOCAL 352 RC outpatient 3654 3106 Multiplan PPO 80 80% of all negotiated rates 731 percent of total billed charges 731 3654 CT Spine Cervical w/ Cont 72126 CPT 4061276 LOCAL 352 RC outpatient 3654 3106 Optum Medicare HMO 39 39% of all negotiated rates 2229 percent of total billed charges 2229 3654 CT Spine Cervical w/ Cont 72126 CPT 4061276 LOCAL 352 RC outpatient 3654 3106 P3 HMO 39 39% of all negotiated rates 2229 percent of total billed charges 2229 3654 CT Spine Cervical w/ Cont 72126 CPT 4061276 LOCAL 352 RC outpatient 3654 3106 Select Health HMO 41 41% of all negotiated rates 2156 percent of total billed charges 2156 3654 CT Spine Cervical w/ Cont 72126 CPT 4061276 LOCAL 352 RC both 3654 3106 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 2430 percent of total billed charges 2430 3654 CT Spine Cervical w/ Cont 72126 CPT 4061276 LOCAL 352 RC both 3654 3106 Sierra/HPN HMO 60 60% of all negotiated rates 1462 percent of total billed charges 1462 3654 CT Spine Cervical w/ Cont 72126 CPT 4061276 LOCAL 352 RC outpatient 3654 3106 Silversummit Medicare HMO 39 39% of all negotiated rates 2229 percent of total billed charges 2229 3654 CT Spine Cervical w/ Cont 72126 CPT 4061276 LOCAL 352 RC outpatient 3654 3106 TriWest PPO 30 30% of all negotiated rates 2558 percent of total billed charges 2558 3654 CT Spine Cervical w/ Cont 72126 CPT 4061276 LOCAL 352 RC outpatient 3654 3106 United Healthcare PPO 60 60% of all negotiated rates 1462 percent of total billed charges 1462 3654 CT Spine Cervical w/ Cont 72126 CPT 4061276 LOCAL 352 RC outpatient 3654 3106 Aetna PPO 425 case rate 425 case rate 425 3480 Coinsurance and deductible may apply CT Spine Cervical w/ Cont 72126 CPT 4061276 LOCAL 352 RC both 3654 3106 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 189 fee schedule 189 3480 Coinsurance and deductible may apply CT Spine Cervical w/ Cont 72126 CPT 4061276 LOCAL 352 RC both 3654 3106 Cigna PPO 632.07 case rate 632 case rate 632 3480 Coinsurance and deductible may apply CT Spine Cervical w/ Cont 72126 CPT 4061276 LOCAL 352 RC both 3654 3106 Coalition PPO 861 case rate 861 case rate 861 3480 Coinsurance and deductible may apply CT Spine Cervical w/ Cont 72126 CPT 4061276 LOCAL 352 RC both 3654 3106 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 189 fee schedule 189 3480 Coinsurance and deductible may apply CT Spine Cervical w/ Cont 72126 CPT 4061276 LOCAL 352 RC both 3654 3106 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 189 fee schedule 189 3480 Coinsurance and deductible may apply CT Spine Cervical w/ Cont 72126 CPT 4061276 LOCAL 352 RC outpatient 3654 3106 One Health PPO 694 case rate 694 case rate 694 3480 Coinsurance and deductible may apply CT Spine Cervical w/ Cont 72126 CPT 4061276 LOCAL 352 RC outpatient 3654 3106 Saint Mary's Health Plan PPO 521 case rate 521 percent of total billed charges 521 3480 Coinsurance and deductible may apply CT Spine Cervical w/ Cont 72126 CPT 4061276 LOCAL 352 RC outpatient 3654 3106 Southpoint (Gaghan South) PPO 701.79 case rate 702 case rate 702 3480 Coinsurance and deductible may apply CT Spine Cervical w/ Cont 72126 CPT 4061276 LOCAL 352 RC outpatient 3654 3106 Teachers Trust PPO 707 case rate 707 case rate 707 3480 Coinsurance and deductible may apply CT Spine Cervical w/ Cont 72126 CPT 4061276 LOCAL 352 RC outpatient 3654 3106 UHN-Universal Health Network PPO 831.09 case rate 831 case rate 831 3480 Coinsurance and deductible may apply CT Spine Lumbar w/ + w/o Cont 72133 CPT 4062133 LOCAL 350 RC outpatient 3148 2676 Aetna Medicare HMO 26 26% of all negotiated rates 2329 percent of total billed charges 2329 3148 CT Spine Lumbar w/ + w/o Cont 72133 CPT 4062133 LOCAL 350 RC outpatient 3148 2676 Alignment Medicare HMO 39 39% of all negotiated rates 1920 percent of total billed charges 1920 3148 CT Spine Lumbar w/ + w/o Cont 72133 CPT 4062133 LOCAL 350 RC outpatient 3148 2676 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 1259 percent of total billed charges 1259 3148 CT Spine Lumbar w/ + w/o Cont 72133 CPT 4062133 LOCAL 350 RC outpatient 3148 2676 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 1574 percent of total billed charges 1574 3148 CT Spine Lumbar w/ + w/o Cont 72133 CPT 4062133 LOCAL 350 RC outpatient 3148 2676 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 1920 percent of total billed charges 1920 3148 CT Spine Lumbar w/ + w/o Cont 72133 CPT 4062133 LOCAL 350 RC outpatient 3148 2676 Coventry PPO 75 75% of all negotiated rates 787 percent of total billed charges 787 3148 CT Spine Lumbar w/ + w/o Cont 72133 CPT 4062133 LOCAL 350 RC outpatient 3148 2676 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 630 percent of total billed charges 630 3148 CT Spine Lumbar w/ + w/o Cont 72133 CPT 4062133 LOCAL 350 RC outpatient 3148 2676 Humana-Commerical PPO 70 70% of all negotiated rates 944 percent of total billed charges 944 3148 CT Spine Lumbar w/ + w/o Cont 72133 CPT 4062133 LOCAL 350 RC outpatient 3148 2676 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 1920 percent of total billed charges 1920 3148 CT Spine Lumbar w/ + w/o Cont 72133 CPT 4062133 LOCAL 350 RC outpatient 3148 2676 Multiplan PPO 80 80% of all negotiated rates 630 percent of total billed charges 630 3148 CT Spine Lumbar w/ + w/o Cont 72133 CPT 4062133 LOCAL 350 RC outpatient 3148 2676 Optum Medicare HMO 39 39% of all negotiated rates 1920 percent of total billed charges 1920 3148 CT Spine Lumbar w/ + w/o Cont 72133 CPT 4062133 LOCAL 350 RC outpatient 3148 2676 P3 HMO 39 39% of all negotiated rates 1920 percent of total billed charges 1920 3148 CT Spine Lumbar w/ + w/o Cont 72133 CPT 4062133 LOCAL 350 RC outpatient 3148 2676 Select Health HMO 41 41% of all negotiated rates 1857 percent of total billed charges 1857 3148 CT Spine Lumbar w/ + w/o Cont 72133 CPT 4062133 LOCAL 350 RC both 3148 2676 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 2093 percent of total billed charges 2093 3148 CT Spine Lumbar w/ + w/o Cont 72133 CPT 4062133 LOCAL 350 RC both 3148 2676 Sierra/HPN HMO 60 60% of all negotiated rates 1259 percent of total billed charges 1259 3148 CT Spine Lumbar w/ + w/o Cont 72133 CPT 4062133 LOCAL 350 RC outpatient 3148 2676 Silversummit Medicare HMO 39 39% of all negotiated rates 1920 percent of total billed charges 1920 3148 CT Spine Lumbar w/ + w/o Cont 72133 CPT 4062133 LOCAL 350 RC outpatient 3148 2676 TriWest PPO 30 30% of all negotiated rates 2204 percent of total billed charges 2204 3148 CT Spine Lumbar w/ + w/o Cont 72133 CPT 4062133 LOCAL 350 RC outpatient 3148 2676 United Healthcare PPO 60 60% of all negotiated rates 1259 percent of total billed charges 1259 3148 CT Spine Lumbar w/ + w/o Cont 72133 CPT 4062133 LOCAL 350 RC outpatient 3148 2676 Aetna PPO 425 case rate 425 case rate 425 2998 Coinsurance and deductible may apply CT Spine Lumbar w/ + w/o Cont 72133 CPT 4062133 LOCAL 350 RC both 3148 2676 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 236 fee schedule 236 2998 Coinsurance and deductible may apply CT Spine Lumbar w/ + w/o Cont 72133 CPT 4062133 LOCAL 350 RC both 3148 2676 Cigna PPO 632.07 case rate 632 case rate 632 2998 Coinsurance and deductible may apply CT Spine Lumbar w/ + w/o Cont 72133 CPT 4062133 LOCAL 350 RC both 3148 2676 Coalition PPO 861 case rate 861 case rate 861 2998 Coinsurance and deductible may apply CT Spine Lumbar w/ + w/o Cont 72133 CPT 4062133 LOCAL 350 RC both 3148 2676 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 236 fee schedule 236 2998 Coinsurance and deductible may apply CT Spine Lumbar w/ + w/o Cont 72133 CPT 4062133 LOCAL 350 RC both 3148 2676 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 236 fee schedule 236 2998 Coinsurance and deductible may apply CT Spine Lumbar w/ + w/o Cont 72133 CPT 4062133 LOCAL 350 RC outpatient 3148 2676 One Health PPO 694 case rate 694 case rate 694 2998 Coinsurance and deductible may apply CT Spine Lumbar w/ + w/o Cont 72133 CPT 4062133 LOCAL 350 RC outpatient 3148 2676 Saint Mary's Health Plan PPO 521 case rate 521 percent of total billed charges 521 2998 Coinsurance and deductible may apply CT Spine Lumbar w/ + w/o Cont 72133 CPT 4062133 LOCAL 350 RC outpatient 3148 2676 Southpoint (Gaghan South) PPO 701.79 case rate 702 case rate 702 2998 Coinsurance and deductible may apply CT Spine Lumbar w/ + w/o Cont 72133 CPT 4062133 LOCAL 350 RC outpatient 3148 2676 Teachers Trust PPO 707 case rate 707 case rate 707 2998 Coinsurance and deductible may apply CT Spine Lumbar w/ + w/o Cont 72133 CPT 4062133 LOCAL 350 RC outpatient 3148 2676 UHN-Universal Health Network PPO 831.09 case rate 831 case rate 831 2998 Coinsurance and deductible may apply CT Spine Thoracic w/ + w/o Cont 72130 CPT 4060230 LOCAL 352 RC outpatient 4116 3499 Aetna Medicare HMO 26 26% of all negotiated rates 3046 percent of total billed charges 3046 4116 CT Spine Thoracic w/ + w/o Cont 72130 CPT 4060230 LOCAL 352 RC outpatient 4116 3499 Alignment Medicare HMO 39 39% of all negotiated rates 2511 percent of total billed charges 2511 4116 CT Spine Thoracic w/ + w/o Cont 72130 CPT 4060230 LOCAL 352 RC outpatient 4116 3499 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 1646 percent of total billed charges 1646 4116 CT Spine Thoracic w/ + w/o Cont 72130 CPT 4060230 LOCAL 352 RC outpatient 4116 3499 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 2058 percent of total billed charges 2058 4116 CT Spine Thoracic w/ + w/o Cont 72130 CPT 4060230 LOCAL 352 RC outpatient 4116 3499 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 2511 percent of total billed charges 2511 4116 CT Spine Thoracic w/ + w/o Cont 72130 CPT 4060230 LOCAL 352 RC outpatient 4116 3499 Coventry PPO 75 75% of all negotiated rates 1029 percent of total billed charges 1029 4116 CT Spine Thoracic w/ + w/o Cont 72130 CPT 4060230 LOCAL 352 RC outpatient 4116 3499 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 823 percent of total billed charges 823 4116 CT Spine Thoracic w/ + w/o Cont 72130 CPT 4060230 LOCAL 352 RC outpatient 4116 3499 Humana-Commerical PPO 70 70% of all negotiated rates 1235 percent of total billed charges 1235 4116 CT Spine Thoracic w/ + w/o Cont 72130 CPT 4060230 LOCAL 352 RC outpatient 4116 3499 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 2511 percent of total billed charges 2511 4116 CT Spine Thoracic w/ + w/o Cont 72130 CPT 4060230 LOCAL 352 RC outpatient 4116 3499 Multiplan PPO 80 80% of all negotiated rates 823 percent of total billed charges 823 4116 CT Spine Thoracic w/ + w/o Cont 72130 CPT 4060230 LOCAL 352 RC outpatient 4116 3499 Optum Medicare HMO 39 39% of all negotiated rates 2511 percent of total billed charges 2511 4116 CT Spine Thoracic w/ + w/o Cont 72130 CPT 4060230 LOCAL 352 RC outpatient 4116 3499 P3 HMO 39 39% of all negotiated rates 2511 percent of total billed charges 2511 4116 CT Spine Thoracic w/ + w/o Cont 72130 CPT 4060230 LOCAL 352 RC outpatient 4116 3499 Select Health HMO 41 41% of all negotiated rates 2428 percent of total billed charges 2428 4116 CT Spine Thoracic w/ + w/o Cont 72130 CPT 4060230 LOCAL 352 RC both 4116 3499 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 2737 percent of total billed charges 2737 4116 CT Spine Thoracic w/ + w/o Cont 72130 CPT 4060230 LOCAL 352 RC both 4116 3499 Sierra/HPN HMO 60 60% of all negotiated rates 1646 percent of total billed charges 1646 4116 CT Spine Thoracic w/ + w/o Cont 72130 CPT 4060230 LOCAL 352 RC outpatient 4116 3499 Silversummit Medicare HMO 39 39% of all negotiated rates 2511 percent of total billed charges 2511 4116 CT Spine Thoracic w/ + w/o Cont 72130 CPT 4060230 LOCAL 352 RC outpatient 4116 3499 TriWest PPO 30 30% of all negotiated rates 2881 percent of total billed charges 2881 4116 CT Spine Thoracic w/ + w/o Cont 72130 CPT 4060230 LOCAL 352 RC outpatient 4116 3499 United Healthcare PPO 60 60% of all negotiated rates 1646 percent of total billed charges 1646 4116 CT Spine Thoracic w/ + w/o Cont 72130 CPT 4060230 LOCAL 352 RC outpatient 4116 3499 Aetna PPO 425 case rate 425 case rate 425 3920 Coinsurance and deductible may apply CT Spine Thoracic w/ + w/o Cont 72130 CPT 4060230 LOCAL 352 RC both 4116 3499 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 239 fee schedule 239 3920 Coinsurance and deductible may apply CT Spine Thoracic w/ + w/o Cont 72130 CPT 4060230 LOCAL 352 RC both 4116 3499 Cigna PPO 632.07 case rate 632 case rate 632 3920 Coinsurance and deductible may apply CT Spine Thoracic w/ + w/o Cont 72130 CPT 4060230 LOCAL 352 RC both 4116 3499 Coalition PPO 861 case rate 861 case rate 861 3920 Coinsurance and deductible may apply CT Spine Thoracic w/ + w/o Cont 72130 CPT 4060230 LOCAL 352 RC both 4116 3499 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 239 fee schedule 239 3920 Coinsurance and deductible may apply CT Spine Thoracic w/ + w/o Cont 72130 CPT 4060230 LOCAL 352 RC both 4116 3499 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 239 fee schedule 239 3920 Coinsurance and deductible may apply CT Spine Thoracic w/ + w/o Cont 72130 CPT 4060230 LOCAL 352 RC outpatient 4116 3499 One Health PPO 694 case rate 694 case rate 694 3920 Coinsurance and deductible may apply CT Spine Thoracic w/ + w/o Cont 72130 CPT 4060230 LOCAL 352 RC outpatient 4116 3499 Saint Mary's Health Plan PPO 521 case rate 521 percent of total billed charges 521 3920 Coinsurance and deductible may apply CT Spine Thoracic w/ + w/o Cont 72130 CPT 4060230 LOCAL 352 RC outpatient 4116 3499 Southpoint (Gaghan South) PPO 701.79 case rate 702 case rate 702 3920 Coinsurance and deductible may apply CT Spine Thoracic w/ + w/o Cont 72130 CPT 4060230 LOCAL 352 RC outpatient 4116 3499 Teachers Trust PPO 707 case rate 707 case rate 707 3920 Coinsurance and deductible may apply CT Spine Thoracic w/ + w/o Cont 72130 CPT 4060230 LOCAL 352 RC outpatient 4116 3499 UHN-Universal Health Network PPO 831.09 case rate 831 case rate 831 3920 Coinsurance and deductible may apply Digoxin Level 80162 CPT 4006438 LOCAL 301 RC outpatient 489 416 Aetna PPO 38 38% of all negotiated rates 303 percent of total billed charges 303 489 Digoxin Level 80162 CPT 4006438 LOCAL 301 RC outpatient 489 416 Aetna Medicare HMO 26 26% of all negotiated rates 362 percent of total billed charges 362 489 Digoxin Level 80162 CPT 4006438 LOCAL 301 RC outpatient 489 416 Alignment Medicare HMO 39 39% of all negotiated rates 298 percent of total billed charges 298 489 Digoxin Level 80162 CPT 4006438 LOCAL 301 RC outpatient 489 416 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 196 percent of total billed charges 196 489 Digoxin Level 80162 CPT 4006438 LOCAL 301 RC outpatient 489 416 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 245 percent of total billed charges 245 489 Digoxin Level 80162 CPT 4006438 LOCAL 301 RC outpatient 489 416 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 298 percent of total billed charges 298 489 Digoxin Level 80162 CPT 4006438 LOCAL 301 RC outpatient 489 416 Cigna PPO 68 68% of all negotiated rates 157 percent of total billed charges 157 489 Digoxin Level 80162 CPT 4006438 LOCAL 301 RC outpatient 489 416 Coalition PPO 49 49% of all negotiated rates 250 percent of total billed charges 250 489 Digoxin Level 80162 CPT 4006438 LOCAL 301 RC outpatient 489 416 Coventry PPO 75 75% of all negotiated rates 122 percent of total billed charges 122 489 Digoxin Level 80162 CPT 4006438 LOCAL 301 RC outpatient 489 416 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 98 percent of total billed charges 98 489 Digoxin Level 80162 CPT 4006438 LOCAL 301 RC outpatient 489 416 Humana-Commerical PPO 70 70% of all negotiated rates 147 percent of total billed charges 147 489 Digoxin Level 80162 CPT 4006438 LOCAL 301 RC outpatient 489 416 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 298 percent of total billed charges 298 489 Digoxin Level 80162 CPT 4006438 LOCAL 301 RC outpatient 489 416 Multiplan PPO 80 80% of all negotiated rates 98 percent of total billed charges 98 489 Digoxin Level 80162 CPT 4006438 LOCAL 301 RC outpatient 489 416 One Health PPO 55 55% of all negotiated rates 220 percent of total billed charges 220 489 Digoxin Level 80162 CPT 4006438 LOCAL 301 RC outpatient 489 416 Optum Medicare HMO 39 39% of all negotiated rates 298 percent of total billed charges 298 489 Digoxin Level 80162 CPT 4006438 LOCAL 301 RC outpatient 489 416 P3 HMO 39 39% of all negotiated rates 298 percent of total billed charges 298 489 Digoxin Level 80162 CPT 4006438 LOCAL 301 RC outpatient 489 416 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 147 percent of total billed charges 147 489 Digoxin Level 80162 CPT 4006438 LOCAL 301 RC outpatient 489 416 Select Health HMO 41 41% of all negotiated rates 289 percent of total billed charges 289 489 Digoxin Level 80162 CPT 4006438 LOCAL 301 RC outpatient 489 416 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 325 percent of total billed charges 325 489 Digoxin Level 80162 CPT 4006438 LOCAL 301 RC outpatient 489 416 Sierra/HPN HMO 60 60% of all negotiated rates 196 percent of total billed charges 196 489 Digoxin Level 80162 CPT 4006438 LOCAL 301 RC outpatient 489 416 Silversummit Medicare HMO 39 39% of all negotiated rates 298 percent of total billed charges 298 489 Digoxin Level 80162 CPT 4006438 LOCAL 301 RC outpatient 489 416 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 318 percent of total billed charges 318 489 Digoxin Level 80162 CPT 4006438 LOCAL 301 RC outpatient 489 416 Teachers Trust PPO 65 65% of all negotiated rates 171 percent of total billed charges 171 489 Digoxin Level 80162 CPT 4006438 LOCAL 301 RC outpatient 489 416 TriWest PPO 30 30% of all negotiated rates 343 percent of total billed charges 343 489 Digoxin Level 80162 CPT 4006438 LOCAL 301 RC outpatient 489 416 UHN-Universal Health Network PPO 70 70% of all negotiated rates 147 percent of total billed charges 147 489 Digoxin Level 80162 CPT 4006438 LOCAL 301 RC outpatient 489 416 United Healthcare PPO 60 60% of all negotiated rates 196 percent of total billed charges 196 489 Digoxin Level 80162 CPT 4006438 LOCAL 301 RC outpatient 489 416 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 9 fee schedule 9 466 Coinsurance and deductible may apply Digoxin Level 80162 CPT 4006438 LOCAL 301 RC outpatient 489 416 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 9 fee schedule 9 466 Coinsurance and deductible may apply Digoxin Level 80162 CPT 4006438 LOCAL 301 RC outpatient 489 416 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 9 fee schedule 9 466 Coinsurance and deductible may apply Direct LDL 83721 CPT 4003721SO LOCAL 301 RC outpatient 156 133 Aetna PPO 38 38% of all negotiated rates 97 percent of total billed charges 97 156 Direct LDL 83721 CPT 4003721SO LOCAL 301 RC outpatient 156 133 Aetna Medicare HMO 26 26% of all negotiated rates 116 percent of total billed charges 116 156 Direct LDL 83721 CPT 4003721SO LOCAL 301 RC outpatient 156 133 Alignment Medicare HMO 39 39% of all negotiated rates 95 percent of total billed charges 95 156 Direct LDL 83721 CPT 4003721SO LOCAL 301 RC outpatient 156 133 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 63 percent of total billed charges 63 156 Direct LDL 83721 CPT 4003721SO LOCAL 301 RC outpatient 156 133 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 78 percent of total billed charges 78 156 Direct LDL 83721 CPT 4003721SO LOCAL 301 RC outpatient 156 133 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 95 percent of total billed charges 95 156 Direct LDL 83721 CPT 4003721SO LOCAL 301 RC outpatient 156 133 Cigna PPO 68 68% of all negotiated rates 50 percent of total billed charges 50 156 Direct LDL 83721 CPT 4003721SO LOCAL 301 RC outpatient 156 133 Coalition PPO 49 49% of all negotiated rates 80 percent of total billed charges 80 156 Direct LDL 83721 CPT 4003721SO LOCAL 301 RC outpatient 156 133 Coventry PPO 75 75% of all negotiated rates 39 percent of total billed charges 39 156 Direct LDL 83721 CPT 4003721SO LOCAL 301 RC outpatient 156 133 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 31 percent of total billed charges 31 156 Direct LDL 83721 CPT 4003721SO LOCAL 301 RC outpatient 156 133 Humana-Commerical PPO 70 70% of all negotiated rates 47 percent of total billed charges 47 156 Direct LDL 83721 CPT 4003721SO LOCAL 301 RC outpatient 156 133 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 95 percent of total billed charges 95 156 Direct LDL 83721 CPT 4003721SO LOCAL 301 RC outpatient 156 133 Multiplan PPO 80 80% of all negotiated rates 31 percent of total billed charges 31 156 Direct LDL 83721 CPT 4003721SO LOCAL 301 RC outpatient 156 133 One Health PPO 55 55% of all negotiated rates 70 percent of total billed charges 70 156 Direct LDL 83721 CPT 4003721SO LOCAL 301 RC outpatient 156 133 Optum Medicare HMO 39 39% of all negotiated rates 95 percent of total billed charges 95 156 Direct LDL 83721 CPT 4003721SO LOCAL 301 RC outpatient 156 133 P3 HMO 39 39% of all negotiated rates 95 percent of total billed charges 95 156 Direct LDL 83721 CPT 4003721SO LOCAL 301 RC outpatient 156 133 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 47 percent of total billed charges 47 156 Direct LDL 83721 CPT 4003721SO LOCAL 301 RC outpatient 156 133 Select Health HMO 41 41% of all negotiated rates 92 percent of total billed charges 92 156 Direct LDL 83721 CPT 4003721SO LOCAL 301 RC outpatient 156 133 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 104 percent of total billed charges 104 156 Direct LDL 83721 CPT 4003721SO LOCAL 301 RC outpatient 156 133 Sierra/HPN HMO 60 60% of all negotiated rates 63 percent of total billed charges 63 156 Direct LDL 83721 CPT 4003721SO LOCAL 301 RC outpatient 156 133 Silversummit Medicare HMO 39 39% of all negotiated rates 95 percent of total billed charges 95 156 Direct LDL 83721 CPT 4003721SO LOCAL 301 RC outpatient 156 133 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 102 percent of total billed charges 102 156 Direct LDL 83721 CPT 4003721SO LOCAL 301 RC outpatient 156 133 Teachers Trust PPO 65 65% of all negotiated rates 55 percent of total billed charges 55 156 Direct LDL 83721 CPT 4003721SO LOCAL 301 RC outpatient 156 133 TriWest PPO 30 30% of all negotiated rates 110 percent of total billed charges 110 156 Direct LDL 83721 CPT 4003721SO LOCAL 301 RC outpatient 156 133 UHN-Universal Health Network PPO 70 70% of all negotiated rates 47 percent of total billed charges 47 156 Direct LDL 83721 CPT 4003721SO LOCAL 301 RC outpatient 156 133 United Healthcare PPO 60 60% of all negotiated rates 63 percent of total billed charges 63 156 Direct LDL 83721 CPT 4003721SO LOCAL 301 RC outpatient 156 133 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 7 fee schedule 7 149 Coinsurance and deductible may apply Direct LDL 83721 CPT 4003721SO LOCAL 301 RC outpatient 156 133 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 7 fee schedule 7 149 Coinsurance and deductible may apply Direct LDL 83721 CPT 4003721SO LOCAL 301 RC outpatient 156 133 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 7 fee schedule 7 149 Coinsurance and deductible may apply DISLOCATION WRIST 25675 CPT 3236750 LOCAL 490 RC outpatient 734 624 Aetna Medicare HMO 26 26% of all negotiated rates 543 percent of total billed charges 543 734 DISLOCATION WRIST 25675 CPT 3236750 LOCAL 490 RC outpatient 734 624 Alignment Medicare HMO 39 39% of all negotiated rates 448 percent of total billed charges 448 734 DISLOCATION WRIST 25675 CPT 3236750 LOCAL 490 RC outpatient 734 624 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 294 percent of total billed charges 294 734 DISLOCATION WRIST 25675 CPT 3236750 LOCAL 490 RC outpatient 734 624 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 367 percent of total billed charges 367 734 DISLOCATION WRIST 25675 CPT 3236750 LOCAL 490 RC outpatient 734 624 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 448 percent of total billed charges 448 734 DISLOCATION WRIST 25675 CPT 3236750 LOCAL 490 RC outpatient 734 624 Coventry PPO 75 75% of all negotiated rates 183 percent of total billed charges 183 734 DISLOCATION WRIST 25675 CPT 3236750 LOCAL 490 RC outpatient 734 624 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 147 percent of total billed charges 147 734 DISLOCATION WRIST 25675 CPT 3236750 LOCAL 490 RC outpatient 734 624 Humana-Commerical PPO 46 46% of all negotiated rates 396 percent of total billed charges 396 734 DISLOCATION WRIST 25675 CPT 3236750 LOCAL 490 RC outpatient 734 624 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 448 percent of total billed charges 448 734 DISLOCATION WRIST 25675 CPT 3236750 LOCAL 490 RC outpatient 734 624 Multiplan PPO 80 80% of all negotiated rates 147 percent of total billed charges 147 734 DISLOCATION WRIST 25675 CPT 3236750 LOCAL 490 RC outpatient 734 624 Optum Medicare HMO 39 39% of all negotiated rates 448 percent of total billed charges 448 734 DISLOCATION WRIST 25675 CPT 3236750 LOCAL 490 RC outpatient 734 624 P3 HMO 39 39% of all negotiated rates 448 percent of total billed charges 448 734 DISLOCATION WRIST 25675 CPT 3236750 LOCAL 490 RC outpatient 734 624 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 257 percent of total billed charges 257 734 DISLOCATION WRIST 25675 CPT 3236750 LOCAL 490 RC outpatient 734 624 Select Health HMO 41 41% of all negotiated rates 433 percent of total billed charges 433 734 DISLOCATION WRIST 25675 CPT 3236750 LOCAL 490 RC outpatient 734 624 Silversummit Medicare HMO 39 39% of all negotiated rates 448 percent of total billed charges 448 734 DISLOCATION WRIST 25675 CPT 3236750 LOCAL 490 RC outpatient 734 624 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 477 percent of total billed charges 477 734 DISLOCATION WRIST 25675 CPT 3236750 LOCAL 490 RC outpatient 734 624 TriWest PPO 30 30% of all negotiated rates 514 percent of total billed charges 514 734 DISLOCATION WRIST 25675 CPT 3236750 LOCAL 490 RC outpatient 734 624 UHN-Universal Health Network PPO 65 65% of all negotiated rates 257 percent of total billed charges 257 734 DISLOCATION WRIST 25675 CPT 3236750 LOCAL 490 RC outpatient 734 624 Aetna PPO 750 case rate 750 case rate 750 699 Coinsurance and deductible may apply DISLOCATION WRIST 25675 CPT 3236750 LOCAL 490 RC outpatient 734 624 Anthem Medicaid HMO 105 NV Medicaid SDS Rate 105 fee schedule 105 699 Coinsurance and deductible may apply DISLOCATION WRIST 25675 CPT 3236750 LOCAL 490 RC outpatient 734 624 Cigna PPO 756 case rate 756 case rate 756 699 Coinsurance and deductible may apply DISLOCATION WRIST 25675 CPT 3236750 LOCAL 490 RC outpatient 734 624 Coalition PPO 700 Coalition grouper rate 700 case rate 700 699 Coinsurance and deductible may apply DISLOCATION WRIST 25675 CPT 3236750 LOCAL 490 RC outpatient 734 624 HPN Medicaid HMO 105 NV Medicaid SDS Rate 105 fee schedule 105 699 Coinsurance and deductible may apply DISLOCATION WRIST 25675 CPT 3236750 LOCAL 490 RC outpatient 734 624 Molina Medicaid HMO 105 NV Medicaid SDS Rate 105 case rate 105 699 Coinsurance and deductible may apply DISLOCATION WRIST 25675 CPT 3236750 LOCAL 490 RC outpatient 734 624 One Health PPO 474 case rate 474 case rate 474 699 Coinsurance and deductible may apply DISLOCATION WRIST 25675 CPT 3236750 LOCAL 490 RC outpatient 734 624 Sierra Healthcare Options PPO 756 case rate 756 case rate 756 699 Coinsurance and deductible may apply DISLOCATION WRIST 25675 CPT 3236750 LOCAL 490 RC outpatient 734 624 Sierra/HPN HMO 756 case rate 756 case rate 756 699 Coinsurance and deductible may apply DISLOCATION WRIST 25675 CPT 3236750 LOCAL 490 RC outpatient 734 624 Teachers Trust PPO 700 Teachers grouper rate 700 case rate 700 699 Coinsurance and deductible may apply DISLOCATION WRIST 25675 CPT 3236750 LOCAL 490 RC outpatient 734 624 United Healthcare PPO 474 case rate 474 case rate 474 699 Coinsurance and deductible may apply Distal Claviculectomy Including Distal Articular Surface - M 29824 CPT 49029824 LOCAL 490 RC outpatient 6341 5390 Aetna Medicare HMO 26 26% of all negotiated rates 4692 percent of total billed charges 4692 6341 Distal Claviculectomy Including Distal Articular Surface - M 29824 CPT 49029824 LOCAL 490 RC outpatient 6341 5390 Alignment Medicare HMO 39 39% of all negotiated rates 3868 percent of total billed charges 3868 6341 Distal Claviculectomy Including Distal Articular Surface - M 29824 CPT 49029824 LOCAL 490 RC outpatient 6341 5390 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 2536 percent of total billed charges 2536 6341 Distal Claviculectomy Including Distal Articular Surface - M 29824 CPT 49029824 LOCAL 490 RC outpatient 6341 5390 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 3170 percent of total billed charges 3170 6341 Distal Claviculectomy Including Distal Articular Surface - M 29824 CPT 49029824 LOCAL 490 RC outpatient 6341 5390 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 3868 percent of total billed charges 3868 6341 Distal Claviculectomy Including Distal Articular Surface - M 29824 CPT 49029824 LOCAL 490 RC outpatient 6341 5390 Coventry PPO 75 75% of all negotiated rates 1585 percent of total billed charges 1585 6341 Distal Claviculectomy Including Distal Articular Surface - M 29824 CPT 49029824 LOCAL 490 RC outpatient 6341 5390 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 1268 percent of total billed charges 1268 6341 Distal Claviculectomy Including Distal Articular Surface - M 29824 CPT 49029824 LOCAL 490 RC outpatient 6341 5390 Humana-Commerical PPO 46 46% of all negotiated rates 3424 percent of total billed charges 3424 6341 Distal Claviculectomy Including Distal Articular Surface - M 29824 CPT 49029824 LOCAL 490 RC outpatient 6341 5390 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 3868 percent of total billed charges 3868 6341 Distal Claviculectomy Including Distal Articular Surface - M 29824 CPT 49029824 LOCAL 490 RC outpatient 6341 5390 Multiplan PPO 80 80% of all negotiated rates 1268 percent of total billed charges 1268 6341 Distal Claviculectomy Including Distal Articular Surface - M 29824 CPT 49029824 LOCAL 490 RC outpatient 6341 5390 Optum Medicare HMO 39 39% of all negotiated rates 3868 percent of total billed charges 3868 6341 Distal Claviculectomy Including Distal Articular Surface - M 29824 CPT 49029824 LOCAL 490 RC outpatient 6341 5390 P3 HMO 39 39% of all negotiated rates 3868 percent of total billed charges 3868 6341 Distal Claviculectomy Including Distal Articular Surface - M 29824 CPT 49029824 LOCAL 490 RC outpatient 6341 5390 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 2219 percent of total billed charges 2219 6341 Distal Claviculectomy Including Distal Articular Surface - M 29824 CPT 49029824 LOCAL 490 RC outpatient 6341 5390 Select Health HMO 41 41% of all negotiated rates 3741 percent of total billed charges 3741 6341 Distal Claviculectomy Including Distal Articular Surface - M 29824 CPT 49029824 LOCAL 490 RC outpatient 6341 5390 Silversummit Medicare HMO 39 39% of all negotiated rates 3868 percent of total billed charges 3868 6341 Distal Claviculectomy Including Distal Articular Surface - M 29824 CPT 49029824 LOCAL 490 RC outpatient 6341 5390 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 4122 percent of total billed charges 4122 6341 Distal Claviculectomy Including Distal Articular Surface - M 29824 CPT 49029824 LOCAL 490 RC outpatient 6341 5390 TriWest PPO 30 30% of all negotiated rates 4439 percent of total billed charges 4439 6341 Distal Claviculectomy Including Distal Articular Surface - M 29824 CPT 49029824 LOCAL 490 RC outpatient 6341 5390 UHN-Universal Health Network PPO 65 65% of all negotiated rates 2219 percent of total billed charges 2219 6341 Distal Claviculectomy Including Distal Articular Surface - M 29824 CPT 49029824 LOCAL 490 RC outpatient 6341 5390 Aetna PPO 1550 case rate 1550 case rate 1550 6039 Coinsurance and deductible may apply Distal Claviculectomy Including Distal Articular Surface - M 29824 CPT 49029824 LOCAL 490 RC outpatient 6341 5390 Anthem Medicaid HMO 1059 NV Medicaid SDS Rate 1059 fee schedule 1059 6039 Coinsurance and deductible may apply Distal Claviculectomy Including Distal Articular Surface - M 29824 CPT 49029824 LOCAL 490 RC outpatient 6341 5390 Cigna PPO 1625 case rate 1625 case rate 1625 6039 Coinsurance and deductible may apply Distal Claviculectomy Including Distal Articular Surface - M 29824 CPT 49029824 LOCAL 490 RC outpatient 6341 5390 Coalition PPO 1505 Coalition grouper rate 1505 case rate 1505 6039 Coinsurance and deductible may apply Distal Claviculectomy Including Distal Articular Surface - M 29824 CPT 49029824 LOCAL 490 RC outpatient 6341 5390 HPN Medicaid HMO 1059 NV Medicaid SDS Rate 1059 fee schedule 1059 6039 Coinsurance and deductible may apply Distal Claviculectomy Including Distal Articular Surface - M 29824 CPT 49029824 LOCAL 490 RC outpatient 6341 5390 Molina Medicaid HMO 1059 NV Medicaid SDS Rate 1059 case rate 1059 6039 Coinsurance and deductible may apply Distal Claviculectomy Including Distal Articular Surface - M 29824 CPT 49029824 LOCAL 490 RC outpatient 6341 5390 One Health PPO 2818 case rate 2818 case rate 2818 6039 Coinsurance and deductible may apply Distal Claviculectomy Including Distal Articular Surface - M 29824 CPT 49029824 LOCAL 490 RC outpatient 6341 5390 Sierra Healthcare Options PPO 1625 case rate 1625 case rate 1625 6039 Coinsurance and deductible may apply Distal Claviculectomy Including Distal Articular Surface - M 29824 CPT 49029824 LOCAL 490 RC outpatient 6341 5390 Sierra/HPN HMO 1625 case rate 1625 case rate 1625 6039 Coinsurance and deductible may apply Distal Claviculectomy Including Distal Articular Surface - M 29824 CPT 49029824 LOCAL 490 RC outpatient 6341 5390 Teachers Trust PPO 1505 Teachers grouper rate 1505 case rate 1505 6039 Coinsurance and deductible may apply Distal Claviculectomy Including Distal Articular Surface - M 29824 CPT 49029824 LOCAL 490 RC outpatient 6341 5390 United Healthcare PPO 2818 case rate 2818 case rate 2818 6039 Coinsurance and deductible may apply Electrolytes 80051 CPT 4000037 LOCAL 300 RC outpatient 146 124 Aetna PPO 38 38% of all negotiated rates 90 percent of total billed charges 90 146 Electrolytes 80051 CPT 4000037 LOCAL 300 RC outpatient 146 124 Aetna Medicare HMO 26 26% of all negotiated rates 108 percent of total billed charges 108 146 Electrolytes 80051 CPT 4000037 LOCAL 300 RC outpatient 146 124 Alignment Medicare HMO 39 39% of all negotiated rates 89 percent of total billed charges 89 146 Electrolytes 80051 CPT 4000037 LOCAL 300 RC outpatient 146 124 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 58 percent of total billed charges 58 146 Electrolytes 80051 CPT 4000037 LOCAL 300 RC outpatient 146 124 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 73 percent of total billed charges 73 146 Electrolytes 80051 CPT 4000037 LOCAL 300 RC outpatient 146 124 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 89 percent of total billed charges 89 146 Electrolytes 80051 CPT 4000037 LOCAL 300 RC outpatient 146 124 Cigna PPO 68 68% of all negotiated rates 47 percent of total billed charges 47 146 Electrolytes 80051 CPT 4000037 LOCAL 300 RC outpatient 146 124 Coalition PPO 49 49% of all negotiated rates 74 percent of total billed charges 74 146 Electrolytes 80051 CPT 4000037 LOCAL 300 RC outpatient 146 124 Coventry PPO 75 75% of all negotiated rates 36 percent of total billed charges 36 146 Electrolytes 80051 CPT 4000037 LOCAL 300 RC outpatient 146 124 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 29 percent of total billed charges 29 146 Electrolytes 80051 CPT 4000037 LOCAL 300 RC outpatient 146 124 Humana-Commerical PPO 70 70% of all negotiated rates 44 percent of total billed charges 44 146 Electrolytes 80051 CPT 4000037 LOCAL 300 RC outpatient 146 124 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 89 percent of total billed charges 89 146 Electrolytes 80051 CPT 4000037 LOCAL 300 RC outpatient 146 124 Multiplan PPO 80 80% of all negotiated rates 29 percent of total billed charges 29 146 Electrolytes 80051 CPT 4000037 LOCAL 300 RC outpatient 146 124 One Health PPO 55 55% of all negotiated rates 66 percent of total billed charges 66 146 Electrolytes 80051 CPT 4000037 LOCAL 300 RC outpatient 146 124 Optum Medicare HMO 39 39% of all negotiated rates 89 percent of total billed charges 89 146 Electrolytes 80051 CPT 4000037 LOCAL 300 RC outpatient 146 124 P3 HMO 39 39% of all negotiated rates 89 percent of total billed charges 89 146 Electrolytes 80051 CPT 4000037 LOCAL 300 RC outpatient 146 124 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 44 percent of total billed charges 44 146 Electrolytes 80051 CPT 4000037 LOCAL 300 RC outpatient 146 124 Select Health HMO 41 41% of all negotiated rates 86 percent of total billed charges 86 146 Electrolytes 80051 CPT 4000037 LOCAL 300 RC outpatient 146 124 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 97 percent of total billed charges 97 146 Electrolytes 80051 CPT 4000037 LOCAL 300 RC outpatient 146 124 Sierra/HPN HMO 60 60% of all negotiated rates 58 percent of total billed charges 58 146 Electrolytes 80051 CPT 4000037 LOCAL 300 RC outpatient 146 124 Silversummit Medicare HMO 39 39% of all negotiated rates 89 percent of total billed charges 89 146 Electrolytes 80051 CPT 4000037 LOCAL 300 RC outpatient 146 124 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 95 percent of total billed charges 95 146 Electrolytes 80051 CPT 4000037 LOCAL 300 RC outpatient 146 124 Teachers Trust PPO 65 65% of all negotiated rates 51 percent of total billed charges 51 146 Electrolytes 80051 CPT 4000037 LOCAL 300 RC outpatient 146 124 TriWest PPO 30 30% of all negotiated rates 102 percent of total billed charges 102 146 Electrolytes 80051 CPT 4000037 LOCAL 300 RC outpatient 146 124 UHN-Universal Health Network PPO 70 70% of all negotiated rates 44 percent of total billed charges 44 146 Electrolytes 80051 CPT 4000037 LOCAL 300 RC outpatient 146 124 United Healthcare PPO 60 60% of all negotiated rates 58 percent of total billed charges 58 146 Electrolytes 80051 CPT 4000037 LOCAL 300 RC outpatient 146 124 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 5 fee schedule 5 139 Coinsurance and deductible may apply Electrolytes 80051 CPT 4000037 LOCAL 300 RC outpatient 146 124 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 5 fee schedule 5 139 Coinsurance and deductible may apply Electrolytes 80051 CPT 4000037 LOCAL 300 RC outpatient 146 124 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 5 fee schedule 5 139 Coinsurance and deductible may apply Esophagogastroduodenoscopy (ASC) 43235 CPT 49143235 LOCAL 490 RC outpatient 2147 1825 Aetna Medicare HMO 26 26% of all negotiated rates 1589 percent of total billed charges 1589 2147 Esophagogastroduodenoscopy (ASC) 43235 CPT 49143235 LOCAL 490 RC outpatient 2147 1825 Alignment Medicare HMO 39 39% of all negotiated rates 1310 percent of total billed charges 1310 2147 Esophagogastroduodenoscopy (ASC) 43235 CPT 49143235 LOCAL 490 RC outpatient 2147 1825 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 859 percent of total billed charges 859 2147 Esophagogastroduodenoscopy (ASC) 43235 CPT 49143235 LOCAL 490 RC outpatient 2147 1825 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 1074 percent of total billed charges 1074 2147 Esophagogastroduodenoscopy (ASC) 43235 CPT 49143235 LOCAL 490 RC outpatient 2147 1825 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 1310 percent of total billed charges 1310 2147 Esophagogastroduodenoscopy (ASC) 43235 CPT 49143235 LOCAL 490 RC outpatient 2147 1825 Coventry PPO 75 75% of all negotiated rates 537 percent of total billed charges 537 2147 Esophagogastroduodenoscopy (ASC) 43235 CPT 49143235 LOCAL 490 RC outpatient 2147 1825 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 429 percent of total billed charges 429 2147 Esophagogastroduodenoscopy (ASC) 43235 CPT 49143235 LOCAL 490 RC outpatient 2147 1825 Humana-Commerical PPO 46 46% of all negotiated rates 1160 percent of total billed charges 1160 2147 Esophagogastroduodenoscopy (ASC) 43235 CPT 49143235 LOCAL 490 RC outpatient 2147 1825 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 1310 percent of total billed charges 1310 2147 Esophagogastroduodenoscopy (ASC) 43235 CPT 49143235 LOCAL 490 RC outpatient 2147 1825 Multiplan PPO 80 80% of all negotiated rates 429 percent of total billed charges 429 2147 Esophagogastroduodenoscopy (ASC) 43235 CPT 49143235 LOCAL 490 RC outpatient 2147 1825 Optum Medicare HMO 39 39% of all negotiated rates 1310 percent of total billed charges 1310 2147 Esophagogastroduodenoscopy (ASC) 43235 CPT 49143235 LOCAL 490 RC outpatient 2147 1825 P3 HMO 39 39% of all negotiated rates 1310 percent of total billed charges 1310 2147 Esophagogastroduodenoscopy (ASC) 43235 CPT 49143235 LOCAL 490 RC outpatient 2147 1825 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 752 percent of total billed charges 752 2147 Esophagogastroduodenoscopy (ASC) 43235 CPT 49143235 LOCAL 490 RC outpatient 2147 1825 Select Health HMO 41 41% of all negotiated rates 1267 percent of total billed charges 1267 2147 Esophagogastroduodenoscopy (ASC) 43235 CPT 49143235 LOCAL 490 RC outpatient 2147 1825 Silversummit Medicare HMO 39 39% of all negotiated rates 1310 percent of total billed charges 1310 2147 Esophagogastroduodenoscopy (ASC) 43235 CPT 49143235 LOCAL 490 RC outpatient 2147 1825 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 1396 percent of total billed charges 1396 2147 Esophagogastroduodenoscopy (ASC) 43235 CPT 49143235 LOCAL 490 RC outpatient 2147 1825 TriWest PPO 30 30% of all negotiated rates 1503 percent of total billed charges 1503 2147 Esophagogastroduodenoscopy (ASC) 43235 CPT 49143235 LOCAL 490 RC outpatient 2147 1825 UHN-Universal Health Network PPO 65 65% of all negotiated rates 752 percent of total billed charges 752 2147 Esophagogastroduodenoscopy (ASC) 43235 CPT 49143235 LOCAL 490 RC outpatient 2147 1825 Aetna PPO 750 case rate 750 case rate 750 2045 Coinsurance and deductible may apply Esophagogastroduodenoscopy (ASC) 43235 CPT 49143235 LOCAL 490 RC outpatient 2147 1825 Anthem Medicaid HMO 329 NV Medicaid SDS Rate 329 fee schedule 329 2045 Coinsurance and deductible may apply Esophagogastroduodenoscopy (ASC) 43235 CPT 49143235 LOCAL 490 RC outpatient 2147 1825 Cigna PPO 756 case rate 756 case rate 756 2045 Coinsurance and deductible may apply Esophagogastroduodenoscopy (ASC) 43235 CPT 49143235 LOCAL 490 RC outpatient 2147 1825 Coalition PPO 700 Coalition grouper rate 700 case rate 700 2045 Coinsurance and deductible may apply Esophagogastroduodenoscopy (ASC) 43235 CPT 49143235 LOCAL 490 RC outpatient 2147 1825 HPN Medicaid HMO 329 NV Medicaid SDS Rate 329 fee schedule 329 2045 Coinsurance and deductible may apply Esophagogastroduodenoscopy (ASC) 43235 CPT 49143235 LOCAL 490 RC outpatient 2147 1825 Molina Medicaid HMO 329 NV Medicaid SDS Rate 329 case rate 329 2045 Coinsurance and deductible may apply Esophagogastroduodenoscopy (ASC) 43235 CPT 49143235 LOCAL 490 RC outpatient 2147 1825 One Health PPO 1061 case rate 1061 case rate 1061 2045 Coinsurance and deductible may apply Esophagogastroduodenoscopy (ASC) 43235 CPT 49143235 LOCAL 490 RC outpatient 2147 1825 Sierra Healthcare Options PPO 756 case rate 756 case rate 756 2045 Coinsurance and deductible may apply Esophagogastroduodenoscopy (ASC) 43235 CPT 49143235 LOCAL 490 RC outpatient 2147 1825 Sierra/HPN HMO 756 case rate 756 case rate 756 2045 Coinsurance and deductible may apply Esophagogastroduodenoscopy (ASC) 43235 CPT 49143235 LOCAL 490 RC outpatient 2147 1825 Teachers Trust PPO 700 Teachers grouper rate 700 case rate 700 2045 Coinsurance and deductible may apply Esophagogastroduodenoscopy (ASC) 43235 CPT 49143235 LOCAL 490 RC outpatient 2147 1825 United Healthcare PPO 1061 case rate 1061 case rate 1061 2045 Coinsurance and deductible may apply Esophagogastroduodenoscopy with Biopsy 43239 CPT 49043239 LOCAL 490 RC outpatient 2099 1784 Aetna Medicare HMO 26 26% of all negotiated rates 1553 percent of total billed charges 1553 2099 Esophagogastroduodenoscopy with Biopsy 43239 CPT 49043239 LOCAL 490 RC outpatient 2099 1784 Alignment Medicare HMO 39 39% of all negotiated rates 1280 percent of total billed charges 1280 2099 Esophagogastroduodenoscopy with Biopsy 43239 CPT 49043239 LOCAL 490 RC outpatient 2099 1784 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 840 percent of total billed charges 840 2099 Esophagogastroduodenoscopy with Biopsy 43239 CPT 49043239 LOCAL 490 RC outpatient 2099 1784 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 1049 percent of total billed charges 1049 2099 Esophagogastroduodenoscopy with Biopsy 43239 CPT 49043239 LOCAL 490 RC outpatient 2099 1784 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 1280 percent of total billed charges 1280 2099 Esophagogastroduodenoscopy with Biopsy 43239 CPT 49043239 LOCAL 490 RC outpatient 2099 1784 Coventry PPO 75 75% of all negotiated rates 525 percent of total billed charges 525 2099 Esophagogastroduodenoscopy with Biopsy 43239 CPT 49043239 LOCAL 490 RC outpatient 2099 1784 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 420 percent of total billed charges 420 2099 Esophagogastroduodenoscopy with Biopsy 43239 CPT 49043239 LOCAL 490 RC outpatient 2099 1784 Humana-Commerical PPO 46 46% of all negotiated rates 1133 percent of total billed charges 1133 2099 Esophagogastroduodenoscopy with Biopsy 43239 CPT 49043239 LOCAL 490 RC outpatient 2099 1784 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 1280 percent of total billed charges 1280 2099 Esophagogastroduodenoscopy with Biopsy 43239 CPT 49043239 LOCAL 490 RC outpatient 2099 1784 Multiplan PPO 80 80% of all negotiated rates 420 percent of total billed charges 420 2099 Esophagogastroduodenoscopy with Biopsy 43239 CPT 49043239 LOCAL 490 RC outpatient 2099 1784 Optum Medicare HMO 39 39% of all negotiated rates 1280 percent of total billed charges 1280 2099 Esophagogastroduodenoscopy with Biopsy 43239 CPT 49043239 LOCAL 490 RC outpatient 2099 1784 P3 HMO 39 39% of all negotiated rates 1280 percent of total billed charges 1280 2099 Esophagogastroduodenoscopy with Biopsy 43239 CPT 49043239 LOCAL 490 RC outpatient 2099 1784 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 735 percent of total billed charges 735 2099 Esophagogastroduodenoscopy with Biopsy 43239 CPT 49043239 LOCAL 490 RC outpatient 2099 1784 Select Health HMO 41 41% of all negotiated rates 1238 percent of total billed charges 1238 2099 Esophagogastroduodenoscopy with Biopsy 43239 CPT 49043239 LOCAL 490 RC outpatient 2099 1784 Silversummit Medicare HMO 39 39% of all negotiated rates 1280 percent of total billed charges 1280 2099 Esophagogastroduodenoscopy with Biopsy 43239 CPT 49043239 LOCAL 490 RC outpatient 2099 1784 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 1364 percent of total billed charges 1364 2099 Esophagogastroduodenoscopy with Biopsy 43239 CPT 49043239 LOCAL 490 RC outpatient 2099 1784 TriWest PPO 30 30% of all negotiated rates 1469 percent of total billed charges 1469 2099 Esophagogastroduodenoscopy with Biopsy 43239 CPT 49043239 LOCAL 490 RC outpatient 2099 1784 UHN-Universal Health Network PPO 65 65% of all negotiated rates 735 percent of total billed charges 735 2099 Esophagogastroduodenoscopy with Biopsy 43239 CPT 49043239 LOCAL 490 RC outpatient 2099 1784 Aetna PPO 950 case rate 950 case rate 950 1999 Coinsurance and deductible may apply Esophagogastroduodenoscopy with Biopsy 43239 CPT 49043239 LOCAL 490 RC outpatient 2099 1784 Anthem Medicaid HMO 329 NV Medicaid SDS Rate 329 fee schedule 329 1999 Coinsurance and deductible may apply Esophagogastroduodenoscopy with Biopsy 43239 CPT 49043239 LOCAL 490 RC outpatient 2099 1784 Cigna PPO 1014 case rate 1014 case rate 1014 1999 Coinsurance and deductible may apply Esophagogastroduodenoscopy with Biopsy 43239 CPT 49043239 LOCAL 490 RC outpatient 2099 1784 Coalition PPO 939 Coalition grouper rate 939 case rate 939 1999 Coinsurance and deductible may apply Esophagogastroduodenoscopy with Biopsy 43239 CPT 49043239 LOCAL 490 RC outpatient 2099 1784 HPN Medicaid HMO 329 NV Medicaid SDS Rate 329 fee schedule 329 1999 Coinsurance and deductible may apply Esophagogastroduodenoscopy with Biopsy 43239 CPT 49043239 LOCAL 490 RC outpatient 2099 1784 Molina Medicaid HMO 329 NV Medicaid SDS Rate 329 case rate 329 1999 Coinsurance and deductible may apply Esophagogastroduodenoscopy with Biopsy 43239 CPT 49043239 LOCAL 490 RC outpatient 2099 1784 One Health PPO 1061 case rate 1061 case rate 1061 1999 Coinsurance and deductible may apply Esophagogastroduodenoscopy with Biopsy 43239 CPT 49043239 LOCAL 490 RC outpatient 2099 1784 Sierra Healthcare Options PPO 1014 case rate 1014 case rate 1014 1999 Coinsurance and deductible may apply Esophagogastroduodenoscopy with Biopsy 43239 CPT 49043239 LOCAL 490 RC outpatient 2099 1784 Sierra/HPN HMO 1014 case rate 1014 case rate 1014 1999 Coinsurance and deductible may apply Esophagogastroduodenoscopy with Biopsy 43239 CPT 49043239 LOCAL 490 RC outpatient 2099 1784 Teachers Trust PPO 939 Teachers grouper rate 939 case rate 939 1999 Coinsurance and deductible may apply Esophagogastroduodenoscopy with Biopsy 43239 CPT 49043239 LOCAL 490 RC outpatient 2099 1784 United Healthcare PPO 1061 case rate 1061 case rate 1061 1999 Coinsurance and deductible may apply Esophagogastroduodenoscopy with Dilation 43245 CPT 49043245 LOCAL 490 RC outpatient 2162 1838 Aetna Medicare HMO 26 26% of all negotiated rates 1600 percent of total billed charges 1600 2162 Esophagogastroduodenoscopy with Dilation 43245 CPT 49043245 LOCAL 490 RC outpatient 2162 1838 Alignment Medicare HMO 39 39% of all negotiated rates 1319 percent of total billed charges 1319 2162 Esophagogastroduodenoscopy with Dilation 43245 CPT 49043245 LOCAL 490 RC outpatient 2162 1838 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 865 percent of total billed charges 865 2162 Esophagogastroduodenoscopy with Dilation 43245 CPT 49043245 LOCAL 490 RC outpatient 2162 1838 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 1081 percent of total billed charges 1081 2162 Esophagogastroduodenoscopy with Dilation 43245 CPT 49043245 LOCAL 490 RC outpatient 2162 1838 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 1319 percent of total billed charges 1319 2162 Esophagogastroduodenoscopy with Dilation 43245 CPT 49043245 LOCAL 490 RC outpatient 2162 1838 Coventry PPO 75 75% of all negotiated rates 540 percent of total billed charges 540 2162 Esophagogastroduodenoscopy with Dilation 43245 CPT 49043245 LOCAL 490 RC outpatient 2162 1838 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 432 percent of total billed charges 432 2162 Esophagogastroduodenoscopy with Dilation 43245 CPT 49043245 LOCAL 490 RC outpatient 2162 1838 Humana-Commerical PPO 46 46% of all negotiated rates 1167 percent of total billed charges 1167 2162 Esophagogastroduodenoscopy with Dilation 43245 CPT 49043245 LOCAL 490 RC outpatient 2162 1838 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 1319 percent of total billed charges 1319 2162 Esophagogastroduodenoscopy with Dilation 43245 CPT 49043245 LOCAL 490 RC outpatient 2162 1838 Multiplan PPO 80 80% of all negotiated rates 432 percent of total billed charges 432 2162 Esophagogastroduodenoscopy with Dilation 43245 CPT 49043245 LOCAL 490 RC outpatient 2162 1838 Optum Medicare HMO 39 39% of all negotiated rates 1319 percent of total billed charges 1319 2162 Esophagogastroduodenoscopy with Dilation 43245 CPT 49043245 LOCAL 490 RC outpatient 2162 1838 P3 HMO 39 39% of all negotiated rates 1319 percent of total billed charges 1319 2162 Esophagogastroduodenoscopy with Dilation 43245 CPT 49043245 LOCAL 490 RC outpatient 2162 1838 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 757 percent of total billed charges 757 2162 Esophagogastroduodenoscopy with Dilation 43245 CPT 49043245 LOCAL 490 RC outpatient 2162 1838 Select Health HMO 41 41% of all negotiated rates 1276 percent of total billed charges 1276 2162 Esophagogastroduodenoscopy with Dilation 43245 CPT 49043245 LOCAL 490 RC outpatient 2162 1838 Silversummit Medicare HMO 39 39% of all negotiated rates 1319 percent of total billed charges 1319 2162 Esophagogastroduodenoscopy with Dilation 43245 CPT 49043245 LOCAL 490 RC outpatient 2162 1838 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 1405 percent of total billed charges 1405 2162 Esophagogastroduodenoscopy with Dilation 43245 CPT 49043245 LOCAL 490 RC outpatient 2162 1838 TriWest PPO 30 30% of all negotiated rates 1513 percent of total billed charges 1513 2162 Esophagogastroduodenoscopy with Dilation 43245 CPT 49043245 LOCAL 490 RC outpatient 2162 1838 UHN-Universal Health Network PPO 65 65% of all negotiated rates 757 percent of total billed charges 757 2162 Esophagogastroduodenoscopy with Dilation 43245 CPT 49043245 LOCAL 490 RC outpatient 2162 1838 Aetna PPO 950 case rate 950 case rate 950 2059 Coinsurance and deductible may apply Esophagogastroduodenoscopy with Dilation 43245 CPT 49043245 LOCAL 490 RC outpatient 2162 1838 Anthem Medicaid HMO 481 NV Medicaid SDS Rate 481 fee schedule 481 2059 Coinsurance and deductible may apply Esophagogastroduodenoscopy with Dilation 43245 CPT 49043245 LOCAL 490 RC outpatient 2162 1838 Cigna PPO 1014 case rate 1014 case rate 1014 2059 Coinsurance and deductible may apply Esophagogastroduodenoscopy with Dilation 43245 CPT 49043245 LOCAL 490 RC outpatient 2162 1838 Coalition PPO 939 Coalition grouper rate 939 case rate 939 2059 Coinsurance and deductible may apply Esophagogastroduodenoscopy with Dilation 43245 CPT 49043245 LOCAL 490 RC outpatient 2162 1838 HPN Medicaid HMO 481 NV Medicaid SDS Rate 481 fee schedule 481 2059 Coinsurance and deductible may apply Esophagogastroduodenoscopy with Dilation 43245 CPT 49043245 LOCAL 490 RC outpatient 2162 1838 Molina Medicaid HMO 481 NV Medicaid SDS Rate 481 case rate 481 2059 Coinsurance and deductible may apply Esophagogastroduodenoscopy with Dilation 43245 CPT 49043245 LOCAL 490 RC outpatient 2162 1838 One Health PPO 1061 case rate 1061 case rate 1061 2059 Coinsurance and deductible may apply Esophagogastroduodenoscopy with Dilation 43245 CPT 49043245 LOCAL 490 RC outpatient 2162 1838 Sierra Healthcare Options PPO 1014 case rate 1014 case rate 1014 2059 Coinsurance and deductible may apply Esophagogastroduodenoscopy with Dilation 43245 CPT 49043245 LOCAL 490 RC outpatient 2162 1838 Sierra/HPN HMO 1014 case rate 1014 case rate 1014 2059 Coinsurance and deductible may apply Esophagogastroduodenoscopy with Dilation 43245 CPT 49043245 LOCAL 490 RC outpatient 2162 1838 Teachers Trust PPO 939 Teachers grouper rate 939 case rate 939 2059 Coinsurance and deductible may apply Esophagogastroduodenoscopy with Dilation 43245 CPT 49043245 LOCAL 490 RC outpatient 2162 1838 United Healthcare PPO 1061 case rate 1061 case rate 1061 2059 Coinsurance and deductible may apply EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM 26116 CPT 49026116 LOCAL 490 RC outpatient 3750 3187 Aetna Medicare HMO 26 26% of all negotiated rates 2775 percent of total billed charges 2775 3750 EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM 26116 CPT 49026116 LOCAL 490 RC outpatient 3750 3187 Alignment Medicare HMO 39 39% of all negotiated rates 2287 percent of total billed charges 2287 3750 EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM 26116 CPT 49026116 LOCAL 490 RC outpatient 3750 3187 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 1500 percent of total billed charges 1500 3750 EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM 26116 CPT 49026116 LOCAL 490 RC outpatient 3750 3187 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 1875 percent of total billed charges 1875 3750 EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM 26116 CPT 49026116 LOCAL 490 RC outpatient 3750 3187 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 2287 percent of total billed charges 2287 3750 EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM 26116 CPT 49026116 LOCAL 490 RC outpatient 3750 3187 Coventry PPO 75 75% of all negotiated rates 937 percent of total billed charges 937 3750 EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM 26116 CPT 49026116 LOCAL 490 RC outpatient 3750 3187 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 750 percent of total billed charges 750 3750 EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM 26116 CPT 49026116 LOCAL 490 RC outpatient 3750 3187 Humana-Commerical PPO 46 46% of all negotiated rates 2025 percent of total billed charges 2025 3750 EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM 26116 CPT 49026116 LOCAL 490 RC outpatient 3750 3187 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 2287 percent of total billed charges 2287 3750 EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM 26116 CPT 49026116 LOCAL 490 RC outpatient 3750 3187 Multiplan PPO 80 80% of all negotiated rates 750 percent of total billed charges 750 3750 EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM 26116 CPT 49026116 LOCAL 490 RC outpatient 3750 3187 Optum Medicare HMO 39 39% of all negotiated rates 2287 percent of total billed charges 2287 3750 EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM 26116 CPT 49026116 LOCAL 490 RC outpatient 3750 3187 P3 HMO 39 39% of all negotiated rates 2287 percent of total billed charges 2287 3750 EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM 26116 CPT 49026116 LOCAL 490 RC outpatient 3750 3187 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 1312 percent of total billed charges 1312 3750 EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM 26116 CPT 49026116 LOCAL 490 RC outpatient 3750 3187 Select Health HMO 41 41% of all negotiated rates 2212 percent of total billed charges 2212 3750 EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM 26116 CPT 49026116 LOCAL 490 RC outpatient 3750 3187 Silversummit Medicare HMO 39 39% of all negotiated rates 2287 percent of total billed charges 2287 3750 EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM 26116 CPT 49026116 LOCAL 490 RC outpatient 3750 3187 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 2437 percent of total billed charges 2437 3750 EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM 26116 CPT 49026116 LOCAL 490 RC outpatient 3750 3187 TriWest PPO 30 30% of all negotiated rates 2625 percent of total billed charges 2625 3750 EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM 26116 CPT 49026116 LOCAL 490 RC outpatient 3750 3187 UHN-Universal Health Network PPO 65 65% of all negotiated rates 1312 percent of total billed charges 1312 3750 EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM 26116 CPT 49026116 LOCAL 490 RC outpatient 3750 3187 Aetna PPO 950 case rate 950 case rate 950 3571 Coinsurance and deductible may apply EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM 26116 CPT 49026116 LOCAL 490 RC outpatient 3750 3187 Anthem Medicaid HMO 625 NV Medicaid SDS Rate 625 fee schedule 625 3571 Coinsurance and deductible may apply EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM 26116 CPT 49026116 LOCAL 490 RC outpatient 3750 3187 Cigna PPO 1014 case rate 1014 case rate 1014 3571 Coinsurance and deductible may apply EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM 26116 CPT 49026116 LOCAL 490 RC outpatient 3750 3187 Coalition PPO 939 Coalition grouper rate 939 case rate 939 3571 Coinsurance and deductible may apply EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM 26116 CPT 49026116 LOCAL 490 RC outpatient 3750 3187 HPN Medicaid HMO 625 NV Medicaid SDS Rate 625 fee schedule 625 3571 Coinsurance and deductible may apply EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM 26116 CPT 49026116 LOCAL 490 RC outpatient 3750 3187 Molina Medicaid HMO 625 NV Medicaid SDS Rate 625 case rate 625 3571 Coinsurance and deductible may apply EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM 26116 CPT 49026116 LOCAL 490 RC outpatient 3750 3187 One Health PPO 1061 case rate 1061 case rate 1061 3571 Coinsurance and deductible may apply EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM 26116 CPT 49026116 LOCAL 490 RC outpatient 3750 3187 Sierra Healthcare Options PPO 1014 case rate 1014 case rate 1014 3571 Coinsurance and deductible may apply EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM 26116 CPT 49026116 LOCAL 490 RC outpatient 3750 3187 Sierra/HPN HMO 1014 case rate 1014 case rate 1014 3571 Coinsurance and deductible may apply EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM 26116 CPT 49026116 LOCAL 490 RC outpatient 3750 3187 Teachers Trust PPO 939 Teachers grouper rate 939 case rate 939 3571 Coinsurance and deductible may apply EXC TUMOR/SOFT TISSUE HAND/FINGER DEEP < 1.5 CM 26116 CPT 49026116 LOCAL 490 RC outpatient 3750 3187 United Healthcare PPO 1061 case rate 1061 case rate 1061 3571 Coinsurance and deductible may apply EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM 26111 CPT 49026111 LOCAL 490 RC outpatient 3132 2662 Aetna Medicare HMO 26 26% of all negotiated rates 2318 percent of total billed charges 2318 3132 EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM 26111 CPT 49026111 LOCAL 490 RC outpatient 3132 2662 Alignment Medicare HMO 39 39% of all negotiated rates 1911 percent of total billed charges 1911 3132 EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM 26111 CPT 49026111 LOCAL 490 RC outpatient 3132 2662 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 1253 percent of total billed charges 1253 3132 EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM 26111 CPT 49026111 LOCAL 490 RC outpatient 3132 2662 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 1566 percent of total billed charges 1566 3132 EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM 26111 CPT 49026111 LOCAL 490 RC outpatient 3132 2662 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 1911 percent of total billed charges 1911 3132 EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM 26111 CPT 49026111 LOCAL 490 RC outpatient 3132 2662 Coventry PPO 75 75% of all negotiated rates 783 percent of total billed charges 783 3132 EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM 26111 CPT 49026111 LOCAL 490 RC outpatient 3132 2662 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 626 percent of total billed charges 626 3132 EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM 26111 CPT 49026111 LOCAL 490 RC outpatient 3132 2662 Humana-Commerical PPO 46 46% of all negotiated rates 1691 percent of total billed charges 1691 3132 EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM 26111 CPT 49026111 LOCAL 490 RC outpatient 3132 2662 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 1911 percent of total billed charges 1911 3132 EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM 26111 CPT 49026111 LOCAL 490 RC outpatient 3132 2662 Multiplan PPO 80 80% of all negotiated rates 626 percent of total billed charges 626 3132 EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM 26111 CPT 49026111 LOCAL 490 RC outpatient 3132 2662 Optum Medicare HMO 39 39% of all negotiated rates 1911 percent of total billed charges 1911 3132 EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM 26111 CPT 49026111 LOCAL 490 RC outpatient 3132 2662 P3 HMO 39 39% of all negotiated rates 1911 percent of total billed charges 1911 3132 EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM 26111 CPT 49026111 LOCAL 490 RC outpatient 3132 2662 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 1096 percent of total billed charges 1096 3132 EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM 26111 CPT 49026111 LOCAL 490 RC outpatient 3132 2662 Select Health HMO 41 41% of all negotiated rates 1848 percent of total billed charges 1848 3132 EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM 26111 CPT 49026111 LOCAL 490 RC outpatient 3132 2662 Silversummit Medicare HMO 39 39% of all negotiated rates 1911 percent of total billed charges 1911 3132 EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM 26111 CPT 49026111 LOCAL 490 RC outpatient 3132 2662 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 2036 percent of total billed charges 2036 3132 EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM 26111 CPT 49026111 LOCAL 490 RC outpatient 3132 2662 TriWest PPO 30 30% of all negotiated rates 2193 percent of total billed charges 2193 3132 EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM 26111 CPT 49026111 LOCAL 490 RC outpatient 3132 2662 UHN-Universal Health Network PPO 65 65% of all negotiated rates 1096 percent of total billed charges 1096 3132 EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM 26111 CPT 49026111 LOCAL 490 RC outpatient 3132 2662 Aetna PPO 1150 case rate 1150 case rate 1150 2983 Coinsurance and deductible may apply EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM 26111 CPT 49026111 LOCAL 490 RC outpatient 3132 2662 Anthem Medicaid HMO 625 NV Medicaid SDS Rate 625 fee schedule 625 2983 Coinsurance and deductible may apply EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM 26111 CPT 49026111 LOCAL 490 RC outpatient 3132 2662 Cigna PPO 2266 case rate 2266 case rate 2266 2983 Coinsurance and deductible may apply EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM 26111 CPT 49026111 LOCAL 490 RC outpatient 3132 2662 Coalition PPO 1071 Coalition grouper rate 1071 case rate 1071 2983 Coinsurance and deductible may apply EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM 26111 CPT 49026111 LOCAL 490 RC outpatient 3132 2662 HPN Medicaid HMO 625 NV Medicaid SDS Rate 625 fee schedule 625 2983 Coinsurance and deductible may apply EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM 26111 CPT 49026111 LOCAL 490 RC outpatient 3132 2662 Molina Medicaid HMO 625 NV Medicaid SDS Rate 625 case rate 625 2983 Coinsurance and deductible may apply EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM 26111 CPT 49026111 LOCAL 490 RC outpatient 3132 2662 One Health PPO 1273 case rate 1273 case rate 1273 2983 Coinsurance and deductible may apply EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM 26111 CPT 49026111 LOCAL 490 RC outpatient 3132 2662 Sierra Healthcare Options PPO 2266 case rate 2266 case rate 2266 2983 Coinsurance and deductible may apply EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM 26111 CPT 49026111 LOCAL 490 RC outpatient 3132 2662 Sierra/HPN HMO 2266 case rate 2266 case rate 2266 2983 Coinsurance and deductible may apply EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM 26111 CPT 49026111 LOCAL 490 RC outpatient 3132 2662 Teachers Trust PPO 1071 Teachers grouper rate 1071 case rate 1071 2983 Coinsurance and deductible may apply EXC Tumor/SOFT TISSUE HAND/FINGER SUBCUTANEOUS>1.5 CM 26111 CPT 49026111 LOCAL 490 RC outpatient 3132 2662 United Healthcare PPO 1273 case rate 1273 case rate 1273 2983 Coinsurance and deductible may apply EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM 24071 CPT 49024071 LOCAL 490 RC outpatient 7077 6015 Aetna Medicare HMO 26 26% of all negotiated rates 5237 percent of total billed charges 5237 7077 EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM 24071 CPT 49024071 LOCAL 490 RC outpatient 7077 6015 Alignment Medicare HMO 39 39% of all negotiated rates 4317 percent of total billed charges 4317 7077 EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM 24071 CPT 49024071 LOCAL 490 RC outpatient 7077 6015 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 2831 percent of total billed charges 2831 7077 EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM 24071 CPT 49024071 LOCAL 490 RC outpatient 7077 6015 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 3539 percent of total billed charges 3539 7077 EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM 24071 CPT 49024071 LOCAL 490 RC outpatient 7077 6015 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 4317 percent of total billed charges 4317 7077 EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM 24071 CPT 49024071 LOCAL 490 RC outpatient 7077 6015 Coventry PPO 75 75% of all negotiated rates 1769 percent of total billed charges 1769 7077 EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM 24071 CPT 49024071 LOCAL 490 RC outpatient 7077 6015 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 1415 percent of total billed charges 1415 7077 EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM 24071 CPT 49024071 LOCAL 490 RC outpatient 7077 6015 Humana-Commerical PPO 46 46% of all negotiated rates 3822 percent of total billed charges 3822 7077 EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM 24071 CPT 49024071 LOCAL 490 RC outpatient 7077 6015 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 4317 percent of total billed charges 4317 7077 EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM 24071 CPT 49024071 LOCAL 490 RC outpatient 7077 6015 Multiplan PPO 80 80% of all negotiated rates 1415 percent of total billed charges 1415 7077 EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM 24071 CPT 49024071 LOCAL 490 RC outpatient 7077 6015 Optum Medicare HMO 39 39% of all negotiated rates 4317 percent of total billed charges 4317 7077 EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM 24071 CPT 49024071 LOCAL 490 RC outpatient 7077 6015 P3 HMO 39 39% of all negotiated rates 4317 percent of total billed charges 4317 7077 EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM 24071 CPT 49024071 LOCAL 490 RC outpatient 7077 6015 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 2477 percent of total billed charges 2477 7077 EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM 24071 CPT 49024071 LOCAL 490 RC outpatient 7077 6015 Select Health HMO 41 41% of all negotiated rates 4175 percent of total billed charges 4175 7077 EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM 24071 CPT 49024071 LOCAL 490 RC outpatient 7077 6015 Silversummit Medicare HMO 39 39% of all negotiated rates 4317 percent of total billed charges 4317 7077 EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM 24071 CPT 49024071 LOCAL 490 RC outpatient 7077 6015 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 4600 percent of total billed charges 4600 7077 EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM 24071 CPT 49024071 LOCAL 490 RC outpatient 7077 6015 TriWest PPO 30 30% of all negotiated rates 4954 percent of total billed charges 4954 7077 EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM 24071 CPT 49024071 LOCAL 490 RC outpatient 7077 6015 UHN-Universal Health Network PPO 65 65% of all negotiated rates 2477 percent of total billed charges 2477 7077 EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM 24071 CPT 49024071 LOCAL 490 RC outpatient 7077 6015 Aetna PPO 1150 case rate 1150 case rate 1150 6740 Coinsurance and deductible may apply EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM 24071 CPT 49024071 LOCAL 490 RC outpatient 7077 6015 Anthem Medicaid HMO 625 NV Medicaid SDS Rate 625 fee schedule 625 6740 Coinsurance and deductible may apply EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM 24071 CPT 49024071 LOCAL 490 RC outpatient 7077 6015 Cigna PPO 2266 case rate 2266 case rate 2266 6740 Coinsurance and deductible may apply EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM 24071 CPT 49024071 LOCAL 490 RC outpatient 7077 6015 Coalition PPO 1071 Coalition grouper rate 1071 case rate 1071 6740 Coinsurance and deductible may apply EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM 24071 CPT 49024071 LOCAL 490 RC outpatient 7077 6015 HPN Medicaid HMO 625 NV Medicaid SDS Rate 625 fee schedule 625 6740 Coinsurance and deductible may apply EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM 24071 CPT 49024071 LOCAL 490 RC outpatient 7077 6015 Molina Medicaid HMO 625 NV Medicaid SDS Rate 625 case rate 625 6740 Coinsurance and deductible may apply EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM 24071 CPT 49024071 LOCAL 490 RC outpatient 7077 6015 One Health PPO 1273 case rate 1273 case rate 1273 6740 Coinsurance and deductible may apply EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM 24071 CPT 49024071 LOCAL 490 RC outpatient 7077 6015 Sierra Healthcare Options PPO 2266 case rate 2266 case rate 2266 6740 Coinsurance and deductible may apply EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM 24071 CPT 49024071 LOCAL 490 RC outpatient 7077 6015 Sierra/HPN HMO 2266 case rate 2266 case rate 2266 6740 Coinsurance and deductible may apply EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM 24071 CPT 49024071 LOCAL 490 RC outpatient 7077 6015 Teachers Trust PPO 1071 Teachers grouper rate 1071 case rate 1071 6740 Coinsurance and deductible may apply EXCISION ARM/ELBOW LESION SUBCUTANEOUS >3CM 24071 CPT 49024071 LOCAL 490 RC outpatient 7077 6015 United Healthcare PPO 1273 case rate 1273 case rate 1273 6740 Coinsurance and deductible may apply Excision Bone Accessory 28122 CPT 49128122 LOCAL 490 RC outpatient 3465 2945 Aetna Medicare HMO 26 26% of all negotiated rates 2564 percent of total billed charges 2564 3465 Excision Bone Accessory 28122 CPT 49128122 LOCAL 490 RC outpatient 3465 2945 Alignment Medicare HMO 39 39% of all negotiated rates 2114 percent of total billed charges 2114 3465 Excision Bone Accessory 28122 CPT 49128122 LOCAL 490 RC outpatient 3465 2945 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 1386 percent of total billed charges 1386 3465 Excision Bone Accessory 28122 CPT 49128122 LOCAL 490 RC outpatient 3465 2945 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 1733 percent of total billed charges 1733 3465 Excision Bone Accessory 28122 CPT 49128122 LOCAL 490 RC outpatient 3465 2945 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 2114 percent of total billed charges 2114 3465 Excision Bone Accessory 28122 CPT 49128122 LOCAL 490 RC outpatient 3465 2945 Coventry PPO 75 75% of all negotiated rates 866 percent of total billed charges 866 3465 Excision Bone Accessory 28122 CPT 49128122 LOCAL 490 RC outpatient 3465 2945 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 693 percent of total billed charges 693 3465 Excision Bone Accessory 28122 CPT 49128122 LOCAL 490 RC outpatient 3465 2945 Humana-Commerical PPO 46 46% of all negotiated rates 1871 percent of total billed charges 1871 3465 Excision Bone Accessory 28122 CPT 49128122 LOCAL 490 RC outpatient 3465 2945 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 2114 percent of total billed charges 2114 3465 Excision Bone Accessory 28122 CPT 49128122 LOCAL 490 RC outpatient 3465 2945 Multiplan PPO 80 80% of all negotiated rates 693 percent of total billed charges 693 3465 Excision Bone Accessory 28122 CPT 49128122 LOCAL 490 RC outpatient 3465 2945 Optum Medicare HMO 39 39% of all negotiated rates 2114 percent of total billed charges 2114 3465 Excision Bone Accessory 28122 CPT 49128122 LOCAL 490 RC outpatient 3465 2945 P3 HMO 39 39% of all negotiated rates 2114 percent of total billed charges 2114 3465 Excision Bone Accessory 28122 CPT 49128122 LOCAL 490 RC outpatient 3465 2945 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 1213 percent of total billed charges 1213 3465 Excision Bone Accessory 28122 CPT 49128122 LOCAL 490 RC outpatient 3465 2945 Select Health HMO 41 41% of all negotiated rates 2044 percent of total billed charges 2044 3465 Excision Bone Accessory 28122 CPT 49128122 LOCAL 490 RC outpatient 3465 2945 Silversummit Medicare HMO 39 39% of all negotiated rates 2114 percent of total billed charges 2114 3465 Excision Bone Accessory 28122 CPT 49128122 LOCAL 490 RC outpatient 3465 2945 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 2252 percent of total billed charges 2252 3465 Excision Bone Accessory 28122 CPT 49128122 LOCAL 490 RC outpatient 3465 2945 TriWest PPO 30 30% of all negotiated rates 2426 percent of total billed charges 2426 3465 Excision Bone Accessory 28122 CPT 49128122 LOCAL 490 RC outpatient 3465 2945 UHN-Universal Health Network PPO 65 65% of all negotiated rates 1213 percent of total billed charges 1213 3465 Excision Bone Accessory 28122 CPT 49128122 LOCAL 490 RC outpatient 3465 2945 Aetna PPO 1150 case rate 1150 case rate 1150 3300 Coinsurance and deductible may apply Excision Bone Accessory 28122 CPT 49128122 LOCAL 490 RC outpatient 3465 2945 Anthem Medicaid HMO 643 NV Medicaid SDS Rate 643 fee schedule 643 3300 Coinsurance and deductible may apply Excision Bone Accessory 28122 CPT 49128122 LOCAL 490 RC outpatient 3465 2945 Cigna PPO 1157 case rate 1157 case rate 1157 3300 Coinsurance and deductible may apply Excision Bone Accessory 28122 CPT 49128122 LOCAL 490 RC outpatient 3465 2945 Coalition PPO 1071 Coalition grouper rate 1071 case rate 1071 3300 Coinsurance and deductible may apply Excision Bone Accessory 28122 CPT 49128122 LOCAL 490 RC outpatient 3465 2945 HPN Medicaid HMO 643 NV Medicaid SDS Rate 643 fee schedule 643 3300 Coinsurance and deductible may apply Excision Bone Accessory 28122 CPT 49128122 LOCAL 490 RC outpatient 3465 2945 Molina Medicaid HMO 643 NV Medicaid SDS Rate 643 case rate 643 3300 Coinsurance and deductible may apply Excision Bone Accessory 28122 CPT 49128122 LOCAL 490 RC outpatient 3465 2945 One Health PPO 1273 case rate 1273 case rate 1273 3300 Coinsurance and deductible may apply Excision Bone Accessory 28122 CPT 49128122 LOCAL 490 RC outpatient 3465 2945 Sierra Healthcare Options PPO 1157 case rate 1157 case rate 1157 3300 Coinsurance and deductible may apply Excision Bone Accessory 28122 CPT 49128122 LOCAL 490 RC outpatient 3465 2945 Sierra/HPN HMO 1157 case rate 1157 case rate 1157 3300 Coinsurance and deductible may apply Excision Bone Accessory 28122 CPT 49128122 LOCAL 490 RC outpatient 3465 2945 Teachers Trust PPO 1071 Teachers grouper rate 1071 case rate 1071 3300 Coinsurance and deductible may apply Excision Bone Accessory 28122 CPT 49128122 LOCAL 490 RC outpatient 3465 2945 United Healthcare PPO 1273 case rate 1273 case rate 1273 3300 Coinsurance and deductible may apply Excision Calcaneal Spur 28120 CPT 49028120 LOCAL 490 RC outpatient 3416 2903 Aetna Medicare HMO 26 26% of all negotiated rates 2528 percent of total billed charges 2528 3416 Excision Calcaneal Spur 28120 CPT 49028120 LOCAL 490 RC outpatient 3416 2903 Alignment Medicare HMO 39 39% of all negotiated rates 2084 percent of total billed charges 2084 3416 Excision Calcaneal Spur 28120 CPT 49028120 LOCAL 490 RC outpatient 3416 2903 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 1366 percent of total billed charges 1366 3416 Excision Calcaneal Spur 28120 CPT 49028120 LOCAL 490 RC outpatient 3416 2903 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 1708 percent of total billed charges 1708 3416 Excision Calcaneal Spur 28120 CPT 49028120 LOCAL 490 RC outpatient 3416 2903 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 2084 percent of total billed charges 2084 3416 Excision Calcaneal Spur 28120 CPT 49028120 LOCAL 490 RC outpatient 3416 2903 Coventry PPO 75 75% of all negotiated rates 854 percent of total billed charges 854 3416 Excision Calcaneal Spur 28120 CPT 49028120 LOCAL 490 RC outpatient 3416 2903 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 683 percent of total billed charges 683 3416 Excision Calcaneal Spur 28120 CPT 49028120 LOCAL 490 RC outpatient 3416 2903 Humana-Commerical PPO 46 46% of all negotiated rates 1844 percent of total billed charges 1844 3416 Excision Calcaneal Spur 28120 CPT 49028120 LOCAL 490 RC outpatient 3416 2903 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 2084 percent of total billed charges 2084 3416 Excision Calcaneal Spur 28120 CPT 49028120 LOCAL 490 RC outpatient 3416 2903 Multiplan PPO 80 80% of all negotiated rates 683 percent of total billed charges 683 3416 Excision Calcaneal Spur 28120 CPT 49028120 LOCAL 490 RC outpatient 3416 2903 Optum Medicare HMO 39 39% of all negotiated rates 2084 percent of total billed charges 2084 3416 Excision Calcaneal Spur 28120 CPT 49028120 LOCAL 490 RC outpatient 3416 2903 P3 HMO 39 39% of all negotiated rates 2084 percent of total billed charges 2084 3416 Excision Calcaneal Spur 28120 CPT 49028120 LOCAL 490 RC outpatient 3416 2903 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 1195 percent of total billed charges 1195 3416 Excision Calcaneal Spur 28120 CPT 49028120 LOCAL 490 RC outpatient 3416 2903 Select Health HMO 41 41% of all negotiated rates 2015 percent of total billed charges 2015 3416 Excision Calcaneal Spur 28120 CPT 49028120 LOCAL 490 RC outpatient 3416 2903 Silversummit Medicare HMO 39 39% of all negotiated rates 2084 percent of total billed charges 2084 3416 Excision Calcaneal Spur 28120 CPT 49028120 LOCAL 490 RC outpatient 3416 2903 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 2220 percent of total billed charges 2220 3416 Excision Calcaneal Spur 28120 CPT 49028120 LOCAL 490 RC outpatient 3416 2903 TriWest PPO 30 30% of all negotiated rates 2391 percent of total billed charges 2391 3416 Excision Calcaneal Spur 28120 CPT 49028120 LOCAL 490 RC outpatient 3416 2903 UHN-Universal Health Network PPO 65 65% of all negotiated rates 1195 percent of total billed charges 1195 3416 Excision Calcaneal Spur 28120 CPT 49028120 LOCAL 490 RC outpatient 3416 2903 Aetna PPO 1950 case rate 1950 case rate 1950 3253 Coinsurance and deductible may apply Excision Calcaneal Spur 28120 CPT 49028120 LOCAL 490 RC outpatient 3416 2903 Anthem Medicaid HMO 1059 NV Medicaid SDS Rate 1059 fee schedule 1059 3253 Coinsurance and deductible may apply Excision Calcaneal Spur 28120 CPT 49028120 LOCAL 490 RC outpatient 3416 2903 Cigna PPO 2257 case rate 2257 case rate 2257 3253 Coinsurance and deductible may apply Excision Calcaneal Spur 28120 CPT 49028120 LOCAL 490 RC outpatient 3416 2903 Coalition PPO 2090 Coalition grouper rate 2090 case rate 2090 3253 Coinsurance and deductible may apply Excision Calcaneal Spur 28120 CPT 49028120 LOCAL 490 RC outpatient 3416 2903 HPN Medicaid HMO 1059 NV Medicaid SDS Rate 1059 fee schedule 1059 3253 Coinsurance and deductible may apply Excision Calcaneal Spur 28120 CPT 49028120 LOCAL 490 RC outpatient 3416 2903 Molina Medicaid HMO 1059 NV Medicaid SDS Rate 1059 case rate 1059 3253 Coinsurance and deductible may apply Excision Calcaneal Spur 28120 CPT 49028120 LOCAL 490 RC outpatient 3416 2903 One Health PPO 1273 case rate 1273 case rate 1273 3253 Coinsurance and deductible may apply Excision Calcaneal Spur 28120 CPT 49028120 LOCAL 490 RC outpatient 3416 2903 Sierra Healthcare Options PPO 2257 case rate 2257 case rate 2257 3253 Coinsurance and deductible may apply Excision Calcaneal Spur 28120 CPT 49028120 LOCAL 490 RC outpatient 3416 2903 Sierra/HPN HMO 2257 case rate 2257 case rate 2257 3253 Coinsurance and deductible may apply Excision Calcaneal Spur 28120 CPT 49028120 LOCAL 490 RC outpatient 3416 2903 Teachers Trust PPO 2090 Teachers grouper rate 2090 case rate 2090 3253 Coinsurance and deductible may apply Excision Calcaneal Spur 28120 CPT 49028120 LOCAL 490 RC outpatient 3416 2903 United Healthcare PPO 1273 case rate 1273 case rate 1273 3253 Coinsurance and deductible may apply Excision Neck Mass 21556 CPT 49021556 LOCAL 490 RC outpatient 4191 3562 Aetna Medicare HMO 26 26% of all negotiated rates 3101 percent of total billed charges 3101 4191 Excision Neck Mass 21556 CPT 49021556 LOCAL 490 RC outpatient 4191 3562 Alignment Medicare HMO 39 39% of all negotiated rates 2556 percent of total billed charges 2556 4191 Excision Neck Mass 21556 CPT 49021556 LOCAL 490 RC outpatient 4191 3562 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 1676 percent of total billed charges 1676 4191 Excision Neck Mass 21556 CPT 49021556 LOCAL 490 RC outpatient 4191 3562 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 2095 percent of total billed charges 2095 4191 Excision Neck Mass 21556 CPT 49021556 LOCAL 490 RC outpatient 4191 3562 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 2556 percent of total billed charges 2556 4191 Excision Neck Mass 21556 CPT 49021556 LOCAL 490 RC outpatient 4191 3562 Coventry PPO 75 75% of all negotiated rates 1048 percent of total billed charges 1048 4191 Excision Neck Mass 21556 CPT 49021556 LOCAL 490 RC outpatient 4191 3562 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 838 percent of total billed charges 838 4191 Excision Neck Mass 21556 CPT 49021556 LOCAL 490 RC outpatient 4191 3562 Humana-Commerical PPO 46 46% of all negotiated rates 2263 percent of total billed charges 2263 4191 Excision Neck Mass 21556 CPT 49021556 LOCAL 490 RC outpatient 4191 3562 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 2556 percent of total billed charges 2556 4191 Excision Neck Mass 21556 CPT 49021556 LOCAL 490 RC outpatient 4191 3562 Multiplan PPO 80 80% of all negotiated rates 838 percent of total billed charges 838 4191 Excision Neck Mass 21556 CPT 49021556 LOCAL 490 RC outpatient 4191 3562 Optum Medicare HMO 39 39% of all negotiated rates 2556 percent of total billed charges 2556 4191 Excision Neck Mass 21556 CPT 49021556 LOCAL 490 RC outpatient 4191 3562 P3 HMO 39 39% of all negotiated rates 2556 percent of total billed charges 2556 4191 Excision Neck Mass 21556 CPT 49021556 LOCAL 490 RC outpatient 4191 3562 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 1467 percent of total billed charges 1467 4191 Excision Neck Mass 21556 CPT 49021556 LOCAL 490 RC outpatient 4191 3562 Select Health HMO 41 41% of all negotiated rates 2472 percent of total billed charges 2472 4191 Excision Neck Mass 21556 CPT 49021556 LOCAL 490 RC outpatient 4191 3562 Silversummit Medicare HMO 39 39% of all negotiated rates 2556 percent of total billed charges 2556 4191 Excision Neck Mass 21556 CPT 49021556 LOCAL 490 RC outpatient 4191 3562 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 2724 percent of total billed charges 2724 4191 Excision Neck Mass 21556 CPT 49021556 LOCAL 490 RC outpatient 4191 3562 TriWest PPO 30 30% of all negotiated rates 2933 percent of total billed charges 2933 4191 Excision Neck Mass 21556 CPT 49021556 LOCAL 490 RC outpatient 4191 3562 UHN-Universal Health Network PPO 65 65% of all negotiated rates 1467 percent of total billed charges 1467 4191 Excision Neck Mass 21556 CPT 49021556 LOCAL 490 RC outpatient 4191 3562 Aetna PPO 950 case rate 950 case rate 950 3991 Coinsurance and deductible may apply Excision Neck Mass 21556 CPT 49021556 LOCAL 490 RC outpatient 4191 3562 Anthem Medicaid HMO 625 NV Medicaid SDS Rate 625 fee schedule 625 3991 Coinsurance and deductible may apply Excision Neck Mass 21556 CPT 49021556 LOCAL 490 RC outpatient 4191 3562 Cigna PPO 1014 case rate 1014 case rate 1014 3991 Coinsurance and deductible may apply Excision Neck Mass 21556 CPT 49021556 LOCAL 490 RC outpatient 4191 3562 Coalition PPO 939 Coalition grouper rate 939 case rate 939 3991 Coinsurance and deductible may apply Excision Neck Mass 21556 CPT 49021556 LOCAL 490 RC outpatient 4191 3562 HPN Medicaid HMO 625 NV Medicaid SDS Rate 625 fee schedule 625 3991 Coinsurance and deductible may apply Excision Neck Mass 21556 CPT 49021556 LOCAL 490 RC outpatient 4191 3562 Molina Medicaid HMO 625 NV Medicaid SDS Rate 625 case rate 625 3991 Coinsurance and deductible may apply Excision Neck Mass 21556 CPT 49021556 LOCAL 490 RC outpatient 4191 3562 One Health PPO 1273 case rate 1273 case rate 1273 3991 Coinsurance and deductible may apply Excision Neck Mass 21556 CPT 49021556 LOCAL 490 RC outpatient 4191 3562 Sierra Healthcare Options PPO 1014 case rate 1014 case rate 1014 3991 Coinsurance and deductible may apply Excision Neck Mass 21556 CPT 49021556 LOCAL 490 RC outpatient 4191 3562 Sierra/HPN HMO 1014 case rate 1014 case rate 1014 3991 Coinsurance and deductible may apply Excision Neck Mass 21556 CPT 49021556 LOCAL 490 RC outpatient 4191 3562 Teachers Trust PPO 939 Teachers grouper rate 939 case rate 939 3991 Coinsurance and deductible may apply Excision Neck Mass 21556 CPT 49021556 LOCAL 490 RC outpatient 4191 3562 United Healthcare PPO 1273 case rate 1273 case rate 1273 3991 Coinsurance and deductible may apply Flu/RSV PCR XPERT 87631 CPT 4010307 LOCAL 306 RC outpatient 471 401 Aetna PPO 38 38% of all negotiated rates 292 percent of total billed charges 292 471 Flu/RSV PCR XPERT 87631 CPT 4010307 LOCAL 306 RC outpatient 471 401 Aetna Medicare HMO 26 26% of all negotiated rates 349 percent of total billed charges 349 471 Flu/RSV PCR XPERT 87631 CPT 4010307 LOCAL 306 RC outpatient 471 401 Alignment Medicare HMO 39 39% of all negotiated rates 288 percent of total billed charges 288 471 Flu/RSV PCR XPERT 87631 CPT 4010307 LOCAL 306 RC outpatient 471 401 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 189 percent of total billed charges 189 471 Flu/RSV PCR XPERT 87631 CPT 4010307 LOCAL 306 RC outpatient 471 401 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 236 percent of total billed charges 236 471 Flu/RSV PCR XPERT 87631 CPT 4010307 LOCAL 306 RC outpatient 471 401 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 288 percent of total billed charges 288 471 Flu/RSV PCR XPERT 87631 CPT 4010307 LOCAL 306 RC outpatient 471 401 Cigna PPO 68 68% of all negotiated rates 151 percent of total billed charges 151 471 Flu/RSV PCR XPERT 87631 CPT 4010307 LOCAL 306 RC outpatient 471 401 Coalition PPO 49 49% of all negotiated rates 240 percent of total billed charges 240 471 Flu/RSV PCR XPERT 87631 CPT 4010307 LOCAL 306 RC outpatient 471 401 Coventry PPO 75 75% of all negotiated rates 118 percent of total billed charges 118 471 Flu/RSV PCR XPERT 87631 CPT 4010307 LOCAL 306 RC outpatient 471 401 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 94 percent of total billed charges 94 471 Flu/RSV PCR XPERT 87631 CPT 4010307 LOCAL 306 RC outpatient 471 401 Humana-Commerical PPO 70 70% of all negotiated rates 141 percent of total billed charges 141 471 Flu/RSV PCR XPERT 87631 CPT 4010307 LOCAL 306 RC outpatient 471 401 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 288 percent of total billed charges 288 471 Flu/RSV PCR XPERT 87631 CPT 4010307 LOCAL 306 RC outpatient 471 401 Multiplan PPO 80 80% of all negotiated rates 94 percent of total billed charges 94 471 Flu/RSV PCR XPERT 87631 CPT 4010307 LOCAL 306 RC outpatient 471 401 One Health PPO 55 55% of all negotiated rates 212 percent of total billed charges 212 471 Flu/RSV PCR XPERT 87631 CPT 4010307 LOCAL 306 RC outpatient 471 401 Optum Medicare HMO 39 39% of all negotiated rates 288 percent of total billed charges 288 471 Flu/RSV PCR XPERT 87631 CPT 4010307 LOCAL 306 RC outpatient 471 401 P3 HMO 39 39% of all negotiated rates 288 percent of total billed charges 288 471 Flu/RSV PCR XPERT 87631 CPT 4010307 LOCAL 306 RC outpatient 471 401 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 141 percent of total billed charges 141 471 Flu/RSV PCR XPERT 87631 CPT 4010307 LOCAL 306 RC outpatient 471 401 Select Health HMO 41 41% of all negotiated rates 278 percent of total billed charges 278 471 Flu/RSV PCR XPERT 87631 CPT 4010307 LOCAL 306 RC outpatient 471 401 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 314 percent of total billed charges 314 471 Flu/RSV PCR XPERT 87631 CPT 4010307 LOCAL 306 RC outpatient 471 401 Sierra/HPN HMO 60 60% of all negotiated rates 189 percent of total billed charges 189 471 Flu/RSV PCR XPERT 87631 CPT 4010307 LOCAL 306 RC outpatient 471 401 Silversummit Medicare HMO 39 39% of all negotiated rates 288 percent of total billed charges 288 471 Flu/RSV PCR XPERT 87631 CPT 4010307 LOCAL 306 RC outpatient 471 401 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 306 percent of total billed charges 306 471 Flu/RSV PCR XPERT 87631 CPT 4010307 LOCAL 306 RC outpatient 471 401 Teachers Trust PPO 65 65% of all negotiated rates 165 percent of total billed charges 165 471 Flu/RSV PCR XPERT 87631 CPT 4010307 LOCAL 306 RC outpatient 471 401 TriWest PPO 30 30% of all negotiated rates 330 percent of total billed charges 330 471 Flu/RSV PCR XPERT 87631 CPT 4010307 LOCAL 306 RC outpatient 471 401 UHN-Universal Health Network PPO 70 70% of all negotiated rates 141 percent of total billed charges 141 471 Flu/RSV PCR XPERT 87631 CPT 4010307 LOCAL 306 RC outpatient 471 401 United Healthcare PPO 60 60% of all negotiated rates 189 percent of total billed charges 189 471 Folate 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 Aetna PPO 38 38% of all negotiated rates 305 percent of total billed charges 305 491 Folate 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 Aetna Medicare HMO 26 26% of all negotiated rates 364 percent of total billed charges 364 491 Folate 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 Alignment Medicare HMO 39 39% of all negotiated rates 300 percent of total billed charges 300 491 Folate 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 197 percent of total billed charges 197 491 Folate 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 246 percent of total billed charges 246 491 Folate 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 300 percent of total billed charges 300 491 Folate 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 Cigna PPO 68 68% of all negotiated rates 157 percent of total billed charges 157 491 Folate 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 Coalition PPO 49 49% of all negotiated rates 251 percent of total billed charges 251 491 Folate 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 Coventry PPO 75 75% of all negotiated rates 123 percent of total billed charges 123 491 Folate 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 98 percent of total billed charges 98 491 Folate 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 Humana-Commerical PPO 70 70% of all negotiated rates 147 percent of total billed charges 147 491 Folate 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 300 percent of total billed charges 300 491 Folate 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 Multiplan PPO 80 80% of all negotiated rates 98 percent of total billed charges 98 491 Folate 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 One Health PPO 55 55% of all negotiated rates 221 percent of total billed charges 221 491 Folate 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 Optum Medicare HMO 39 39% of all negotiated rates 300 percent of total billed charges 300 491 Folate 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 P3 HMO 39 39% of all negotiated rates 300 percent of total billed charges 300 491 Folate 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 147 percent of total billed charges 147 491 Folate 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 Select Health HMO 41 41% of all negotiated rates 290 percent of total billed charges 290 491 Folate 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 327 percent of total billed charges 327 491 Folate 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 Sierra/HPN HMO 60 60% of all negotiated rates 197 percent of total billed charges 197 491 Folate 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 Silversummit Medicare HMO 39 39% of all negotiated rates 300 percent of total billed charges 300 491 Folate 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 319 percent of total billed charges 319 491 Folate 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 Teachers Trust PPO 65 65% of all negotiated rates 172 percent of total billed charges 172 491 Folate 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 TriWest PPO 30 30% of all negotiated rates 344 percent of total billed charges 344 491 Folate 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 UHN-Universal Health Network PPO 70 70% of all negotiated rates 147 percent of total billed charges 147 491 Folate 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 United Healthcare PPO 60 60% of all negotiated rates 197 percent of total billed charges 197 491 Folate 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 10 fee schedule 10 468 Coinsurance and deductible may apply Folate 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 10 fee schedule 10 468 Coinsurance and deductible may apply Folate 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 10 fee schedule 10 468 Coinsurance and deductible may apply Folate Level 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 Aetna PPO 38 38% of all negotiated rates 305 percent of total billed charges 305 491 Folate Level 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 Aetna Medicare HMO 26 26% of all negotiated rates 364 percent of total billed charges 364 491 Folate Level 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 Alignment Medicare HMO 39 39% of all negotiated rates 300 percent of total billed charges 300 491 Folate Level 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 197 percent of total billed charges 197 491 Folate Level 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 246 percent of total billed charges 246 491 Folate Level 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 300 percent of total billed charges 300 491 Folate Level 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 Cigna PPO 68 68% of all negotiated rates 157 percent of total billed charges 157 491 Folate Level 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 Coalition PPO 49 49% of all negotiated rates 251 percent of total billed charges 251 491 Folate Level 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 Coventry PPO 75 75% of all negotiated rates 123 percent of total billed charges 123 491 Folate Level 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 98 percent of total billed charges 98 491 Folate Level 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 Humana-Commerical PPO 70 70% of all negotiated rates 147 percent of total billed charges 147 491 Folate Level 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 300 percent of total billed charges 300 491 Folate Level 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 Multiplan PPO 80 80% of all negotiated rates 98 percent of total billed charges 98 491 Folate Level 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 One Health PPO 55 55% of all negotiated rates 221 percent of total billed charges 221 491 Folate Level 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 Optum Medicare HMO 39 39% of all negotiated rates 300 percent of total billed charges 300 491 Folate Level 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 P3 HMO 39 39% of all negotiated rates 300 percent of total billed charges 300 491 Folate Level 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 147 percent of total billed charges 147 491 Folate Level 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 Select Health HMO 41 41% of all negotiated rates 290 percent of total billed charges 290 491 Folate Level 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 327 percent of total billed charges 327 491 Folate Level 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 Sierra/HPN HMO 60 60% of all negotiated rates 197 percent of total billed charges 197 491 Folate Level 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 Silversummit Medicare HMO 39 39% of all negotiated rates 300 percent of total billed charges 300 491 Folate Level 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 319 percent of total billed charges 319 491 Folate Level 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 Teachers Trust PPO 65 65% of all negotiated rates 172 percent of total billed charges 172 491 Folate Level 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 TriWest PPO 30 30% of all negotiated rates 344 percent of total billed charges 344 491 Folate Level 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 UHN-Universal Health Network PPO 70 70% of all negotiated rates 147 percent of total billed charges 147 491 Folate Level 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 United Healthcare PPO 60 60% of all negotiated rates 197 percent of total billed charges 197 491 Folate Level 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 10 fee schedule 10 468 Coinsurance and deductible may apply Folate Level 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 10 fee schedule 10 468 Coinsurance and deductible may apply Folate Level 82746 CPT 4007469 LOCAL 301 RC outpatient 491 418 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 10 fee schedule 10 468 Coinsurance and deductible may apply Foreign Body Removal Ankle 27610 CPT 49027610 LOCAL 490 RC outpatient 5388 4579 Aetna Medicare HMO 26 26% of all negotiated rates 3987 percent of total billed charges 3987 5388 Foreign Body Removal Ankle 27610 CPT 49027610 LOCAL 490 RC outpatient 5388 4579 Alignment Medicare HMO 39 39% of all negotiated rates 3286 percent of total billed charges 3286 5388 Foreign Body Removal Ankle 27610 CPT 49027610 LOCAL 490 RC outpatient 5388 4579 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 2155 percent of total billed charges 2155 5388 Foreign Body Removal Ankle 27610 CPT 49027610 LOCAL 490 RC outpatient 5388 4579 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 2694 percent of total billed charges 2694 5388 Foreign Body Removal Ankle 27610 CPT 49027610 LOCAL 490 RC outpatient 5388 4579 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 3286 percent of total billed charges 3286 5388 Foreign Body Removal Ankle 27610 CPT 49027610 LOCAL 490 RC outpatient 5388 4579 Coventry PPO 75 75% of all negotiated rates 1347 percent of total billed charges 1347 5388 Foreign Body Removal Ankle 27610 CPT 49027610 LOCAL 490 RC outpatient 5388 4579 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 1078 percent of total billed charges 1078 5388 Foreign Body Removal Ankle 27610 CPT 49027610 LOCAL 490 RC outpatient 5388 4579 Humana-Commerical PPO 46 46% of all negotiated rates 2909 percent of total billed charges 2909 5388 Foreign Body Removal Ankle 27610 CPT 49027610 LOCAL 490 RC outpatient 5388 4579 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 3286 percent of total billed charges 3286 5388 Foreign Body Removal Ankle 27610 CPT 49027610 LOCAL 490 RC outpatient 5388 4579 Multiplan PPO 80 80% of all negotiated rates 1078 percent of total billed charges 1078 5388 Foreign Body Removal Ankle 27610 CPT 49027610 LOCAL 490 RC outpatient 5388 4579 Optum Medicare HMO 39 39% of all negotiated rates 3286 percent of total billed charges 3286 5388 Foreign Body Removal Ankle 27610 CPT 49027610 LOCAL 490 RC outpatient 5388 4579 P3 HMO 39 39% of all negotiated rates 3286 percent of total billed charges 3286 5388 Foreign Body Removal Ankle 27610 CPT 49027610 LOCAL 490 RC outpatient 5388 4579 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 1886 percent of total billed charges 1886 5388 Foreign Body Removal Ankle 27610 CPT 49027610 LOCAL 490 RC outpatient 5388 4579 Select Health HMO 41 41% of all negotiated rates 3179 percent of total billed charges 3179 5388 Foreign Body Removal Ankle 27610 CPT 49027610 LOCAL 490 RC outpatient 5388 4579 Silversummit Medicare HMO 39 39% of all negotiated rates 3286 percent of total billed charges 3286 5388 Foreign Body Removal Ankle 27610 CPT 49027610 LOCAL 490 RC outpatient 5388 4579 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 3502 percent of total billed charges 3502 5388 Foreign Body Removal Ankle 27610 CPT 49027610 LOCAL 490 RC outpatient 5388 4579 TriWest PPO 30 30% of all negotiated rates 3771 percent of total billed charges 3771 5388 Foreign Body Removal Ankle 27610 CPT 49027610 LOCAL 490 RC outpatient 5388 4579 UHN-Universal Health Network PPO 65 65% of all negotiated rates 1886 percent of total billed charges 1886 5388 Foreign Body Removal Ankle 27610 CPT 49027610 LOCAL 490 RC outpatient 5388 4579 Aetna PPO 950 case rate 950 case rate 950 5131 Coinsurance and deductible may apply Foreign Body Removal Ankle 27610 CPT 49027610 LOCAL 490 RC outpatient 5388 4579 Anthem Medicaid HMO 1059 NV Medicaid SDS Rate 1059 fee schedule 1059 5131 Coinsurance and deductible may apply Foreign Body Removal Ankle 27610 CPT 49027610 LOCAL 490 RC outpatient 5388 4579 Cigna PPO 1014 case rate 1014 case rate 1014 5131 Coinsurance and deductible may apply Foreign Body Removal Ankle 27610 CPT 49027610 LOCAL 490 RC outpatient 5388 4579 Coalition PPO 939 Coalition grouper rate 939 case rate 939 5131 Coinsurance and deductible may apply Foreign Body Removal Ankle 27610 CPT 49027610 LOCAL 490 RC outpatient 5388 4579 HPN Medicaid HMO 1059 NV Medicaid SDS Rate 1059 fee schedule 1059 5131 Coinsurance and deductible may apply Foreign Body Removal Ankle 27610 CPT 49027610 LOCAL 490 RC outpatient 5388 4579 Molina Medicaid HMO 1059 NV Medicaid SDS Rate 1059 case rate 1059 5131 Coinsurance and deductible may apply Foreign Body Removal Ankle 27610 CPT 49027610 LOCAL 490 RC outpatient 5388 4579 One Health PPO 1441 case rate 1441 case rate 1441 5131 Coinsurance and deductible may apply Foreign Body Removal Ankle 27610 CPT 49027610 LOCAL 490 RC outpatient 5388 4579 Sierra Healthcare Options PPO 1014 case rate 1014 case rate 1014 5131 Coinsurance and deductible may apply Foreign Body Removal Ankle 27610 CPT 49027610 LOCAL 490 RC outpatient 5388 4579 Sierra/HPN HMO 1014 case rate 1014 case rate 1014 5131 Coinsurance and deductible may apply Foreign Body Removal Ankle 27610 CPT 49027610 LOCAL 490 RC outpatient 5388 4579 Teachers Trust PPO 939 Teachers grouper rate 939 case rate 939 5131 Coinsurance and deductible may apply Foreign Body Removal Ankle 27610 CPT 49027610 LOCAL 490 RC outpatient 5388 4579 United Healthcare PPO 1441 case rate 1441 case rate 1441 5131 Coinsurance and deductible may apply Foreign Body Removal Elbow 24000 CPT 49024000 LOCAL 490 RC outpatient 6026 5122 Aetna Medicare HMO 26 26% of all negotiated rates 4459 percent of total billed charges 4459 6026 Foreign Body Removal Elbow 24000 CPT 49024000 LOCAL 490 RC outpatient 6026 5122 Alignment Medicare HMO 39 39% of all negotiated rates 3676 percent of total billed charges 3676 6026 Foreign Body Removal Elbow 24000 CPT 49024000 LOCAL 490 RC outpatient 6026 5122 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 2410 percent of total billed charges 2410 6026 Foreign Body Removal Elbow 24000 CPT 49024000 LOCAL 490 RC outpatient 6026 5122 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 3013 percent of total billed charges 3013 6026 Foreign Body Removal Elbow 24000 CPT 49024000 LOCAL 490 RC outpatient 6026 5122 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 3676 percent of total billed charges 3676 6026 Foreign Body Removal Elbow 24000 CPT 49024000 LOCAL 490 RC outpatient 6026 5122 Coventry PPO 75 75% of all negotiated rates 1506 percent of total billed charges 1506 6026 Foreign Body Removal Elbow 24000 CPT 49024000 LOCAL 490 RC outpatient 6026 5122 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 1205 percent of total billed charges 1205 6026 Foreign Body Removal Elbow 24000 CPT 49024000 LOCAL 490 RC outpatient 6026 5122 Humana-Commerical PPO 46 46% of all negotiated rates 3254 percent of total billed charges 3254 6026 Foreign Body Removal Elbow 24000 CPT 49024000 LOCAL 490 RC outpatient 6026 5122 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 3676 percent of total billed charges 3676 6026 Foreign Body Removal Elbow 24000 CPT 49024000 LOCAL 490 RC outpatient 6026 5122 Multiplan PPO 80 80% of all negotiated rates 1205 percent of total billed charges 1205 6026 Foreign Body Removal Elbow 24000 CPT 49024000 LOCAL 490 RC outpatient 6026 5122 Optum Medicare HMO 39 39% of all negotiated rates 3676 percent of total billed charges 3676 6026 Foreign Body Removal Elbow 24000 CPT 49024000 LOCAL 490 RC outpatient 6026 5122 P3 HMO 39 39% of all negotiated rates 3676 percent of total billed charges 3676 6026 Foreign Body Removal Elbow 24000 CPT 49024000 LOCAL 490 RC outpatient 6026 5122 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 2109 percent of total billed charges 2109 6026 Foreign Body Removal Elbow 24000 CPT 49024000 LOCAL 490 RC outpatient 6026 5122 Select Health HMO 41 41% of all negotiated rates 3555 percent of total billed charges 3555 6026 Foreign Body Removal Elbow 24000 CPT 49024000 LOCAL 490 RC outpatient 6026 5122 Silversummit Medicare HMO 39 39% of all negotiated rates 3676 percent of total billed charges 3676 6026 Foreign Body Removal Elbow 24000 CPT 49024000 LOCAL 490 RC outpatient 6026 5122 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 3917 percent of total billed charges 3917 6026 Foreign Body Removal Elbow 24000 CPT 49024000 LOCAL 490 RC outpatient 6026 5122 TriWest PPO 30 30% of all negotiated rates 4218 percent of total billed charges 4218 6026 Foreign Body Removal Elbow 24000 CPT 49024000 LOCAL 490 RC outpatient 6026 5122 UHN-Universal Health Network PPO 65 65% of all negotiated rates 2109 percent of total billed charges 2109 6026 Foreign Body Removal Elbow 24000 CPT 49024000 LOCAL 490 RC outpatient 6026 5122 Aetna PPO 1350 case rate 1350 case rate 1350 5739 Coinsurance and deductible may apply Foreign Body Removal Elbow 24000 CPT 49024000 LOCAL 490 RC outpatient 6026 5122 Anthem Medicaid HMO 1059 NV Medicaid SDS Rate 1059 fee schedule 1059 5739 Coinsurance and deductible may apply Foreign Body Removal Elbow 24000 CPT 49024000 LOCAL 490 RC outpatient 6026 5122 Cigna PPO 1427 case rate 1427 case rate 1427 5739 Coinsurance and deductible may apply Foreign Body Removal Elbow 24000 CPT 49024000 LOCAL 490 RC outpatient 6026 5122 Coalition PPO 1321 Coalition grouper rate 1321 case rate 1321 5739 Coinsurance and deductible may apply Foreign Body Removal Elbow 24000 CPT 49024000 LOCAL 490 RC outpatient 6026 5122 HPN Medicaid HMO 1059 NV Medicaid SDS Rate 1059 fee schedule 1059 5739 Coinsurance and deductible may apply Foreign Body Removal Elbow 24000 CPT 49024000 LOCAL 490 RC outpatient 6026 5122 Molina Medicaid HMO 1059 NV Medicaid SDS Rate 1059 case rate 1059 5739 Coinsurance and deductible may apply Foreign Body Removal Elbow 24000 CPT 49024000 LOCAL 490 RC outpatient 6026 5122 One Health PPO 1441 case rate 1441 case rate 1441 5739 Coinsurance and deductible may apply Foreign Body Removal Elbow 24000 CPT 49024000 LOCAL 490 RC outpatient 6026 5122 Sierra Healthcare Options PPO 1427 case rate 1427 case rate 1427 5739 Coinsurance and deductible may apply Foreign Body Removal Elbow 24000 CPT 49024000 LOCAL 490 RC outpatient 6026 5122 Sierra/HPN HMO 1427 case rate 1427 case rate 1427 5739 Coinsurance and deductible may apply Foreign Body Removal Elbow 24000 CPT 49024000 LOCAL 490 RC outpatient 6026 5122 Teachers Trust PPO 1321 Teachers grouper rate 1321 case rate 1321 5739 Coinsurance and deductible may apply Foreign Body Removal Elbow 24000 CPT 49024000 LOCAL 490 RC outpatient 6026 5122 United Healthcare PPO 1441 case rate 1441 case rate 1441 5739 Coinsurance and deductible may apply Foreign Body Removal Foot 28190 CPT 49028190 LOCAL 490 RC outpatient 1671 1420 Aetna Medicare HMO 26 26% of all negotiated rates 1236 percent of total billed charges 1236 1671 Foreign Body Removal Foot 28190 CPT 49028190 LOCAL 490 RC outpatient 1671 1420 Alignment Medicare HMO 39 39% of all negotiated rates 1019 percent of total billed charges 1019 1671 Foreign Body Removal Foot 28190 CPT 49028190 LOCAL 490 RC outpatient 1671 1420 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 668 percent of total billed charges 668 1671 Foreign Body Removal Foot 28190 CPT 49028190 LOCAL 490 RC outpatient 1671 1420 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 835 percent of total billed charges 835 1671 Foreign Body Removal Foot 28190 CPT 49028190 LOCAL 490 RC outpatient 1671 1420 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 1019 percent of total billed charges 1019 1671 Foreign Body Removal Foot 28190 CPT 49028190 LOCAL 490 RC outpatient 1671 1420 Coventry PPO 75 75% of all negotiated rates 418 percent of total billed charges 418 1671 Foreign Body Removal Foot 28190 CPT 49028190 LOCAL 490 RC outpatient 1671 1420 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 334 percent of total billed charges 334 1671 Foreign Body Removal Foot 28190 CPT 49028190 LOCAL 490 RC outpatient 1671 1420 Humana-Commerical PPO 46 46% of all negotiated rates 902 percent of total billed charges 902 1671 Foreign Body Removal Foot 28190 CPT 49028190 LOCAL 490 RC outpatient 1671 1420 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 1019 percent of total billed charges 1019 1671 Foreign Body Removal Foot 28190 CPT 49028190 LOCAL 490 RC outpatient 1671 1420 Multiplan PPO 80 80% of all negotiated rates 334 percent of total billed charges 334 1671 Foreign Body Removal Foot 28190 CPT 49028190 LOCAL 490 RC outpatient 1671 1420 Optum Medicare HMO 39 39% of all negotiated rates 1019 percent of total billed charges 1019 1671 Foreign Body Removal Foot 28190 CPT 49028190 LOCAL 490 RC outpatient 1671 1420 P3 HMO 39 39% of all negotiated rates 1019 percent of total billed charges 1019 1671 Foreign Body Removal Foot 28190 CPT 49028190 LOCAL 490 RC outpatient 1671 1420 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 585 percent of total billed charges 585 1671 Foreign Body Removal Foot 28190 CPT 49028190 LOCAL 490 RC outpatient 1671 1420 Select Health HMO 41 41% of all negotiated rates 986 percent of total billed charges 986 1671 Foreign Body Removal Foot 28190 CPT 49028190 LOCAL 490 RC outpatient 1671 1420 Silversummit Medicare HMO 39 39% of all negotiated rates 1019 percent of total billed charges 1019 1671 Foreign Body Removal Foot 28190 CPT 49028190 LOCAL 490 RC outpatient 1671 1420 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 1086 percent of total billed charges 1086 1671 Foreign Body Removal Foot 28190 CPT 49028190 LOCAL 490 RC outpatient 1671 1420 TriWest PPO 30 30% of all negotiated rates 1169 percent of total billed charges 1169 1671 Foreign Body Removal Foot 28190 CPT 49028190 LOCAL 490 RC outpatient 1671 1420 UHN-Universal Health Network PPO 65 65% of all negotiated rates 585 percent of total billed charges 585 1671 Foreign Body Removal Foot 28190 CPT 49028190 LOCAL 490 RC outpatient 1671 1420 Aetna PPO 950 case rate 950 case rate 950 1591 Coinsurance and deductible may apply Foreign Body Removal Foot 28190 CPT 49028190 LOCAL 490 RC outpatient 1671 1420 Anthem Medicaid HMO 127 NV Medicaid SDS Rate 127 fee schedule 127 1591 Coinsurance and deductible may apply Foreign Body Removal Foot 28190 CPT 49028190 LOCAL 490 RC outpatient 1671 1420 Cigna PPO 756 case rate 756 case rate 756 1591 Coinsurance and deductible may apply Foreign Body Removal Foot 28190 CPT 49028190 LOCAL 490 RC outpatient 1671 1420 Coalition PPO 432 Coalition grouper rate 432 case rate 432 1591 Coinsurance and deductible may apply Foreign Body Removal Foot 28190 CPT 49028190 LOCAL 490 RC outpatient 1671 1420 HPN Medicaid HMO 127 NV Medicaid SDS Rate 127 fee schedule 127 1591 Coinsurance and deductible may apply Foreign Body Removal Foot 28190 CPT 49028190 LOCAL 490 RC outpatient 1671 1420 Molina Medicaid HMO 127 NV Medicaid SDS Rate 127 case rate 127 1591 Coinsurance and deductible may apply Foreign Body Removal Foot 28190 CPT 49028190 LOCAL 490 RC outpatient 1671 1420 One Health PPO 686 case rate 686 case rate 686 1591 Coinsurance and deductible may apply Foreign Body Removal Foot 28190 CPT 49028190 LOCAL 490 RC outpatient 1671 1420 Sierra Healthcare Options PPO 756 case rate 756 case rate 756 1591 Coinsurance and deductible may apply Foreign Body Removal Foot 28190 CPT 49028190 LOCAL 490 RC outpatient 1671 1420 Sierra/HPN HMO 756 case rate 756 case rate 756 1591 Coinsurance and deductible may apply Foreign Body Removal Foot 28190 CPT 49028190 LOCAL 490 RC outpatient 1671 1420 Teachers Trust PPO 432 Teachers grouper rate 432 case rate 432 1591 Coinsurance and deductible may apply Foreign Body Removal Foot 28190 CPT 49028190 LOCAL 490 RC outpatient 1671 1420 United Healthcare PPO 686 case rate 686 case rate 686 1591 Coinsurance and deductible may apply Foreign Body Removal Knee 27310 CPT 49027310 LOCAL 490 RC outpatient 3856 3277 Aetna Medicare HMO 26 26% of all negotiated rates 2853 percent of total billed charges 2853 3856 Foreign Body Removal Knee 27310 CPT 49027310 LOCAL 490 RC outpatient 3856 3277 Alignment Medicare HMO 39 39% of all negotiated rates 2352 percent of total billed charges 2352 3856 Foreign Body Removal Knee 27310 CPT 49027310 LOCAL 490 RC outpatient 3856 3277 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 1542 percent of total billed charges 1542 3856 Foreign Body Removal Knee 27310 CPT 49027310 LOCAL 490 RC outpatient 3856 3277 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 1928 percent of total billed charges 1928 3856 Foreign Body Removal Knee 27310 CPT 49027310 LOCAL 490 RC outpatient 3856 3277 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 2352 percent of total billed charges 2352 3856 Foreign Body Removal Knee 27310 CPT 49027310 LOCAL 490 RC outpatient 3856 3277 Coventry PPO 75 75% of all negotiated rates 964 percent of total billed charges 964 3856 Foreign Body Removal Knee 27310 CPT 49027310 LOCAL 490 RC outpatient 3856 3277 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 771 percent of total billed charges 771 3856 Foreign Body Removal Knee 27310 CPT 49027310 LOCAL 490 RC outpatient 3856 3277 Humana-Commerical PPO 46 46% of all negotiated rates 2082 percent of total billed charges 2082 3856 Foreign Body Removal Knee 27310 CPT 49027310 LOCAL 490 RC outpatient 3856 3277 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 2352 percent of total billed charges 2352 3856 Foreign Body Removal Knee 27310 CPT 49027310 LOCAL 490 RC outpatient 3856 3277 Multiplan PPO 80 80% of all negotiated rates 771 percent of total billed charges 771 3856 Foreign Body Removal Knee 27310 CPT 49027310 LOCAL 490 RC outpatient 3856 3277 Optum Medicare HMO 39 39% of all negotiated rates 2352 percent of total billed charges 2352 3856 Foreign Body Removal Knee 27310 CPT 49027310 LOCAL 490 RC outpatient 3856 3277 P3 HMO 39 39% of all negotiated rates 2352 percent of total billed charges 2352 3856 Foreign Body Removal Knee 27310 CPT 49027310 LOCAL 490 RC outpatient 3856 3277 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 1349 percent of total billed charges 1349 3856 Foreign Body Removal Knee 27310 CPT 49027310 LOCAL 490 RC outpatient 3856 3277 Select Health HMO 41 41% of all negotiated rates 2275 percent of total billed charges 2275 3856 Foreign Body Removal Knee 27310 CPT 49027310 LOCAL 490 RC outpatient 3856 3277 Silversummit Medicare HMO 39 39% of all negotiated rates 2352 percent of total billed charges 2352 3856 Foreign Body Removal Knee 27310 CPT 49027310 LOCAL 490 RC outpatient 3856 3277 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 2506 percent of total billed charges 2506 3856 Foreign Body Removal Knee 27310 CPT 49027310 LOCAL 490 RC outpatient 3856 3277 TriWest PPO 30 30% of all negotiated rates 2699 percent of total billed charges 2699 3856 Foreign Body Removal Knee 27310 CPT 49027310 LOCAL 490 RC outpatient 3856 3277 UHN-Universal Health Network PPO 65 65% of all negotiated rates 1349 percent of total billed charges 1349 3856 Foreign Body Removal Knee 27310 CPT 49027310 LOCAL 490 RC outpatient 3856 3277 Aetna PPO 1350 case rate 1350 case rate 1350 3672 Coinsurance and deductible may apply Foreign Body Removal Knee 27310 CPT 49027310 LOCAL 490 RC outpatient 3856 3277 Anthem Medicaid HMO 1059 NV Medicaid SDS Rate 1059 fee schedule 1059 3672 Coinsurance and deductible may apply Foreign Body Removal Knee 27310 CPT 49027310 LOCAL 490 RC outpatient 3856 3277 Cigna PPO 1427 case rate 1427 case rate 1427 3672 Coinsurance and deductible may apply Foreign Body Removal Knee 27310 CPT 49027310 LOCAL 490 RC outpatient 3856 3277 Coalition PPO 1321 Coalition grouper rate 1321 case rate 1321 3672 Coinsurance and deductible may apply Foreign Body Removal Knee 27310 CPT 49027310 LOCAL 490 RC outpatient 3856 3277 HPN Medicaid HMO 1059 NV Medicaid SDS Rate 1059 fee schedule 1059 3672 Coinsurance and deductible may apply Foreign Body Removal Knee 27310 CPT 49027310 LOCAL 490 RC outpatient 3856 3277 Molina Medicaid HMO 1059 NV Medicaid SDS Rate 1059 case rate 1059 3672 Coinsurance and deductible may apply Foreign Body Removal Knee 27310 CPT 49027310 LOCAL 490 RC outpatient 3856 3277 One Health PPO 1441 case rate 1441 case rate 1441 3672 Coinsurance and deductible may apply Foreign Body Removal Knee 27310 CPT 49027310 LOCAL 490 RC outpatient 3856 3277 Sierra Healthcare Options PPO 1427 case rate 1427 case rate 1427 3672 Coinsurance and deductible may apply Foreign Body Removal Knee 27310 CPT 49027310 LOCAL 490 RC outpatient 3856 3277 Sierra/HPN HMO 1427 case rate 1427 case rate 1427 3672 Coinsurance and deductible may apply Foreign Body Removal Knee 27310 CPT 49027310 LOCAL 490 RC outpatient 3856 3277 Teachers Trust PPO 1321 Teachers grouper rate 1321 case rate 1321 3672 Coinsurance and deductible may apply Foreign Body Removal Knee 27310 CPT 49027310 LOCAL 490 RC outpatient 3856 3277 United Healthcare PPO 1441 case rate 1441 case rate 1441 3672 Coinsurance and deductible may apply Foreign Body Removal Lower Arm 25248 CPT 49025248 LOCAL 490 RC outpatient 4968 4222 Aetna Medicare HMO 26 26% of all negotiated rates 3676 percent of total billed charges 3676 4968 Foreign Body Removal Lower Arm 25248 CPT 49025248 LOCAL 490 RC outpatient 4968 4222 Alignment Medicare HMO 39 39% of all negotiated rates 3030 percent of total billed charges 3030 4968 Foreign Body Removal Lower Arm 25248 CPT 49025248 LOCAL 490 RC outpatient 4968 4222 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 1987 percent of total billed charges 1987 4968 Foreign Body Removal Lower Arm 25248 CPT 49025248 LOCAL 490 RC outpatient 4968 4222 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 2484 percent of total billed charges 2484 4968 Foreign Body Removal Lower Arm 25248 CPT 49025248 LOCAL 490 RC outpatient 4968 4222 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 3030 percent of total billed charges 3030 4968 Foreign Body Removal Lower Arm 25248 CPT 49025248 LOCAL 490 RC outpatient 4968 4222 Coventry PPO 75 75% of all negotiated rates 1242 percent of total billed charges 1242 4968 Foreign Body Removal Lower Arm 25248 CPT 49025248 LOCAL 490 RC outpatient 4968 4222 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 994 percent of total billed charges 994 4968 Foreign Body Removal Lower Arm 25248 CPT 49025248 LOCAL 490 RC outpatient 4968 4222 Humana-Commerical PPO 46 46% of all negotiated rates 2682 percent of total billed charges 2682 4968 Foreign Body Removal Lower Arm 25248 CPT 49025248 LOCAL 490 RC outpatient 4968 4222 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 3030 percent of total billed charges 3030 4968 Foreign Body Removal Lower Arm 25248 CPT 49025248 LOCAL 490 RC outpatient 4968 4222 Multiplan PPO 80 80% of all negotiated rates 994 percent of total billed charges 994 4968 Foreign Body Removal Lower Arm 25248 CPT 49025248 LOCAL 490 RC outpatient 4968 4222 Optum Medicare HMO 39 39% of all negotiated rates 3030 percent of total billed charges 3030 4968 Foreign Body Removal Lower Arm 25248 CPT 49025248 LOCAL 490 RC outpatient 4968 4222 P3 HMO 39 39% of all negotiated rates 3030 percent of total billed charges 3030 4968 Foreign Body Removal Lower Arm 25248 CPT 49025248 LOCAL 490 RC outpatient 4968 4222 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 1739 percent of total billed charges 1739 4968 Foreign Body Removal Lower Arm 25248 CPT 49025248 LOCAL 490 RC outpatient 4968 4222 Select Health HMO 41 41% of all negotiated rates 2931 percent of total billed charges 2931 4968 Foreign Body Removal Lower Arm 25248 CPT 49025248 LOCAL 490 RC outpatient 4968 4222 Silversummit Medicare HMO 39 39% of all negotiated rates 3030 percent of total billed charges 3030 4968 Foreign Body Removal Lower Arm 25248 CPT 49025248 LOCAL 490 RC outpatient 4968 4222 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 3229 percent of total billed charges 3229 4968 Foreign Body Removal Lower Arm 25248 CPT 49025248 LOCAL 490 RC outpatient 4968 4222 TriWest PPO 30 30% of all negotiated rates 3477 percent of total billed charges 3477 4968 Foreign Body Removal Lower Arm 25248 CPT 49025248 LOCAL 490 RC outpatient 4968 4222 UHN-Universal Health Network PPO 65 65% of all negotiated rates 1739 percent of total billed charges 1739 4968 Foreign Body Removal Lower Arm 25248 CPT 49025248 LOCAL 490 RC outpatient 4968 4222 Aetna PPO 950 case rate 950 case rate 950 4731 Coinsurance and deductible may apply Foreign Body Removal Lower Arm 25248 CPT 49025248 LOCAL 490 RC outpatient 4968 4222 Anthem Medicaid HMO 643 NV Medicaid SDS Rate 643 fee schedule 643 4731 Coinsurance and deductible may apply Foreign Body Removal Lower Arm 25248 CPT 49025248 LOCAL 490 RC outpatient 4968 4222 Cigna PPO 1014 case rate 1014 case rate 1014 4731 Coinsurance and deductible may apply Foreign Body Removal Lower Arm 25248 CPT 49025248 LOCAL 490 RC outpatient 4968 4222 Coalition PPO 939 Coalition grouper rate 939 case rate 939 4731 Coinsurance and deductible may apply Foreign Body Removal Lower Arm 25248 CPT 49025248 LOCAL 490 RC outpatient 4968 4222 HPN Medicaid HMO 643 NV Medicaid SDS Rate 643 fee schedule 643 4731 Coinsurance and deductible may apply Foreign Body Removal Lower Arm 25248 CPT 49025248 LOCAL 490 RC outpatient 4968 4222 Molina Medicaid HMO 643 NV Medicaid SDS Rate 643 case rate 643 4731 Coinsurance and deductible may apply Foreign Body Removal Lower Arm 25248 CPT 49025248 LOCAL 490 RC outpatient 4968 4222 One Health PPO 1273 case rate 1273 case rate 1273 4731 Coinsurance and deductible may apply Foreign Body Removal Lower Arm 25248 CPT 49025248 LOCAL 490 RC outpatient 4968 4222 Sierra Healthcare Options PPO 1014 case rate 1014 case rate 1014 4731 Coinsurance and deductible may apply Foreign Body Removal Lower Arm 25248 CPT 49025248 LOCAL 490 RC outpatient 4968 4222 Sierra/HPN HMO 1014 case rate 1014 case rate 1014 4731 Coinsurance and deductible may apply Foreign Body Removal Lower Arm 25248 CPT 49025248 LOCAL 490 RC outpatient 4968 4222 Teachers Trust PPO 939 Teachers grouper rate 939 case rate 939 4731 Coinsurance and deductible may apply Foreign Body Removal Lower Arm 25248 CPT 49025248 LOCAL 490 RC outpatient 4968 4222 United Healthcare PPO 1273 case rate 1273 case rate 1273 4731 Coinsurance and deductible may apply Foreign Body Removal Muscle 20520 CPT 49020520 LOCAL 490 RC outpatient 1149 976 Aetna Medicare HMO 26 26% of all negotiated rates 850 percent of total billed charges 850 1149 Foreign Body Removal Muscle 20520 CPT 49020520 LOCAL 490 RC outpatient 1149 976 Alignment Medicare HMO 39 39% of all negotiated rates 701 percent of total billed charges 701 1149 Foreign Body Removal Muscle 20520 CPT 49020520 LOCAL 490 RC outpatient 1149 976 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 459 percent of total billed charges 459 1149 Foreign Body Removal Muscle 20520 CPT 49020520 LOCAL 490 RC outpatient 1149 976 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 574 percent of total billed charges 574 1149 Foreign Body Removal Muscle 20520 CPT 49020520 LOCAL 490 RC outpatient 1149 976 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 701 percent of total billed charges 701 1149 Foreign Body Removal Muscle 20520 CPT 49020520 LOCAL 490 RC outpatient 1149 976 Coventry PPO 75 75% of all negotiated rates 287 percent of total billed charges 287 1149 Foreign Body Removal Muscle 20520 CPT 49020520 LOCAL 490 RC outpatient 1149 976 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 230 percent of total billed charges 230 1149 Foreign Body Removal Muscle 20520 CPT 49020520 LOCAL 490 RC outpatient 1149 976 Humana-Commerical PPO 46 46% of all negotiated rates 620 percent of total billed charges 620 1149 Foreign Body Removal Muscle 20520 CPT 49020520 LOCAL 490 RC outpatient 1149 976 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 701 percent of total billed charges 701 1149 Foreign Body Removal Muscle 20520 CPT 49020520 LOCAL 490 RC outpatient 1149 976 Multiplan PPO 80 80% of all negotiated rates 230 percent of total billed charges 230 1149 Foreign Body Removal Muscle 20520 CPT 49020520 LOCAL 490 RC outpatient 1149 976 Optum Medicare HMO 39 39% of all negotiated rates 701 percent of total billed charges 701 1149 Foreign Body Removal Muscle 20520 CPT 49020520 LOCAL 490 RC outpatient 1149 976 P3 HMO 39 39% of all negotiated rates 701 percent of total billed charges 701 1149 Foreign Body Removal Muscle 20520 CPT 49020520 LOCAL 490 RC outpatient 1149 976 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 402 percent of total billed charges 402 1149 Foreign Body Removal Muscle 20520 CPT 49020520 LOCAL 490 RC outpatient 1149 976 Select Health HMO 41 41% of all negotiated rates 678 percent of total billed charges 678 1149 Foreign Body Removal Muscle 20520 CPT 49020520 LOCAL 490 RC outpatient 1149 976 Silversummit Medicare HMO 39 39% of all negotiated rates 701 percent of total billed charges 701 1149 Foreign Body Removal Muscle 20520 CPT 49020520 LOCAL 490 RC outpatient 1149 976 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 747 percent of total billed charges 747 1149 Foreign Body Removal Muscle 20520 CPT 49020520 LOCAL 490 RC outpatient 1149 976 TriWest PPO 30 30% of all negotiated rates 804 percent of total billed charges 804 1149 Foreign Body Removal Muscle 20520 CPT 49020520 LOCAL 490 RC outpatient 1149 976 UHN-Universal Health Network PPO 65 65% of all negotiated rates 402 percent of total billed charges 402 1149 Foreign Body Removal Muscle 20520 CPT 49020520 LOCAL 490 RC outpatient 1149 976 Aetna PPO 950 case rate 950 case rate 950 1094 Coinsurance and deductible may apply Foreign Body Removal Muscle 20520 CPT 49020520 LOCAL 490 RC outpatient 1148 976 Anthem Medicaid HMO 139 NV Medicaid SDS Rate 139 fee schedule 139 1094 Coinsurance and deductible may apply Foreign Body Removal Muscle 20520 CPT 49020520 LOCAL 490 RC outpatient 1149 976 Cigna PPO 756 case rate 756 case rate 756 1094 Coinsurance and deductible may apply Foreign Body Removal Muscle 20520 CPT 49020520 LOCAL 490 RC outpatient 1149 976 Coalition PPO 700 Coalition grouper rate 700 case rate 700 1094 Coinsurance and deductible may apply Foreign Body Removal Muscle 20520 CPT 49020520 LOCAL 490 RC outpatient 1148 976 HPN Medicaid HMO 139 NV Medicaid SDS Rate 139 fee schedule 139 1094 Coinsurance and deductible may apply Foreign Body Removal Muscle 20520 CPT 49020520 LOCAL 490 RC outpatient 1149 976 Molina Medicaid HMO 139 NV Medicaid SDS Rate 139 case rate 139 1094 Coinsurance and deductible may apply Foreign Body Removal Muscle 20520 CPT 49020520 LOCAL 490 RC outpatient 1149 976 One Health PPO 686 case rate 686 case rate 686 1094 Coinsurance and deductible may apply Foreign Body Removal Muscle 20520 CPT 49020520 LOCAL 490 RC outpatient 1149 976 Sierra Healthcare Options PPO 756 case rate 756 case rate 756 1094 Coinsurance and deductible may apply Foreign Body Removal Muscle 20520 CPT 49020520 LOCAL 490 RC outpatient 1149 976 Sierra/HPN HMO 756 case rate 756 case rate 756 1094 Coinsurance and deductible may apply Foreign Body Removal Muscle 20520 CPT 49020520 LOCAL 490 RC outpatient 1149 976 Teachers Trust PPO 700 Teachers grouper rate 700 case rate 700 1094 Coinsurance and deductible may apply Foreign Body Removal Muscle 20520 CPT 49020520 LOCAL 490 RC outpatient 1149 976 United Healthcare PPO 686 case rate 686 case rate 686 1094 Coinsurance and deductible may apply Foreign Body Removal Shoulder 23040 CPT 49023040 LOCAL 490 RC outpatient 7660 6511 Aetna Medicare HMO 26 26% of all negotiated rates 5668 percent of total billed charges 5668 7660 Foreign Body Removal Shoulder 23040 CPT 49023040 LOCAL 490 RC outpatient 7660 6511 Alignment Medicare HMO 39 39% of all negotiated rates 4672 percent of total billed charges 4672 7660 Foreign Body Removal Shoulder 23040 CPT 49023040 LOCAL 490 RC outpatient 7660 6511 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 3064 percent of total billed charges 3064 7660 Foreign Body Removal Shoulder 23040 CPT 49023040 LOCAL 490 RC outpatient 7660 6511 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 3830 percent of total billed charges 3830 7660 Foreign Body Removal Shoulder 23040 CPT 49023040 LOCAL 490 RC outpatient 7660 6511 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 4672 percent of total billed charges 4672 7660 Foreign Body Removal Shoulder 23040 CPT 49023040 LOCAL 490 RC outpatient 7660 6511 Coventry PPO 75 75% of all negotiated rates 1915 percent of total billed charges 1915 7660 Foreign Body Removal Shoulder 23040 CPT 49023040 LOCAL 490 RC outpatient 7660 6511 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 1532 percent of total billed charges 1532 7660 Foreign Body Removal Shoulder 23040 CPT 49023040 LOCAL 490 RC outpatient 7660 6511 Humana-Commerical PPO 46 46% of all negotiated rates 4136 percent of total billed charges 4136 7660 Foreign Body Removal Shoulder 23040 CPT 49023040 LOCAL 490 RC outpatient 7660 6511 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 4672 percent of total billed charges 4672 7660 Foreign Body Removal Shoulder 23040 CPT 49023040 LOCAL 490 RC outpatient 7660 6511 Multiplan PPO 80 80% of all negotiated rates 1532 percent of total billed charges 1532 7660 Foreign Body Removal Shoulder 23040 CPT 49023040 LOCAL 490 RC outpatient 7660 6511 Optum Medicare HMO 39 39% of all negotiated rates 4672 percent of total billed charges 4672 7660 Foreign Body Removal Shoulder 23040 CPT 49023040 LOCAL 490 RC outpatient 7660 6511 P3 HMO 39 39% of all negotiated rates 4672 percent of total billed charges 4672 7660 Foreign Body Removal Shoulder 23040 CPT 49023040 LOCAL 490 RC outpatient 7660 6511 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 2681 percent of total billed charges 2681 7660 Foreign Body Removal Shoulder 23040 CPT 49023040 LOCAL 490 RC outpatient 7660 6511 Select Health HMO 41 41% of all negotiated rates 4519 percent of total billed charges 4519 7660 Foreign Body Removal Shoulder 23040 CPT 49023040 LOCAL 490 RC outpatient 7660 6511 Silversummit Medicare HMO 39 39% of all negotiated rates 4672 percent of total billed charges 4672 7660 Foreign Body Removal Shoulder 23040 CPT 49023040 LOCAL 490 RC outpatient 7660 6511 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 4979 percent of total billed charges 4979 7660 Foreign Body Removal Shoulder 23040 CPT 49023040 LOCAL 490 RC outpatient 7660 6511 TriWest PPO 30 30% of all negotiated rates 5362 percent of total billed charges 5362 7660 Foreign Body Removal Shoulder 23040 CPT 49023040 LOCAL 490 RC outpatient 7660 6511 UHN-Universal Health Network PPO 65 65% of all negotiated rates 2681 percent of total billed charges 2681 7660 Foreign Body Removal Shoulder 23040 CPT 49023040 LOCAL 490 RC outpatient 7660 6511 Aetna PPO 1150 case rate 1150 case rate 1150 7295 Coinsurance and deductible may apply Foreign Body Removal Shoulder 23040 CPT 49023040 LOCAL 490 RC outpatient 7660 6511 Anthem Medicaid HMO 1059 NV Medicaid SDS Rate 1059 fee schedule 1059 7295 Coinsurance and deductible may apply Foreign Body Removal Shoulder 23040 CPT 49023040 LOCAL 490 RC outpatient 7660 6511 Cigna PPO 1157 case rate 1157 case rate 1157 7295 Coinsurance and deductible may apply Foreign Body Removal Shoulder 23040 CPT 49023040 LOCAL 490 RC outpatient 7660 6511 Coalition PPO 1071 Coalition grouper rate 1071 case rate 1071 7295 Coinsurance and deductible may apply Foreign Body Removal Shoulder 23040 CPT 49023040 LOCAL 490 RC outpatient 7660 6511 HPN Medicaid HMO 1059 NV Medicaid SDS Rate 1059 fee schedule 1059 7295 Coinsurance and deductible may apply Foreign Body Removal Shoulder 23040 CPT 49023040 LOCAL 490 RC outpatient 7660 6511 Molina Medicaid HMO 1059 NV Medicaid SDS Rate 1059 case rate 1059 7295 Coinsurance and deductible may apply Foreign Body Removal Shoulder 23040 CPT 49023040 LOCAL 490 RC outpatient 7660 6511 One Health PPO 1441 case rate 1441 case rate 1441 7295 Coinsurance and deductible may apply Foreign Body Removal Shoulder 23040 CPT 49023040 LOCAL 490 RC outpatient 7660 6511 Sierra Healthcare Options PPO 1157 case rate 1157 case rate 1157 7295 Coinsurance and deductible may apply Foreign Body Removal Shoulder 23040 CPT 49023040 LOCAL 490 RC outpatient 7660 6511 Sierra/HPN HMO 1157 case rate 1157 case rate 1157 7295 Coinsurance and deductible may apply Foreign Body Removal Shoulder 23040 CPT 49023040 LOCAL 490 RC outpatient 7660 6511 Teachers Trust PPO 1071 Teachers grouper rate 1071 case rate 1071 7295 Coinsurance and deductible may apply Foreign Body Removal Shoulder 23040 CPT 49023040 LOCAL 490 RC outpatient 7660 6511 United Healthcare PPO 1441 case rate 1441 case rate 1441 7295 Coinsurance and deductible may apply Free T4 84439 CPT 90084439 LOCAL 301 RC outpatient 295 251 Aetna PPO 38 38% of all negotiated rates 183 percent of total billed charges 183 295 Free T4 84439 CPT 90084439 LOCAL 301 RC outpatient 295 251 Aetna Medicare HMO 26 26% of all negotiated rates 218 percent of total billed charges 218 295 Free T4 84439 CPT 90084439 LOCAL 301 RC outpatient 295 251 Alignment Medicare HMO 39 39% of all negotiated rates 180 percent of total billed charges 180 295 Free T4 84439 CPT 90084439 LOCAL 301 RC outpatient 295 251 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 118 percent of total billed charges 118 295 Free T4 84439 CPT 90084439 LOCAL 301 RC outpatient 295 251 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 148 percent of total billed charges 148 295 Free T4 84439 CPT 90084439 LOCAL 301 RC outpatient 295 251 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 180 percent of total billed charges 180 295 Free T4 84439 CPT 90084439 LOCAL 301 RC outpatient 295 251 Cigna PPO 68 68% of all negotiated rates 94 percent of total billed charges 94 295 Free T4 84439 CPT 90084439 LOCAL 301 RC outpatient 295 251 Coalition PPO 49 49% of all negotiated rates 150 percent of total billed charges 150 295 Free T4 84439 CPT 90084439 LOCAL 301 RC outpatient 295 251 Coventry PPO 75 75% of all negotiated rates 74 percent of total billed charges 74 295 Free T4 84439 CPT 90084439 LOCAL 301 RC outpatient 295 251 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 59 percent of total billed charges 59 295 Free T4 84439 CPT 90084439 LOCAL 301 RC outpatient 295 251 Humana-Commerical PPO 70 70% of all negotiated rates 89 percent of total billed charges 89 295 Free T4 84439 CPT 90084439 LOCAL 301 RC outpatient 295 251 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 180 percent of total billed charges 180 295 Free T4 84439 CPT 90084439 LOCAL 301 RC outpatient 295 251 Multiplan PPO 80 80% of all negotiated rates 59 percent of total billed charges 59 295 Free T4 84439 CPT 90084439 LOCAL 301 RC outpatient 295 251 One Health PPO 55 55% of all negotiated rates 133 percent of total billed charges 133 295 Free T4 84439 CPT 90084439 LOCAL 301 RC outpatient 295 251 Optum Medicare HMO 39 39% of all negotiated rates 180 percent of total billed charges 180 295 Free T4 84439 CPT 90084439 LOCAL 301 RC outpatient 295 251 P3 HMO 39 39% of all negotiated rates 180 percent of total billed charges 180 295 Free T4 84439 CPT 90084439 LOCAL 301 RC outpatient 295 251 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 89 percent of total billed charges 89 295 Free T4 84439 CPT 90084439 LOCAL 301 RC outpatient 295 251 Select Health HMO 41 41% of all negotiated rates 174 percent of total billed charges 174 295 Free T4 84439 CPT 90084439 LOCAL 301 RC outpatient 295 251 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 196 percent of total billed charges 196 295 Free T4 84439 CPT 90084439 LOCAL 301 RC outpatient 295 251 Sierra/HPN HMO 60 60% of all negotiated rates 118 percent of total billed charges 118 295 Free T4 84439 CPT 90084439 LOCAL 301 RC outpatient 295 251 Silversummit Medicare HMO 39 39% of all negotiated rates 180 percent of total billed charges 180 295 Free T4 84439 CPT 90084439 LOCAL 301 RC outpatient 295 251 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 192 percent of total billed charges 192 295 Free T4 84439 CPT 90084439 LOCAL 301 RC outpatient 295 251 Teachers Trust PPO 65 65% of all negotiated rates 103 percent of total billed charges 103 295 Free T4 84439 CPT 90084439 LOCAL 301 RC outpatient 295 251 TriWest PPO 30 30% of all negotiated rates 207 percent of total billed charges 207 295 Free T4 84439 CPT 90084439 LOCAL 301 RC outpatient 295 251 UHN-Universal Health Network PPO 70 70% of all negotiated rates 89 percent of total billed charges 89 295 Free T4 84439 CPT 90084439 LOCAL 301 RC outpatient 295 251 United Healthcare PPO 60 60% of all negotiated rates 118 percent of total billed charges 118 295 Free T4 84439 CPT 90084439 LOCAL 301 RC outpatient 295 251 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 6 fee schedule 6 281 Coinsurance and deductible may apply Free T4 84439 CPT 90084439 LOCAL 301 RC outpatient 295 251 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 6 fee schedule 6 281 Coinsurance and deductible may apply Free T4 84439 CPT 90084439 LOCAL 301 RC outpatient 295 251 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 6 fee schedule 6 281 Coinsurance and deductible may apply Gait Training Charges 97116 CPT 4506977 LOCAL 420 RC outpatient 104 88 Aetna Medicare HMO 26 26% of all negotiated rates 77 percent of total billed charges 77 104 Gait Training Charges 97116 CPT 4506977 LOCAL 420 RC outpatient 104 88 Alignment Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Gait Training Charges 97116 CPT 4506977 LOCAL 420 RC outpatient 104 88 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 42 percent of total billed charges 42 104 Gait Training Charges 97116 CPT 4506977 LOCAL 420 RC outpatient 104 88 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 52 percent of total billed charges 52 104 Gait Training Charges 97116 CPT 4506977 LOCAL 420 RC outpatient 104 88 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Gait Training Charges 97116 CPT 4506977 LOCAL 420 RC outpatient 104 88 Cigna PPO 68 68% of all negotiated rates 33 percent of total billed charges 33 104 Gait Training Charges 97116 CPT 4506977 LOCAL 420 RC outpatient 104 88 Coventry PPO 75 75% of all negotiated rates 26 percent of total billed charges 26 104 Gait Training Charges 97116 CPT 4506977 LOCAL 420 RC outpatient 104 88 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 21 percent of total billed charges 21 104 Gait Training Charges 97116 CPT 4506977 LOCAL 420 RC outpatient 104 88 Humana-Commerical PPO 70 70% of all negotiated rates 31 percent of total billed charges 31 104 Gait Training Charges 97116 CPT 4506977 LOCAL 420 RC outpatient 104 88 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Gait Training Charges 97116 CPT 4506977 LOCAL 420 RC outpatient 104 88 Multiplan PPO 80 80% of all negotiated rates 21 percent of total billed charges 21 104 Gait Training Charges 97116 CPT 4506977 LOCAL 420 RC outpatient 104 88 Optum Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Gait Training Charges 97116 CPT 4506977 LOCAL 420 RC outpatient 104 88 P3 HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Gait Training Charges 97116 CPT 4506977 LOCAL 420 RC outpatient 104 88 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 31 percent of total billed charges 31 104 Gait Training Charges 97116 CPT 4506977 LOCAL 420 RC outpatient 104 88 Select Health HMO 41 41% of all negotiated rates 61 percent of total billed charges 61 104 Gait Training Charges 97116 CPT 4506977 LOCAL 420 RC outpatient 104 88 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 69 percent of total billed charges 69 104 Gait Training Charges 97116 CPT 4506977 LOCAL 420 RC outpatient 104 88 Sierra/HPN HMO 60 60% of all negotiated rates 42 percent of total billed charges 42 104 Gait Training Charges 97116 CPT 4506977 LOCAL 420 RC outpatient 104 88 Silversummit Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Gait Training Charges 97116 CPT 4506977 LOCAL 420 RC outpatient 104 88 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 68 percent of total billed charges 68 104 Gait Training Charges 97116 CPT 4506977 LOCAL 420 RC outpatient 104 88 TriWest PPO 30 30% of all negotiated rates 73 percent of total billed charges 73 104 Gait Training Charges 97116 CPT 4506977 LOCAL 420 RC outpatient 104 88 UHN-Universal Health Network PPO 70 70% of all negotiated rates 31 percent of total billed charges 31 104 Gait Training Charges 97116 CPT 4506977 LOCAL 420 RC outpatient 104 88 United Healthcare PPO 60 60% of all negotiated rates 42 percent of total billed charges 42 104 Gait Training Charges 97116 CPT 4506977 LOCAL 420 RC outpatient 104 88 Aetna PPO 120 120% of Aetna market fee schedule 29 fee schedule 29 99 Coinsurance and deductible may apply Gait Training Charges 97116 CPT 4506977 LOCAL 420 RC outpatient 104 88 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 25 fee schedule 25 99 Coinsurance and deductible may apply Gait Training Charges 97116 CPT 4506977 LOCAL 420 RC outpatient 104 88 Coalition PPO 25 case rate 25 case rate 25 99 "25.00 per treatment, 199.00 max per diem" Gait Training Charges 97116 CPT 4506977 LOCAL 420 RC outpatient 104 88 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 25 fee schedule 25 99 Coinsurance and deductible may apply Gait Training Charges 97116 CPT 4506977 LOCAL 420 RC outpatient 104 88 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 25 fee schedule 25 99 Coinsurance and deductible may apply Gait Training Charges 97116 CPT 4506977 LOCAL 420 RC outpatient 104 88 One Health PPO 200 case rate 200 case rate 200 99 200. cap on PT per visit Gait Training Charges 97116 CPT 4506977 LOCAL 420 RC outpatient 104 88 Teachers Trust PPO 103 case rate 103 case rate 103 99 103.00/treatment/163.00 max per day Glucose Level 82947 CPT 4009473 LOCAL 301 RC outpatient 82 70 Aetna PPO 38 38% of all negotiated rates 51 percent of total billed charges 51 82 Glucose Level 82947 CPT 4009473 LOCAL 301 RC outpatient 82 70 Aetna Medicare HMO 26 26% of all negotiated rates 61 percent of total billed charges 61 82 Glucose Level 82947 CPT 4009473 LOCAL 301 RC outpatient 82 70 Alignment Medicare HMO 39 39% of all negotiated rates 50 percent of total billed charges 50 82 Glucose Level 82947 CPT 4009473 LOCAL 301 RC outpatient 82 70 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 33 percent of total billed charges 33 82 Glucose Level 82947 CPT 4009473 LOCAL 301 RC outpatient 82 70 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 41 percent of total billed charges 41 82 Glucose Level 82947 CPT 4009473 LOCAL 301 RC outpatient 82 70 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 50 percent of total billed charges 50 82 Glucose Level 82947 CPT 4009473 LOCAL 301 RC outpatient 82 70 Cigna PPO 68 68% of all negotiated rates 26 percent of total billed charges 26 82 Glucose Level 82947 CPT 4009473 LOCAL 301 RC outpatient 82 70 Coalition PPO 49 49% of all negotiated rates 42 percent of total billed charges 42 82 Glucose Level 82947 CPT 4009473 LOCAL 301 RC outpatient 82 70 Coventry PPO 75 75% of all negotiated rates 20 percent of total billed charges 20 82 Glucose Level 82947 CPT 4009473 LOCAL 301 RC outpatient 82 70 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 16 percent of total billed charges 16 82 Glucose Level 82947 CPT 4009473 LOCAL 301 RC outpatient 82 70 Humana-Commerical PPO 70 70% of all negotiated rates 25 percent of total billed charges 25 82 Glucose Level 82947 CPT 4009473 LOCAL 301 RC outpatient 82 70 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 50 percent of total billed charges 50 82 Glucose Level 82947 CPT 4009473 LOCAL 301 RC outpatient 82 70 Multiplan PPO 80 80% of all negotiated rates 16 percent of total billed charges 16 82 Glucose Level 82947 CPT 4009473 LOCAL 301 RC outpatient 82 70 One Health PPO 55 55% of all negotiated rates 37 percent of total billed charges 37 82 Glucose Level 82947 CPT 4009473 LOCAL 301 RC outpatient 82 70 Optum Medicare HMO 39 39% of all negotiated rates 50 percent of total billed charges 50 82 Glucose Level 82947 CPT 4009473 LOCAL 301 RC outpatient 82 70 P3 HMO 39 39% of all negotiated rates 50 percent of total billed charges 50 82 Glucose Level 82947 CPT 4009473 LOCAL 301 RC outpatient 82 70 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 25 percent of total billed charges 25 82 Glucose Level 82947 CPT 4009473 LOCAL 301 RC outpatient 82 70 Select Health HMO 41 41% of all negotiated rates 48 percent of total billed charges 48 82 Glucose Level 82947 CPT 4009473 LOCAL 301 RC outpatient 82 70 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 54 percent of total billed charges 54 82 Glucose Level 82947 CPT 4009473 LOCAL 301 RC outpatient 82 70 Sierra/HPN HMO 60 60% of all negotiated rates 33 percent of total billed charges 33 82 Glucose Level 82947 CPT 4009473 LOCAL 301 RC outpatient 82 70 Silversummit Medicare HMO 39 39% of all negotiated rates 50 percent of total billed charges 50 82 Glucose Level 82947 CPT 4009473 LOCAL 301 RC outpatient 82 70 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 53 percent of total billed charges 53 82 Glucose Level 82947 CPT 4009473 LOCAL 301 RC outpatient 82 70 Teachers Trust PPO 65 65% of all negotiated rates 29 percent of total billed charges 29 82 Glucose Level 82947 CPT 4009473 LOCAL 301 RC outpatient 82 70 TriWest PPO 30 30% of all negotiated rates 57 percent of total billed charges 57 82 Glucose Level 82947 CPT 4009473 LOCAL 301 RC outpatient 82 70 UHN-Universal Health Network PPO 70 70% of all negotiated rates 25 percent of total billed charges 25 82 Glucose Level 82947 CPT 4009473 LOCAL 301 RC outpatient 82 70 United Healthcare PPO 60 60% of all negotiated rates 33 percent of total billed charges 33 82 Glucose Level 82947 CPT 4009473 LOCAL 301 RC outpatient 82 70 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 78 Coinsurance and deductible may apply Glucose Level 82947 CPT 4009473 LOCAL 301 RC outpatient 82 70 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 78 Coinsurance and deductible may apply Glucose Level 82947 CPT 4009473 LOCAL 301 RC outpatient 82 70 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 78 Coinsurance and deductible may apply Glycohemoglobin 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 Aetna PPO 38 38% of all negotiated rates 154 percent of total billed charges 154 249 Glycohemoglobin 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 Aetna Medicare HMO 26 26% of all negotiated rates 184 percent of total billed charges 184 249 Glycohemoglobin 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 Alignment Medicare HMO 39 39% of all negotiated rates 152 percent of total billed charges 152 249 Glycohemoglobin 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 100 percent of total billed charges 100 249 Glycohemoglobin 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 124 percent of total billed charges 124 249 Glycohemoglobin 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 152 percent of total billed charges 152 249 Glycohemoglobin 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 Cigna PPO 68 68% of all negotiated rates 80 percent of total billed charges 80 249 Glycohemoglobin 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 Coalition PPO 49 49% of all negotiated rates 127 percent of total billed charges 127 249 Glycohemoglobin 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 Coventry PPO 75 75% of all negotiated rates 62 percent of total billed charges 62 249 Glycohemoglobin 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 50 percent of total billed charges 50 249 Glycohemoglobin 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 Humana-Commerical PPO 70 70% of all negotiated rates 75 percent of total billed charges 75 249 Glycohemoglobin 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 152 percent of total billed charges 152 249 Glycohemoglobin 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 Multiplan PPO 80 80% of all negotiated rates 50 percent of total billed charges 50 249 Glycohemoglobin 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 One Health PPO 55 55% of all negotiated rates 112 percent of total billed charges 112 249 Glycohemoglobin 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 Optum Medicare HMO 39 39% of all negotiated rates 152 percent of total billed charges 152 249 Glycohemoglobin 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 P3 HMO 39 39% of all negotiated rates 152 percent of total billed charges 152 249 Glycohemoglobin 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 75 percent of total billed charges 75 249 Glycohemoglobin 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 Select Health HMO 41 41% of all negotiated rates 147 percent of total billed charges 147 249 Glycohemoglobin 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 165 percent of total billed charges 165 249 Glycohemoglobin 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 Sierra/HPN HMO 60 60% of all negotiated rates 100 percent of total billed charges 100 249 Glycohemoglobin 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 Silversummit Medicare HMO 39 39% of all negotiated rates 152 percent of total billed charges 152 249 Glycohemoglobin 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 162 percent of total billed charges 162 249 Glycohemoglobin 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 Teachers Trust PPO 65 65% of all negotiated rates 87 percent of total billed charges 87 249 Glycohemoglobin 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 TriWest PPO 30 30% of all negotiated rates 174 percent of total billed charges 174 249 Glycohemoglobin 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 UHN-Universal Health Network PPO 70 70% of all negotiated rates 75 percent of total billed charges 75 249 Glycohemoglobin 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 United Healthcare PPO 60 60% of all negotiated rates 100 percent of total billed charges 100 249 Glycohemoglobin 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 7 fee schedule 7 237 Coinsurance and deductible may apply Glycohemoglobin 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 7 fee schedule 7 237 Coinsurance and deductible may apply Glycohemoglobin 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 7 fee schedule 7 237 Coinsurance and deductible may apply Group Therapy Charge 97150 CPT 4506972 LOCAL 420 RC outpatient 104 88 Aetna Medicare HMO 26 26% of all negotiated rates 77 percent of total billed charges 77 104 Group Therapy Charge 97150 CPT 4506972 LOCAL 420 RC outpatient 104 88 Alignment Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Group Therapy Charge 97150 CPT 4506972 LOCAL 420 RC outpatient 104 88 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 42 percent of total billed charges 42 104 Group Therapy Charge 97150 CPT 4506972 LOCAL 420 RC outpatient 104 88 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 52 percent of total billed charges 52 104 Group Therapy Charge 97150 CPT 4506972 LOCAL 420 RC outpatient 104 88 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Group Therapy Charge 97150 CPT 4506972 LOCAL 420 RC outpatient 104 88 Cigna PPO 68 68% of all negotiated rates 33 percent of total billed charges 33 104 Group Therapy Charge 97150 CPT 4506972 LOCAL 420 RC outpatient 104 88 Coventry PPO 75 75% of all negotiated rates 26 percent of total billed charges 26 104 Group Therapy Charge 97150 CPT 4506972 LOCAL 420 RC outpatient 104 88 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 21 percent of total billed charges 21 104 Group Therapy Charge 97150 CPT 4506972 LOCAL 420 RC outpatient 104 88 Humana-Commerical PPO 70 70% of all negotiated rates 31 percent of total billed charges 31 104 Group Therapy Charge 97150 CPT 4506972 LOCAL 420 RC outpatient 104 88 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Group Therapy Charge 97150 CPT 4506972 LOCAL 420 RC outpatient 104 88 Multiplan PPO 80 80% of all negotiated rates 21 percent of total billed charges 21 104 Group Therapy Charge 97150 CPT 4506972 LOCAL 420 RC outpatient 104 88 Optum Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Group Therapy Charge 97150 CPT 4506972 LOCAL 420 RC outpatient 104 88 P3 HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Group Therapy Charge 97150 CPT 4506972 LOCAL 420 RC outpatient 104 88 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 31 percent of total billed charges 31 104 Group Therapy Charge 97150 CPT 4506972 LOCAL 420 RC outpatient 104 88 Select Health HMO 41 41% of all negotiated rates 61 percent of total billed charges 61 104 Group Therapy Charge 97150 CPT 4506972 LOCAL 420 RC outpatient 104 88 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 69 percent of total billed charges 69 104 Group Therapy Charge 97150 CPT 4506972 LOCAL 420 RC outpatient 104 88 Sierra/HPN HMO 60 60% of all negotiated rates 42 percent of total billed charges 42 104 Group Therapy Charge 97150 CPT 4506972 LOCAL 420 RC outpatient 104 88 Silversummit Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Group Therapy Charge 97150 CPT 4506972 LOCAL 420 RC outpatient 104 88 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 68 percent of total billed charges 68 104 Group Therapy Charge 97150 CPT 4506972 LOCAL 420 RC outpatient 104 88 TriWest PPO 30 30% of all negotiated rates 73 percent of total billed charges 73 104 Group Therapy Charge 97150 CPT 4506972 LOCAL 420 RC outpatient 104 88 UHN-Universal Health Network PPO 70 70% of all negotiated rates 31 percent of total billed charges 31 104 Group Therapy Charge 97150 CPT 4506972 LOCAL 420 RC outpatient 104 88 United Healthcare PPO 60 60% of all negotiated rates 42 percent of total billed charges 42 104 Group Therapy Charge 97150 CPT 4506972 LOCAL 420 RC outpatient 104 88 Aetna PPO 120 120% of Aetna market fee schedule 18 fee schedule 18 99 Coinsurance and deductible may apply Group Therapy Charge 97150 CPT 4506972 LOCAL 420 RC outpatient 104 88 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 15 fee schedule 15 99 Coinsurance and deductible may apply Group Therapy Charge 97150 CPT 4506972 LOCAL 420 RC outpatient 104 88 Coalition PPO 25 case rate 25 case rate 25 99 "25.00 per treatment, 199.00 max per diem" Group Therapy Charge 97150 CPT 4506972 LOCAL 420 RC outpatient 104 88 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 15 fee schedule 15 99 Coinsurance and deductible may apply Group Therapy Charge 97150 CPT 4506972 LOCAL 420 RC outpatient 104 88 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 15 fee schedule 15 99 Coinsurance and deductible may apply Group Therapy Charge 97150 CPT 4506972 LOCAL 420 RC outpatient 104 88 One Health PPO 200 case rate 200 case rate 200 99 200. cap on PT per visit Group Therapy Charge 97150 CPT 4506972 LOCAL 420 RC outpatient 104 88 Teachers Trust PPO 103 case rate 103 case rate 103 99 103.00/treatment/163.00 max per day Hammertoe Repair 28285 CPT 49028285 LOCAL 490 RC outpatient 3676 3125 Aetna Medicare HMO 26 26% of all negotiated rates 2720 percent of total billed charges 2720 3676 Hammertoe Repair 28285 CPT 49028285 LOCAL 490 RC outpatient 3676 3125 Alignment Medicare HMO 39 39% of all negotiated rates 2242 percent of total billed charges 2242 3676 Hammertoe Repair 28285 CPT 49028285 LOCAL 490 RC outpatient 3676 3125 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 1470 percent of total billed charges 1470 3676 Hammertoe Repair 28285 CPT 49028285 LOCAL 490 RC outpatient 3676 3125 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 1838 percent of total billed charges 1838 3676 Hammertoe Repair 28285 CPT 49028285 LOCAL 490 RC outpatient 3676 3125 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 2242 percent of total billed charges 2242 3676 Hammertoe Repair 28285 CPT 49028285 LOCAL 490 RC outpatient 3676 3125 Coventry PPO 75 75% of all negotiated rates 919 percent of total billed charges 919 3676 Hammertoe Repair 28285 CPT 49028285 LOCAL 490 RC outpatient 3676 3125 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 735 percent of total billed charges 735 3676 Hammertoe Repair 28285 CPT 49028285 LOCAL 490 RC outpatient 3676 3125 Humana-Commerical PPO 46 46% of all negotiated rates 1985 percent of total billed charges 1985 3676 Hammertoe Repair 28285 CPT 49028285 LOCAL 490 RC outpatient 3676 3125 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 2242 percent of total billed charges 2242 3676 Hammertoe Repair 28285 CPT 49028285 LOCAL 490 RC outpatient 3676 3125 Multiplan PPO 80 80% of all negotiated rates 735 percent of total billed charges 735 3676 Hammertoe Repair 28285 CPT 49028285 LOCAL 490 RC outpatient 3676 3125 Optum Medicare HMO 39 39% of all negotiated rates 2242 percent of total billed charges 2242 3676 Hammertoe Repair 28285 CPT 49028285 LOCAL 490 RC outpatient 3676 3125 P3 HMO 39 39% of all negotiated rates 2242 percent of total billed charges 2242 3676 Hammertoe Repair 28285 CPT 49028285 LOCAL 490 RC outpatient 3676 3125 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 1287 percent of total billed charges 1287 3676 Hammertoe Repair 28285 CPT 49028285 LOCAL 490 RC outpatient 3676 3125 Select Health HMO 41 41% of all negotiated rates 2169 percent of total billed charges 2169 3676 Hammertoe Repair 28285 CPT 49028285 LOCAL 490 RC outpatient 3676 3125 Silversummit Medicare HMO 39 39% of all negotiated rates 2242 percent of total billed charges 2242 3676 Hammertoe Repair 28285 CPT 49028285 LOCAL 490 RC outpatient 3676 3125 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 2389 percent of total billed charges 2389 3676 Hammertoe Repair 28285 CPT 49028285 LOCAL 490 RC outpatient 3676 3125 TriWest PPO 30 30% of all negotiated rates 2573 percent of total billed charges 2573 3676 Hammertoe Repair 28285 CPT 49028285 LOCAL 490 RC outpatient 3676 3125 UHN-Universal Health Network PPO 65 65% of all negotiated rates 1287 percent of total billed charges 1287 3676 Hammertoe Repair 28285 CPT 49028285 LOCAL 490 RC outpatient 3676 3125 Aetna PPO 1150 case rate 1150 case rate 1150 3501 Coinsurance and deductible may apply Hammertoe Repair 28285 CPT 49028285 LOCAL 490 RC outpatient 3676 3125 Anthem Medicaid HMO 643 NV Medicaid SDS Rate 643 fee schedule 643 3501 Coinsurance and deductible may apply Hammertoe Repair 28285 CPT 49028285 LOCAL 490 RC outpatient 3676 3125 Cigna PPO 1157 case rate 1157 case rate 1157 3501 Coinsurance and deductible may apply Hammertoe Repair 28285 CPT 49028285 LOCAL 490 RC outpatient 3676 3125 Coalition PPO 1071 Coalition grouper rate 1071 case rate 1071 3501 Coinsurance and deductible may apply Hammertoe Repair 28285 CPT 49028285 LOCAL 490 RC outpatient 3676 3125 HPN Medicaid HMO 643 NV Medicaid SDS Rate 643 fee schedule 643 3501 Coinsurance and deductible may apply Hammertoe Repair 28285 CPT 49028285 LOCAL 490 RC outpatient 3676 3125 Molina Medicaid HMO 643 NV Medicaid SDS Rate 643 case rate 643 3501 Coinsurance and deductible may apply Hammertoe Repair 28285 CPT 49028285 LOCAL 490 RC outpatient 3676 3125 One Health PPO 1273 case rate 1273 case rate 1273 3501 Coinsurance and deductible may apply Hammertoe Repair 28285 CPT 49028285 LOCAL 490 RC outpatient 3676 3125 Sierra Healthcare Options PPO 1157 case rate 1157 case rate 1157 3501 Coinsurance and deductible may apply Hammertoe Repair 28285 CPT 49028285 LOCAL 490 RC outpatient 3676 3125 Sierra/HPN HMO 1157 case rate 1157 case rate 1157 3501 Coinsurance and deductible may apply Hammertoe Repair 28285 CPT 49028285 LOCAL 490 RC outpatient 3676 3125 Teachers Trust PPO 1071 Teachers grouper rate 1071 case rate 1071 3501 Coinsurance and deductible may apply Hammertoe Repair 28285 CPT 49028285 LOCAL 490 RC outpatient 3676 3125 United Healthcare PPO 1273 case rate 1273 case rate 1273 3501 Coinsurance and deductible may apply Hammertoe Repair with Tenotomy and Capsulotomy 28270 CPT 49028270 LOCAL 490 RC outpatient 1902 1616 Aetna Medicare HMO 26 26% of all negotiated rates 1407 percent of total billed charges 1407 1902 Hammertoe Repair with Tenotomy and Capsulotomy 28270 CPT 49028270 LOCAL 490 RC outpatient 1902 1616 Alignment Medicare HMO 39 39% of all negotiated rates 1160 percent of total billed charges 1160 1902 Hammertoe Repair with Tenotomy and Capsulotomy 28270 CPT 49028270 LOCAL 490 RC outpatient 1902 1616 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 761 percent of total billed charges 761 1902 Hammertoe Repair with Tenotomy and Capsulotomy 28270 CPT 49028270 LOCAL 490 RC outpatient 1902 1616 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 951 percent of total billed charges 951 1902 Hammertoe Repair with Tenotomy and Capsulotomy 28270 CPT 49028270 LOCAL 490 RC outpatient 1902 1616 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 1160 percent of total billed charges 1160 1902 Hammertoe Repair with Tenotomy and Capsulotomy 28270 CPT 49028270 LOCAL 490 RC outpatient 1902 1616 Coventry PPO 75 75% of all negotiated rates 475 percent of total billed charges 475 1902 Hammertoe Repair with Tenotomy and Capsulotomy 28270 CPT 49028270 LOCAL 490 RC outpatient 1902 1616 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 380 percent of total billed charges 380 1902 Hammertoe Repair with Tenotomy and Capsulotomy 28270 CPT 49028270 LOCAL 490 RC outpatient 1902 1616 Humana-Commerical PPO 46 46% of all negotiated rates 1027 percent of total billed charges 1027 1902 Hammertoe Repair with Tenotomy and Capsulotomy 28270 CPT 49028270 LOCAL 490 RC outpatient 1902 1616 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 1160 percent of total billed charges 1160 1902 Hammertoe Repair with Tenotomy and Capsulotomy 28270 CPT 49028270 LOCAL 490 RC outpatient 1902 1616 Multiplan PPO 80 80% of all negotiated rates 380 percent of total billed charges 380 1902 Hammertoe Repair with Tenotomy and Capsulotomy 28270 CPT 49028270 LOCAL 490 RC outpatient 1902 1616 Optum Medicare HMO 39 39% of all negotiated rates 1160 percent of total billed charges 1160 1902 Hammertoe Repair with Tenotomy and Capsulotomy 28270 CPT 49028270 LOCAL 490 RC outpatient 1902 1616 P3 HMO 39 39% of all negotiated rates 1160 percent of total billed charges 1160 1902 Hammertoe Repair with Tenotomy and Capsulotomy 28270 CPT 49028270 LOCAL 490 RC outpatient 1902 1616 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 666 percent of total billed charges 666 1902 Hammertoe Repair with Tenotomy and Capsulotomy 28270 CPT 49028270 LOCAL 490 RC outpatient 1902 1616 Select Health HMO 41 41% of all negotiated rates 1122 percent of total billed charges 1122 1902 Hammertoe Repair with Tenotomy and Capsulotomy 28270 CPT 49028270 LOCAL 490 RC outpatient 1902 1616 Silversummit Medicare HMO 39 39% of all negotiated rates 1160 percent of total billed charges 1160 1902 Hammertoe Repair with Tenotomy and Capsulotomy 28270 CPT 49028270 LOCAL 490 RC outpatient 1902 1616 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 1236 percent of total billed charges 1236 1902 Hammertoe Repair with Tenotomy and Capsulotomy 28270 CPT 49028270 LOCAL 490 RC outpatient 1902 1616 TriWest PPO 30 30% of all negotiated rates 1331 percent of total billed charges 1331 1902 Hammertoe Repair with Tenotomy and Capsulotomy 28270 CPT 49028270 LOCAL 490 RC outpatient 1902 1616 UHN-Universal Health Network PPO 65 65% of all negotiated rates 666 percent of total billed charges 666 1902 Hammertoe Repair with Tenotomy and Capsulotomy 28270 CPT 49028270 LOCAL 490 RC outpatient 1902 1616 Aetna PPO 1150 case rate 1150 case rate 1150 1811 Coinsurance and deductible may apply Hammertoe Repair with Tenotomy and Capsulotomy 28270 CPT 49028270 LOCAL 490 RC outpatient 1902 1616 Anthem Medicaid HMO 643 NV Medicaid SDS Rate 643 fee schedule 643 1811 Coinsurance and deductible may apply Hammertoe Repair with Tenotomy and Capsulotomy 28270 CPT 49028270 LOCAL 490 RC outpatient 1902 1616 Cigna PPO 1157 case rate 1157 case rate 1157 1811 Coinsurance and deductible may apply Hammertoe Repair with Tenotomy and Capsulotomy 28270 CPT 49028270 LOCAL 490 RC outpatient 1902 1616 Coalition PPO 1071 Coalition grouper rate 1071 case rate 1071 1811 Coinsurance and deductible may apply Hammertoe Repair with Tenotomy and Capsulotomy 28270 CPT 49028270 LOCAL 490 RC outpatient 1902 1616 HPN Medicaid HMO 643 NV Medicaid SDS Rate 643 fee schedule 643 1811 Coinsurance and deductible may apply Hammertoe Repair with Tenotomy and Capsulotomy 28270 CPT 49028270 LOCAL 490 RC outpatient 1902 1616 Molina Medicaid HMO 643 NV Medicaid SDS Rate 643 case rate 643 1811 Coinsurance and deductible may apply Hammertoe Repair with Tenotomy and Capsulotomy 28270 CPT 49028270 LOCAL 490 RC outpatient 1902 1616 One Health PPO 1273 case rate 1273 case rate 1273 1811 Coinsurance and deductible may apply Hammertoe Repair with Tenotomy and Capsulotomy 28270 CPT 49028270 LOCAL 490 RC outpatient 1902 1616 Sierra Healthcare Options PPO 1157 case rate 1157 case rate 1157 1811 Coinsurance and deductible may apply Hammertoe Repair with Tenotomy and Capsulotomy 28270 CPT 49028270 LOCAL 490 RC outpatient 1902 1616 Sierra/HPN HMO 1157 case rate 1157 case rate 1157 1811 Coinsurance and deductible may apply Hammertoe Repair with Tenotomy and Capsulotomy 28270 CPT 49028270 LOCAL 490 RC outpatient 1902 1616 Teachers Trust PPO 1071 Teachers grouper rate 1071 case rate 1071 1811 Coinsurance and deductible may apply Hammertoe Repair with Tenotomy and Capsulotomy 28270 CPT 49028270 LOCAL 490 RC outpatient 1902 1616 United Healthcare PPO 1273 case rate 1273 case rate 1273 1811 Coinsurance and deductible may apply hCG Quantitative 84702 CPT 4010297 LOCAL 301 RC outpatient 403 343 Aetna PPO 38 38% of all negotiated rates 250 percent of total billed charges 250 403 hCG Quantitative 84702 CPT 4010297 LOCAL 301 RC outpatient 403 343 Aetna Medicare HMO 26 26% of all negotiated rates 298 percent of total billed charges 298 403 hCG Quantitative 84702 CPT 4010297 LOCAL 301 RC outpatient 403 343 Alignment Medicare HMO 39 39% of all negotiated rates 246 percent of total billed charges 246 403 hCG Quantitative 84702 CPT 4010297 LOCAL 301 RC outpatient 403 343 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 161 percent of total billed charges 161 403 hCG Quantitative 84702 CPT 4010297 LOCAL 301 RC outpatient 403 343 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 202 percent of total billed charges 202 403 hCG Quantitative 84702 CPT 4010297 LOCAL 301 RC outpatient 403 343 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 246 percent of total billed charges 246 403 hCG Quantitative 84702 CPT 4010297 LOCAL 301 RC outpatient 403 343 Cigna PPO 68 68% of all negotiated rates 129 percent of total billed charges 129 403 hCG Quantitative 84702 CPT 4010297 LOCAL 301 RC outpatient 403 343 Coalition PPO 49 49% of all negotiated rates 206 percent of total billed charges 206 403 hCG Quantitative 84702 CPT 4010297 LOCAL 301 RC outpatient 403 343 Coventry PPO 75 75% of all negotiated rates 101 percent of total billed charges 101 403 hCG Quantitative 84702 CPT 4010297 LOCAL 301 RC outpatient 403 343 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 81 percent of total billed charges 81 403 hCG Quantitative 84702 CPT 4010297 LOCAL 301 RC outpatient 403 343 Humana-Commerical PPO 70 70% of all negotiated rates 121 percent of total billed charges 121 403 hCG Quantitative 84702 CPT 4010297 LOCAL 301 RC outpatient 403 343 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 246 percent of total billed charges 246 403 hCG Quantitative 84702 CPT 4010297 LOCAL 301 RC outpatient 403 343 Multiplan PPO 80 80% of all negotiated rates 81 percent of total billed charges 81 403 hCG Quantitative 84702 CPT 4010297 LOCAL 301 RC outpatient 403 343 One Health PPO 55 55% of all negotiated rates 181 percent of total billed charges 181 403 hCG Quantitative 84702 CPT 4010297 LOCAL 301 RC outpatient 403 343 Optum Medicare HMO 39 39% of all negotiated rates 246 percent of total billed charges 246 403 hCG Quantitative 84702 CPT 4010297 LOCAL 301 RC outpatient 403 343 P3 HMO 39 39% of all negotiated rates 246 percent of total billed charges 246 403 hCG Quantitative 84702 CPT 4010297 LOCAL 301 RC outpatient 403 343 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 121 percent of total billed charges 121 403 hCG Quantitative 84702 CPT 4010297 LOCAL 301 RC outpatient 403 343 Select Health HMO 41 41% of all negotiated rates 238 percent of total billed charges 238 403 hCG Quantitative 84702 CPT 4010297 LOCAL 301 RC outpatient 403 343 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 268 percent of total billed charges 268 403 hCG Quantitative 84702 CPT 4010297 LOCAL 301 RC outpatient 403 343 Sierra/HPN HMO 60 60% of all negotiated rates 161 percent of total billed charges 161 403 hCG Quantitative 84702 CPT 4010297 LOCAL 301 RC outpatient 403 343 Silversummit Medicare HMO 39 39% of all negotiated rates 246 percent of total billed charges 246 403 hCG Quantitative 84702 CPT 4010297 LOCAL 301 RC outpatient 403 343 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 262 percent of total billed charges 262 403 hCG Quantitative 84702 CPT 4010297 LOCAL 301 RC outpatient 403 343 Teachers Trust PPO 65 65% of all negotiated rates 141 percent of total billed charges 141 403 hCG Quantitative 84702 CPT 4010297 LOCAL 301 RC outpatient 403 343 TriWest PPO 30 30% of all negotiated rates 282 percent of total billed charges 282 403 hCG Quantitative 84702 CPT 4010297 LOCAL 301 RC outpatient 403 343 UHN-Universal Health Network PPO 70 70% of all negotiated rates 121 percent of total billed charges 121 403 hCG Quantitative 84702 CPT 4010297 LOCAL 301 RC outpatient 403 343 United Healthcare PPO 60 60% of all negotiated rates 161 percent of total billed charges 161 403 hCG Quantitative 84702 CPT 4010297 LOCAL 301 RC outpatient 403 343 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 10 fee schedule 10 384 Coinsurance and deductible may apply hCG Quantitative 84702 CPT 4010297 LOCAL 301 RC outpatient 403 343 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 10 fee schedule 10 384 Coinsurance and deductible may apply hCG Quantitative 84702 CPT 4010297 LOCAL 301 RC outpatient 403 343 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 10 fee schedule 10 384 Coinsurance and deductible may apply Hematocrit 85014 CPT 4000149 LOCAL 305 RC outpatient 49 42 Aetna PPO 38 38% of all negotiated rates 31 percent of total billed charges 31 49 Hematocrit 85014 CPT 4000149 LOCAL 305 RC outpatient 49 42 Aetna Medicare HMO 26 26% of all negotiated rates 37 percent of total billed charges 37 49 Hematocrit 85014 CPT 4000149 LOCAL 305 RC outpatient 49 42 Alignment Medicare HMO 39 39% of all negotiated rates 30 percent of total billed charges 30 49 Hematocrit 85014 CPT 4000149 LOCAL 305 RC outpatient 49 42 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 20 percent of total billed charges 20 49 Hematocrit 85014 CPT 4000149 LOCAL 305 RC outpatient 49 42 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 25 percent of total billed charges 25 49 Hematocrit 85014 CPT 4000149 LOCAL 305 RC outpatient 49 42 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 30 percent of total billed charges 30 49 Hematocrit 85014 CPT 4000149 LOCAL 305 RC outpatient 49 42 Cigna PPO 68 68% of all negotiated rates 16 percent of total billed charges 16 49 Hematocrit 85014 CPT 4000149 LOCAL 305 RC outpatient 49 42 Coalition PPO 49 49% of all negotiated rates 25 percent of total billed charges 25 49 Hematocrit 85014 CPT 4000149 LOCAL 305 RC outpatient 49 42 Coventry PPO 75 75% of all negotiated rates 12 percent of total billed charges 12 49 Hematocrit 85014 CPT 4000149 LOCAL 305 RC outpatient 49 42 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 10 percent of total billed charges 10 49 Hematocrit 85014 CPT 4000149 LOCAL 305 RC outpatient 49 42 Humana-Commerical PPO 70 70% of all negotiated rates 15 percent of total billed charges 15 49 Hematocrit 85014 CPT 4000149 LOCAL 305 RC outpatient 49 42 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 30 percent of total billed charges 30 49 Hematocrit 85014 CPT 4000149 LOCAL 305 RC outpatient 49 42 Multiplan PPO 80 80% of all negotiated rates 10 percent of total billed charges 10 49 Hematocrit 85014 CPT 4000149 LOCAL 305 RC outpatient 49 42 One Health PPO 55 55% of all negotiated rates 22 percent of total billed charges 22 49 Hematocrit 85014 CPT 4000149 LOCAL 305 RC outpatient 49 42 Optum Medicare HMO 39 39% of all negotiated rates 30 percent of total billed charges 30 49 Hematocrit 85014 CPT 4000149 LOCAL 305 RC outpatient 49 42 P3 HMO 39 39% of all negotiated rates 30 percent of total billed charges 30 49 Hematocrit 85014 CPT 4000149 LOCAL 305 RC outpatient 49 42 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 15 percent of total billed charges 15 49 Hematocrit 85014 CPT 4000149 LOCAL 305 RC outpatient 49 42 Select Health HMO 41 41% of all negotiated rates 29 percent of total billed charges 29 49 Hematocrit 85014 CPT 4000149 LOCAL 305 RC outpatient 49 42 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 33 percent of total billed charges 33 49 Hematocrit 85014 CPT 4000149 LOCAL 305 RC outpatient 49 42 Sierra/HPN HMO 60 60% of all negotiated rates 20 percent of total billed charges 20 49 Hematocrit 85014 CPT 4000149 LOCAL 305 RC outpatient 49 42 Silversummit Medicare HMO 39 39% of all negotiated rates 30 percent of total billed charges 30 49 Hematocrit 85014 CPT 4000149 LOCAL 305 RC outpatient 49 42 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 32 percent of total billed charges 32 49 Hematocrit 85014 CPT 4000149 LOCAL 305 RC outpatient 49 42 Teachers Trust PPO 65 65% of all negotiated rates 17 percent of total billed charges 17 49 Hematocrit 85014 CPT 4000149 LOCAL 305 RC outpatient 49 42 TriWest PPO 30 30% of all negotiated rates 35 percent of total billed charges 35 49 Hematocrit 85014 CPT 4000149 LOCAL 305 RC outpatient 49 42 UHN-Universal Health Network PPO 70 70% of all negotiated rates 15 percent of total billed charges 15 49 Hematocrit 85014 CPT 4000149 LOCAL 305 RC outpatient 49 42 United Healthcare PPO 60 60% of all negotiated rates 20 percent of total billed charges 20 49 Hematocrit 85014 CPT 4000149 LOCAL 305 RC outpatient 49 42 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 2 fee schedule 2 47 Coinsurance and deductible may apply Hematocrit 85014 CPT 4000149 LOCAL 305 RC outpatient 49 42 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 2 fee schedule 2 47 Coinsurance and deductible may apply Hematocrit 85014 CPT 4000149 LOCAL 305 RC outpatient 49 42 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 2 fee schedule 2 47 Coinsurance and deductible may apply Hemoglobin 85018 CPT 4000180 LOCAL 305 RC outpatient 49 42 Aetna PPO 38 38% of all negotiated rates 31 percent of total billed charges 31 49 Hemoglobin 85018 CPT 4000180 LOCAL 305 RC outpatient 49 42 Aetna Medicare HMO 26 26% of all negotiated rates 37 percent of total billed charges 37 49 Hemoglobin 85018 CPT 4000180 LOCAL 305 RC outpatient 49 42 Alignment Medicare HMO 39 39% of all negotiated rates 30 percent of total billed charges 30 49 Hemoglobin 85018 CPT 4000180 LOCAL 305 RC outpatient 49 42 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 20 percent of total billed charges 20 49 Hemoglobin 85018 CPT 4000180 LOCAL 305 RC outpatient 49 42 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 25 percent of total billed charges 25 49 Hemoglobin 85018 CPT 4000180 LOCAL 305 RC outpatient 49 42 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 30 percent of total billed charges 30 49 Hemoglobin 85018 CPT 4000180 LOCAL 305 RC outpatient 49 42 Cigna PPO 68 68% of all negotiated rates 16 percent of total billed charges 16 49 Hemoglobin 85018 CPT 4000180 LOCAL 305 RC outpatient 49 42 Coalition PPO 49 49% of all negotiated rates 25 percent of total billed charges 25 49 Hemoglobin 85018 CPT 4000180 LOCAL 305 RC outpatient 49 42 Coventry PPO 75 75% of all negotiated rates 12 percent of total billed charges 12 49 Hemoglobin 85018 CPT 4000180 LOCAL 305 RC outpatient 49 42 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 10 percent of total billed charges 10 49 Hemoglobin 85018 CPT 4000180 LOCAL 305 RC outpatient 49 42 Humana-Commerical PPO 70 70% of all negotiated rates 15 percent of total billed charges 15 49 Hemoglobin 85018 CPT 4000180 LOCAL 305 RC outpatient 49 42 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 30 percent of total billed charges 30 49 Hemoglobin 85018 CPT 4000180 LOCAL 305 RC outpatient 49 42 Multiplan PPO 80 80% of all negotiated rates 10 percent of total billed charges 10 49 Hemoglobin 85018 CPT 4000180 LOCAL 305 RC outpatient 49 42 One Health PPO 55 55% of all negotiated rates 22 percent of total billed charges 22 49 Hemoglobin 85018 CPT 4000180 LOCAL 305 RC outpatient 49 42 Optum Medicare HMO 39 39% of all negotiated rates 30 percent of total billed charges 30 49 Hemoglobin 85018 CPT 4000180 LOCAL 305 RC outpatient 49 42 P3 HMO 39 39% of all negotiated rates 30 percent of total billed charges 30 49 Hemoglobin 85018 CPT 4000180 LOCAL 305 RC outpatient 49 42 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 15 percent of total billed charges 15 49 Hemoglobin 85018 CPT 4000180 LOCAL 305 RC outpatient 49 42 Select Health HMO 41 41% of all negotiated rates 29 percent of total billed charges 29 49 Hemoglobin 85018 CPT 4000180 LOCAL 305 RC outpatient 49 42 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 33 percent of total billed charges 33 49 Hemoglobin 85018 CPT 4000180 LOCAL 305 RC outpatient 49 42 Sierra/HPN HMO 60 60% of all negotiated rates 20 percent of total billed charges 20 49 Hemoglobin 85018 CPT 4000180 LOCAL 305 RC outpatient 49 42 Silversummit Medicare HMO 39 39% of all negotiated rates 30 percent of total billed charges 30 49 Hemoglobin 85018 CPT 4000180 LOCAL 305 RC outpatient 49 42 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 32 percent of total billed charges 32 49 Hemoglobin 85018 CPT 4000180 LOCAL 305 RC outpatient 49 42 Teachers Trust PPO 65 65% of all negotiated rates 17 percent of total billed charges 17 49 Hemoglobin 85018 CPT 4000180 LOCAL 305 RC outpatient 49 42 TriWest PPO 30 30% of all negotiated rates 35 percent of total billed charges 35 49 Hemoglobin 85018 CPT 4000180 LOCAL 305 RC outpatient 49 42 UHN-Universal Health Network PPO 70 70% of all negotiated rates 15 percent of total billed charges 15 49 Hemoglobin 85018 CPT 4000180 LOCAL 305 RC outpatient 49 42 United Healthcare PPO 60 60% of all negotiated rates 20 percent of total billed charges 20 49 Hemoglobin 85018 CPT 4000180 LOCAL 305 RC outpatient 49 42 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 2 fee schedule 2 47 Coinsurance and deductible may apply Hemoglobin 85018 CPT 4000180 LOCAL 305 RC outpatient 49 42 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 2 fee schedule 2 47 Coinsurance and deductible may apply Hemoglobin A1c 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 Aetna PPO 38 38% of all negotiated rates 154 percent of total billed charges 154 249 Hemoglobin A1c 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 Aetna Medicare HMO 26 26% of all negotiated rates 184 percent of total billed charges 184 249 Hemoglobin A1c 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 Alignment Medicare HMO 39 39% of all negotiated rates 152 percent of total billed charges 152 249 Hemoglobin A1c 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 100 percent of total billed charges 100 249 Hemoglobin A1c 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 124 percent of total billed charges 124 249 Hemoglobin A1c 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 152 percent of total billed charges 152 249 Hemoglobin A1c 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 Cigna PPO 68 68% of all negotiated rates 80 percent of total billed charges 80 249 Hemoglobin A1c 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 Coalition PPO 49 49% of all negotiated rates 127 percent of total billed charges 127 249 Hemoglobin A1c 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 Coventry PPO 75 75% of all negotiated rates 62 percent of total billed charges 62 249 Hemoglobin A1c 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 50 percent of total billed charges 50 249 Hemoglobin A1c 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 Humana-Commerical PPO 70 70% of all negotiated rates 75 percent of total billed charges 75 249 Hemoglobin A1c 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 152 percent of total billed charges 152 249 Hemoglobin A1c 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 Multiplan PPO 80 80% of all negotiated rates 50 percent of total billed charges 50 249 Hemoglobin A1c 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 One Health PPO 55 55% of all negotiated rates 112 percent of total billed charges 112 249 Hemoglobin A1c 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 Optum Medicare HMO 39 39% of all negotiated rates 152 percent of total billed charges 152 249 Hemoglobin A1c 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 P3 HMO 39 39% of all negotiated rates 152 percent of total billed charges 152 249 Hemoglobin A1c 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 75 percent of total billed charges 75 249 Hemoglobin A1c 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 Select Health HMO 41 41% of all negotiated rates 147 percent of total billed charges 147 249 Hemoglobin A1c 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 165 percent of total billed charges 165 249 Hemoglobin A1c 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 Sierra/HPN HMO 60 60% of all negotiated rates 100 percent of total billed charges 100 249 Hemoglobin A1c 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 Silversummit Medicare HMO 39 39% of all negotiated rates 152 percent of total billed charges 152 249 Hemoglobin A1c 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 162 percent of total billed charges 162 249 Hemoglobin A1c 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 Teachers Trust PPO 65 65% of all negotiated rates 87 percent of total billed charges 87 249 Hemoglobin A1c 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 TriWest PPO 30 30% of all negotiated rates 174 percent of total billed charges 174 249 Hemoglobin A1c 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 UHN-Universal Health Network PPO 70 70% of all negotiated rates 75 percent of total billed charges 75 249 Hemoglobin A1c 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 United Healthcare PPO 60 60% of all negotiated rates 100 percent of total billed charges 100 249 Hemoglobin A1c 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 7 fee schedule 7 237 Coinsurance and deductible may apply Hemoglobin A1c 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 7 fee schedule 7 237 Coinsurance and deductible may apply Hemoglobin A1c 83036 CPT 4000364 LOCAL 301 RC outpatient 249 212 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 7 fee schedule 7 237 Coinsurance and deductible may apply Hemoglobin A1c MCL 84443 CPT 4004431SO LOCAL 301 RC outpatient 340 289 Aetna PPO 38 38% of all negotiated rates 211 percent of total billed charges 211 340 Hemoglobin A1c MCL 84443 CPT 4004431SO LOCAL 301 RC outpatient 340 289 Aetna Medicare HMO 26 26% of all negotiated rates 252 percent of total billed charges 252 340 Hemoglobin A1c MCL 84443 CPT 4004431SO LOCAL 301 RC outpatient 340 289 Alignment Medicare HMO 39 39% of all negotiated rates 208 percent of total billed charges 208 340 Hemoglobin A1c MCL 84443 CPT 4004431SO LOCAL 301 RC outpatient 340 289 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 136 percent of total billed charges 136 340 Hemoglobin A1c MCL 84443 CPT 4004431SO LOCAL 301 RC outpatient 340 289 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 170 percent of total billed charges 170 340 Hemoglobin A1c MCL 84443 CPT 4004431SO LOCAL 301 RC outpatient 340 289 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 208 percent of total billed charges 208 340 Hemoglobin A1c MCL 84443 CPT 4004431SO LOCAL 301 RC outpatient 340 289 Cigna PPO 68 68% of all negotiated rates 109 percent of total billed charges 109 340 Hemoglobin A1c MCL 84443 CPT 4004431SO LOCAL 301 RC outpatient 340 289 Coalition PPO 49 49% of all negotiated rates 174 percent of total billed charges 174 340 Hemoglobin A1c MCL 84443 CPT 4004431SO LOCAL 301 RC outpatient 340 289 Coventry PPO 75 75% of all negotiated rates 85 percent of total billed charges 85 340 Hemoglobin A1c MCL 84443 CPT 4004431SO LOCAL 301 RC outpatient 340 289 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 68 percent of total billed charges 68 340 Hemoglobin A1c MCL 84443 CPT 4004431SO LOCAL 301 RC outpatient 340 289 Humana-Commerical PPO 70 70% of all negotiated rates 102 percent of total billed charges 102 340 Hemoglobin A1c MCL 84443 CPT 4004431SO LOCAL 301 RC outpatient 340 289 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 208 percent of total billed charges 208 340 Hemoglobin A1c MCL 84443 CPT 4004431SO LOCAL 301 RC outpatient 340 289 Multiplan PPO 80 80% of all negotiated rates 68 percent of total billed charges 68 340 Hemoglobin A1c MCL 84443 CPT 4004431SO LOCAL 301 RC outpatient 340 289 One Health PPO 55 55% of all negotiated rates 153 percent of total billed charges 153 340 Hemoglobin A1c MCL 84443 CPT 4004431SO LOCAL 301 RC outpatient 340 289 Optum Medicare HMO 39 39% of all negotiated rates 208 percent of total billed charges 208 340 Hemoglobin A1c MCL 84443 CPT 4004431SO LOCAL 301 RC outpatient 340 289 P3 HMO 39 39% of all negotiated rates 208 percent of total billed charges 208 340 Hemoglobin A1c MCL 84443 CPT 4004431SO LOCAL 301 RC outpatient 340 289 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 102 percent of total billed charges 102 340 Hemoglobin A1c MCL 84443 CPT 4004431SO LOCAL 301 RC outpatient 340 289 Select Health HMO 41 41% of all negotiated rates 201 percent of total billed charges 201 340 Hemoglobin A1c MCL 84443 CPT 4004431SO LOCAL 301 RC outpatient 340 289 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 226 percent of total billed charges 226 340 Hemoglobin A1c MCL 84443 CPT 4004431SO LOCAL 301 RC outpatient 340 289 Sierra/HPN HMO 60 60% of all negotiated rates 136 percent of total billed charges 136 340 Hemoglobin A1c MCL 84443 CPT 4004431SO LOCAL 301 RC outpatient 340 289 Silversummit Medicare HMO 39 39% of all negotiated rates 208 percent of total billed charges 208 340 Hemoglobin A1c MCL 84443 CPT 4004431SO LOCAL 301 RC outpatient 340 289 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 221 percent of total billed charges 221 340 Hemoglobin A1c MCL 84443 CPT 4004431SO LOCAL 301 RC outpatient 340 289 Teachers Trust PPO 65 65% of all negotiated rates 119 percent of total billed charges 119 340 Hemoglobin A1c MCL 84443 CPT 4004431SO LOCAL 301 RC outpatient 340 289 TriWest PPO 30 30% of all negotiated rates 238 percent of total billed charges 238 340 Hemoglobin A1c MCL 84443 CPT 4004431SO LOCAL 301 RC outpatient 340 289 UHN-Universal Health Network PPO 70 70% of all negotiated rates 102 percent of total billed charges 102 340 Hemoglobin A1c MCL 84443 CPT 4004431SO LOCAL 301 RC outpatient 340 289 United Healthcare PPO 60 60% of all negotiated rates 136 percent of total billed charges 136 340 Hemoglobin A1c MCL 84443 CPT 4004431SO LOCAL 301 RC outpatient 340 289 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 11 fee schedule 11 324 Coinsurance and deductible may apply Hemoglobin A1c MCL 84443 CPT 4004431SO LOCAL 301 RC outpatient 340 289 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 11 fee schedule 11 324 Coinsurance and deductible may apply Hemoglobin A1c MCL 84443 CPT 4004431SO LOCAL 301 RC outpatient 340 289 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 11 fee schedule 11 324 Coinsurance and deductible may apply Hemorrhoidectomy 46255 CPT 49046255 LOCAL 490 RC outpatient 3978 3382 Aetna Medicare HMO 26 26% of all negotiated rates 2944 percent of total billed charges 2944 3978 Hemorrhoidectomy 46255 CPT 49046255 LOCAL 490 RC outpatient 3978 3382 Alignment Medicare HMO 39 39% of all negotiated rates 2427 percent of total billed charges 2427 3978 Hemorrhoidectomy 46255 CPT 49046255 LOCAL 490 RC outpatient 3978 3382 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 1591 percent of total billed charges 1591 3978 Hemorrhoidectomy 46255 CPT 49046255 LOCAL 490 RC outpatient 3978 3382 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 1989 percent of total billed charges 1989 3978 Hemorrhoidectomy 46255 CPT 49046255 LOCAL 490 RC outpatient 3978 3382 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 2427 percent of total billed charges 2427 3978 Hemorrhoidectomy 46255 CPT 49046255 LOCAL 490 RC outpatient 3978 3382 Coventry PPO 75 75% of all negotiated rates 995 percent of total billed charges 995 3978 Hemorrhoidectomy 46255 CPT 49046255 LOCAL 490 RC outpatient 3978 3382 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 796 percent of total billed charges 796 3978 Hemorrhoidectomy 46255 CPT 49046255 LOCAL 490 RC outpatient 3978 3382 Humana-Commerical PPO 46 46% of all negotiated rates 2148 percent of total billed charges 2148 3978 Hemorrhoidectomy 46255 CPT 49046255 LOCAL 490 RC outpatient 3978 3382 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 2427 percent of total billed charges 2427 3978 Hemorrhoidectomy 46255 CPT 49046255 LOCAL 490 RC outpatient 3978 3382 Multiplan PPO 80 80% of all negotiated rates 796 percent of total billed charges 796 3978 Hemorrhoidectomy 46255 CPT 49046255 LOCAL 490 RC outpatient 3978 3382 Optum Medicare HMO 39 39% of all negotiated rates 2427 percent of total billed charges 2427 3978 Hemorrhoidectomy 46255 CPT 49046255 LOCAL 490 RC outpatient 3978 3382 P3 HMO 39 39% of all negotiated rates 2427 percent of total billed charges 2427 3978 Hemorrhoidectomy 46255 CPT 49046255 LOCAL 490 RC outpatient 3978 3382 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 1392 percent of total billed charges 1392 3978 Hemorrhoidectomy 46255 CPT 49046255 LOCAL 490 RC outpatient 3978 3382 Select Health HMO 41 41% of all negotiated rates 2347 percent of total billed charges 2347 3978 Hemorrhoidectomy 46255 CPT 49046255 LOCAL 490 RC outpatient 3978 3382 Silversummit Medicare HMO 39 39% of all negotiated rates 2427 percent of total billed charges 2427 3978 Hemorrhoidectomy 46255 CPT 49046255 LOCAL 490 RC outpatient 3978 3382 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 2586 percent of total billed charges 2586 3978 Hemorrhoidectomy 46255 CPT 49046255 LOCAL 490 RC outpatient 3978 3382 TriWest PPO 30 30% of all negotiated rates 2785 percent of total billed charges 2785 3978 Hemorrhoidectomy 46255 CPT 49046255 LOCAL 490 RC outpatient 3978 3382 UHN-Universal Health Network PPO 65 65% of all negotiated rates 1392 percent of total billed charges 1392 3978 Hemorrhoidectomy 46255 CPT 49046255 LOCAL 490 RC outpatient 3978 3382 Aetna PPO 1150 case rate 1150 case rate 1150 3789 Coinsurance and deductible may apply Hemorrhoidectomy 46255 CPT 49046255 LOCAL 490 RC outpatient 3978 3382 Anthem Medicaid HMO 734 NV Medicaid SDS Rate 734 fee schedule 734 3789 Coinsurance and deductible may apply Hemorrhoidectomy 46255 CPT 49046255 LOCAL 490 RC outpatient 3978 3382 Cigna PPO 1157 case rate 1157 case rate 1157 3789 Coinsurance and deductible may apply Hemorrhoidectomy 46255 CPT 49046255 LOCAL 490 RC outpatient 3978 3382 Coalition PPO 1071 Coalition grouper rate 1071 case rate 1071 3789 Coinsurance and deductible may apply Hemorrhoidectomy 46255 CPT 49046255 LOCAL 490 RC outpatient 3978 3382 HPN Medicaid HMO 734 NV Medicaid SDS Rate 734 fee schedule 734 3789 Coinsurance and deductible may apply Hemorrhoidectomy 46255 CPT 49046255 LOCAL 490 RC outpatient 3978 3382 Molina Medicaid HMO 734 NV Medicaid SDS Rate 734 case rate 734 3789 Coinsurance and deductible may apply Hemorrhoidectomy 46255 CPT 49046255 LOCAL 490 RC outpatient 3978 3382 One Health PPO 1273 case rate 1273 case rate 1273 3789 Coinsurance and deductible may apply Hemorrhoidectomy 46255 CPT 49046255 LOCAL 490 RC outpatient 3978 3382 Sierra Healthcare Options PPO 1157 case rate 1157 case rate 1157 3789 Coinsurance and deductible may apply Hemorrhoidectomy 46255 CPT 49046255 LOCAL 490 RC outpatient 3978 3382 Sierra/HPN HMO 1157 case rate 1157 case rate 1157 3789 Coinsurance and deductible may apply Hemorrhoidectomy 46255 CPT 49046255 LOCAL 490 RC outpatient 3978 3382 Teachers Trust PPO 1071 Teachers grouper rate 1071 case rate 1071 3789 Coinsurance and deductible may apply Hemorrhoidectomy 46255 CPT 49046255 LOCAL 490 RC outpatient 3978 3382 United Healthcare PPO 1273 case rate 1273 case rate 1273 3789 Coinsurance and deductible may apply Hepatic Panel 1 80076 CPT 4000581 LOCAL 301 RC outpatient 168 143 Aetna PPO 38 38% of all negotiated rates 104 percent of total billed charges 104 168 Hepatic Panel 1 80076 CPT 4000581 LOCAL 301 RC outpatient 168 143 Aetna Medicare HMO 26 26% of all negotiated rates 124 percent of total billed charges 124 168 Hepatic Panel 1 80076 CPT 4000581 LOCAL 301 RC outpatient 168 143 Alignment Medicare HMO 39 39% of all negotiated rates 102 percent of total billed charges 102 168 Hepatic Panel 1 80076 CPT 4000581 LOCAL 301 RC outpatient 168 143 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 67 percent of total billed charges 67 168 Hepatic Panel 1 80076 CPT 4000581 LOCAL 301 RC outpatient 168 143 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 84 percent of total billed charges 84 168 Hepatic Panel 1 80076 CPT 4000581 LOCAL 301 RC outpatient 168 143 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 102 percent of total billed charges 102 168 Hepatic Panel 1 80076 CPT 4000581 LOCAL 301 RC outpatient 168 143 Cigna PPO 68 68% of all negotiated rates 54 percent of total billed charges 54 168 Hepatic Panel 1 80076 CPT 4000581 LOCAL 301 RC outpatient 168 143 Coalition PPO 49 49% of all negotiated rates 86 percent of total billed charges 86 168 Hepatic Panel 1 80076 CPT 4000581 LOCAL 301 RC outpatient 168 143 Coventry PPO 75 75% of all negotiated rates 42 percent of total billed charges 42 168 Hepatic Panel 1 80076 CPT 4000581 LOCAL 301 RC outpatient 168 143 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 34 percent of total billed charges 34 168 Hepatic Panel 1 80076 CPT 4000581 LOCAL 301 RC outpatient 168 143 Humana-Commerical PPO 70 70% of all negotiated rates 50 percent of total billed charges 50 168 Hepatic Panel 1 80076 CPT 4000581 LOCAL 301 RC outpatient 168 143 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 102 percent of total billed charges 102 168 Hepatic Panel 1 80076 CPT 4000581 LOCAL 301 RC outpatient 168 143 Multiplan PPO 80 80% of all negotiated rates 34 percent of total billed charges 34 168 Hepatic Panel 1 80076 CPT 4000581 LOCAL 301 RC outpatient 168 143 One Health PPO 55 55% of all negotiated rates 76 percent of total billed charges 76 168 Hepatic Panel 1 80076 CPT 4000581 LOCAL 301 RC outpatient 168 143 Optum Medicare HMO 39 39% of all negotiated rates 102 percent of total billed charges 102 168 Hepatic Panel 1 80076 CPT 4000581 LOCAL 301 RC outpatient 168 143 P3 HMO 39 39% of all negotiated rates 102 percent of total billed charges 102 168 Hepatic Panel 1 80076 CPT 4000581 LOCAL 301 RC outpatient 168 143 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 50 percent of total billed charges 50 168 Hepatic Panel 1 80076 CPT 4000581 LOCAL 301 RC outpatient 168 143 Select Health HMO 41 41% of all negotiated rates 99 percent of total billed charges 99 168 Hepatic Panel 1 80076 CPT 4000581 LOCAL 301 RC outpatient 168 143 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 112 percent of total billed charges 112 168 Hepatic Panel 1 80076 CPT 4000581 LOCAL 301 RC outpatient 168 143 Sierra/HPN HMO 60 60% of all negotiated rates 67 percent of total billed charges 67 168 Hepatic Panel 1 80076 CPT 4000581 LOCAL 301 RC outpatient 168 143 Silversummit Medicare HMO 39 39% of all negotiated rates 102 percent of total billed charges 102 168 Hepatic Panel 1 80076 CPT 4000581 LOCAL 301 RC outpatient 168 143 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 109 percent of total billed charges 109 168 Hepatic Panel 1 80076 CPT 4000581 LOCAL 301 RC outpatient 168 143 Teachers Trust PPO 65 65% of all negotiated rates 59 percent of total billed charges 59 168 Hepatic Panel 1 80076 CPT 4000581 LOCAL 301 RC outpatient 168 143 TriWest PPO 30 30% of all negotiated rates 118 percent of total billed charges 118 168 Hepatic Panel 1 80076 CPT 4000581 LOCAL 301 RC outpatient 168 143 UHN-Universal Health Network PPO 70 70% of all negotiated rates 50 percent of total billed charges 50 168 Hepatic Panel 1 80076 CPT 4000581 LOCAL 301 RC outpatient 168 143 United Healthcare PPO 60 60% of all negotiated rates 67 percent of total billed charges 67 168 Hepatic Panel 1 80076 CPT 4000581 LOCAL 301 RC outpatient 168 143 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 6 fee schedule 6 160 Coinsurance and deductible may apply Hepatic Panel 1 80076 CPT 4000581 LOCAL 301 RC outpatient 168 143 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 6 fee schedule 6 160 Coinsurance and deductible may apply Hepatic Panel 1 80076 CPT 4000581 LOCAL 301 RC outpatient 168 143 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 6 fee schedule 6 160 Coinsurance and deductible may apply Hernia Repair Inguinal 49505 CPT 49049505 LOCAL 490 RC outpatient 7055 5997 Aetna Medicare HMO 26 26% of all negotiated rates 5221 percent of total billed charges 5221 7055 Hernia Repair Inguinal 49505 CPT 49049505 LOCAL 490 RC outpatient 7055 5997 Alignment Medicare HMO 39 39% of all negotiated rates 4304 percent of total billed charges 4304 7055 Hernia Repair Inguinal 49505 CPT 49049505 LOCAL 490 RC outpatient 7055 5997 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 2822 percent of total billed charges 2822 7055 Hernia Repair Inguinal 49505 CPT 49049505 LOCAL 490 RC outpatient 7055 5997 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 3527 percent of total billed charges 3527 7055 Hernia Repair Inguinal 49505 CPT 49049505 LOCAL 490 RC outpatient 7055 5997 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 4304 percent of total billed charges 4304 7055 Hernia Repair Inguinal 49505 CPT 49049505 LOCAL 490 RC outpatient 7055 5997 Coventry PPO 75 75% of all negotiated rates 1764 percent of total billed charges 1764 7055 Hernia Repair Inguinal 49505 CPT 49049505 LOCAL 490 RC outpatient 7055 5997 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 1411 percent of total billed charges 1411 7055 Hernia Repair Inguinal 49505 CPT 49049505 LOCAL 490 RC outpatient 7055 5997 Humana-Commerical PPO 46 46% of all negotiated rates 3810 percent of total billed charges 3810 7055 Hernia Repair Inguinal 49505 CPT 49049505 LOCAL 490 RC outpatient 7055 5997 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 4304 percent of total billed charges 4304 7055 Hernia Repair Inguinal 49505 CPT 49049505 LOCAL 490 RC outpatient 7055 5997 Multiplan PPO 80 80% of all negotiated rates 1411 percent of total billed charges 1411 7055 Hernia Repair Inguinal 49505 CPT 49049505 LOCAL 490 RC outpatient 7055 5997 Optum Medicare HMO 39 39% of all negotiated rates 4304 percent of total billed charges 4304 7055 Hernia Repair Inguinal 49505 CPT 49049505 LOCAL 490 RC outpatient 7055 5997 P3 HMO 39 39% of all negotiated rates 4304 percent of total billed charges 4304 7055 Hernia Repair Inguinal 49505 CPT 49049505 LOCAL 490 RC outpatient 7055 5997 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 2469 percent of total billed charges 2469 7055 Hernia Repair Inguinal 49505 CPT 49049505 LOCAL 490 RC outpatient 7055 5997 Select Health HMO 41 41% of all negotiated rates 4162 percent of total billed charges 4162 7055 Hernia Repair Inguinal 49505 CPT 49049505 LOCAL 490 RC outpatient 7055 5997 Silversummit Medicare HMO 39 39% of all negotiated rates 4304 percent of total billed charges 4304 7055 Hernia Repair Inguinal 49505 CPT 49049505 LOCAL 490 RC outpatient 7055 5997 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 4586 percent of total billed charges 4586 7055 Hernia Repair Inguinal 49505 CPT 49049505 LOCAL 490 RC outpatient 7055 5997 TriWest PPO 30 30% of all negotiated rates 4938 percent of total billed charges 4938 7055 Hernia Repair Inguinal 49505 CPT 49049505 LOCAL 490 RC outpatient 7055 5997 UHN-Universal Health Network PPO 65 65% of all negotiated rates 2469 percent of total billed charges 2469 7055 Hernia Repair Inguinal 49505 CPT 49049505 LOCAL 490 RC outpatient 7055 5997 Aetna PPO 1350 case rate 1350 case rate 1350 6719 Coinsurance and deductible may apply Hernia Repair Inguinal 49505 CPT 49049505 LOCAL 490 RC outpatient 7055 5997 Anthem Medicaid HMO 1155 NV Medicaid SDS Rate 1155 fee schedule 1155 6719 Coinsurance and deductible may apply Hernia Repair Inguinal 49505 CPT 49049505 LOCAL 490 RC outpatient 7055 5997 Cigna PPO 1427 case rate 1427 case rate 1427 6719 Coinsurance and deductible may apply Hernia Repair Inguinal 49505 CPT 49049505 LOCAL 490 RC outpatient 7055 5997 Coalition PPO 1321 Coalition grouper rate 1321 case rate 1321 6719 Coinsurance and deductible may apply Hernia Repair Inguinal 49505 CPT 49049505 LOCAL 490 RC outpatient 7055 5997 HPN Medicaid HMO 1155 NV Medicaid SDS Rate 1155 fee schedule 1155 6719 Coinsurance and deductible may apply Hernia Repair Inguinal 49505 CPT 49049505 LOCAL 490 RC outpatient 7055 5997 Molina Medicaid HMO 1155 NV Medicaid SDS Rate 1155 case rate 1155 6719 Coinsurance and deductible may apply Hernia Repair Inguinal 49505 CPT 49049505 LOCAL 490 RC outpatient 7055 5997 One Health PPO 1441 case rate 1441 case rate 1441 6719 Coinsurance and deductible may apply Hernia Repair Inguinal 49505 CPT 49049505 LOCAL 490 RC outpatient 7055 5997 Sierra Healthcare Options PPO 1427 case rate 1427 case rate 1427 6719 Coinsurance and deductible may apply Hernia Repair Inguinal 49505 CPT 49049505 LOCAL 490 RC outpatient 7055 5997 Sierra/HPN HMO 1427 case rate 1427 case rate 1427 6719 Coinsurance and deductible may apply Hernia Repair Inguinal 49505 CPT 49049505 LOCAL 490 RC outpatient 7055 5997 Teachers Trust PPO 1321 Teachers grouper rate 1321 case rate 1321 6719 Coinsurance and deductible may apply Hernia Repair Inguinal 49505 CPT 49049505 LOCAL 490 RC outpatient 7055 5997 United Healthcare PPO 1441 case rate 1441 case rate 1441 6719 Coinsurance and deductible may apply Hernia Repair Inguinal Laparoscopic 49650 CPT 49049650 LOCAL 490 RC outpatient 10230 8696 Aetna Medicare HMO 26 26% of all negotiated rates 7570 percent of total billed charges 7570 10230 Hernia Repair Inguinal Laparoscopic 49650 CPT 49049650 LOCAL 490 RC outpatient 10230 8696 Alignment Medicare HMO 39 39% of all negotiated rates 6240 percent of total billed charges 6240 10230 Hernia Repair Inguinal Laparoscopic 49650 CPT 49049650 LOCAL 490 RC outpatient 10230 8696 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 4092 percent of total billed charges 4092 10230 Hernia Repair Inguinal Laparoscopic 49650 CPT 49049650 LOCAL 490 RC outpatient 10230 8696 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 5115 percent of total billed charges 5115 10230 Hernia Repair Inguinal Laparoscopic 49650 CPT 49049650 LOCAL 490 RC outpatient 10230 8696 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 6240 percent of total billed charges 6240 10230 Hernia Repair Inguinal Laparoscopic 49650 CPT 49049650 LOCAL 490 RC outpatient 10230 8696 Coventry PPO 75 75% of all negotiated rates 2558 percent of total billed charges 2558 10230 Hernia Repair Inguinal Laparoscopic 49650 CPT 49049650 LOCAL 490 RC outpatient 10230 8696 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 2046 percent of total billed charges 2046 10230 Hernia Repair Inguinal Laparoscopic 49650 CPT 49049650 LOCAL 490 RC outpatient 10230 8696 Humana-Commerical PPO 46 46% of all negotiated rates 5524 percent of total billed charges 5524 10230 Hernia Repair Inguinal Laparoscopic 49650 CPT 49049650 LOCAL 490 RC outpatient 10230 8696 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 6240 percent of total billed charges 6240 10230 Hernia Repair Inguinal Laparoscopic 49650 CPT 49049650 LOCAL 490 RC outpatient 10230 8696 Multiplan PPO 80 80% of all negotiated rates 2046 percent of total billed charges 2046 10230 Hernia Repair Inguinal Laparoscopic 49650 CPT 49049650 LOCAL 490 RC outpatient 10230 8696 Optum Medicare HMO 39 39% of all negotiated rates 6240 percent of total billed charges 6240 10230 Hernia Repair Inguinal Laparoscopic 49650 CPT 49049650 LOCAL 490 RC outpatient 10230 8696 P3 HMO 39 39% of all negotiated rates 6240 percent of total billed charges 6240 10230 Hernia Repair Inguinal Laparoscopic 49650 CPT 49049650 LOCAL 490 RC outpatient 10230 8696 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 3581 percent of total billed charges 3581 10230 Hernia Repair Inguinal Laparoscopic 49650 CPT 49049650 LOCAL 490 RC outpatient 10230 8696 Select Health HMO 41 41% of all negotiated rates 6036 percent of total billed charges 6036 10230 Hernia Repair Inguinal Laparoscopic 49650 CPT 49049650 LOCAL 490 RC outpatient 10230 8696 Silversummit Medicare HMO 39 39% of all negotiated rates 6240 percent of total billed charges 6240 10230 Hernia Repair Inguinal Laparoscopic 49650 CPT 49049650 LOCAL 490 RC outpatient 10230 8696 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 6650 percent of total billed charges 6650 10230 Hernia Repair Inguinal Laparoscopic 49650 CPT 49049650 LOCAL 490 RC outpatient 10230 8696 TriWest PPO 30 30% of all negotiated rates 7161 percent of total billed charges 7161 10230 Hernia Repair Inguinal Laparoscopic 49650 CPT 49049650 LOCAL 490 RC outpatient 10230 8696 UHN-Universal Health Network PPO 65 65% of all negotiated rates 3581 percent of total billed charges 3581 10230 Hernia Repair Inguinal Laparoscopic 49650 CPT 49049650 LOCAL 490 RC outpatient 10230 8696 Aetna PPO 1350 case rate 1350 case rate 1350 9743 Coinsurance and deductible may apply Hernia Repair Inguinal Laparoscopic 49650 CPT 49049650 LOCAL 490 RC outpatient 10230 8696 Anthem Medicaid HMO 1590 NV Medicaid SDS Rate 1590 fee schedule 1590 9743 Coinsurance and deductible may apply Hernia Repair Inguinal Laparoscopic 49650 CPT 49049650 LOCAL 490 RC outpatient 10230 8696 Cigna PPO 1427 case rate 1427 case rate 1427 9743 Coinsurance and deductible may apply Hernia Repair Inguinal Laparoscopic 49650 CPT 49049650 LOCAL 490 RC outpatient 10230 8696 Coalition PPO 1321 Coalition grouper rate 1321 case rate 1321 9743 Coinsurance and deductible may apply Hernia Repair Inguinal Laparoscopic 49650 CPT 49049650 LOCAL 490 RC outpatient 10230 8696 HPN Medicaid HMO 1590 NV Medicaid SDS Rate 1590 fee schedule 1590 9743 Coinsurance and deductible may apply Hernia Repair Inguinal Laparoscopic 49650 CPT 49049650 LOCAL 490 RC outpatient 10230 8696 Molina Medicaid HMO 1590 NV Medicaid SDS Rate 1590 case rate 1590 9743 Coinsurance and deductible may apply Hernia Repair Inguinal Laparoscopic 49650 CPT 49049650 LOCAL 490 RC outpatient 10230 8696 One Health PPO 2818 case rate 2818 case rate 2818 9743 Coinsurance and deductible may apply Hernia Repair Inguinal Laparoscopic 49650 CPT 49049650 LOCAL 490 RC outpatient 10230 8696 Sierra Healthcare Options PPO 1427 case rate 1427 case rate 1427 9743 Coinsurance and deductible may apply Hernia Repair Inguinal Laparoscopic 49650 CPT 49049650 LOCAL 490 RC outpatient 10230 8696 Sierra/HPN HMO 1427 case rate 1427 case rate 1427 9743 Coinsurance and deductible may apply Hernia Repair Inguinal Laparoscopic 49650 CPT 49049650 LOCAL 490 RC outpatient 10230 8696 Teachers Trust PPO 1321 Teachers grouper rate 1321 case rate 1321 9743 Coinsurance and deductible may apply Hernia Repair Inguinal Laparoscopic 49650 CPT 49049650 LOCAL 490 RC outpatient 10230 8696 United Healthcare PPO 2818 case rate 2818 case rate 2818 9743 Coinsurance and deductible may apply Hernia Repair Umbilical 49585 CPT 49049585 LOCAL 490 RC outpatient 6362 5408 Aetna Medicare HMO 26 26% of all negotiated rates 4708 percent of total billed charges 4708 6362 Hernia Repair Umbilical 49585 CPT 49049585 LOCAL 490 RC outpatient 6362 5408 Alignment Medicare HMO 39 39% of all negotiated rates 3881 percent of total billed charges 3881 6362 Hernia Repair Umbilical 49585 CPT 49049585 LOCAL 490 RC outpatient 6362 5408 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 2545 percent of total billed charges 2545 6362 Hernia Repair Umbilical 49585 CPT 49049585 LOCAL 490 RC outpatient 6362 5408 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 3181 percent of total billed charges 3181 6362 Hernia Repair Umbilical 49585 CPT 49049585 LOCAL 490 RC outpatient 6362 5408 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 3881 percent of total billed charges 3881 6362 Hernia Repair Umbilical 49585 CPT 49049585 LOCAL 490 RC outpatient 6362 5408 Coventry PPO 75 75% of all negotiated rates 1590 percent of total billed charges 1590 6362 Hernia Repair Umbilical 49585 CPT 49049585 LOCAL 490 RC outpatient 6362 5408 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 1272 percent of total billed charges 1272 6362 Hernia Repair Umbilical 49585 CPT 49049585 LOCAL 490 RC outpatient 6362 5408 Humana-Commerical PPO 46 46% of all negotiated rates 3435 percent of total billed charges 3435 6362 Hernia Repair Umbilical 49585 CPT 49049585 LOCAL 490 RC outpatient 6362 5408 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 3881 percent of total billed charges 3881 6362 Hernia Repair Umbilical 49585 CPT 49049585 LOCAL 490 RC outpatient 6362 5408 Multiplan PPO 80 80% of all negotiated rates 1272 percent of total billed charges 1272 6362 Hernia Repair Umbilical 49585 CPT 49049585 LOCAL 490 RC outpatient 6362 5408 Optum Medicare HMO 39 39% of all negotiated rates 3881 percent of total billed charges 3881 6362 Hernia Repair Umbilical 49585 CPT 49049585 LOCAL 490 RC outpatient 6362 5408 P3 HMO 39 39% of all negotiated rates 3881 percent of total billed charges 3881 6362 Hernia Repair Umbilical 49585 CPT 49049585 LOCAL 490 RC outpatient 6362 5408 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 2227 percent of total billed charges 2227 6362 Hernia Repair Umbilical 49585 CPT 49049585 LOCAL 490 RC outpatient 6362 5408 Select Health HMO 41 41% of all negotiated rates 3754 percent of total billed charges 3754 6362 Hernia Repair Umbilical 49585 CPT 49049585 LOCAL 490 RC outpatient 6362 5408 Silversummit Medicare HMO 39 39% of all negotiated rates 3881 percent of total billed charges 3881 6362 Hernia Repair Umbilical 49585 CPT 49049585 LOCAL 490 RC outpatient 6362 5408 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 4135 percent of total billed charges 4135 6362 Hernia Repair Umbilical 49585 CPT 49049585 LOCAL 490 RC outpatient 6362 5408 TriWest PPO 30 30% of all negotiated rates 4453 percent of total billed charges 4453 6362 Hernia Repair Umbilical 49585 CPT 49049585 LOCAL 490 RC outpatient 6362 5408 UHN-Universal Health Network PPO 65 65% of all negotiated rates 2227 percent of total billed charges 2227 6362 Hernia Repair Umbilical 49585 CPT 49049585 LOCAL 490 RC outpatient 6362 5408 Aetna PPO 1350 case rate 1350 case rate 1350 6059 Coinsurance and deductible may apply Hernia Repair Umbilical 49585 CPT 49049585 LOCAL 490 RC outpatient 6362 5408 Anthem Medicaid HMO 1155 NV Medicaid SDS Rate 1155 fee schedule 1155 6059 Coinsurance and deductible may apply Hernia Repair Umbilical 49585 CPT 49049585 LOCAL 490 RC outpatient 6362 5408 Cigna PPO 1427 case rate 1427 case rate 1427 6059 Coinsurance and deductible may apply Hernia Repair Umbilical 49585 CPT 49049585 LOCAL 490 RC outpatient 6362 5408 Coalition PPO 1321 Coalition grouper rate 1321 case rate 1321 6059 Coinsurance and deductible may apply Hernia Repair Umbilical 49585 CPT 49049585 LOCAL 490 RC outpatient 6362 5408 HPN Medicaid HMO 1155 NV Medicaid SDS Rate 1155 fee schedule 1155 6059 Coinsurance and deductible may apply Hernia Repair Umbilical 49585 CPT 49049585 LOCAL 490 RC outpatient 6362 5408 Molina Medicaid HMO 1155 NV Medicaid SDS Rate 1155 case rate 1155 6059 Coinsurance and deductible may apply Hernia Repair Umbilical 49585 CPT 49049585 LOCAL 490 RC outpatient 6362 5408 One Health PPO 1441 case rate 1441 case rate 1441 6059 Coinsurance and deductible may apply Hernia Repair Umbilical 49585 CPT 49049585 LOCAL 490 RC outpatient 6362 5408 Sierra Healthcare Options PPO 1427 case rate 1427 case rate 1427 6059 Coinsurance and deductible may apply Hernia Repair Umbilical 49585 CPT 49049585 LOCAL 490 RC outpatient 6362 5408 Sierra/HPN HMO 1427 case rate 1427 case rate 1427 6059 Coinsurance and deductible may apply Hernia Repair Umbilical 49585 CPT 49049585 LOCAL 490 RC outpatient 6362 5408 Teachers Trust PPO 1321 Teachers grouper rate 1321 case rate 1321 6059 Coinsurance and deductible may apply Hernia Repair Umbilical 49585 CPT 49049585 LOCAL 490 RC outpatient 6362 5408 United Healthcare PPO 1441 case rate 1441 case rate 1441 6059 Coinsurance and deductible may apply Hernia Repair Ventral 49560 CPT 49049560 LOCAL 490 RC outpatient 6188 5260 Aetna Medicare HMO 26 26% of all negotiated rates 4579 percent of total billed charges 4579 6188 Hernia Repair Ventral 49560 CPT 49049560 LOCAL 490 RC outpatient 6188 5260 Alignment Medicare HMO 39 39% of all negotiated rates 3774 percent of total billed charges 3774 6188 Hernia Repair Ventral 49560 CPT 49049560 LOCAL 490 RC outpatient 6188 5260 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 2475 percent of total billed charges 2475 6188 Hernia Repair Ventral 49560 CPT 49049560 LOCAL 490 RC outpatient 6188 5260 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 3094 percent of total billed charges 3094 6188 Hernia Repair Ventral 49560 CPT 49049560 LOCAL 490 RC outpatient 6188 5260 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 3774 percent of total billed charges 3774 6188 Hernia Repair Ventral 49560 CPT 49049560 LOCAL 490 RC outpatient 6188 5260 Coventry PPO 75 75% of all negotiated rates 1547 percent of total billed charges 1547 6188 Hernia Repair Ventral 49560 CPT 49049560 LOCAL 490 RC outpatient 6188 5260 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 1238 percent of total billed charges 1238 6188 Hernia Repair Ventral 49560 CPT 49049560 LOCAL 490 RC outpatient 6188 5260 Humana-Commerical PPO 46 46% of all negotiated rates 3341 percent of total billed charges 3341 6188 Hernia Repair Ventral 49560 CPT 49049560 LOCAL 490 RC outpatient 6188 5260 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 3774 percent of total billed charges 3774 6188 Hernia Repair Ventral 49560 CPT 49049560 LOCAL 490 RC outpatient 6188 5260 Multiplan PPO 80 80% of all negotiated rates 1238 percent of total billed charges 1238 6188 Hernia Repair Ventral 49560 CPT 49049560 LOCAL 490 RC outpatient 6188 5260 Optum Medicare HMO 39 39% of all negotiated rates 3774 percent of total billed charges 3774 6188 Hernia Repair Ventral 49560 CPT 49049560 LOCAL 490 RC outpatient 6188 5260 P3 HMO 39 39% of all negotiated rates 3774 percent of total billed charges 3774 6188 Hernia Repair Ventral 49560 CPT 49049560 LOCAL 490 RC outpatient 6188 5260 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 2166 percent of total billed charges 2166 6188 Hernia Repair Ventral 49560 CPT 49049560 LOCAL 490 RC outpatient 6188 5260 Select Health HMO 41 41% of all negotiated rates 3651 percent of total billed charges 3651 6188 Hernia Repair Ventral 49560 CPT 49049560 LOCAL 490 RC outpatient 6188 5260 Silversummit Medicare HMO 39 39% of all negotiated rates 3774 percent of total billed charges 3774 6188 Hernia Repair Ventral 49560 CPT 49049560 LOCAL 490 RC outpatient 6188 5260 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 4022 percent of total billed charges 4022 6188 Hernia Repair Ventral 49560 CPT 49049560 LOCAL 490 RC outpatient 6188 5260 TriWest PPO 30 30% of all negotiated rates 4331 percent of total billed charges 4331 6188 Hernia Repair Ventral 49560 CPT 49049560 LOCAL 490 RC outpatient 6188 5260 UHN-Universal Health Network PPO 65 65% of all negotiated rates 2166 percent of total billed charges 2166 6188 Hernia Repair Ventral 49560 CPT 49049560 LOCAL 490 RC outpatient 6188 5260 Aetna PPO 1350 case rate 1350 case rate 1350 5893 Coinsurance and deductible may apply Hernia Repair Ventral 49560 CPT 49049560 LOCAL 490 RC outpatient 6188 5260 Anthem Medicaid HMO 1155 NV Medicaid SDS Rate 1155 fee schedule 1155 5893 Coinsurance and deductible may apply Hernia Repair Ventral 49560 CPT 49049560 LOCAL 490 RC outpatient 6188 5260 Cigna PPO 1427 case rate 1427 case rate 1427 5893 Coinsurance and deductible may apply Hernia Repair Ventral 49560 CPT 49049560 LOCAL 490 RC outpatient 6188 5260 Coalition PPO 1321 Coalition grouper rate 1321 case rate 1321 5893 Coinsurance and deductible may apply Hernia Repair Ventral 49560 CPT 49049560 LOCAL 490 RC outpatient 6188 5260 HPN Medicaid HMO 1155 NV Medicaid SDS Rate 1155 fee schedule 1155 5893 Coinsurance and deductible may apply Hernia Repair Ventral 49560 CPT 49049560 LOCAL 490 RC outpatient 6188 5260 Molina Medicaid HMO 1155 NV Medicaid SDS Rate 1155 case rate 1155 5893 Coinsurance and deductible may apply Hernia Repair Ventral 49560 CPT 49049560 LOCAL 490 RC outpatient 6188 5260 One Health PPO 1441 case rate 1441 case rate 1441 5893 Coinsurance and deductible may apply Hernia Repair Ventral 49560 CPT 49049560 LOCAL 490 RC outpatient 6188 5260 Sierra Healthcare Options PPO 1427 case rate 1427 case rate 1427 5893 Coinsurance and deductible may apply Hernia Repair Ventral 49560 CPT 49049560 LOCAL 490 RC outpatient 6188 5260 Sierra/HPN HMO 1427 case rate 1427 case rate 1427 5893 Coinsurance and deductible may apply Hernia Repair Ventral 49560 CPT 49049560 LOCAL 490 RC outpatient 6188 5260 Teachers Trust PPO 1321 Teachers grouper rate 1321 case rate 1321 5893 Coinsurance and deductible may apply Hernia Repair Ventral 49560 CPT 49049560 LOCAL 490 RC outpatient 6188 5260 United Healthcare PPO 1441 case rate 1441 case rate 1441 5893 Coinsurance and deductible may apply Hernia Repair with Mesh 49568 CPT 49049568 LOCAL 490 RC outpatient 3880 3298 Aetna Medicare HMO 26 26% of all negotiated rates 2871 percent of total billed charges 2871 3880 Hernia Repair with Mesh 49568 CPT 49049568 LOCAL 490 RC outpatient 3880 3298 Alignment Medicare HMO 39 39% of all negotiated rates 2367 percent of total billed charges 2367 3880 Hernia Repair with Mesh 49568 CPT 49049568 LOCAL 490 RC outpatient 3880 3298 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 1552 percent of total billed charges 1552 3880 Hernia Repair with Mesh 49568 CPT 49049568 LOCAL 490 RC outpatient 3880 3298 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 1940 percent of total billed charges 1940 3880 Hernia Repair with Mesh 49568 CPT 49049568 LOCAL 490 RC outpatient 3880 3298 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 2367 percent of total billed charges 2367 3880 Hernia Repair with Mesh 49568 CPT 49049568 LOCAL 490 RC outpatient 3880 3298 Coventry PPO 75 75% of all negotiated rates 970 percent of total billed charges 970 3880 Hernia Repair with Mesh 49568 CPT 49049568 LOCAL 490 RC outpatient 3880 3298 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 776 percent of total billed charges 776 3880 Hernia Repair with Mesh 49568 CPT 49049568 LOCAL 490 RC outpatient 3880 3298 Humana-Commerical PPO 46 46% of all negotiated rates 2095 percent of total billed charges 2095 3880 Hernia Repair with Mesh 49568 CPT 49049568 LOCAL 490 RC outpatient 3880 3298 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 2367 percent of total billed charges 2367 3880 Hernia Repair with Mesh 49568 CPT 49049568 LOCAL 490 RC outpatient 3880 3298 Multiplan PPO 80 80% of all negotiated rates 776 percent of total billed charges 776 3880 Hernia Repair with Mesh 49568 CPT 49049568 LOCAL 490 RC outpatient 3880 3298 Optum Medicare HMO 39 39% of all negotiated rates 2367 percent of total billed charges 2367 3880 Hernia Repair with Mesh 49568 CPT 49049568 LOCAL 490 RC outpatient 3880 3298 P3 HMO 39 39% of all negotiated rates 2367 percent of total billed charges 2367 3880 Hernia Repair with Mesh 49568 CPT 49049568 LOCAL 490 RC outpatient 3880 3298 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 1358 percent of total billed charges 1358 3880 Hernia Repair with Mesh 49568 CPT 49049568 LOCAL 490 RC outpatient 3880 3298 Select Health HMO 41 41% of all negotiated rates 2289 percent of total billed charges 2289 3880 Hernia Repair with Mesh 49568 CPT 49049568 LOCAL 490 RC outpatient 3880 3298 Silversummit Medicare HMO 39 39% of all negotiated rates 2367 percent of total billed charges 2367 3880 Hernia Repair with Mesh 49568 CPT 49049568 LOCAL 490 RC outpatient 3880 3298 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 2522 percent of total billed charges 2522 3880 Hernia Repair with Mesh 49568 CPT 49049568 LOCAL 490 RC outpatient 3880 3298 TriWest PPO 30 30% of all negotiated rates 2716 percent of total billed charges 2716 3880 Hernia Repair with Mesh 49568 CPT 49049568 LOCAL 490 RC outpatient 3880 3298 UHN-Universal Health Network PPO 65 65% of all negotiated rates 1358 percent of total billed charges 1358 3880 Hernia Repair with Mesh 49568 CPT 49049568 LOCAL 490 RC outpatient 3880 3298 Aetna PPO 1950 case rate 1950 case rate 1950 3695 Coinsurance and deductible may apply Hernia Repair with Mesh 49568 CPT 49049568 LOCAL 490 RC outpatient 3880 3298 Cigna PPO 1625 case rate 1625 case rate 1625 3695 Coinsurance and deductible may apply Hernia Repair with Mesh 49568 CPT 49049568 LOCAL 490 RC outpatient 3880 3298 Coalition PPO 2090 Coalition grouper rate 2090 case rate 2090 3695 Coinsurance and deductible may apply Hernia Repair with Mesh 49568 CPT 49049568 LOCAL 490 RC outpatient 3880 3298 One Health PPO 474 case rate 474 case rate 474 3695 Coinsurance and deductible may apply Hernia Repair with Mesh 49568 CPT 49049568 LOCAL 490 RC outpatient 3880 3298 Sierra Healthcare Options PPO 1625 case rate 1625 case rate 1625 3695 Coinsurance and deductible may apply Hernia Repair with Mesh 49568 CPT 49049568 LOCAL 490 RC outpatient 3880 3298 Sierra/HPN HMO 1625 case rate 1625 case rate 1625 3695 Coinsurance and deductible may apply Hernia Repair with Mesh 49568 CPT 49049568 LOCAL 490 RC outpatient 3880 3298 Teachers Trust PPO 2090 Teachers grouper rate 2090 case rate 2090 3695 Coinsurance and deductible may apply Hernia Repair with Mesh 49568 CPT 49049568 LOCAL 490 RC outpatient 3880 3298 United Healthcare PPO 474 case rate 474 case rate 474 3695 Coinsurance and deductible may apply High Sensitivity Troponin 84484 CPT 4004484 LOCAL 301 RC outpatient 457 388 Aetna PPO 38 38% of all negotiated rates 283 percent of total billed charges 283 457 High Sensitivity Troponin 84484 CPT 4004484 LOCAL 301 RC outpatient 457 388 Aetna Medicare HMO 26 26% of all negotiated rates 338 percent of total billed charges 338 457 High Sensitivity Troponin 84484 CPT 4004484 LOCAL 301 RC outpatient 457 388 Alignment Medicare HMO 39 39% of all negotiated rates 279 percent of total billed charges 279 457 High Sensitivity Troponin 84484 CPT 4004484 LOCAL 301 RC outpatient 457 388 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 183 percent of total billed charges 183 457 High Sensitivity Troponin 84484 CPT 4004484 LOCAL 301 RC outpatient 457 388 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 228 percent of total billed charges 228 457 High Sensitivity Troponin 84484 CPT 4004484 LOCAL 301 RC outpatient 457 388 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 279 percent of total billed charges 279 457 High Sensitivity Troponin 84484 CPT 4004484 LOCAL 301 RC outpatient 457 388 Cigna PPO 68 68% of all negotiated rates 146 percent of total billed charges 146 457 High Sensitivity Troponin 84484 CPT 4004484 LOCAL 301 RC outpatient 457 388 Coalition PPO 49 49% of all negotiated rates 233 percent of total billed charges 233 457 High Sensitivity Troponin 84484 CPT 4004484 LOCAL 301 RC outpatient 457 388 Coventry PPO 75 75% of all negotiated rates 114 percent of total billed charges 114 457 High Sensitivity Troponin 84484 CPT 4004484 LOCAL 301 RC outpatient 457 388 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 91 percent of total billed charges 91 457 High Sensitivity Troponin 84484 CPT 4004484 LOCAL 301 RC outpatient 457 388 Humana-Commerical PPO 70 70% of all negotiated rates 137 percent of total billed charges 137 457 High Sensitivity Troponin 84484 CPT 4004484 LOCAL 301 RC outpatient 457 388 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 279 percent of total billed charges 279 457 High Sensitivity Troponin 84484 CPT 4004484 LOCAL 301 RC outpatient 457 388 Multiplan PPO 80 80% of all negotiated rates 91 percent of total billed charges 91 457 High Sensitivity Troponin 84484 CPT 4004484 LOCAL 301 RC outpatient 457 388 One Health PPO 55 55% of all negotiated rates 206 percent of total billed charges 206 457 High Sensitivity Troponin 84484 CPT 4004484 LOCAL 301 RC outpatient 457 388 Optum Medicare HMO 39 39% of all negotiated rates 279 percent of total billed charges 279 457 High Sensitivity Troponin 84484 CPT 4004484 LOCAL 301 RC outpatient 457 388 P3 HMO 39 39% of all negotiated rates 279 percent of total billed charges 279 457 High Sensitivity Troponin 84484 CPT 4004484 LOCAL 301 RC outpatient 457 388 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 137 percent of total billed charges 137 457 High Sensitivity Troponin 84484 CPT 4004484 LOCAL 301 RC outpatient 457 388 Select Health HMO 41 41% of all negotiated rates 269 percent of total billed charges 269 457 High Sensitivity Troponin 84484 CPT 4004484 LOCAL 301 RC outpatient 457 388 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 304 percent of total billed charges 304 457 High Sensitivity Troponin 84484 CPT 4004484 LOCAL 301 RC outpatient 457 388 Sierra/HPN HMO 60 60% of all negotiated rates 183 percent of total billed charges 183 457 High Sensitivity Troponin 84484 CPT 4004484 LOCAL 301 RC outpatient 457 388 Silversummit Medicare HMO 39 39% of all negotiated rates 279 percent of total billed charges 279 457 High Sensitivity Troponin 84484 CPT 4004484 LOCAL 301 RC outpatient 457 388 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 297 percent of total billed charges 297 457 High Sensitivity Troponin 84484 CPT 4004484 LOCAL 301 RC outpatient 457 388 Teachers Trust PPO 65 65% of all negotiated rates 160 percent of total billed charges 160 457 High Sensitivity Troponin 84484 CPT 4004484 LOCAL 301 RC outpatient 457 388 TriWest PPO 30 30% of all negotiated rates 320 percent of total billed charges 320 457 High Sensitivity Troponin 84484 CPT 4004484 LOCAL 301 RC outpatient 457 388 UHN-Universal Health Network PPO 70 70% of all negotiated rates 137 percent of total billed charges 137 457 High Sensitivity Troponin 84484 CPT 4004484 LOCAL 301 RC outpatient 457 388 United Healthcare PPO 60 60% of all negotiated rates 183 percent of total billed charges 183 457 High Sensitivity Troponin 84484 CPT 4004484 LOCAL 301 RC outpatient 457 388 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 7 fee schedule 7 435 Coinsurance and deductible may apply High Sensitivity Troponin 84484 CPT 4004484 LOCAL 301 RC outpatient 457 388 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 7 fee schedule 7 435 Coinsurance and deductible may apply High Sensitivity Troponin 84484 CPT 4004484 LOCAL 301 RC outpatient 457 388 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 7 fee schedule 7 435 Coinsurance and deductible may apply INHALATION TREATMENT. 94640 CPT 4176400 LOCAL 410 RC outpatient 110 94 Aetna PPO 38 38% of all negotiated rates 68 percent of total billed charges 68 110 INHALATION TREATMENT. 94640 CPT 4176400 LOCAL 410 RC outpatient 110 94 Aetna Medicare HMO 26 26% of all negotiated rates 82 percent of total billed charges 82 110 INHALATION TREATMENT. 94640 CPT 4176400 LOCAL 410 RC outpatient 110 94 Alignment Medicare HMO 39 39% of all negotiated rates 67 percent of total billed charges 67 110 INHALATION TREATMENT. 94640 CPT 4176400 LOCAL 410 RC outpatient 110 94 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 44 percent of total billed charges 44 110 INHALATION TREATMENT. 94640 CPT 4176400 LOCAL 410 RC outpatient 110 94 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 55 percent of total billed charges 55 110 INHALATION TREATMENT. 94640 CPT 4176400 LOCAL 410 RC outpatient 110 94 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 67 percent of total billed charges 67 110 INHALATION TREATMENT. 94640 CPT 4176400 LOCAL 410 RC outpatient 110 94 Cigna PPO 68 68% of all negotiated rates 35 percent of total billed charges 35 110 INHALATION TREATMENT. 94640 CPT 4176400 LOCAL 410 RC outpatient 110 94 Coalition PPO 59 59% of all negotiated rates 45 percent of total billed charges 45 110 INHALATION TREATMENT. 94640 CPT 4176400 LOCAL 410 RC outpatient 110 94 Coventry PPO 75 75% of all negotiated rates 28 percent of total billed charges 28 110 INHALATION TREATMENT. 94640 CPT 4176400 LOCAL 410 RC outpatient 110 94 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 22 percent of total billed charges 22 110 INHALATION TREATMENT. 94640 CPT 4176400 LOCAL 410 RC outpatient 110 94 Humana-Commerical PPO 70 70% of all negotiated rates 33 percent of total billed charges 33 110 INHALATION TREATMENT. 94640 CPT 4176400 LOCAL 410 RC outpatient 110 94 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 67 percent of total billed charges 67 110 INHALATION TREATMENT. 94640 CPT 4176400 LOCAL 410 RC outpatient 110 94 Multiplan PPO 80 80% of all negotiated rates 22 percent of total billed charges 22 110 INHALATION TREATMENT. 94640 CPT 4176400 LOCAL 410 RC outpatient 110 94 One Health PPO 55 55% of all negotiated rates 50 percent of total billed charges 50 110 INHALATION TREATMENT. 94640 CPT 4176400 LOCAL 410 RC outpatient 110 94 Optum Medicare HMO 39 39% of all negotiated rates 67 percent of total billed charges 67 110 INHALATION TREATMENT. 94640 CPT 4176400 LOCAL 410 RC outpatient 110 94 P3 HMO 39 39% of all negotiated rates 67 percent of total billed charges 67 110 INHALATION TREATMENT. 94640 CPT 4176400 LOCAL 410 RC outpatient 110 94 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 33 percent of total billed charges 33 110 INHALATION TREATMENT. 94640 CPT 4176400 LOCAL 410 RC outpatient 110 94 Select Health HMO 41 41% of all negotiated rates 65 percent of total billed charges 65 110 INHALATION TREATMENT. 94640 CPT 4176400 LOCAL 410 RC outpatient 110 94 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 73 percent of total billed charges 73 110 INHALATION TREATMENT. 94640 CPT 4176400 LOCAL 410 RC outpatient 110 94 Sierra/HPN HMO 60 60% of all negotiated rates 44 percent of total billed charges 44 110 INHALATION TREATMENT. 94640 CPT 4176400 LOCAL 410 RC outpatient 110 94 Silversummit Medicare HMO 39 39% of all negotiated rates 67 percent of total billed charges 67 110 INHALATION TREATMENT. 94640 CPT 4176400 LOCAL 410 RC outpatient 110 94 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 72 percent of total billed charges 72 110 INHALATION TREATMENT. 94640 CPT 4176400 LOCAL 410 RC outpatient 110 94 Teachers Trust PPO 65 65% of all negotiated rates 39 percent of total billed charges 39 110 INHALATION TREATMENT. 94640 CPT 4176400 LOCAL 410 RC outpatient 110 94 TriWest PPO 30 30% of all negotiated rates 77 percent of total billed charges 77 110 INHALATION TREATMENT. 94640 CPT 4176400 LOCAL 410 RC outpatient 110 94 UHN-Universal Health Network PPO 70 70% of all negotiated rates 33 percent of total billed charges 33 110 INHALATION TREATMENT. 94640 CPT 4176400 LOCAL 410 RC outpatient 110 94 United Healthcare PPO 60 60% of all negotiated rates 44 percent of total billed charges 44 110 INHALATION TREATMENT. 94640 CPT 4176400 LOCAL 410 RC outpatient 110 94 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 16 fee schedule 16 105 Coinsurance and deductible may apply INHALATION TREATMENT. 94640 CPT 4176400 LOCAL 410 RC outpatient 110 94 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 16 fee schedule 16 105 Coinsurance and deductible may apply INHALATION TREATMENT. 94640 CPT 4176400 LOCAL 410 RC outpatient 110 94 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 16 fee schedule 16 105 Coinsurance and deductible may apply Knee Arthroplasty 27447 CPT 36027447 LOCAL 360 RC outpatient 11967 10172 Aetna Medicare HMO 26 26% of all negotiated rates 8855 percent of total billed charges 8855 11967 Knee Arthroplasty 27447 CPT 36027447 LOCAL 360 RC outpatient 11967 10172 Alignment Medicare HMO 39 39% of all negotiated rates 7300 percent of total billed charges 7300 11967 Knee Arthroplasty 27447 CPT 36027447 LOCAL 360 RC outpatient 11967 10172 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 4787 percent of total billed charges 4787 11967 Knee Arthroplasty 27447 CPT 36027447 LOCAL 360 RC outpatient 11967 10172 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 5983 percent of total billed charges 5983 11967 Knee Arthroplasty 27447 CPT 36027447 LOCAL 360 RC outpatient 11967 10172 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 7300 percent of total billed charges 7300 11967 Knee Arthroplasty 27447 CPT 36027447 LOCAL 360 RC outpatient 11967 10172 Cigna PPO 68 68% of all negotiated rates 3829 percent of total billed charges 3829 11967 Knee Arthroplasty 27447 CPT 36027447 LOCAL 360 RC outpatient 11967 10172 Coventry PPO 75 75% of all negotiated rates 2992 percent of total billed charges 2992 11967 Knee Arthroplasty 27447 CPT 36027447 LOCAL 360 RC outpatient 11967 10172 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 2393 percent of total billed charges 2393 11967 Knee Arthroplasty 27447 CPT 36027447 LOCAL 360 RC outpatient 11967 10172 Humana-Commerical PPO 70 70% of all negotiated rates 3590 percent of total billed charges 3590 11967 Knee Arthroplasty 27447 CPT 36027447 LOCAL 360 RC outpatient 11967 10172 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 7300 percent of total billed charges 7300 11967 Knee Arthroplasty 27447 CPT 36027447 LOCAL 360 RC outpatient 11967 10172 Multiplan PPO 80 80% of all negotiated rates 2393 percent of total billed charges 2393 11967 Knee Arthroplasty 27447 CPT 36027447 LOCAL 360 RC outpatient 11967 10172 Optum Medicare HMO 39 39% of all negotiated rates 7300 percent of total billed charges 7300 11967 Knee Arthroplasty 27447 CPT 36027447 LOCAL 360 RC outpatient 11967 10172 P3 HMO 39 39% of all negotiated rates 7300 percent of total billed charges 7300 11967 Knee Arthroplasty 27447 CPT 36027447 LOCAL 360 RC outpatient 11967 10172 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 3590 percent of total billed charges 3590 11967 Knee Arthroplasty 27447 CPT 36027447 LOCAL 360 RC outpatient 11967 10172 Select Health HMO 41 41% of all negotiated rates 7060 percent of total billed charges 7060 11967 Knee Arthroplasty 27447 CPT 36027447 LOCAL 360 RC outpatient 11967 10172 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 7958 percent of total billed charges 7958 11967 Knee Arthroplasty 27447 CPT 36027447 LOCAL 360 RC outpatient 11967 10172 Sierra/HPN HMO 60 60% of all negotiated rates 4787 percent of total billed charges 4787 11967 Knee Arthroplasty 27447 CPT 36027447 LOCAL 360 RC outpatient 11967 10172 Silversummit Medicare HMO 39 39% of all negotiated rates 7300 percent of total billed charges 7300 11967 Knee Arthroplasty 27447 CPT 36027447 LOCAL 360 RC outpatient 11967 10172 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 7778 percent of total billed charges 7778 11967 Knee Arthroplasty 27447 CPT 36027447 LOCAL 360 RC outpatient 11967 10172 TriWest PPO 30 30% of all negotiated rates 8377 percent of total billed charges 8377 11967 Knee Arthroplasty 27447 CPT 36027447 LOCAL 360 RC outpatient 11967 10172 UHN-Universal Health Network PPO 70 70% of all negotiated rates 3590 percent of total billed charges 3590 11967 Knee Arthroplasty 27447 CPT 36027447 LOCAL 360 RC outpatient 11967 10172 Aetna PPO 1750 case rate 1750 case rate 1750 11397 Coinsurance and deductible may apply Knee Arthroplasty 27447 CPT 36027447 LOCAL 360 RC outpatient 11967 10172 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 1294 fee schedule 1294 11397 Coinsurance and deductible may apply Knee Arthroplasty 27447 CPT 36027447 LOCAL 360 RC outpatient 11967 10172 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 1294 fee schedule 1294 11397 Coinsurance and deductible may apply Knee Arthroplasty 27447 CPT 36027447 LOCAL 360 RC outpatient 11967 10172 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 1294 fee schedule 1294 11397 Coinsurance and deductible may apply Knee Arthroplasty 27447 CPT 36027447 LOCAL 360 RC outpatient 11967 10172 Teachers Trust PPO 1744 case rate 1744 case rate 1744 11397 Coinsurance and deductible may apply Knee Arthroscopy Dx 29870 CPT 49029870 LOCAL 490 RC outpatient 3456 2937 Aetna Medicare HMO 26 26% of all negotiated rates 2557 percent of total billed charges 2557 3456 Knee Arthroscopy Dx 29870 CPT 49029870 LOCAL 490 RC outpatient 3456 2937 Alignment Medicare HMO 39 39% of all negotiated rates 2108 percent of total billed charges 2108 3456 Knee Arthroscopy Dx 29870 CPT 49029870 LOCAL 490 RC outpatient 3456 2937 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 1382 percent of total billed charges 1382 3456 Knee Arthroscopy Dx 29870 CPT 49029870 LOCAL 490 RC outpatient 3456 2937 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 1728 percent of total billed charges 1728 3456 Knee Arthroscopy Dx 29870 CPT 49029870 LOCAL 490 RC outpatient 3456 2937 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 2108 percent of total billed charges 2108 3456 Knee Arthroscopy Dx 29870 CPT 49029870 LOCAL 490 RC outpatient 3456 2937 Coventry PPO 75 75% of all negotiated rates 864 percent of total billed charges 864 3456 Knee Arthroscopy Dx 29870 CPT 49029870 LOCAL 490 RC outpatient 3456 2937 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 691 percent of total billed charges 691 3456 Knee Arthroscopy Dx 29870 CPT 49029870 LOCAL 490 RC outpatient 3456 2937 Humana-Commerical PPO 46 46% of all negotiated rates 1866 percent of total billed charges 1866 3456 Knee Arthroscopy Dx 29870 CPT 49029870 LOCAL 490 RC outpatient 3456 2937 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 2108 percent of total billed charges 2108 3456 Knee Arthroscopy Dx 29870 CPT 49029870 LOCAL 490 RC outpatient 3456 2937 Multiplan PPO 80 80% of all negotiated rates 691 percent of total billed charges 691 3456 Knee Arthroscopy Dx 29870 CPT 49029870 LOCAL 490 RC outpatient 3456 2937 Optum Medicare HMO 39 39% of all negotiated rates 2108 percent of total billed charges 2108 3456 Knee Arthroscopy Dx 29870 CPT 49029870 LOCAL 490 RC outpatient 3456 2937 P3 HMO 39 39% of all negotiated rates 2108 percent of total billed charges 2108 3456 Knee Arthroscopy Dx 29870 CPT 49029870 LOCAL 490 RC outpatient 3456 2937 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 1209 percent of total billed charges 1209 3456 Knee Arthroscopy Dx 29870 CPT 49029870 LOCAL 490 RC outpatient 3456 2937 Select Health HMO 41 41% of all negotiated rates 2039 percent of total billed charges 2039 3456 Knee Arthroscopy Dx 29870 CPT 49029870 LOCAL 490 RC outpatient 3456 2937 Silversummit Medicare HMO 39 39% of all negotiated rates 2108 percent of total billed charges 2108 3456 Knee Arthroscopy Dx 29870 CPT 49029870 LOCAL 490 RC outpatient 3456 2937 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 2246 percent of total billed charges 2246 3456 Knee Arthroscopy Dx 29870 CPT 49029870 LOCAL 490 RC outpatient 3456 2937 TriWest PPO 30 30% of all negotiated rates 2419 percent of total billed charges 2419 3456 Knee Arthroscopy Dx 29870 CPT 49029870 LOCAL 490 RC outpatient 3456 2937 UHN-Universal Health Network PPO 65 65% of all negotiated rates 1209 percent of total billed charges 1209 3456 Knee Arthroscopy Dx 29870 CPT 49029870 LOCAL 490 RC outpatient 3456 2937 Aetna PPO 1150 case rate 1150 case rate 1150 3291 Coinsurance and deductible may apply Knee Arthroscopy Dx 29870 CPT 49029870 LOCAL 490 RC outpatient 3456 2937 Anthem Medicaid HMO 1059 NV Medicaid SDS Rate 393 fee schedule 393 3291 Coinsurance and deductible may apply Knee Arthroscopy Dx 29870 CPT 49029870 LOCAL 490 RC outpatient 3456 2937 Cigna PPO 1157 case rate 1157 case rate 1157 3291 Coinsurance and deductible may apply Knee Arthroscopy Dx 29870 CPT 49029870 LOCAL 490 RC outpatient 3456 2937 Coalition PPO 1071 Coalition grouper rate 1071 case rate 1071 3291 Coinsurance and deductible may apply Knee Arthroscopy Dx 29870 CPT 49029870 LOCAL 490 RC outpatient 3456 2937 HPN Medicaid HMO 1059 NV Medicaid SDS Rate 393 fee schedule 393 3291 Coinsurance and deductible may apply Knee Arthroscopy Dx 29870 CPT 49029870 LOCAL 490 RC outpatient 3456 2937 Molina Medicaid HMO 1059 NV Medicaid SDS Rate 393 case rate 393 3291 Coinsurance and deductible may apply Knee Arthroscopy Dx 29870 CPT 49029870 LOCAL 490 RC outpatient 3456 2937 One Health PPO 1441 case rate 1441 case rate 1441 3291 Coinsurance and deductible may apply Knee Arthroscopy Dx 29870 CPT 49029870 LOCAL 490 RC outpatient 3456 2937 Sierra Healthcare Options PPO 1157 case rate 1157 case rate 1157 3291 Coinsurance and deductible may apply Knee Arthroscopy Dx 29870 CPT 49029870 LOCAL 490 RC outpatient 3456 2937 Sierra/HPN HMO 1157 case rate 1157 case rate 1157 3291 Coinsurance and deductible may apply Knee Arthroscopy Dx 29870 CPT 49029870 LOCAL 490 RC outpatient 3456 2937 Teachers Trust PPO 1071 Teachers grouper rate 1071 case rate 1071 3291 Coinsurance and deductible may apply Knee Arthroscopy Dx 29870 CPT 49029870 LOCAL 490 RC outpatient 3456 2937 United Healthcare PPO 1441 case rate 1441 case rate 1441 3291 Coinsurance and deductible may apply Lactic Acid 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 Aetna PPO 38 38% of all negotiated rates 253 percent of total billed charges 253 408 Lactic Acid 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 Aetna Medicare HMO 26 26% of all negotiated rates 302 percent of total billed charges 302 408 Lactic Acid 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 Alignment Medicare HMO 39 39% of all negotiated rates 249 percent of total billed charges 249 408 Lactic Acid 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 163 percent of total billed charges 163 408 Lactic Acid 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 204 percent of total billed charges 204 408 Lactic Acid 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 249 percent of total billed charges 249 408 Lactic Acid 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 Cigna PPO 68 68% of all negotiated rates 131 percent of total billed charges 131 408 Lactic Acid 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 Coalition PPO 49 49% of all negotiated rates 208 percent of total billed charges 208 408 Lactic Acid 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 Coventry PPO 75 75% of all negotiated rates 102 percent of total billed charges 102 408 Lactic Acid 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 82 percent of total billed charges 82 408 Lactic Acid 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 Humana-Commerical PPO 70 70% of all negotiated rates 123 percent of total billed charges 123 408 Lactic Acid 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 249 percent of total billed charges 249 408 Lactic Acid 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 Multiplan PPO 80 80% of all negotiated rates 82 percent of total billed charges 82 408 Lactic Acid 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 One Health PPO 55 55% of all negotiated rates 184 percent of total billed charges 184 408 Lactic Acid 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 Optum Medicare HMO 39 39% of all negotiated rates 249 percent of total billed charges 249 408 Lactic Acid 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 P3 HMO 39 39% of all negotiated rates 249 percent of total billed charges 249 408 Lactic Acid 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 123 percent of total billed charges 123 408 Lactic Acid 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 Select Health HMO 41 41% of all negotiated rates 241 percent of total billed charges 241 408 Lactic Acid 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 272 percent of total billed charges 272 408 Lactic Acid 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 Sierra/HPN HMO 60 60% of all negotiated rates 163 percent of total billed charges 163 408 Lactic Acid 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 Silversummit Medicare HMO 39 39% of all negotiated rates 249 percent of total billed charges 249 408 Lactic Acid 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 265 percent of total billed charges 265 408 Lactic Acid 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 Teachers Trust PPO 65 65% of all negotiated rates 143 percent of total billed charges 143 408 Lactic Acid 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 TriWest PPO 30 30% of all negotiated rates 286 percent of total billed charges 286 408 Lactic Acid 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 UHN-Universal Health Network PPO 70 70% of all negotiated rates 123 percent of total billed charges 123 408 Lactic Acid 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 United Healthcare PPO 60 60% of all negotiated rates 163 percent of total billed charges 163 408 Lactic Acid 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 7 fee schedule 7 389 Coinsurance and deductible may apply Lactic Acid 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 7 fee schedule 7 389 Coinsurance and deductible may apply Lactic Acid 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 7 fee schedule 7 389 Coinsurance and deductible may apply Lactic Acid 3 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 Aetna PPO 38 38% of all negotiated rates 253 percent of total billed charges 253 408 Lactic Acid 3 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 Aetna Medicare HMO 26 26% of all negotiated rates 302 percent of total billed charges 302 408 Lactic Acid 3 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 Alignment Medicare HMO 39 39% of all negotiated rates 249 percent of total billed charges 249 408 Lactic Acid 3 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 163 percent of total billed charges 163 408 Lactic Acid 3 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 204 percent of total billed charges 204 408 Lactic Acid 3 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 249 percent of total billed charges 249 408 Lactic Acid 3 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 Cigna PPO 68 68% of all negotiated rates 131 percent of total billed charges 131 408 Lactic Acid 3 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 Coalition PPO 49 49% of all negotiated rates 208 percent of total billed charges 208 408 Lactic Acid 3 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 Coventry PPO 75 75% of all negotiated rates 102 percent of total billed charges 102 408 Lactic Acid 3 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 82 percent of total billed charges 82 408 Lactic Acid 3 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 Humana-Commerical PPO 70 70% of all negotiated rates 123 percent of total billed charges 123 408 Lactic Acid 3 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 249 percent of total billed charges 249 408 Lactic Acid 3 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 Multiplan PPO 80 80% of all negotiated rates 82 percent of total billed charges 82 408 Lactic Acid 3 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 One Health PPO 55 55% of all negotiated rates 184 percent of total billed charges 184 408 Lactic Acid 3 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 Optum Medicare HMO 39 39% of all negotiated rates 249 percent of total billed charges 249 408 Lactic Acid 3 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 P3 HMO 39 39% of all negotiated rates 249 percent of total billed charges 249 408 Lactic Acid 3 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 123 percent of total billed charges 123 408 Lactic Acid 3 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 Select Health HMO 41 41% of all negotiated rates 241 percent of total billed charges 241 408 Lactic Acid 3 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 272 percent of total billed charges 272 408 Lactic Acid 3 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 Sierra/HPN HMO 60 60% of all negotiated rates 163 percent of total billed charges 163 408 Lactic Acid 3 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 Silversummit Medicare HMO 39 39% of all negotiated rates 249 percent of total billed charges 249 408 Lactic Acid 3 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 265 percent of total billed charges 265 408 Lactic Acid 3 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 Teachers Trust PPO 65 65% of all negotiated rates 143 percent of total billed charges 143 408 Lactic Acid 3 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 TriWest PPO 30 30% of all negotiated rates 286 percent of total billed charges 286 408 Lactic Acid 3 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 UHN-Universal Health Network PPO 70 70% of all negotiated rates 123 percent of total billed charges 123 408 Lactic Acid 3 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 United Healthcare PPO 60 60% of all negotiated rates 163 percent of total billed charges 163 408 Lactic Acid 3 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 7 fee schedule 7 389 Coinsurance and deductible may apply Lactic Acid 3 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 7 fee schedule 7 389 Coinsurance and deductible may apply Lactic Acid 3 83605 CPT 4006056 LOCAL 301 RC outpatient 408 347 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 7 fee schedule 7 389 Coinsurance and deductible may apply LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE 49654 CPT 49049654 LOCAL 490 RC outpatient 13161 11187 Aetna Medicare HMO 26 26% of all negotiated rates 9739 percent of total billed charges 9739 13161 LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE 49654 CPT 49049654 LOCAL 490 RC outpatient 13161 11187 Alignment Medicare HMO 39 39% of all negotiated rates 8028 percent of total billed charges 8028 13161 LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE 49654 CPT 49049654 LOCAL 490 RC outpatient 13161 11187 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 5264 percent of total billed charges 5264 13161 LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE 49654 CPT 49049654 LOCAL 490 RC outpatient 13161 11187 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 6580 percent of total billed charges 6580 13161 LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE 49654 CPT 49049654 LOCAL 490 RC outpatient 13161 11187 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 8028 percent of total billed charges 8028 13161 LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE 49654 CPT 49049654 LOCAL 490 RC outpatient 13161 11187 Coventry PPO 75 75% of all negotiated rates 3290 percent of total billed charges 3290 13161 LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE 49654 CPT 49049654 LOCAL 490 RC outpatient 13161 11187 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 2632 percent of total billed charges 2632 13161 LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE 49654 CPT 49049654 LOCAL 490 RC outpatient 13161 11187 Humana-Commerical PPO 46 46% of all negotiated rates 7107 percent of total billed charges 7107 13161 LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE 49654 CPT 49049654 LOCAL 490 RC outpatient 13161 11187 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 8028 percent of total billed charges 8028 13161 LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE 49654 CPT 49049654 LOCAL 490 RC outpatient 13161 11187 Multiplan PPO 80 80% of all negotiated rates 2632 percent of total billed charges 2632 13161 LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE 49654 CPT 49049654 LOCAL 490 RC outpatient 13161 11187 Optum Medicare HMO 39 39% of all negotiated rates 8028 percent of total billed charges 8028 13161 LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE 49654 CPT 49049654 LOCAL 490 RC outpatient 13161 11187 P3 HMO 39 39% of all negotiated rates 8028 percent of total billed charges 8028 13161 LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE 49654 CPT 49049654 LOCAL 490 RC outpatient 13161 11187 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 4606 percent of total billed charges 4606 13161 LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE 49654 CPT 49049654 LOCAL 490 RC outpatient 13161 11187 Select Health HMO 41 41% of all negotiated rates 7765 percent of total billed charges 7765 13161 LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE 49654 CPT 49049654 LOCAL 490 RC outpatient 13161 11187 Silversummit Medicare HMO 39 39% of all negotiated rates 8028 percent of total billed charges 8028 13161 LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE 49654 CPT 49049654 LOCAL 490 RC outpatient 13161 11187 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 8554 percent of total billed charges 8554 13161 LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE 49654 CPT 49049654 LOCAL 490 RC outpatient 13161 11187 TriWest PPO 30 30% of all negotiated rates 9212 percent of total billed charges 9212 13161 LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE 49654 CPT 49049654 LOCAL 490 RC outpatient 13161 11187 UHN-Universal Health Network PPO 65 65% of all negotiated rates 4606 percent of total billed charges 4606 13161 LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE 49654 CPT 49049654 LOCAL 490 RC outpatient 13161 11187 Aetna PPO 1350 case rate 1350 case rate 1350 12534 Coinsurance and deductible may apply LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE 49654 CPT 49049654 LOCAL 490 RC outpatient 13161 11187 Cigna PPO 2266 case rate 2266 case rate 2266 12534 Coinsurance and deductible may apply LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE 49654 CPT 49049654 LOCAL 490 RC outpatient 13161 11187 Coalition PPO 1321 Coalition grouper rate 1321 case rate 1321 12534 Coinsurance and deductible may apply LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE 49654 CPT 49049654 LOCAL 490 RC outpatient 13161 11187 One Health PPO 2818 case rate 2818 case rate 2818 12534 Coinsurance and deductible may apply LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE 49654 CPT 49049654 LOCAL 490 RC outpatient 13161 11187 Sierra Healthcare Options PPO 2266 case rate 2266 case rate 2266 12534 Coinsurance and deductible may apply LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE 49654 CPT 49049654 LOCAL 490 RC outpatient 13161 11187 Sierra/HPN HMO 2266 case rate 2266 case rate 2266 12534 Coinsurance and deductible may apply LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE 49654 CPT 49049654 LOCAL 490 RC outpatient 13161 11187 Teachers Trust PPO 1321 Teachers grouper rate 1321 case rate 1321 12534 Coinsurance and deductible may apply LAPAROSCOPY INCISIONAL HERNIA REPAIR W/MESH CHARGE 49654 CPT 49049654 LOCAL 490 RC outpatient 13161 11187 United Healthcare PPO 2818 case rate 2818 case rate 2818 12534 Coinsurance and deductible may apply LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT 49651 CPT 49049651 LOCAL 490 RC outpatient 14109 11993 Aetna Medicare HMO 26 26% of all negotiated rates 10441 percent of total billed charges 10441 14109 LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT 49651 CPT 49049651 LOCAL 490 RC outpatient 14109 11993 Alignment Medicare HMO 39 39% of all negotiated rates 8606 percent of total billed charges 8606 14109 LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT 49651 CPT 49049651 LOCAL 490 RC outpatient 14109 11993 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 5644 percent of total billed charges 5644 14109 LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT 49651 CPT 49049651 LOCAL 490 RC outpatient 14109 11993 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 7054 percent of total billed charges 7054 14109 LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT 49651 CPT 49049651 LOCAL 490 RC outpatient 14109 11993 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 8606 percent of total billed charges 8606 14109 LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT 49651 CPT 49049651 LOCAL 490 RC outpatient 14109 11993 Coventry PPO 75 75% of all negotiated rates 3527 percent of total billed charges 3527 14109 LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT 49651 CPT 49049651 LOCAL 490 RC outpatient 14109 11993 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 2822 percent of total billed charges 2822 14109 LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT 49651 CPT 49049651 LOCAL 490 RC outpatient 14109 11993 Humana-Commerical PPO 46 46% of all negotiated rates 7619 percent of total billed charges 7619 14109 LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT 49651 CPT 49049651 LOCAL 490 RC outpatient 14109 11993 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 8606 percent of total billed charges 8606 14109 LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT 49651 CPT 49049651 LOCAL 490 RC outpatient 14109 11993 Multiplan PPO 80 80% of all negotiated rates 2822 percent of total billed charges 2822 14109 LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT 49651 CPT 49049651 LOCAL 490 RC outpatient 14109 11993 Optum Medicare HMO 39 39% of all negotiated rates 8606 percent of total billed charges 8606 14109 LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT 49651 CPT 49049651 LOCAL 490 RC outpatient 14109 11993 P3 HMO 39 39% of all negotiated rates 8606 percent of total billed charges 8606 14109 LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT 49651 CPT 49049651 LOCAL 490 RC outpatient 14109 11993 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 4938 percent of total billed charges 4938 14109 LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT 49651 CPT 49049651 LOCAL 490 RC outpatient 14109 11993 Select Health HMO 41 41% of all negotiated rates 8324 percent of total billed charges 8324 14109 LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT 49651 CPT 49049651 LOCAL 490 RC outpatient 14109 11993 Silversummit Medicare HMO 39 39% of all negotiated rates 8606 percent of total billed charges 8606 14109 LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT 49651 CPT 49049651 LOCAL 490 RC outpatient 14109 11993 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 9171 percent of total billed charges 9171 14109 LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT 49651 CPT 49049651 LOCAL 490 RC outpatient 14109 11993 TriWest PPO 30 30% of all negotiated rates 9876 percent of total billed charges 9876 14109 LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT 49651 CPT 49049651 LOCAL 490 RC outpatient 14109 11993 UHN-Universal Health Network PPO 65 65% of all negotiated rates 4938 percent of total billed charges 4938 14109 LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT 49651 CPT 49049651 LOCAL 490 RC outpatient 14109 11993 Aetna PPO 1950 case rate 1950 case rate 1950 13437 Coinsurance and deductible may apply LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT 49651 CPT 49049651 LOCAL 490 RC outpatient 14109 11993 Anthem Medicaid HMO 1590 NV Medicaid SDS Rate 526 fee schedule 526 13437 Coinsurance and deductible may apply LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT 49651 CPT 49049651 LOCAL 490 RC outpatient 14109 11993 Cigna PPO 2257 case rate 2257 case rate 2257 13437 Coinsurance and deductible may apply LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT 49651 CPT 49049651 LOCAL 490 RC outpatient 14109 11993 Coalition PPO 2090 Coalition grouper rate 2090 case rate 2090 13437 Coinsurance and deductible may apply LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT 49651 CPT 49049651 LOCAL 490 RC outpatient 14109 11993 HPN Medicaid HMO 1590 NV Medicaid SDS Rate 526 fee schedule 526 13437 Coinsurance and deductible may apply LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT 49651 CPT 49049651 LOCAL 490 RC outpatient 14109 11993 Molina Medicaid HMO 1590 NV Medicaid SDS Rate 526 case rate 526 13437 Coinsurance and deductible may apply LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT 49651 CPT 49049651 LOCAL 490 RC outpatient 14109 11993 One Health PPO 2818 case rate 2818 case rate 2818 13437 Coinsurance and deductible may apply LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT 49651 CPT 49049651 LOCAL 490 RC outpatient 14109 11993 Sierra Healthcare Options PPO 2257 case rate 2257 case rate 2257 13437 Coinsurance and deductible may apply LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT 49651 CPT 49049651 LOCAL 490 RC outpatient 14109 11993 Sierra/HPN HMO 2257 case rate 2257 case rate 2257 13437 Coinsurance and deductible may apply LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT 49651 CPT 49049651 LOCAL 490 RC outpatient 14109 11993 Teachers Trust PPO 2090 Teachers grouper rate 2090 case rate 2090 13437 Coinsurance and deductible may apply LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT 49651 CPT 49049651 LOCAL 490 RC outpatient 14109 11993 United Healthcare PPO 2818 case rate 2818 case rate 2818 13437 Coinsurance and deductible may apply Level 1 99281 CPT 3239281 LOCAL 450 RC outpatient 408 347 Aetna Medicare HMO 26 26% of all negotiated rates 302 percent of total billed charges 302 408 Level 1 99281 CPT 3239281 LOCAL 450 RC outpatient 408 347 Alignment Medicare HMO 39 39% of all negotiated rates 249 percent of total billed charges 249 408 Level 1 99281 CPT 3239281 LOCAL 450 RC outpatient 408 347 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 163 percent of total billed charges 163 408 Level 1 99281 CPT 3239281 LOCAL 450 RC outpatient 408 347 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 204 percent of total billed charges 204 408 Level 1 99281 CPT 3239281 LOCAL 450 RC outpatient 408 347 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 249 percent of total billed charges 249 408 Level 1 99281 CPT 3239281 LOCAL 450 RC outpatient 408 347 Cigna PPO 68 68% of all negotiated rates 131 percent of total billed charges 131 408 Level 1 99281 CPT 3239281 LOCAL 450 RC outpatient 408 347 Coalition PPO 59 59% of all negotiated rates 167 percent of total billed charges 167 408 Level 1 99281 CPT 3239281 LOCAL 450 RC outpatient 408 347 Coventry PPO 75 75% of all negotiated rates 102 percent of total billed charges 102 408 Level 1 99281 CPT 3239281 LOCAL 450 RC outpatient 408 347 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 82 percent of total billed charges 82 408 Level 1 99281 CPT 3239281 LOCAL 450 RC outpatient 408 347 Humana-Commerical PPO 70 70% of all negotiated rates 123 percent of total billed charges 123 408 Level 1 99281 CPT 3239281 LOCAL 450 RC outpatient 408 347 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 249 percent of total billed charges 249 408 Level 1 99281 CPT 3239281 LOCAL 450 RC outpatient 408 347 Multiplan PPO 80 80% of all negotiated rates 82 percent of total billed charges 82 408 Level 1 99281 CPT 3239281 LOCAL 450 RC outpatient 408 347 One Health PPO 55 55% of all negotiated rates 184 percent of total billed charges 184 408 Level 1 99281 CPT 3239281 LOCAL 450 RC outpatient 408 347 Optum Medicare HMO 39 39% of all negotiated rates 249 percent of total billed charges 249 408 Level 1 99281 CPT 3239281 LOCAL 450 RC outpatient 408 347 P3 HMO 39 39% of all negotiated rates 249 percent of total billed charges 249 408 Level 1 99281 CPT 3239281 LOCAL 450 RC outpatient 408 347 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 123 percent of total billed charges 123 408 Level 1 99281 CPT 3239281 LOCAL 450 RC outpatient 408 347 Select Health HMO 41 41% of all negotiated rates 241 percent of total billed charges 241 408 Level 1 99281 CPT 3239281 LOCAL 450 RC outpatient 408 347 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 272 percent of total billed charges 272 408 Level 1 99281 CPT 3239281 LOCAL 450 RC outpatient 408 347 Sierra/HPN HMO 60 60% of all negotiated rates 163 percent of total billed charges 163 408 Level 1 99281 CPT 3239281 LOCAL 450 RC outpatient 408 347 Silversummit Medicare HMO 39 39% of all negotiated rates 249 percent of total billed charges 249 408 Level 1 99281 CPT 3239281 LOCAL 450 RC outpatient 408 347 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 265 percent of total billed charges 265 408 Level 1 99281 CPT 3239281 LOCAL 450 RC outpatient 408 347 Teachers Trust PPO 68 68% of all negotiated rates 131 percent of total billed charges 131 408 Level 1 99281 CPT 3239281 LOCAL 450 RC outpatient 408 347 TriWest PPO 30 30% of all negotiated rates 286 percent of total billed charges 286 408 Level 1 99281 CPT 3239281 LOCAL 450 RC outpatient 408 347 UHN-Universal Health Network PPO 70 70% of all negotiated rates 123 percent of total billed charges 123 408 Level 1 99281 CPT 3239281 LOCAL 450 RC outpatient 408 347 United Healthcare PPO 60 60% of all negotiated rates 163 percent of total billed charges 163 408 Level 1 99281 CPT 3239281 LOCAL 450 RC outpatient 408 347 Aetna PPO 1500 case rate 1500 case rate 1500 389 Coinsurance and deductible may apply Level 1 99281 CPT 3239281 LOCAL 450 RC outpatient 408 347 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 19 fee schedule 19 389 Coinsurance and deductible may apply Level 1 99281 CPT 3239281 LOCAL 450 RC outpatient 408 347 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 19 fee schedule 19 389 Coinsurance and deductible may apply Level 1 99281 CPT 3239281 LOCAL 450 RC outpatient 408 347 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 19 fee schedule 19 389 Coinsurance and deductible may apply Level 2 99282 CPT 3239282 LOCAL 450 RC outpatient 706 600 Aetna Medicare HMO 26 26% of all negotiated rates 522 percent of total billed charges 522 706 Level 2 99282 CPT 3239282 LOCAL 450 RC outpatient 706 600 Alignment Medicare HMO 39 39% of all negotiated rates 430 percent of total billed charges 430 706 Level 2 99282 CPT 3239282 LOCAL 450 RC outpatient 706 600 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 282 percent of total billed charges 282 706 Level 2 99282 CPT 3239282 LOCAL 450 RC outpatient 706 600 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 353 percent of total billed charges 353 706 Level 2 99282 CPT 3239282 LOCAL 450 RC outpatient 706 600 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 430 percent of total billed charges 430 706 Level 2 99282 CPT 3239282 LOCAL 450 RC outpatient 706 600 Cigna PPO 68 68% of all negotiated rates 226 percent of total billed charges 226 706 Level 2 99282 CPT 3239282 LOCAL 450 RC outpatient 706 600 Coalition PPO 59 59% of all negotiated rates 289 percent of total billed charges 289 706 Level 2 99282 CPT 3239282 LOCAL 450 RC outpatient 706 600 Coventry PPO 75 75% of all negotiated rates 176 percent of total billed charges 176 706 Level 2 99282 CPT 3239282 LOCAL 450 RC outpatient 706 600 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 141 percent of total billed charges 141 706 Level 2 99282 CPT 3239282 LOCAL 450 RC outpatient 706 600 Humana-Commerical PPO 70 70% of all negotiated rates 212 percent of total billed charges 212 706 Level 2 99282 CPT 3239282 LOCAL 450 RC outpatient 706 600 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 430 percent of total billed charges 430 706 Level 2 99282 CPT 3239282 LOCAL 450 RC outpatient 706 600 Multiplan PPO 80 80% of all negotiated rates 141 percent of total billed charges 141 706 Level 2 99282 CPT 3239282 LOCAL 450 RC outpatient 706 600 One Health PPO 55 55% of all negotiated rates 318 percent of total billed charges 318 706 Level 2 99282 CPT 3239282 LOCAL 450 RC outpatient 706 600 Optum Medicare HMO 39 39% of all negotiated rates 430 percent of total billed charges 430 706 Level 2 99282 CPT 3239282 LOCAL 450 RC outpatient 706 600 P3 HMO 39 39% of all negotiated rates 430 percent of total billed charges 430 706 Level 2 99282 CPT 3239282 LOCAL 450 RC outpatient 706 600 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 212 percent of total billed charges 212 706 Level 2 99282 CPT 3239282 LOCAL 450 RC outpatient 706 600 Select Health HMO 41 41% of all negotiated rates 416 percent of total billed charges 416 706 Level 2 99282 CPT 3239282 LOCAL 450 RC outpatient 706 600 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 469 percent of total billed charges 469 706 Level 2 99282 CPT 3239282 LOCAL 450 RC outpatient 706 600 Sierra/HPN HMO 60 60% of all negotiated rates 282 percent of total billed charges 282 706 Level 2 99282 CPT 3239282 LOCAL 450 RC outpatient 706 600 Silversummit Medicare HMO 39 39% of all negotiated rates 430 percent of total billed charges 430 706 Level 2 99282 CPT 3239282 LOCAL 450 RC outpatient 706 600 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 459 percent of total billed charges 459 706 Level 2 99282 CPT 3239282 LOCAL 450 RC outpatient 706 600 Teachers Trust PPO 68 68% of all negotiated rates 226 percent of total billed charges 226 706 Level 2 99282 CPT 3239282 LOCAL 450 RC outpatient 706 600 TriWest PPO 30 30% of all negotiated rates 494 percent of total billed charges 494 706 Level 2 99282 CPT 3239282 LOCAL 450 RC outpatient 706 600 UHN-Universal Health Network PPO 70 70% of all negotiated rates 212 percent of total billed charges 212 706 Level 2 99282 CPT 3239282 LOCAL 450 RC outpatient 706 600 United Healthcare PPO 60 60% of all negotiated rates 282 percent of total billed charges 282 706 Level 2 99282 CPT 3239282 LOCAL 450 RC outpatient 706 600 Aetna PPO 1500 case rate 1500 case rate 1500 672 Coinsurance and deductible may apply Level 2 99282 CPT 3239282 LOCAL 450 RC outpatient 706 600 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 38 fee schedule 38 672 Coinsurance and deductible may apply Level 2 99282 CPT 3239282 LOCAL 450 RC outpatient 706 600 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 38 fee schedule 38 672 Coinsurance and deductible may apply Level 2 99282 CPT 3239282 LOCAL 450 RC outpatient 706 600 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 38 fee schedule 38 672 Coinsurance and deductible may apply Level 3 99283 CPT 3239283 LOCAL 450 RC outpatient 1580 1343 Aetna Medicare HMO 26 26% of all negotiated rates 1169 percent of total billed charges 1169 1580 Level 3 99283 CPT 3239283 LOCAL 450 RC outpatient 1580 1343 Alignment Medicare HMO 39 39% of all negotiated rates 964 percent of total billed charges 964 1580 Level 3 99283 CPT 3239283 LOCAL 450 RC outpatient 1580 1343 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 632 percent of total billed charges 632 1580 Level 3 99283 CPT 3239283 LOCAL 450 RC outpatient 1580 1343 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 790 percent of total billed charges 790 1580 Level 3 99283 CPT 3239283 LOCAL 450 RC outpatient 1580 1343 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 964 percent of total billed charges 964 1580 Level 3 99283 CPT 3239283 LOCAL 450 RC outpatient 1580 1343 Cigna PPO 68 68% of all negotiated rates 506 percent of total billed charges 506 1580 Level 3 99283 CPT 3239283 LOCAL 450 RC outpatient 1580 1343 Coalition PPO 59 59% of all negotiated rates 648 percent of total billed charges 648 1580 Level 3 99283 CPT 3239283 LOCAL 450 RC outpatient 1580 1343 Coventry PPO 75 75% of all negotiated rates 395 percent of total billed charges 395 1580 Level 3 99283 CPT 3239283 LOCAL 450 RC outpatient 1580 1343 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 316 percent of total billed charges 316 1580 Level 3 99283 CPT 3239283 LOCAL 450 RC outpatient 1580 1343 Humana-Commerical PPO 70 70% of all negotiated rates 474 percent of total billed charges 474 1580 Level 3 99283 CPT 3239283 LOCAL 450 RC outpatient 1580 1343 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 964 percent of total billed charges 964 1580 Level 3 99283 CPT 3239283 LOCAL 450 RC outpatient 1580 1343 Multiplan PPO 80 80% of all negotiated rates 316 percent of total billed charges 316 1580 Level 3 99283 CPT 3239283 LOCAL 450 RC outpatient 1580 1343 One Health PPO 55 55% of all negotiated rates 711 percent of total billed charges 711 1580 Level 3 99283 CPT 3239283 LOCAL 450 RC outpatient 1580 1343 Optum Medicare HMO 39 39% of all negotiated rates 964 percent of total billed charges 964 1580 Level 3 99283 CPT 3239283 LOCAL 450 RC outpatient 1580 1343 P3 HMO 39 39% of all negotiated rates 964 percent of total billed charges 964 1580 Level 3 99283 CPT 3239283 LOCAL 450 RC outpatient 1580 1343 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 474 percent of total billed charges 474 1580 Level 3 99283 CPT 3239283 LOCAL 450 RC outpatient 1580 1343 Select Health HMO 41 41% of all negotiated rates 932 percent of total billed charges 932 1580 Level 3 99283 CPT 3239283 LOCAL 450 RC outpatient 1580 1343 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 1051 percent of total billed charges 1051 1580 Level 3 99283 CPT 3239283 LOCAL 450 RC outpatient 1580 1343 Sierra/HPN HMO 60 60% of all negotiated rates 632 percent of total billed charges 632 1580 Level 3 99283 CPT 3239283 LOCAL 450 RC outpatient 1580 1343 Silversummit Medicare HMO 39 39% of all negotiated rates 964 percent of total billed charges 964 1580 Level 3 99283 CPT 3239283 LOCAL 450 RC outpatient 1580 1343 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 1027 percent of total billed charges 1027 1580 Level 3 99283 CPT 3239283 LOCAL 450 RC outpatient 1580 1343 Teachers Trust PPO 68 68% of all negotiated rates 506 percent of total billed charges 506 1580 Level 3 99283 CPT 3239283 LOCAL 450 RC outpatient 1580 1343 TriWest PPO 30 30% of all negotiated rates 1106 percent of total billed charges 1106 1580 Level 3 99283 CPT 3239283 LOCAL 450 RC outpatient 1580 1343 UHN-Universal Health Network PPO 70 70% of all negotiated rates 474 percent of total billed charges 474 1580 Level 3 99283 CPT 3239283 LOCAL 450 RC outpatient 1580 1343 United Healthcare PPO 60 60% of all negotiated rates 632 percent of total billed charges 632 1580 Level 3 99283 CPT 3239283 LOCAL 450 RC outpatient 1580 1343 Aetna PPO 1500 case rate 1500 case rate 1500 1505 Coinsurance and deductible may apply Level 3 99283 CPT 3239283 LOCAL 450 RC outpatient 1580 1343 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 57 fee schedule 57 1505 Coinsurance and deductible may apply Level 3 99283 CPT 3239283 LOCAL 450 RC outpatient 1580 1343 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 57 fee schedule 57 1505 Coinsurance and deductible may apply Level 3 99283 CPT 3239283 LOCAL 450 RC outpatient 1580 1343 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 57 fee schedule 57 1505 Coinsurance and deductible may apply Level 4 99284 CPT 3239284 LOCAL 450 RC outpatient 2661 2262 Aetna Medicare HMO 26 26% of all negotiated rates 1969 percent of total billed charges 1969 2661 Level 4 99284 CPT 3239284 LOCAL 450 RC outpatient 2661 2262 Alignment Medicare HMO 39 39% of all negotiated rates 1623 percent of total billed charges 1623 2661 Level 4 99284 CPT 3239284 LOCAL 450 RC outpatient 2661 2262 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 1064 percent of total billed charges 1064 2661 Level 4 99284 CPT 3239284 LOCAL 450 RC outpatient 2661 2262 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 1330 percent of total billed charges 1330 2661 Level 4 99284 CPT 3239284 LOCAL 450 RC outpatient 2661 2262 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 1623 percent of total billed charges 1623 2661 Level 4 99284 CPT 3239284 LOCAL 450 RC outpatient 2661 2262 Cigna PPO 68 68% of all negotiated rates 851 percent of total billed charges 851 2661 Level 4 99284 CPT 3239284 LOCAL 450 RC outpatient 2661 2262 Coalition PPO 59 59% of all negotiated rates 1091 percent of total billed charges 1091 2661 Level 4 99284 CPT 3239284 LOCAL 450 RC outpatient 2661 2262 Coventry PPO 75 75% of all negotiated rates 665 percent of total billed charges 665 2661 Level 4 99284 CPT 3239284 LOCAL 450 RC outpatient 2661 2262 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 532 percent of total billed charges 532 2661 Level 4 99284 CPT 3239284 LOCAL 450 RC outpatient 2661 2262 Humana-Commerical PPO 70 70% of all negotiated rates 798 percent of total billed charges 798 2661 Level 4 99284 CPT 3239284 LOCAL 450 RC outpatient 2661 2262 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 1623 percent of total billed charges 1623 2661 Level 4 99284 CPT 3239284 LOCAL 450 RC outpatient 2661 2262 Multiplan PPO 80 80% of all negotiated rates 532 percent of total billed charges 532 2661 Level 4 99284 CPT 3239284 LOCAL 450 RC outpatient 2661 2262 One Health PPO 55 55% of all negotiated rates 1197 percent of total billed charges 1197 2661 Level 4 99284 CPT 3239284 LOCAL 450 RC outpatient 2661 2262 Optum Medicare HMO 39 39% of all negotiated rates 1623 percent of total billed charges 1623 2661 Level 4 99284 CPT 3239284 LOCAL 450 RC outpatient 2661 2262 P3 HMO 39 39% of all negotiated rates 1623 percent of total billed charges 1623 2661 Level 4 99284 CPT 3239284 LOCAL 450 RC outpatient 2661 2262 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 798 percent of total billed charges 798 2661 Level 4 99284 CPT 3239284 LOCAL 450 RC outpatient 2661 2262 Select Health HMO 41 41% of all negotiated rates 1570 percent of total billed charges 1570 2661 Level 4 99284 CPT 3239284 LOCAL 450 RC outpatient 2661 2262 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 1769 percent of total billed charges 1769 2661 Level 4 99284 CPT 3239284 LOCAL 450 RC outpatient 2661 2262 Sierra/HPN HMO 60 60% of all negotiated rates 1064 percent of total billed charges 1064 2661 Level 4 99284 CPT 3239284 LOCAL 450 RC outpatient 2661 2262 Silversummit Medicare HMO 39 39% of all negotiated rates 1623 percent of total billed charges 1623 2661 Level 4 99284 CPT 3239284 LOCAL 450 RC outpatient 2661 2262 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 1729 percent of total billed charges 1729 2661 Level 4 99284 CPT 3239284 LOCAL 450 RC outpatient 2661 2262 Teachers Trust PPO 68 68% of all negotiated rates 851 percent of total billed charges 851 2661 Level 4 99284 CPT 3239284 LOCAL 450 RC outpatient 2661 2262 TriWest PPO 30 30% of all negotiated rates 1862 percent of total billed charges 1862 2661 Level 4 99284 CPT 3239284 LOCAL 450 RC outpatient 2661 2262 UHN-Universal Health Network PPO 70 70% of all negotiated rates 798 percent of total billed charges 798 2661 Level 4 99284 CPT 3239284 LOCAL 450 RC outpatient 2661 2262 United Healthcare PPO 60 60% of all negotiated rates 1064 percent of total billed charges 1064 2661 Level 4 99284 CPT 3239284 LOCAL 450 RC outpatient 2661 2262 Aetna PPO 1500 case rate 1500 case rate 1500 2534 Coinsurance and deductible may apply Level 4 99284 CPT 3239284 LOCAL 450 RC outpatient 2661 2262 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 108 fee schedule 108 2534 Coinsurance and deductible may apply Level 4 99284 CPT 3239284 LOCAL 450 RC outpatient 2661 2262 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 108 fee schedule 108 2534 Coinsurance and deductible may apply Level 4 99284 CPT 3239284 LOCAL 450 RC outpatient 2661 2262 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 108 fee schedule 108 2534 Coinsurance and deductible may apply Level 5 99285 CPT 3239285 LOCAL 450 RC outpatient 3572 3036 Aetna Medicare HMO 26 26% of all negotiated rates 2643 percent of total billed charges 2643 3572 Level 5 99285 CPT 3239285 LOCAL 450 RC outpatient 3572 3036 Alignment Medicare HMO 39 39% of all negotiated rates 2179 percent of total billed charges 2179 3572 Level 5 99285 CPT 3239285 LOCAL 450 RC outpatient 3572 3036 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 1429 percent of total billed charges 1429 3572 Level 5 99285 CPT 3239285 LOCAL 450 RC outpatient 3572 3036 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 1786 percent of total billed charges 1786 3572 Level 5 99285 CPT 3239285 LOCAL 450 RC outpatient 3572 3036 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 2179 percent of total billed charges 2179 3572 Level 5 99285 CPT 3239285 LOCAL 450 RC outpatient 3572 3036 Cigna PPO 68 68% of all negotiated rates 1143 percent of total billed charges 1143 3572 Level 5 99285 CPT 3239285 LOCAL 450 RC outpatient 3572 3036 Coalition PPO 59 59% of all negotiated rates 1465 percent of total billed charges 1465 3572 Level 5 99285 CPT 3239285 LOCAL 450 RC outpatient 3572 3036 Coventry PPO 75 75% of all negotiated rates 893 percent of total billed charges 893 3572 Level 5 99285 CPT 3239285 LOCAL 450 RC outpatient 3572 3036 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 714 percent of total billed charges 714 3572 Level 5 99285 CPT 3239285 LOCAL 450 RC outpatient 3572 3036 Humana-Commerical PPO 70 70% of all negotiated rates 1072 percent of total billed charges 1072 3572 Level 5 99285 CPT 3239285 LOCAL 450 RC outpatient 3572 3036 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 2179 percent of total billed charges 2179 3572 Level 5 99285 CPT 3239285 LOCAL 450 RC outpatient 3572 3036 Multiplan PPO 80 80% of all negotiated rates 714 percent of total billed charges 714 3572 Level 5 99285 CPT 3239285 LOCAL 450 RC outpatient 3572 3036 One Health PPO 55 55% of all negotiated rates 1607 percent of total billed charges 1607 3572 Level 5 99285 CPT 3239285 LOCAL 450 RC outpatient 3572 3036 Optum Medicare HMO 39 39% of all negotiated rates 2179 percent of total billed charges 2179 3572 Level 5 99285 CPT 3239285 LOCAL 450 RC outpatient 3572 3036 P3 HMO 39 39% of all negotiated rates 2179 percent of total billed charges 2179 3572 Level 5 99285 CPT 3239285 LOCAL 450 RC outpatient 3572 3036 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 1072 percent of total billed charges 1072 3572 Level 5 99285 CPT 3239285 LOCAL 450 RC outpatient 3572 3036 Select Health HMO 41 41% of all negotiated rates 2108 percent of total billed charges 2108 3572 Level 5 99285 CPT 3239285 LOCAL 450 RC outpatient 3572 3036 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 2375 percent of total billed charges 2375 3572 Level 5 99285 CPT 3239285 LOCAL 450 RC outpatient 3572 3036 Sierra/HPN HMO 60 60% of all negotiated rates 1429 percent of total billed charges 1429 3572 Level 5 99285 CPT 3239285 LOCAL 450 RC outpatient 3572 3036 Silversummit Medicare HMO 39 39% of all negotiated rates 2179 percent of total billed charges 2179 3572 Level 5 99285 CPT 3239285 LOCAL 450 RC outpatient 3572 3036 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 2322 percent of total billed charges 2322 3572 Level 5 99285 CPT 3239285 LOCAL 450 RC outpatient 3572 3036 Teachers Trust PPO 68 68% of all negotiated rates 1143 percent of total billed charges 1143 3572 Level 5 99285 CPT 3239285 LOCAL 450 RC outpatient 3572 3036 TriWest PPO 30 30% of all negotiated rates 2500 percent of total billed charges 2500 3572 Level 5 99285 CPT 3239285 LOCAL 450 RC outpatient 3572 3036 UHN-Universal Health Network PPO 70 70% of all negotiated rates 1072 percent of total billed charges 1072 3572 Level 5 99285 CPT 3239285 LOCAL 450 RC outpatient 3572 3036 United Healthcare PPO 60 60% of all negotiated rates 1429 percent of total billed charges 1429 3572 Level 5 99285 CPT 3239285 LOCAL 450 RC outpatient 3572 3036 Aetna PPO 1500 case rate 1500 case rate 1500 3402 Coinsurance and deductible may apply Level 5 99285 CPT 3239285 LOCAL 450 RC outpatient 3572 3036 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 159 fee schedule 159 3402 Coinsurance and deductible may apply Level 5 99285 CPT 3239285 LOCAL 450 RC outpatient 3572 3036 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 159 fee schedule 159 3402 Coinsurance and deductible may apply Level 5 99285 CPT 3239285 LOCAL 450 RC outpatient 3572 3036 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 159 fee schedule 159 3402 Coinsurance and deductible may apply Lipase Level 83690 CPT 4006908 LOCAL 301 RC outpatient 337 286 Aetna PPO 38 38% of all negotiated rates 209 percent of total billed charges 209 337 Lipase Level 83690 CPT 4006908 LOCAL 301 RC outpatient 337 286 Aetna Medicare HMO 26 26% of all negotiated rates 249 percent of total billed charges 249 337 Lipase Level 83690 CPT 4006908 LOCAL 301 RC outpatient 337 286 Alignment Medicare HMO 39 39% of all negotiated rates 206 percent of total billed charges 206 337 Lipase Level 83690 CPT 4006908 LOCAL 301 RC outpatient 337 286 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 135 percent of total billed charges 135 337 Lipase Level 83690 CPT 4006908 LOCAL 301 RC outpatient 337 286 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 169 percent of total billed charges 169 337 Lipase Level 83690 CPT 4006908 LOCAL 301 RC outpatient 337 286 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 206 percent of total billed charges 206 337 Lipase Level 83690 CPT 4006908 LOCAL 301 RC outpatient 337 286 Cigna PPO 68 68% of all negotiated rates 108 percent of total billed charges 108 337 Lipase Level 83690 CPT 4006908 LOCAL 301 RC outpatient 337 286 Coalition PPO 49 49% of all negotiated rates 172 percent of total billed charges 172 337 Lipase Level 83690 CPT 4006908 LOCAL 301 RC outpatient 337 286 Coventry PPO 75 75% of all negotiated rates 84 percent of total billed charges 84 337 Lipase Level 83690 CPT 4006908 LOCAL 301 RC outpatient 337 286 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 67 percent of total billed charges 67 337 Lipase Level 83690 CPT 4006908 LOCAL 301 RC outpatient 337 286 Humana-Commerical PPO 70 70% of all negotiated rates 101 percent of total billed charges 101 337 Lipase Level 83690 CPT 4006908 LOCAL 301 RC outpatient 337 286 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 206 percent of total billed charges 206 337 Lipase Level 83690 CPT 4006908 LOCAL 301 RC outpatient 337 286 Multiplan PPO 80 80% of all negotiated rates 67 percent of total billed charges 67 337 Lipase Level 83690 CPT 4006908 LOCAL 301 RC outpatient 337 286 One Health PPO 55 55% of all negotiated rates 152 percent of total billed charges 152 337 Lipase Level 83690 CPT 4006908 LOCAL 301 RC outpatient 337 286 Optum Medicare HMO 39 39% of all negotiated rates 206 percent of total billed charges 206 337 Lipase Level 83690 CPT 4006908 LOCAL 301 RC outpatient 337 286 P3 HMO 39 39% of all negotiated rates 206 percent of total billed charges 206 337 Lipase Level 83690 CPT 4006908 LOCAL 301 RC outpatient 337 286 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 101 percent of total billed charges 101 337 Lipase Level 83690 CPT 4006908 LOCAL 301 RC outpatient 337 286 Select Health HMO 41 41% of all negotiated rates 199 percent of total billed charges 199 337 Lipase Level 83690 CPT 4006908 LOCAL 301 RC outpatient 337 286 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 224 percent of total billed charges 224 337 Lipase Level 83690 CPT 4006908 LOCAL 301 RC outpatient 337 286 Sierra/HPN HMO 60 60% of all negotiated rates 135 percent of total billed charges 135 337 Lipase Level 83690 CPT 4006908 LOCAL 301 RC outpatient 337 286 Silversummit Medicare HMO 39 39% of all negotiated rates 206 percent of total billed charges 206 337 Lipase Level 83690 CPT 4006908 LOCAL 301 RC outpatient 337 286 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 219 percent of total billed charges 219 337 Lipase Level 83690 CPT 4006908 LOCAL 301 RC outpatient 337 286 Teachers Trust PPO 65 65% of all negotiated rates 118 percent of total billed charges 118 337 Lipase Level 83690 CPT 4006908 LOCAL 301 RC outpatient 337 286 TriWest PPO 30 30% of all negotiated rates 236 percent of total billed charges 236 337 Lipase Level 83690 CPT 4006908 LOCAL 301 RC outpatient 337 286 UHN-Universal Health Network PPO 70 70% of all negotiated rates 101 percent of total billed charges 101 337 Lipase Level 83690 CPT 4006908 LOCAL 301 RC outpatient 337 286 United Healthcare PPO 60 60% of all negotiated rates 135 percent of total billed charges 135 337 Lipase Level 83690 CPT 4006908 LOCAL 301 RC outpatient 337 286 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 5 fee schedule 5 321 Coinsurance and deductible may apply Lipase Level 83690 CPT 4006908 LOCAL 301 RC outpatient 337 286 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 5 fee schedule 5 321 Coinsurance and deductible may apply Lipase Level 83690 CPT 4006908 LOCAL 301 RC outpatient 337 286 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 5 fee schedule 5 321 Coinsurance and deductible may apply Lipid Profile 80061 CPT 4000615 LOCAL 301 RC outpatient 274 233 Aetna PPO 38 38% of all negotiated rates 170 percent of total billed charges 170 274 Lipid Profile 80061 CPT 4000615 LOCAL 301 RC outpatient 274 233 Aetna Medicare HMO 26 26% of all negotiated rates 203 percent of total billed charges 203 274 Lipid Profile 80061 CPT 4000615 LOCAL 301 RC outpatient 274 233 Alignment Medicare HMO 39 39% of all negotiated rates 167 percent of total billed charges 167 274 Lipid Profile 80061 CPT 4000615 LOCAL 301 RC outpatient 274 233 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 110 percent of total billed charges 110 274 Lipid Profile 80061 CPT 4000615 LOCAL 301 RC outpatient 274 233 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 137 percent of total billed charges 137 274 Lipid Profile 80061 CPT 4000615 LOCAL 301 RC outpatient 274 233 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 167 percent of total billed charges 167 274 Lipid Profile 80061 CPT 4000615 LOCAL 301 RC outpatient 274 233 Cigna PPO 68 68% of all negotiated rates 88 percent of total billed charges 88 274 Lipid Profile 80061 CPT 4000615 LOCAL 301 RC outpatient 274 233 Coalition PPO 49 49% of all negotiated rates 140 percent of total billed charges 140 274 Lipid Profile 80061 CPT 4000615 LOCAL 301 RC outpatient 274 233 Coventry PPO 75 75% of all negotiated rates 69 percent of total billed charges 69 274 Lipid Profile 80061 CPT 4000615 LOCAL 301 RC outpatient 274 233 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 55 percent of total billed charges 55 274 Lipid Profile 80061 CPT 4000615 LOCAL 301 RC outpatient 274 233 Humana-Commerical PPO 70 70% of all negotiated rates 82 percent of total billed charges 82 274 Lipid Profile 80061 CPT 4000615 LOCAL 301 RC outpatient 274 233 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 167 percent of total billed charges 167 274 Lipid Profile 80061 CPT 4000615 LOCAL 301 RC outpatient 274 233 Multiplan PPO 80 80% of all negotiated rates 55 percent of total billed charges 55 274 Lipid Profile 80061 CPT 4000615 LOCAL 301 RC outpatient 274 233 One Health PPO 55 55% of all negotiated rates 123 percent of total billed charges 123 274 Lipid Profile 80061 CPT 4000615 LOCAL 301 RC outpatient 274 233 Optum Medicare HMO 39 39% of all negotiated rates 167 percent of total billed charges 167 274 Lipid Profile 80061 CPT 4000615 LOCAL 301 RC outpatient 274 233 P3 HMO 39 39% of all negotiated rates 167 percent of total billed charges 167 274 Lipid Profile 80061 CPT 4000615 LOCAL 301 RC outpatient 274 233 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 82 percent of total billed charges 82 274 Lipid Profile 80061 CPT 4000615 LOCAL 301 RC outpatient 274 233 Select Health HMO 41 41% of all negotiated rates 162 percent of total billed charges 162 274 Lipid Profile 80061 CPT 4000615 LOCAL 301 RC outpatient 274 233 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 182 percent of total billed charges 182 274 Lipid Profile 80061 CPT 4000615 LOCAL 301 RC outpatient 274 233 Sierra/HPN HMO 60 60% of all negotiated rates 110 percent of total billed charges 110 274 Lipid Profile 80061 CPT 4000615 LOCAL 301 RC outpatient 274 233 Silversummit Medicare HMO 39 39% of all negotiated rates 167 percent of total billed charges 167 274 Lipid Profile 80061 CPT 4000615 LOCAL 301 RC outpatient 274 233 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 178 percent of total billed charges 178 274 Lipid Profile 80061 CPT 4000615 LOCAL 301 RC outpatient 274 233 Teachers Trust PPO 65 65% of all negotiated rates 96 percent of total billed charges 96 274 Lipid Profile 80061 CPT 4000615 LOCAL 301 RC outpatient 274 233 TriWest PPO 30 30% of all negotiated rates 192 percent of total billed charges 192 274 Lipid Profile 80061 CPT 4000615 LOCAL 301 RC outpatient 274 233 UHN-Universal Health Network PPO 70 70% of all negotiated rates 82 percent of total billed charges 82 274 Lipid Profile 80061 CPT 4000615 LOCAL 301 RC outpatient 274 233 United Healthcare PPO 60 60% of all negotiated rates 110 percent of total billed charges 110 274 Lipid Profile 80061 CPT 4000615 LOCAL 301 RC outpatient 274 233 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 9 fee schedule 9 261 Coinsurance and deductible may apply Lipid Profile 80061 CPT 4000615 LOCAL 301 RC outpatient 274 233 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 9 fee schedule 9 261 Coinsurance and deductible may apply Lipid Profile 80061 CPT 4000615 LOCAL 301 RC outpatient 274 233 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 9 fee schedule 9 261 Coinsurance and deductible may apply MA Diag Breast 2D w/ Cad Bil. 77066 CPT 4097037 LOCAL 401 RC outpatient 593 504 Aetna Medicare HMO 26 26% of all negotiated rates 439 percent of total billed charges 439 593 MA Diag Breast 2D w/ Cad Bil. 77066 CPT 4097037 LOCAL 401 RC outpatient 593 504 Alignment Medicare HMO 39 39% of all negotiated rates 362 percent of total billed charges 362 593 MA Diag Breast 2D w/ Cad Bil. 77066 CPT 4097037 LOCAL 401 RC outpatient 593 504 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 237 percent of total billed charges 237 593 MA Diag Breast 2D w/ Cad Bil. 77066 CPT 4097037 LOCAL 401 RC outpatient 593 504 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 297 percent of total billed charges 297 593 MA Diag Breast 2D w/ Cad Bil. 77066 CPT 4097037 LOCAL 401 RC outpatient 593 504 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 362 percent of total billed charges 362 593 MA Diag Breast 2D w/ Cad Bil. 77066 CPT 4097037 LOCAL 401 RC outpatient 593 504 Cigna PPO 68 68% of all negotiated rates 190 percent of total billed charges 190 593 MA Diag Breast 2D w/ Cad Bil. 77066 CPT 4097037 LOCAL 401 RC outpatient 593 504 Coalition PPO 57 57% of all negotiated rates 255 percent of total billed charges 255 593 MA Diag Breast 2D w/ Cad Bil. 77066 CPT 4097037 LOCAL 401 RC outpatient 593 504 Coventry PPO 75 75% of all negotiated rates 148 percent of total billed charges 148 593 MA Diag Breast 2D w/ Cad Bil. 77066 CPT 4097037 LOCAL 401 RC outpatient 593 504 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 119 percent of total billed charges 119 593 MA Diag Breast 2D w/ Cad Bil. 77066 CPT 4097037 LOCAL 401 RC outpatient 593 504 Humana-Commerical PPO 70 70% of all negotiated rates 178 percent of total billed charges 178 593 MA Diag Breast 2D w/ Cad Bil. 77066 CPT 4097037 LOCAL 401 RC outpatient 593 504 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 362 percent of total billed charges 362 593 MA Diag Breast 2D w/ Cad Bil. 77066 CPT 4097037 LOCAL 401 RC outpatient 593 504 Multiplan PPO 80 80% of all negotiated rates 119 percent of total billed charges 119 593 MA Diag Breast 2D w/ Cad Bil. 77066 CPT 4097037 LOCAL 401 RC outpatient 593 504 One Health PPO 55 55% of all negotiated rates 267 percent of total billed charges 267 593 MA Diag Breast 2D w/ Cad Bil. 77066 CPT 4097037 LOCAL 401 RC outpatient 593 504 Optum Medicare HMO 39 39% of all negotiated rates 362 percent of total billed charges 362 593 MA Diag Breast 2D w/ Cad Bil. 77066 CPT 4097037 LOCAL 401 RC outpatient 593 504 P3 HMO 39 39% of all negotiated rates 362 percent of total billed charges 362 593 MA Diag Breast 2D w/ Cad Bil. 77066 CPT 4097037 LOCAL 401 RC outpatient 593 504 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 178 percent of total billed charges 178 593 MA Diag Breast 2D w/ Cad Bil. 77066 CPT 4097037 LOCAL 401 RC outpatient 593 504 Select Health HMO 41 41% of all negotiated rates 350 percent of total billed charges 350 593 MA Diag Breast 2D w/ Cad Bil. 77066 CPT 4097037 LOCAL 401 RC outpatient 593 504 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 395 percent of total billed charges 395 593 MA Diag Breast 2D w/ Cad Bil. 77066 CPT 4097037 LOCAL 401 RC outpatient 593 504 Sierra/HPN HMO 60 60% of all negotiated rates 237 percent of total billed charges 237 593 MA Diag Breast 2D w/ Cad Bil. 77066 CPT 4097037 LOCAL 401 RC outpatient 593 504 Silversummit Medicare HMO 39 39% of all negotiated rates 362 percent of total billed charges 362 593 MA Diag Breast 2D w/ Cad Bil. 77066 CPT 4097037 LOCAL 401 RC outpatient 593 504 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 386 percent of total billed charges 386 593 MA Diag Breast 2D w/ Cad Bil. 77066 CPT 4097037 LOCAL 401 RC outpatient 593 504 Teachers Trust PPO 65 65% of all negotiated rates 208 percent of total billed charges 208 593 MA Diag Breast 2D w/ Cad Bil. 77066 CPT 4097037 LOCAL 401 RC outpatient 593 504 TriWest PPO 30 30% of all negotiated rates 415 percent of total billed charges 415 593 MA Diag Breast 2D w/ Cad Bil. 77066 CPT 4097037 LOCAL 401 RC outpatient 593 504 UHN-Universal Health Network PPO 70 70% of all negotiated rates 178 percent of total billed charges 178 593 MA Diag Breast 2D w/ Cad Bil. 77066 CPT 4097037 LOCAL 401 RC outpatient 593 504 United Healthcare PPO 60 60% of all negotiated rates 237 percent of total billed charges 237 593 MA Diag Breast 2D w/ Cad Bil. 77066 CPT 4097037 LOCAL 401 RC outpatient 593 504 Aetna PPO 120 120% of Aetna market fee schedule 196 fee schedule 196 565 Coinsurance and deductible may apply MA Diag Breast 2D w/ Cad Bil. 77066 CPT 4097037 LOCAL 401 RC outpatient 593 504 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 176 fee schedule 176 565 Coinsurance and deductible may apply MA Diag Breast 2D w/ Cad Bil. 77066 CPT 4097037 LOCAL 401 RC outpatient 593 504 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 176 fee schedule 176 565 Coinsurance and deductible may apply MA Diag Breast 2D w/ Cad Bil. 77066 CPT 4097037 LOCAL 401 RC outpatient 593 504 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 176 fee schedule 176 565 Coinsurance and deductible may apply MA Diag Breast 2D w/Cad Lt. 77065 CPT 4097091 LOCAL 401 RC outpatient 470 400 Aetna Medicare HMO 26 26% of all negotiated rates 348 percent of total billed charges 348 470 MA Diag Breast 2D w/Cad Lt. 77065 CPT 4097091 LOCAL 401 RC outpatient 470 400 Alignment Medicare HMO 39 39% of all negotiated rates 287 percent of total billed charges 287 470 MA Diag Breast 2D w/Cad Lt. 77065 CPT 4097091 LOCAL 401 RC outpatient 470 400 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 188 percent of total billed charges 188 470 MA Diag Breast 2D w/Cad Lt. 77065 CPT 4097091 LOCAL 401 RC outpatient 470 400 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 235 percent of total billed charges 235 470 MA Diag Breast 2D w/Cad Lt. 77065 CPT 4097091 LOCAL 401 RC outpatient 470 400 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 287 percent of total billed charges 287 470 MA Diag Breast 2D w/Cad Lt. 77065 CPT 4097091 LOCAL 401 RC outpatient 470 400 Cigna PPO 68 68% of all negotiated rates 151 percent of total billed charges 151 470 MA Diag Breast 2D w/Cad Lt. 77065 CPT 4097091 LOCAL 401 RC outpatient 470 400 Coalition PPO 57 57% of all negotiated rates 202 percent of total billed charges 202 470 MA Diag Breast 2D w/Cad Lt. 77065 CPT 4097091 LOCAL 401 RC outpatient 470 400 Coventry PPO 75 75% of all negotiated rates 118 percent of total billed charges 118 470 MA Diag Breast 2D w/Cad Lt. 77065 CPT 4097091 LOCAL 401 RC outpatient 470 400 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 94 percent of total billed charges 94 470 MA Diag Breast 2D w/Cad Lt. 77065 CPT 4097091 LOCAL 401 RC outpatient 470 400 Humana-Commerical PPO 70 70% of all negotiated rates 141 percent of total billed charges 141 470 MA Diag Breast 2D w/Cad Lt. 77065 CPT 4097091 LOCAL 401 RC outpatient 470 400 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 287 percent of total billed charges 287 470 MA Diag Breast 2D w/Cad Lt. 77065 CPT 4097091 LOCAL 401 RC outpatient 470 400 Multiplan PPO 80 80% of all negotiated rates 94 percent of total billed charges 94 470 MA Diag Breast 2D w/Cad Lt. 77065 CPT 4097091 LOCAL 401 RC outpatient 470 400 One Health PPO 55 55% of all negotiated rates 212 percent of total billed charges 212 470 MA Diag Breast 2D w/Cad Lt. 77065 CPT 4097091 LOCAL 401 RC outpatient 470 400 Optum Medicare HMO 39 39% of all negotiated rates 287 percent of total billed charges 287 470 MA Diag Breast 2D w/Cad Lt. 77065 CPT 4097091 LOCAL 401 RC outpatient 470 400 P3 HMO 39 39% of all negotiated rates 287 percent of total billed charges 287 470 MA Diag Breast 2D w/Cad Lt. 77065 CPT 4097091 LOCAL 401 RC outpatient 470 400 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 141 percent of total billed charges 141 470 MA Diag Breast 2D w/Cad Lt. 77065 CPT 4097091 LOCAL 401 RC outpatient 470 400 Select Health HMO 41 41% of all negotiated rates 278 percent of total billed charges 278 470 MA Diag Breast 2D w/Cad Lt. 77065 CPT 4097091 LOCAL 401 RC outpatient 470 400 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 313 percent of total billed charges 313 470 MA Diag Breast 2D w/Cad Lt. 77065 CPT 4097091 LOCAL 401 RC outpatient 470 400 Sierra/HPN HMO 60 60% of all negotiated rates 188 percent of total billed charges 188 470 MA Diag Breast 2D w/Cad Lt. 77065 CPT 4097091 LOCAL 401 RC outpatient 470 400 Silversummit Medicare HMO 39 39% of all negotiated rates 287 percent of total billed charges 287 470 MA Diag Breast 2D w/Cad Lt. 77065 CPT 4097091 LOCAL 401 RC outpatient 470 400 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 306 percent of total billed charges 306 470 MA Diag Breast 2D w/Cad Lt. 77065 CPT 4097091 LOCAL 401 RC outpatient 470 400 Teachers Trust PPO 65 65% of all negotiated rates 165 percent of total billed charges 165 470 MA Diag Breast 2D w/Cad Lt. 77065 CPT 4097091 LOCAL 401 RC outpatient 470 400 TriWest PPO 30 30% of all negotiated rates 329 percent of total billed charges 329 470 MA Diag Breast 2D w/Cad Lt. 77065 CPT 4097091 LOCAL 401 RC outpatient 470 400 UHN-Universal Health Network PPO 70 70% of all negotiated rates 141 percent of total billed charges 141 470 MA Diag Breast 2D w/Cad Lt. 77065 CPT 4097091 LOCAL 401 RC outpatient 470 400 United Healthcare PPO 60 60% of all negotiated rates 188 percent of total billed charges 188 470 MA Diag Breast 2D w/Cad Lt. 77065 CPT 4097091 LOCAL 401 RC outpatient 470 400 Aetna PPO 120 120% of Aetna market fee schedule 155 fee schedule 155 448 Coinsurance and deductible may apply MA Diag Breast 2D w/Cad Lt. 77065 CPT 4097091 LOCAL 401 RC outpatient 470 400 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 139 fee schedule 139 448 Coinsurance and deductible may apply MA Diag Breast 2D w/Cad Lt. 77065 CPT 4097091 LOCAL 401 RC outpatient 470 400 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 139 fee schedule 139 448 Coinsurance and deductible may apply MA Diag Breast 2D w/Cad Lt. 77065 CPT 4097091 LOCAL 401 RC outpatient 470 400 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 139 fee schedule 139 448 Coinsurance and deductible may apply MA Diag Breast 2D w/Cad Rt. 77065 CPT 4097106 LOCAL 401 RC outpatient 470 400 Aetna Medicare HMO 26 26% of all negotiated rates 348 percent of total billed charges 348 470 MA Diag Breast 2D w/Cad Rt. 77065 CPT 4097106 LOCAL 401 RC outpatient 470 400 Alignment Medicare HMO 39 39% of all negotiated rates 287 percent of total billed charges 287 470 MA Diag Breast 2D w/Cad Rt. 77065 CPT 4097106 LOCAL 401 RC outpatient 470 400 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 188 percent of total billed charges 188 470 MA Diag Breast 2D w/Cad Rt. 77065 CPT 4097106 LOCAL 401 RC outpatient 470 400 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 235 percent of total billed charges 235 470 MA Diag Breast 2D w/Cad Rt. 77065 CPT 4097106 LOCAL 401 RC outpatient 470 400 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 287 percent of total billed charges 287 470 MA Diag Breast 2D w/Cad Rt. 77065 CPT 4097106 LOCAL 401 RC outpatient 470 400 Cigna PPO 68 68% of all negotiated rates 151 percent of total billed charges 151 470 MA Diag Breast 2D w/Cad Rt. 77065 CPT 4097106 LOCAL 401 RC outpatient 470 400 Coalition PPO 57 57% of all negotiated rates 202 percent of total billed charges 202 470 MA Diag Breast 2D w/Cad Rt. 77065 CPT 4097106 LOCAL 401 RC outpatient 470 400 Coventry PPO 75 75% of all negotiated rates 118 percent of total billed charges 118 470 MA Diag Breast 2D w/Cad Rt. 77065 CPT 4097106 LOCAL 401 RC outpatient 470 400 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 94 percent of total billed charges 94 470 MA Diag Breast 2D w/Cad Rt. 77065 CPT 4097106 LOCAL 401 RC outpatient 470 400 Humana-Commerical PPO 70 70% of all negotiated rates 141 percent of total billed charges 141 470 MA Diag Breast 2D w/Cad Rt. 77065 CPT 4097106 LOCAL 401 RC outpatient 470 400 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 287 percent of total billed charges 287 470 MA Diag Breast 2D w/Cad Rt. 77065 CPT 4097106 LOCAL 401 RC outpatient 470 400 Multiplan PPO 80 80% of all negotiated rates 94 percent of total billed charges 94 470 MA Diag Breast 2D w/Cad Rt. 77065 CPT 4097106 LOCAL 401 RC outpatient 470 400 One Health PPO 55 55% of all negotiated rates 212 percent of total billed charges 212 470 MA Diag Breast 2D w/Cad Rt. 77065 CPT 4097106 LOCAL 401 RC outpatient 470 400 Optum Medicare HMO 39 39% of all negotiated rates 287 percent of total billed charges 287 470 MA Diag Breast 2D w/Cad Rt. 77065 CPT 4097106 LOCAL 401 RC outpatient 470 400 P3 HMO 39 39% of all negotiated rates 287 percent of total billed charges 287 470 MA Diag Breast 2D w/Cad Rt. 77065 CPT 4097106 LOCAL 401 RC outpatient 470 400 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 141 percent of total billed charges 141 470 MA Diag Breast 2D w/Cad Rt. 77065 CPT 4097106 LOCAL 401 RC outpatient 470 400 Select Health HMO 41 41% of all negotiated rates 278 percent of total billed charges 278 470 MA Diag Breast 2D w/Cad Rt. 77065 CPT 4097106 LOCAL 401 RC outpatient 470 400 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 313 percent of total billed charges 313 470 MA Diag Breast 2D w/Cad Rt. 77065 CPT 4097106 LOCAL 401 RC outpatient 470 400 Sierra/HPN HMO 60 60% of all negotiated rates 188 percent of total billed charges 188 470 MA Diag Breast 2D w/Cad Rt. 77065 CPT 4097106 LOCAL 401 RC outpatient 470 400 Silversummit Medicare HMO 39 39% of all negotiated rates 287 percent of total billed charges 287 470 MA Diag Breast 2D w/Cad Rt. 77065 CPT 4097106 LOCAL 401 RC outpatient 470 400 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 306 percent of total billed charges 306 470 MA Diag Breast 2D w/Cad Rt. 77065 CPT 4097106 LOCAL 401 RC outpatient 470 400 Teachers Trust PPO 65 65% of all negotiated rates 165 percent of total billed charges 165 470 MA Diag Breast 2D w/Cad Rt. 77065 CPT 4097106 LOCAL 401 RC outpatient 470 400 TriWest PPO 30 30% of all negotiated rates 329 percent of total billed charges 329 470 MA Diag Breast 2D w/Cad Rt. 77065 CPT 4097106 LOCAL 401 RC outpatient 470 400 UHN-Universal Health Network PPO 70 70% of all negotiated rates 141 percent of total billed charges 141 470 MA Diag Breast 2D w/Cad Rt. 77065 CPT 4097106 LOCAL 401 RC outpatient 470 400 United Healthcare PPO 60 60% of all negotiated rates 188 percent of total billed charges 188 470 MA Diag Breast 2D w/Cad Rt. 77065 CPT 4097106 LOCAL 401 RC outpatient 470 400 Aetna PPO 120 120% of Aetna market fee schedule 155 fee schedule 155 448 Coinsurance and deductible may apply MA Diag Breast 2D w/Cad Rt. 77065 CPT 4097106 LOCAL 401 RC outpatient 470 400 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 139 fee schedule 139 448 Coinsurance and deductible may apply MA Diag Breast 2D w/Cad Rt. 77065 CPT 4097106 LOCAL 401 RC outpatient 470 400 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 139 fee schedule 139 448 Coinsurance and deductible may apply MA Diag Breast 2D w/Cad Rt. 77065 CPT 4097106 LOCAL 401 RC outpatient 470 400 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 139 fee schedule 139 448 Coinsurance and deductible may apply MA Diag Breast 3DTomo Lt. 77061 CPT 4097052 LOCAL 401 RC outpatient 470 400 Aetna Medicare HMO 26 26% of all negotiated rates 348 percent of total billed charges 348 470 MA Diag Breast 3DTomo Lt. 77061 CPT 4097052 LOCAL 401 RC outpatient 470 400 Alignment Medicare HMO 39 39% of all negotiated rates 287 percent of total billed charges 287 470 MA Diag Breast 3DTomo Lt. 77061 CPT 4097052 LOCAL 401 RC outpatient 470 400 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 188 percent of total billed charges 188 470 MA Diag Breast 3DTomo Lt. 77061 CPT 4097052 LOCAL 401 RC outpatient 470 400 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 235 percent of total billed charges 235 470 MA Diag Breast 3DTomo Lt. 77061 CPT 4097052 LOCAL 401 RC outpatient 470 400 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 287 percent of total billed charges 287 470 MA Diag Breast 3DTomo Lt. 77061 CPT 4097052 LOCAL 401 RC outpatient 470 400 Cigna PPO 68 68% of all negotiated rates 151 percent of total billed charges 151 470 MA Diag Breast 3DTomo Lt. 77061 CPT 4097052 LOCAL 401 RC outpatient 470 400 Coalition PPO 57 57% of all negotiated rates 202 percent of total billed charges 202 470 MA Diag Breast 3DTomo Lt. 77061 CPT 4097052 LOCAL 401 RC outpatient 470 400 Coventry PPO 75 75% of all negotiated rates 118 percent of total billed charges 118 470 MA Diag Breast 3DTomo Lt. 77061 CPT 4097052 LOCAL 401 RC outpatient 470 400 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 94 percent of total billed charges 94 470 MA Diag Breast 3DTomo Lt. 77061 CPT 4097052 LOCAL 401 RC outpatient 470 400 Humana-Commerical PPO 70 70% of all negotiated rates 141 percent of total billed charges 141 470 MA Diag Breast 3DTomo Lt. 77061 CPT 4097052 LOCAL 401 RC outpatient 470 400 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 287 percent of total billed charges 287 470 MA Diag Breast 3DTomo Lt. 77061 CPT 4097052 LOCAL 401 RC outpatient 470 400 Multiplan PPO 80 80% of all negotiated rates 94 percent of total billed charges 94 470 MA Diag Breast 3DTomo Lt. 77061 CPT 4097052 LOCAL 401 RC outpatient 470 400 One Health PPO 55 55% of all negotiated rates 212 percent of total billed charges 212 470 MA Diag Breast 3DTomo Lt. 77061 CPT 4097052 LOCAL 401 RC outpatient 470 400 Optum Medicare HMO 39 39% of all negotiated rates 287 percent of total billed charges 287 470 MA Diag Breast 3DTomo Lt. 77061 CPT 4097052 LOCAL 401 RC outpatient 470 400 P3 HMO 39 39% of all negotiated rates 287 percent of total billed charges 287 470 MA Diag Breast 3DTomo Lt. 77061 CPT 4097052 LOCAL 401 RC outpatient 470 400 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 141 percent of total billed charges 141 470 MA Diag Breast 3DTomo Lt. 77061 CPT 4097052 LOCAL 401 RC outpatient 470 400 Select Health HMO 41 41% of all negotiated rates 278 percent of total billed charges 278 470 MA Diag Breast 3DTomo Lt. 77061 CPT 4097052 LOCAL 401 RC outpatient 470 400 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 313 percent of total billed charges 313 470 MA Diag Breast 3DTomo Lt. 77061 CPT 4097052 LOCAL 401 RC outpatient 470 400 Sierra/HPN HMO 60 60% of all negotiated rates 188 percent of total billed charges 188 470 MA Diag Breast 3DTomo Lt. 77061 CPT 4097052 LOCAL 401 RC outpatient 470 400 Silversummit Medicare HMO 39 39% of all negotiated rates 287 percent of total billed charges 287 470 MA Diag Breast 3DTomo Lt. 77061 CPT 4097052 LOCAL 401 RC outpatient 470 400 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 306 percent of total billed charges 306 470 MA Diag Breast 3DTomo Lt. 77061 CPT 4097052 LOCAL 401 RC outpatient 470 400 Teachers Trust PPO 65 65% of all negotiated rates 165 percent of total billed charges 165 470 MA Diag Breast 3DTomo Lt. 77061 CPT 4097052 LOCAL 401 RC outpatient 470 400 TriWest PPO 30 30% of all negotiated rates 329 percent of total billed charges 329 470 MA Diag Breast 3DTomo Lt. 77061 CPT 4097052 LOCAL 401 RC outpatient 470 400 UHN-Universal Health Network PPO 70 70% of all negotiated rates 141 percent of total billed charges 141 470 MA Diag Breast 3DTomo Lt. 77061 CPT 4097052 LOCAL 401 RC outpatient 470 400 United Healthcare PPO 60 60% of all negotiated rates 188 percent of total billed charges 188 470 MA Diag Breast 3DTomo Lt. 77061 CPT 4097052 LOCAL 401 RC outpatient 470 400 Aetna PPO 120 120% of Aetna market fee schedule 191 fee schedule 191 448 Coinsurance and deductible may apply MA Diag Breast 3DTomo Rt. 77061 CPT 4097059 LOCAL 401 RC outpatient 470 400 Aetna Medicare HMO 26 26% of all negotiated rates 348 percent of total billed charges 348 470 MA Diag Breast 3DTomo Rt. 77061 CPT 4097059 LOCAL 401 RC outpatient 470 400 Alignment Medicare HMO 39 39% of all negotiated rates 287 percent of total billed charges 287 470 MA Diag Breast 3DTomo Rt. 77061 CPT 4097059 LOCAL 401 RC outpatient 470 400 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 188 percent of total billed charges 188 470 MA Diag Breast 3DTomo Rt. 77061 CPT 4097059 LOCAL 401 RC outpatient 470 400 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 235 percent of total billed charges 235 470 MA Diag Breast 3DTomo Rt. 77061 CPT 4097059 LOCAL 401 RC outpatient 470 400 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 287 percent of total billed charges 287 470 MA Diag Breast 3DTomo Rt. 77061 CPT 4097059 LOCAL 401 RC outpatient 470 400 Cigna PPO 68 68% of all negotiated rates 151 percent of total billed charges 151 470 MA Diag Breast 3DTomo Rt. 77061 CPT 4097059 LOCAL 401 RC outpatient 470 400 Coalition PPO 57 57% of all negotiated rates 202 percent of total billed charges 202 470 MA Diag Breast 3DTomo Rt. 77061 CPT 4097059 LOCAL 401 RC outpatient 470 400 Coventry PPO 75 75% of all negotiated rates 118 percent of total billed charges 118 470 MA Diag Breast 3DTomo Rt. 77061 CPT 4097059 LOCAL 401 RC outpatient 470 400 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 94 percent of total billed charges 94 470 MA Diag Breast 3DTomo Rt. 77061 CPT 4097059 LOCAL 401 RC outpatient 470 400 Humana-Commerical PPO 70 70% of all negotiated rates 141 percent of total billed charges 141 470 MA Diag Breast 3DTomo Rt. 77061 CPT 4097059 LOCAL 401 RC outpatient 470 400 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 287 percent of total billed charges 287 470 MA Diag Breast 3DTomo Rt. 77061 CPT 4097059 LOCAL 401 RC outpatient 470 400 Multiplan PPO 80 80% of all negotiated rates 94 percent of total billed charges 94 470 MA Diag Breast 3DTomo Rt. 77061 CPT 4097059 LOCAL 401 RC outpatient 470 400 One Health PPO 55 55% of all negotiated rates 212 percent of total billed charges 212 470 MA Diag Breast 3DTomo Rt. 77061 CPT 4097059 LOCAL 401 RC outpatient 470 400 Optum Medicare HMO 39 39% of all negotiated rates 287 percent of total billed charges 287 470 MA Diag Breast 3DTomo Rt. 77061 CPT 4097059 LOCAL 401 RC outpatient 470 400 P3 HMO 39 39% of all negotiated rates 287 percent of total billed charges 287 470 MA Diag Breast 3DTomo Rt. 77061 CPT 4097059 LOCAL 401 RC outpatient 470 400 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 141 percent of total billed charges 141 470 MA Diag Breast 3DTomo Rt. 77061 CPT 4097059 LOCAL 401 RC outpatient 470 400 Select Health HMO 41 41% of all negotiated rates 278 percent of total billed charges 278 470 MA Diag Breast 3DTomo Rt. 77061 CPT 4097059 LOCAL 401 RC outpatient 470 400 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 313 percent of total billed charges 313 470 MA Diag Breast 3DTomo Rt. 77061 CPT 4097059 LOCAL 401 RC outpatient 470 400 Sierra/HPN HMO 60 60% of all negotiated rates 188 percent of total billed charges 188 470 MA Diag Breast 3DTomo Rt. 77061 CPT 4097059 LOCAL 401 RC outpatient 470 400 Silversummit Medicare HMO 39 39% of all negotiated rates 287 percent of total billed charges 287 470 MA Diag Breast 3DTomo Rt. 77061 CPT 4097059 LOCAL 401 RC outpatient 470 400 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 306 percent of total billed charges 306 470 MA Diag Breast 3DTomo Rt. 77061 CPT 4097059 LOCAL 401 RC outpatient 470 400 Teachers Trust PPO 65 65% of all negotiated rates 165 percent of total billed charges 165 470 MA Diag Breast 3DTomo Rt. 77061 CPT 4097059 LOCAL 401 RC outpatient 470 400 TriWest PPO 30 30% of all negotiated rates 329 percent of total billed charges 329 470 MA Diag Breast 3DTomo Rt. 77061 CPT 4097059 LOCAL 401 RC outpatient 470 400 UHN-Universal Health Network PPO 70 70% of all negotiated rates 141 percent of total billed charges 141 470 MA Diag Breast 3DTomo Rt. 77061 CPT 4097059 LOCAL 401 RC outpatient 470 400 United Healthcare PPO 60 60% of all negotiated rates 188 percent of total billed charges 188 470 MA Diag Breast 3DTomo Rt. 77061 CPT 4097059 LOCAL 401 RC outpatient 470 400 Aetna PPO 120 120% of Aetna market fee schedule 191 fee schedule 191 448 Coinsurance and deductible may apply MA Routine Screen Bil w/ Cad. 77067 CPT 4097147 LOCAL 403 RC outpatient 479 407 Aetna Medicare HMO 26 26% of all negotiated rates 354 percent of total billed charges 354 479 MA Routine Screen Bil w/ Cad. 77067 CPT 4097147 LOCAL 403 RC outpatient 479 407 Alignment Medicare HMO 39 39% of all negotiated rates 292 percent of total billed charges 292 479 MA Routine Screen Bil w/ Cad. 77067 CPT 4097147 LOCAL 403 RC outpatient 479 407 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 192 percent of total billed charges 192 479 MA Routine Screen Bil w/ Cad. 77067 CPT 4097147 LOCAL 403 RC outpatient 479 407 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 239 percent of total billed charges 239 479 MA Routine Screen Bil w/ Cad. 77067 CPT 4097147 LOCAL 403 RC outpatient 479 407 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 292 percent of total billed charges 292 479 MA Routine Screen Bil w/ Cad. 77067 CPT 4097147 LOCAL 403 RC outpatient 479 407 Cigna PPO 68 68% of all negotiated rates 153 percent of total billed charges 153 479 MA Routine Screen Bil w/ Cad. 77067 CPT 4097147 LOCAL 403 RC outpatient 479 407 Coalition PPO 57 57% of all negotiated rates 206 percent of total billed charges 206 479 MA Routine Screen Bil w/ Cad. 77067 CPT 4097147 LOCAL 403 RC outpatient 479 407 Coventry PPO 75 75% of all negotiated rates 120 percent of total billed charges 120 479 MA Routine Screen Bil w/ Cad. 77067 CPT 4097147 LOCAL 403 RC outpatient 479 407 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 96 percent of total billed charges 96 479 MA Routine Screen Bil w/ Cad. 77067 CPT 4097147 LOCAL 403 RC outpatient 479 407 Humana-Commerical PPO 70 70% of all negotiated rates 144 percent of total billed charges 144 479 MA Routine Screen Bil w/ Cad. 77067 CPT 4097147 LOCAL 403 RC outpatient 479 407 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 292 percent of total billed charges 292 479 MA Routine Screen Bil w/ Cad. 77067 CPT 4097147 LOCAL 403 RC outpatient 479 407 Multiplan PPO 80 80% of all negotiated rates 96 percent of total billed charges 96 479 MA Routine Screen Bil w/ Cad. 77067 CPT 4097147 LOCAL 403 RC outpatient 479 407 One Health PPO 55 55% of all negotiated rates 215 percent of total billed charges 215 479 MA Routine Screen Bil w/ Cad. 77067 CPT 4097147 LOCAL 403 RC outpatient 479 407 Optum Medicare HMO 39 39% of all negotiated rates 292 percent of total billed charges 292 479 MA Routine Screen Bil w/ Cad. 77067 CPT 4097147 LOCAL 403 RC outpatient 479 407 P3 HMO 39 39% of all negotiated rates 292 percent of total billed charges 292 479 MA Routine Screen Bil w/ Cad. 77067 CPT 4097147 LOCAL 403 RC outpatient 479 407 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 144 percent of total billed charges 144 479 MA Routine Screen Bil w/ Cad. 77067 CPT 4097147 LOCAL 403 RC outpatient 479 407 Select Health HMO 41 41% of all negotiated rates 282 percent of total billed charges 282 479 MA Routine Screen Bil w/ Cad. 77067 CPT 4097147 LOCAL 403 RC outpatient 479 407 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 318 percent of total billed charges 318 479 MA Routine Screen Bil w/ Cad. 77067 CPT 4097147 LOCAL 403 RC outpatient 479 407 Sierra/HPN HMO 60 60% of all negotiated rates 192 percent of total billed charges 192 479 MA Routine Screen Bil w/ Cad. 77067 CPT 4097147 LOCAL 403 RC outpatient 479 407 Silversummit Medicare HMO 39 39% of all negotiated rates 292 percent of total billed charges 292 479 MA Routine Screen Bil w/ Cad. 77067 CPT 4097147 LOCAL 403 RC outpatient 479 407 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 311 percent of total billed charges 311 479 MA Routine Screen Bil w/ Cad. 77067 CPT 4097147 LOCAL 403 RC outpatient 479 407 Teachers Trust PPO 65 65% of all negotiated rates 168 percent of total billed charges 168 479 MA Routine Screen Bil w/ Cad. 77067 CPT 4097147 LOCAL 403 RC outpatient 479 407 TriWest PPO 30 30% of all negotiated rates 335 percent of total billed charges 335 479 MA Routine Screen Bil w/ Cad. 77067 CPT 4097147 LOCAL 403 RC outpatient 479 407 UHN-Universal Health Network PPO 70 70% of all negotiated rates 144 percent of total billed charges 144 479 MA Routine Screen Bil w/ Cad. 77067 CPT 4097147 LOCAL 403 RC outpatient 479 407 United Healthcare PPO 60 60% of all negotiated rates 192 percent of total billed charges 192 479 MA Routine Screen Bil w/ Cad. 77067 CPT 4097147 LOCAL 403 RC outpatient 479 407 Aetna PPO 120 120% of Aetna market fee schedule 158 fee schedule 158 456 Coinsurance and deductible may apply MA Routine Screen Bil w/ Cad. 77067 CPT 4097147 LOCAL 403 RC outpatient 479 407 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 141 fee schedule 141 456 Coinsurance and deductible may apply MA Routine Screen Bil w/ Cad. 77067 CPT 4097147 LOCAL 403 RC outpatient 479 407 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 141 fee schedule 141 456 Coinsurance and deductible may apply MA Routine Screen Bil w/ Cad. 77067 CPT 4097147 LOCAL 403 RC outpatient 479 407 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 141 fee schedule 141 456 Coinsurance and deductible may apply MA Routine Screen Breast w/ Tomo Bil. 77067 CPT 4097149 LOCAL 403 RC outpatient 479 407 Aetna Medicare HMO 26 26% of all negotiated rates 354 percent of total billed charges 354 479 MA Routine Screen Breast w/ Tomo Bil. 77067 CPT 4097149 LOCAL 403 RC outpatient 479 407 Alignment Medicare HMO 39 39% of all negotiated rates 292 percent of total billed charges 292 479 MA Routine Screen Breast w/ Tomo Bil. 77067 CPT 4097149 LOCAL 403 RC outpatient 479 407 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 192 percent of total billed charges 192 479 MA Routine Screen Breast w/ Tomo Bil. 77067 CPT 4097149 LOCAL 403 RC outpatient 479 407 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 239 percent of total billed charges 239 479 MA Routine Screen Breast w/ Tomo Bil. 77067 CPT 4097149 LOCAL 403 RC outpatient 479 407 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 292 percent of total billed charges 292 479 MA Routine Screen Breast w/ Tomo Bil. 77067 CPT 4097149 LOCAL 403 RC outpatient 479 407 Cigna PPO 68 68% of all negotiated rates 153 percent of total billed charges 153 479 MA Routine Screen Breast w/ Tomo Bil. 77067 CPT 4097149 LOCAL 403 RC outpatient 479 407 Coalition PPO 57 57% of all negotiated rates 206 percent of total billed charges 206 479 MA Routine Screen Breast w/ Tomo Bil. 77067 CPT 4097149 LOCAL 403 RC outpatient 479 407 Coventry PPO 75 75% of all negotiated rates 120 percent of total billed charges 120 479 MA Routine Screen Breast w/ Tomo Bil. 77067 CPT 4097149 LOCAL 403 RC outpatient 479 407 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 96 percent of total billed charges 96 479 MA Routine Screen Breast w/ Tomo Bil. 77067 CPT 4097149 LOCAL 403 RC outpatient 479 407 Humana-Commerical PPO 70 70% of all negotiated rates 144 percent of total billed charges 144 479 MA Routine Screen Breast w/ Tomo Bil. 77067 CPT 4097149 LOCAL 403 RC outpatient 479 407 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 292 percent of total billed charges 292 479 MA Routine Screen Breast w/ Tomo Bil. 77067 CPT 4097149 LOCAL 403 RC outpatient 479 407 Multiplan PPO 80 80% of all negotiated rates 96 percent of total billed charges 96 479 MA Routine Screen Breast w/ Tomo Bil. 77067 CPT 4097149 LOCAL 403 RC outpatient 479 407 One Health PPO 55 55% of all negotiated rates 215 percent of total billed charges 215 479 MA Routine Screen Breast w/ Tomo Bil. 77067 CPT 4097149 LOCAL 403 RC outpatient 479 407 Optum Medicare HMO 39 39% of all negotiated rates 292 percent of total billed charges 292 479 MA Routine Screen Breast w/ Tomo Bil. 77067 CPT 4097149 LOCAL 403 RC outpatient 479 407 P3 HMO 39 39% of all negotiated rates 292 percent of total billed charges 292 479 MA Routine Screen Breast w/ Tomo Bil. 77067 CPT 4097149 LOCAL 403 RC outpatient 479 407 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 144 percent of total billed charges 144 479 MA Routine Screen Breast w/ Tomo Bil. 77067 CPT 4097149 LOCAL 403 RC outpatient 479 407 Select Health HMO 41 41% of all negotiated rates 282 percent of total billed charges 282 479 MA Routine Screen Breast w/ Tomo Bil. 77067 CPT 4097149 LOCAL 403 RC outpatient 479 407 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 318 percent of total billed charges 318 479 MA Routine Screen Breast w/ Tomo Bil. 77067 CPT 4097149 LOCAL 403 RC outpatient 479 407 Sierra/HPN HMO 60 60% of all negotiated rates 192 percent of total billed charges 192 479 MA Routine Screen Breast w/ Tomo Bil. 77067 CPT 4097149 LOCAL 403 RC outpatient 479 407 Silversummit Medicare HMO 39 39% of all negotiated rates 292 percent of total billed charges 292 479 MA Routine Screen Breast w/ Tomo Bil. 77067 CPT 4097149 LOCAL 403 RC outpatient 479 407 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 311 percent of total billed charges 311 479 MA Routine Screen Breast w/ Tomo Bil. 77067 CPT 4097149 LOCAL 403 RC outpatient 479 407 Teachers Trust PPO 65 65% of all negotiated rates 168 percent of total billed charges 168 479 MA Routine Screen Breast w/ Tomo Bil. 77067 CPT 4097149 LOCAL 403 RC outpatient 479 407 TriWest PPO 30 30% of all negotiated rates 335 percent of total billed charges 335 479 MA Routine Screen Breast w/ Tomo Bil. 77067 CPT 4097149 LOCAL 403 RC outpatient 479 407 UHN-Universal Health Network PPO 70 70% of all negotiated rates 144 percent of total billed charges 144 479 MA Routine Screen Breast w/ Tomo Bil. 77067 CPT 4097149 LOCAL 403 RC outpatient 479 407 United Healthcare PPO 60 60% of all negotiated rates 192 percent of total billed charges 192 479 MA Routine Screen Breast w/ Tomo Bil. 77067 CPT 4097149 LOCAL 403 RC outpatient 479 407 Aetna PPO 120 120% of Aetna market fee schedule 158 fee schedule 158 456 Coinsurance and deductible may apply MA Routine Screen Breast w/ Tomo Bil. 77067 CPT 4097149 LOCAL 403 RC outpatient 479 407 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 141 fee schedule 141 456 Coinsurance and deductible may apply MA Routine Screen Breast w/ Tomo Bil. 77067 CPT 4097149 LOCAL 403 RC outpatient 479 407 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 141 fee schedule 141 456 Coinsurance and deductible may apply MA Routine Screen Breast w/ Tomo Bil. 77067 CPT 4097149 LOCAL 403 RC outpatient 479 407 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 141 fee schedule 141 456 Coinsurance and deductible may apply Magnesium Level 83735 CPT 4007351 LOCAL 301 RC outpatient 137 116 Aetna PPO 38 38% of all negotiated rates 85 percent of total billed charges 85 137 Magnesium Level 83735 CPT 4007351 LOCAL 301 RC outpatient 137 116 Aetna Medicare HMO 26 26% of all negotiated rates 101 percent of total billed charges 101 137 Magnesium Level 83735 CPT 4007351 LOCAL 301 RC outpatient 137 116 Alignment Medicare HMO 39 39% of all negotiated rates 83 percent of total billed charges 83 137 Magnesium Level 83735 CPT 4007351 LOCAL 301 RC outpatient 137 116 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 55 percent of total billed charges 55 137 Magnesium Level 83735 CPT 4007351 LOCAL 301 RC outpatient 137 116 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 68 percent of total billed charges 68 137 Magnesium Level 83735 CPT 4007351 LOCAL 301 RC outpatient 137 116 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 83 percent of total billed charges 83 137 Magnesium Level 83735 CPT 4007351 LOCAL 301 RC outpatient 137 116 Cigna PPO 68 68% of all negotiated rates 44 percent of total billed charges 44 137 Magnesium Level 83735 CPT 4007351 LOCAL 301 RC outpatient 137 116 Coalition PPO 49 49% of all negotiated rates 70 percent of total billed charges 70 137 Magnesium Level 83735 CPT 4007351 LOCAL 301 RC outpatient 137 116 Coventry PPO 75 75% of all negotiated rates 34 percent of total billed charges 34 137 Magnesium Level 83735 CPT 4007351 LOCAL 301 RC outpatient 137 116 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 27 percent of total billed charges 27 137 Magnesium Level 83735 CPT 4007351 LOCAL 301 RC outpatient 137 116 Humana-Commerical PPO 70 70% of all negotiated rates 41 percent of total billed charges 41 137 Magnesium Level 83735 CPT 4007351 LOCAL 301 RC outpatient 137 116 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 83 percent of total billed charges 83 137 Magnesium Level 83735 CPT 4007351 LOCAL 301 RC outpatient 137 116 Multiplan PPO 80 80% of all negotiated rates 27 percent of total billed charges 27 137 Magnesium Level 83735 CPT 4007351 LOCAL 301 RC outpatient 137 116 One Health PPO 55 55% of all negotiated rates 61 percent of total billed charges 61 137 Magnesium Level 83735 CPT 4007351 LOCAL 301 RC outpatient 137 116 Optum Medicare HMO 39 39% of all negotiated rates 83 percent of total billed charges 83 137 Magnesium Level 83735 CPT 4007351 LOCAL 301 RC outpatient 137 116 P3 HMO 39 39% of all negotiated rates 83 percent of total billed charges 83 137 Magnesium Level 83735 CPT 4007351 LOCAL 301 RC outpatient 137 116 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 41 percent of total billed charges 41 137 Magnesium Level 83735 CPT 4007351 LOCAL 301 RC outpatient 137 116 Select Health HMO 41 41% of all negotiated rates 81 percent of total billed charges 81 137 Magnesium Level 83735 CPT 4007351 LOCAL 301 RC outpatient 137 116 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 91 percent of total billed charges 91 137 Magnesium Level 83735 CPT 4007351 LOCAL 301 RC outpatient 137 116 Sierra/HPN HMO 60 60% of all negotiated rates 55 percent of total billed charges 55 137 Magnesium Level 83735 CPT 4007351 LOCAL 301 RC outpatient 137 116 Silversummit Medicare HMO 39 39% of all negotiated rates 83 percent of total billed charges 83 137 Magnesium Level 83735 CPT 4007351 LOCAL 301 RC outpatient 137 116 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 89 percent of total billed charges 89 137 Magnesium Level 83735 CPT 4007351 LOCAL 301 RC outpatient 137 116 Teachers Trust PPO 65 65% of all negotiated rates 48 percent of total billed charges 48 137 Magnesium Level 83735 CPT 4007351 LOCAL 301 RC outpatient 137 116 TriWest PPO 30 30% of all negotiated rates 96 percent of total billed charges 96 137 Magnesium Level 83735 CPT 4007351 LOCAL 301 RC outpatient 137 116 UHN-Universal Health Network PPO 70 70% of all negotiated rates 41 percent of total billed charges 41 137 Magnesium Level 83735 CPT 4007351 LOCAL 301 RC outpatient 137 116 United Healthcare PPO 60 60% of all negotiated rates 55 percent of total billed charges 55 137 Magnesium Level 83735 CPT 4007351 LOCAL 301 RC outpatient 137 116 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 5 fee schedule 5 130 Coinsurance and deductible may apply Magnesium Level 83735 CPT 4007351 LOCAL 301 RC outpatient 137 116 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 5 fee schedule 5 130 Coinsurance and deductible may apply Magnesium Level 83735 CPT 4007351 LOCAL 301 RC outpatient 137 116 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 5 fee schedule 5 130 Coinsurance and deductible may apply Manipulation Shoulder under Anesthesia 23655 CPT 49023655 LOCAL 490 RC outpatient 2431 2066 Aetna Medicare HMO 26 26% of all negotiated rates 1799 percent of total billed charges 1799 2431 Manipulation Shoulder under Anesthesia 23655 CPT 49023655 LOCAL 490 RC outpatient 2431 2066 Alignment Medicare HMO 39 39% of all negotiated rates 1483 percent of total billed charges 1483 2431 Manipulation Shoulder under Anesthesia 23655 CPT 49023655 LOCAL 490 RC outpatient 2431 2066 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 972 percent of total billed charges 972 2431 Manipulation Shoulder under Anesthesia 23655 CPT 49023655 LOCAL 490 RC outpatient 2431 2066 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 1215 percent of total billed charges 1215 2431 Manipulation Shoulder under Anesthesia 23655 CPT 49023655 LOCAL 490 RC outpatient 2431 2066 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 1483 percent of total billed charges 1483 2431 Manipulation Shoulder under Anesthesia 23655 CPT 49023655 LOCAL 490 RC outpatient 2431 2066 Coventry PPO 75 75% of all negotiated rates 608 percent of total billed charges 608 2431 Manipulation Shoulder under Anesthesia 23655 CPT 49023655 LOCAL 490 RC outpatient 2431 2066 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 486 percent of total billed charges 486 2431 Manipulation Shoulder under Anesthesia 23655 CPT 49023655 LOCAL 490 RC outpatient 2431 2066 Humana-Commerical PPO 46 46% of all negotiated rates 1313 percent of total billed charges 1313 2431 Manipulation Shoulder under Anesthesia 23655 CPT 49023655 LOCAL 490 RC outpatient 2431 2066 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 1483 percent of total billed charges 1483 2431 Manipulation Shoulder under Anesthesia 23655 CPT 49023655 LOCAL 490 RC outpatient 2431 2066 Multiplan PPO 80 80% of all negotiated rates 486 percent of total billed charges 486 2431 Manipulation Shoulder under Anesthesia 23655 CPT 49023655 LOCAL 490 RC outpatient 2431 2066 Optum Medicare HMO 39 39% of all negotiated rates 1483 percent of total billed charges 1483 2431 Manipulation Shoulder under Anesthesia 23655 CPT 49023655 LOCAL 490 RC outpatient 2431 2066 P3 HMO 39 39% of all negotiated rates 1483 percent of total billed charges 1483 2431 Manipulation Shoulder under Anesthesia 23655 CPT 49023655 LOCAL 490 RC outpatient 2431 2066 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 851 percent of total billed charges 851 2431 Manipulation Shoulder under Anesthesia 23655 CPT 49023655 LOCAL 490 RC outpatient 2431 2066 Select Health HMO 41 41% of all negotiated rates 1434 percent of total billed charges 1434 2431 Manipulation Shoulder under Anesthesia 23655 CPT 49023655 LOCAL 490 RC outpatient 2431 2066 Silversummit Medicare HMO 39 39% of all negotiated rates 1483 percent of total billed charges 1483 2431 Manipulation Shoulder under Anesthesia 23655 CPT 49023655 LOCAL 490 RC outpatient 2431 2066 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 1580 percent of total billed charges 1580 2431 Manipulation Shoulder under Anesthesia 23655 CPT 49023655 LOCAL 490 RC outpatient 2431 2066 TriWest PPO 30 30% of all negotiated rates 1702 percent of total billed charges 1702 2431 Manipulation Shoulder under Anesthesia 23655 CPT 49023655 LOCAL 490 RC outpatient 2431 2066 UHN-Universal Health Network PPO 65 65% of all negotiated rates 851 percent of total billed charges 851 2431 Manipulation Shoulder under Anesthesia 23655 CPT 49023655 LOCAL 490 RC outpatient 2431 2066 Aetna PPO 750 case rate 750 case rate 750 2315 Coinsurance and deductible may apply Manipulation Shoulder under Anesthesia 23655 CPT 49023655 LOCAL 490 RC outpatient 2431 2066 Anthem Medicaid HMO 485 NV Medicaid SDS Rate 378 fee schedule 378 2315 Coinsurance and deductible may apply Manipulation Shoulder under Anesthesia 23655 CPT 49023655 LOCAL 490 RC outpatient 2431 2066 Cigna PPO 756 case rate 756 case rate 756 2315 Coinsurance and deductible may apply Manipulation Shoulder under Anesthesia 23655 CPT 49023655 LOCAL 490 RC outpatient 2431 2066 Coalition PPO 700 Coalition grouper rate 700 case rate 700 2315 Coinsurance and deductible may apply Manipulation Shoulder under Anesthesia 23655 CPT 49023655 LOCAL 490 RC outpatient 2431 2066 HPN Medicaid HMO 485 NV Medicaid SDS Rate 378 fee schedule 378 2315 Coinsurance and deductible may apply Manipulation Shoulder under Anesthesia 23655 CPT 49023655 LOCAL 490 RC outpatient 2431 2066 Molina Medicaid HMO 485 NV Medicaid SDS Rate 378 case rate 378 2315 Coinsurance and deductible may apply Manipulation Shoulder under Anesthesia 23655 CPT 49023655 LOCAL 490 RC outpatient 2431 2066 One Health PPO 1061 case rate 1061 case rate 1061 2315 Coinsurance and deductible may apply Manipulation Shoulder under Anesthesia 23655 CPT 49023655 LOCAL 490 RC outpatient 2431 2066 Sierra Healthcare Options PPO 756 case rate 756 case rate 756 2315 Coinsurance and deductible may apply Manipulation Shoulder under Anesthesia 23655 CPT 49023655 LOCAL 490 RC outpatient 2431 2066 Sierra/HPN HMO 756 case rate 756 case rate 756 2315 Coinsurance and deductible may apply Manipulation Shoulder under Anesthesia 23655 CPT 49023655 LOCAL 490 RC outpatient 2431 2066 Teachers Trust PPO 700 Teachers grouper rate 700 case rate 700 2315 Coinsurance and deductible may apply Manipulation Shoulder under Anesthesia 23655 CPT 49023655 LOCAL 490 RC outpatient 2431 2066 United Healthcare PPO 1061 case rate 1061 case rate 1061 2315 Coinsurance and deductible may apply Manual Therapy Charge Units 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 Aetna Medicare HMO 26 26% of all negotiated rates 77 percent of total billed charges 77 104 Manual Therapy Charge Units 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 Alignment Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Manual Therapy Charge Units 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 42 percent of total billed charges 42 104 Manual Therapy Charge Units 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 52 percent of total billed charges 52 104 Manual Therapy Charge Units 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Manual Therapy Charge Units 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 Cigna PPO 68 68% of all negotiated rates 33 percent of total billed charges 33 104 Manual Therapy Charge Units 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 Coventry PPO 75 75% of all negotiated rates 26 percent of total billed charges 26 104 Manual Therapy Charge Units 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 21 percent of total billed charges 21 104 Manual Therapy Charge Units 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 Humana-Commerical PPO 70 70% of all negotiated rates 31 percent of total billed charges 31 104 Manual Therapy Charge Units 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Manual Therapy Charge Units 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 Multiplan PPO 80 80% of all negotiated rates 21 percent of total billed charges 21 104 Manual Therapy Charge Units 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 Optum Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Manual Therapy Charge Units 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 P3 HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Manual Therapy Charge Units 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 31 percent of total billed charges 31 104 Manual Therapy Charge Units 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 Select Health HMO 41 41% of all negotiated rates 61 percent of total billed charges 61 104 Manual Therapy Charge Units 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 69 percent of total billed charges 69 104 Manual Therapy Charge Units 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 Sierra/HPN HMO 60 60% of all negotiated rates 42 percent of total billed charges 42 104 Manual Therapy Charge Units 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 Silversummit Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Manual Therapy Charge Units 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 68 percent of total billed charges 68 104 Manual Therapy Charge Units 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 TriWest PPO 30 30% of all negotiated rates 73 percent of total billed charges 73 104 Manual Therapy Charge Units 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 UHN-Universal Health Network PPO 70 70% of all negotiated rates 31 percent of total billed charges 31 104 Manual Therapy Charge Units 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 United Healthcare PPO 60 60% of all negotiated rates 42 percent of total billed charges 42 104 Manual Therapy Charge Units 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 Aetna PPO 120 120% of Aetna market fee schedule 30 fee schedule 30 99 Coinsurance and deductible may apply Manual Therapy Charge Units 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 26 fee schedule 26 99 Coinsurance and deductible may apply Manual Therapy Charge Units 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 Coalition PPO 25 case rate 25 case rate 25 99 "25.00 per treatment, 199.00 max per diem" Manual Therapy Charge Units 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 26 fee schedule 26 99 Coinsurance and deductible may apply Manual Therapy Charge Units 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 26 fee schedule 26 99 Coinsurance and deductible may apply Manual Therapy Charge Units 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 One Health PPO 200 case rate 200 case rate 200 99 200. cap on PT per visit Manual Therapy Charge Units 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 Teachers Trust PPO 103 case rate 103 case rate 103 99 103.00/treatment/163.00 max per day Massage Charge Units 97124 CPT 4500102 LOCAL 420 RC outpatient 104 88 Aetna Medicare HMO 26 26% of all negotiated rates 77 percent of total billed charges 77 104 Massage Charge Units 97124 CPT 4500102 LOCAL 420 RC outpatient 104 88 Alignment Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Massage Charge Units 97124 CPT 4500102 LOCAL 420 RC outpatient 104 88 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 42 percent of total billed charges 42 104 Massage Charge Units 97124 CPT 4500102 LOCAL 420 RC outpatient 104 88 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 52 percent of total billed charges 52 104 Massage Charge Units 97124 CPT 4500102 LOCAL 420 RC outpatient 104 88 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Massage Charge Units 97124 CPT 4500102 LOCAL 420 RC outpatient 104 88 Cigna PPO 68 68% of all negotiated rates 33 percent of total billed charges 33 104 Massage Charge Units 97124 CPT 4500102 LOCAL 420 RC outpatient 104 88 Coventry PPO 75 75% of all negotiated rates 26 percent of total billed charges 26 104 Massage Charge Units 97124 CPT 4500102 LOCAL 420 RC outpatient 104 88 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 21 percent of total billed charges 21 104 Massage Charge Units 97124 CPT 4500102 LOCAL 420 RC outpatient 104 88 Humana-Commerical PPO 70 70% of all negotiated rates 31 percent of total billed charges 31 104 Massage Charge Units 97124 CPT 4500102 LOCAL 420 RC outpatient 104 88 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Massage Charge Units 97124 CPT 4500102 LOCAL 420 RC outpatient 104 88 Multiplan PPO 80 80% of all negotiated rates 21 percent of total billed charges 21 104 Massage Charge Units 97124 CPT 4500102 LOCAL 420 RC outpatient 104 88 Optum Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Massage Charge Units 97124 CPT 4500102 LOCAL 420 RC outpatient 104 88 P3 HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Massage Charge Units 97124 CPT 4500102 LOCAL 420 RC outpatient 104 88 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 31 percent of total billed charges 31 104 Massage Charge Units 97124 CPT 4500102 LOCAL 420 RC outpatient 104 88 Select Health HMO 41 41% of all negotiated rates 61 percent of total billed charges 61 104 Massage Charge Units 97124 CPT 4500102 LOCAL 420 RC outpatient 104 88 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 69 percent of total billed charges 69 104 Massage Charge Units 97124 CPT 4500102 LOCAL 420 RC outpatient 104 88 Sierra/HPN HMO 60 60% of all negotiated rates 42 percent of total billed charges 42 104 Massage Charge Units 97124 CPT 4500102 LOCAL 420 RC outpatient 104 88 Silversummit Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Massage Charge Units 97124 CPT 4500102 LOCAL 420 RC outpatient 104 88 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 68 percent of total billed charges 68 104 Massage Charge Units 97124 CPT 4500102 LOCAL 420 RC outpatient 104 88 TriWest PPO 30 30% of all negotiated rates 73 percent of total billed charges 73 104 Massage Charge Units 97124 CPT 4500102 LOCAL 420 RC outpatient 104 88 UHN-Universal Health Network PPO 70 70% of all negotiated rates 31 percent of total billed charges 31 104 Massage Charge Units 97124 CPT 4500102 LOCAL 420 RC outpatient 104 88 United Healthcare PPO 60 60% of all negotiated rates 42 percent of total billed charges 42 104 Massage Charge Units 97124 CPT 4500102 LOCAL 420 RC outpatient 104 88 Aetna PPO 120 120% of Aetna market fee schedule 27 fee schedule 27 99 Coinsurance and deductible may apply Massage Charge Units 97124 CPT 4500102 LOCAL 420 RC outpatient 104 88 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 23 fee schedule 23 99 Coinsurance and deductible may apply Massage Charge Units 97124 CPT 4500102 LOCAL 420 RC outpatient 104 88 Coalition PPO 25 case rate 25 case rate 25 99 "25.00 per treatment, 199.00 max per diem" Massage Charge Units 97124 CPT 4500102 LOCAL 420 RC outpatient 104 88 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 23 fee schedule 23 99 Coinsurance and deductible may apply Massage Charge Units 97124 CPT 4500102 LOCAL 420 RC outpatient 104 88 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 23 fee schedule 23 99 Coinsurance and deductible may apply Massage Charge Units 97124 CPT 4500102 LOCAL 420 RC outpatient 104 88 One Health PPO 200 case rate 200 case rate 200 99 200. cap on PT per visit Massage Charge Units 97124 CPT 4500102 LOCAL 420 RC outpatient 104 88 Teachers Trust PPO 103 case rate 103 case rate 103 99 103.00/treatment/163.00 max per day Mechanical Traction Charge 97012 CPT 4506978 LOCAL 420 RC outpatient 205 174 Aetna Medicare HMO 26 26% of all negotiated rates 152 percent of total billed charges 152 205 Mechanical Traction Charge 97012 CPT 4506978 LOCAL 420 RC outpatient 205 174 Alignment Medicare HMO 39 39% of all negotiated rates 125 percent of total billed charges 125 205 Mechanical Traction Charge 97012 CPT 4506978 LOCAL 420 RC outpatient 205 174 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 82 percent of total billed charges 82 205 Mechanical Traction Charge 97012 CPT 4506978 LOCAL 420 RC outpatient 205 174 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 102 percent of total billed charges 102 205 Mechanical Traction Charge 97012 CPT 4506978 LOCAL 420 RC outpatient 205 174 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 125 percent of total billed charges 125 205 Mechanical Traction Charge 97012 CPT 4506978 LOCAL 420 RC outpatient 205 174 Cigna PPO 68 68% of all negotiated rates 66 percent of total billed charges 66 205 Mechanical Traction Charge 97012 CPT 4506978 LOCAL 420 RC outpatient 205 174 Coventry PPO 75 75% of all negotiated rates 51 percent of total billed charges 51 205 Mechanical Traction Charge 97012 CPT 4506978 LOCAL 420 RC outpatient 205 174 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 41 percent of total billed charges 41 205 Mechanical Traction Charge 97012 CPT 4506978 LOCAL 420 RC outpatient 205 174 Humana-Commerical PPO 70 70% of all negotiated rates 61 percent of total billed charges 61 205 Mechanical Traction Charge 97012 CPT 4506978 LOCAL 420 RC outpatient 205 174 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 125 percent of total billed charges 125 205 Mechanical Traction Charge 97012 CPT 4506978 LOCAL 420 RC outpatient 205 174 Multiplan PPO 80 80% of all negotiated rates 41 percent of total billed charges 41 205 Mechanical Traction Charge 97012 CPT 4506978 LOCAL 420 RC outpatient 205 174 Optum Medicare HMO 39 39% of all negotiated rates 125 percent of total billed charges 125 205 Mechanical Traction Charge 97012 CPT 4506978 LOCAL 420 RC outpatient 205 174 P3 HMO 39 39% of all negotiated rates 125 percent of total billed charges 125 205 Mechanical Traction Charge 97012 CPT 4506978 LOCAL 420 RC outpatient 205 174 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 61 percent of total billed charges 61 205 Mechanical Traction Charge 97012 CPT 4506978 LOCAL 420 RC outpatient 205 174 Select Health HMO 41 41% of all negotiated rates 121 percent of total billed charges 121 205 Mechanical Traction Charge 97012 CPT 4506978 LOCAL 420 RC outpatient 205 174 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 136 percent of total billed charges 136 205 Mechanical Traction Charge 97012 CPT 4506978 LOCAL 420 RC outpatient 205 174 Sierra/HPN HMO 60 60% of all negotiated rates 82 percent of total billed charges 82 205 Mechanical Traction Charge 97012 CPT 4506978 LOCAL 420 RC outpatient 205 174 Silversummit Medicare HMO 39 39% of all negotiated rates 125 percent of total billed charges 125 205 Mechanical Traction Charge 97012 CPT 4506978 LOCAL 420 RC outpatient 205 174 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 133 percent of total billed charges 133 205 Mechanical Traction Charge 97012 CPT 4506978 LOCAL 420 RC outpatient 205 174 TriWest PPO 30 30% of all negotiated rates 143 percent of total billed charges 143 205 Mechanical Traction Charge 97012 CPT 4506978 LOCAL 420 RC outpatient 205 174 UHN-Universal Health Network PPO 70 70% of all negotiated rates 61 percent of total billed charges 61 205 Mechanical Traction Charge 97012 CPT 4506978 LOCAL 420 RC outpatient 205 174 United Healthcare PPO 60 60% of all negotiated rates 82 percent of total billed charges 82 205 Mechanical Traction Charge 97012 CPT 4506978 LOCAL 420 RC outpatient 205 174 Aetna PPO 120 120% of Aetna market fee schedule 16 fee schedule 16 195 Coinsurance and deductible may apply Mechanical Traction Charge 97012 CPT 4506978 LOCAL 420 RC outpatient 205 174 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 14 fee schedule 14 195 Coinsurance and deductible may apply Mechanical Traction Charge 97012 CPT 4506978 LOCAL 420 RC outpatient 205 174 Coalition PPO 25 case rate 25 case rate 25 195 "25.00 per treatment, 199.00 max per diem" Mechanical Traction Charge 97012 CPT 4506978 LOCAL 420 RC outpatient 205 174 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 14 fee schedule 14 195 Coinsurance and deductible may apply Mechanical Traction Charge 97012 CPT 4506978 LOCAL 420 RC outpatient 205 174 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 14 fee schedule 14 195 Coinsurance and deductible may apply Mechanical Traction Charge 97012 CPT 4506978 LOCAL 420 RC outpatient 205 174 One Health PPO 200 case rate 200 case rate 200 195 200. cap on PT per visit Mechanical Traction Charge 97012 CPT 4506978 LOCAL 420 RC outpatient 205 174 Teachers Trust PPO 103 case rate 103 case rate 103 195 103.00/treatment/163.00 max per day Mobilization 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 Aetna Medicare HMO 26 26% of all negotiated rates 77 percent of total billed charges 77 104 Mobilization 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 Alignment Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Mobilization 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 42 percent of total billed charges 42 104 Mobilization 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 52 percent of total billed charges 52 104 Mobilization 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Mobilization 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 Cigna PPO 68 68% of all negotiated rates 33 percent of total billed charges 33 104 Mobilization 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 Coventry PPO 75 75% of all negotiated rates 26 percent of total billed charges 26 104 Mobilization 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 21 percent of total billed charges 21 104 Mobilization 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 Humana-Commerical PPO 70 70% of all negotiated rates 31 percent of total billed charges 31 104 Mobilization 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Mobilization 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 Multiplan PPO 80 80% of all negotiated rates 21 percent of total billed charges 21 104 Mobilization 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 Optum Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Mobilization 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 P3 HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Mobilization 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 31 percent of total billed charges 31 104 Mobilization 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 Select Health HMO 41 41% of all negotiated rates 61 percent of total billed charges 61 104 Mobilization 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 69 percent of total billed charges 69 104 Mobilization 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 Sierra/HPN HMO 60 60% of all negotiated rates 42 percent of total billed charges 42 104 Mobilization 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 Silversummit Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Mobilization 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 68 percent of total billed charges 68 104 Mobilization 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 TriWest PPO 30 30% of all negotiated rates 73 percent of total billed charges 73 104 Mobilization 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 UHN-Universal Health Network PPO 70 70% of all negotiated rates 31 percent of total billed charges 31 104 Mobilization 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 United Healthcare PPO 60 60% of all negotiated rates 42 percent of total billed charges 42 104 Mobilization 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 Aetna PPO 120 120% of Aetna market fee schedule 30 fee schedule 30 99 Coinsurance and deductible may apply Mobilization 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 26 fee schedule 26 99 Coinsurance and deductible may apply Mobilization 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 Coalition PPO 25 case rate 25 case rate 25 99 "25.00 per treatment, 199.00 max per diem" Mobilization 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 26 fee schedule 26 99 Coinsurance and deductible may apply Mobilization 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 26 fee schedule 26 99 Coinsurance and deductible may apply Mobilization 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 One Health PPO 200 case rate 200 case rate 200 99 200. cap on PT per visit Mobilization 97140 CPT 4506988 LOCAL 420 RC outpatient 104 88 Teachers Trust PPO 103 case rate 103 case rate 103 99 103.00/treatment/163.00 max per day Mono Screen 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 Aetna PPO 38 38% of all negotiated rates 66 percent of total billed charges 66 106 Mono Screen 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 Aetna Medicare HMO 26 26% of all negotiated rates 78 percent of total billed charges 78 106 Mono Screen 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 Alignment Medicare HMO 39 39% of all negotiated rates 65 percent of total billed charges 65 106 Mono Screen 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 42 percent of total billed charges 42 106 Mono Screen 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 53 percent of total billed charges 53 106 Mono Screen 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 65 percent of total billed charges 65 106 Mono Screen 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 Cigna PPO 68 68% of all negotiated rates 34 percent of total billed charges 34 106 Mono Screen 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 Coalition PPO 49 49% of all negotiated rates 54 percent of total billed charges 54 106 Mono Screen 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 Coventry PPO 75 75% of all negotiated rates 27 percent of total billed charges 27 106 Mono Screen 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 21 percent of total billed charges 21 106 Mono Screen 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 Humana-Commerical PPO 70 70% of all negotiated rates 32 percent of total billed charges 32 106 Mono Screen 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 65 percent of total billed charges 65 106 Mono Screen 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 Multiplan PPO 80 80% of all negotiated rates 21 percent of total billed charges 21 106 Mono Screen 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 One Health PPO 55 55% of all negotiated rates 48 percent of total billed charges 48 106 Mono Screen 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 Optum Medicare HMO 39 39% of all negotiated rates 65 percent of total billed charges 65 106 Mono Screen 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 P3 HMO 39 39% of all negotiated rates 65 percent of total billed charges 65 106 Mono Screen 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 32 percent of total billed charges 32 106 Mono Screen 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 Select Health HMO 41 41% of all negotiated rates 63 percent of total billed charges 63 106 Mono Screen 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 71 percent of total billed charges 71 106 Mono Screen 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 Sierra/HPN HMO 60 60% of all negotiated rates 42 percent of total billed charges 42 106 Mono Screen 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 Silversummit Medicare HMO 39 39% of all negotiated rates 65 percent of total billed charges 65 106 Mono Screen 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 69 percent of total billed charges 69 106 Mono Screen 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 Teachers Trust PPO 65 65% of all negotiated rates 37 percent of total billed charges 37 106 Mono Screen 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 TriWest PPO 30 30% of all negotiated rates 74 percent of total billed charges 74 106 Mono Screen 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 UHN-Universal Health Network PPO 70 70% of all negotiated rates 32 percent of total billed charges 32 106 Mono Screen 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 United Healthcare PPO 60 60% of all negotiated rates 42 percent of total billed charges 42 106 Mono Screen 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 4 fee schedule 4 101 Coinsurance and deductible may apply Mono Screen 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 4 fee schedule 4 101 Coinsurance and deductible may apply Mono Screen 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 4 fee schedule 4 101 Coinsurance and deductible may apply Mono Screen 1 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 Aetna PPO 38 38% of all negotiated rates 66 percent of total billed charges 66 106 Mono Screen 1 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 Aetna Medicare HMO 26 26% of all negotiated rates 78 percent of total billed charges 78 106 Mono Screen 1 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 Alignment Medicare HMO 39 39% of all negotiated rates 65 percent of total billed charges 65 106 Mono Screen 1 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 42 percent of total billed charges 42 106 Mono Screen 1 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 53 percent of total billed charges 53 106 Mono Screen 1 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 65 percent of total billed charges 65 106 Mono Screen 1 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 Cigna PPO 68 68% of all negotiated rates 34 percent of total billed charges 34 106 Mono Screen 1 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 Coalition PPO 49 49% of all negotiated rates 54 percent of total billed charges 54 106 Mono Screen 1 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 Coventry PPO 75 75% of all negotiated rates 27 percent of total billed charges 27 106 Mono Screen 1 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 21 percent of total billed charges 21 106 Mono Screen 1 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 Humana-Commerical PPO 70 70% of all negotiated rates 32 percent of total billed charges 32 106 Mono Screen 1 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 65 percent of total billed charges 65 106 Mono Screen 1 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 Multiplan PPO 80 80% of all negotiated rates 21 percent of total billed charges 21 106 Mono Screen 1 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 One Health PPO 55 55% of all negotiated rates 48 percent of total billed charges 48 106 Mono Screen 1 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 Optum Medicare HMO 39 39% of all negotiated rates 65 percent of total billed charges 65 106 Mono Screen 1 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 P3 HMO 39 39% of all negotiated rates 65 percent of total billed charges 65 106 Mono Screen 1 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 32 percent of total billed charges 32 106 Mono Screen 1 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 Select Health HMO 41 41% of all negotiated rates 63 percent of total billed charges 63 106 Mono Screen 1 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 71 percent of total billed charges 71 106 Mono Screen 1 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 Sierra/HPN HMO 60 60% of all negotiated rates 42 percent of total billed charges 42 106 Mono Screen 1 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 Silversummit Medicare HMO 39 39% of all negotiated rates 65 percent of total billed charges 65 106 Mono Screen 1 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 69 percent of total billed charges 69 106 Mono Screen 1 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 Teachers Trust PPO 65 65% of all negotiated rates 37 percent of total billed charges 37 106 Mono Screen 1 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 TriWest PPO 30 30% of all negotiated rates 74 percent of total billed charges 74 106 Mono Screen 1 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 UHN-Universal Health Network PPO 70 70% of all negotiated rates 32 percent of total billed charges 32 106 Mono Screen 1 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 United Healthcare PPO 60 60% of all negotiated rates 42 percent of total billed charges 42 106 Mono Screen 1 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 4 fee schedule 4 101 Coinsurance and deductible may apply Mono Screen 1 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 4 fee schedule 4 101 Coinsurance and deductible may apply Mono Screen 1 86308 CPT 4003001 LOCAL 302 RC outpatient 106 90 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 4 fee schedule 4 101 Coinsurance and deductible may apply Neuromuscular Reeducation Charges 97112 CPT 4556959 LOCAL 420 RC outpatient 104 88 Aetna Medicare HMO 26 26% of all negotiated rates 77 percent of total billed charges 77 104 Neuromuscular Reeducation Charges 97112 CPT 4556959 LOCAL 420 RC outpatient 104 88 Alignment Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Neuromuscular Reeducation Charges 97112 CPT 4556959 LOCAL 420 RC outpatient 104 88 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 42 percent of total billed charges 42 104 Neuromuscular Reeducation Charges 97112 CPT 4556959 LOCAL 420 RC outpatient 104 88 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 52 percent of total billed charges 52 104 Neuromuscular Reeducation Charges 97112 CPT 4556959 LOCAL 420 RC outpatient 104 88 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Neuromuscular Reeducation Charges 97112 CPT 4556959 LOCAL 420 RC outpatient 104 88 Cigna PPO 68 68% of all negotiated rates 33 percent of total billed charges 33 104 Neuromuscular Reeducation Charges 97112 CPT 4556959 LOCAL 420 RC outpatient 104 88 Coventry PPO 75 75% of all negotiated rates 26 percent of total billed charges 26 104 Neuromuscular Reeducation Charges 97112 CPT 4556959 LOCAL 420 RC outpatient 104 88 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 21 percent of total billed charges 21 104 Neuromuscular Reeducation Charges 97112 CPT 4556959 LOCAL 420 RC outpatient 104 88 Humana-Commerical PPO 70 70% of all negotiated rates 31 percent of total billed charges 31 104 Neuromuscular Reeducation Charges 97112 CPT 4556959 LOCAL 420 RC outpatient 104 88 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Neuromuscular Reeducation Charges 97112 CPT 4556959 LOCAL 420 RC outpatient 104 88 Multiplan PPO 80 80% of all negotiated rates 21 percent of total billed charges 21 104 Neuromuscular Reeducation Charges 97112 CPT 4556959 LOCAL 420 RC outpatient 104 88 Optum Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Neuromuscular Reeducation Charges 97112 CPT 4556959 LOCAL 420 RC outpatient 104 88 P3 HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Neuromuscular Reeducation Charges 97112 CPT 4556959 LOCAL 420 RC outpatient 104 88 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 31 percent of total billed charges 31 104 Neuromuscular Reeducation Charges 97112 CPT 4556959 LOCAL 420 RC outpatient 104 88 Select Health HMO 41 41% of all negotiated rates 61 percent of total billed charges 61 104 Neuromuscular Reeducation Charges 97112 CPT 4556959 LOCAL 420 RC outpatient 104 88 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 69 percent of total billed charges 69 104 Neuromuscular Reeducation Charges 97112 CPT 4556959 LOCAL 420 RC outpatient 104 88 Sierra/HPN HMO 60 60% of all negotiated rates 42 percent of total billed charges 42 104 Neuromuscular Reeducation Charges 97112 CPT 4556959 LOCAL 420 RC outpatient 104 88 Silversummit Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Neuromuscular Reeducation Charges 97112 CPT 4556959 LOCAL 420 RC outpatient 104 88 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 68 percent of total billed charges 68 104 Neuromuscular Reeducation Charges 97112 CPT 4556959 LOCAL 420 RC outpatient 104 88 TriWest PPO 30 30% of all negotiated rates 73 percent of total billed charges 73 104 Neuromuscular Reeducation Charges 97112 CPT 4556959 LOCAL 420 RC outpatient 104 88 UHN-Universal Health Network PPO 70 70% of all negotiated rates 31 percent of total billed charges 31 104 Neuromuscular Reeducation Charges 97112 CPT 4556959 LOCAL 420 RC outpatient 104 88 United Healthcare PPO 60 60% of all negotiated rates 42 percent of total billed charges 42 104 Neuromuscular Reeducation Charges 97112 CPT 4556959 LOCAL 420 RC outpatient 104 88 Aetna PPO 120 120% of Aetna market fee schedule 34 fee schedule 34 99 Coinsurance and deductible may apply Neuromuscular Reeducation Charges 97112 CPT 4556959 LOCAL 420 RC outpatient 104 88 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 29 fee schedule 29 99 Coinsurance and deductible may apply Neuromuscular Reeducation Charges 97112 CPT 4556959 LOCAL 420 RC outpatient 104 88 Coalition PPO 25 case rate 25 case rate 25 99 "25.00 per treatment, 199.00 max per diem" Neuromuscular Reeducation Charges 97112 CPT 4556959 LOCAL 420 RC outpatient 104 88 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 29 fee schedule 29 99 Coinsurance and deductible may apply Neuromuscular Reeducation Charges 97112 CPT 4556959 LOCAL 420 RC outpatient 104 88 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 29 fee schedule 29 99 Coinsurance and deductible may apply Neuromuscular Reeducation Charges 97112 CPT 4556959 LOCAL 420 RC outpatient 104 88 One Health PPO 200 case rate 200 case rate 200 99 200. cap on PT per visit Neuromuscular Reeducation Charges 97112 CPT 4556959 LOCAL 420 RC outpatient 104 88 Teachers Trust PPO 103 case rate 103 case rate 103 99 103.00/treatment/163.00 max per day NM Gastric Mucosa 78290 CPT 4078270 LOCAL 340 RC outpatient 2157 1833 Aetna Medicare HMO 26 26% of all negotiated rates 1596 percent of total billed charges 1596 2157 NM Gastric Mucosa 78290 CPT 4078270 LOCAL 340 RC outpatient 2157 1833 Alignment Medicare HMO 39 39% of all negotiated rates 1316 percent of total billed charges 1316 2157 NM Gastric Mucosa 78290 CPT 4078270 LOCAL 340 RC outpatient 2157 1833 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 863 percent of total billed charges 863 2157 NM Gastric Mucosa 78290 CPT 4078270 LOCAL 340 RC outpatient 2157 1833 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 1078 percent of total billed charges 1078 2157 NM Gastric Mucosa 78290 CPT 4078270 LOCAL 340 RC outpatient 2157 1833 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 1316 percent of total billed charges 1316 2157 NM Gastric Mucosa 78290 CPT 4078270 LOCAL 340 RC outpatient 2157 1833 Cigna PPO 68 68% of all negotiated rates 690 percent of total billed charges 690 2157 NM Gastric Mucosa 78290 CPT 4078270 LOCAL 340 RC outpatient 2157 1833 Coalition PPO 57 57% of all negotiated rates 927 percent of total billed charges 927 2157 NM Gastric Mucosa 78290 CPT 4078270 LOCAL 340 RC outpatient 2157 1833 Coventry PPO 75 75% of all negotiated rates 539 percent of total billed charges 539 2157 NM Gastric Mucosa 78290 CPT 4078270 LOCAL 340 RC outpatient 2157 1833 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 431 percent of total billed charges 431 2157 NM Gastric Mucosa 78290 CPT 4078270 LOCAL 340 RC outpatient 2157 1833 Humana-Commerical PPO 70 70% of all negotiated rates 647 percent of total billed charges 647 2157 NM Gastric Mucosa 78290 CPT 4078270 LOCAL 340 RC outpatient 2157 1833 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 1316 percent of total billed charges 1316 2157 NM Gastric Mucosa 78290 CPT 4078270 LOCAL 340 RC outpatient 2157 1833 Multiplan PPO 80 80% of all negotiated rates 431 percent of total billed charges 431 2157 NM Gastric Mucosa 78290 CPT 4078270 LOCAL 340 RC outpatient 2157 1833 One Health PPO 55 55% of all negotiated rates 971 percent of total billed charges 971 2157 NM Gastric Mucosa 78290 CPT 4078270 LOCAL 340 RC outpatient 2157 1833 Optum Medicare HMO 39 39% of all negotiated rates 1316 percent of total billed charges 1316 2157 NM Gastric Mucosa 78290 CPT 4078270 LOCAL 340 RC outpatient 2157 1833 P3 HMO 39 39% of all negotiated rates 1316 percent of total billed charges 1316 2157 NM Gastric Mucosa 78290 CPT 4078270 LOCAL 340 RC outpatient 2157 1833 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 647 percent of total billed charges 647 2157 NM Gastric Mucosa 78290 CPT 4078270 LOCAL 340 RC outpatient 2157 1833 Select Health HMO 41 41% of all negotiated rates 1272 percent of total billed charges 1272 2157 NM Gastric Mucosa 78290 CPT 4078270 LOCAL 340 RC outpatient 2157 1833 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 1434 percent of total billed charges 1434 2157 NM Gastric Mucosa 78290 CPT 4078270 LOCAL 340 RC outpatient 2157 1833 Sierra/HPN HMO 60 60% of all negotiated rates 863 percent of total billed charges 863 2157 NM Gastric Mucosa 78290 CPT 4078270 LOCAL 340 RC outpatient 2157 1833 Silversummit Medicare HMO 39 39% of all negotiated rates 1316 percent of total billed charges 1316 2157 NM Gastric Mucosa 78290 CPT 4078270 LOCAL 340 RC outpatient 2157 1833 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 1402 percent of total billed charges 1402 2157 NM Gastric Mucosa 78290 CPT 4078270 LOCAL 340 RC outpatient 2157 1833 Teachers Trust PPO 65 65% of all negotiated rates 755 percent of total billed charges 755 2157 NM Gastric Mucosa 78290 CPT 4078270 LOCAL 340 RC outpatient 2157 1833 TriWest PPO 30 30% of all negotiated rates 1510 percent of total billed charges 1510 2157 NM Gastric Mucosa 78290 CPT 4078270 LOCAL 340 RC outpatient 2157 1833 UHN-Universal Health Network PPO 70 70% of all negotiated rates 647 percent of total billed charges 647 2157 NM Gastric Mucosa 78290 CPT 4078270 LOCAL 340 RC outpatient 2157 1833 United Healthcare PPO 60 60% of all negotiated rates 863 percent of total billed charges 863 2157 NM Gastric Mucosa 78290 CPT 4078270 LOCAL 340 RC outpatient 2157 1833 Aetna PPO 120 120% of Aetna market fee schedule 340 fee schedule 340 2054 Coinsurance and deductible may apply NM Gastric Mucosa 78290 CPT 4078270 LOCAL 340 RC outpatient 2157 1833 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 324 fee schedule 324 2054 Coinsurance and deductible may apply NM Gastric Mucosa 78290 CPT 4078270 LOCAL 340 RC outpatient 2157 1833 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 324 fee schedule 324 2054 Coinsurance and deductible may apply NM Gastric Mucosa 78290 CPT 4078270 LOCAL 340 RC outpatient 2157 1833 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 324 fee schedule 324 2054 Coinsurance and deductible may apply NM Liver Spect 78206 CPT 4078205 LOCAL 340 RC outpatient 1633 1388 Aetna Medicare HMO 26 26% of all negotiated rates 1208 percent of total billed charges 1208 1633 NM Liver Spect 78206 CPT 4078205 LOCAL 340 RC outpatient 1633 1388 Alignment Medicare HMO 39 39% of all negotiated rates 996 percent of total billed charges 996 1633 NM Liver Spect 78206 CPT 4078205 LOCAL 340 RC outpatient 1633 1388 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 653 percent of total billed charges 653 1633 NM Liver Spect 78206 CPT 4078205 LOCAL 340 RC outpatient 1633 1388 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 816 percent of total billed charges 816 1633 NM Liver Spect 78206 CPT 4078205 LOCAL 340 RC outpatient 1633 1388 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 996 percent of total billed charges 996 1633 NM Liver Spect 78206 CPT 4078205 LOCAL 340 RC outpatient 1633 1388 Cigna PPO 68 68% of all negotiated rates 522 percent of total billed charges 522 1633 NM Liver Spect 78206 CPT 4078205 LOCAL 340 RC outpatient 1633 1388 Coalition PPO 57 57% of all negotiated rates 702 percent of total billed charges 702 1633 NM Liver Spect 78206 CPT 4078205 LOCAL 340 RC outpatient 1633 1388 Coventry PPO 75 75% of all negotiated rates 408 percent of total billed charges 408 1633 NM Liver Spect 78206 CPT 4078205 LOCAL 340 RC outpatient 1633 1388 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 327 percent of total billed charges 327 1633 NM Liver Spect 78206 CPT 4078205 LOCAL 340 RC outpatient 1633 1388 Humana-Commerical PPO 70 70% of all negotiated rates 490 percent of total billed charges 490 1633 NM Liver Spect 78206 CPT 4078205 LOCAL 340 RC outpatient 1633 1388 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 996 percent of total billed charges 996 1633 NM Liver Spect 78206 CPT 4078205 LOCAL 340 RC outpatient 1633 1388 One Health PPO 55 55% of all negotiated rates 735 percent of total billed charges 735 1633 NM Liver Spect 78206 CPT 4078205 LOCAL 340 RC outpatient 1633 1388 Optum Medicare HMO 39 39% of all negotiated rates 996 percent of total billed charges 996 1633 NM Liver Spect 78206 CPT 4078205 LOCAL 340 RC outpatient 1633 1388 P3 HMO 39 39% of all negotiated rates 996 percent of total billed charges 996 1633 NM Liver Spect 78206 CPT 4078205 LOCAL 340 RC outpatient 1633 1388 Select Health HMO 41 41% of all negotiated rates 963 percent of total billed charges 963 1633 NM Liver Spect 78206 CPT 4078205 LOCAL 340 RC outpatient 1633 1388 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 1086 percent of total billed charges 1086 1633 NM Liver Spect 78206 CPT 4078205 LOCAL 340 RC outpatient 1633 1388 Sierra/HPN HMO 60 60% of all negotiated rates 653 percent of total billed charges 653 1633 NM Liver Spect 78206 CPT 4078205 LOCAL 340 RC outpatient 1633 1388 Silversummit Medicare HMO 39 39% of all negotiated rates 996 percent of total billed charges 996 1633 NM Liver Spect 78206 CPT 4078205 LOCAL 340 RC outpatient 1633 1388 Teachers Trust PPO 65 65% of all negotiated rates 571 percent of total billed charges 571 1633 NM Liver Spect 78206 CPT 4078205 LOCAL 340 RC outpatient 1633 1388 UHN-Universal Health Network PPO 70 70% of all negotiated rates 490 percent of total billed charges 490 1633 NM Liver Spect 78206 CPT 4078205 LOCAL 340 RC outpatient 1633 1388 United Healthcare PPO 60 60% of all negotiated rates 653 percent of total billed charges 653 1633 Occult Blood Diagnostic 1 82270 CPT 4002059 LOCAL 301 RC outpatient 68 58 Aetna PPO 38 38% of all negotiated rates 42 percent of total billed charges 42 68 Occult Blood Diagnostic 1 82270 CPT 4002059 LOCAL 301 RC outpatient 68 58 Aetna Medicare HMO 26 26% of all negotiated rates 51 percent of total billed charges 51 68 Occult Blood Diagnostic 1 82270 CPT 4002059 LOCAL 301 RC outpatient 68 58 Alignment Medicare HMO 39 39% of all negotiated rates 42 percent of total billed charges 42 68 Occult Blood Diagnostic 1 82270 CPT 4002059 LOCAL 301 RC outpatient 68 58 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 27 percent of total billed charges 27 68 Occult Blood Diagnostic 1 82270 CPT 4002059 LOCAL 301 RC outpatient 68 58 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 34 percent of total billed charges 34 68 Occult Blood Diagnostic 1 82270 CPT 4002059 LOCAL 301 RC outpatient 68 58 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 42 percent of total billed charges 42 68 Occult Blood Diagnostic 1 82270 CPT 4002059 LOCAL 301 RC outpatient 68 58 Cigna PPO 68 68% of all negotiated rates 22 percent of total billed charges 22 68 Occult Blood Diagnostic 1 82270 CPT 4002059 LOCAL 301 RC outpatient 68 58 Coalition PPO 49 49% of all negotiated rates 35 percent of total billed charges 35 68 Occult Blood Diagnostic 1 82270 CPT 4002059 LOCAL 301 RC outpatient 68 58 Coventry PPO 75 75% of all negotiated rates 17 percent of total billed charges 17 68 Occult Blood Diagnostic 1 82270 CPT 4002059 LOCAL 301 RC outpatient 68 58 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 14 percent of total billed charges 14 68 Occult Blood Diagnostic 1 82270 CPT 4002059 LOCAL 301 RC outpatient 68 58 Humana-Commerical PPO 70 70% of all negotiated rates 20 percent of total billed charges 20 68 Occult Blood Diagnostic 1 82270 CPT 4002059 LOCAL 301 RC outpatient 68 58 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 42 percent of total billed charges 42 68 Occult Blood Diagnostic 1 82270 CPT 4002059 LOCAL 301 RC outpatient 68 58 Multiplan PPO 80 80% of all negotiated rates 14 percent of total billed charges 14 68 Occult Blood Diagnostic 1 82270 CPT 4002059 LOCAL 301 RC outpatient 68 58 One Health PPO 55 55% of all negotiated rates 31 percent of total billed charges 31 68 Occult Blood Diagnostic 1 82270 CPT 4002059 LOCAL 301 RC outpatient 68 58 Optum Medicare HMO 39 39% of all negotiated rates 42 percent of total billed charges 42 68 Occult Blood Diagnostic 1 82270 CPT 4002059 LOCAL 301 RC outpatient 68 58 P3 HMO 39 39% of all negotiated rates 42 percent of total billed charges 42 68 Occult Blood Diagnostic 1 82270 CPT 4002059 LOCAL 301 RC outpatient 68 58 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 20 percent of total billed charges 20 68 Occult Blood Diagnostic 1 82270 CPT 4002059 LOCAL 301 RC outpatient 68 58 Select Health HMO 41 41% of all negotiated rates 40 percent of total billed charges 40 68 Occult Blood Diagnostic 1 82270 CPT 4002059 LOCAL 301 RC outpatient 68 58 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 45 percent of total billed charges 45 68 Occult Blood Diagnostic 1 82270 CPT 4002059 LOCAL 301 RC outpatient 68 58 Sierra/HPN HMO 60 60% of all negotiated rates 27 percent of total billed charges 27 68 Occult Blood Diagnostic 1 82270 CPT 4002059 LOCAL 301 RC outpatient 68 58 Silversummit Medicare HMO 39 39% of all negotiated rates 42 percent of total billed charges 42 68 Occult Blood Diagnostic 1 82270 CPT 4002059 LOCAL 301 RC outpatient 68 58 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 44 percent of total billed charges 44 68 Occult Blood Diagnostic 1 82270 CPT 4002059 LOCAL 301 RC outpatient 68 58 Teachers Trust PPO 65 65% of all negotiated rates 24 percent of total billed charges 24 68 Occult Blood Diagnostic 1 82270 CPT 4002059 LOCAL 301 RC outpatient 68 58 TriWest PPO 30 30% of all negotiated rates 48 percent of total billed charges 48 68 Occult Blood Diagnostic 1 82270 CPT 4002059 LOCAL 301 RC outpatient 68 58 UHN-Universal Health Network PPO 70 70% of all negotiated rates 20 percent of total billed charges 20 68 Occult Blood Diagnostic 1 82270 CPT 4002059 LOCAL 301 RC outpatient 68 58 United Healthcare PPO 60 60% of all negotiated rates 27 percent of total billed charges 27 68 Occult Blood Diagnostic 1 82270 CPT 4002059 LOCAL 301 RC outpatient 68 58 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 2 fee schedule 2 65 Coinsurance and deductible may apply Occult Blood Diagnostic 1 82270 CPT 4002059 LOCAL 301 RC outpatient 68 58 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 2 fee schedule 2 65 Coinsurance and deductible may apply Occult Blood Diagnostic 1 82270 CPT 4002059 LOCAL 301 RC outpatient 68 58 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 2 fee schedule 2 65 Coinsurance and deductible may apply Occupational Therapy Eval and Treatment 97166 CPT 4557100 LOCAL 434 RC outpatient 406 345 Aetna Medicare HMO 26 26% of all negotiated rates 301 percent of total billed charges 301 406 Occupational Therapy Eval and Treatment 97166 CPT 4557100 LOCAL 434 RC outpatient 406 345 Alignment Medicare HMO 39 39% of all negotiated rates 248 percent of total billed charges 248 406 Occupational Therapy Eval and Treatment 97166 CPT 4557100 LOCAL 434 RC outpatient 406 345 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 163 percent of total billed charges 163 406 Occupational Therapy Eval and Treatment 97166 CPT 4557100 LOCAL 434 RC outpatient 406 345 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 203 percent of total billed charges 203 406 Occupational Therapy Eval and Treatment 97166 CPT 4557100 LOCAL 434 RC outpatient 406 345 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 248 percent of total billed charges 248 406 Occupational Therapy Eval and Treatment 97166 CPT 4557100 LOCAL 434 RC outpatient 406 345 Cigna PPO 68 68% of all negotiated rates 130 percent of total billed charges 130 406 Occupational Therapy Eval and Treatment 97166 CPT 4557100 LOCAL 434 RC outpatient 406 345 Coventry PPO 75 75% of all negotiated rates 102 percent of total billed charges 102 406 Occupational Therapy Eval and Treatment 97166 CPT 4557100 LOCAL 434 RC outpatient 406 345 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 81 percent of total billed charges 81 406 Occupational Therapy Eval and Treatment 97166 CPT 4557100 LOCAL 434 RC outpatient 406 345 Humana-Commerical PPO 70 70% of all negotiated rates 122 percent of total billed charges 122 406 Occupational Therapy Eval and Treatment 97166 CPT 4557100 LOCAL 434 RC outpatient 406 345 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 248 percent of total billed charges 248 406 Occupational Therapy Eval and Treatment 97166 CPT 4557100 LOCAL 434 RC outpatient 406 345 Multiplan PPO 80 80% of all negotiated rates 81 percent of total billed charges 81 406 Occupational Therapy Eval and Treatment 97166 CPT 4557100 LOCAL 434 RC outpatient 406 345 Optum Medicare HMO 39 39% of all negotiated rates 248 percent of total billed charges 248 406 Occupational Therapy Eval and Treatment 97166 CPT 4557100 LOCAL 434 RC outpatient 406 345 P3 HMO 39 39% of all negotiated rates 248 percent of total billed charges 248 406 Occupational Therapy Eval and Treatment 97166 CPT 4557100 LOCAL 434 RC outpatient 406 345 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 122 percent of total billed charges 122 406 Occupational Therapy Eval and Treatment 97166 CPT 4557100 LOCAL 434 RC outpatient 406 345 Select Health HMO 41 41% of all negotiated rates 240 percent of total billed charges 240 406 Occupational Therapy Eval and Treatment 97166 CPT 4557100 LOCAL 434 RC outpatient 406 345 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 270 percent of total billed charges 270 406 Occupational Therapy Eval and Treatment 97166 CPT 4557100 LOCAL 434 RC outpatient 406 345 Sierra/HPN HMO 60 60% of all negotiated rates 163 percent of total billed charges 163 406 Occupational Therapy Eval and Treatment 97166 CPT 4557100 LOCAL 434 RC outpatient 406 345 Silversummit Medicare HMO 39 39% of all negotiated rates 248 percent of total billed charges 248 406 Occupational Therapy Eval and Treatment 97166 CPT 4557100 LOCAL 434 RC outpatient 406 345 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 264 percent of total billed charges 264 406 Occupational Therapy Eval and Treatment 97166 CPT 4557100 LOCAL 434 RC outpatient 406 345 TriWest PPO 30 30% of all negotiated rates 284 percent of total billed charges 284 406 Occupational Therapy Eval and Treatment 97166 CPT 4557100 LOCAL 434 RC outpatient 406 345 UHN-Universal Health Network PPO 70 70% of all negotiated rates 122 percent of total billed charges 122 406 Occupational Therapy Eval and Treatment 97166 CPT 4557100 LOCAL 434 RC outpatient 406 345 United Healthcare PPO 60 60% of all negotiated rates 163 percent of total billed charges 163 406 Occupational Therapy Eval and Treatment 97166 CPT 4557100 LOCAL 434 RC outpatient 406 345 Aetna PPO 120 120% of Aetna market fee schedule 79 fee schedule 79 387 Coinsurance and deductible may apply Occupational Therapy Eval and Treatment 97166 CPT 4557100 LOCAL 434 RC outpatient 406 345 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 68 fee schedule 68 387 Coinsurance and deductible may apply Occupational Therapy Eval and Treatment 97166 CPT 4557100 LOCAL 434 RC outpatient 406 345 Coalition PPO 25 case rate 25 case rate 25 387 "25.00 per treatment, 199.00 max per diem" Occupational Therapy Eval and Treatment 97166 CPT 4557100 LOCAL 434 RC outpatient 406 345 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 68 fee schedule 68 387 Coinsurance and deductible may apply Occupational Therapy Eval and Treatment 97166 CPT 4557100 LOCAL 434 RC outpatient 406 345 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 68 fee schedule 68 387 Coinsurance and deductible may apply Occupational Therapy Eval and Treatment 97166 CPT 4557100 LOCAL 434 RC outpatient 406 345 One Health PPO 200 case rate 200 case rate 200 387 200. cap on PT per visit Occupational Therapy Eval and Treatment 97166 CPT 4557100 LOCAL 434 RC outpatient 406 345 Teachers Trust PPO 103 case rate 103 case rate 103 387 103.00/treatment/163.00 max per day Open Reduction Internal Fixation Ankle 27848 CPT 49027848 LOCAL 490 RC outpatient 7333 6233 Aetna Medicare HMO 26 26% of all negotiated rates 5427 percent of total billed charges 5427 7333 Open Reduction Internal Fixation Ankle 27848 CPT 49027848 LOCAL 490 RC outpatient 7333 6233 Alignment Medicare HMO 39 39% of all negotiated rates 4473 percent of total billed charges 4473 7333 Open Reduction Internal Fixation Ankle 27848 CPT 49027848 LOCAL 490 RC outpatient 7333 6233 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 2933 percent of total billed charges 2933 7333 Open Reduction Internal Fixation Ankle 27848 CPT 49027848 LOCAL 490 RC outpatient 7333 6233 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 3667 percent of total billed charges 3667 7333 Open Reduction Internal Fixation Ankle 27848 CPT 49027848 LOCAL 490 RC outpatient 7333 6233 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 4473 percent of total billed charges 4473 7333 Open Reduction Internal Fixation Ankle 27848 CPT 49027848 LOCAL 490 RC outpatient 7333 6233 Coventry PPO 75 75% of all negotiated rates 1833 percent of total billed charges 1833 7333 Open Reduction Internal Fixation Ankle 27848 CPT 49027848 LOCAL 490 RC outpatient 7333 6233 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 1467 percent of total billed charges 1467 7333 Open Reduction Internal Fixation Ankle 27848 CPT 49027848 LOCAL 490 RC outpatient 7333 6233 Humana-Commerical PPO 46 46% of all negotiated rates 3960 percent of total billed charges 3960 7333 Open Reduction Internal Fixation Ankle 27848 CPT 49027848 LOCAL 490 RC outpatient 7333 6233 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 4473 percent of total billed charges 4473 7333 Open Reduction Internal Fixation Ankle 27848 CPT 49027848 LOCAL 490 RC outpatient 7333 6233 Multiplan PPO 80 80% of all negotiated rates 1467 percent of total billed charges 1467 7333 Open Reduction Internal Fixation Ankle 27848 CPT 49027848 LOCAL 490 RC outpatient 7333 6233 Optum Medicare HMO 39 39% of all negotiated rates 4473 percent of total billed charges 4473 7333 Open Reduction Internal Fixation Ankle 27848 CPT 49027848 LOCAL 490 RC outpatient 7333 6233 P3 HMO 39 39% of all negotiated rates 4473 percent of total billed charges 4473 7333 Open Reduction Internal Fixation Ankle 27848 CPT 49027848 LOCAL 490 RC outpatient 7333 6233 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 2567 percent of total billed charges 2567 7333 Open Reduction Internal Fixation Ankle 27848 CPT 49027848 LOCAL 490 RC outpatient 7333 6233 Select Health HMO 41 41% of all negotiated rates 4327 percent of total billed charges 4327 7333 Open Reduction Internal Fixation Ankle 27848 CPT 49027848 LOCAL 490 RC outpatient 7333 6233 Silversummit Medicare HMO 39 39% of all negotiated rates 4473 percent of total billed charges 4473 7333 Open Reduction Internal Fixation Ankle 27848 CPT 49027848 LOCAL 490 RC outpatient 7333 6233 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 4767 percent of total billed charges 4767 7333 Open Reduction Internal Fixation Ankle 27848 CPT 49027848 LOCAL 490 RC outpatient 7333 6233 TriWest PPO 30 30% of all negotiated rates 5133 percent of total billed charges 5133 7333 Open Reduction Internal Fixation Ankle 27848 CPT 49027848 LOCAL 490 RC outpatient 7333 6233 UHN-Universal Health Network PPO 65 65% of all negotiated rates 2567 percent of total billed charges 2567 7333 Open Reduction Internal Fixation Ankle 27848 CPT 49027848 LOCAL 490 RC outpatient 7333 6233 Aetna PPO 1150 case rate 1150 case rate 1150 6984 Coinsurance and deductible may apply Open Reduction Internal Fixation Ankle 27848 CPT 49027848 LOCAL 490 RC outpatient 7333 6233 Anthem Medicaid HMO 1059 NV Medicaid SDS Rate 777 fee schedule 777 6984 Coinsurance and deductible may apply Open Reduction Internal Fixation Ankle 27848 CPT 49027848 LOCAL 490 RC outpatient 7333 6233 Cigna PPO 1157 case rate 1157 case rate 1157 6984 Coinsurance and deductible may apply Open Reduction Internal Fixation Ankle 27848 CPT 49027848 LOCAL 490 RC outpatient 7333 6233 Coalition PPO 1071 Coalition grouper rate 1071 case rate 1071 6984 Coinsurance and deductible may apply Open Reduction Internal Fixation Ankle 27848 CPT 49027848 LOCAL 490 RC outpatient 7333 6233 HPN Medicaid HMO 1059 NV Medicaid SDS Rate 777 fee schedule 777 6984 Coinsurance and deductible may apply Open Reduction Internal Fixation Ankle 27848 CPT 49027848 LOCAL 490 RC outpatient 7333 6233 Molina Medicaid HMO 1059 NV Medicaid SDS Rate 777 case rate 777 6984 Coinsurance and deductible may apply Open Reduction Internal Fixation Ankle 27848 CPT 49027848 LOCAL 490 RC outpatient 7333 6233 One Health PPO 2818 case rate 2818 case rate 2818 6984 Coinsurance and deductible may apply Open Reduction Internal Fixation Ankle 27848 CPT 49027848 LOCAL 490 RC outpatient 7333 6233 Sierra Healthcare Options PPO 1157 case rate 1157 case rate 1157 6984 Coinsurance and deductible may apply Open Reduction Internal Fixation Ankle 27848 CPT 49027848 LOCAL 490 RC outpatient 7333 6233 Sierra/HPN HMO 1157 case rate 1157 case rate 1157 6984 Coinsurance and deductible may apply Open Reduction Internal Fixation Ankle 27848 CPT 49027848 LOCAL 490 RC outpatient 7333 6233 Teachers Trust PPO 1071 Teachers grouper rate 1071 case rate 1071 6984 Coinsurance and deductible may apply Open Reduction Internal Fixation Ankle 27848 CPT 49027848 LOCAL 490 RC outpatient 7333 6233 United Healthcare PPO 2818 case rate 2818 case rate 2818 6984 Coinsurance and deductible may apply Open Reduction Internal Fixation Foot 27792 CPT 49027792 LOCAL 490 RC outpatient 7333 6233 Aetna Medicare HMO 26 26% of all negotiated rates 5427 percent of total billed charges 5427 7333 Open Reduction Internal Fixation Foot 27792 CPT 49027792 LOCAL 490 RC outpatient 7333 6233 Alignment Medicare HMO 39 39% of all negotiated rates 4473 percent of total billed charges 4473 7333 Open Reduction Internal Fixation Foot 27792 CPT 49027792 LOCAL 490 RC outpatient 7333 6233 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 2933 percent of total billed charges 2933 7333 Open Reduction Internal Fixation Foot 27792 CPT 49027792 LOCAL 490 RC outpatient 7333 6233 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 3667 percent of total billed charges 3667 7333 Open Reduction Internal Fixation Foot 27792 CPT 49027792 LOCAL 490 RC outpatient 7333 6233 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 4473 percent of total billed charges 4473 7333 Open Reduction Internal Fixation Foot 27792 CPT 49027792 LOCAL 490 RC outpatient 7333 6233 Coventry PPO 75 75% of all negotiated rates 1833 percent of total billed charges 1833 7333 Open Reduction Internal Fixation Foot 27792 CPT 49027792 LOCAL 490 RC outpatient 7333 6233 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 1467 percent of total billed charges 1467 7333 Open Reduction Internal Fixation Foot 27792 CPT 49027792 LOCAL 490 RC outpatient 7333 6233 Humana-Commerical PPO 46 46% of all negotiated rates 3960 percent of total billed charges 3960 7333 Open Reduction Internal Fixation Foot 27792 CPT 49027792 LOCAL 490 RC outpatient 7333 6233 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 4473 percent of total billed charges 4473 7333 Open Reduction Internal Fixation Foot 27792 CPT 49027792 LOCAL 490 RC outpatient 7333 6233 Multiplan PPO 80 80% of all negotiated rates 1467 percent of total billed charges 1467 7333 Open Reduction Internal Fixation Foot 27792 CPT 49027792 LOCAL 490 RC outpatient 7333 6233 Optum Medicare HMO 39 39% of all negotiated rates 4473 percent of total billed charges 4473 7333 Open Reduction Internal Fixation Foot 27792 CPT 49027792 LOCAL 490 RC outpatient 7333 6233 P3 HMO 39 39% of all negotiated rates 4473 percent of total billed charges 4473 7333 Open Reduction Internal Fixation Foot 27792 CPT 49027792 LOCAL 490 RC outpatient 7333 6233 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 2567 percent of total billed charges 2567 7333 Open Reduction Internal Fixation Foot 27792 CPT 49027792 LOCAL 490 RC outpatient 7333 6233 Select Health HMO 41 41% of all negotiated rates 4327 percent of total billed charges 4327 7333 Open Reduction Internal Fixation Foot 27792 CPT 49027792 LOCAL 490 RC outpatient 7333 6233 Silversummit Medicare HMO 39 39% of all negotiated rates 4473 percent of total billed charges 4473 7333 Open Reduction Internal Fixation Foot 27792 CPT 49027792 LOCAL 490 RC outpatient 7333 6233 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 4767 percent of total billed charges 4767 7333 Open Reduction Internal Fixation Foot 27792 CPT 49027792 LOCAL 490 RC outpatient 7333 6233 TriWest PPO 30 30% of all negotiated rates 5133 percent of total billed charges 5133 7333 Open Reduction Internal Fixation Foot 27792 CPT 49027792 LOCAL 490 RC outpatient 7333 6233 UHN-Universal Health Network PPO 65 65% of all negotiated rates 2567 percent of total billed charges 2567 7333 Open Reduction Internal Fixation Foot 27792 CPT 49027792 LOCAL 490 RC outpatient 7333 6233 Aetna PPO 1150 case rate 1150 case rate 1150 6984 Coinsurance and deductible may apply Open Reduction Internal Fixation Foot 27792 CPT 49027792 LOCAL 490 RC outpatient 7333 6233 Anthem Medicaid HMO 1965 NV Medicaid SDS Rate 622 fee schedule 622 6984 Coinsurance and deductible may apply Open Reduction Internal Fixation Foot 27792 CPT 49027792 LOCAL 490 RC outpatient 7333 6233 Cigna PPO 1157 case rate 1157 case rate 1157 6984 Coinsurance and deductible may apply Open Reduction Internal Fixation Foot 27792 CPT 49027792 LOCAL 490 RC outpatient 7333 6233 Coalition PPO 1071 Coalition grouper rate 1071 case rate 1071 6984 Coinsurance and deductible may apply Open Reduction Internal Fixation Foot 27792 CPT 49027792 LOCAL 490 RC outpatient 7333 6233 HPN Medicaid HMO 1965 NV Medicaid SDS Rate 622 fee schedule 622 6984 Coinsurance and deductible may apply Open Reduction Internal Fixation Foot 27792 CPT 49027792 LOCAL 490 RC outpatient 7333 6233 Molina Medicaid HMO 1965 NV Medicaid SDS Rate 622 case rate 622 6984 Coinsurance and deductible may apply Open Reduction Internal Fixation Foot 27792 CPT 49027792 LOCAL 490 RC outpatient 7333 6233 One Health PPO 2818 case rate 2818 case rate 2818 6984 Coinsurance and deductible may apply Open Reduction Internal Fixation Foot 27792 CPT 49027792 LOCAL 490 RC outpatient 7333 6233 Sierra Healthcare Options PPO 1157 case rate 1157 case rate 1157 6984 Coinsurance and deductible may apply Open Reduction Internal Fixation Foot 27792 CPT 49027792 LOCAL 490 RC outpatient 7333 6233 Sierra/HPN HMO 1157 case rate 1157 case rate 1157 6984 Coinsurance and deductible may apply Open Reduction Internal Fixation Foot 27792 CPT 49027792 LOCAL 490 RC outpatient 7333 6233 Teachers Trust PPO 1071 Teachers grouper rate 1071 case rate 1071 6984 Coinsurance and deductible may apply Open Reduction Internal Fixation Foot 27792 CPT 49027792 LOCAL 490 RC outpatient 7333 6233 United Healthcare PPO 2818 case rate 2818 case rate 2818 6984 Coinsurance and deductible may apply Open Reduction Internal Fixation Nasal 21330 CPT 49021330 LOCAL 490 RC outpatient 4295 3650 Aetna Medicare HMO 26 26% of all negotiated rates 3178 percent of total billed charges 3178 4295 Open Reduction Internal Fixation Nasal 21330 CPT 49021330 LOCAL 490 RC outpatient 4295 3650 Alignment Medicare HMO 39 39% of all negotiated rates 2620 percent of total billed charges 2620 4295 Open Reduction Internal Fixation Nasal 21330 CPT 49021330 LOCAL 490 RC outpatient 4295 3650 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 1718 percent of total billed charges 1718 4295 Open Reduction Internal Fixation Nasal 21330 CPT 49021330 LOCAL 490 RC outpatient 4295 3650 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 2147 percent of total billed charges 2147 4295 Open Reduction Internal Fixation Nasal 21330 CPT 49021330 LOCAL 490 RC outpatient 4295 3650 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 2620 percent of total billed charges 2620 4295 Open Reduction Internal Fixation Nasal 21330 CPT 49021330 LOCAL 490 RC outpatient 4295 3650 Coventry PPO 75 75% of all negotiated rates 1074 percent of total billed charges 1074 4295 Open Reduction Internal Fixation Nasal 21330 CPT 49021330 LOCAL 490 RC outpatient 4295 3650 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 859 percent of total billed charges 859 4295 Open Reduction Internal Fixation Nasal 21330 CPT 49021330 LOCAL 490 RC outpatient 4295 3650 Humana-Commerical PPO 46 46% of all negotiated rates 2319 percent of total billed charges 2319 4295 Open Reduction Internal Fixation Nasal 21330 CPT 49021330 LOCAL 490 RC outpatient 4295 3650 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 2620 percent of total billed charges 2620 4295 Open Reduction Internal Fixation Nasal 21330 CPT 49021330 LOCAL 490 RC outpatient 4295 3650 Multiplan PPO 80 80% of all negotiated rates 859 percent of total billed charges 859 4295 Open Reduction Internal Fixation Nasal 21330 CPT 49021330 LOCAL 490 RC outpatient 4295 3650 Optum Medicare HMO 39 39% of all negotiated rates 2620 percent of total billed charges 2620 4295 Open Reduction Internal Fixation Nasal 21330 CPT 49021330 LOCAL 490 RC outpatient 4295 3650 P3 HMO 39 39% of all negotiated rates 2620 percent of total billed charges 2620 4295 Open Reduction Internal Fixation Nasal 21330 CPT 49021330 LOCAL 490 RC outpatient 4295 3650 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 1503 percent of total billed charges 1503 4295 Open Reduction Internal Fixation Nasal 21330 CPT 49021330 LOCAL 490 RC outpatient 4295 3650 Select Health HMO 41 41% of all negotiated rates 2534 percent of total billed charges 2534 4295 Open Reduction Internal Fixation Nasal 21330 CPT 49021330 LOCAL 490 RC outpatient 4295 3650 Silversummit Medicare HMO 39 39% of all negotiated rates 2620 percent of total billed charges 2620 4295 Open Reduction Internal Fixation Nasal 21330 CPT 49021330 LOCAL 490 RC outpatient 4295 3650 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 2791 percent of total billed charges 2791 4295 Open Reduction Internal Fixation Nasal 21330 CPT 49021330 LOCAL 490 RC outpatient 4295 3650 TriWest PPO 30 30% of all negotiated rates 3006 percent of total billed charges 3006 4295 Open Reduction Internal Fixation Nasal 21330 CPT 49021330 LOCAL 490 RC outpatient 4295 3650 UHN-Universal Health Network PPO 65 65% of all negotiated rates 1503 percent of total billed charges 1503 4295 Open Reduction Internal Fixation Nasal 21330 CPT 49021330 LOCAL 490 RC outpatient 4295 3650 Aetna PPO 1550 case rate 1550 case rate 1550 4090 Coinsurance and deductible may apply Open Reduction Internal Fixation Nasal 21330 CPT 49021330 LOCAL 490 RC outpatient 4295 3650 Anthem Medicaid HMO 715 NV Medicaid SDS Rate 538 fee schedule 538 4090 Coinsurance and deductible may apply Open Reduction Internal Fixation Nasal 21330 CPT 49021330 LOCAL 490 RC outpatient 4295 3650 Cigna PPO 1625 case rate 1625 case rate 1625 4090 Coinsurance and deductible may apply Open Reduction Internal Fixation Nasal 21330 CPT 49021330 LOCAL 490 RC outpatient 4295 3650 Coalition PPO 1505 Coalition grouper rate 1505 case rate 1505 4090 Coinsurance and deductible may apply Open Reduction Internal Fixation Nasal 21330 CPT 49021330 LOCAL 490 RC outpatient 4295 3650 HPN Medicaid HMO 715 NV Medicaid SDS Rate 538 fee schedule 538 4090 Coinsurance and deductible may apply Open Reduction Internal Fixation Nasal 21330 CPT 49021330 LOCAL 490 RC outpatient 4295 3650 Molina Medicaid HMO 715 NV Medicaid SDS Rate 538 case rate 538 4090 Coinsurance and deductible may apply Open Reduction Internal Fixation Nasal 21330 CPT 49021330 LOCAL 490 RC outpatient 4295 3650 One Health PPO 1273 case rate 1273 case rate 1273 4090 Coinsurance and deductible may apply Open Reduction Internal Fixation Nasal 21330 CPT 49021330 LOCAL 490 RC outpatient 4295 3650 Sierra Healthcare Options PPO 1625 case rate 1625 case rate 1625 4090 Coinsurance and deductible may apply Open Reduction Internal Fixation Nasal 21330 CPT 49021330 LOCAL 490 RC outpatient 4295 3650 Sierra/HPN HMO 1625 case rate 1625 case rate 1625 4090 Coinsurance and deductible may apply Open Reduction Internal Fixation Nasal 21330 CPT 49021330 LOCAL 490 RC outpatient 4295 3650 Teachers Trust PPO 1505 Teachers grouper rate 1505 case rate 1505 4090 Coinsurance and deductible may apply Open Reduction Internal Fixation Nasal 21330 CPT 49021330 LOCAL 490 RC outpatient 4295 3650 United Healthcare PPO 1273 case rate 1273 case rate 1273 4090 Coinsurance and deductible may apply OPEN TX METATARSAL FX INTERNAL FIXATION 28485 CPT 49028485 LOCAL 490 RC outpatient 10511 8934 Aetna Medicare HMO 26 26% of all negotiated rates 7778 percent of total billed charges 7778 10511 OPEN TX METATARSAL FX INTERNAL FIXATION 28485 CPT 49028485 LOCAL 490 RC outpatient 10511 8934 Alignment Medicare HMO 39 39% of all negotiated rates 6411 percent of total billed charges 6411 10511 OPEN TX METATARSAL FX INTERNAL FIXATION 28485 CPT 49028485 LOCAL 490 RC outpatient 10511 8934 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 4204 percent of total billed charges 4204 10511 OPEN TX METATARSAL FX INTERNAL FIXATION 28485 CPT 49028485 LOCAL 490 RC outpatient 10511 8934 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 5255 percent of total billed charges 5255 10511 OPEN TX METATARSAL FX INTERNAL FIXATION 28485 CPT 49028485 LOCAL 490 RC outpatient 10511 8934 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 6411 percent of total billed charges 6411 10511 OPEN TX METATARSAL FX INTERNAL FIXATION 28485 CPT 49028485 LOCAL 490 RC outpatient 10511 8934 Coventry PPO 75 75% of all negotiated rates 2628 percent of total billed charges 2628 10511 OPEN TX METATARSAL FX INTERNAL FIXATION 28485 CPT 49028485 LOCAL 490 RC outpatient 10511 8934 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 2102 percent of total billed charges 2102 10511 OPEN TX METATARSAL FX INTERNAL FIXATION 28485 CPT 49028485 LOCAL 490 RC outpatient 10511 8934 Humana-Commerical PPO 46 46% of all negotiated rates 5676 percent of total billed charges 5676 10511 OPEN TX METATARSAL FX INTERNAL FIXATION 28485 CPT 49028485 LOCAL 490 RC outpatient 10511 8934 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 6411 percent of total billed charges 6411 10511 OPEN TX METATARSAL FX INTERNAL FIXATION 28485 CPT 49028485 LOCAL 490 RC outpatient 10511 8934 Multiplan PPO 80 80% of all negotiated rates 2102 percent of total billed charges 2102 10511 OPEN TX METATARSAL FX INTERNAL FIXATION 28485 CPT 49028485 LOCAL 490 RC outpatient 10511 8934 Optum Medicare HMO 39 39% of all negotiated rates 6411 percent of total billed charges 6411 10511 OPEN TX METATARSAL FX INTERNAL FIXATION 28485 CPT 49028485 LOCAL 490 RC outpatient 10511 8934 P3 HMO 39 39% of all negotiated rates 6411 percent of total billed charges 6411 10511 OPEN TX METATARSAL FX INTERNAL FIXATION 28485 CPT 49028485 LOCAL 490 RC outpatient 10511 8934 Saint Mary's Health Plan PPO 65 65% of all negotiated rates 3679 percent of total billed charges 3679 10511 OPEN TX METATARSAL FX INTERNAL FIXATION 28485 CPT 49028485 LOCAL 490 RC outpatient 10511 8934 Select Health HMO 41 41% of all negotiated rates 6201 percent of total billed charges 6201 10511 OPEN TX METATARSAL FX INTERNAL FIXATION 28485 CPT 49028485 LOCAL 490 RC outpatient 10511 8934 Silversummit Medicare HMO 39 39% of all negotiated rates 6411 percent of total billed charges 6411 10511 OPEN TX METATARSAL FX INTERNAL FIXATION 28485 CPT 49028485 LOCAL 490 RC outpatient 10511 8934 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 6832 percent of total billed charges 6832 10511 OPEN TX METATARSAL FX INTERNAL FIXATION 28485 CPT 49028485 LOCAL 490 RC outpatient 10511 8934 TriWest PPO 30 30% of all negotiated rates 7357 percent of total billed charges 7357 10511 OPEN TX METATARSAL FX INTERNAL FIXATION 28485 CPT 49028485 LOCAL 490 RC outpatient 10511 8934 UHN-Universal Health Network PPO 65 65% of all negotiated rates 3679 percent of total billed charges 3679 10511 OPEN TX METATARSAL FX INTERNAL FIXATION 28485 CPT 49028485 LOCAL 490 RC outpatient 10511 8934 Aetna PPO 1350 case rate 1350 case rate 1350 10010 Coinsurance and deductible may apply OPEN TX METATARSAL FX INTERNAL FIXATION 28485 CPT 49028485 LOCAL 490 RC outpatient 10511 8934 Anthem Medicaid HMO 1059 NV Medicaid SDS Rate 499 fee schedule 499 10010 Coinsurance and deductible may apply OPEN TX METATARSAL FX INTERNAL FIXATION 28485 CPT 49028485 LOCAL 490 RC outpatient 10511 8934 Cigna PPO 1427 case rate 1427 case rate 1427 10010 Coinsurance and deductible may apply OPEN TX METATARSAL FX INTERNAL FIXATION 28485 CPT 49028485 LOCAL 490 RC outpatient 10511 8934 Coalition PPO 1321 Coalition grouper rate 1321 case rate 1321 10010 Coinsurance and deductible may apply OPEN TX METATARSAL FX INTERNAL FIXATION 28485 CPT 49028485 LOCAL 490 RC outpatient 10511 8934 HPN Medicaid HMO 1059 NV Medicaid SDS Rate 499 fee schedule 499 10010 Coinsurance and deductible may apply OPEN TX METATARSAL FX INTERNAL FIXATION 28485 CPT 49028485 LOCAL 490 RC outpatient 10511 8934 Molina Medicaid HMO 1059 NV Medicaid SDS Rate 499 case rate 499 10010 Coinsurance and deductible may apply OPEN TX METATARSAL FX INTERNAL FIXATION 28485 CPT 49028485 LOCAL 490 RC outpatient 10511 8934 One Health PPO 2818 case rate 2818 case rate 2818 10010 Coinsurance and deductible may apply OPEN TX METATARSAL FX INTERNAL FIXATION 28485 CPT 49028485 LOCAL 490 RC outpatient 10511 8934 Sierra Healthcare Options PPO 1427 case rate 1427 case rate 1427 10010 Coinsurance and deductible may apply OPEN TX METATARSAL FX INTERNAL FIXATION 28485 CPT 49028485 LOCAL 490 RC outpatient 10511 8934 Sierra/HPN HMO 1427 case rate 1427 case rate 1427 10010 Coinsurance and deductible may apply OPEN TX METATARSAL FX INTERNAL FIXATION 28485 CPT 49028485 LOCAL 490 RC outpatient 10511 8934 Teachers Trust PPO 1321 Teachers grouper rate 1321 case rate 1321 10010 Coinsurance and deductible may apply OPEN TX METATARSAL FX INTERNAL FIXATION 28485 CPT 49028485 LOCAL 490 RC outpatient 10511 8934 United Healthcare PPO 2818 case rate 2818 case rate 2818 10010 Coinsurance and deductible may apply Orthotic Mgmt and Training Charges 97760 CPT 4507039 LOCAL 420 RC outpatient 104 88 Aetna Medicare HMO 26 26% of all negotiated rates 77 percent of total billed charges 77 104 Orthotic Mgmt and Training Charges 97760 CPT 4507039 LOCAL 420 RC outpatient 104 88 Alignment Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Orthotic Mgmt and Training Charges 97760 CPT 4507039 LOCAL 420 RC outpatient 104 88 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 42 percent of total billed charges 42 104 Orthotic Mgmt and Training Charges 97760 CPT 4507039 LOCAL 420 RC outpatient 104 88 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 52 percent of total billed charges 52 104 Orthotic Mgmt and Training Charges 97760 CPT 4507039 LOCAL 420 RC outpatient 104 88 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Orthotic Mgmt and Training Charges 97760 CPT 4507039 LOCAL 420 RC outpatient 104 88 Cigna PPO 68 68% of all negotiated rates 33 percent of total billed charges 33 104 Orthotic Mgmt and Training Charges 97760 CPT 4507039 LOCAL 420 RC outpatient 104 88 Coventry PPO 75 75% of all negotiated rates 26 percent of total billed charges 26 104 Orthotic Mgmt and Training Charges 97760 CPT 4507039 LOCAL 420 RC outpatient 104 88 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 21 percent of total billed charges 21 104 Orthotic Mgmt and Training Charges 97760 CPT 4507039 LOCAL 420 RC outpatient 104 88 Humana-Commerical PPO 70 70% of all negotiated rates 31 percent of total billed charges 31 104 Orthotic Mgmt and Training Charges 97760 CPT 4507039 LOCAL 420 RC outpatient 104 88 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Orthotic Mgmt and Training Charges 97760 CPT 4507039 LOCAL 420 RC outpatient 104 88 Multiplan PPO 80 80% of all negotiated rates 21 percent of total billed charges 21 104 Orthotic Mgmt and Training Charges 97760 CPT 4507039 LOCAL 420 RC outpatient 104 88 Optum Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Orthotic Mgmt and Training Charges 97760 CPT 4507039 LOCAL 420 RC outpatient 104 88 P3 HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Orthotic Mgmt and Training Charges 97760 CPT 4507039 LOCAL 420 RC outpatient 104 88 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 31 percent of total billed charges 31 104 Orthotic Mgmt and Training Charges 97760 CPT 4507039 LOCAL 420 RC outpatient 104 88 Select Health HMO 41 41% of all negotiated rates 61 percent of total billed charges 61 104 Orthotic Mgmt and Training Charges 97760 CPT 4507039 LOCAL 420 RC outpatient 104 88 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 69 percent of total billed charges 69 104 Orthotic Mgmt and Training Charges 97760 CPT 4507039 LOCAL 420 RC outpatient 104 88 Sierra/HPN HMO 60 60% of all negotiated rates 42 percent of total billed charges 42 104 Orthotic Mgmt and Training Charges 97760 CPT 4507039 LOCAL 420 RC outpatient 104 88 Silversummit Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Orthotic Mgmt and Training Charges 97760 CPT 4507039 LOCAL 420 RC outpatient 104 88 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 68 percent of total billed charges 68 104 Orthotic Mgmt and Training Charges 97760 CPT 4507039 LOCAL 420 RC outpatient 104 88 TriWest PPO 30 30% of all negotiated rates 73 percent of total billed charges 73 104 Orthotic Mgmt and Training Charges 97760 CPT 4507039 LOCAL 420 RC outpatient 104 88 UHN-Universal Health Network PPO 70 70% of all negotiated rates 31 percent of total billed charges 31 104 Orthotic Mgmt and Training Charges 97760 CPT 4507039 LOCAL 420 RC outpatient 104 88 United Healthcare PPO 60 60% of all negotiated rates 42 percent of total billed charges 42 104 Orthotic Mgmt and Training Charges 97760 CPT 4507039 LOCAL 420 RC outpatient 104 88 Aetna PPO 120 120% of Aetna market fee schedule 39 fee schedule 39 99 Coinsurance and deductible may apply Orthotic Mgmt and Training Charges 97760 CPT 4507039 LOCAL 420 RC outpatient 104 88 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 34 fee schedule 34 99 Coinsurance and deductible may apply Orthotic Mgmt and Training Charges 97760 CPT 4507039 LOCAL 420 RC outpatient 104 88 Coalition PPO 25 case rate 25 case rate 25 99 "25.00 per treatment, 199.00 max per diem" Orthotic Mgmt and Training Charges 97760 CPT 4507039 LOCAL 420 RC outpatient 104 88 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 34 fee schedule 34 99 Coinsurance and deductible may apply Orthotic Mgmt and Training Charges 97760 CPT 4507039 LOCAL 420 RC outpatient 104 88 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 34 fee schedule 34 99 Coinsurance and deductible may apply Orthotic Mgmt and Training Charges 97760 CPT 4507039 LOCAL 420 RC outpatient 104 88 One Health PPO 200 case rate 200 case rate 200 99 200. cap on PT per visit Orthotic Mgmt and Training Charges 97760 CPT 4507039 LOCAL 420 RC outpatient 104 88 Teachers Trust PPO 103 case rate 103 case rate 103 99 103.00/treatment/163.00 max per day OT High Complex Units 97167 CPT 4550217 LOCAL 434 RC outpatient 406 345 Aetna Medicare HMO 26 26% of all negotiated rates 301 percent of total billed charges 301 406 OT High Complex Units 97167 CPT 4550217 LOCAL 434 RC outpatient 406 345 Alignment Medicare HMO 39 39% of all negotiated rates 248 percent of total billed charges 248 406 OT High Complex Units 97167 CPT 4550217 LOCAL 434 RC outpatient 406 345 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 163 percent of total billed charges 163 406 OT High Complex Units 97167 CPT 4550217 LOCAL 434 RC outpatient 406 345 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 203 percent of total billed charges 203 406 OT High Complex Units 97167 CPT 4550217 LOCAL 434 RC outpatient 406 345 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 248 percent of total billed charges 248 406 OT High Complex Units 97167 CPT 4550217 LOCAL 434 RC outpatient 406 345 Cigna PPO 68 68% of all negotiated rates 130 percent of total billed charges 130 406 OT High Complex Units 97167 CPT 4550217 LOCAL 434 RC outpatient 406 345 Coventry PPO 75 75% of all negotiated rates 102 percent of total billed charges 102 406 OT High Complex Units 97167 CPT 4550217 LOCAL 434 RC outpatient 406 345 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 81 percent of total billed charges 81 406 OT High Complex Units 97167 CPT 4550217 LOCAL 434 RC outpatient 406 345 Humana-Commerical PPO 70 70% of all negotiated rates 122 percent of total billed charges 122 406 OT High Complex Units 97167 CPT 4550217 LOCAL 434 RC outpatient 406 345 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 248 percent of total billed charges 248 406 OT High Complex Units 97167 CPT 4550217 LOCAL 434 RC outpatient 406 345 Multiplan PPO 80 80% of all negotiated rates 81 percent of total billed charges 81 406 OT High Complex Units 97167 CPT 4550217 LOCAL 434 RC outpatient 406 345 Optum Medicare HMO 39 39% of all negotiated rates 248 percent of total billed charges 248 406 OT High Complex Units 97167 CPT 4550217 LOCAL 434 RC outpatient 406 345 P3 HMO 39 39% of all negotiated rates 248 percent of total billed charges 248 406 OT High Complex Units 97167 CPT 4550217 LOCAL 434 RC outpatient 406 345 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 122 percent of total billed charges 122 406 OT High Complex Units 97167 CPT 4550217 LOCAL 434 RC outpatient 406 345 Select Health HMO 41 41% of all negotiated rates 240 percent of total billed charges 240 406 OT High Complex Units 97167 CPT 4550217 LOCAL 434 RC outpatient 406 345 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 270 percent of total billed charges 270 406 OT High Complex Units 97167 CPT 4550217 LOCAL 434 RC outpatient 406 345 Sierra/HPN HMO 60 60% of all negotiated rates 163 percent of total billed charges 163 406 OT High Complex Units 97167 CPT 4550217 LOCAL 434 RC outpatient 406 345 Silversummit Medicare HMO 39 39% of all negotiated rates 248 percent of total billed charges 248 406 OT High Complex Units 97167 CPT 4550217 LOCAL 434 RC outpatient 406 345 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 264 percent of total billed charges 264 406 OT High Complex Units 97167 CPT 4550217 LOCAL 434 RC outpatient 406 345 TriWest PPO 30 30% of all negotiated rates 284 percent of total billed charges 284 406 OT High Complex Units 97167 CPT 4550217 LOCAL 434 RC outpatient 406 345 UHN-Universal Health Network PPO 70 70% of all negotiated rates 122 percent of total billed charges 122 406 OT High Complex Units 97167 CPT 4550217 LOCAL 434 RC outpatient 406 345 United Healthcare PPO 60 60% of all negotiated rates 163 percent of total billed charges 163 406 OT High Complex Units 97167 CPT 4550217 LOCAL 434 RC outpatient 406 345 Aetna PPO 120 120% of Aetna market fee schedule 79 fee schedule 79 387 Coinsurance and deductible may apply OT High Complex Units 97167 CPT 4550217 LOCAL 434 RC outpatient 406 345 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 68 fee schedule 68 387 Coinsurance and deductible may apply OT High Complex Units 97167 CPT 4550217 LOCAL 434 RC outpatient 406 345 Coalition PPO 25 case rate 25 case rate 25 387 "25.00 per treatment, 199.00 max per diem" OT High Complex Units 97167 CPT 4550217 LOCAL 434 RC outpatient 406 345 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 68 fee schedule 68 387 Coinsurance and deductible may apply OT High Complex Units 97167 CPT 4550217 LOCAL 434 RC outpatient 406 345 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 68 fee schedule 68 387 Coinsurance and deductible may apply OT High Complex Units 97167 CPT 4550217 LOCAL 434 RC outpatient 406 345 One Health PPO 200 case rate 200 case rate 200 387 200. cap on PT per visit OT High Complex Units 97167 CPT 4550217 LOCAL 434 RC outpatient 406 345 Teachers Trust PPO 103 case rate 103 case rate 103 387 103.00/treatment/163.00 max per day OT Low Complex Units 97165 CPT 4557106 LOCAL 434 RC outpatient 406 345 Aetna Medicare HMO 26 26% of all negotiated rates 301 percent of total billed charges 301 406 OT Low Complex Units 97165 CPT 4557106 LOCAL 434 RC outpatient 406 345 Alignment Medicare HMO 39 39% of all negotiated rates 248 percent of total billed charges 248 406 OT Low Complex Units 97165 CPT 4557106 LOCAL 434 RC outpatient 406 345 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 163 percent of total billed charges 163 406 OT Low Complex Units 97165 CPT 4557106 LOCAL 434 RC outpatient 406 345 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 203 percent of total billed charges 203 406 OT Low Complex Units 97165 CPT 4557106 LOCAL 434 RC outpatient 406 345 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 248 percent of total billed charges 248 406 OT Low Complex Units 97165 CPT 4557106 LOCAL 434 RC outpatient 406 345 Cigna PPO 68 68% of all negotiated rates 130 percent of total billed charges 130 406 OT Low Complex Units 97165 CPT 4557106 LOCAL 434 RC outpatient 406 345 Coventry PPO 75 75% of all negotiated rates 102 percent of total billed charges 102 406 OT Low Complex Units 97165 CPT 4557106 LOCAL 434 RC outpatient 406 345 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 81 percent of total billed charges 81 406 OT Low Complex Units 97165 CPT 4557106 LOCAL 434 RC outpatient 406 345 Humana-Commerical PPO 70 70% of all negotiated rates 122 percent of total billed charges 122 406 OT Low Complex Units 97165 CPT 4557106 LOCAL 434 RC outpatient 406 345 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 248 percent of total billed charges 248 406 OT Low Complex Units 97165 CPT 4557106 LOCAL 434 RC outpatient 406 345 Multiplan PPO 80 80% of all negotiated rates 81 percent of total billed charges 81 406 OT Low Complex Units 97165 CPT 4557106 LOCAL 434 RC outpatient 406 345 Optum Medicare HMO 39 39% of all negotiated rates 248 percent of total billed charges 248 406 OT Low Complex Units 97165 CPT 4557106 LOCAL 434 RC outpatient 406 345 P3 HMO 39 39% of all negotiated rates 248 percent of total billed charges 248 406 OT Low Complex Units 97165 CPT 4557106 LOCAL 434 RC outpatient 406 345 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 122 percent of total billed charges 122 406 OT Low Complex Units 97165 CPT 4557106 LOCAL 434 RC outpatient 406 345 Select Health HMO 41 41% of all negotiated rates 240 percent of total billed charges 240 406 OT Low Complex Units 97165 CPT 4557106 LOCAL 434 RC outpatient 406 345 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 270 percent of total billed charges 270 406 OT Low Complex Units 97165 CPT 4557106 LOCAL 434 RC outpatient 406 345 Sierra/HPN HMO 60 60% of all negotiated rates 163 percent of total billed charges 163 406 OT Low Complex Units 97165 CPT 4557106 LOCAL 434 RC outpatient 406 345 Silversummit Medicare HMO 39 39% of all negotiated rates 248 percent of total billed charges 248 406 OT Low Complex Units 97165 CPT 4557106 LOCAL 434 RC outpatient 406 345 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 264 percent of total billed charges 264 406 OT Low Complex Units 97165 CPT 4557106 LOCAL 434 RC outpatient 406 345 TriWest PPO 30 30% of all negotiated rates 284 percent of total billed charges 284 406 OT Low Complex Units 97165 CPT 4557106 LOCAL 434 RC outpatient 406 345 UHN-Universal Health Network PPO 70 70% of all negotiated rates 122 percent of total billed charges 122 406 OT Low Complex Units 97165 CPT 4557106 LOCAL 434 RC outpatient 406 345 United Healthcare PPO 60 60% of all negotiated rates 163 percent of total billed charges 163 406 OT Low Complex Units 97165 CPT 4557106 LOCAL 434 RC outpatient 406 345 Aetna PPO 120 120% of Aetna market fee schedule 79 fee schedule 79 387 Coinsurance and deductible may apply OT Low Complex Units 97165 CPT 4557106 LOCAL 434 RC outpatient 406 345 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 68 fee schedule 68 387 Coinsurance and deductible may apply OT Low Complex Units 97165 CPT 4557106 LOCAL 434 RC outpatient 406 345 Coalition PPO 25 case rate 25 case rate 25 387 "25.00 per treatment, 199.00 max per diem" OT Low Complex Units 97165 CPT 4557106 LOCAL 434 RC outpatient 406 345 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 68 fee schedule 68 387 Coinsurance and deductible may apply OT Low Complex Units 97165 CPT 4557106 LOCAL 434 RC outpatient 406 345 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 68 fee schedule 68 387 Coinsurance and deductible may apply OT Low Complex Units 97165 CPT 4557106 LOCAL 434 RC outpatient 406 345 One Health PPO 200 case rate 200 case rate 200 387 200. cap on PT per visit OT Low Complex Units 97165 CPT 4557106 LOCAL 434 RC outpatient 406 345 Teachers Trust PPO 103 case rate 103 case rate 103 387 103.00/treatment/163.00 max per day OT Moderate Complex Units 97166 CPT 4550216 LOCAL 434 RC outpatient 406 345 Aetna Medicare HMO 26 26% of all negotiated rates 301 percent of total billed charges 301 406 OT Moderate Complex Units 97166 CPT 4550216 LOCAL 434 RC outpatient 406 345 Alignment Medicare HMO 39 39% of all negotiated rates 248 percent of total billed charges 248 406 OT Moderate Complex Units 97166 CPT 4550216 LOCAL 434 RC outpatient 406 345 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 163 percent of total billed charges 163 406 OT Moderate Complex Units 97166 CPT 4550216 LOCAL 434 RC outpatient 406 345 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 203 percent of total billed charges 203 406 OT Moderate Complex Units 97166 CPT 4550216 LOCAL 434 RC outpatient 406 345 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 248 percent of total billed charges 248 406 OT Moderate Complex Units 97166 CPT 4550216 LOCAL 434 RC outpatient 406 345 Cigna PPO 68 68% of all negotiated rates 130 percent of total billed charges 130 406 OT Moderate Complex Units 97166 CPT 4550216 LOCAL 434 RC outpatient 406 345 Coventry PPO 75 75% of all negotiated rates 102 percent of total billed charges 102 406 OT Moderate Complex Units 97166 CPT 4550216 LOCAL 434 RC outpatient 406 345 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 81 percent of total billed charges 81 406 OT Moderate Complex Units 97166 CPT 4550216 LOCAL 434 RC outpatient 406 345 Humana-Commerical PPO 70 70% of all negotiated rates 122 percent of total billed charges 122 406 OT Moderate Complex Units 97166 CPT 4550216 LOCAL 434 RC outpatient 406 345 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 248 percent of total billed charges 248 406 OT Moderate Complex Units 97166 CPT 4550216 LOCAL 434 RC outpatient 406 345 Multiplan PPO 80 80% of all negotiated rates 81 percent of total billed charges 81 406 OT Moderate Complex Units 97166 CPT 4550216 LOCAL 434 RC outpatient 406 345 Optum Medicare HMO 39 39% of all negotiated rates 248 percent of total billed charges 248 406 OT Moderate Complex Units 97166 CPT 4550216 LOCAL 434 RC outpatient 406 345 P3 HMO 39 39% of all negotiated rates 248 percent of total billed charges 248 406 OT Moderate Complex Units 97166 CPT 4550216 LOCAL 434 RC outpatient 406 345 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 122 percent of total billed charges 122 406 OT Moderate Complex Units 97166 CPT 4550216 LOCAL 434 RC outpatient 406 345 Select Health HMO 41 41% of all negotiated rates 240 percent of total billed charges 240 406 OT Moderate Complex Units 97166 CPT 4550216 LOCAL 434 RC outpatient 406 345 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 270 percent of total billed charges 270 406 OT Moderate Complex Units 97166 CPT 4550216 LOCAL 434 RC outpatient 406 345 Sierra/HPN HMO 60 60% of all negotiated rates 163 percent of total billed charges 163 406 OT Moderate Complex Units 97166 CPT 4550216 LOCAL 434 RC outpatient 406 345 Silversummit Medicare HMO 39 39% of all negotiated rates 248 percent of total billed charges 248 406 OT Moderate Complex Units 97166 CPT 4550216 LOCAL 434 RC outpatient 406 345 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 264 percent of total billed charges 264 406 OT Moderate Complex Units 97166 CPT 4550216 LOCAL 434 RC outpatient 406 345 TriWest PPO 30 30% of all negotiated rates 284 percent of total billed charges 284 406 OT Moderate Complex Units 97166 CPT 4550216 LOCAL 434 RC outpatient 406 345 UHN-Universal Health Network PPO 70 70% of all negotiated rates 122 percent of total billed charges 122 406 OT Moderate Complex Units 97166 CPT 4550216 LOCAL 434 RC outpatient 406 345 United Healthcare PPO 60 60% of all negotiated rates 163 percent of total billed charges 163 406 OT Moderate Complex Units 97166 CPT 4550216 LOCAL 434 RC outpatient 406 345 Aetna PPO 120 120% of Aetna market fee schedule 79 fee schedule 79 387 Coinsurance and deductible may apply OT Moderate Complex Units 97166 CPT 4550216 LOCAL 434 RC outpatient 406 345 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 68 fee schedule 68 387 Coinsurance and deductible may apply OT Moderate Complex Units 97166 CPT 4550216 LOCAL 434 RC outpatient 406 345 Coalition PPO 25 case rate 25 case rate 25 387 "25.00 per treatment, 199.00 max per diem" OT Moderate Complex Units 97166 CPT 4550216 LOCAL 434 RC outpatient 406 345 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 68 fee schedule 68 387 Coinsurance and deductible may apply OT Moderate Complex Units 97166 CPT 4550216 LOCAL 434 RC outpatient 406 345 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 68 fee schedule 68 387 Coinsurance and deductible may apply OT Moderate Complex Units 97166 CPT 4550216 LOCAL 434 RC outpatient 406 345 One Health PPO 200 case rate 200 case rate 200 387 200. cap on PT per visit OT Moderate Complex Units 97166 CPT 4550216 LOCAL 434 RC outpatient 406 345 Teachers Trust PPO 103 case rate 103 case rate 103 387 103.00/treatment/163.00 max per day Phosphorus Level 84100 CPT 4001007 LOCAL 301 RC outpatient 101 86 Aetna PPO 38 38% of all negotiated rates 62 percent of total billed charges 62 101 Phosphorus Level 84100 CPT 4001007 LOCAL 301 RC outpatient 101 86 Aetna Medicare HMO 26 26% of all negotiated rates 75 percent of total billed charges 75 101 Phosphorus Level 84100 CPT 4001007 LOCAL 301 RC outpatient 101 86 Alignment Medicare HMO 39 39% of all negotiated rates 61 percent of total billed charges 61 101 Phosphorus Level 84100 CPT 4001007 LOCAL 301 RC outpatient 101 86 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 40 percent of total billed charges 40 101 Phosphorus Level 84100 CPT 4001007 LOCAL 301 RC outpatient 101 86 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 50 percent of total billed charges 50 101 Phosphorus Level 84100 CPT 4001007 LOCAL 301 RC outpatient 101 86 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 61 percent of total billed charges 61 101 Phosphorus Level 84100 CPT 4001007 LOCAL 301 RC outpatient 101 86 Cigna PPO 68 68% of all negotiated rates 32 percent of total billed charges 32 101 Phosphorus Level 84100 CPT 4001007 LOCAL 301 RC outpatient 101 86 Coalition PPO 49 49% of all negotiated rates 51 percent of total billed charges 51 101 Phosphorus Level 84100 CPT 4001007 LOCAL 301 RC outpatient 101 86 Coventry PPO 75 75% of all negotiated rates 25 percent of total billed charges 25 101 Phosphorus Level 84100 CPT 4001007 LOCAL 301 RC outpatient 101 86 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 20 percent of total billed charges 20 101 Phosphorus Level 84100 CPT 4001007 LOCAL 301 RC outpatient 101 86 Humana-Commerical PPO 70 70% of all negotiated rates 30 percent of total billed charges 30 101 Phosphorus Level 84100 CPT 4001007 LOCAL 301 RC outpatient 101 86 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 61 percent of total billed charges 61 101 Phosphorus Level 84100 CPT 4001007 LOCAL 301 RC outpatient 101 86 Multiplan PPO 80 80% of all negotiated rates 20 percent of total billed charges 20 101 Phosphorus Level 84100 CPT 4001007 LOCAL 301 RC outpatient 101 86 One Health PPO 55 55% of all negotiated rates 45 percent of total billed charges 45 101 Phosphorus Level 84100 CPT 4001007 LOCAL 301 RC outpatient 101 86 Optum Medicare HMO 39 39% of all negotiated rates 61 percent of total billed charges 61 101 Phosphorus Level 84100 CPT 4001007 LOCAL 301 RC outpatient 101 86 P3 HMO 39 39% of all negotiated rates 61 percent of total billed charges 61 101 Phosphorus Level 84100 CPT 4001007 LOCAL 301 RC outpatient 101 86 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 30 percent of total billed charges 30 101 Phosphorus Level 84100 CPT 4001007 LOCAL 301 RC outpatient 101 86 Select Health HMO 41 41% of all negotiated rates 59 percent of total billed charges 59 101 Phosphorus Level 84100 CPT 4001007 LOCAL 301 RC outpatient 101 86 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 67 percent of total billed charges 67 101 Phosphorus Level 84100 CPT 4001007 LOCAL 301 RC outpatient 101 86 Sierra/HPN HMO 60 60% of all negotiated rates 40 percent of total billed charges 40 101 Phosphorus Level 84100 CPT 4001007 LOCAL 301 RC outpatient 101 86 Silversummit Medicare HMO 39 39% of all negotiated rates 61 percent of total billed charges 61 101 Phosphorus Level 84100 CPT 4001007 LOCAL 301 RC outpatient 101 86 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 66 percent of total billed charges 66 101 Phosphorus Level 84100 CPT 4001007 LOCAL 301 RC outpatient 101 86 Teachers Trust PPO 65 65% of all negotiated rates 35 percent of total billed charges 35 101 Phosphorus Level 84100 CPT 4001007 LOCAL 301 RC outpatient 101 86 TriWest PPO 30 30% of all negotiated rates 71 percent of total billed charges 71 101 Phosphorus Level 84100 CPT 4001007 LOCAL 301 RC outpatient 101 86 UHN-Universal Health Network PPO 70 70% of all negotiated rates 30 percent of total billed charges 30 101 Phosphorus Level 84100 CPT 4001007 LOCAL 301 RC outpatient 101 86 United Healthcare PPO 60 60% of all negotiated rates 40 percent of total billed charges 40 101 Phosphorus Level 84100 CPT 4001007 LOCAL 301 RC outpatient 101 86 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 96 Coinsurance and deductible may apply Phosphorus Level 84100 CPT 4001007 LOCAL 301 RC outpatient 101 86 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 96 Coinsurance and deductible may apply Phosphorus Level 84100 CPT 4001007 LOCAL 301 RC outpatient 101 86 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 96 Coinsurance and deductible may apply Potassium Level 84132 CPT 4003121 LOCAL 301 RC outpatient 97 82 Aetna PPO 38 38% of all negotiated rates 60 percent of total billed charges 60 97 Potassium Level 84132 CPT 4003121 LOCAL 301 RC outpatient 97 82 Aetna Medicare HMO 26 26% of all negotiated rates 71 percent of total billed charges 71 97 Potassium Level 84132 CPT 4003121 LOCAL 301 RC outpatient 97 82 Alignment Medicare HMO 39 39% of all negotiated rates 59 percent of total billed charges 59 97 Potassium Level 84132 CPT 4003121 LOCAL 301 RC outpatient 97 82 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 39 percent of total billed charges 39 97 Potassium Level 84132 CPT 4003121 LOCAL 301 RC outpatient 97 82 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 48 percent of total billed charges 48 97 Potassium Level 84132 CPT 4003121 LOCAL 301 RC outpatient 97 82 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 59 percent of total billed charges 59 97 Potassium Level 84132 CPT 4003121 LOCAL 301 RC outpatient 97 82 Cigna PPO 68 68% of all negotiated rates 31 percent of total billed charges 31 97 Potassium Level 84132 CPT 4003121 LOCAL 301 RC outpatient 97 82 Coalition PPO 49 49% of all negotiated rates 49 percent of total billed charges 49 97 Potassium Level 84132 CPT 4003121 LOCAL 301 RC outpatient 97 82 Coventry PPO 75 75% of all negotiated rates 24 percent of total billed charges 24 97 Potassium Level 84132 CPT 4003121 LOCAL 301 RC outpatient 97 82 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 19 percent of total billed charges 19 97 Potassium Level 84132 CPT 4003121 LOCAL 301 RC outpatient 97 82 Humana-Commerical PPO 70 70% of all negotiated rates 29 percent of total billed charges 29 97 Potassium Level 84132 CPT 4003121 LOCAL 301 RC outpatient 97 82 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 59 percent of total billed charges 59 97 Potassium Level 84132 CPT 4003121 LOCAL 301 RC outpatient 97 82 Multiplan PPO 80 80% of all negotiated rates 19 percent of total billed charges 19 97 Potassium Level 84132 CPT 4003121 LOCAL 301 RC outpatient 97 82 One Health PPO 55 55% of all negotiated rates 43 percent of total billed charges 43 97 Potassium Level 84132 CPT 4003121 LOCAL 301 RC outpatient 97 82 Optum Medicare HMO 39 39% of all negotiated rates 59 percent of total billed charges 59 97 Potassium Level 84132 CPT 4003121 LOCAL 301 RC outpatient 97 82 P3 HMO 39 39% of all negotiated rates 59 percent of total billed charges 59 97 Potassium Level 84132 CPT 4003121 LOCAL 301 RC outpatient 97 82 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 29 percent of total billed charges 29 97 Potassium Level 84132 CPT 4003121 LOCAL 301 RC outpatient 97 82 Select Health HMO 41 41% of all negotiated rates 57 percent of total billed charges 57 97 Potassium Level 84132 CPT 4003121 LOCAL 301 RC outpatient 97 82 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 64 percent of total billed charges 64 97 Potassium Level 84132 CPT 4003121 LOCAL 301 RC outpatient 97 82 Sierra/HPN HMO 60 60% of all negotiated rates 39 percent of total billed charges 39 97 Potassium Level 84132 CPT 4003121 LOCAL 301 RC outpatient 97 82 Silversummit Medicare HMO 39 39% of all negotiated rates 59 percent of total billed charges 59 97 Potassium Level 84132 CPT 4003121 LOCAL 301 RC outpatient 97 82 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 63 percent of total billed charges 63 97 Potassium Level 84132 CPT 4003121 LOCAL 301 RC outpatient 97 82 Teachers Trust PPO 65 65% of all negotiated rates 34 percent of total billed charges 34 97 Potassium Level 84132 CPT 4003121 LOCAL 301 RC outpatient 97 82 TriWest PPO 30 30% of all negotiated rates 68 percent of total billed charges 68 97 Potassium Level 84132 CPT 4003121 LOCAL 301 RC outpatient 97 82 UHN-Universal Health Network PPO 70 70% of all negotiated rates 29 percent of total billed charges 29 97 Potassium Level 84132 CPT 4003121 LOCAL 301 RC outpatient 97 82 United Healthcare PPO 60 60% of all negotiated rates 39 percent of total billed charges 39 97 Potassium Level 84132 CPT 4003121 LOCAL 301 RC outpatient 97 82 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 92 Coinsurance and deductible may apply Potassium Level 84132 CPT 4003121 LOCAL 301 RC outpatient 97 82 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 92 Coinsurance and deductible may apply Potassium Level 84132 CPT 4003121 LOCAL 301 RC outpatient 97 82 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 92 Coinsurance and deductible may apply Potassium Level Urine 84133 CPT 4001465 LOCAL 301 RC outpatient 49 42 Aetna PPO 38 38% of all negotiated rates 31 percent of total billed charges 31 49 Potassium Level Urine 84133 CPT 4001465 LOCAL 301 RC outpatient 49 42 Aetna Medicare HMO 26 26% of all negotiated rates 37 percent of total billed charges 37 49 Potassium Level Urine 84133 CPT 4001465 LOCAL 301 RC outpatient 49 42 Alignment Medicare HMO 39 39% of all negotiated rates 30 percent of total billed charges 30 49 Potassium Level Urine 84133 CPT 4001465 LOCAL 301 RC outpatient 49 42 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 20 percent of total billed charges 20 49 Potassium Level Urine 84133 CPT 4001465 LOCAL 301 RC outpatient 49 42 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 25 percent of total billed charges 25 49 Potassium Level Urine 84133 CPT 4001465 LOCAL 301 RC outpatient 49 42 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 30 percent of total billed charges 30 49 Potassium Level Urine 84133 CPT 4001465 LOCAL 301 RC outpatient 49 42 Cigna PPO 68 68% of all negotiated rates 16 percent of total billed charges 16 49 Potassium Level Urine 84133 CPT 4001465 LOCAL 301 RC outpatient 49 42 Coalition PPO 49 49% of all negotiated rates 25 percent of total billed charges 25 49 Potassium Level Urine 84133 CPT 4001465 LOCAL 301 RC outpatient 49 42 Coventry PPO 75 75% of all negotiated rates 12 percent of total billed charges 12 49 Potassium Level Urine 84133 CPT 4001465 LOCAL 301 RC outpatient 49 42 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 10 percent of total billed charges 10 49 Potassium Level Urine 84133 CPT 4001465 LOCAL 301 RC outpatient 49 42 Humana-Commerical PPO 70 70% of all negotiated rates 15 percent of total billed charges 15 49 Potassium Level Urine 84133 CPT 4001465 LOCAL 301 RC outpatient 49 42 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 30 percent of total billed charges 30 49 Potassium Level Urine 84133 CPT 4001465 LOCAL 301 RC outpatient 49 42 Multiplan PPO 80 80% of all negotiated rates 10 percent of total billed charges 10 49 Potassium Level Urine 84133 CPT 4001465 LOCAL 301 RC outpatient 49 42 One Health PPO 55 55% of all negotiated rates 22 percent of total billed charges 22 49 Potassium Level Urine 84133 CPT 4001465 LOCAL 301 RC outpatient 49 42 Optum Medicare HMO 39 39% of all negotiated rates 30 percent of total billed charges 30 49 Potassium Level Urine 84133 CPT 4001465 LOCAL 301 RC outpatient 49 42 P3 HMO 39 39% of all negotiated rates 30 percent of total billed charges 30 49 Potassium Level Urine 84133 CPT 4001465 LOCAL 301 RC outpatient 49 42 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 15 percent of total billed charges 15 49 Potassium Level Urine 84133 CPT 4001465 LOCAL 301 RC outpatient 49 42 Select Health HMO 41 41% of all negotiated rates 29 percent of total billed charges 29 49 Potassium Level Urine 84133 CPT 4001465 LOCAL 301 RC outpatient 49 42 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 33 percent of total billed charges 33 49 Potassium Level Urine 84133 CPT 4001465 LOCAL 301 RC outpatient 49 42 Sierra/HPN HMO 60 60% of all negotiated rates 20 percent of total billed charges 20 49 Potassium Level Urine 84133 CPT 4001465 LOCAL 301 RC outpatient 49 42 Silversummit Medicare HMO 39 39% of all negotiated rates 30 percent of total billed charges 30 49 Potassium Level Urine 84133 CPT 4001465 LOCAL 301 RC outpatient 49 42 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 32 percent of total billed charges 32 49 Potassium Level Urine 84133 CPT 4001465 LOCAL 301 RC outpatient 49 42 Teachers Trust PPO 65 65% of all negotiated rates 17 percent of total billed charges 17 49 Potassium Level Urine 84133 CPT 4001465 LOCAL 301 RC outpatient 49 42 TriWest PPO 30 30% of all negotiated rates 35 percent of total billed charges 35 49 Potassium Level Urine 84133 CPT 4001465 LOCAL 301 RC outpatient 49 42 UHN-Universal Health Network PPO 70 70% of all negotiated rates 15 percent of total billed charges 15 49 Potassium Level Urine 84133 CPT 4001465 LOCAL 301 RC outpatient 49 42 United Healthcare PPO 60 60% of all negotiated rates 20 percent of total billed charges 20 49 Potassium Level Urine 84133 CPT 4001465 LOCAL 301 RC outpatient 49 42 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 47 Coinsurance and deductible may apply Potassium Level Urine 84133 CPT 4001465 LOCAL 301 RC outpatient 49 42 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 47 Coinsurance and deductible may apply Potassium Level Urine 84133 CPT 4001465 LOCAL 301 RC outpatient 49 42 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 47 Coinsurance and deductible may apply Prosthetic Training Charges 97761 CPT 4500107 LOCAL 420 RC outpatient 104 88 Aetna Medicare HMO 26 26% of all negotiated rates 77 percent of total billed charges 77 104 Prosthetic Training Charges 97761 CPT 4500107 LOCAL 420 RC outpatient 104 88 Alignment Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Prosthetic Training Charges 97761 CPT 4500107 LOCAL 420 RC outpatient 104 88 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 42 percent of total billed charges 42 104 Prosthetic Training Charges 97761 CPT 4500107 LOCAL 420 RC outpatient 104 88 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 52 percent of total billed charges 52 104 Prosthetic Training Charges 97761 CPT 4500107 LOCAL 420 RC outpatient 104 88 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Prosthetic Training Charges 97761 CPT 4500107 LOCAL 420 RC outpatient 104 88 Cigna PPO 68 68% of all negotiated rates 33 percent of total billed charges 33 104 Prosthetic Training Charges 97761 CPT 4500107 LOCAL 420 RC outpatient 104 88 Coventry PPO 75 75% of all negotiated rates 26 percent of total billed charges 26 104 Prosthetic Training Charges 97761 CPT 4500107 LOCAL 420 RC outpatient 104 88 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 21 percent of total billed charges 21 104 Prosthetic Training Charges 97761 CPT 4500107 LOCAL 420 RC outpatient 104 88 Humana-Commerical PPO 70 70% of all negotiated rates 31 percent of total billed charges 31 104 Prosthetic Training Charges 97761 CPT 4500107 LOCAL 420 RC outpatient 104 88 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Prosthetic Training Charges 97761 CPT 4500107 LOCAL 420 RC outpatient 104 88 Multiplan PPO 80 80% of all negotiated rates 21 percent of total billed charges 21 104 Prosthetic Training Charges 97761 CPT 4500107 LOCAL 420 RC outpatient 104 88 Optum Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Prosthetic Training Charges 97761 CPT 4500107 LOCAL 420 RC outpatient 104 88 P3 HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Prosthetic Training Charges 97761 CPT 4500107 LOCAL 420 RC outpatient 104 88 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 31 percent of total billed charges 31 104 Prosthetic Training Charges 97761 CPT 4500107 LOCAL 420 RC outpatient 104 88 Select Health HMO 41 41% of all negotiated rates 61 percent of total billed charges 61 104 Prosthetic Training Charges 97761 CPT 4500107 LOCAL 420 RC outpatient 104 88 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 69 percent of total billed charges 69 104 Prosthetic Training Charges 97761 CPT 4500107 LOCAL 420 RC outpatient 104 88 Sierra/HPN HMO 60 60% of all negotiated rates 42 percent of total billed charges 42 104 Prosthetic Training Charges 97761 CPT 4500107 LOCAL 420 RC outpatient 104 88 Silversummit Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Prosthetic Training Charges 97761 CPT 4500107 LOCAL 420 RC outpatient 104 88 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 68 percent of total billed charges 68 104 Prosthetic Training Charges 97761 CPT 4500107 LOCAL 420 RC outpatient 104 88 TriWest PPO 30 30% of all negotiated rates 73 percent of total billed charges 73 104 Prosthetic Training Charges 97761 CPT 4500107 LOCAL 420 RC outpatient 104 88 UHN-Universal Health Network PPO 70 70% of all negotiated rates 31 percent of total billed charges 31 104 Prosthetic Training Charges 97761 CPT 4500107 LOCAL 420 RC outpatient 104 88 United Healthcare PPO 60 60% of all negotiated rates 42 percent of total billed charges 42 104 Prosthetic Training Charges 97761 CPT 4500107 LOCAL 420 RC outpatient 104 88 Aetna PPO 120 120% of Aetna market fee schedule 34 fee schedule 34 99 Coinsurance and deductible may apply Prosthetic Training Charges 97761 CPT 4500107 LOCAL 420 RC outpatient 104 88 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 30 fee schedule 30 99 Coinsurance and deductible may apply Prosthetic Training Charges 97761 CPT 4500107 LOCAL 420 RC outpatient 104 88 Coalition PPO 25 case rate 25 case rate 25 99 "25.00 per treatment, 199.00 max per diem" Prosthetic Training Charges 97761 CPT 4500107 LOCAL 420 RC outpatient 104 88 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 30 fee schedule 30 99 Coinsurance and deductible may apply Prosthetic Training Charges 97761 CPT 4500107 LOCAL 420 RC outpatient 104 88 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 30 fee schedule 30 99 Coinsurance and deductible may apply Prosthetic Training Charges 97761 CPT 4500107 LOCAL 420 RC outpatient 104 88 One Health PPO 200 case rate 200 case rate 200 99 200. cap on PT per visit Prosthetic Training Charges 97761 CPT 4500107 LOCAL 420 RC outpatient 104 88 Teachers Trust PPO 103 case rate 103 case rate 103 99 103.00/treatment/163.00 max per day Protein Total 84155 CPT 4001551 LOCAL 301 RC outpatient 76 64 Aetna PPO 38 38% of all negotiated rates 47 percent of total billed charges 47 76 Protein Total 84155 CPT 4001551 LOCAL 301 RC outpatient 76 64 Aetna Medicare HMO 26 26% of all negotiated rates 56 percent of total billed charges 56 76 Protein Total 84155 CPT 4001551 LOCAL 301 RC outpatient 76 64 Alignment Medicare HMO 39 39% of all negotiated rates 46 percent of total billed charges 46 76 Protein Total 84155 CPT 4001551 LOCAL 301 RC outpatient 76 64 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 30 percent of total billed charges 30 76 Protein Total 84155 CPT 4001551 LOCAL 301 RC outpatient 76 64 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 38 percent of total billed charges 38 76 Protein Total 84155 CPT 4001551 LOCAL 301 RC outpatient 76 64 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 46 percent of total billed charges 46 76 Protein Total 84155 CPT 4001551 LOCAL 301 RC outpatient 76 64 Cigna PPO 68 68% of all negotiated rates 24 percent of total billed charges 24 76 Protein Total 84155 CPT 4001551 LOCAL 301 RC outpatient 76 64 Coalition PPO 49 49% of all negotiated rates 39 percent of total billed charges 39 76 Protein Total 84155 CPT 4001551 LOCAL 301 RC outpatient 76 64 Coventry PPO 75 75% of all negotiated rates 19 percent of total billed charges 19 76 Protein Total 84155 CPT 4001551 LOCAL 301 RC outpatient 76 64 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 15 percent of total billed charges 15 76 Protein Total 84155 CPT 4001551 LOCAL 301 RC outpatient 76 64 Humana-Commerical PPO 70 70% of all negotiated rates 23 percent of total billed charges 23 76 Protein Total 84155 CPT 4001551 LOCAL 301 RC outpatient 76 64 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 46 percent of total billed charges 46 76 Protein Total 84155 CPT 4001551 LOCAL 301 RC outpatient 76 64 Multiplan PPO 80 80% of all negotiated rates 15 percent of total billed charges 15 76 Protein Total 84155 CPT 4001551 LOCAL 301 RC outpatient 76 64 One Health PPO 55 55% of all negotiated rates 34 percent of total billed charges 34 76 Protein Total 84155 CPT 4001551 LOCAL 301 RC outpatient 76 64 Optum Medicare HMO 39 39% of all negotiated rates 46 percent of total billed charges 46 76 Protein Total 84155 CPT 4001551 LOCAL 301 RC outpatient 76 64 P3 HMO 39 39% of all negotiated rates 46 percent of total billed charges 46 76 Protein Total 84155 CPT 4001551 LOCAL 301 RC outpatient 76 64 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 23 percent of total billed charges 23 76 Protein Total 84155 CPT 4001551 LOCAL 301 RC outpatient 76 64 Select Health HMO 41 41% of all negotiated rates 45 percent of total billed charges 45 76 Protein Total 84155 CPT 4001551 LOCAL 301 RC outpatient 76 64 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 50 percent of total billed charges 50 76 Protein Total 84155 CPT 4001551 LOCAL 301 RC outpatient 76 64 Sierra/HPN HMO 60 60% of all negotiated rates 30 percent of total billed charges 30 76 Protein Total 84155 CPT 4001551 LOCAL 301 RC outpatient 76 64 Silversummit Medicare HMO 39 39% of all negotiated rates 46 percent of total billed charges 46 76 Protein Total 84155 CPT 4001551 LOCAL 301 RC outpatient 76 64 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 49 percent of total billed charges 49 76 Protein Total 84155 CPT 4001551 LOCAL 301 RC outpatient 76 64 Teachers Trust PPO 65 65% of all negotiated rates 26 percent of total billed charges 26 76 Protein Total 84155 CPT 4001551 LOCAL 301 RC outpatient 76 64 TriWest PPO 30 30% of all negotiated rates 53 percent of total billed charges 53 76 Protein Total 84155 CPT 4001551 LOCAL 301 RC outpatient 76 64 UHN-Universal Health Network PPO 70 70% of all negotiated rates 23 percent of total billed charges 23 76 Protein Total 84155 CPT 4001551 LOCAL 301 RC outpatient 76 64 United Healthcare PPO 60 60% of all negotiated rates 30 percent of total billed charges 30 76 Protein Total 84155 CPT 4001551 LOCAL 301 RC outpatient 76 64 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 72 Coinsurance and deductible may apply Protein Total 84155 CPT 4001551 LOCAL 301 RC outpatient 76 64 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 72 Coinsurance and deductible may apply Protein Total 84155 CPT 4001551 LOCAL 301 RC outpatient 76 64 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 72 Coinsurance and deductible may apply PSA Diagnostic 84152 CPT 4007457 LOCAL 301 RC outpatient 373 317 Aetna PPO 38 38% of all negotiated rates 231 percent of total billed charges 231 373 PSA Diagnostic 84152 CPT 4007457 LOCAL 301 RC outpatient 373 317 Aetna Medicare HMO 26 26% of all negotiated rates 276 percent of total billed charges 276 373 PSA Diagnostic 84152 CPT 4007457 LOCAL 301 RC outpatient 373 317 Alignment Medicare HMO 39 39% of all negotiated rates 227 percent of total billed charges 227 373 PSA Diagnostic 84152 CPT 4007457 LOCAL 301 RC outpatient 373 317 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 149 percent of total billed charges 149 373 PSA Diagnostic 84152 CPT 4007457 LOCAL 301 RC outpatient 373 317 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 186 percent of total billed charges 186 373 PSA Diagnostic 84152 CPT 4007457 LOCAL 301 RC outpatient 373 317 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 227 percent of total billed charges 227 373 PSA Diagnostic 84152 CPT 4007457 LOCAL 301 RC outpatient 373 317 Cigna PPO 68 68% of all negotiated rates 119 percent of total billed charges 119 373 PSA Diagnostic 84152 CPT 4007457 LOCAL 301 RC outpatient 373 317 Coalition PPO 49 49% of all negotiated rates 190 percent of total billed charges 190 373 PSA Diagnostic 84152 CPT 4007457 LOCAL 301 RC outpatient 373 317 Coventry PPO 75 75% of all negotiated rates 93 percent of total billed charges 93 373 PSA Diagnostic 84152 CPT 4007457 LOCAL 301 RC outpatient 373 317 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 75 percent of total billed charges 75 373 PSA Diagnostic 84152 CPT 4007457 LOCAL 301 RC outpatient 373 317 Humana-Commerical PPO 70 70% of all negotiated rates 112 percent of total billed charges 112 373 PSA Diagnostic 84152 CPT 4007457 LOCAL 301 RC outpatient 373 317 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 227 percent of total billed charges 227 373 PSA Diagnostic 84152 CPT 4007457 LOCAL 301 RC outpatient 373 317 Multiplan PPO 80 80% of all negotiated rates 75 percent of total billed charges 75 373 PSA Diagnostic 84152 CPT 4007457 LOCAL 301 RC outpatient 373 317 One Health PPO 55 55% of all negotiated rates 168 percent of total billed charges 168 373 PSA Diagnostic 84152 CPT 4007457 LOCAL 301 RC outpatient 373 317 Optum Medicare HMO 39 39% of all negotiated rates 227 percent of total billed charges 227 373 PSA Diagnostic 84152 CPT 4007457 LOCAL 301 RC outpatient 373 317 P3 HMO 39 39% of all negotiated rates 227 percent of total billed charges 227 373 PSA Diagnostic 84152 CPT 4007457 LOCAL 301 RC outpatient 373 317 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 112 percent of total billed charges 112 373 PSA Diagnostic 84152 CPT 4007457 LOCAL 301 RC outpatient 373 317 Select Health HMO 41 41% of all negotiated rates 220 percent of total billed charges 220 373 PSA Diagnostic 84152 CPT 4007457 LOCAL 301 RC outpatient 373 317 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 248 percent of total billed charges 248 373 PSA Diagnostic 84152 CPT 4007457 LOCAL 301 RC outpatient 373 317 Sierra/HPN HMO 60 60% of all negotiated rates 149 percent of total billed charges 149 373 PSA Diagnostic 84152 CPT 4007457 LOCAL 301 RC outpatient 373 317 Silversummit Medicare HMO 39 39% of all negotiated rates 227 percent of total billed charges 227 373 PSA Diagnostic 84152 CPT 4007457 LOCAL 301 RC outpatient 373 317 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 242 percent of total billed charges 242 373 PSA Diagnostic 84152 CPT 4007457 LOCAL 301 RC outpatient 373 317 Teachers Trust PPO 65 65% of all negotiated rates 130 percent of total billed charges 130 373 PSA Diagnostic 84152 CPT 4007457 LOCAL 301 RC outpatient 373 317 TriWest PPO 30 30% of all negotiated rates 261 percent of total billed charges 261 373 PSA Diagnostic 84152 CPT 4007457 LOCAL 301 RC outpatient 373 317 UHN-Universal Health Network PPO 70 70% of all negotiated rates 112 percent of total billed charges 112 373 PSA Diagnostic 84152 CPT 4007457 LOCAL 301 RC outpatient 373 317 United Healthcare PPO 60 60% of all negotiated rates 149 percent of total billed charges 149 373 PSA Diagnostic 84152 CPT 4007457 LOCAL 301 RC outpatient 373 317 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 13 fee schedule 13 355 Coinsurance and deductible may apply PSA Diagnostic 84152 CPT 4007457 LOCAL 301 RC outpatient 373 317 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 13 fee schedule 13 355 Coinsurance and deductible may apply PSA Diagnostic 84152 CPT 4007457 LOCAL 301 RC outpatient 373 317 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 13 fee schedule 13 355 Coinsurance and deductible may apply PSA Screen 84153 CPT 4000651 LOCAL 301 RC outpatient 307 261 Aetna PPO 38 38% of all negotiated rates 190 percent of total billed charges 190 307 PSA Screen 84153 CPT 4000651 LOCAL 301 RC outpatient 307 261 Aetna Medicare HMO 26 26% of all negotiated rates 227 percent of total billed charges 227 307 PSA Screen 84153 CPT 4000651 LOCAL 301 RC outpatient 307 261 Alignment Medicare HMO 39 39% of all negotiated rates 187 percent of total billed charges 187 307 PSA Screen 84153 CPT 4000651 LOCAL 301 RC outpatient 307 261 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 123 percent of total billed charges 123 307 PSA Screen 84153 CPT 4000651 LOCAL 301 RC outpatient 307 261 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 153 percent of total billed charges 153 307 PSA Screen 84153 CPT 4000651 LOCAL 301 RC outpatient 307 261 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 187 percent of total billed charges 187 307 PSA Screen 84153 CPT 4000651 LOCAL 301 RC outpatient 307 261 Cigna PPO 68 68% of all negotiated rates 98 percent of total billed charges 98 307 PSA Screen 84153 CPT 4000651 LOCAL 301 RC outpatient 307 261 Coalition PPO 49 49% of all negotiated rates 156 percent of total billed charges 156 307 PSA Screen 84153 CPT 4000651 LOCAL 301 RC outpatient 307 261 Coventry PPO 75 75% of all negotiated rates 77 percent of total billed charges 77 307 PSA Screen 84153 CPT 4000651 LOCAL 301 RC outpatient 307 261 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 61 percent of total billed charges 61 307 PSA Screen 84153 CPT 4000651 LOCAL 301 RC outpatient 307 261 Humana-Commerical PPO 70 70% of all negotiated rates 92 percent of total billed charges 92 307 PSA Screen 84153 CPT 4000651 LOCAL 301 RC outpatient 307 261 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 187 percent of total billed charges 187 307 PSA Screen 84153 CPT 4000651 LOCAL 301 RC outpatient 307 261 Multiplan PPO 80 80% of all negotiated rates 61 percent of total billed charges 61 307 PSA Screen 84153 CPT 4000651 LOCAL 301 RC outpatient 307 261 One Health PPO 55 55% of all negotiated rates 138 percent of total billed charges 138 307 PSA Screen 84153 CPT 4000651 LOCAL 301 RC outpatient 307 261 Optum Medicare HMO 39 39% of all negotiated rates 187 percent of total billed charges 187 307 PSA Screen 84153 CPT 4000651 LOCAL 301 RC outpatient 307 261 P3 HMO 39 39% of all negotiated rates 187 percent of total billed charges 187 307 PSA Screen 84153 CPT 4000651 LOCAL 301 RC outpatient 307 261 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 92 percent of total billed charges 92 307 PSA Screen 84153 CPT 4000651 LOCAL 301 RC outpatient 307 261 Select Health HMO 41 41% of all negotiated rates 181 percent of total billed charges 181 307 PSA Screen 84153 CPT 4000651 LOCAL 301 RC outpatient 307 261 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 204 percent of total billed charges 204 307 PSA Screen 84153 CPT 4000651 LOCAL 301 RC outpatient 307 261 Sierra/HPN HMO 60 60% of all negotiated rates 123 percent of total billed charges 123 307 PSA Screen 84153 CPT 4000651 LOCAL 301 RC outpatient 307 261 Silversummit Medicare HMO 39 39% of all negotiated rates 187 percent of total billed charges 187 307 PSA Screen 84153 CPT 4000651 LOCAL 301 RC outpatient 307 261 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 199 percent of total billed charges 199 307 PSA Screen 84153 CPT 4000651 LOCAL 301 RC outpatient 307 261 Teachers Trust PPO 65 65% of all negotiated rates 107 percent of total billed charges 107 307 PSA Screen 84153 CPT 4000651 LOCAL 301 RC outpatient 307 261 TriWest PPO 30 30% of all negotiated rates 215 percent of total billed charges 215 307 PSA Screen 84153 CPT 4000651 LOCAL 301 RC outpatient 307 261 UHN-Universal Health Network PPO 70 70% of all negotiated rates 92 percent of total billed charges 92 307 PSA Screen 84153 CPT 4000651 LOCAL 301 RC outpatient 307 261 United Healthcare PPO 60 60% of all negotiated rates 123 percent of total billed charges 123 307 PSA Screen 84153 CPT 4000651 LOCAL 301 RC outpatient 307 261 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 13 fee schedule 13 292 Coinsurance and deductible may apply PSA Screen 84153 CPT 4000651 LOCAL 301 RC outpatient 307 261 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 13 fee schedule 13 292 Coinsurance and deductible may apply PSA Screen 84153 CPT 4000651 LOCAL 301 RC outpatient 307 261 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 13 fee schedule 13 292 Coinsurance and deductible may apply PT High Complex Units 97163 CPT 4500317 LOCAL 424 RC outpatient 406 345 Aetna Medicare HMO 26 26% of all negotiated rates 301 percent of total billed charges 301 406 PT High Complex Units 97163 CPT 4500317 LOCAL 424 RC outpatient 406 345 Alignment Medicare HMO 39 39% of all negotiated rates 248 percent of total billed charges 248 406 PT High Complex Units 97163 CPT 4500317 LOCAL 424 RC outpatient 406 345 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 163 percent of total billed charges 163 406 PT High Complex Units 97163 CPT 4500317 LOCAL 424 RC outpatient 406 345 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 203 percent of total billed charges 203 406 PT High Complex Units 97163 CPT 4500317 LOCAL 424 RC outpatient 406 345 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 248 percent of total billed charges 248 406 PT High Complex Units 97163 CPT 4500317 LOCAL 424 RC outpatient 406 345 Cigna PPO 68 68% of all negotiated rates 130 percent of total billed charges 130 406 PT High Complex Units 97163 CPT 4500317 LOCAL 424 RC outpatient 406 345 Coventry PPO 75 75% of all negotiated rates 102 percent of total billed charges 102 406 PT High Complex Units 97163 CPT 4500317 LOCAL 424 RC outpatient 406 345 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 81 percent of total billed charges 81 406 PT High Complex Units 97163 CPT 4500317 LOCAL 424 RC outpatient 406 345 Humana-Commerical PPO 70 70% of all negotiated rates 122 percent of total billed charges 122 406 PT High Complex Units 97163 CPT 4500317 LOCAL 424 RC outpatient 406 345 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 248 percent of total billed charges 248 406 PT High Complex Units 97163 CPT 4500317 LOCAL 424 RC outpatient 406 345 Multiplan PPO 80 80% of all negotiated rates 81 percent of total billed charges 81 406 PT High Complex Units 97163 CPT 4500317 LOCAL 424 RC outpatient 406 345 Optum Medicare HMO 39 39% of all negotiated rates 248 percent of total billed charges 248 406 PT High Complex Units 97163 CPT 4500317 LOCAL 424 RC outpatient 406 345 P3 HMO 39 39% of all negotiated rates 248 percent of total billed charges 248 406 PT High Complex Units 97163 CPT 4500317 LOCAL 424 RC outpatient 406 345 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 122 percent of total billed charges 122 406 PT High Complex Units 97163 CPT 4500317 LOCAL 424 RC outpatient 406 345 Select Health HMO 41 41% of all negotiated rates 240 percent of total billed charges 240 406 PT High Complex Units 97163 CPT 4500317 LOCAL 424 RC outpatient 406 345 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 270 percent of total billed charges 270 406 PT High Complex Units 97163 CPT 4500317 LOCAL 424 RC outpatient 406 345 Sierra/HPN HMO 60 60% of all negotiated rates 163 percent of total billed charges 163 406 PT High Complex Units 97163 CPT 4500317 LOCAL 424 RC outpatient 406 345 Silversummit Medicare HMO 39 39% of all negotiated rates 248 percent of total billed charges 248 406 PT High Complex Units 97163 CPT 4500317 LOCAL 424 RC outpatient 406 345 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 264 percent of total billed charges 264 406 PT High Complex Units 97163 CPT 4500317 LOCAL 424 RC outpatient 406 345 TriWest PPO 30 30% of all negotiated rates 284 percent of total billed charges 284 406 PT High Complex Units 97163 CPT 4500317 LOCAL 424 RC outpatient 406 345 UHN-Universal Health Network PPO 70 70% of all negotiated rates 122 percent of total billed charges 122 406 PT High Complex Units 97163 CPT 4500317 LOCAL 424 RC outpatient 406 345 United Healthcare PPO 60 60% of all negotiated rates 163 percent of total billed charges 163 406 PT High Complex Units 97163 CPT 4500317 LOCAL 424 RC outpatient 406 345 Aetna PPO 120 120% of Aetna market fee schedule 82 fee schedule 82 387 Coinsurance and deductible may apply PT High Complex Units 97163 CPT 4500317 LOCAL 424 RC outpatient 406 345 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 71 fee schedule 71 387 Coinsurance and deductible may apply PT High Complex Units 97163 CPT 4500317 LOCAL 424 RC outpatient 406 345 Coalition PPO 25 case rate 25 case rate 25 387 "25.00 per treatment, 199.00 max per diem" PT High Complex Units 97163 CPT 4500317 LOCAL 424 RC outpatient 406 345 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 71 fee schedule 71 387 Coinsurance and deductible may apply PT High Complex Units 97163 CPT 4500317 LOCAL 424 RC outpatient 406 345 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 71 fee schedule 71 387 Coinsurance and deductible may apply PT High Complex Units 97163 CPT 4500317 LOCAL 424 RC outpatient 406 345 One Health PPO 200 case rate 200 case rate 200 387 200. cap on PT per visit PT High Complex Units 97163 CPT 4500317 LOCAL 424 RC outpatient 406 345 Teachers Trust PPO 103 case rate 103 case rate 103 387 103.00/treatment/163.00 max per day PT Low Complex Units 97161 CPT 4500315 LOCAL 424 RC outpatient 406 345 Aetna Medicare HMO 26 26% of all negotiated rates 301 percent of total billed charges 301 406 PT Low Complex Units 97161 CPT 4500315 LOCAL 424 RC outpatient 406 345 Alignment Medicare HMO 39 39% of all negotiated rates 248 percent of total billed charges 248 406 PT Low Complex Units 97161 CPT 4500315 LOCAL 424 RC outpatient 406 345 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 163 percent of total billed charges 163 406 PT Low Complex Units 97161 CPT 4500315 LOCAL 424 RC outpatient 406 345 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 203 percent of total billed charges 203 406 PT Low Complex Units 97161 CPT 4500315 LOCAL 424 RC outpatient 406 345 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 248 percent of total billed charges 248 406 PT Low Complex Units 97161 CPT 4500315 LOCAL 424 RC outpatient 406 345 Cigna PPO 68 68% of all negotiated rates 130 percent of total billed charges 130 406 PT Low Complex Units 97161 CPT 4500315 LOCAL 424 RC outpatient 406 345 Coventry PPO 75 75% of all negotiated rates 102 percent of total billed charges 102 406 PT Low Complex Units 97161 CPT 4500315 LOCAL 424 RC outpatient 406 345 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 81 percent of total billed charges 81 406 PT Low Complex Units 97161 CPT 4500315 LOCAL 424 RC outpatient 406 345 Humana-Commerical PPO 70 70% of all negotiated rates 122 percent of total billed charges 122 406 PT Low Complex Units 97161 CPT 4500315 LOCAL 424 RC outpatient 406 345 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 248 percent of total billed charges 248 406 PT Low Complex Units 97161 CPT 4500315 LOCAL 424 RC outpatient 406 345 Multiplan PPO 80 80% of all negotiated rates 81 percent of total billed charges 81 406 PT Low Complex Units 97161 CPT 4500315 LOCAL 424 RC outpatient 406 345 Optum Medicare HMO 39 39% of all negotiated rates 248 percent of total billed charges 248 406 PT Low Complex Units 97161 CPT 4500315 LOCAL 424 RC outpatient 406 345 P3 HMO 39 39% of all negotiated rates 248 percent of total billed charges 248 406 PT Low Complex Units 97161 CPT 4500315 LOCAL 424 RC outpatient 406 345 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 122 percent of total billed charges 122 406 PT Low Complex Units 97161 CPT 4500315 LOCAL 424 RC outpatient 406 345 Select Health HMO 41 41% of all negotiated rates 240 percent of total billed charges 240 406 PT Low Complex Units 97161 CPT 4500315 LOCAL 424 RC outpatient 406 345 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 270 percent of total billed charges 270 406 PT Low Complex Units 97161 CPT 4500315 LOCAL 424 RC outpatient 406 345 Sierra/HPN HMO 60 60% of all negotiated rates 163 percent of total billed charges 163 406 PT Low Complex Units 97161 CPT 4500315 LOCAL 424 RC outpatient 406 345 Silversummit Medicare HMO 39 39% of all negotiated rates 248 percent of total billed charges 248 406 PT Low Complex Units 97161 CPT 4500315 LOCAL 424 RC outpatient 406 345 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 264 percent of total billed charges 264 406 PT Low Complex Units 97161 CPT 4500315 LOCAL 424 RC outpatient 406 345 TriWest PPO 30 30% of all negotiated rates 284 percent of total billed charges 284 406 PT Low Complex Units 97161 CPT 4500315 LOCAL 424 RC outpatient 406 345 UHN-Universal Health Network PPO 70 70% of all negotiated rates 122 percent of total billed charges 122 406 PT Low Complex Units 97161 CPT 4500315 LOCAL 424 RC outpatient 406 345 United Healthcare PPO 60 60% of all negotiated rates 163 percent of total billed charges 163 406 PT Low Complex Units 97161 CPT 4500315 LOCAL 424 RC outpatient 406 345 Aetna PPO 120 120% of Aetna market fee schedule 82 fee schedule 82 387 Coinsurance and deductible may apply PT Low Complex Units 97161 CPT 4500315 LOCAL 424 RC outpatient 406 345 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 71 fee schedule 71 387 Coinsurance and deductible may apply PT Low Complex Units 97161 CPT 4500315 LOCAL 424 RC outpatient 406 345 Coalition PPO 25 case rate 25 case rate 25 387 "25.00 per treatment, 199.00 max per diem" PT Low Complex Units 97161 CPT 4500315 LOCAL 424 RC outpatient 406 345 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 71 fee schedule 71 387 Coinsurance and deductible may apply PT Low Complex Units 97161 CPT 4500315 LOCAL 424 RC outpatient 406 345 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 71 fee schedule 71 387 Coinsurance and deductible may apply PT Low Complex Units 97161 CPT 4500315 LOCAL 424 RC outpatient 406 345 One Health PPO 200 case rate 200 case rate 200 387 200. cap on PT per visit PT Low Complex Units 97161 CPT 4500315 LOCAL 424 RC outpatient 406 345 Teachers Trust PPO 103 case rate 103 case rate 103 387 103.00/treatment/163.00 max per day PT Moderate Complex Units 97162 CPT 4500316 LOCAL 424 RC outpatient 406 345 Aetna Medicare HMO 26 26% of all negotiated rates 301 percent of total billed charges 301 406 PT Moderate Complex Units 97162 CPT 4500316 LOCAL 424 RC outpatient 406 345 Alignment Medicare HMO 39 39% of all negotiated rates 248 percent of total billed charges 248 406 PT Moderate Complex Units 97162 CPT 4500316 LOCAL 424 RC outpatient 406 345 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 163 percent of total billed charges 163 406 PT Moderate Complex Units 97162 CPT 4500316 LOCAL 424 RC outpatient 406 345 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 203 percent of total billed charges 203 406 PT Moderate Complex Units 97162 CPT 4500316 LOCAL 424 RC outpatient 406 345 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 248 percent of total billed charges 248 406 PT Moderate Complex Units 97162 CPT 4500316 LOCAL 424 RC outpatient 406 345 Cigna PPO 68 68% of all negotiated rates 130 percent of total billed charges 130 406 PT Moderate Complex Units 97162 CPT 4500316 LOCAL 424 RC outpatient 406 345 Coventry PPO 75 75% of all negotiated rates 102 percent of total billed charges 102 406 PT Moderate Complex Units 97162 CPT 4500316 LOCAL 424 RC outpatient 406 345 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 81 percent of total billed charges 81 406 PT Moderate Complex Units 97162 CPT 4500316 LOCAL 424 RC outpatient 406 345 Humana-Commerical PPO 70 70% of all negotiated rates 122 percent of total billed charges 122 406 PT Moderate Complex Units 97162 CPT 4500316 LOCAL 424 RC outpatient 406 345 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 248 percent of total billed charges 248 406 PT Moderate Complex Units 97162 CPT 4500316 LOCAL 424 RC outpatient 406 345 Multiplan PPO 80 80% of all negotiated rates 81 percent of total billed charges 81 406 PT Moderate Complex Units 97162 CPT 4500316 LOCAL 424 RC outpatient 406 345 Optum Medicare HMO 39 39% of all negotiated rates 248 percent of total billed charges 248 406 PT Moderate Complex Units 97162 CPT 4500316 LOCAL 424 RC outpatient 406 345 P3 HMO 39 39% of all negotiated rates 248 percent of total billed charges 248 406 PT Moderate Complex Units 97162 CPT 4500316 LOCAL 424 RC outpatient 406 345 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 122 percent of total billed charges 122 406 PT Moderate Complex Units 97162 CPT 4500316 LOCAL 424 RC outpatient 406 345 Select Health HMO 41 41% of all negotiated rates 240 percent of total billed charges 240 406 PT Moderate Complex Units 97162 CPT 4500316 LOCAL 424 RC outpatient 406 345 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 270 percent of total billed charges 270 406 PT Moderate Complex Units 97162 CPT 4500316 LOCAL 424 RC outpatient 406 345 Sierra/HPN HMO 60 60% of all negotiated rates 163 percent of total billed charges 163 406 PT Moderate Complex Units 97162 CPT 4500316 LOCAL 424 RC outpatient 406 345 Silversummit Medicare HMO 39 39% of all negotiated rates 248 percent of total billed charges 248 406 PT Moderate Complex Units 97162 CPT 4500316 LOCAL 424 RC outpatient 406 345 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 264 percent of total billed charges 264 406 PT Moderate Complex Units 97162 CPT 4500316 LOCAL 424 RC outpatient 406 345 TriWest PPO 30 30% of all negotiated rates 284 percent of total billed charges 284 406 PT Moderate Complex Units 97162 CPT 4500316 LOCAL 424 RC outpatient 406 345 UHN-Universal Health Network PPO 70 70% of all negotiated rates 122 percent of total billed charges 122 406 PT Moderate Complex Units 97162 CPT 4500316 LOCAL 424 RC outpatient 406 345 United Healthcare PPO 60 60% of all negotiated rates 163 percent of total billed charges 163 406 PT Moderate Complex Units 97162 CPT 4500316 LOCAL 424 RC outpatient 406 345 Aetna PPO 120 120% of Aetna market fee schedule 82 fee schedule 82 387 Coinsurance and deductible may apply PT Moderate Complex Units 97162 CPT 4500316 LOCAL 424 RC outpatient 406 345 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 71 fee schedule 71 387 Coinsurance and deductible may apply PT Moderate Complex Units 97162 CPT 4500316 LOCAL 424 RC outpatient 406 345 Coalition PPO 25 case rate 25 case rate 25 387 "25.00 per treatment, 199.00 max per diem" PT Moderate Complex Units 97162 CPT 4500316 LOCAL 424 RC outpatient 406 345 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 71 fee schedule 71 387 Coinsurance and deductible may apply PT Moderate Complex Units 97162 CPT 4500316 LOCAL 424 RC outpatient 406 345 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 71 fee schedule 71 387 Coinsurance and deductible may apply PT Moderate Complex Units 97162 CPT 4500316 LOCAL 424 RC outpatient 406 345 One Health PPO 200 case rate 200 case rate 200 387 200. cap on PT per visit PT Moderate Complex Units 97162 CPT 4500316 LOCAL 424 RC outpatient 406 345 Teachers Trust PPO 103 case rate 103 case rate 103 387 103.00/treatment/163.00 max per day PT Wound VAC >50 Charge:Yes 97606 CPT 4500108 LOCAL 420 RC outpatient 406 345 Aetna Medicare HMO 26 26% of all negotiated rates 301 percent of total billed charges 301 406 PT Wound VAC >50 Charge:Yes 97606 CPT 4500108 LOCAL 420 RC outpatient 406 345 Alignment Medicare HMO 39 39% of all negotiated rates 248 percent of total billed charges 248 406 PT Wound VAC >50 Charge:Yes 97606 CPT 4500108 LOCAL 420 RC outpatient 406 345 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 163 percent of total billed charges 163 406 PT Wound VAC >50 Charge:Yes 97606 CPT 4500108 LOCAL 420 RC outpatient 406 345 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 203 percent of total billed charges 203 406 PT Wound VAC >50 Charge:Yes 97606 CPT 4500108 LOCAL 420 RC outpatient 406 345 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 248 percent of total billed charges 248 406 PT Wound VAC >50 Charge:Yes 97606 CPT 4500108 LOCAL 420 RC outpatient 406 345 Cigna PPO 68 68% of all negotiated rates 130 percent of total billed charges 130 406 PT Wound VAC >50 Charge:Yes 97606 CPT 4500108 LOCAL 420 RC outpatient 406 345 Coventry PPO 75 75% of all negotiated rates 102 percent of total billed charges 102 406 PT Wound VAC >50 Charge:Yes 97606 CPT 4500108 LOCAL 420 RC outpatient 406 345 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 81 percent of total billed charges 81 406 PT Wound VAC >50 Charge:Yes 97606 CPT 4500108 LOCAL 420 RC outpatient 406 345 Humana-Commerical PPO 70 70% of all negotiated rates 122 percent of total billed charges 122 406 PT Wound VAC >50 Charge:Yes 97606 CPT 4500108 LOCAL 420 RC outpatient 406 345 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 248 percent of total billed charges 248 406 PT Wound VAC >50 Charge:Yes 97606 CPT 4500108 LOCAL 420 RC outpatient 406 345 Multiplan PPO 80 80% of all negotiated rates 81 percent of total billed charges 81 406 PT Wound VAC >50 Charge:Yes 97606 CPT 4500108 LOCAL 420 RC outpatient 406 345 Optum Medicare HMO 39 39% of all negotiated rates 248 percent of total billed charges 248 406 PT Wound VAC >50 Charge:Yes 97606 CPT 4500108 LOCAL 420 RC outpatient 406 345 P3 HMO 39 39% of all negotiated rates 248 percent of total billed charges 248 406 PT Wound VAC >50 Charge:Yes 97606 CPT 4500108 LOCAL 420 RC outpatient 406 345 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 122 percent of total billed charges 122 406 PT Wound VAC >50 Charge:Yes 97606 CPT 4500108 LOCAL 420 RC outpatient 406 345 Select Health HMO 41 41% of all negotiated rates 240 percent of total billed charges 240 406 PT Wound VAC >50 Charge:Yes 97606 CPT 4500108 LOCAL 420 RC outpatient 406 345 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 270 percent of total billed charges 270 406 PT Wound VAC >50 Charge:Yes 97606 CPT 4500108 LOCAL 420 RC outpatient 406 345 Sierra/HPN HMO 60 60% of all negotiated rates 163 percent of total billed charges 163 406 PT Wound VAC >50 Charge:Yes 97606 CPT 4500108 LOCAL 420 RC outpatient 406 345 Silversummit Medicare HMO 39 39% of all negotiated rates 248 percent of total billed charges 248 406 PT Wound VAC >50 Charge:Yes 97606 CPT 4500108 LOCAL 420 RC outpatient 406 345 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 264 percent of total billed charges 264 406 PT Wound VAC >50 Charge:Yes 97606 CPT 4500108 LOCAL 420 RC outpatient 406 345 TriWest PPO 30 30% of all negotiated rates 284 percent of total billed charges 284 406 PT Wound VAC >50 Charge:Yes 97606 CPT 4500108 LOCAL 420 RC outpatient 406 345 UHN-Universal Health Network PPO 70 70% of all negotiated rates 122 percent of total billed charges 122 406 PT Wound VAC >50 Charge:Yes 97606 CPT 4500108 LOCAL 420 RC outpatient 406 345 United Healthcare PPO 60 60% of all negotiated rates 163 percent of total billed charges 163 406 PT Wound VAC >50 Charge:Yes 97606 CPT 4500108 LOCAL 420 RC outpatient 406 345 Aetna PPO 120 120% of Aetna market fee schedule 35 fee schedule 35 387 Coinsurance and deductible may apply PT Wound VAC >50 Charge:Yes 97606 CPT 4500108 LOCAL 420 RC outpatient 406 345 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 26 fee schedule 26 387 Coinsurance and deductible may apply PT Wound VAC >50 Charge:Yes 97606 CPT 4500108 LOCAL 420 RC outpatient 406 345 Coalition PPO 25 case rate 25 case rate 25 387 "25.00 per treatment, 199.00 max per diem" PT Wound VAC >50 Charge:Yes 97606 CPT 4500108 LOCAL 420 RC outpatient 406 345 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 26 fee schedule 26 387 Coinsurance and deductible may apply PT Wound VAC >50 Charge:Yes 97606 CPT 4500108 LOCAL 420 RC outpatient 406 345 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 26 fee schedule 26 387 Coinsurance and deductible may apply PT Wound VAC >50 Charge:Yes 97606 CPT 4500108 LOCAL 420 RC outpatient 406 345 One Health PPO 200 case rate 200 case rate 200 387 200. cap on PT per visit PT Wound VAC >50 Charge:Yes 97606 CPT 4500108 LOCAL 420 RC outpatient 406 345 Teachers Trust PPO 103 case rate 103 case rate 103 387 103.00/treatment/163.00 max per day PT/INR 85610 CPT 4006104 LOCAL 305 RC outpatient 82 70 Aetna PPO 38 38% of all negotiated rates 51 percent of total billed charges 51 82 PT/INR 85610 CPT 4006104 LOCAL 305 RC outpatient 82 70 Aetna Medicare HMO 26 26% of all negotiated rates 61 percent of total billed charges 61 82 PT/INR 85610 CPT 4006104 LOCAL 305 RC outpatient 82 70 Alignment Medicare HMO 39 39% of all negotiated rates 50 percent of total billed charges 50 82 PT/INR 85610 CPT 4006104 LOCAL 305 RC outpatient 82 70 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 33 percent of total billed charges 33 82 PT/INR 85610 CPT 4006104 LOCAL 305 RC outpatient 82 70 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 41 percent of total billed charges 41 82 PT/INR 85610 CPT 4006104 LOCAL 305 RC outpatient 82 70 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 50 percent of total billed charges 50 82 PT/INR 85610 CPT 4006104 LOCAL 305 RC outpatient 82 70 Cigna PPO 68 68% of all negotiated rates 26 percent of total billed charges 26 82 PT/INR 85610 CPT 4006104 LOCAL 305 RC outpatient 82 70 Coalition PPO 49 49% of all negotiated rates 42 percent of total billed charges 42 82 PT/INR 85610 CPT 4006104 LOCAL 305 RC outpatient 82 70 Coventry PPO 75 75% of all negotiated rates 20 percent of total billed charges 20 82 PT/INR 85610 CPT 4006104 LOCAL 305 RC outpatient 82 70 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 16 percent of total billed charges 16 82 PT/INR 85610 CPT 4006104 LOCAL 305 RC outpatient 82 70 Humana-Commerical PPO 70 70% of all negotiated rates 25 percent of total billed charges 25 82 PT/INR 85610 CPT 4006104 LOCAL 305 RC outpatient 82 70 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 50 percent of total billed charges 50 82 PT/INR 85610 CPT 4006104 LOCAL 305 RC outpatient 82 70 Multiplan PPO 80 80% of all negotiated rates 16 percent of total billed charges 16 82 PT/INR 85610 CPT 4006104 LOCAL 305 RC outpatient 82 70 One Health PPO 55 55% of all negotiated rates 37 percent of total billed charges 37 82 PT/INR 85610 CPT 4006104 LOCAL 305 RC outpatient 82 70 Optum Medicare HMO 39 39% of all negotiated rates 50 percent of total billed charges 50 82 PT/INR 85610 CPT 4006104 LOCAL 305 RC outpatient 82 70 P3 HMO 39 39% of all negotiated rates 50 percent of total billed charges 50 82 PT/INR 85610 CPT 4006104 LOCAL 305 RC outpatient 82 70 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 25 percent of total billed charges 25 82 PT/INR 85610 CPT 4006104 LOCAL 305 RC outpatient 82 70 Select Health HMO 41 41% of all negotiated rates 48 percent of total billed charges 48 82 PT/INR 85610 CPT 4006104 LOCAL 305 RC outpatient 82 70 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 54 percent of total billed charges 54 82 PT/INR 85610 CPT 4006104 LOCAL 305 RC outpatient 82 70 Sierra/HPN HMO 60 60% of all negotiated rates 33 percent of total billed charges 33 82 PT/INR 85610 CPT 4006104 LOCAL 305 RC outpatient 82 70 Silversummit Medicare HMO 39 39% of all negotiated rates 50 percent of total billed charges 50 82 PT/INR 85610 CPT 4006104 LOCAL 305 RC outpatient 82 70 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 53 percent of total billed charges 53 82 PT/INR 85610 CPT 4006104 LOCAL 305 RC outpatient 82 70 Teachers Trust PPO 65 65% of all negotiated rates 29 percent of total billed charges 29 82 PT/INR 85610 CPT 4006104 LOCAL 305 RC outpatient 82 70 TriWest PPO 30 30% of all negotiated rates 57 percent of total billed charges 57 82 PT/INR 85610 CPT 4006104 LOCAL 305 RC outpatient 82 70 UHN-Universal Health Network PPO 70 70% of all negotiated rates 25 percent of total billed charges 25 82 PT/INR 85610 CPT 4006104 LOCAL 305 RC outpatient 82 70 United Healthcare PPO 60 60% of all negotiated rates 33 percent of total billed charges 33 82 PT/INR 85610 CPT 4006104 LOCAL 305 RC outpatient 82 70 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 78 Coinsurance and deductible may apply PT/INR 85610 CPT 4006104 LOCAL 305 RC outpatient 82 70 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 78 Coinsurance and deductible may apply PT/INR 85610 CPT 4006104 LOCAL 305 RC outpatient 82 70 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 78 Coinsurance and deductible may apply PTT 85730 CPT 4007300 LOCAL 305 RC outpatient 126 107 Aetna PPO 38 38% of all negotiated rates 78 percent of total billed charges 78 126 PTT 85730 CPT 4007300 LOCAL 305 RC outpatient 126 107 Aetna Medicare HMO 26 26% of all negotiated rates 93 percent of total billed charges 93 126 PTT 85730 CPT 4007300 LOCAL 305 RC outpatient 126 107 Alignment Medicare HMO 39 39% of all negotiated rates 77 percent of total billed charges 77 126 PTT 85730 CPT 4007300 LOCAL 305 RC outpatient 126 107 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 50 percent of total billed charges 50 126 PTT 85730 CPT 4007300 LOCAL 305 RC outpatient 126 107 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 63 percent of total billed charges 63 126 PTT 85730 CPT 4007300 LOCAL 305 RC outpatient 126 107 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 77 percent of total billed charges 77 126 PTT 85730 CPT 4007300 LOCAL 305 RC outpatient 126 107 Cigna PPO 68 68% of all negotiated rates 40 percent of total billed charges 40 126 PTT 85730 CPT 4007300 LOCAL 305 RC outpatient 126 107 Coalition PPO 49 49% of all negotiated rates 64 percent of total billed charges 64 126 PTT 85730 CPT 4007300 LOCAL 305 RC outpatient 126 107 Coventry PPO 75 75% of all negotiated rates 32 percent of total billed charges 32 126 PTT 85730 CPT 4007300 LOCAL 305 RC outpatient 126 107 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 25 percent of total billed charges 25 126 PTT 85730 CPT 4007300 LOCAL 305 RC outpatient 126 107 Humana-Commerical PPO 70 70% of all negotiated rates 38 percent of total billed charges 38 126 PTT 85730 CPT 4007300 LOCAL 305 RC outpatient 126 107 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 77 percent of total billed charges 77 126 PTT 85730 CPT 4007300 LOCAL 305 RC outpatient 126 107 Multiplan PPO 80 80% of all negotiated rates 25 percent of total billed charges 25 126 PTT 85730 CPT 4007300 LOCAL 305 RC outpatient 126 107 One Health PPO 55 55% of all negotiated rates 57 percent of total billed charges 57 126 PTT 85730 CPT 4007300 LOCAL 305 RC outpatient 126 107 Optum Medicare HMO 39 39% of all negotiated rates 77 percent of total billed charges 77 126 PTT 85730 CPT 4007300 LOCAL 305 RC outpatient 126 107 P3 HMO 39 39% of all negotiated rates 77 percent of total billed charges 77 126 PTT 85730 CPT 4007300 LOCAL 305 RC outpatient 126 107 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 38 percent of total billed charges 38 126 PTT 85730 CPT 4007300 LOCAL 305 RC outpatient 126 107 Select Health HMO 41 41% of all negotiated rates 74 percent of total billed charges 74 126 PTT 85730 CPT 4007300 LOCAL 305 RC outpatient 126 107 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 84 percent of total billed charges 84 126 PTT 85730 CPT 4007300 LOCAL 305 RC outpatient 126 107 Sierra/HPN HMO 60 60% of all negotiated rates 50 percent of total billed charges 50 126 PTT 85730 CPT 4007300 LOCAL 305 RC outpatient 126 107 Silversummit Medicare HMO 39 39% of all negotiated rates 77 percent of total billed charges 77 126 PTT 85730 CPT 4007300 LOCAL 305 RC outpatient 126 107 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 82 percent of total billed charges 82 126 PTT 85730 CPT 4007300 LOCAL 305 RC outpatient 126 107 Teachers Trust PPO 65 65% of all negotiated rates 44 percent of total billed charges 44 126 PTT 85730 CPT 4007300 LOCAL 305 RC outpatient 126 107 TriWest PPO 30 30% of all negotiated rates 88 percent of total billed charges 88 126 PTT 85730 CPT 4007300 LOCAL 305 RC outpatient 126 107 UHN-Universal Health Network PPO 70 70% of all negotiated rates 38 percent of total billed charges 38 126 PTT 85730 CPT 4007300 LOCAL 305 RC outpatient 126 107 United Healthcare PPO 60 60% of all negotiated rates 50 percent of total billed charges 50 126 PTT 85730 CPT 4007300 LOCAL 305 RC outpatient 126 107 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 4 fee schedule 4 120 Coinsurance and deductible may apply PTT 85730 CPT 4007300 LOCAL 305 RC outpatient 126 107 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 4 fee schedule 4 120 Coinsurance and deductible may apply PTT 85730 CPT 4007300 LOCAL 305 RC outpatient 126 107 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 4 fee schedule 4 120 Coinsurance and deductible may apply Rapid Strep A Screen 1 86063 CPT 4000816 LOCAL 302 RC outpatient 191 162 Aetna PPO 38 38% of all negotiated rates 118 percent of total billed charges 118 191 Rapid Strep A Screen 1 86063 CPT 4000816 LOCAL 302 RC outpatient 191 162 Aetna Medicare HMO 26 26% of all negotiated rates 141 percent of total billed charges 141 191 Rapid Strep A Screen 1 86063 CPT 4000816 LOCAL 302 RC outpatient 191 162 Alignment Medicare HMO 39 39% of all negotiated rates 117 percent of total billed charges 117 191 Rapid Strep A Screen 1 86063 CPT 4000816 LOCAL 302 RC outpatient 191 162 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 76 percent of total billed charges 76 191 Rapid Strep A Screen 1 86063 CPT 4000816 LOCAL 302 RC outpatient 191 162 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 96 percent of total billed charges 96 191 Rapid Strep A Screen 1 86063 CPT 4000816 LOCAL 302 RC outpatient 191 162 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 117 percent of total billed charges 117 191 Rapid Strep A Screen 1 86063 CPT 4000816 LOCAL 302 RC outpatient 191 162 Cigna PPO 68 68% of all negotiated rates 61 percent of total billed charges 61 191 Rapid Strep A Screen 1 86063 CPT 4000816 LOCAL 302 RC outpatient 191 162 Coalition PPO 49 49% of all negotiated rates 97 percent of total billed charges 97 191 Rapid Strep A Screen 1 86063 CPT 4000816 LOCAL 302 RC outpatient 191 162 Coventry PPO 75 75% of all negotiated rates 48 percent of total billed charges 48 191 Rapid Strep A Screen 1 86063 CPT 4000816 LOCAL 302 RC outpatient 191 162 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 38 percent of total billed charges 38 191 Rapid Strep A Screen 1 86063 CPT 4000816 LOCAL 302 RC outpatient 191 162 Humana-Commerical PPO 70 70% of all negotiated rates 57 percent of total billed charges 57 191 Rapid Strep A Screen 1 86063 CPT 4000816 LOCAL 302 RC outpatient 191 162 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 117 percent of total billed charges 117 191 Rapid Strep A Screen 1 86063 CPT 4000816 LOCAL 302 RC outpatient 191 162 Multiplan PPO 80 80% of all negotiated rates 38 percent of total billed charges 38 191 Rapid Strep A Screen 1 86063 CPT 4000816 LOCAL 302 RC outpatient 191 162 One Health PPO 55 55% of all negotiated rates 86 percent of total billed charges 86 191 Rapid Strep A Screen 1 86063 CPT 4000816 LOCAL 302 RC outpatient 191 162 Optum Medicare HMO 39 39% of all negotiated rates 117 percent of total billed charges 117 191 Rapid Strep A Screen 1 86063 CPT 4000816 LOCAL 302 RC outpatient 191 162 P3 HMO 39 39% of all negotiated rates 117 percent of total billed charges 117 191 Rapid Strep A Screen 1 86063 CPT 4000816 LOCAL 302 RC outpatient 191 162 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 57 percent of total billed charges 57 191 Rapid Strep A Screen 1 86063 CPT 4000816 LOCAL 302 RC outpatient 191 162 Select Health HMO 41 41% of all negotiated rates 113 percent of total billed charges 113 191 Rapid Strep A Screen 1 86063 CPT 4000816 LOCAL 302 RC outpatient 191 162 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 127 percent of total billed charges 127 191 Rapid Strep A Screen 1 86063 CPT 4000816 LOCAL 302 RC outpatient 191 162 Sierra/HPN HMO 60 60% of all negotiated rates 76 percent of total billed charges 76 191 Rapid Strep A Screen 1 86063 CPT 4000816 LOCAL 302 RC outpatient 191 162 Silversummit Medicare HMO 39 39% of all negotiated rates 117 percent of total billed charges 117 191 Rapid Strep A Screen 1 86063 CPT 4000816 LOCAL 302 RC outpatient 191 162 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 124 percent of total billed charges 124 191 Rapid Strep A Screen 1 86063 CPT 4000816 LOCAL 302 RC outpatient 191 162 Teachers Trust PPO 65 65% of all negotiated rates 67 percent of total billed charges 67 191 Rapid Strep A Screen 1 86063 CPT 4000816 LOCAL 302 RC outpatient 191 162 TriWest PPO 30 30% of all negotiated rates 134 percent of total billed charges 134 191 Rapid Strep A Screen 1 86063 CPT 4000816 LOCAL 302 RC outpatient 191 162 UHN-Universal Health Network PPO 70 70% of all negotiated rates 57 percent of total billed charges 57 191 Rapid Strep A Screen 1 86063 CPT 4000816 LOCAL 302 RC outpatient 191 162 United Healthcare PPO 60 60% of all negotiated rates 76 percent of total billed charges 76 191 Rapid Strep A Screen 1 86063 CPT 4000816 LOCAL 302 RC outpatient 191 162 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 4 fee schedule 4 182 Coinsurance and deductible may apply Rapid Strep A Screen 1 86063 CPT 4000816 LOCAL 302 RC outpatient 191 162 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 4 fee schedule 4 182 Coinsurance and deductible may apply Rapid Strep A Screen 1 86063 CPT 4000816 LOCAL 302 RC outpatient 191 162 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 4 fee schedule 4 182 Coinsurance and deductible may apply Renal Function Panel 80069 CPT 4000425 LOCAL 301 RC outpatient 383 326 Aetna PPO 38 38% of all negotiated rates 238 percent of total billed charges 238 383 Renal Function Panel 80069 CPT 4000425 LOCAL 301 RC outpatient 383 326 Aetna Medicare HMO 26 26% of all negotiated rates 284 percent of total billed charges 284 383 Renal Function Panel 80069 CPT 4000425 LOCAL 301 RC outpatient 383 326 Alignment Medicare HMO 39 39% of all negotiated rates 234 percent of total billed charges 234 383 Renal Function Panel 80069 CPT 4000425 LOCAL 301 RC outpatient 383 326 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 153 percent of total billed charges 153 383 Renal Function Panel 80069 CPT 4000425 LOCAL 301 RC outpatient 383 326 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 192 percent of total billed charges 192 383 Renal Function Panel 80069 CPT 4000425 LOCAL 301 RC outpatient 383 326 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 234 percent of total billed charges 234 383 Renal Function Panel 80069 CPT 4000425 LOCAL 301 RC outpatient 383 326 Cigna PPO 68 68% of all negotiated rates 123 percent of total billed charges 123 383 Renal Function Panel 80069 CPT 4000425 LOCAL 301 RC outpatient 383 326 Coalition PPO 49 49% of all negotiated rates 195 percent of total billed charges 195 383 Renal Function Panel 80069 CPT 4000425 LOCAL 301 RC outpatient 383 326 Coventry PPO 75 75% of all negotiated rates 96 percent of total billed charges 96 383 Renal Function Panel 80069 CPT 4000425 LOCAL 301 RC outpatient 383 326 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 77 percent of total billed charges 77 383 Renal Function Panel 80069 CPT 4000425 LOCAL 301 RC outpatient 383 326 Humana-Commerical PPO 70 70% of all negotiated rates 115 percent of total billed charges 115 383 Renal Function Panel 80069 CPT 4000425 LOCAL 301 RC outpatient 383 326 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 234 percent of total billed charges 234 383 Renal Function Panel 80069 CPT 4000425 LOCAL 301 RC outpatient 383 326 Multiplan PPO 80 80% of all negotiated rates 77 percent of total billed charges 77 383 Renal Function Panel 80069 CPT 4000425 LOCAL 301 RC outpatient 383 326 One Health PPO 55 55% of all negotiated rates 172 percent of total billed charges 172 383 Renal Function Panel 80069 CPT 4000425 LOCAL 301 RC outpatient 383 326 Optum Medicare HMO 39 39% of all negotiated rates 234 percent of total billed charges 234 383 Renal Function Panel 80069 CPT 4000425 LOCAL 301 RC outpatient 383 326 P3 HMO 39 39% of all negotiated rates 234 percent of total billed charges 234 383 Renal Function Panel 80069 CPT 4000425 LOCAL 301 RC outpatient 383 326 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 115 percent of total billed charges 115 383 Renal Function Panel 80069 CPT 4000425 LOCAL 301 RC outpatient 383 326 Select Health HMO 41 41% of all negotiated rates 226 percent of total billed charges 226 383 Renal Function Panel 80069 CPT 4000425 LOCAL 301 RC outpatient 383 326 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 255 percent of total billed charges 255 383 Renal Function Panel 80069 CPT 4000425 LOCAL 301 RC outpatient 383 326 Sierra/HPN HMO 60 60% of all negotiated rates 153 percent of total billed charges 153 383 Renal Function Panel 80069 CPT 4000425 LOCAL 301 RC outpatient 383 326 Silversummit Medicare HMO 39 39% of all negotiated rates 234 percent of total billed charges 234 383 Renal Function Panel 80069 CPT 4000425 LOCAL 301 RC outpatient 383 326 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 249 percent of total billed charges 249 383 Renal Function Panel 80069 CPT 4000425 LOCAL 301 RC outpatient 383 326 Teachers Trust PPO 65 65% of all negotiated rates 134 percent of total billed charges 134 383 Renal Function Panel 80069 CPT 4000425 LOCAL 301 RC outpatient 383 326 TriWest PPO 30 30% of all negotiated rates 268 percent of total billed charges 268 383 Renal Function Panel 80069 CPT 4000425 LOCAL 301 RC outpatient 383 326 UHN-Universal Health Network PPO 70 70% of all negotiated rates 115 percent of total billed charges 115 383 Renal Function Panel 80069 CPT 4000425 LOCAL 301 RC outpatient 383 326 United Healthcare PPO 60 60% of all negotiated rates 153 percent of total billed charges 153 383 Renal Function Panel 80069 CPT 4000425 LOCAL 301 RC outpatient 383 326 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 6 fee schedule 6 365 Coinsurance and deductible may apply Renal Function Panel 80069 CPT 4000425 LOCAL 301 RC outpatient 383 326 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 6 fee schedule 6 365 Coinsurance and deductible may apply Renal Function Panel 80069 CPT 4000425 LOCAL 301 RC outpatient 383 326 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 6 fee schedule 6 365 Coinsurance and deductible may apply ROOM/BED: Gero P-Single 3070010 LOCAL 114 RC Inpatient 2671 2271 Aetna PPO 1050 per diem 1050 per diem 1050 2544 Coinsurance and deductible may apply ROOM/BED: Gero P-Single 3070010 LOCAL 114 RC Inpatient 2671 2271 Aetna Medicare HMO 1871 per diem 1871 per diem 1871 2544 Coinsurance and deductible may apply ROOM/BED: Gero P-Single 3070010 LOCAL 114 RC Inpatient 2671 2271 Multiplan PPO 950 per diem 950 per diem 950 2544 Coinsurance and deductible may apply ROOM/BED: Gero P-Single 3070010 LOCAL 114 RC Inpatient 2671 2271 One Health HMO 1084 per diem 1084 per diem 1084 2544 Coinsurance and deductible may apply ROOM/BED: Gero P-Single 3070010 LOCAL 114 RC Inpatient 2671 2271 Sierra Healthcare Options PPO 1716 per diem 950 per diem 950 2544 Coinsurance and deductible may apply ROOM/BED: Gero Semi Private 3070020 LOCAL 124 RC Inpatient 2539 2158 Aetna PPO 1050 per diem 1050 per diem 1050 2418 Coinsurance and deductible may apply ROOM/BED: Gero Semi Private 3070020 LOCAL 124 RC Inpatient 2539 2158 Aetna Medicare HMO 1871 per diem 1871 per diem 1871 2418 Coinsurance and deductible may apply ROOM/BED: Gero Semi Private 3070020 LOCAL 124 RC Inpatient 2539 2158 Multiplan PPO 950 per diem 950 per diem 950 2418 Coinsurance and deductible may apply ROOM/BED: Gero Semi Private 3070020 LOCAL 124 RC Inpatient 2539 2158 One Health HMO 1084 per diem 1084 per diem 1084 2418 Coinsurance and deductible may apply ROOM/BED: Gero Semi Private 3070020 LOCAL 124 RC Inpatient 2539 2158 Sierra Healthcare Options PPO 1716 per diem 950 per diem 950 2418 Coinsurance and deductible may apply ROOM/BED: LTC Hospice P-Single 3050080 LOCAL 115 RC Inpatient 341 290 Aetna PPO 350 per diem 350 per diem 350 325 Coinsurance and deductible may apply ROOM/BED: LTC Hospice P-Single 3050080 LOCAL 115 RC Inpatient 341 290 Aetna Medicare HMO 350 per diem 350 per diem 350 325 Coinsurance and deductible may apply ROOM/BED: LTC Hospice P-Single 3050080 LOCAL 115 RC Inpatient 341 290 Anthem Medicaid HMO 250 per diem 250 per diem 250 325 Coinsurance and deductible may apply ROOM/BED: LTC Hospice P-Single 3050080 LOCAL 115 RC Inpatient 341 290 Cigna PPO 837 per diem 837 per diem 837 325 Coinsurance and deductible may apply ROOM/BED: LTC Hospice P-Single 3050080 LOCAL 115 RC Inpatient 341 290 Coalition PPO 950 per diem 779 per diem 779 325 Coinsurance and deductible may apply ROOM/BED: LTC Hospice P-Single 3050080 LOCAL 115 RC Inpatient 341 290 Great West Healthcare (Mediversal) PPO 709 per diem 709 per diem 709 325 Coinsurance and deductible may apply ROOM/BED: LTC Hospice P-Single 3050080 LOCAL 115 RC Inpatient 341 290 HPN Medicaid HMO 250 per diem 250 per diem 250 325 Coinsurance and deductible may apply ROOM/BED: LTC Hospice P-Single 3050080 LOCAL 115 RC Inpatient 341 290 Molina Medicaid HMO 250 per diem 250 per diem 250 325 Coinsurance and deductible may apply ROOM/BED: LTC Hospice P-Single 3050080 LOCAL 115 RC Inpatient 341 290 Multiplan PPO 809 per diem 809 per diem 809 325 Coinsurance and deductible may apply ROOM/BED: LTC Hospice P-Single 3050080 LOCAL 115 RC Inpatient 341 290 One Health PPO 1681 per diem 1681 per diem 1681 325 Coinsurance and deductible may apply ROOM/BED: LTC Hospice P-Single 3050080 LOCAL 115 RC Inpatient 341 290 Saint Mary's Health Plan PPO 429 per diem 429 per diem 429 325 Coinsurance and deductible may apply ROOM/BED: LTC Hospice P-Single 3050080 LOCAL 115 RC Inpatient 341 290 Teachers Trust PPO 779 per diem 779 per diem 779 325 Coinsurance and deductible may apply ROOM/BED: LTC Hospice P-Single 3050080 LOCAL 115 RC Inpatient 341 290 UHN-Universal Health Network PPO 684 per diem 684 per diem 684 325 Coinsurance and deductible may apply ROOM/BED: LTC Hospice P-Single 3050080 LOCAL 115 RC Inpatient 358 305 Anthem Blue Cross Blue Shield Indeminity PPO 600 per diem 600 per diem 600 325 Coinsurance and deductible may apply ROOM/BED: LTC Hospice P-Single 3050080 LOCAL 115 RC Inpatient 358 305 Anthem Blue Cross Blue Shield Pathway X HMO 630 per diem 630 per diem 163 325 Coinsurance and deductible may apply ROOM/BED: LTC Hospice P-Single 3050080 LOCAL 115 RC Inpatient 358 305 Coventry PPO 315 per diem 315 per diem 315 325 "315 per day or 25% form billed charges, whichever is the lesser pymnt" ROOM/BED: LTC Hospice Semi-Private 3050085 LOCAL 125 RC Inpatient 336 286 Aetna PPO 350 per diem 350 per diem 350 320 Coinsurance and deductible may apply ROOM/BED: LTC Hospice Semi-Private 3050085 LOCAL 125 RC Inpatient 336 286 Aetna Medicare HMO 350 per diem 350 per diem 350 320 Coinsurance and deductible may apply ROOM/BED: LTC Hospice Semi-Private 3050085 LOCAL 125 RC Inpatient 336 286 Anthem Medicaid HMO 250 per diem 250 per diem 250 320 Coinsurance and deductible may apply ROOM/BED: LTC Hospice Semi-Private 3050085 LOCAL 125 RC Inpatient 336 286 Cigna PPO 837 per diem 837 per diem 837 320 Coinsurance and deductible may apply ROOM/BED: LTC Hospice Semi-Private 3050085 LOCAL 125 RC Inpatient 336 286 Coalition PPO 950 per diem 779 per diem 779 320 Coinsurance and deductible may apply ROOM/BED: LTC Hospice Semi-Private 3050085 LOCAL 125 RC Inpatient 336 286 Great West Healthcare (Mediversal) PPO 709 per diem 709 per diem 709 320 Coinsurance and deductible may apply ROOM/BED: LTC Hospice Semi-Private 3050085 LOCAL 125 RC Inpatient 336 286 HPN Medicaid HMO 250 per diem 250 per diem 250 320 Coinsurance and deductible may apply ROOM/BED: LTC Hospice Semi-Private 3050085 LOCAL 125 RC Inpatient 336 286 Molina Medicaid HMO 250 per diem 250 per diem 250 320 Coinsurance and deductible may apply ROOM/BED: LTC Hospice Semi-Private 3050085 LOCAL 125 RC Inpatient 336 286 Multiplan PPO 809 per diem 809 per diem 809 320 Coinsurance and deductible may apply ROOM/BED: LTC Hospice Semi-Private 3050085 LOCAL 125 RC Inpatient 336 286 One Health PPO 1681 per diem 1681 per diem 1681 320 Coinsurance and deductible may apply ROOM/BED: LTC Hospice Semi-Private 3050085 LOCAL 125 RC Inpatient 336 286 Saint Mary's Health Plan PPO 429 per diem 429 per diem 429 320 Coinsurance and deductible may apply ROOM/BED: LTC Hospice Semi-Private 3050085 LOCAL 125 RC Inpatient 336 286 Teachers Trust PPO 779 per diem 779 per diem 779 320 Coinsurance and deductible may apply ROOM/BED: LTC Hospice Semi-Private 3050085 LOCAL 125 RC Inpatient 336 286 UHN-Universal Health Network PPO 684 per diem 684 per diem 684 320 Coinsurance and deductible may apply ROOM/BED: LTC Hospice Semi-Private 3050085 LOCAL 125 RC Inpatient 353 300 Anthem Blue Cross Blue Shield Indeminity PPO 600 per diem 600 per diem 600 320 Coinsurance and deductible may apply ROOM/BED: LTC Hospice Semi-Private 3050085 LOCAL 125 RC Inpatient 353 300 Anthem Blue Cross Blue Shield Pathway X HMO 630 per diem 630 per diem 160 320 Coinsurance and deductible may apply ROOM/BED: LTC Hospice Semi-Private 3050085 LOCAL 125 RC Inpatient 353 300 Coventry PPO 315 per diem 315 per diem 315 320 "315 per day or 25% form billed charges, whichever is the lesser pymnt" ROOM/BED: LTC Isolation P-Single 3050065 LOCAL 164 RC Inpatient 425 361 Aetna PPO 350 per diem 350 per diem 350 405 Coinsurance and deductible may apply ROOM/BED: LTC Isolation P-Single 3050065 LOCAL 164 RC Inpatient 425 361 Aetna Medicare HMO 350 per diem 350 per diem 350 405 Coinsurance and deductible may apply ROOM/BED: LTC Isolation P-Single 3050065 LOCAL 164 RC Inpatient 425 361 Anthem Medicaid HMO 250 per diem 250 per diem 250 405 Coinsurance and deductible may apply ROOM/BED: LTC Isolation P-Single 3050065 LOCAL 164 RC Inpatient 425 361 Cigna PPO 837 per diem 837 per diem 837 405 Coinsurance and deductible may apply ROOM/BED: LTC Isolation P-Single 3050065 LOCAL 164 RC Inpatient 425 361 Coalition PPO 950 per diem 779 per diem 779 405 Coinsurance and deductible may apply ROOM/BED: LTC Isolation P-Single 3050065 LOCAL 164 RC Inpatient 425 361 Great West Healthcare (Mediversal) PPO 709 per diem 709 per diem 709 405 Coinsurance and deductible may apply ROOM/BED: LTC Isolation P-Single 3050065 LOCAL 164 RC Inpatient 425 361 HPN Medicaid HMO 250 per diem 250 per diem 250 405 Coinsurance and deductible may apply ROOM/BED: LTC Isolation P-Single 3050065 LOCAL 164 RC Inpatient 425 361 Molina Medicaid HMO 250 per diem 250 per diem 250 405 Coinsurance and deductible may apply ROOM/BED: LTC Isolation P-Single 3050065 LOCAL 164 RC Inpatient 425 361 Multiplan PPO 809 per diem 809 per diem 809 405 Coinsurance and deductible may apply ROOM/BED: LTC Isolation P-Single 3050065 LOCAL 164 RC Inpatient 425 361 One Health PPO 1681 per diem 1681 per diem 1681 405 Coinsurance and deductible may apply ROOM/BED: LTC Isolation P-Single 3050065 LOCAL 164 RC Inpatient 425 361 Saint Mary's Health Plan PPO 429 per diem 429 per diem 429 405 Coinsurance and deductible may apply ROOM/BED: LTC Isolation P-Single 3050065 LOCAL 164 RC Inpatient 425 361 Teachers Trust PPO 779 per diem 779 per diem 779 405 Coinsurance and deductible may apply ROOM/BED: LTC Isolation P-Single 3050065 LOCAL 164 RC Inpatient 425 361 UHN-Universal Health Network PPO 684 per diem 684 per diem 684 405 Coinsurance and deductible may apply ROOM/BED: LTC Isolation P-Single 3050065 LOCAL 164 RC Inpatient 425 361 United Healthcare PPO 1200 per diem 1681 per diem 1681 405 Coinsurance and deductible may apply ROOM/BED: LTC Isolation P-Single 3050065 LOCAL 164 RC Inpatient 447 380 Anthem Blue Cross Blue Shield Indeminity PPO 600 per diem 600 per diem 600 405 Coinsurance and deductible may apply ROOM/BED: LTC Isolation P-Single 3050065 LOCAL 164 RC Inpatient 447 380 Anthem Blue Cross Blue Shield Pathway X HMO 630 per diem 630 per diem 203 405 Coinsurance and deductible may apply ROOM/BED: LTC Isolation P-Single 3050065 LOCAL 164 RC Inpatient 447 380 Coventry PPO 315 per diem 315 per diem 315 405 "315 per day or 25% form billed charges, whichever is the lesser pymnt" ROOM/BED: LTC P-Single 3050022 LOCAL 110 RC Inpatient 399 339 Aetna PPO 350 per diem 350 per diem 350 380 Coinsurance and deductible may apply ROOM/BED: LTC P-Single 3050022 LOCAL 110 RC Inpatient 399 339 Aetna Medicare HMO 350 per diem 350 per diem 350 380 Coinsurance and deductible may apply ROOM/BED: LTC P-Single 3050022 LOCAL 110 RC Inpatient 399 339 Anthem Medicaid HMO 250 per diem 1200 per diem 1200 380 Coinsurance and deductible may apply ROOM/BED: LTC P-Single 3050022 LOCAL 110 RC Inpatient 399 339 Cigna PPO 837 per diem 837 per diem 837 380 Coinsurance and deductible may apply ROOM/BED: LTC P-Single 3050022 LOCAL 110 RC Inpatient 399 339 Coalition PPO 950 per diem 779 per diem 779 380 Coinsurance and deductible may apply ROOM/BED: LTC P-Single 3050022 LOCAL 110 RC Inpatient 399 339 Great West Healthcare (Mediversal) PPO 709 per diem 709 per diem 709 380 Coinsurance and deductible may apply ROOM/BED: LTC P-Single 3050022 LOCAL 110 RC Inpatient 399 339 HPN Medicaid HMO 250 per diem 1200 per diem 1200 380 Coinsurance and deductible may apply ROOM/BED: LTC P-Single 3050022 LOCAL 110 RC Inpatient 399 339 Molina Medicaid HMO 250 per diem 249 per diem 249 287 Coinsurance and deductible may apply ROOM/BED: LTC P-Single 3050022 LOCAL 110 RC Inpatient 399 339 Multiplan PPO 809 per diem 809 per diem 809 380 Coinsurance and deductible may apply ROOM/BED: LTC P-Single 3050022 LOCAL 110 RC Inpatient 399 339 One Health PPO 1681 per diem 1681 per diem 1681 380 Coinsurance and deductible may apply ROOM/BED: LTC P-Single 3050022 LOCAL 110 RC Inpatient 399 339 Saint Mary's Health Plan PPO 429 per diem 429 per diem 429 380 Coinsurance and deductible may apply ROOM/BED: LTC P-Single 3050022 LOCAL 110 RC Inpatient 399 339 Teachers Trust PPO 779 per diem 779 per diem 779 380 Coinsurance and deductible may apply ROOM/BED: LTC P-Single 3050022 LOCAL 110 RC Inpatient 399 339 UHN-Universal Health Network PPO 684 per diem 684 per diem 684 380 Coinsurance and deductible may apply ROOM/BED: LTC P-Single 3050022 LOCAL 110 RC Inpatient 2940 2499 United Healthcare PPO 1681 per diem 1681 per diem 1681 380 Coinsurance and deductible may apply ROOM/BED: LTC P-Single 3050022 LOCAL 110 RC Inpatient 419 356 Anthem Blue Cross Blue Shield Indeminity PPO 600 per diem 600 per diem 600 380 Coinsurance and deductible may apply ROOM/BED: LTC P-Single 3050022 LOCAL 110 RC Inpatient 419 356 Anthem Blue Cross Blue Shield Pathway X HMO 630 per diem 630 per diem 190 380 Coinsurance and deductible may apply ROOM/BED: LTC P-Single 3050022 LOCAL 110 RC Inpatient 419 356 Coventry PPO 315 per diem 315 per diem 315 380 "315 per day or 25% form billed charges, whichever is the lesser pymnt" ROOM/BED: LTC Respite P-Semi Private 3050070 LOCAL 125 RC Inpatient 258 220 Aetna Medicare HMO 350 per diem 350 per diem 350 246 Coinsurance and deductible may apply ROOM/BED: LTC Respite P-Semi Private 3050070 LOCAL 125 RC Inpatient 258 220 Great West Healthcare (Mediversal) PPO 709 per diem 709 per diem 709 246 Coinsurance and deductible may apply ROOM/BED: LTC Respite P-Semi Private 3050070 LOCAL 125 RC Inpatient 271 231 Anthem Blue Cross Blue Shield Indeminity PPO 600 per diem 600 per diem 600 246 Coinsurance and deductible may apply ROOM/BED: LTC Respite P-Semi Private 3050070 LOCAL 125 RC Inpatient 271 231 Anthem Blue Cross Blue Shield Pathway X HMO 630 per diem 630 per diem 123 246 Coinsurance and deductible may apply ROOM/BED: LTC Respite P-Semi Private 3050070 LOCAL 125 RC Inpatient 271 231 Coventry PPO 315 per diem 315 per diem 315 246 "315 per day or 25% form billed charges, whichever is the lesser pymnt" ROOM/BED: LTC Respite P-Single 3050050 LOCAL 115 RC Inpatient 276 235 Aetna PPO 350 per diem 350 per diem 350 263 Coinsurance and deductible may apply ROOM/BED: LTC Respite P-Single 3050050 LOCAL 115 RC Inpatient 276 235 Aetna Medicare HMO 350 per diem 350 per diem 350 263 Coinsurance and deductible may apply ROOM/BED: LTC Respite P-Single 3050050 LOCAL 115 RC Inpatient 276 235 Anthem Medicaid HMO 250 per diem 250 per diem 250 263 Coinsurance and deductible may apply ROOM/BED: LTC Respite P-Single 3050050 LOCAL 115 RC Inpatient 276 235 Cigna PPO 837 per diem 837 per diem 837 263 Coinsurance and deductible may apply ROOM/BED: LTC Respite P-Single 3050050 LOCAL 115 RC Inpatient 276 235 Coalition PPO 950 per diem 779 per diem 779 263 Coinsurance and deductible may apply ROOM/BED: LTC Respite P-Single 3050050 LOCAL 115 RC Inpatient 276 235 Great West Healthcare (Mediversal) PPO 709 per diem 709 per diem 709 263 Coinsurance and deductible may apply ROOM/BED: LTC Respite P-Single 3050050 LOCAL 115 RC Inpatient 276 235 HPN Medicaid HMO 250 per diem 250 per diem 250 263 Coinsurance and deductible may apply ROOM/BED: LTC Respite P-Single 3050050 LOCAL 115 RC Inpatient 276 235 Molina Medicaid HMO 250 per diem 250 per diem 250 263 Coinsurance and deductible may apply ROOM/BED: LTC Respite P-Single 3050050 LOCAL 115 RC Inpatient 276 235 Multiplan PPO 809 per diem 809 per diem 809 263 Coinsurance and deductible may apply ROOM/BED: LTC Respite P-Single 3050050 LOCAL 115 RC Inpatient 276 235 Saint Mary's Health Plan PPO 429 per diem 429 per diem 429 263 Coinsurance and deductible may apply ROOM/BED: LTC Respite P-Single 3050050 LOCAL 115 RC Inpatient 276 235 Teachers Trust PPO 779 per diem 779 per diem 779 263 Coinsurance and deductible may apply ROOM/BED: LTC Respite P-Single 3050050 LOCAL 115 RC Inpatient 276 235 UHN-Universal Health Network PPO 684 per diem 684 per diem 684 263 Coinsurance and deductible may apply ROOM/BED: LTC Respite P-Single 3050050 LOCAL 115 RC Inpatient 290 246 Anthem Blue Cross Blue Shield Indeminity PPO 600 per diem 600 per diem 600 263 Coinsurance and deductible may apply ROOM/BED: LTC Respite P-Single 3050050 LOCAL 115 RC Inpatient 290 246 Anthem Blue Cross Blue Shield Pathway X HMO 630 per diem 630 per diem 132 263 Coinsurance and deductible may apply ROOM/BED: LTC Respite P-Single 3050050 LOCAL 115 RC Inpatient 290 246 Coventry PPO 315 per diem 315 per diem 315 263 "315 per day or 25% form billed charges, whichever is the lesser pymnt" ROOM/BED: LTC Respite Semi-Private 3050055 LOCAL 120 RC Inpatient 258 220 Aetna PPO 350 per diem 350 per diem 350 246 Coinsurance and deductible may apply ROOM/BED: LTC Respite Semi-Private 3050055 LOCAL 120 RC Inpatient 258 220 Aetna Medicare HMO 350 per diem 350 per diem 350 246 Coinsurance and deductible may apply ROOM/BED: LTC Respite Semi-Private 3050055 LOCAL 120 RC Inpatient 258 220 Anthem Medicaid HMO 250 per diem 250 per diem 250 246 Coinsurance and deductible may apply ROOM/BED: LTC Respite Semi-Private 3050055 LOCAL 120 RC Inpatient 258 220 Cigna PPO 837 per diem 837 per diem 837 246 Coinsurance and deductible may apply ROOM/BED: LTC Respite Semi-Private 3050055 LOCAL 120 RC Inpatient 258 220 Coalition PPO 950 per diem 779 per diem 779 246 Coinsurance and deductible may apply ROOM/BED: LTC Respite Semi-Private 3050055 LOCAL 120 RC Inpatient 258 220 Great West Healthcare (Mediversal) PPO 709 per diem 709 per diem 709 246 Coinsurance and deductible may apply ROOM/BED: LTC Respite Semi-Private 3050055 LOCAL 120 RC Inpatient 258 220 HPN Medicaid HMO 250 per diem 1538 per diem 1538 246 Coinsurance and deductible may apply ROOM/BED: LTC Respite Semi-Private 3050055 LOCAL 120 RC Inpatient 258 220 Molina Medicaid HMO 250 per diem 250 per diem 250 246 Coinsurance and deductible may apply ROOM/BED: LTC Respite Semi-Private 3050055 LOCAL 120 RC Inpatient 258 220 Multiplan PPO 809 per diem 809 per diem 809 246 Coinsurance and deductible may apply ROOM/BED: LTC Respite Semi-Private 3050055 LOCAL 120 RC Inpatient 258 220 Saint Mary's Health Plan PPO 429 per diem 429 per diem 429 246 Coinsurance and deductible may apply ROOM/BED: LTC Respite Semi-Private 3050055 LOCAL 120 RC Inpatient 258 220 Teachers Trust PPO 779 per diem 779 per diem 779 246 Coinsurance and deductible may apply ROOM/BED: LTC Respite Semi-Private 3050055 LOCAL 120 RC Inpatient 258 220 UHN-Universal Health Network PPO 684 per diem 684 per diem 684 246 Coinsurance and deductible may apply ROOM/BED: LTC Respite Semi-Private 3050055 LOCAL 120 RC Inpatient 271 231 Anthem Blue Cross Blue Shield Indeminity PPO 600 per diem 600 per diem 600 246 Coinsurance and deductible may apply ROOM/BED: LTC Respite Semi-Private 3050055 LOCAL 120 RC Inpatient 271 231 Anthem Blue Cross Blue Shield Pathway X HMO 630 per diem 630 per diem 123 246 Coinsurance and deductible may apply ROOM/BED: LTC Respite Semi-Private 3050055 LOCAL 120 RC Inpatient 271 231 Coventry PPO 315 per diem 315 per diem 315 246 "315 per day or 25% form billed charges, whichever is the lesser pymnt" ROOM/BED: LTC Semi-Private 3050025 LOCAL 120 RC Inpatient 394 335 Aetna PPO 350 per diem 350 per diem 350 375 Coinsurance and deductible may apply ROOM/BED: LTC Semi-Private 3050025 LOCAL 120 RC Inpatient 394 335 Aetna Medicare HMO 350 per diem 350 per diem 350 375 Coinsurance and deductible may apply ROOM/BED: LTC Semi-Private 3050025 LOCAL 120 RC Inpatient 394 335 Anthem Medicaid HMO 250 per diem 250 per diem 250 375 Coinsurance and deductible may apply ROOM/BED: LTC Semi-Private 3050025 LOCAL 120 RC Inpatient 394 335 Cigna PPO 837 per diem 837 per diem 837 375 Coinsurance and deductible may apply ROOM/BED: LTC Semi-Private 3050025 LOCAL 120 RC Inpatient 394 335 Coalition PPO 950 per diem 779 per diem 779 375 Coinsurance and deductible may apply ROOM/BED: LTC Semi-Private 3050025 LOCAL 120 RC Inpatient 394 335 Great West Healthcare (Mediversal) PPO 709 per diem 709 per diem 709 375 Coinsurance and deductible may apply ROOM/BED: LTC Semi-Private 3050025 LOCAL 120 RC Inpatient 394 335 HPN Medicaid HMO 250 per diem 1538 per diem 1538 375 Coinsurance and deductible may apply ROOM/BED: LTC Semi-Private 3050025 LOCAL 120 RC Inpatient 394 335 Molina Medicaid HMO 250 per diem 250 per diem 250 375 Coinsurance and deductible may apply ROOM/BED: LTC Semi-Private 3050025 LOCAL 120 RC Inpatient 394 335 Multiplan PPO 809 per diem 809 per diem 809 375 Coinsurance and deductible may apply ROOM/BED: LTC Semi-Private 3050025 LOCAL 120 RC Inpatient 394 335 One Health PPO 1681 per diem 1681 per diem 1681 375 Coinsurance and deductible may apply ROOM/BED: LTC Semi-Private 3050025 LOCAL 120 RC Inpatient 394 335 Saint Mary's Health Plan PPO 429 per diem 429 per diem 429 375 Coinsurance and deductible may apply ROOM/BED: LTC Semi-Private 3050025 LOCAL 120 RC Inpatient 394 335 Teachers Trust PPO 779 per diem 779 per diem 779 375 Coinsurance and deductible may apply ROOM/BED: LTC Semi-Private 3050025 LOCAL 120 RC Inpatient 394 335 UHN-Universal Health Network PPO 684 per diem 684 per diem 684 375 Coinsurance and deductible may apply ROOM/BED: LTC Semi-Private 3050025 LOCAL 120 RC Inpatient 394 335 United Healthcare PPO 1200 per diem 1681 per diem 1681 375 Coinsurance and deductible may apply ROOM/BED: LTC Semi-Private 3050025 LOCAL 120 RC Inpatient 413 351 Anthem Blue Cross Blue Shield Indeminity PPO 600 per diem 600 per diem 600 375 Coinsurance and deductible may apply ROOM/BED: LTC Semi-Private 3050025 LOCAL 120 RC Inpatient 413 351 Anthem Blue Cross Blue Shield Pathway X HMO 630 per diem 630 per diem 188 375 Coinsurance and deductible may apply ROOM/BED: LTC Semi-Private 3050025 LOCAL 120 RC Inpatient 413 351 Coventry PPO 315 per diem 315 per diem 315 375 "315 per day or 25% form billed charges, whichever is the lesser pymnt" ROOM/BED: LTC Skilled P-Single 3050040 LOCAL 110 RC Inpatient 347 295 Aetna PPO 350 per diem 350 per diem 350 330 Coinsurance and deductible may apply ROOM/BED: LTC Skilled P-Single 3050040 LOCAL 110 RC Inpatient 347 295 Aetna Medicare HMO 350 per diem 350 per diem 350 330 Coinsurance and deductible may apply ROOM/BED: LTC Skilled P-Single 3050040 LOCAL 110 RC Inpatient 347 295 Anthem Medicaid HMO 250 per diem 1200 per diem 1200 330 Coinsurance and deductible may apply ROOM/BED: LTC Skilled P-Single 3050040 LOCAL 110 RC Inpatient 347 295 Cigna PPO 837 per diem 837 per diem 837 330 Coinsurance and deductible may apply ROOM/BED: LTC Skilled P-Single 3050040 LOCAL 110 RC Inpatient 347 295 Coalition PPO 950 per diem 779 per diem 779 330 Coinsurance and deductible may apply ROOM/BED: LTC Skilled P-Single 3050040 LOCAL 110 RC Inpatient 347 295 Great West Healthcare (Mediversal) PPO 709 per diem 709 per diem 709 330 Coinsurance and deductible may apply ROOM/BED: LTC Skilled P-Single 3050040 LOCAL 110 RC Inpatient 347 295 HPN Medicaid HMO 250 per diem 1200 per diem 1200 330 Coinsurance and deductible may apply ROOM/BED: LTC Skilled P-Single 3050040 LOCAL 110 RC Inpatient 347 295 Molina Medicaid HMO 250 per diem 1200 per diem 1200 330 Coinsurance and deductible may apply ROOM/BED: LTC Skilled P-Single 3050040 LOCAL 110 RC Inpatient 347 295 Multiplan PPO 809 per diem 809 per diem 809 330 Coinsurance and deductible may apply ROOM/BED: LTC Skilled P-Single 3050040 LOCAL 110 RC Inpatient 347 295 One Health PPO 1681 per diem 1681 per diem 1681 330 Coinsurance and deductible may apply ROOM/BED: LTC Skilled P-Single 3050040 LOCAL 110 RC Inpatient 347 295 Saint Mary's Health Plan PPO 429 per diem 429 per diem 429 330 Coinsurance and deductible may apply ROOM/BED: LTC Skilled P-Single 3050040 LOCAL 110 RC Inpatient 347 295 Teachers Trust PPO 779 per diem 779 per diem 779 330 Coinsurance and deductible may apply ROOM/BED: LTC Skilled P-Single 3050040 LOCAL 110 RC Inpatient 347 295 UHN-Universal Health Network PPO 684 per diem 684 per diem 684 330 Coinsurance and deductible may apply ROOM/BED: LTC Skilled P-Single 3050040 LOCAL 110 RC Inpatient 347 295 United Healthcare PPO 1681 per diem 1681 per diem 1681 330 Coinsurance and deductible may apply ROOM/BED: LTC Skilled P-Single 3050040 LOCAL 110 RC Inpatient 364 309 Anthem Blue Cross Blue Shield Indeminity PPO 600 per diem 600 per diem 600 330 Coinsurance and deductible may apply ROOM/BED: LTC Skilled P-Single 3050040 LOCAL 110 RC Inpatient 364 309 Anthem Blue Cross Blue Shield Pathway X HMO 630 per diem 630 per diem 165 330 Coinsurance and deductible may apply ROOM/BED: LTC Skilled P-Single 3050040 LOCAL 110 RC Inpatient 364 309 Coventry PPO 315 per diem 3115 per diem 3115 330 "315 per day or 25% form billed charges, whichever is the lesser pymnt" ROOM/BED: LTC Skilled Semi Private 3050043 LOCAL 120 RC Inpatient 323 275 Aetna PPO 350 per diem 350 per diem 350 308 Coinsurance and deductible may apply ROOM/BED: LTC Skilled Semi Private 3050043 LOCAL 120 RC Inpatient 323 275 Aetna Medicare HMO 350 per diem 350 per diem 350 308 Coinsurance and deductible may apply ROOM/BED: LTC Skilled Semi Private 3050043 LOCAL 120 RC Inpatient 323 275 Anthem Medicaid HMO 250 per diem 250 per diem 250 308 Coinsurance and deductible may apply ROOM/BED: LTC Skilled Semi Private 3050043 LOCAL 120 RC Inpatient 323 275 Cigna PPO 837 per diem 837 per diem 837 308 Coinsurance and deductible may apply ROOM/BED: LTC Skilled Semi Private 3050043 LOCAL 120 RC Inpatient 323 275 Coalition PPO 950 per diem 779 per diem 779 308 Coinsurance and deductible may apply ROOM/BED: LTC Skilled Semi Private 3050043 LOCAL 120 RC Inpatient 323 275 Great West Healthcare (Mediversal) PPO 709 per diem 709 per diem 709 308 Coinsurance and deductible may apply ROOM/BED: LTC Skilled Semi Private 3050043 LOCAL 120 RC Inpatient 323 275 HPN Medicaid HMO 250 per diem 250 per diem 250 308 Coinsurance and deductible may apply ROOM/BED: LTC Skilled Semi Private 3050043 LOCAL 120 RC Inpatient 323 275 Molina Medicaid HMO 250 per diem 250 per diem 250 308 Coinsurance and deductible may apply ROOM/BED: LTC Skilled Semi Private 3050043 LOCAL 120 RC Inpatient 323 275 Multiplan PPO 809 per diem 809 per diem 809 308 Coinsurance and deductible may apply ROOM/BED: LTC Skilled Semi Private 3050043 LOCAL 120 RC Inpatient 323 275 One Health PPO 1681 per diem 1681 per diem 1681 308 Coinsurance and deductible may apply ROOM/BED: LTC Skilled Semi Private 3050043 LOCAL 120 RC Inpatient 323 275 Saint Mary's Health Plan PPO 429 per diem 429 per diem 429 308 Coinsurance and deductible may apply ROOM/BED: LTC Skilled Semi Private 3050043 LOCAL 120 RC Inpatient 323 275 Teachers Trust PPO 779 per diem 779 per diem 779 308 Coinsurance and deductible may apply ROOM/BED: LTC Skilled Semi Private 3050043 LOCAL 120 RC Inpatient 323 275 UHN-Universal Health Network PPO 684 per diem 684 per diem 684 308 Coinsurance and deductible may apply ROOM/BED: LTC Skilled Semi Private 3050043 LOCAL 120 RC Inpatient 323 275 United Healthcare PPO 1200 per diem 1681 per diem 1681 308 Coinsurance and deductible may apply ROOM/BED: LTC Skilled Semi Private 3050043 LOCAL 120 RC Inpatient 340 289 Anthem Blue Cross Blue Shield Indeminity PPO 600 per diem 600 per diem 600 308 Coinsurance and deductible may apply ROOM/BED: LTC Skilled Semi Private 3050043 LOCAL 120 RC Inpatient 340 289 Anthem Blue Cross Blue Shield Pathway X HMO 630 per diem 630 per diem 154 308 Coinsurance and deductible may apply ROOM/BED: LTC Skilled Semi Private 3050043 LOCAL 120 RC Inpatient 340 289 Coventry PPO 315 per diem 315 per diem 315 308 "315 per day or 25% form billed charges, whichever is the lesser pymnt" ROOM/BED: MST Camera Room 3020090 LOCAL 110 RC Inpatient 3205 2724 Aetna PPO 2500 per diem 2500 per diem 2500 3052 Coinsurance and deductible may apply ROOM/BED: MST Camera Room 3020090 LOCAL 110 RC Inpatient 3205 2724 Aetna Medicare HMO 1871 per diem 1871 per diem 1871 3052 Coinsurance and deductible may apply ROOM/BED: MST Camera Room 3020090 LOCAL 110 RC Inpatient 3205 2724 Anthem Medicaid HMO 1538 per diem 1538 per diem 1538 3052 Coinsurance and deductible may apply ROOM/BED: MST Camera Room 3020090 LOCAL 110 RC Inpatient 3205 2724 Cigna PPO 2631 per diem 2631 per diem 2631 3052 Coinsurance and deductible may apply ROOM/BED: MST Camera Room 3020090 LOCAL 110 RC Inpatient 3205 2724 Coalition PPO 2910 per diem 3096 per diem 3096 3052 Coinsurance and deductible may apply ROOM/BED: MST Camera Room 3020090 LOCAL 110 RC Inpatient 3205 2724 Great West Healthcare (Mediversal) PPO 2178 per diem 2178 per diem 2178 3052 Coinsurance and deductible may apply ROOM/BED: MST Camera Room 3020090 LOCAL 110 RC Inpatient 3205 2724 HPN Medicaid HMO 1538 per diem 2800 per diem 2800 3052 Coinsurance and deductible may apply ROOM/BED: MST Camera Room 3020090 LOCAL 110 RC Inpatient 3205 2724 Humana-Commerical PPO 1850 per diem 1850 per diem 1850 3052 Coinsurance and deductible may apply ROOM/BED: MST Camera Room 3020090 LOCAL 110 RC Inpatient 3205 2724 Humana-Medicare Advantage HMO 5109 per diem 5109 per diem 5109 3052 Coinsurance and deductible may apply ROOM/BED: MST Camera Room 3020090 LOCAL 110 RC Inpatient 3205 2724 Molina Medicaid HMO 1538 per diem 1538 per diem 1538 3052 Coinsurance and deductible may apply ROOM/BED: MST Camera Room 3020090 LOCAL 110 RC Inpatient 3205 2724 Multiplan PPO 3435 per diem 3435 per diem 3435 3052 Coinsurance and deductible may apply ROOM/BED: MST Camera Room 3020090 LOCAL 110 RC Inpatient 3205 2724 One Health PPO 2747 per diem 2747 per diem 2747 3052 Coinsurance and deductible may apply ROOM/BED: MST Camera Room 3020090 LOCAL 110 RC Inpatient 3205 2724 P3 HMO 5109 per diem 5109 per diem 5109 3052 Coinsurance and deductible may apply ROOM/BED: MST Camera Room 3020090 LOCAL 110 RC Inpatient 3205 2724 Saint Mary's Health Plan PPO 1472 per diem 1472 per diem 1472 3052 Coinsurance and deductible may apply ROOM/BED: MST Camera Room 3020090 LOCAL 110 RC Inpatient 3205 2724 Select Health HMO 3920 per diem 3920 per diem 3920 3052 Coinsurance and deductible may apply ROOM/BED: MST Camera Room 3020090 LOCAL 110 RC Inpatient 3205 2724 Sierra Healthcare Options PPO 1716 per diem 1716 per diem 1716 3052 Coinsurance and deductible may apply ROOM/BED: MST Camera Room 3020090 LOCAL 110 RC Inpatient 3205 2724 Sierra/HPN HMO 2250 per diem 2250 per diem 2250 3052 Coinsurance and deductible may apply ROOM/BED: MST Camera Room 3020090 LOCAL 110 RC Inpatient 3205 2724 Southpoint (Gaghan South) PPO 2116 per diem 2116 per diem 2116 3052 Coinsurance and deductible may apply ROOM/BED: MST Camera Room 3020090 LOCAL 110 RC Inpatient 3205 2724 Teachers Trust PPO 3096 per diem 3096 per diem 3096 3052 Coinsurance and deductible may apply ROOM/BED: MST Camera Room 3020090 LOCAL 110 RC Inpatient 3205 2724 TriWest PPO 3052 per diem 3052 per diem 3052 3052 Coinsurance and deductible may apply ROOM/BED: MST Camera Room 3020090 LOCAL 110 RC Inpatient 3205 2724 UHN-Universal Health Network PPO 1472 per diem 1472 per diem 1472 3052 Coinsurance and deductible may apply ROOM/BED: MST Camera Room 3020090 LOCAL 110 RC Inpatient 3205 2724 United Healthcare PPO 2747 per diem 2747 per diem 2747 3052 Coinsurance and deductible may apply ROOM/BED: MST Camera Room 3020090 LOCAL 110 RC Inpatient 3365 2860 Alignment Medicare HMO 5109 39% of all negotiated rates 5109 per diem 5109 3052 Coinsurance and deductible may apply ROOM/BED: MST Camera Room 3020090 LOCAL 110 RC Inpatient 3365 2860 Anthem Blue Cross Blue Shield Indeminity PPO 3000 per diem 3000 per diem 3000 3052 Coinsurance and deductible may apply ROOM/BED: MST Camera Room 3020090 LOCAL 110 RC Inpatient 3365 2860 Anthem Blue Cross Blue Shield Pathway X HMO 2500 per diem 2500 per diem 1526 3052 Coinsurance and deductible may apply ROOM/BED: MST Camera Room 3020090 LOCAL 110 RC Inpatient 3365 2860 Blue Cross Blue Shield Medicare HMO 5109 39% of all negotiated rates 5109 per diem 5109 3052 Coinsurance and deductible may apply ROOM/BED: MST Camera Room 3020090 LOCAL 110 RC Inpatient 3365 2860 Coventry PPO 875 per diem 875 per diem 875 3052 "875 per day or 25% form billed charges, whichever is the lesser pymnt" ROOM/BED: MST Camera Room 3020090 LOCAL 110 RC Inpatient 3365 2860 Optum Medicare HMO 5109 39% of all negotiated rates 5109 per diem 5109 3052 Coinsurance and deductible may apply ROOM/BED: MST Camera Room 3020090 LOCAL 110 RC Inpatient 3365 2860 Silversummit Medicare HMO 5109 39% of all negotiated rates 5109 per diem 5109 3052 Coinsurance and deductible may apply ROOM/BED: MST Hospice P-Single 867365 LOCAL 115 RC Inpatient 347 295 Aetna PPO 350 per diem 350 per diem 350 330 Coinsurance and deductible may apply ROOM/BED: MST Hospice P-Single 867365 LOCAL 115 RC Inpatient 347 295 Aetna Medicare HMO 1871 per diem 1871 per diem 1871 330 Coinsurance and deductible may apply ROOM/BED: MST Hospice P-Single 867365 LOCAL 115 RC Inpatient 347 295 Anthem Medicaid HMO 250 per diem 250 per diem 250 330 Coinsurance and deductible may apply ROOM/BED: MST Hospice P-Single 867365 LOCAL 115 RC Inpatient 347 295 Cigna PPO 837 per diem 837 per diem 837 330 Coinsurance and deductible may apply ROOM/BED: MST Hospice P-Single 867365 LOCAL 115 RC Inpatient 347 295 Coalition PPO 950 per diem 779 per diem 779 330 Coinsurance and deductible may apply ROOM/BED: MST Hospice P-Single 867365 LOCAL 115 RC Inpatient 347 295 Great West Healthcare (Mediversal) PPO 2178 per diem 2178 per diem 2178 330 Coinsurance and deductible may apply ROOM/BED: MST Hospice P-Single 867365 LOCAL 115 RC Inpatient 347 295 HPN Medicaid HMO 250 per diem 250 per diem 250 330 Coinsurance and deductible may apply ROOM/BED: MST Hospice P-Single 867365 LOCAL 115 RC Inpatient 347 295 Humana-Commerical PPO 1850 per diem 1850 per diem 1850 330 Coinsurance and deductible may apply ROOM/BED: MST Hospice P-Single 867365 LOCAL 115 RC Inpatient 347 295 Humana-Medicare Advantage HMO 350 per diem 350 per diem 350 330 Coinsurance and deductible may apply ROOM/BED: MST Hospice P-Single 867365 LOCAL 115 RC Inpatient 347 295 Molina Medicaid HMO 250 per diem 250 per diem 250 330 Coinsurance and deductible may apply ROOM/BED: MST Hospice P-Single 867365 LOCAL 115 RC Inpatient 347 295 Multiplan PPO 809 per diem 809 per diem 809 330 Coinsurance and deductible may apply ROOM/BED: MST Hospice P-Single 867365 LOCAL 115 RC Inpatient 347 295 One Health PPO 2747 per diem 2747 per diem 2747 330 Coinsurance and deductible may apply ROOM/BED: MST Hospice P-Single 867365 LOCAL 115 RC Inpatient 347 295 Saint Mary's Health Plan PPO 429 per diem 429 per diem 429 330 Coinsurance and deductible may apply ROOM/BED: MST Hospice P-Single 867365 LOCAL 115 RC Inpatient 347 295 Select Health HMO 3920 per diem 3920 per diem 3920 330 Coinsurance and deductible may apply ROOM/BED: MST Hospice P-Single 867365 LOCAL 115 RC Inpatient 347 295 Teachers Trust PPO 779 per diem 779 per diem 779 330 Coinsurance and deductible may apply ROOM/BED: MST Hospice P-Single 867365 LOCAL 115 RC Inpatient 347 295 UHN-Universal Health Network PPO 684 per diem 684 per diem 684 330 Coinsurance and deductible may apply ROOM/BED: MST Hospice P-Single 867365 LOCAL 115 RC Inpatient 364 309 Alignment Medicare HMO 5109 39% of all negotiated rates 5109 per diem 5109 330 Coinsurance and deductible may apply ROOM/BED: MST Hospice P-Single 867365 LOCAL 115 RC Inpatient 364 309 Anthem Blue Cross Blue Shield Indeminity PPO 3000 per diem 3000 per diem 3000 330 Coinsurance and deductible may apply ROOM/BED: MST Hospice P-Single 867365 LOCAL 115 RC Inpatient 364 309 Anthem Blue Cross Blue Shield Pathway X HMO 2500 per diem 2500 per diem 165 330 Coinsurance and deductible may apply ROOM/BED: MST Hospice P-Single 867365 LOCAL 115 RC Inpatient 364 309 Blue Cross Blue Shield Medicare HMO 5109 39% of all negotiated rates 5109 per diem 5109 330 Coinsurance and deductible may apply ROOM/BED: MST Hospice P-Single 867365 LOCAL 115 RC Inpatient 364 309 Coventry PPO 315 per diem 315 per diem 315 330 "315 per day or 25% form billed charges, whichever is the lesser pymnt" ROOM/BED: MST Hospice P-Single 867365 LOCAL 115 RC Inpatient 364 309 Optum Medicare HMO 5109 39% of all negotiated rates 5109 per diem 5109 330 Coinsurance and deductible may apply ROOM/BED: MST Hospice P-Single 867365 LOCAL 115 RC Inpatient 364 309 Silversummit Medicare HMO 5109 39% of all negotiated rates 5109 per diem 5109 330 Coinsurance and deductible may apply ROOM/BED: MST P-Single 3020091 LOCAL 110 RC Inpatient 2671 2271 Aetna PPO 2500 per diem 2500 per diem 2500 2544 Coinsurance and deductible may apply ROOM/BED: MST P-Single 3020091 LOCAL 110 RC Inpatient 2671 2271 Aetna Medicare HMO 1871 per diem 1871 per diem 1871 2544 Coinsurance and deductible may apply ROOM/BED: MST P-Single 3020091 LOCAL 110 RC Inpatient 2671 2271 Anthem Medicaid HMO 1538 per diem 1538 per diem 1538 2544 Coinsurance and deductible may apply ROOM/BED: MST P-Single 3020091 LOCAL 110 RC Inpatient 2671 2271 Cigna PPO 2631 per diem 2631 per diem 2631 2544 Coinsurance and deductible may apply ROOM/BED: MST P-Single 3020091 LOCAL 110 RC Inpatient 2671 2271 Coalition PPO 2910 per diem 3096 per diem 3096 2544 Coinsurance and deductible may apply ROOM/BED: MST P-Single 3020091 LOCAL 110 RC Inpatient 2671 2271 Great West Healthcare (Mediversal) PPO 2178 per diem 2178 per diem 2178 2544 Coinsurance and deductible may apply ROOM/BED: MST P-Single 3020091 LOCAL 110 RC Inpatient 2671 2271 HPN Medicaid HMO 1538 per diem 1538 per diem 1538 2544 Coinsurance and deductible may apply ROOM/BED: MST P-Single 3020091 LOCAL 110 RC Inpatient 2671 2271 Humana-Commerical PPO 1850 per diem 1850 per diem 1850 2544 Coinsurance and deductible may apply ROOM/BED: MST P-Single 3020091 LOCAL 110 RC Inpatient 2671 2271 Humana-Medicare Advantage HMO 5109 per diem 5109 per diem 5109 2544 Coinsurance and deductible may apply ROOM/BED: MST P-Single 3020091 LOCAL 110 RC Inpatient 2671 2271 Molina Medicaid HMO 1538 per diem 1538 per diem 1538 2544 Coinsurance and deductible may apply ROOM/BED: MST P-Single 3020091 LOCAL 110 RC Inpatient 2671 2271 Multiplan PPO 3435 per diem 3435 per diem 3435 2544 Coinsurance and deductible may apply ROOM/BED: MST P-Single 3020091 LOCAL 110 RC Inpatient 2671 2271 One Health PPO 2747 per diem 2747 per diem 2747 2544 Coinsurance and deductible may apply ROOM/BED: MST P-Single 3020091 LOCAL 110 RC Inpatient 2671 2271 P3 HMO 5109 per diem 5109 per diem 5109 2544 Coinsurance and deductible may apply ROOM/BED: MST P-Single 3020091 LOCAL 110 RC Inpatient 2671 2271 Saint Mary's Health Plan PPO 1472 per diem 1472 per diem 1472 2544 Coinsurance and deductible may apply ROOM/BED: MST P-Single 3020091 LOCAL 110 RC Inpatient 2671 2271 Select Health HMO 3920 per diem 3920 per diem 3920 2544 Coinsurance and deductible may apply ROOM/BED: MST P-Single 3020091 LOCAL 110 RC Inpatient 2671 2271 Sierra Healthcare Options PPO 1716 per diem 1716 per diem 1716 2544 Coinsurance and deductible may apply ROOM/BED: MST P-Single 3020091 LOCAL 110 RC Inpatient 2671 2271 Sierra/HPN HMO 2250 per diem 2250 per diem 2250 2544 Coinsurance and deductible may apply ROOM/BED: MST P-Single 3020091 LOCAL 110 RC Inpatient 2671 2271 Southpoint (Gaghan South) PPO 2116 per diem 2116 per diem 2116 2544 Coinsurance and deductible may apply ROOM/BED: MST P-Single 3020091 LOCAL 110 RC Inpatient 2671 2271 Teachers Trust PPO 3096 per diem 3096 per diem 3096 2544 Coinsurance and deductible may apply ROOM/BED: MST P-Single 3020091 LOCAL 110 RC Inpatient 2671 2271 TriWest PPO 3052 per diem 3052 per diem 3052 2544 Coinsurance and deductible may apply ROOM/BED: MST P-Single 3020091 LOCAL 110 RC Inpatient 2671 2271 UHN-Universal Health Network PPO 1472 per diem 1472 per diem 1472 2544 Coinsurance and deductible may apply ROOM/BED: MST P-Single 3020091 LOCAL 110 RC Inpatient 2671 2271 United Healthcare PPO 2747 per diem 2747 per diem 2747 2544 Coinsurance and deductible may apply ROOM/BED: MST P-Single 3020091 LOCAL 110 RC Inpatient 2805 2384 Alignment Medicare HMO 5109 39% of all negotiated rates 5109 per diem 5109 2544 Coinsurance and deductible may apply ROOM/BED: MST P-Single 3020091 LOCAL 110 RC Inpatient 2805 2384 Anthem Blue Cross Blue Shield Indeminity PPO 3000 per diem 3000 per diem 3000 2544 Coinsurance and deductible may apply ROOM/BED: MST P-Single 3020091 LOCAL 110 RC Inpatient 2805 2384 Anthem Blue Cross Blue Shield Pathway X HMO 2500 per diem 2500 per diem 1272 2544 Coinsurance and deductible may apply ROOM/BED: MST P-Single 3020091 LOCAL 110 RC Inpatient 2805 2384 Blue Cross Blue Shield Medicare HMO 5109 39% of all negotiated rates 5109 per diem 5109 2544 Coinsurance and deductible may apply ROOM/BED: MST P-Single 3020091 LOCAL 110 RC Inpatient 2805 2384 Coventry PPO 875 per diem 875 per diem 875 2544 "875 per day or 25% form billed charges, whichever is the lesser pymnt" ROOM/BED: MST P-Single 3020091 LOCAL 110 RC Inpatient 2805 2384 Optum Medicare HMO 5109 39% of all negotiated rates 5109 per diem 5109 2544 Coinsurance and deductible may apply ROOM/BED: MST P-Single 3020091 LOCAL 110 RC Inpatient 2805 2384 Silversummit Medicare HMO 5109 39% of all negotiated rates 5109 per diem 5109 2544 Coinsurance and deductible may apply ROOM/BED: MST Semi-Private 3020065 LOCAL 120 RC Inpatient 2539 2158 Aetna PPO 2500 per diem 2500 per diem 2500 2418 Coinsurance and deductible may apply ROOM/BED: MST Semi-Private 3020065 LOCAL 120 RC Inpatient 2539 2158 Aetna Medicare HMO 1871 per diem 1871 per diem 1871 2418 Coinsurance and deductible may apply ROOM/BED: MST Semi-Private 3020065 LOCAL 120 RC Inpatient 2539 2158 Anthem Medicaid HMO 1538 per diem 1538 per diem 1538 2418 Coinsurance and deductible may apply ROOM/BED: MST Semi-Private 3020065 LOCAL 120 RC Inpatient 2539 2158 Cigna PPO 2631 per diem 2631 per diem 2631 2418 Coinsurance and deductible may apply ROOM/BED: MST Semi-Private 3020065 LOCAL 120 RC Inpatient 2539 2158 Coalition PPO 2910 per diem 3096 per diem 3096 2418 Coinsurance and deductible may apply ROOM/BED: MST Semi-Private 3020065 LOCAL 120 RC Inpatient 2539 2158 Great West Healthcare (Mediversal) PPO 2178 per diem 2178 per diem 2178 2418 Coinsurance and deductible may apply ROOM/BED: MST Semi-Private 3020065 LOCAL 120 RC Inpatient 2539 2158 HPN Medicaid HMO 1538 per diem 1538 per diem 1538 2418 Coinsurance and deductible may apply ROOM/BED: MST Semi-Private 3020065 LOCAL 120 RC Inpatient 2539 2158 Humana-Commerical PPO 1850 per diem 1850 per diem 1850 2418 Coinsurance and deductible may apply ROOM/BED: MST Semi-Private 3020065 LOCAL 120 RC Inpatient 2539 2158 Humana-Medicare Advantage HMO 5109 per diem 5109 per diem 5109 2418 Coinsurance and deductible may apply ROOM/BED: MST Semi-Private 3020065 LOCAL 120 RC Inpatient 2539 2158 Molina Medicaid HMO 1538 per diem 1538 per diem 1538 2418 Coinsurance and deductible may apply ROOM/BED: MST Semi-Private 3020065 LOCAL 120 RC Inpatient 2539 2158 Multiplan PPO 3435 per diem 3435 per diem 3435 2418 Coinsurance and deductible may apply ROOM/BED: MST Semi-Private 3020065 LOCAL 120 RC Inpatient 2539 2158 One Health PPO 2747 per diem 2747 per diem 2747 2418 Coinsurance and deductible may apply ROOM/BED: MST Semi-Private 3020065 LOCAL 120 RC Inpatient 2539 2158 P3 HMO 5109 per diem 5109 per diem 5109 2418 Coinsurance and deductible may apply ROOM/BED: MST Semi-Private 3020065 LOCAL 120 RC Inpatient 2539 2158 Saint Mary's Health Plan PPO 1472 per diem 1472 per diem 1472 2418 Coinsurance and deductible may apply ROOM/BED: MST Semi-Private 3020065 LOCAL 120 RC Inpatient 2539 2158 Select Health HMO 3920 per diem 3920 per diem 3920 2418 Coinsurance and deductible may apply ROOM/BED: MST Semi-Private 3020065 LOCAL 120 RC Inpatient 2539 2158 Sierra Healthcare Options PPO 1716 per diem 1716 per diem 1716 2418 Coinsurance and deductible may apply ROOM/BED: MST Semi-Private 3020065 LOCAL 120 RC Inpatient 2539 2158 Sierra/HPN HMO 2250 per diem 2250 per diem 2250 2418 Coinsurance and deductible may apply ROOM/BED: MST Semi-Private 3020065 LOCAL 120 RC Inpatient 2539 2158 Southpoint (Gaghan South) PPO 2116 per diem 2116 per diem 2116 2418 Coinsurance and deductible may apply ROOM/BED: MST Semi-Private 3020065 LOCAL 120 RC Inpatient 2539 2158 Teachers Trust PPO 3096 per diem 3096 per diem 3096 2418 Coinsurance and deductible may apply ROOM/BED: MST Semi-Private 3020065 LOCAL 120 RC Inpatient 2539 2158 TriWest PPO 3052 per diem 3052 per diem 3052 2418 Coinsurance and deductible may apply ROOM/BED: MST Semi-Private 3020065 LOCAL 120 RC Inpatient 2539 2158 UHN-Universal Health Network PPO 1472 per diem 1472 per diem 1472 2418 Coinsurance and deductible may apply ROOM/BED: MST Semi-Private 3020065 LOCAL 120 RC Inpatient 2539 2158 United Healthcare PPO 2800 per diem 2747 per diem 2747 2418 Coinsurance and deductible may apply ROOM/BED: MST Semi-Private 3020065 LOCAL 120 RC Inpatient 2666 2266 Alignment Medicare HMO 5109 39% of all negotiated rates 5109 per diem 5109 2418 Coinsurance and deductible may apply ROOM/BED: MST Semi-Private 3020065 LOCAL 120 RC Inpatient 2666 2266 Anthem Blue Cross Blue Shield Indeminity PPO 3000 per diem 3000 per diem 3000 2418 Coinsurance and deductible may apply ROOM/BED: MST Semi-Private 3020065 LOCAL 120 RC Inpatient 2666 2266 Anthem Blue Cross Blue Shield Pathway X HMO 2500 per diem 2500 per diem 1209 2418 Coinsurance and deductible may apply ROOM/BED: MST Semi-Private 3020065 LOCAL 120 RC Inpatient 2666 2266 Blue Cross Blue Shield Medicare HMO 5109 39% of all negotiated rates 5109 per diem 5109 2418 Coinsurance and deductible may apply ROOM/BED: MST Semi-Private 3020065 LOCAL 120 RC Inpatient 2666 2266 Coventry PPO 875 per diem 875 per diem 875 2418 "875 per day or 25% form billed charges, whichever is the lesser pymnt" ROOM/BED: MST Semi-Private 3020065 LOCAL 120 RC Inpatient 2666 2266 Optum Medicare HMO 5109 39% of all negotiated rates 5109 per diem 5109 2418 Coinsurance and deductible may apply ROOM/BED: MST Semi-Private 3020065 LOCAL 120 RC Inpatient 2666 2266 Silversummit Medicare HMO 5109 39% of all negotiated rates 5109 per diem 5109 2418 Coinsurance and deductible may apply ROOM/BED: MST Skilled P-Single 4245005 LOCAL 110 RC Inpatient 476 404 Aetna PPO 350 per diem 350 per diem 350 453 Coinsurance and deductible may apply ROOM/BED: MST Skilled P-Single 4245005 LOCAL 110 RC Inpatient 476 404 Aetna Medicare HMO 350 per diem 350 per diem 350 453 Coinsurance and deductible may apply ROOM/BED: MST Skilled P-Single 4245005 LOCAL 110 RC Inpatient 476 404 Anthem Medicaid HMO 250 per diem 250 per diem 250 453 Coinsurance and deductible may apply ROOM/BED: MST Skilled P-Single 4245005 LOCAL 110 RC Inpatient 476 404 Cigna PPO 837 per diem 837 per diem 837 453 Coinsurance and deductible may apply ROOM/BED: MST Skilled P-Single 4245005 LOCAL 110 RC Inpatient 476 404 Coalition PPO 950 per diem 779 per diem 779 453 Coinsurance and deductible may apply ROOM/BED: MST Skilled P-Single 4245005 LOCAL 110 RC Inpatient 476 404 Great West Healthcare (Mediversal) PPO 709 per diem 709 per diem 709 453 Coinsurance and deductible may apply ROOM/BED: MST Skilled P-Single 4245005 LOCAL 110 RC Inpatient 476 404 HPN Medicaid HMO 250 per diem 250 per diem 250 453 Coinsurance and deductible may apply ROOM/BED: MST Skilled P-Single 4245005 LOCAL 110 RC Inpatient 476 404 Humana-Medicare Advantage HMO 350 per diem 350 per diem 350 453 Coinsurance and deductible may apply ROOM/BED: MST Skilled P-Single 4245005 LOCAL 110 RC Inpatient 476 404 Molina Medicaid HMO 250 per diem 250 per diem 250 453 Coinsurance and deductible may apply ROOM/BED: MST Skilled P-Single 4245005 LOCAL 110 RC Inpatient 476 404 Multiplan PPO 809 per diem 809 per diem 809 453 Coinsurance and deductible may apply ROOM/BED: MST Skilled P-Single 4245005 LOCAL 110 RC Inpatient 476 404 One Health PPO 1681 per diem 1681 per diem 1681 453 Coinsurance and deductible may apply ROOM/BED: MST Skilled P-Single 4245005 LOCAL 110 RC Inpatient 476 404 Saint Mary's Health Plan PPO 429 per diem 429 per diem 429 453 Coinsurance and deductible may apply ROOM/BED: MST Skilled P-Single 4245005 LOCAL 110 RC Inpatient 476 404 Teachers Trust PPO 779 per diem 779 per diem 779 453 Coinsurance and deductible may apply ROOM/BED: MST Skilled P-Single 4245005 LOCAL 110 RC Inpatient 476 404 UHN-Universal Health Network PPO 684 per diem 684 per diem 684 453 Coinsurance and deductible may apply ROOM/BED: MST Skilled P-Single 4245005 LOCAL 110 RC Inpatient 476 404 United Healthcare PPO 1681 per diem 1681 per diem 1681 453 Coinsurance and deductible may apply ROOM/BED: MST Skilled P-Single 4245005 LOCAL 110 RC Inpatient 499 425 Anthem Blue Cross Blue Shield Indeminity PPO 600 per diem 3000 per diem 600 453 Coinsurance and deductible may apply ROOM/BED: MST Skilled P-Single 4245005 LOCAL 110 RC Inpatient 499 425 Anthem Blue Cross Blue Shield Pathway X HMO 630 per diem 2500 per diem 227 453 Coinsurance and deductible may apply ROOM/BED: MST Skilled P-Single 4245005 LOCAL 110 RC Inpatient 499 425 Coventry PPO 315 per diem 315 per diem 315 453 "315 per day or 25% form billed charges, whichever is the lesser pymnt" ROOM/BED: MST Swing P-Single 3020092 LOCAL 110 RC Inpatient 2054 1746 Aetna PPO 2500 per diem 2500 per diem 2500 1956 Coinsurance and deductible may apply ROOM/BED: MST Swing P-Single 3020092 LOCAL 110 RC Inpatient 2054 1746 Aetna Medicare HMO 1547 per diem 1871 per diem 1871 1956 Coinsurance and deductible may apply ROOM/BED: MST Swing P-Single 3020092 LOCAL 110 RC Inpatient 2054 1746 Anthem Medicaid HMO 177 per diem 177 per diem 177 1956 Coinsurance and deductible may apply ROOM/BED: MST Swing P-Single 3020092 LOCAL 110 RC Inpatient 2054 1746 Cigna PPO 2631 per diem 2631 per diem 2631 1956 Coinsurance and deductible may apply ROOM/BED: MST Swing P-Single 3020092 LOCAL 110 RC Inpatient 2054 1746 Coalition PPO 2910 per diem 3096 per diem 3096 1956 Coinsurance and deductible may apply ROOM/BED: MST Swing P-Single 3020092 LOCAL 110 RC Inpatient 2054 1746 Great West Healthcare (Mediversal) PPO 2178 per diem 709 per diem 709 1956 Coinsurance and deductible may apply ROOM/BED: MST Swing P-Single 3020092 LOCAL 110 RC Inpatient 2054 1746 HPN Medicaid HMO 177 per diem 1538 per diem 1538 1956 Coinsurance and deductible may apply ROOM/BED: MST Swing P-Single 3020092 LOCAL 110 RC Inpatient 2054 1746 Humana-Commerical PPO 1850 per diem 1850 per diem 1850 1956 Coinsurance and deductible may apply ROOM/BED: MST Swing P-Single 3020092 LOCAL 110 RC Inpatient 2054 1746 Humana-Medicare Advantage HMO 4019 per diem 4019 per diem 4019 1956 Coinsurance and deductible may apply ROOM/BED: MST Swing P-Single 3020092 LOCAL 110 RC Inpatient 2054 1746 Molina Medicaid HMO 177 per diem 177 per diem 177 1956 Coinsurance and deductible may apply ROOM/BED: MST Swing P-Single 3020092 LOCAL 110 RC Inpatient 2054 1746 Multiplan PPO 3435 per diem 3435 per diem 3435 1956 Coinsurance and deductible may apply ROOM/BED: MST Swing P-Single 3020092 LOCAL 110 RC Inpatient 2054 1746 One Health PPO 2747 per diem 2747 per diem 2747 1956 Coinsurance and deductible may apply ROOM/BED: MST Swing P-Single 3020092 LOCAL 110 RC Inpatient 2054 1746 P3 HMO 4019 per diem 5109 per diem 5109 1956 Coinsurance and deductible may apply ROOM/BED: MST Swing P-Single 3020092 LOCAL 110 RC Inpatient 2054 1746 Saint Mary's Health Plan PPO 1472 per diem 1472 per diem 1472 1956 Coinsurance and deductible may apply ROOM/BED: MST Swing P-Single 3020092 LOCAL 110 RC Inpatient 2054 1746 Select Health HMO 3920 per diem 3920 per diem 3920 1956 Coinsurance and deductible may apply ROOM/BED: MST Swing P-Single 3020092 LOCAL 110 RC Inpatient 2054 1746 Sierra Healthcare Options PPO 1716 per diem 1716 per diem 1716 1956 Coinsurance and deductible may apply ROOM/BED: MST Swing P-Single 3020092 LOCAL 110 RC Inpatient 2054 1746 Sierra/HPN HMO 2250 per diem 2250 per diem 2250 1956 Coinsurance and deductible may apply ROOM/BED: MST Swing P-Single 3020092 LOCAL 110 RC Inpatient 2054 1746 Southpoint (Gaghan South) PPO 2116 per diem 2116 per diem 2116 1956 Coinsurance and deductible may apply ROOM/BED: MST Swing P-Single 3020092 LOCAL 110 RC Inpatient 2054 1746 Teachers Trust PPO 3096 per diem 3096 per diem 3096 1956 Coinsurance and deductible may apply ROOM/BED: MST Swing P-Single 3020092 LOCAL 110 RC Inpatient 2054 1746 TriWest PPO 2185 per diem 2185 per diem 2185 1956 Coinsurance and deductible may apply ROOM/BED: MST Swing P-Single 3020092 LOCAL 110 RC Inpatient 2054 1746 UHN-Universal Health Network PPO 2350 per diem 2350 per diem 2350 1956 Coinsurance and deductible may apply ROOM/BED: MST Swing P-Single 3020092 LOCAL 110 RC Inpatient 2054 1746 United Healthcare PPO 2747 per diem 2747 per diem 2747 1956 Coinsurance and deductible may apply ROOM/BED: MST Swing P-Single 3020092 LOCAL 110 RC Inpatient 2156 1833 Alignment Medicare HMO 4019 39% of all negotiated rates 5109 per diem 4019 1956 Coinsurance and deductible may apply ROOM/BED: MST Swing P-Single 3020092 LOCAL 110 RC Inpatient 2156 1833 Anthem Blue Cross Blue Shield Indeminity PPO 3000 per diem 3000 per diem 3000 1956 Coinsurance and deductible may apply ROOM/BED: MST Swing P-Single 3020092 LOCAL 110 RC Inpatient 2156 1833 Anthem Blue Cross Blue Shield Pathway X HMO 2500 per diem 2500 per diem 978 1956 Coinsurance and deductible may apply ROOM/BED: MST Swing P-Single 3020092 LOCAL 110 RC Inpatient 2156 1833 Blue Cross Blue Shield Medicare HMO 4019 39% of all negotiated rates 4019 per diem 4019 1956 Coinsurance and deductible may apply ROOM/BED: MST Swing P-Single 3020092 LOCAL 110 RC Inpatient 2156 1833 Coventry PPO 875 per diem 875 per diem 875 1956 "875 per day or 25% form billed charges, whichever is the lesser pymnt" ROOM/BED: MST Swing P-Single 3020092 LOCAL 110 RC Inpatient 2156 1833 Optum Medicare HMO 4019 39% of all negotiated rates 4019 per diem 4019 1956 Coinsurance and deductible may apply ROOM/BED: MST Swing P-Single 3020092 LOCAL 110 RC Inpatient 2156 1833 Silversummit Medicare HMO 4019 39% of all negotiated rates 4019 per diem 4019 1956 Coinsurance and deductible may apply ROOM/BED: MST Telemetry P-Single 3020086 LOCAL 110 RC Inpatient 2878 2446 Aetna PPO 2500 per diem 2500 per diem 2500 2741 Coinsurance and deductible may apply ROOM/BED: MST Telemetry P-Single 3020086 LOCAL 110 RC Inpatient 2878 2446 Aetna Medicare HMO 1871 per diem 1871 per diem 1871 2741 Coinsurance and deductible may apply ROOM/BED: MST Telemetry P-Single 3020082 LOCAL 110 RC Inpatient 2878 2446 Aetna Medicare HMO 1871 per diem 1871 per diem 1871 2741 Coinsurance and deductible may apply ROOM/BED: MST Telemetry P-Single 3020086 LOCAL 110 RC Inpatient 2878 2446 Anthem Medicaid HMO 1538 per diem 1538 per diem 1538 2741 Coinsurance and deductible may apply ROOM/BED: MST Telemetry P-Single 3020086 LOCAL 110 RC Inpatient 2878 2446 Cigna PPO 2631 per diem 2631 per diem 2631 2741 Coinsurance and deductible may apply ROOM/BED: MST Telemetry P-Single 3020086 LOCAL 110 RC Inpatient 2878 2446 Coalition PPO 2910 per diem 3096 per diem 3096 2741 Coinsurance and deductible may apply ROOM/BED: MST Telemetry P-Single 3020086 LOCAL 110 RC Inpatient 2878 2446 Great West Healthcare (Mediversal) PPO 2178 per diem 2178 per diem 2178 2741 Coinsurance and deductible may apply ROOM/BED: MST Telemetry P-Single 3020082 LOCAL 110 RC Inpatient 2878 2446 Great West Healthcare (Mediversal) PPO 2178 per diem 2178 per diem 2178 2741 Coinsurance and deductible may apply ROOM/BED: MST Telemetry P-Single 3020086 LOCAL 110 RC Inpatient 2878 2446 HPN Medicaid HMO 1538 per diem 1538 per diem 1538 2741 Coinsurance and deductible may apply ROOM/BED: MST Telemetry P-Single 3020086 LOCAL 110 RC Inpatient 2878 2446 Humana-Commerical PPO 1850 per diem 1850 per diem 1850 2741 Coinsurance and deductible may apply ROOM/BED: MST Telemetry P-Single 3020082 LOCAL 110 RC Inpatient 2878 2446 Humana-Commerical PPO 1850 per diem 1850 per diem 1850 2741 Coinsurance and deductible may apply ROOM/BED: MST Telemetry P-Single 3020086 LOCAL 110 RC Inpatient 2878 2446 Humana-Medicare Advantage HMO 5109 per diem 5109 per diem 5109 2741 Coinsurance and deductible may apply ROOM/BED: MST Telemetry P-Single 3020082 LOCAL 110 RC Inpatient 2878 2446 Humana-Medicare Advantage HMO 5109 per diem 5109 per diem 5109 2741 Coinsurance and deductible may apply ROOM/BED: MST Telemetry P-Single 3020086 LOCAL 110 RC Inpatient 2878 2446 Molina Medicaid HMO 1538 per diem 1538 per diem 1538 2741 Coinsurance and deductible may apply ROOM/BED: MST Telemetry P-Single 3020086 LOCAL 110 RC Inpatient 2878 2446 Multiplan PPO 3435 per diem 3435 per diem 3435 2741 Coinsurance and deductible may apply ROOM/BED: MST Telemetry P-Single 3020086 LOCAL 110 RC Inpatient 2878 2446 One Health PPO 2747 per diem 2747 per diem 2747 2741 Coinsurance and deductible may apply ROOM/BED: MST Telemetry P-Single 3020086 LOCAL 110 RC Inpatient 2878 2446 P3 HMO 5109 per diem 5109 per diem 5109 2741 Coinsurance and deductible may apply ROOM/BED: MST Telemetry P-Single 3020086 LOCAL 110 RC Inpatient 2878 2446 Saint Mary's Health Plan PPO 1472 per diem 1472 per diem 1472 2741 Coinsurance and deductible may apply ROOM/BED: MST Telemetry P-Single 3020086 LOCAL 110 RC Inpatient 2878 2446 Select Health HMO 3920 per diem 3920 per diem 3920 2741 Coinsurance and deductible may apply ROOM/BED: MST Telemetry P-Single 3020086 LOCAL 110 RC Inpatient 2878 2446 Sierra Healthcare Options PPO 1716 per diem 1716 per diem 1716 2741 Coinsurance and deductible may apply ROOM/BED: MST Telemetry P-Single 3020086 LOCAL 110 RC Inpatient 2878 2446 Sierra/HPN HMO 2250 per diem 2250 per diem 2250 2741 Coinsurance and deductible may apply ROOM/BED: MST Telemetry P-Single 3020086 LOCAL 110 RC Inpatient 2878 2446 Southpoint (Gaghan South) PPO 2116 per diem 2116 per diem 2116 2741 Coinsurance and deductible may apply ROOM/BED: MST Telemetry P-Single 3020086 LOCAL 110 RC Inpatient 2878 2446 Teachers Trust PPO 3096 per diem 3096 per diem 3096 2741 Coinsurance and deductible may apply ROOM/BED: MST Telemetry P-Single 3020086 LOCAL 110 RC Inpatient 2878 2446 TriWest PPO 3052 per diem 3052 per diem 3052 2741 Coinsurance and deductible may apply ROOM/BED: MST Telemetry P-Single 3020086 LOCAL 110 RC Inpatient 2878 2446 UHN-Universal Health Network PPO 1472 per diem 1472 per diem 1472 2741 Coinsurance and deductible may apply ROOM/BED: MST Telemetry P-Single 3020086 LOCAL 110 RC Inpatient 2878 2446 United Healthcare PPO 2800 per diem 2747 per diem 2747 2741 Coinsurance and deductible may apply ROOM/BED: MST Telemetry P-Single 3020086 LOCAL 110 RC Inpatient 3022 2569 Alignment Medicare HMO 5109 39% of all negotiated rates 5109 per diem 5109 2741 Coinsurance and deductible may apply ROOM/BED: MST Telemetry P-Single 3020086 LOCAL 110 RC Inpatient 3022 2569 Anthem Blue Cross Blue Shield Indeminity PPO 3000 per diem 3000 per diem 3000 2741 Coinsurance and deductible may apply ROOM/BED: MST Telemetry P-Single 3020082 LOCAL 110 RC Inpatient 3022 2569 Anthem Blue Cross Blue Shield Indeminity PPO 3000 per diem 3000 per diem 3000 2741 Coinsurance and deductible may apply ROOM/BED: MST Telemetry P-Single 3020086 LOCAL 110 RC Inpatient 3022 2569 Anthem Blue Cross Blue Shield Pathway X HMO 2500 per diem 2500 per diem 1371 2741 Coinsurance and deductible may apply ROOM/BED: MST Telemetry P-Single 3020082 LOCAL 110 RC Inpatient 3022 2569 Anthem Blue Cross Blue Shield Pathway X HMO 2500 per diem 2500 per diem 1371 2741 Coinsurance and deductible may apply ROOM/BED: MST Telemetry P-Single 3020086 LOCAL 110 RC Inpatient 3022 2569 Blue Cross Blue Shield Medicare HMO 5109 39% of all negotiated rates 5109 per diem 5109 2741 Coinsurance and deductible may apply ROOM/BED: MST Telemetry P-Single 3020086 LOCAL 110 RC Inpatient 3022 2569 Coventry PPO 875 per diem 875 per diem 875 2741 "875 per day or 25% form billed charges, whichever is the lesser pymnt" ROOM/BED: MST Telemetry P-Single 3020082 LOCAL 110 RC Inpatient 3022 2569 Coventry PPO 875 per diem 875 per diem 875 2741 "875 per day or 25% form billed charges, whichever is the lesser pymnt" ROOM/BED: MST Telemetry P-Single 3020086 LOCAL 110 RC Inpatient 3022 2569 Optum Medicare HMO 5109 39% of all negotiated rates 5109 per diem 5109 2741 Coinsurance and deductible may apply ROOM/BED: MST Telemetry P-Single 3020086 LOCAL 110 RC Inpatient 3022 2569 Silversummit Medicare HMO 5109 39% of all negotiated rates 5109 per diem 5109 2741 Coinsurance and deductible may apply ROOM/BED: TRU Skilled P-Single 4245002 LOCAL 110 RC Inpatient 476 404 Aetna PPO 350 per diem 350 per diem 350 453 Coinsurance and deductible may apply ROOM/BED: TRU Skilled P-Single 4245002 LOCAL 110 RC Inpatient 476 404 Aetna Medicare HMO 350 per diem 350 per diem 350 453 Coinsurance and deductible may apply ROOM/BED: TRU Skilled P-Single 4245002 LOCAL 110 RC Inpatient 476 404 Anthem Medicaid HMO 250 per diem 250 per diem 250 453 Coinsurance and deductible may apply ROOM/BED: TRU Skilled P-Single 4245002 LOCAL 110 RC Inpatient 476 404 Cigna PPO 837 per diem 837 per diem 837 453 Coinsurance and deductible may apply ROOM/BED: TRU Skilled P-Single 4245002 LOCAL 110 RC Inpatient 476 404 Coalition PPO 950 per diem 779 per diem 779 453 Coinsurance and deductible may apply ROOM/BED: TRU Skilled P-Single 4245002 LOCAL 110 RC Inpatient 476 404 Great West Healthcare (Mediversal) PPO 709 per diem 709 per diem 709 453 Coinsurance and deductible may apply ROOM/BED: TRU Skilled P-Single 4245002 LOCAL 110 RC Inpatient 476 404 HPN Medicaid HMO 250 per diem 250 per diem 250 453 Coinsurance and deductible may apply ROOM/BED: TRU Skilled P-Single 4245002 LOCAL 110 RC Inpatient 476 404 Humana-Medicare Advantage HMO 350 per diem 350 per diem 350 453 Coinsurance and deductible may apply ROOM/BED: TRU Skilled P-Single 4245002 LOCAL 110 RC Inpatient 476 404 Molina Medicaid HMO 250 per diem 250 per diem 250 453 Coinsurance and deductible may apply ROOM/BED: TRU Skilled P-Single 4245002 LOCAL 110 RC Inpatient 476 404 Multiplan PPO 809 per diem 809 per diem 809 453 Coinsurance and deductible may apply ROOM/BED: TRU Skilled P-Single 4245002 LOCAL 110 RC Inpatient 476 404 One Health PPO 1681 per diem 1681 per diem 1681 453 Coinsurance and deductible may apply ROOM/BED: TRU Skilled P-Single 4245002 LOCAL 110 RC Inpatient 476 404 Saint Mary's Health Plan PPO 429 per diem 429 per diem 429 453 Coinsurance and deductible may apply ROOM/BED: TRU Skilled P-Single 4245002 LOCAL 110 RC Inpatient 476 404 Teachers Trust PPO 779 per diem 779 per diem 779 453 Coinsurance and deductible may apply ROOM/BED: TRU Skilled P-Single 4245002 LOCAL 110 RC Inpatient 476 404 UHN-Universal Health Network PPO 684 per diem 684 per diem 684 453 Coinsurance and deductible may apply ROOM/BED: TRU Skilled P-Single 4245002 LOCAL 110 RC Inpatient 476 404 United Healthcare PPO 1200 per diem 1681 per diem 1681 453 Coinsurance and deductible may apply ROOM/BED: TRU Skilled P-Single 4245002 LOCAL 110 RC Inpatient 499 425 Anthem Blue Cross Blue Shield Indeminity PPO 600 per diem 3000 per diem 600 453 Coinsurance and deductible may apply ROOM/BED: TRU Skilled P-Single 4245002 LOCAL 110 RC Inpatient 499 425 Anthem Blue Cross Blue Shield Pathway X HMO 630 per diem 2500 per diem 227 453 Coinsurance and deductible may apply ROOM/BED: TRU Skilled P-Single 4245002 LOCAL 110 RC Inpatient 499 425 Coventry PPO 315 per diem 315 per diem 315 453 "315 per day or 25% form billed charges, whichever is the lesser pymnt" ROOM/BED: TRU Skilled P-Single Overflow 4245004 LOCAL 110 RC Inpatient 476 404 Aetna PPO 350 per diem 350 per diem 350 453 Coinsurance and deductible may apply ROOM/BED: TRU Skilled P-Single Overflow 4245004 LOCAL 110 RC Inpatient 476 404 Aetna Medicare HMO 350 per diem 350 per diem 350 453 Coinsurance and deductible may apply ROOM/BED: TRU Skilled P-Single Overflow 4245004 LOCAL 110 RC Inpatient 476 404 Anthem Medicaid HMO 250 per diem 250 per diem 250 453 Coinsurance and deductible may apply ROOM/BED: TRU Skilled P-Single Overflow 4245004 LOCAL 110 RC Inpatient 476 404 Cigna PPO 837 per diem 837 per diem 837 453 Coinsurance and deductible may apply ROOM/BED: TRU Skilled P-Single Overflow 4245004 LOCAL 110 RC Inpatient 476 404 Coalition PPO 950 per diem 779 per diem 779 453 Coinsurance and deductible may apply ROOM/BED: TRU Skilled P-Single Overflow 4245004 LOCAL 110 RC Inpatient 476 404 Great West Healthcare (Mediversal) PPO 709 per diem 709 per diem 709 453 Coinsurance and deductible may apply ROOM/BED: TRU Skilled P-Single Overflow 4245004 LOCAL 110 RC Inpatient 476 404 HPN Medicaid HMO 250 per diem 250 per diem 250 453 Coinsurance and deductible may apply ROOM/BED: TRU Skilled P-Single Overflow 4245004 LOCAL 110 RC Inpatient 476 404 Humana-Medicare Advantage HMO 350 per diem 350 per diem 350 453 Coinsurance and deductible may apply ROOM/BED: TRU Skilled P-Single Overflow 4245004 LOCAL 110 RC Inpatient 476 404 Molina Medicaid HMO 250 per diem 250 per diem 250 453 Coinsurance and deductible may apply ROOM/BED: TRU Skilled P-Single Overflow 4245004 LOCAL 110 RC Inpatient 476 404 Multiplan PPO 809 per diem 809 per diem 809 453 Coinsurance and deductible may apply ROOM/BED: TRU Skilled P-Single Overflow 4245004 LOCAL 110 RC Inpatient 476 404 One Health PPO 1681 per diem 1681 per diem 1681 453 Coinsurance and deductible may apply ROOM/BED: TRU Skilled P-Single Overflow 4245004 LOCAL 110 RC Inpatient 476 404 Saint Mary's Health Plan PPO 429 per diem 429 per diem 429 453 Coinsurance and deductible may apply ROOM/BED: TRU Skilled P-Single Overflow 4245004 LOCAL 110 RC Inpatient 476 404 Teachers Trust PPO 779 per diem 779 per diem 779 453 Coinsurance and deductible may apply ROOM/BED: TRU Skilled P-Single Overflow 4245004 LOCAL 110 RC Inpatient 476 404 UHN-Universal Health Network PPO 684 per diem 684 per diem 684 453 Coinsurance and deductible may apply ROOM/BED: TRU Skilled P-Single Overflow 4245004 LOCAL 110 RC Inpatient 476 404 United Healthcare PPO 1200 per diem 1681 per diem 1681 453 Coinsurance and deductible may apply ROOM/BED: TRU Skilled P-Single Overflow 4245004 LOCAL 110 RC Inpatient 499 425 Anthem Blue Cross Blue Shield Indeminity PPO 600 per diem 3000 per diem 600 453 Coinsurance and deductible may apply ROOM/BED: TRU Skilled P-Single Overflow 4245004 LOCAL 110 RC Inpatient 499 425 Anthem Blue Cross Blue Shield Pathway X HMO 630 per diem 2500 per diem 227 453 Coinsurance and deductible may apply ROOM/BED: TRU Skilled P-Single Overflow 4245004 LOCAL 110 RC Inpatient 499 425 Coventry PPO 315 per diem 315 per diem 315 453 "315 per day or 25% form billed charges, whichever is the lesser pymnt" ROOM/BED: TRU Skilled Semi-Private 4245003 LOCAL 120 RC Inpatient 443 377 Aetna PPO 350 per diem 350 per diem 350 422 Coinsurance and deductible may apply ROOM/BED: TRU Skilled Semi-Private 4245003 LOCAL 120 RC Inpatient 443 377 Aetna Medicare HMO 350 per diem 350 per diem 350 422 Coinsurance and deductible may apply ROOM/BED: TRU Skilled Semi-Private 4245003 LOCAL 120 RC Inpatient 443 377 Anthem Medicaid HMO 250 per diem 250 per diem 250 422 Coinsurance and deductible may apply ROOM/BED: TRU Skilled Semi-Private 4245003 LOCAL 120 RC Inpatient 443 377 Cigna PPO 837 per diem 837 per diem 837 422 Coinsurance and deductible may apply ROOM/BED: TRU Skilled Semi-Private 4245003 LOCAL 120 RC Inpatient 443 377 Coalition PPO 950 per diem 779 per diem 779 422 Coinsurance and deductible may apply ROOM/BED: TRU Skilled Semi-Private 4245003 LOCAL 120 RC Inpatient 443 377 Great West Healthcare (Mediversal) PPO 709 per diem 709 per diem 709 422 Coinsurance and deductible may apply ROOM/BED: TRU Skilled Semi-Private 4245003 LOCAL 120 RC Inpatient 443 377 HPN Medicaid HMO 250 per diem 250 per diem 250 422 Coinsurance and deductible may apply ROOM/BED: TRU Skilled Semi-Private 4245003 LOCAL 120 RC Inpatient 443 377 Humana-Medicare Advantage HMO 350 per diem 350 per diem 350 422 Coinsurance and deductible may apply ROOM/BED: TRU Skilled Semi-Private 4245003 LOCAL 120 RC Inpatient 443 377 Molina Medicaid HMO 250 per diem 250 per diem 250 422 Coinsurance and deductible may apply ROOM/BED: TRU Skilled Semi-Private 4245003 LOCAL 120 RC Inpatient 443 377 Multiplan PPO 809 per diem 809 per diem 809 422 Coinsurance and deductible may apply ROOM/BED: TRU Skilled Semi-Private 4245003 LOCAL 120 RC Inpatient 443 377 One Health PPO 1681 per diem 1681 per diem 1681 422 Coinsurance and deductible may apply ROOM/BED: TRU Skilled Semi-Private 4245003 LOCAL 120 RC Inpatient 443 377 Saint Mary's Health Plan PPO 429 per diem 429 per diem 429 422 Coinsurance and deductible may apply ROOM/BED: TRU Skilled Semi-Private 4245003 LOCAL 120 RC Inpatient 443 377 Teachers Trust PPO 779 per diem 779 per diem 779 422 Coinsurance and deductible may apply ROOM/BED: TRU Skilled Semi-Private 4245003 LOCAL 120 RC Inpatient 443 377 UHN-Universal Health Network PPO 684 per diem 684 per diem 684 422 Coinsurance and deductible may apply ROOM/BED: TRU Skilled Semi-Private 4245003 LOCAL 120 RC Inpatient 443 377 United Healthcare PPO 1200 per diem 1681 per diem 1681 422 Coinsurance and deductible may apply ROOM/BED: TRU Skilled Semi-Private 4245003 LOCAL 120 RC Inpatient 465 395 Anthem Blue Cross Blue Shield Indeminity PPO 600 per diem 3000 per diem 600 422 Coinsurance and deductible may apply ROOM/BED: TRU Skilled Semi-Private 4245003 LOCAL 120 RC Inpatient 465 395 Anthem Blue Cross Blue Shield Pathway X HMO 630 per diem 2500 per diem 211 422 Coinsurance and deductible may apply ROOM/BED: TRU Skilled Semi-Private 4245003 LOCAL 120 RC Inpatient 465 395 Coventry PPO 315 per diem 315 per diem 315 422 "315 per day or 25% form billed charges, whichever is the lesser pymnt" ROOM/BED: TRU Swing P-Single 3020093 LOCAL 110 RC Inpatient 2054 1746 Aetna PPO 2500 per diem 2500 per diem 2500 1956 Coinsurance and deductible may apply ROOM/BED: TRU Swing P-Single 3020093 LOCAL 110 RC Inpatient 2054 1746 Aetna Medicare HMO 1547 per diem 1547 per diem 1547 1956 Coinsurance and deductible may apply ROOM/BED: TRU Swing P-Single 3020093 LOCAL 110 RC Inpatient 2054 1746 Anthem Medicaid HMO 177 per diem 177 per diem 177 1956 Coinsurance and deductible may apply ROOM/BED: TRU Swing P-Single 3020093 LOCAL 110 RC Inpatient 2054 1746 Cigna PPO 2631 per diem 2631 per diem 2631 1956 Coinsurance and deductible may apply ROOM/BED: TRU Swing P-Single 3020093 LOCAL 110 RC Inpatient 2054 1746 Coalition PPO 2910 per diem 3096 per diem 3096 1956 Coinsurance and deductible may apply ROOM/BED: TRU Swing P-Single 3020093 LOCAL 110 RC Inpatient 2054 1746 Great West Healthcare (Mediversal) PPO 2178 per diem 2178 per diem 2178 1956 Coinsurance and deductible may apply ROOM/BED: TRU Swing P-Single 3020093 LOCAL 110 RC Inpatient 2054 1746 HPN Medicaid HMO 177 per diem 1538 per diem 1538 1956 Coinsurance and deductible may apply ROOM/BED: TRU Swing P-Single 3020093 LOCAL 110 RC Inpatient 2054 1746 Humana-Commerical PPO 1850 per diem 1850 per diem 1850 1956 Coinsurance and deductible may apply ROOM/BED: TRU Swing P-Single 3020093 LOCAL 110 RC Inpatient 2054 1746 Humana-Medicare Advantage HMO 4019 per diem 4019 per diem 4019 1956 Coinsurance and deductible may apply ROOM/BED: TRU Swing P-Single 3020093 LOCAL 110 RC Inpatient 2054 1746 Molina Medicaid HMO 177 per diem 177 per diem 177 1956 Coinsurance and deductible may apply ROOM/BED: TRU Swing P-Single 3020093 LOCAL 110 RC Inpatient 2054 1746 Multiplan PPO 3435 per diem 3435 per diem 3435 1956 Coinsurance and deductible may apply ROOM/BED: TRU Swing P-Single 3020093 LOCAL 110 RC Inpatient 2054 1746 One Health PPO 2747 per diem 2747 per diem 2747 1956 Coinsurance and deductible may apply ROOM/BED: TRU Swing P-Single 3020093 LOCAL 110 RC Inpatient 2054 1746 P3 HMO 4019 per diem 4019 per diem 4019 1956 Coinsurance and deductible may apply ROOM/BED: TRU Swing P-Single 3020093 LOCAL 110 RC Inpatient 2054 1746 Saint Mary's Health Plan PPO 1472 per diem 1472 per diem 1472 1956 Coinsurance and deductible may apply ROOM/BED: TRU Swing P-Single 3020093 LOCAL 110 RC Inpatient 2054 1746 Select Health HMO 3673 per diem 3673 per diem 3673 1956 Coinsurance and deductible may apply ROOM/BED: TRU Swing P-Single 3020093 LOCAL 110 RC Inpatient 2054 1746 Sierra Healthcare Options PPO 1716 per diem 1716 per diem 1716 1956 Coinsurance and deductible may apply ROOM/BED: TRU Swing P-Single 3020093 LOCAL 110 RC Inpatient 2054 1746 Sierra/HPN HMO 2250 per diem 2250 per diem 2250 1956 Coinsurance and deductible may apply ROOM/BED: TRU Swing P-Single 3020093 LOCAL 110 RC Inpatient 2054 1746 Southpoint (Gaghan South) PPO 2116 per diem 2116 per diem 2116 1956 Coinsurance and deductible may apply ROOM/BED: TRU Swing P-Single 3020093 LOCAL 110 RC Inpatient 2054 1746 Teachers Trust PPO 3096 per diem 3096 per diem 3096 1956 Coinsurance and deductible may apply ROOM/BED: TRU Swing P-Single 3020093 LOCAL 110 RC Inpatient 2054 1746 TriWest PPO 2185 per diem 2185 per diem 2185 1956 Coinsurance and deductible may apply ROOM/BED: TRU Swing P-Single 3020093 LOCAL 110 RC Inpatient 2054 1746 UHN-Universal Health Network PPO 2350 per diem 2350 per diem 2350 1956 Coinsurance and deductible may apply ROOM/BED: TRU Swing P-Single 3020093 LOCAL 110 RC Inpatient 2054 1746 United Healthcare PPO 2800 per diem 2747 per diem 2747 1956 Coinsurance and deductible may apply ROOM/BED: TRU Swing P-Single 3020093 LOCAL 110 RC Inpatient 2156 1833 Alignment Medicare HMO 4019 39% of all negotiated rates 4019 per diem 4019 1956 Coinsurance and deductible may apply ROOM/BED: TRU Swing P-Single 3020093 LOCAL 110 RC Inpatient 2156 1833 Anthem Blue Cross Blue Shield Indeminity PPO 3000 per diem 3000 per diem 3000 1956 Coinsurance and deductible may apply ROOM/BED: TRU Swing P-Single 3020093 LOCAL 110 RC Inpatient 2156 1833 Anthem Blue Cross Blue Shield Pathway X HMO 2500 per diem 2500 per diem 978 1956 Coinsurance and deductible may apply ROOM/BED: TRU Swing P-Single 3020093 LOCAL 110 RC Inpatient 2156 1833 Blue Cross Blue Shield Medicare HMO 4019 39% of all negotiated rates 4019 per diem 4019 1956 Coinsurance and deductible may apply ROOM/BED: TRU Swing P-Single 3020093 LOCAL 110 RC Inpatient 2156 1833 Coventry PPO 875 per diem 875 per diem 875 1956 "875 per day or 25% form billed charges, whichever is the lesser pymnt" ROOM/BED: TRU Swing P-Single 3020093 LOCAL 110 RC Inpatient 2156 1833 Optum Medicare HMO 4019 39% of all negotiated rates 4019 per diem 4019 1956 Coinsurance and deductible may apply ROOM/BED: TRU Swing P-Single 3020093 LOCAL 110 RC Inpatient 2156 1833 Silversummit Medicare HMO 4019 39% of all negotiated rates 4019 per diem 4019 1956 Coinsurance and deductible may apply ROOM/BED: TRU Swing Semi-Private 3080030 LOCAL 120 RC Inpatient 1958 1665 Aetna PPO 2500 per diem 2500 per diem 2500 1865 Coinsurance and deductible may apply ROOM/BED: TRU Swing Semi-Private 3080030 LOCAL 120 RC Inpatient 1958 1665 Aetna Medicare HMO 1547 per diem 1547 per diem 1547 1865 Coinsurance and deductible may apply ROOM/BED: TRU Swing Semi-Private 3080030 LOCAL 120 RC Inpatient 1958 1665 Anthem Medicaid HMO 177 per diem 177 per diem 177 1865 Coinsurance and deductible may apply ROOM/BED: TRU Swing Semi-Private 3080030 LOCAL 120 RC Inpatient 1958 1665 Cigna PPO 2631 per diem 2631 per diem 2631 1865 Coinsurance and deductible may apply ROOM/BED: TRU Swing Semi-Private 3080030 LOCAL 120 RC Inpatient 1958 1665 Coalition PPO 2910 per diem 3096 per diem 3096 1865 Coinsurance and deductible may apply ROOM/BED: TRU Swing Semi-Private 3080030 LOCAL 120 RC Inpatient 1958 1665 Great West Healthcare (Mediversal) PPO 2178 per diem 2178 per diem 2178 1865 Coinsurance and deductible may apply ROOM/BED: TRU Swing Semi-Private 3080030 LOCAL 120 RC Inpatient 1958 1665 HPN Medicaid HMO 177 per diem 1538 per diem 1538 1865 Coinsurance and deductible may apply ROOM/BED: TRU Swing Semi-Private 3080030 LOCAL 120 RC Inpatient 1958 1665 Humana-Commerical PPO 1850 per diem 1850 per diem 1850 1865 Coinsurance and deductible may apply ROOM/BED: TRU Swing Semi-Private 3080030 LOCAL 120 RC Inpatient 1958 1665 Humana-Medicare Advantage HMO 4019 per diem 4019 per diem 4019 1865 Coinsurance and deductible may apply ROOM/BED: TRU Swing Semi-Private 3080030 LOCAL 120 RC Inpatient 1958 1665 Molina Medicaid HMO 177 per diem 177 per diem 177 1865 Coinsurance and deductible may apply ROOM/BED: TRU Swing Semi-Private 3080030 LOCAL 120 RC Inpatient 1958 1665 Multiplan PPO 3435 per diem 3435 per diem 3435 1865 Coinsurance and deductible may apply ROOM/BED: TRU Swing Semi-Private 3080030 LOCAL 120 RC Inpatient 1958 1665 One Health PPO 2747 per diem 2747 per diem 2747 1865 Coinsurance and deductible may apply ROOM/BED: TRU Swing Semi-Private 3080030 LOCAL 120 RC Inpatient 1958 1665 P3 HMO 4019 per diem 4019 per diem 4019 1865 Coinsurance and deductible may apply ROOM/BED: TRU Swing Semi-Private 3080030 LOCAL 120 RC Inpatient 1958 1665 Saint Mary's Health Plan PPO 1472 per diem 1472 per diem 1472 1865 Coinsurance and deductible may apply ROOM/BED: TRU Swing Semi-Private 3080030 LOCAL 120 RC Inpatient 1958 1665 Select Health HMO 3673 per diem 3673 per diem 3673 1865 Coinsurance and deductible may apply ROOM/BED: TRU Swing Semi-Private 3080030 LOCAL 120 RC Inpatient 1958 1665 Sierra Healthcare Options PPO 1716 per diem 1716 per diem 1716 1865 Coinsurance and deductible may apply ROOM/BED: TRU Swing Semi-Private 3080030 LOCAL 120 RC Inpatient 1958 1665 Sierra/HPN HMO 2250 per diem 2250 per diem 2250 1865 Coinsurance and deductible may apply ROOM/BED: TRU Swing Semi-Private 3080030 LOCAL 120 RC Inpatient 1958 1665 Southpoint (Gaghan South) PPO 2116 per diem 2116 per diem 2116 1865 Coinsurance and deductible may apply ROOM/BED: TRU Swing Semi-Private 3080030 LOCAL 120 RC Inpatient 1958 1665 Teachers Trust PPO 3096 per diem 3096 per diem 3096 1865 Coinsurance and deductible may apply ROOM/BED: TRU Swing Semi-Private 3080030 LOCAL 120 RC Inpatient 2063 1754 TriWest PPO 2185 per diem 2185 per diem 2185 1865 Coinsurance and deductible may apply ROOM/BED: TRU Swing Semi-Private 3080030 LOCAL 120 RC Inpatient 1958 1665 UHN-Universal Health Network PPO 2350 per diem 2350 per diem 2350 1865 Coinsurance and deductible may apply ROOM/BED: TRU Swing Semi-Private 3080030 LOCAL 120 RC Inpatient 1958 1665 United Healthcare PPO 2800 per diem 2747 per diem 2747 1865 Coinsurance and deductible may apply ROOM/BED: TRU Swing Semi-Private 3080030 LOCAL 120 RC Inpatient 2056 1748 Alignment Medicare HMO 4019 39% of all negotiated rates 4019 per diem 4019 1865 Coinsurance and deductible may apply ROOM/BED: TRU Swing Semi-Private 3080030 LOCAL 120 RC Inpatient 2056 1748 Anthem Blue Cross Blue Shield Indeminity PPO 3000 per diem 3000 per diem 3000 1865 Coinsurance and deductible may apply ROOM/BED: TRU Swing Semi-Private 3080030 LOCAL 120 RC Inpatient 2056 1748 Anthem Blue Cross Blue Shield Pathway X HMO 2500 per diem 2500 per diem 933 1865 Coinsurance and deductible may apply ROOM/BED: TRU Swing Semi-Private 3080030 LOCAL 120 RC Inpatient 2056 1748 Blue Cross Blue Shield Medicare HMO 4019 39% of all negotiated rates 4019 per diem 4019 1865 Coinsurance and deductible may apply ROOM/BED: TRU Swing Semi-Private 3080030 LOCAL 120 RC Inpatient 2056 1748 Coventry PPO 875 per diem 875 per diem 875 1865 "875 per day or 25% form billed charges, whichever is the lesser pymnt" ROOM/BED: TRU Swing Semi-Private 3080030 LOCAL 120 RC Inpatient 2056 1748 Optum Medicare HMO 4019 39% of all negotiated rates 4019 per diem 4019 1865 Coinsurance and deductible may apply ROOM/BED: TRU Swing Semi-Private 3080030 LOCAL 120 RC Inpatient 2056 1748 Silversummit Medicare HMO 4019 39% of all negotiated rates 4019 per diem 4019 1865 Coinsurance and deductible may apply "SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC" 87635 CPT 4010257 LOCAL 300 RC outpatient 69 59 Aetna PPO 38 38% of all negotiated rates 43 percent of total billed charges 43 69 "SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC" 87635 CPT 4010257 LOCAL 300 RC outpatient 69 59 Aetna Medicare HMO 26 26% of all negotiated rates 51 percent of total billed charges 51 69 "SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC" 87635 CPT 4010257 LOCAL 300 RC outpatient 69 59 Alignment Medicare HMO 39 39% of all negotiated rates 42 percent of total billed charges 42 69 "SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC" 87635 CPT 4010257 LOCAL 300 RC outpatient 69 59 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 28 percent of total billed charges 28 69 "SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC" 87635 CPT 4010257 LOCAL 300 RC outpatient 69 59 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 35 percent of total billed charges 35 69 "SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC" 87635 CPT 4010257 LOCAL 300 RC outpatient 69 59 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 42 percent of total billed charges 42 69 "SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC" 87635 CPT 4010257 LOCAL 300 RC outpatient 69 59 Cigna PPO 68 68% of all negotiated rates 22 percent of total billed charges 22 69 "SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC" 87635 CPT 4010257 LOCAL 300 RC outpatient 69 59 Coalition PPO 49 49% of all negotiated rates 35 percent of total billed charges 35 69 "SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC" 87635 CPT 4010257 LOCAL 300 RC outpatient 69 59 Coventry PPO 75 75% of all negotiated rates 17 percent of total billed charges 17 69 "SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC" 87635 CPT 4010257 LOCAL 300 RC outpatient 69 59 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 14 percent of total billed charges 14 69 "SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC" 87635 CPT 4010257 LOCAL 300 RC outpatient 69 59 Humana-Commerical PPO 70 70% of all negotiated rates 21 percent of total billed charges 21 69 "SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC" 87635 CPT 4010257 LOCAL 300 RC outpatient 69 59 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 42 percent of total billed charges 42 69 "SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC" 87635 CPT 4010257 LOCAL 300 RC outpatient 69 59 Multiplan PPO 80 80% of all negotiated rates 14 percent of total billed charges 14 69 "SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC" 87635 CPT 4010257 LOCAL 300 RC outpatient 69 59 One Health PPO 55 55% of all negotiated rates 31 percent of total billed charges 31 69 "SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC" 87635 CPT 4010257 LOCAL 300 RC outpatient 69 59 Optum Medicare HMO 39 39% of all negotiated rates 42 percent of total billed charges 42 69 "SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC" 87635 CPT 4010257 LOCAL 300 RC outpatient 69 59 P3 HMO 39 39% of all negotiated rates 42 percent of total billed charges 42 69 "SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC" 87635 CPT 4010257 LOCAL 300 RC outpatient 69 59 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 21 percent of total billed charges 21 69 "SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC" 87635 CPT 4010257 LOCAL 300 RC outpatient 69 59 Select Health HMO 41 41% of all negotiated rates 41 percent of total billed charges 41 69 "SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC" 87635 CPT 4010257 LOCAL 300 RC outpatient 69 59 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 46 percent of total billed charges 46 69 "SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC" 87635 CPT 4010257 LOCAL 300 RC outpatient 69 59 Sierra/HPN HMO 60 60% of all negotiated rates 28 percent of total billed charges 28 69 "SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC" 87635 CPT 4010257 LOCAL 300 RC outpatient 69 59 Silversummit Medicare HMO 39 39% of all negotiated rates 42 percent of total billed charges 42 69 "SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC" 87635 CPT 4010257 LOCAL 300 RC outpatient 69 59 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 45 percent of total billed charges 45 69 "SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC" 87635 CPT 4010257 LOCAL 300 RC outpatient 69 59 Teachers Trust PPO 65 65% of all negotiated rates 24 percent of total billed charges 24 69 "SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC" 87635 CPT 4010257 LOCAL 300 RC outpatient 69 59 TriWest PPO 30 30% of all negotiated rates 49 percent of total billed charges 49 69 "SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC" 87635 CPT 4010257 LOCAL 300 RC outpatient 69 59 UHN-Universal Health Network PPO 70 70% of all negotiated rates 21 percent of total billed charges 21 69 "SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC" 87635 CPT 4010257 LOCAL 300 RC outpatient 69 59 United Healthcare PPO 60 60% of all negotiated rates 28 percent of total billed charges 28 69 "SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC" 87635 CPT 4010257 LOCAL 300 RC outpatient 69 59 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 26 fee schedule 26 66 Coinsurance and deductible may apply "SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC" 87635 CPT 4010257 LOCAL 300 RC outpatient 69 59 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 26 fee schedule 26 66 Coinsurance and deductible may apply "SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC" 87635 CPT 4010257 LOCAL 300 RC outpatient 69 59 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 26 fee schedule 26 66 Coinsurance and deductible may apply SARS-CoV-2 (COVID-19) PCR (GeneXpert) 87635 CPT 4010317 LOCAL 306 RC outpatient 170 145 Aetna PPO 38 38% of all negotiated rates 105 percent of total billed charges 105 170 SARS-CoV-2 (COVID-19) PCR (GeneXpert) 87635 CPT 4010317 LOCAL 306 RC outpatient 170 145 Aetna Medicare HMO 26 26% of all negotiated rates 126 percent of total billed charges 126 170 SARS-CoV-2 (COVID-19) PCR (GeneXpert) 87635 CPT 4010317 LOCAL 306 RC outpatient 170 145 Alignment Medicare HMO 39 39% of all negotiated rates 104 percent of total billed charges 104 170 SARS-CoV-2 (COVID-19) PCR (GeneXpert) 87635 CPT 4010317 LOCAL 306 RC outpatient 170 145 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 68 percent of total billed charges 68 170 SARS-CoV-2 (COVID-19) PCR (GeneXpert) 87635 CPT 4010317 LOCAL 306 RC outpatient 170 145 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 85 percent of total billed charges 85 170 SARS-CoV-2 (COVID-19) PCR (GeneXpert) 87635 CPT 4010317 LOCAL 306 RC outpatient 170 145 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 104 percent of total billed charges 104 170 SARS-CoV-2 (COVID-19) PCR (GeneXpert) 87635 CPT 4010317 LOCAL 306 RC outpatient 170 145 Cigna PPO 68 68% of all negotiated rates 54 percent of total billed charges 54 170 SARS-CoV-2 (COVID-19) PCR (GeneXpert) 87635 CPT 4010317 LOCAL 306 RC outpatient 170 145 Coalition PPO 49 49% of all negotiated rates 87 percent of total billed charges 87 170 SARS-CoV-2 (COVID-19) PCR (GeneXpert) 87635 CPT 4010317 LOCAL 306 RC outpatient 170 145 Coventry PPO 75 75% of all negotiated rates 43 percent of total billed charges 43 170 SARS-CoV-2 (COVID-19) PCR (GeneXpert) 87635 CPT 4010317 LOCAL 306 RC outpatient 170 145 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 34 percent of total billed charges 34 170 SARS-CoV-2 (COVID-19) PCR (GeneXpert) 87635 CPT 4010317 LOCAL 306 RC outpatient 170 145 Humana-Commerical PPO 70 70% of all negotiated rates 51 percent of total billed charges 51 170 SARS-CoV-2 (COVID-19) PCR (GeneXpert) 87635 CPT 4010317 LOCAL 306 RC outpatient 170 145 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 104 percent of total billed charges 104 170 SARS-CoV-2 (COVID-19) PCR (GeneXpert) 87635 CPT 4010317 LOCAL 306 RC outpatient 170 145 Multiplan PPO 80 80% of all negotiated rates 34 percent of total billed charges 34 170 SARS-CoV-2 (COVID-19) PCR (GeneXpert) 87635 CPT 4010317 LOCAL 306 RC outpatient 170 145 One Health PPO 55 55% of all negotiated rates 77 percent of total billed charges 77 170 SARS-CoV-2 (COVID-19) PCR (GeneXpert) 87635 CPT 4010317 LOCAL 306 RC outpatient 170 145 Optum Medicare HMO 39 39% of all negotiated rates 104 percent of total billed charges 104 170 SARS-CoV-2 (COVID-19) PCR (GeneXpert) 87635 CPT 4010317 LOCAL 306 RC outpatient 170 145 P3 HMO 39 39% of all negotiated rates 104 percent of total billed charges 104 170 SARS-CoV-2 (COVID-19) PCR (GeneXpert) 87635 CPT 4010317 LOCAL 306 RC outpatient 170 145 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 51 percent of total billed charges 51 170 SARS-CoV-2 (COVID-19) PCR (GeneXpert) 87635 CPT 4010317 LOCAL 306 RC outpatient 170 145 Select Health HMO 41 41% of all negotiated rates 100 percent of total billed charges 100 170 SARS-CoV-2 (COVID-19) PCR (GeneXpert) 87635 CPT 4010317 LOCAL 306 RC outpatient 170 145 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 113 percent of total billed charges 113 170 SARS-CoV-2 (COVID-19) PCR (GeneXpert) 87635 CPT 4010317 LOCAL 306 RC outpatient 170 145 Sierra/HPN HMO 60 60% of all negotiated rates 68 percent of total billed charges 68 170 SARS-CoV-2 (COVID-19) PCR (GeneXpert) 87635 CPT 4010317 LOCAL 306 RC outpatient 170 145 Silversummit Medicare HMO 39 39% of all negotiated rates 104 percent of total billed charges 104 170 SARS-CoV-2 (COVID-19) PCR (GeneXpert) 87635 CPT 4010317 LOCAL 306 RC outpatient 170 145 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 111 percent of total billed charges 111 170 SARS-CoV-2 (COVID-19) PCR (GeneXpert) 87635 CPT 4010317 LOCAL 306 RC outpatient 170 145 Teachers Trust PPO 65 65% of all negotiated rates 60 percent of total billed charges 60 170 SARS-CoV-2 (COVID-19) PCR (GeneXpert) 87635 CPT 4010317 LOCAL 306 RC outpatient 170 145 TriWest PPO 30 30% of all negotiated rates 119 percent of total billed charges 119 170 SARS-CoV-2 (COVID-19) PCR (GeneXpert) 87635 CPT 4010317 LOCAL 306 RC outpatient 170 145 UHN-Universal Health Network PPO 70 70% of all negotiated rates 51 percent of total billed charges 51 170 SARS-CoV-2 (COVID-19) PCR (GeneXpert) 87635 CPT 4010317 LOCAL 306 RC outpatient 170 145 United Healthcare PPO 60 60% of all negotiated rates 68 percent of total billed charges 68 170 SARS-CoV-2 (COVID-19) PCR (GeneXpert) 87635 CPT 4010317 LOCAL 306 RC outpatient 170 145 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 26 fee schedule 26 162 Coinsurance and deductible may apply SARS-CoV-2 (COVID-19) PCR (GeneXpert) 87635 CPT 4010317 LOCAL 306 RC outpatient 170 145 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 26 fee schedule 26 162 Coinsurance and deductible may apply SARS-CoV-2 (COVID-19) PCR (GeneXpert) 87635 CPT 4010317 LOCAL 306 RC outpatient 170 145 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 26 fee schedule 26 162 Coinsurance and deductible may apply SARS-CoV-2 (COVID-19)/Flu (GeneXpert) 0240U CPT 4010319 LOCAL 300 RC outpatient 471 401 Aetna PPO 38 38% of all negotiated rates 292 percent of total billed charges 292 471 SARS-CoV-2 (COVID-19)/Flu (GeneXpert) 0240U CPT 4010319 LOCAL 300 RC outpatient 471 401 Aetna Medicare HMO 26 26% of all negotiated rates 349 percent of total billed charges 349 471 SARS-CoV-2 (COVID-19)/Flu (GeneXpert) 0240U CPT 4010319 LOCAL 300 RC outpatient 471 401 Alignment Medicare HMO 39 39% of all negotiated rates 288 percent of total billed charges 288 471 SARS-CoV-2 (COVID-19)/Flu (GeneXpert) 0240U CPT 4010319 LOCAL 300 RC outpatient 471 401 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 189 percent of total billed charges 189 471 SARS-CoV-2 (COVID-19)/Flu (GeneXpert) 0240U CPT 4010319 LOCAL 300 RC outpatient 471 401 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 236 percent of total billed charges 236 471 SARS-CoV-2 (COVID-19)/Flu (GeneXpert) 0240U CPT 4010319 LOCAL 300 RC outpatient 471 401 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 288 percent of total billed charges 288 471 SARS-CoV-2 (COVID-19)/Flu (GeneXpert) 0240U CPT 4010319 LOCAL 300 RC outpatient 471 401 Cigna PPO 68 68% of all negotiated rates 151 percent of total billed charges 151 471 SARS-CoV-2 (COVID-19)/Flu (GeneXpert) 0240U CPT 4010319 LOCAL 300 RC outpatient 471 401 Coalition PPO 49 49% of all negotiated rates 240 percent of total billed charges 240 471 SARS-CoV-2 (COVID-19)/Flu (GeneXpert) 0240U CPT 4010319 LOCAL 300 RC outpatient 471 401 Coventry PPO 75 75% of all negotiated rates 118 percent of total billed charges 118 471 SARS-CoV-2 (COVID-19)/Flu (GeneXpert) 0240U CPT 4010319 LOCAL 300 RC outpatient 471 401 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 94 percent of total billed charges 94 471 SARS-CoV-2 (COVID-19)/Flu (GeneXpert) 0240U CPT 4010319 LOCAL 300 RC outpatient 471 401 Humana-Commerical PPO 70 70% of all negotiated rates 141 percent of total billed charges 141 471 SARS-CoV-2 (COVID-19)/Flu (GeneXpert) 0240U CPT 4010319 LOCAL 300 RC outpatient 471 401 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 288 percent of total billed charges 288 471 SARS-CoV-2 (COVID-19)/Flu (GeneXpert) 0240U CPT 4010319 LOCAL 300 RC outpatient 471 401 Multiplan PPO 80 80% of all negotiated rates 94 percent of total billed charges 94 471 SARS-CoV-2 (COVID-19)/Flu (GeneXpert) 0240U CPT 4010319 LOCAL 300 RC outpatient 471 401 One Health PPO 55 55% of all negotiated rates 212 percent of total billed charges 212 471 SARS-CoV-2 (COVID-19)/Flu (GeneXpert) 0240U CPT 4010319 LOCAL 300 RC outpatient 471 401 Optum Medicare HMO 39 39% of all negotiated rates 288 percent of total billed charges 288 471 SARS-CoV-2 (COVID-19)/Flu (GeneXpert) 0240U CPT 4010319 LOCAL 300 RC outpatient 471 401 P3 HMO 39 39% of all negotiated rates 288 percent of total billed charges 288 471 SARS-CoV-2 (COVID-19)/Flu (GeneXpert) 0240U CPT 4010319 LOCAL 300 RC outpatient 471 401 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 141 percent of total billed charges 141 471 SARS-CoV-2 (COVID-19)/Flu (GeneXpert) 0240U CPT 4010319 LOCAL 300 RC outpatient 471 401 Select Health HMO 41 41% of all negotiated rates 278 percent of total billed charges 278 471 SARS-CoV-2 (COVID-19)/Flu (GeneXpert) 0240U CPT 4010319 LOCAL 300 RC outpatient 471 401 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 314 percent of total billed charges 314 471 SARS-CoV-2 (COVID-19)/Flu (GeneXpert) 0240U CPT 4010319 LOCAL 300 RC outpatient 471 401 Sierra/HPN HMO 60 60% of all negotiated rates 189 percent of total billed charges 189 471 SARS-CoV-2 (COVID-19)/Flu (GeneXpert) 0240U CPT 4010319 LOCAL 300 RC outpatient 471 401 Silversummit Medicare HMO 39 39% of all negotiated rates 288 percent of total billed charges 288 471 SARS-CoV-2 (COVID-19)/Flu (GeneXpert) 0240U CPT 4010319 LOCAL 300 RC outpatient 471 401 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 306 percent of total billed charges 306 471 SARS-CoV-2 (COVID-19)/Flu (GeneXpert) 0240U CPT 4010319 LOCAL 300 RC outpatient 471 401 Teachers Trust PPO 65 65% of all negotiated rates 165 percent of total billed charges 165 471 SARS-CoV-2 (COVID-19)/Flu (GeneXpert) 0240U CPT 4010319 LOCAL 300 RC outpatient 471 401 TriWest PPO 30 30% of all negotiated rates 330 percent of total billed charges 330 471 SARS-CoV-2 (COVID-19)/Flu (GeneXpert) 0240U CPT 4010319 LOCAL 300 RC outpatient 471 401 UHN-Universal Health Network PPO 70 70% of all negotiated rates 141 percent of total billed charges 141 471 SARS-CoV-2 (COVID-19)/Flu (GeneXpert) 0240U CPT 4010319 LOCAL 300 RC outpatient 471 401 United Healthcare PPO 60 60% of all negotiated rates 189 percent of total billed charges 189 471 SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert) 0241U CPT 4010321 LOCAL 300 RC outpatient 471 401 Aetna PPO 38 38% of all negotiated rates 292 percent of total billed charges 292 471 SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert) 0241U CPT 4010321 LOCAL 300 RC outpatient 471 401 Aetna Medicare HMO 26 26% of all negotiated rates 349 percent of total billed charges 349 471 SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert) 0241U CPT 4010321 LOCAL 300 RC outpatient 471 401 Alignment Medicare HMO 39 39% of all negotiated rates 288 percent of total billed charges 288 471 SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert) 0241U CPT 4010321 LOCAL 300 RC outpatient 471 401 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 189 percent of total billed charges 189 471 SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert) 0241U CPT 4010321 LOCAL 300 RC outpatient 471 401 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 236 percent of total billed charges 236 471 SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert) 0241U CPT 4010321 LOCAL 300 RC outpatient 471 401 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 288 percent of total billed charges 288 471 SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert) 0241U CPT 4010321 LOCAL 300 RC outpatient 471 401 Cigna PPO 68 68% of all negotiated rates 151 percent of total billed charges 151 471 SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert) 0241U CPT 4010321 LOCAL 300 RC outpatient 471 401 Coalition PPO 49 49% of all negotiated rates 240 percent of total billed charges 240 471 SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert) 0241U CPT 4010321 LOCAL 300 RC outpatient 471 401 Coventry PPO 75 75% of all negotiated rates 118 percent of total billed charges 118 471 SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert) 0241U CPT 4010321 LOCAL 300 RC outpatient 471 401 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 94 percent of total billed charges 94 471 SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert) 0241U CPT 4010321 LOCAL 300 RC outpatient 471 401 Humana-Commerical PPO 70 70% of all negotiated rates 141 percent of total billed charges 141 471 SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert) 0241U CPT 4010321 LOCAL 300 RC outpatient 471 401 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 288 percent of total billed charges 288 471 SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert) 0241U CPT 4010321 LOCAL 300 RC outpatient 471 401 Multiplan PPO 80 80% of all negotiated rates 94 percent of total billed charges 94 471 SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert) 0241U CPT 4010321 LOCAL 300 RC outpatient 471 401 One Health PPO 55 55% of all negotiated rates 212 percent of total billed charges 212 471 SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert) 0241U CPT 4010321 LOCAL 300 RC outpatient 471 401 Optum Medicare HMO 39 39% of all negotiated rates 288 percent of total billed charges 288 471 SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert) 0241U CPT 4010321 LOCAL 300 RC outpatient 471 401 P3 HMO 39 39% of all negotiated rates 288 percent of total billed charges 288 471 SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert) 0241U CPT 4010321 LOCAL 300 RC outpatient 471 401 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 141 percent of total billed charges 141 471 SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert) 0241U CPT 4010321 LOCAL 300 RC outpatient 471 401 Select Health HMO 41 41% of all negotiated rates 278 percent of total billed charges 278 471 SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert) 0241U CPT 4010321 LOCAL 300 RC outpatient 471 401 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 314 percent of total billed charges 314 471 SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert) 0241U CPT 4010321 LOCAL 300 RC outpatient 471 401 Sierra/HPN HMO 60 60% of all negotiated rates 189 percent of total billed charges 189 471 SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert) 0241U CPT 4010321 LOCAL 300 RC outpatient 471 401 Silversummit Medicare HMO 39 39% of all negotiated rates 288 percent of total billed charges 288 471 SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert) 0241U CPT 4010321 LOCAL 300 RC outpatient 471 401 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 306 percent of total billed charges 306 471 SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert) 0241U CPT 4010321 LOCAL 300 RC outpatient 471 401 Teachers Trust PPO 65 65% of all negotiated rates 165 percent of total billed charges 165 471 SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert) 0241U CPT 4010321 LOCAL 300 RC outpatient 471 401 TriWest PPO 30 30% of all negotiated rates 330 percent of total billed charges 330 471 SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert) 0241U CPT 4010321 LOCAL 300 RC outpatient 471 401 UHN-Universal Health Network PPO 70 70% of all negotiated rates 141 percent of total billed charges 141 471 SARS-CoV-2 (COVID-19)/Flu/RSV (GeneXpert) 0241U CPT 4010321 LOCAL 300 RC outpatient 471 401 United Healthcare PPO 60 60% of all negotiated rates 189 percent of total billed charges 189 471 Sodium Level 84295 CPT 4002955 LOCAL 301 RC outpatient 97 82 Aetna PPO 38 38% of all negotiated rates 60 percent of total billed charges 60 97 Sodium Level 84295 CPT 4002955 LOCAL 301 RC outpatient 97 82 Aetna Medicare HMO 26 26% of all negotiated rates 71 percent of total billed charges 71 97 Sodium Level 84295 CPT 4002955 LOCAL 301 RC outpatient 97 82 Alignment Medicare HMO 39 39% of all negotiated rates 59 percent of total billed charges 59 97 Sodium Level 84295 CPT 4002955 LOCAL 301 RC outpatient 97 82 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 39 percent of total billed charges 39 97 Sodium Level 84295 CPT 4002955 LOCAL 301 RC outpatient 97 82 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 48 percent of total billed charges 48 97 Sodium Level 84295 CPT 4002955 LOCAL 301 RC outpatient 97 82 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 59 percent of total billed charges 59 97 Sodium Level 84295 CPT 4002955 LOCAL 301 RC outpatient 97 82 Cigna PPO 68 68% of all negotiated rates 31 percent of total billed charges 31 97 Sodium Level 84295 CPT 4002955 LOCAL 301 RC outpatient 97 82 Coalition PPO 49 49% of all negotiated rates 49 percent of total billed charges 49 97 Sodium Level 84295 CPT 4002955 LOCAL 301 RC outpatient 97 82 Coventry PPO 75 75% of all negotiated rates 24 percent of total billed charges 24 97 Sodium Level 84295 CPT 4002955 LOCAL 301 RC outpatient 97 82 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 19 percent of total billed charges 19 97 Sodium Level 84295 CPT 4002955 LOCAL 301 RC outpatient 97 82 Humana-Commerical PPO 70 70% of all negotiated rates 29 percent of total billed charges 29 97 Sodium Level 84295 CPT 4002955 LOCAL 301 RC outpatient 97 82 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 59 percent of total billed charges 59 97 Sodium Level 84295 CPT 4002955 LOCAL 301 RC outpatient 97 82 Multiplan PPO 80 80% of all negotiated rates 19 percent of total billed charges 19 97 Sodium Level 84295 CPT 4002955 LOCAL 301 RC outpatient 97 82 One Health PPO 55 55% of all negotiated rates 43 percent of total billed charges 43 97 Sodium Level 84295 CPT 4002955 LOCAL 301 RC outpatient 97 82 Optum Medicare HMO 39 39% of all negotiated rates 59 percent of total billed charges 59 97 Sodium Level 84295 CPT 4002955 LOCAL 301 RC outpatient 97 82 P3 HMO 39 39% of all negotiated rates 59 percent of total billed charges 59 97 Sodium Level 84295 CPT 4002955 LOCAL 301 RC outpatient 97 82 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 29 percent of total billed charges 29 97 Sodium Level 84295 CPT 4002955 LOCAL 301 RC outpatient 97 82 Select Health HMO 41 41% of all negotiated rates 57 percent of total billed charges 57 97 Sodium Level 84295 CPT 4002955 LOCAL 301 RC outpatient 97 82 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 64 percent of total billed charges 64 97 Sodium Level 84295 CPT 4002955 LOCAL 301 RC outpatient 97 82 Sierra/HPN HMO 60 60% of all negotiated rates 39 percent of total billed charges 39 97 Sodium Level 84295 CPT 4002955 LOCAL 301 RC outpatient 97 82 Silversummit Medicare HMO 39 39% of all negotiated rates 59 percent of total billed charges 59 97 Sodium Level 84295 CPT 4002955 LOCAL 301 RC outpatient 97 82 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 63 percent of total billed charges 63 97 Sodium Level 84295 CPT 4002955 LOCAL 301 RC outpatient 97 82 Teachers Trust PPO 65 65% of all negotiated rates 34 percent of total billed charges 34 97 Sodium Level 84295 CPT 4002955 LOCAL 301 RC outpatient 97 82 TriWest PPO 30 30% of all negotiated rates 68 percent of total billed charges 68 97 Sodium Level 84295 CPT 4002955 LOCAL 301 RC outpatient 97 82 UHN-Universal Health Network PPO 70 70% of all negotiated rates 29 percent of total billed charges 29 97 Sodium Level 84295 CPT 4002955 LOCAL 301 RC outpatient 97 82 United Healthcare PPO 60 60% of all negotiated rates 39 percent of total billed charges 39 97 Sodium Level 84295 CPT 4002955 LOCAL 301 RC outpatient 97 82 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 92 Coinsurance and deductible may apply Sodium Level 84295 CPT 4002955 LOCAL 301 RC outpatient 97 82 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 92 Coinsurance and deductible may apply Sodium Level 84295 CPT 4002955 LOCAL 301 RC outpatient 97 82 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 92 Coinsurance and deductible may apply Sodium Level Urine 84300 CPT 4001466 LOCAL 301 RC outpatient 97 82 Aetna PPO 38 38% of all negotiated rates 60 percent of total billed charges 60 97 Sodium Level Urine 84300 CPT 4001466 LOCAL 301 RC outpatient 97 82 Aetna Medicare HMO 26 26% of all negotiated rates 71 percent of total billed charges 71 97 Sodium Level Urine 84300 CPT 4001466 LOCAL 301 RC outpatient 97 82 Alignment Medicare HMO 39 39% of all negotiated rates 59 percent of total billed charges 59 97 Sodium Level Urine 84300 CPT 4001466 LOCAL 301 RC outpatient 97 82 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 39 percent of total billed charges 39 97 Sodium Level Urine 84300 CPT 4001466 LOCAL 301 RC outpatient 97 82 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 48 percent of total billed charges 48 97 Sodium Level Urine 84300 CPT 4001466 LOCAL 301 RC outpatient 97 82 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 59 percent of total billed charges 59 97 Sodium Level Urine 84300 CPT 4001466 LOCAL 301 RC outpatient 97 82 Cigna PPO 68 68% of all negotiated rates 31 percent of total billed charges 31 97 Sodium Level Urine 84300 CPT 4001466 LOCAL 301 RC outpatient 97 82 Coalition PPO 49 49% of all negotiated rates 49 percent of total billed charges 49 97 Sodium Level Urine 84300 CPT 4001466 LOCAL 301 RC outpatient 97 82 Coventry PPO 75 75% of all negotiated rates 24 percent of total billed charges 24 97 Sodium Level Urine 84300 CPT 4001466 LOCAL 301 RC outpatient 97 82 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 19 percent of total billed charges 19 97 Sodium Level Urine 84300 CPT 4001466 LOCAL 301 RC outpatient 97 82 Humana-Commerical PPO 70 70% of all negotiated rates 29 percent of total billed charges 29 97 Sodium Level Urine 84300 CPT 4001466 LOCAL 301 RC outpatient 97 82 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 59 percent of total billed charges 59 97 Sodium Level Urine 84300 CPT 4001466 LOCAL 301 RC outpatient 97 82 Multiplan PPO 80 80% of all negotiated rates 19 percent of total billed charges 19 97 Sodium Level Urine 84300 CPT 4001466 LOCAL 301 RC outpatient 97 82 One Health PPO 55 55% of all negotiated rates 43 percent of total billed charges 43 97 Sodium Level Urine 84300 CPT 4001466 LOCAL 301 RC outpatient 97 82 Optum Medicare HMO 39 39% of all negotiated rates 59 percent of total billed charges 59 97 Sodium Level Urine 84300 CPT 4001466 LOCAL 301 RC outpatient 97 82 P3 HMO 39 39% of all negotiated rates 59 percent of total billed charges 59 97 Sodium Level Urine 84300 CPT 4001466 LOCAL 301 RC outpatient 97 82 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 29 percent of total billed charges 29 97 Sodium Level Urine 84300 CPT 4001466 LOCAL 301 RC outpatient 97 82 Select Health HMO 41 41% of all negotiated rates 57 percent of total billed charges 57 97 Sodium Level Urine 84300 CPT 4001466 LOCAL 301 RC outpatient 97 82 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 64 percent of total billed charges 64 97 Sodium Level Urine 84300 CPT 4001466 LOCAL 301 RC outpatient 97 82 Sierra/HPN HMO 60 60% of all negotiated rates 39 percent of total billed charges 39 97 Sodium Level Urine 84300 CPT 4001466 LOCAL 301 RC outpatient 97 82 Silversummit Medicare HMO 39 39% of all negotiated rates 59 percent of total billed charges 59 97 Sodium Level Urine 84300 CPT 4001466 LOCAL 301 RC outpatient 97 82 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 63 percent of total billed charges 63 97 Sodium Level Urine 84300 CPT 4001466 LOCAL 301 RC outpatient 97 82 Teachers Trust PPO 65 65% of all negotiated rates 34 percent of total billed charges 34 97 Sodium Level Urine 84300 CPT 4001466 LOCAL 301 RC outpatient 97 82 TriWest PPO 30 30% of all negotiated rates 68 percent of total billed charges 68 97 Sodium Level Urine 84300 CPT 4001466 LOCAL 301 RC outpatient 97 82 UHN-Universal Health Network PPO 70 70% of all negotiated rates 29 percent of total billed charges 29 97 Sodium Level Urine 84300 CPT 4001466 LOCAL 301 RC outpatient 97 82 United Healthcare PPO 60 60% of all negotiated rates 39 percent of total billed charges 39 97 Sodium Level Urine 84300 CPT 4001466 LOCAL 301 RC outpatient 97 82 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 92 Coinsurance and deductible may apply Sodium Level Urine 84300 CPT 4001466 LOCAL 301 RC outpatient 97 82 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 92 Coinsurance and deductible may apply Sodium Level Urine 84300 CPT 4001466 LOCAL 301 RC outpatient 97 82 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 92 Coinsurance and deductible may apply SPIROMETRY (PFT) 94010 CPT 4160106 LOCAL 460 RC outpatient 684 581 Aetna PPO 38 38% of all negotiated rates 424 percent of total billed charges 424 684 SPIROMETRY (PFT) 94010 CPT 4160106 LOCAL 460 RC outpatient 684 581 Aetna Medicare HMO 26 26% of all negotiated rates 506 percent of total billed charges 506 684 SPIROMETRY (PFT) 94010 CPT 4160106 LOCAL 460 RC outpatient 684 581 Alignment Medicare HMO 39 39% of all negotiated rates 417 percent of total billed charges 417 684 SPIROMETRY (PFT) 94010 CPT 4160106 LOCAL 460 RC outpatient 684 581 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 273 percent of total billed charges 273 684 SPIROMETRY (PFT) 94010 CPT 4160106 LOCAL 460 RC outpatient 684 581 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 342 percent of total billed charges 342 684 SPIROMETRY (PFT) 94010 CPT 4160106 LOCAL 460 RC outpatient 684 581 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 417 percent of total billed charges 417 684 SPIROMETRY (PFT) 94010 CPT 4160106 LOCAL 460 RC outpatient 684 581 Cigna PPO 68 68% of all negotiated rates 219 percent of total billed charges 219 684 SPIROMETRY (PFT) 94010 CPT 4160106 LOCAL 460 RC outpatient 684 581 Coalition PPO 59 59% of all negotiated rates 280 percent of total billed charges 280 684 SPIROMETRY (PFT) 94010 CPT 4160106 LOCAL 460 RC outpatient 684 581 Coventry PPO 75 75% of all negotiated rates 171 percent of total billed charges 171 684 SPIROMETRY (PFT) 94010 CPT 4160106 LOCAL 460 RC outpatient 684 581 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 137 percent of total billed charges 137 684 SPIROMETRY (PFT) 94010 CPT 4160106 LOCAL 460 RC outpatient 684 581 Humana-Commerical PPO 70 70% of all negotiated rates 205 percent of total billed charges 205 684 SPIROMETRY (PFT) 94010 CPT 4160106 LOCAL 460 RC outpatient 684 581 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 417 percent of total billed charges 417 684 SPIROMETRY (PFT) 94010 CPT 4160106 LOCAL 460 RC outpatient 684 581 Multiplan PPO 80 80% of all negotiated rates 137 percent of total billed charges 137 684 SPIROMETRY (PFT) 94010 CPT 4160106 LOCAL 460 RC outpatient 684 581 One Health PPO 55 55% of all negotiated rates 308 percent of total billed charges 308 684 SPIROMETRY (PFT) 94010 CPT 4160106 LOCAL 460 RC outpatient 684 581 Optum Medicare HMO 39 39% of all negotiated rates 417 percent of total billed charges 417 684 SPIROMETRY (PFT) 94010 CPT 4160106 LOCAL 460 RC outpatient 684 581 P3 HMO 39 39% of all negotiated rates 417 percent of total billed charges 417 684 SPIROMETRY (PFT) 94010 CPT 4160106 LOCAL 460 RC outpatient 684 581 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 205 percent of total billed charges 205 684 SPIROMETRY (PFT) 94010 CPT 4160106 LOCAL 460 RC outpatient 684 581 Select Health HMO 41 41% of all negotiated rates 403 percent of total billed charges 403 684 SPIROMETRY (PFT) 94010 CPT 4160106 LOCAL 460 RC outpatient 684 581 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 455 percent of total billed charges 455 684 SPIROMETRY (PFT) 94010 CPT 4160106 LOCAL 460 RC outpatient 684 581 Sierra/HPN HMO 60 60% of all negotiated rates 273 percent of total billed charges 273 684 SPIROMETRY (PFT) 94010 CPT 4160106 LOCAL 460 RC outpatient 684 581 Silversummit Medicare HMO 39 39% of all negotiated rates 417 percent of total billed charges 417 684 SPIROMETRY (PFT) 94010 CPT 4160106 LOCAL 460 RC outpatient 684 581 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 444 percent of total billed charges 444 684 SPIROMETRY (PFT) 94010 CPT 4160106 LOCAL 460 RC outpatient 684 581 Teachers Trust PPO 65 65% of all negotiated rates 239 percent of total billed charges 239 684 SPIROMETRY (PFT) 94010 CPT 4160106 LOCAL 460 RC outpatient 684 581 TriWest PPO 30 30% of all negotiated rates 478 percent of total billed charges 478 684 SPIROMETRY (PFT) 94010 CPT 4160106 LOCAL 460 RC outpatient 684 581 UHN-Universal Health Network PPO 70 70% of all negotiated rates 205 percent of total billed charges 205 684 SPIROMETRY (PFT) 94010 CPT 4160106 LOCAL 460 RC outpatient 684 581 United Healthcare PPO 60 60% of all negotiated rates 273 percent of total billed charges 273 684 SPIROMETRY (PFT) 94010 CPT 4160106 LOCAL 460 RC outpatient 684 581 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 32 fee schedule 32 651 Coinsurance and deductible may apply SPIROMETRY (PFT) 94010 CPT 4160106 LOCAL 460 RC outpatient 684 581 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 32 fee schedule 32 651 Coinsurance and deductible may apply SPIROMETRY (PFT) 94010 CPT 4160106 LOCAL 460 RC outpatient 684 581 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 32 fee schedule 32 651 Coinsurance and deductible may apply Strep A PCR (GeneXpert) 87651 CPT 4010323 LOCAL 306 RC outpatient 116 98 Aetna PPO 38 38% of all negotiated rates 72 percent of total billed charges 72 116 Strep A PCR (GeneXpert) 87651 CPT 4010323 LOCAL 306 RC outpatient 116 98 Aetna Medicare HMO 26 26% of all negotiated rates 85 percent of total billed charges 85 116 Strep A PCR (GeneXpert) 87651 CPT 4010323 LOCAL 306 RC outpatient 116 98 Alignment Medicare HMO 39 39% of all negotiated rates 70 percent of total billed charges 70 116 Strep A PCR (GeneXpert) 87651 CPT 4010323 LOCAL 306 RC outpatient 116 98 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 46 percent of total billed charges 46 116 Strep A PCR (GeneXpert) 87651 CPT 4010323 LOCAL 306 RC outpatient 116 98 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 58 percent of total billed charges 58 116 Strep A PCR (GeneXpert) 87651 CPT 4010323 LOCAL 306 RC outpatient 116 98 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 70 percent of total billed charges 70 116 Strep A PCR (GeneXpert) 87651 CPT 4010323 LOCAL 306 RC outpatient 116 98 Cigna PPO 68 68% of all negotiated rates 37 percent of total billed charges 37 116 Strep A PCR (GeneXpert) 87651 CPT 4010323 LOCAL 306 RC outpatient 116 98 Coalition PPO 49 49% of all negotiated rates 59 percent of total billed charges 59 116 Strep A PCR (GeneXpert) 87651 CPT 4010323 LOCAL 306 RC outpatient 116 98 Coventry PPO 75 75% of all negotiated rates 29 percent of total billed charges 29 116 Strep A PCR (GeneXpert) 87651 CPT 4010323 LOCAL 306 RC outpatient 116 98 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 23 percent of total billed charges 23 116 Strep A PCR (GeneXpert) 87651 CPT 4010323 LOCAL 306 RC outpatient 116 98 Humana-Commerical PPO 70 70% of all negotiated rates 35 percent of total billed charges 35 116 Strep A PCR (GeneXpert) 87651 CPT 4010323 LOCAL 306 RC outpatient 116 98 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 70 percent of total billed charges 70 116 Strep A PCR (GeneXpert) 87651 CPT 4010323 LOCAL 306 RC outpatient 116 98 Multiplan PPO 80 80% of all negotiated rates 23 percent of total billed charges 23 116 Strep A PCR (GeneXpert) 87651 CPT 4010323 LOCAL 306 RC outpatient 116 98 One Health PPO 55 55% of all negotiated rates 52 percent of total billed charges 52 116 Strep A PCR (GeneXpert) 87651 CPT 4010323 LOCAL 306 RC outpatient 116 98 Optum Medicare HMO 39 39% of all negotiated rates 70 percent of total billed charges 70 116 Strep A PCR (GeneXpert) 87651 CPT 4010323 LOCAL 306 RC outpatient 116 98 P3 HMO 39 39% of all negotiated rates 70 percent of total billed charges 70 116 Strep A PCR (GeneXpert) 87651 CPT 4010323 LOCAL 306 RC outpatient 116 98 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 35 percent of total billed charges 35 116 Strep A PCR (GeneXpert) 87651 CPT 4010323 LOCAL 306 RC outpatient 116 98 Select Health HMO 41 41% of all negotiated rates 68 percent of total billed charges 68 116 Strep A PCR (GeneXpert) 87651 CPT 4010323 LOCAL 306 RC outpatient 116 98 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 77 percent of total billed charges 77 116 Strep A PCR (GeneXpert) 87651 CPT 4010323 LOCAL 306 RC outpatient 116 98 Sierra/HPN HMO 60 60% of all negotiated rates 46 percent of total billed charges 46 116 Strep A PCR (GeneXpert) 87651 CPT 4010323 LOCAL 306 RC outpatient 116 98 Silversummit Medicare HMO 39 39% of all negotiated rates 70 percent of total billed charges 70 116 Strep A PCR (GeneXpert) 87651 CPT 4010323 LOCAL 306 RC outpatient 116 98 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 75 percent of total billed charges 75 116 Strep A PCR (GeneXpert) 87651 CPT 4010323 LOCAL 306 RC outpatient 116 98 Teachers Trust PPO 65 65% of all negotiated rates 40 percent of total billed charges 40 116 Strep A PCR (GeneXpert) 87651 CPT 4010323 LOCAL 306 RC outpatient 116 98 TriWest PPO 30 30% of all negotiated rates 81 percent of total billed charges 81 116 Strep A PCR (GeneXpert) 87651 CPT 4010323 LOCAL 306 RC outpatient 116 98 UHN-Universal Health Network PPO 70 70% of all negotiated rates 35 percent of total billed charges 35 116 Strep A PCR (GeneXpert) 87651 CPT 4010323 LOCAL 306 RC outpatient 116 98 United Healthcare PPO 60 60% of all negotiated rates 46 percent of total billed charges 46 116 Strep A PCR (GeneXpert) 87651 CPT 4010323 LOCAL 306 RC outpatient 116 98 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 24 fee schedule 24 110 Coinsurance and deductible may apply Strep A PCR (GeneXpert) 87651 CPT 4010323 LOCAL 306 RC outpatient 116 98 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 24 fee schedule 24 110 Coinsurance and deductible may apply Strep A PCR (GeneXpert) 87651 CPT 4010323 LOCAL 306 RC outpatient 116 98 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 24 fee schedule 24 110 Coinsurance and deductible may apply "T4, Total" 84436 CPT 4004399 LOCAL 301 RC outpatient 287 244 Aetna PPO 38 38% of all negotiated rates 178 percent of total billed charges 178 287 "T4, Total" 84436 CPT 4004399 LOCAL 301 RC outpatient 287 244 Aetna Medicare HMO 26 26% of all negotiated rates 212 percent of total billed charges 212 287 "T4, Total" 84436 CPT 4004399 LOCAL 301 RC outpatient 287 244 Alignment Medicare HMO 39 39% of all negotiated rates 175 percent of total billed charges 175 287 "T4, Total" 84436 CPT 4004399 LOCAL 301 RC outpatient 287 244 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 115 percent of total billed charges 115 287 "T4, Total" 84436 CPT 4004399 LOCAL 301 RC outpatient 287 244 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 143 percent of total billed charges 143 287 "T4, Total" 84436 CPT 4004399 LOCAL 301 RC outpatient 287 244 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 175 percent of total billed charges 175 287 "T4, Total" 84436 CPT 4004399 LOCAL 301 RC outpatient 287 244 Cigna PPO 68 68% of all negotiated rates 92 percent of total billed charges 92 287 "T4, Total" 84436 CPT 4004399 LOCAL 301 RC outpatient 287 244 Coalition PPO 49 49% of all negotiated rates 146 percent of total billed charges 146 287 "T4, Total" 84436 CPT 4004399 LOCAL 301 RC outpatient 287 244 Coventry PPO 75 75% of all negotiated rates 72 percent of total billed charges 72 287 "T4, Total" 84436 CPT 4004399 LOCAL 301 RC outpatient 287 244 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 57 percent of total billed charges 57 287 "T4, Total" 84436 CPT 4004399 LOCAL 301 RC outpatient 287 244 Humana-Commerical PPO 70 70% of all negotiated rates 86 percent of total billed charges 86 287 "T4, Total" 84436 CPT 4004399 LOCAL 301 RC outpatient 287 244 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 175 percent of total billed charges 175 287 "T4, Total" 84436 CPT 4004399 LOCAL 301 RC outpatient 287 244 Multiplan PPO 80 80% of all negotiated rates 57 percent of total billed charges 57 287 "T4, Total" 84436 CPT 4004399 LOCAL 301 RC outpatient 287 244 One Health PPO 55 55% of all negotiated rates 129 percent of total billed charges 129 287 "T4, Total" 84436 CPT 4004399 LOCAL 301 RC outpatient 287 244 Optum Medicare HMO 39 39% of all negotiated rates 175 percent of total billed charges 175 287 "T4, Total" 84436 CPT 4004399 LOCAL 301 RC outpatient 287 244 P3 HMO 39 39% of all negotiated rates 175 percent of total billed charges 175 287 "T4, Total" 84436 CPT 4004399 LOCAL 301 RC outpatient 287 244 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 86 percent of total billed charges 86 287 "T4, Total" 84436 CPT 4004399 LOCAL 301 RC outpatient 287 244 Select Health HMO 41 41% of all negotiated rates 169 percent of total billed charges 169 287 "T4, Total" 84436 CPT 4004399 LOCAL 301 RC outpatient 287 244 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 191 percent of total billed charges 191 287 "T4, Total" 84436 CPT 4004399 LOCAL 301 RC outpatient 287 244 Sierra/HPN HMO 60 60% of all negotiated rates 115 percent of total billed charges 115 287 "T4, Total" 84436 CPT 4004399 LOCAL 301 RC outpatient 287 244 Silversummit Medicare HMO 39 39% of all negotiated rates 175 percent of total billed charges 175 287 "T4, Total" 84436 CPT 4004399 LOCAL 301 RC outpatient 287 244 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 186 percent of total billed charges 186 287 "T4, Total" 84436 CPT 4004399 LOCAL 301 RC outpatient 287 244 Teachers Trust PPO 65 65% of all negotiated rates 100 percent of total billed charges 100 287 "T4, Total" 84436 CPT 4004399 LOCAL 301 RC outpatient 287 244 TriWest PPO 30 30% of all negotiated rates 201 percent of total billed charges 201 287 "T4, Total" 84436 CPT 4004399 LOCAL 301 RC outpatient 287 244 UHN-Universal Health Network PPO 70 70% of all negotiated rates 86 percent of total billed charges 86 287 "T4, Total" 84436 CPT 4004399 LOCAL 301 RC outpatient 287 244 United Healthcare PPO 60 60% of all negotiated rates 115 percent of total billed charges 115 287 "T4, Total" 84436 CPT 4004399 LOCAL 301 RC outpatient 287 244 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 5 fee schedule 5 273 Coinsurance and deductible may apply "T4, Total" 84436 CPT 4004399 LOCAL 301 RC outpatient 287 244 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 5 fee schedule 5 273 Coinsurance and deductible may apply "T4, Total" 84436 CPT 4004399 LOCAL 301 RC outpatient 287 244 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 5 fee schedule 5 273 Coinsurance and deductible may apply Therapeutic Activities Charge 97530 CPT 4556959 LOCAL 420 RC outpatient 104 88 Aetna Medicare HMO 26 26% of all negotiated rates 77 percent of total billed charges 77 104 Therapeutic Activities Charge 97530 CPT 4556959 LOCAL 420 RC outpatient 104 88 Alignment Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Therapeutic Activities Charge 97530 CPT 4556959 LOCAL 420 RC outpatient 104 88 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 42 percent of total billed charges 42 104 Therapeutic Activities Charge 97530 CPT 4556959 LOCAL 420 RC outpatient 104 88 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 52 percent of total billed charges 52 104 Therapeutic Activities Charge 97530 CPT 4556959 LOCAL 420 RC outpatient 104 88 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Therapeutic Activities Charge 97530 CPT 4556959 LOCAL 420 RC outpatient 104 88 Cigna PPO 68 68% of all negotiated rates 33 percent of total billed charges 33 104 Therapeutic Activities Charge 97530 CPT 4556959 LOCAL 420 RC outpatient 104 88 Coventry PPO 75 75% of all negotiated rates 26 percent of total billed charges 26 104 Therapeutic Activities Charge 97530 CPT 4556959 LOCAL 420 RC outpatient 104 88 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 21 percent of total billed charges 21 104 Therapeutic Activities Charge 97530 CPT 4556959 LOCAL 420 RC outpatient 104 88 Humana-Commerical PPO 70 70% of all negotiated rates 31 percent of total billed charges 31 104 Therapeutic Activities Charge 97530 CPT 4556959 LOCAL 420 RC outpatient 104 88 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Therapeutic Activities Charge 97530 CPT 4556959 LOCAL 420 RC outpatient 104 88 Multiplan PPO 80 80% of all negotiated rates 21 percent of total billed charges 21 104 Therapeutic Activities Charge 97530 CPT 4556959 LOCAL 420 RC outpatient 104 88 Optum Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Therapeutic Activities Charge 97530 CPT 4556959 LOCAL 420 RC outpatient 104 88 P3 HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Therapeutic Activities Charge 97530 CPT 4556959 LOCAL 420 RC outpatient 104 88 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 31 percent of total billed charges 31 104 Therapeutic Activities Charge 97530 CPT 4556959 LOCAL 420 RC outpatient 104 88 Select Health HMO 41 41% of all negotiated rates 61 percent of total billed charges 61 104 Therapeutic Activities Charge 97530 CPT 4556959 LOCAL 420 RC outpatient 104 88 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 69 percent of total billed charges 69 104 Therapeutic Activities Charge 97530 CPT 4556959 LOCAL 420 RC outpatient 104 88 Sierra/HPN HMO 60 60% of all negotiated rates 42 percent of total billed charges 42 104 Therapeutic Activities Charge 97530 CPT 4556959 LOCAL 420 RC outpatient 104 88 Silversummit Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Therapeutic Activities Charge 97530 CPT 4556959 LOCAL 420 RC outpatient 104 88 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 68 percent of total billed charges 68 104 Therapeutic Activities Charge 97530 CPT 4556959 LOCAL 420 RC outpatient 104 88 TriWest PPO 30 30% of all negotiated rates 73 percent of total billed charges 73 104 Therapeutic Activities Charge 97530 CPT 4556959 LOCAL 420 RC outpatient 104 88 UHN-Universal Health Network PPO 70 70% of all negotiated rates 31 percent of total billed charges 31 104 Therapeutic Activities Charge 97530 CPT 4556959 LOCAL 420 RC outpatient 104 88 United Healthcare PPO 60 60% of all negotiated rates 42 percent of total billed charges 42 104 Therapeutic Activities Charge 97530 CPT 4556959 LOCAL 420 RC outpatient 104 88 Aetna PPO 120 120% of Aetna market fee schedule 36 fee schedule 36 99 Coinsurance and deductible may apply Therapeutic Activities Charge 97530 CPT 4556959 LOCAL 420 RC outpatient 104 88 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 31 fee schedule 31 99 Coinsurance and deductible may apply Therapeutic Activities Charge 97530 CPT 4556959 LOCAL 420 RC outpatient 104 88 Coalition PPO 25 case rate 25 case rate 25 99 "25.00 per treatment, 199.00 max per diem" Therapeutic Activities Charge 97530 CPT 4556959 LOCAL 420 RC outpatient 104 88 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 31 fee schedule 31 99 Coinsurance and deductible may apply Therapeutic Activities Charge 97530 CPT 4556959 LOCAL 420 RC outpatient 104 88 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 31 fee schedule 31 99 Coinsurance and deductible may apply Therapeutic Activities Charge 97530 CPT 4556959 LOCAL 420 RC outpatient 104 88 One Health PPO 200 case rate 200 case rate 200 99 200. cap on PT per visit Therapeutic Activities Charge 97530 CPT 4556959 LOCAL 420 RC outpatient 104 88 Teachers Trust PPO 103 case rate 103 case rate 103 99 103.00/treatment/163.00 max per day Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 Aetna Medicare HMO 26 26% of all negotiated rates 77 percent of total billed charges 77 104 Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 Aetna Medicare HMO 26 26% of all negotiated rates 77 percent of total billed charges 77 104 Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 Alignment Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 Alignment Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 42 percent of total billed charges 42 104 Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 42 percent of total billed charges 42 104 Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 52 percent of total billed charges 52 104 Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 52 percent of total billed charges 52 104 Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 Cigna PPO 68 68% of all negotiated rates 33 percent of total billed charges 33 104 Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 Cigna PPO 68 68% of all negotiated rates 33 percent of total billed charges 33 104 Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 Coventry PPO 75 75% of all negotiated rates 26 percent of total billed charges 26 104 Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 Coventry PPO 75 75% of all negotiated rates 26 percent of total billed charges 26 104 Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 21 percent of total billed charges 21 104 Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 21 percent of total billed charges 21 104 Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 Humana-Commerical PPO 70 70% of all negotiated rates 31 percent of total billed charges 31 104 Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 Humana-Commerical PPO 70 70% of all negotiated rates 31 percent of total billed charges 31 104 Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 Multiplan PPO 80 80% of all negotiated rates 21 percent of total billed charges 21 104 Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 Multiplan PPO 80 80% of all negotiated rates 21 percent of total billed charges 21 104 Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 Optum Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 Optum Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 P3 HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 P3 HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 31 percent of total billed charges 31 104 Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 31 percent of total billed charges 31 104 Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 Select Health HMO 41 41% of all negotiated rates 61 percent of total billed charges 61 104 Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 Select Health HMO 41 41% of all negotiated rates 61 percent of total billed charges 61 104 Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 69 percent of total billed charges 69 104 Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 69 percent of total billed charges 69 104 Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 Sierra/HPN HMO 60 60% of all negotiated rates 42 percent of total billed charges 42 104 Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 Sierra/HPN HMO 60 60% of all negotiated rates 42 percent of total billed charges 42 104 Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 Silversummit Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 Silversummit Medicare HMO 39 39% of all negotiated rates 63 percent of total billed charges 63 104 Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 68 percent of total billed charges 68 104 Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 68 percent of total billed charges 68 104 Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 TriWest PPO 30 30% of all negotiated rates 73 percent of total billed charges 73 104 Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 TriWest PPO 30 30% of all negotiated rates 73 percent of total billed charges 73 104 Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 UHN-Universal Health Network PPO 70 70% of all negotiated rates 31 percent of total billed charges 31 104 Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 UHN-Universal Health Network PPO 70 70% of all negotiated rates 31 percent of total billed charges 31 104 Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 United Healthcare PPO 60 60% of all negotiated rates 42 percent of total billed charges 42 104 Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 United Healthcare PPO 60 60% of all negotiated rates 42 percent of total billed charges 42 104 Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 Aetna PPO 120 120% of Aetna market fee schedule 32 fee schedule 32 99 Coinsurance and deductible may apply Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 Aetna PPO 120 120% of Aetna market fee schedule 32 fee schedule 32 99 Coinsurance and deductible may apply Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 28 fee schedule 28 99 Coinsurance and deductible may apply Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 28 fee schedule 28 99 Coinsurance and deductible may apply Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 Coalition PPO 25 case rate 25 case rate 25 99 "25.00 per treatment, 199.00 max per diem" Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 Coalition PPO 25 case rate 25 case rate 25 99 "25.00 per treatment, 199.00 max per diem" Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 28 fee schedule 28 99 Coinsurance and deductible may apply Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 28 fee schedule 28 99 Coinsurance and deductible may apply Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 28 fee schedule 28 99 Coinsurance and deductible may apply Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 28 fee schedule 28 99 Coinsurance and deductible may apply Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 One Health PPO 200 case rate 200 case rate 200 99 200. cap on PT per visit Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 One Health PPO 200 case rate 200 case rate 200 99 200. cap on PT per visit Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 Teachers Trust PPO 103 case rate 103 case rate 103 99 103.00/treatment/163.00 max per day Therapeutic Exercise Charges 97110 CPT 4556959 LOCAL 420 RC outpatient 104 88 Teachers Trust PPO 103 case rate 103 case rate 103 99 103.00/treatment/163.00 max per day Trichomonas Vaginalis by Xpert 87661 CPT 4010325 LOCAL 306 RC outpatient 116 98 Aetna PPO 38 38% of all negotiated rates 72 percent of total billed charges 72 116 Trichomonas Vaginalis by Xpert 87661 CPT 4010325 LOCAL 306 RC outpatient 116 98 Aetna Medicare HMO 26 26% of all negotiated rates 85 percent of total billed charges 85 116 Trichomonas Vaginalis by Xpert 87661 CPT 4010325 LOCAL 306 RC outpatient 116 98 Alignment Medicare HMO 39 39% of all negotiated rates 70 percent of total billed charges 70 116 Trichomonas Vaginalis by Xpert 87661 CPT 4010325 LOCAL 306 RC outpatient 116 98 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 46 percent of total billed charges 46 116 Trichomonas Vaginalis by Xpert 87661 CPT 4010325 LOCAL 306 RC outpatient 116 98 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 58 percent of total billed charges 58 116 Trichomonas Vaginalis by Xpert 87661 CPT 4010325 LOCAL 306 RC outpatient 116 98 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 70 percent of total billed charges 70 116 Trichomonas Vaginalis by Xpert 87661 CPT 4010325 LOCAL 306 RC outpatient 116 98 Cigna PPO 68 68% of all negotiated rates 37 percent of total billed charges 37 116 Trichomonas Vaginalis by Xpert 87661 CPT 4010325 LOCAL 306 RC outpatient 116 98 Coalition PPO 49 49% of all negotiated rates 59 percent of total billed charges 59 116 Trichomonas Vaginalis by Xpert 87661 CPT 4010325 LOCAL 306 RC outpatient 116 98 Coventry PPO 75 75% of all negotiated rates 29 percent of total billed charges 29 116 Trichomonas Vaginalis by Xpert 87661 CPT 4010325 LOCAL 306 RC outpatient 116 98 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 23 percent of total billed charges 23 116 Trichomonas Vaginalis by Xpert 87661 CPT 4010325 LOCAL 306 RC outpatient 116 98 Humana-Commerical PPO 70 70% of all negotiated rates 35 percent of total billed charges 35 116 Trichomonas Vaginalis by Xpert 87661 CPT 4010325 LOCAL 306 RC outpatient 116 98 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 70 percent of total billed charges 70 116 Trichomonas Vaginalis by Xpert 87661 CPT 4010325 LOCAL 306 RC outpatient 116 98 Multiplan PPO 80 80% of all negotiated rates 23 percent of total billed charges 23 116 Trichomonas Vaginalis by Xpert 87661 CPT 4010325 LOCAL 306 RC outpatient 116 98 One Health PPO 55 55% of all negotiated rates 52 percent of total billed charges 52 116 Trichomonas Vaginalis by Xpert 87661 CPT 4010325 LOCAL 306 RC outpatient 116 98 Optum Medicare HMO 39 39% of all negotiated rates 70 percent of total billed charges 70 116 Trichomonas Vaginalis by Xpert 87661 CPT 4010325 LOCAL 306 RC outpatient 116 98 P3 HMO 39 39% of all negotiated rates 70 percent of total billed charges 70 116 Trichomonas Vaginalis by Xpert 87661 CPT 4010325 LOCAL 306 RC outpatient 116 98 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 35 percent of total billed charges 35 116 Trichomonas Vaginalis by Xpert 87661 CPT 4010325 LOCAL 306 RC outpatient 116 98 Select Health HMO 41 41% of all negotiated rates 68 percent of total billed charges 68 116 Trichomonas Vaginalis by Xpert 87661 CPT 4010325 LOCAL 306 RC outpatient 116 98 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 77 percent of total billed charges 77 116 Trichomonas Vaginalis by Xpert 87661 CPT 4010325 LOCAL 306 RC outpatient 116 98 Sierra/HPN HMO 60 60% of all negotiated rates 46 percent of total billed charges 46 116 Trichomonas Vaginalis by Xpert 87661 CPT 4010325 LOCAL 306 RC outpatient 116 98 Silversummit Medicare HMO 39 39% of all negotiated rates 70 percent of total billed charges 70 116 Trichomonas Vaginalis by Xpert 87661 CPT 4010325 LOCAL 306 RC outpatient 116 98 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 75 percent of total billed charges 75 116 Trichomonas Vaginalis by Xpert 87661 CPT 4010325 LOCAL 306 RC outpatient 116 98 Teachers Trust PPO 65 65% of all negotiated rates 40 percent of total billed charges 40 116 Trichomonas Vaginalis by Xpert 87661 CPT 4010325 LOCAL 306 RC outpatient 116 98 TriWest PPO 30 30% of all negotiated rates 81 percent of total billed charges 81 116 Trichomonas Vaginalis by Xpert 87661 CPT 4010325 LOCAL 306 RC outpatient 116 98 UHN-Universal Health Network PPO 70 70% of all negotiated rates 35 percent of total billed charges 35 116 Trichomonas Vaginalis by Xpert 87661 CPT 4010325 LOCAL 306 RC outpatient 116 98 United Healthcare PPO 60 60% of all negotiated rates 46 percent of total billed charges 46 116 Trichomonas Vaginalis by Xpert 87661 CPT 4010325 LOCAL 306 RC outpatient 116 98 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 24 fee schedule 24 110 Coinsurance and deductible may apply Trichomonas Vaginalis by Xpert 87661 CPT 4010325 LOCAL 306 RC outpatient 116 98 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 24 fee schedule 24 110 Coinsurance and deductible may apply Trichomonas Vaginalis by Xpert 87661 CPT 4010325 LOCAL 306 RC outpatient 116 98 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 24 fee schedule 24 110 Coinsurance and deductible may apply Triglycerides 84478 CPT 4004787 LOCAL 301 RC outpatient 120 102 Aetna PPO 38 38% of all negotiated rates 74 percent of total billed charges 74 120 Triglycerides 84478 CPT 4004787 LOCAL 301 RC outpatient 120 102 Aetna Medicare HMO 26 26% of all negotiated rates 89 percent of total billed charges 89 120 Triglycerides 84478 CPT 4004787 LOCAL 301 RC outpatient 120 102 Alignment Medicare HMO 39 39% of all negotiated rates 73 percent of total billed charges 73 120 Triglycerides 84478 CPT 4004787 LOCAL 301 RC outpatient 120 102 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 48 percent of total billed charges 48 120 Triglycerides 84478 CPT 4004787 LOCAL 301 RC outpatient 120 102 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 60 percent of total billed charges 60 120 Triglycerides 84478 CPT 4004787 LOCAL 301 RC outpatient 120 102 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 73 percent of total billed charges 73 120 Triglycerides 84478 CPT 4004787 LOCAL 301 RC outpatient 120 102 Cigna PPO 68 68% of all negotiated rates 38 percent of total billed charges 38 120 Triglycerides 84478 CPT 4004787 LOCAL 301 RC outpatient 120 102 Coalition PPO 49 49% of all negotiated rates 61 percent of total billed charges 61 120 Triglycerides 84478 CPT 4004787 LOCAL 301 RC outpatient 120 102 Coventry PPO 75 75% of all negotiated rates 30 percent of total billed charges 30 120 Triglycerides 84478 CPT 4004787 LOCAL 301 RC outpatient 120 102 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 24 percent of total billed charges 24 120 Triglycerides 84478 CPT 4004787 LOCAL 301 RC outpatient 120 102 Humana-Commerical PPO 70 70% of all negotiated rates 36 percent of total billed charges 36 120 Triglycerides 84478 CPT 4004787 LOCAL 301 RC outpatient 120 102 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 73 percent of total billed charges 73 120 Triglycerides 84478 CPT 4004787 LOCAL 301 RC outpatient 120 102 Multiplan PPO 80 80% of all negotiated rates 24 percent of total billed charges 24 120 Triglycerides 84478 CPT 4004787 LOCAL 301 RC outpatient 120 102 One Health PPO 55 55% of all negotiated rates 54 percent of total billed charges 54 120 Triglycerides 84478 CPT 4004787 LOCAL 301 RC outpatient 120 102 Optum Medicare HMO 39 39% of all negotiated rates 73 percent of total billed charges 73 120 Triglycerides 84478 CPT 4004787 LOCAL 301 RC outpatient 120 102 P3 HMO 39 39% of all negotiated rates 73 percent of total billed charges 73 120 Triglycerides 84478 CPT 4004787 LOCAL 301 RC outpatient 120 102 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 36 percent of total billed charges 36 120 Triglycerides 84478 CPT 4004787 LOCAL 301 RC outpatient 120 102 Select Health HMO 41 41% of all negotiated rates 71 percent of total billed charges 71 120 Triglycerides 84478 CPT 4004787 LOCAL 301 RC outpatient 120 102 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 80 percent of total billed charges 80 120 Triglycerides 84478 CPT 4004787 LOCAL 301 RC outpatient 120 102 Sierra/HPN HMO 60 60% of all negotiated rates 48 percent of total billed charges 48 120 Triglycerides 84478 CPT 4004787 LOCAL 301 RC outpatient 120 102 Silversummit Medicare HMO 39 39% of all negotiated rates 73 percent of total billed charges 73 120 Triglycerides 84478 CPT 4004787 LOCAL 301 RC outpatient 120 102 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 78 percent of total billed charges 78 120 Triglycerides 84478 CPT 4004787 LOCAL 301 RC outpatient 120 102 Teachers Trust PPO 65 65% of all negotiated rates 42 percent of total billed charges 42 120 Triglycerides 84478 CPT 4004787 LOCAL 301 RC outpatient 120 102 TriWest PPO 30 30% of all negotiated rates 84 percent of total billed charges 84 120 Triglycerides 84478 CPT 4004787 LOCAL 301 RC outpatient 120 102 UHN-Universal Health Network PPO 70 70% of all negotiated rates 36 percent of total billed charges 36 120 Triglycerides 84478 CPT 4004787 LOCAL 301 RC outpatient 120 102 United Healthcare PPO 60 60% of all negotiated rates 48 percent of total billed charges 48 120 Triglycerides 84478 CPT 4004787 LOCAL 301 RC outpatient 120 102 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 4 fee schedule 4 114 Coinsurance and deductible may apply Triglycerides 84478 CPT 4004787 LOCAL 301 RC outpatient 120 102 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 4 fee schedule 4 114 Coinsurance and deductible may apply Triglycerides 84478 CPT 4004787 LOCAL 301 RC outpatient 120 102 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 4 fee schedule 4 114 Coinsurance and deductible may apply Troponin I 84484 CPT 4004484SO LOCAL 301 RC outpatient 457 388 Aetna PPO 38 38% of all negotiated rates 283 percent of total billed charges 283 457 Troponin I 84484 CPT 4004484SO LOCAL 301 RC outpatient 457 388 Aetna Medicare HMO 26 26% of all negotiated rates 338 percent of total billed charges 338 457 Troponin I 84484 CPT 4004484SO LOCAL 301 RC outpatient 457 388 Alignment Medicare HMO 39 39% of all negotiated rates 279 percent of total billed charges 279 457 Troponin I 84484 CPT 4004484SO LOCAL 301 RC outpatient 457 388 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 183 percent of total billed charges 183 457 Troponin I 84484 CPT 4004484SO LOCAL 301 RC outpatient 457 388 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 228 percent of total billed charges 228 457 Troponin I 84484 CPT 4004484SO LOCAL 301 RC outpatient 457 388 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 279 percent of total billed charges 279 457 Troponin I 84484 CPT 4004484SO LOCAL 301 RC outpatient 457 388 Cigna PPO 68 68% of all negotiated rates 146 percent of total billed charges 146 457 Troponin I 84484 CPT 4004484SO LOCAL 301 RC outpatient 457 388 Coalition PPO 49 49% of all negotiated rates 233 percent of total billed charges 233 457 Troponin I 84484 CPT 4004484SO LOCAL 301 RC outpatient 457 388 Coventry PPO 75 75% of all negotiated rates 114 percent of total billed charges 114 457 Troponin I 84484 CPT 4004484SO LOCAL 301 RC outpatient 457 388 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 91 percent of total billed charges 91 457 Troponin I 84484 CPT 4004484SO LOCAL 301 RC outpatient 457 388 Humana-Commerical PPO 70 70% of all negotiated rates 137 percent of total billed charges 137 457 Troponin I 84484 CPT 4004484SO LOCAL 301 RC outpatient 457 388 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 279 percent of total billed charges 279 457 Troponin I 84484 CPT 4004484SO LOCAL 301 RC outpatient 457 388 Multiplan PPO 80 80% of all negotiated rates 91 percent of total billed charges 91 457 Troponin I 84484 CPT 4004484SO LOCAL 301 RC outpatient 457 388 One Health PPO 55 55% of all negotiated rates 206 percent of total billed charges 206 457 Troponin I 84484 CPT 4004484SO LOCAL 301 RC outpatient 457 388 Optum Medicare HMO 39 39% of all negotiated rates 279 percent of total billed charges 279 457 Troponin I 84484 CPT 4004484SO LOCAL 301 RC outpatient 457 388 P3 HMO 39 39% of all negotiated rates 279 percent of total billed charges 279 457 Troponin I 84484 CPT 4004484SO LOCAL 301 RC outpatient 457 388 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 137 percent of total billed charges 137 457 Troponin I 84484 CPT 4004484SO LOCAL 301 RC outpatient 457 388 Select Health HMO 41 41% of all negotiated rates 269 percent of total billed charges 269 457 Troponin I 84484 CPT 4004484SO LOCAL 301 RC outpatient 457 388 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 304 percent of total billed charges 304 457 Troponin I 84484 CPT 4004484SO LOCAL 301 RC outpatient 457 388 Sierra/HPN HMO 60 60% of all negotiated rates 183 percent of total billed charges 183 457 Troponin I 84484 CPT 4004484SO LOCAL 301 RC outpatient 457 388 Silversummit Medicare HMO 39 39% of all negotiated rates 279 percent of total billed charges 279 457 Troponin I 84484 CPT 4004484SO LOCAL 301 RC outpatient 457 388 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 297 percent of total billed charges 297 457 Troponin I 84484 CPT 4004484SO LOCAL 301 RC outpatient 457 388 Teachers Trust PPO 65 65% of all negotiated rates 160 percent of total billed charges 160 457 Troponin I 84484 CPT 4004484SO LOCAL 301 RC outpatient 457 388 TriWest PPO 30 30% of all negotiated rates 320 percent of total billed charges 320 457 Troponin I 84484 CPT 4004484SO LOCAL 301 RC outpatient 457 388 UHN-Universal Health Network PPO 70 70% of all negotiated rates 137 percent of total billed charges 137 457 Troponin I 84484 CPT 4004484SO LOCAL 301 RC outpatient 457 388 United Healthcare PPO 60 60% of all negotiated rates 183 percent of total billed charges 183 457 Troponin I 84484 CPT 4004484SO LOCAL 301 RC outpatient 457 388 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 7 fee schedule 7 435 Coinsurance and deductible may apply Troponin I 84484 CPT 4004484SO LOCAL 301 RC outpatient 457 388 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 7 fee schedule 7 435 Coinsurance and deductible may apply Troponin I 84484 CPT 4004484SO LOCAL 301 RC outpatient 457 388 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 7 fee schedule 7 435 Coinsurance and deductible may apply TRU Skilled P-Single 4245006 LOCAL 110 RC outpatient 476 404 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 238 percent of total billed charges 238 476 TRU Skilled P-Single 4245006 LOCAL 110 RC Inpatient 476 404 Great West Healthcare (Mediversal) PPO 2178 per diem 2177.77 per diem 362 453 Coinsurance and deductible may apply TSH 84443 CPT 4004431 LOCAL 301 RC outpatient 340 289 Aetna PPO 38 38% of all negotiated rates 211 percent of total billed charges 211 340 TSH 84443 CPT 4004431 LOCAL 301 RC outpatient 340 289 Aetna Medicare HMO 26 26% of all negotiated rates 252 percent of total billed charges 252 340 TSH 84443 CPT 4004431 LOCAL 301 RC outpatient 340 289 Alignment Medicare HMO 39 39% of all negotiated rates 208 percent of total billed charges 208 340 TSH 84443 CPT 4004431 LOCAL 301 RC outpatient 340 289 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 136 percent of total billed charges 136 340 TSH 84443 CPT 4004431 LOCAL 301 RC outpatient 340 289 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 170 percent of total billed charges 170 340 TSH 84443 CPT 4004431 LOCAL 301 RC outpatient 340 289 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 208 percent of total billed charges 208 340 TSH 84443 CPT 4004431 LOCAL 301 RC outpatient 340 289 Cigna PPO 68 68% of all negotiated rates 109 percent of total billed charges 109 340 TSH 84443 CPT 4004431 LOCAL 301 RC outpatient 340 289 Coalition PPO 49 49% of all negotiated rates 174 percent of total billed charges 174 340 TSH 84443 CPT 4004431 LOCAL 301 RC outpatient 340 289 Coventry PPO 75 75% of all negotiated rates 85 percent of total billed charges 85 340 TSH 84443 CPT 4004431 LOCAL 301 RC outpatient 340 289 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 68 percent of total billed charges 68 340 TSH 84443 CPT 4004431 LOCAL 301 RC outpatient 340 289 Humana-Commerical PPO 70 70% of all negotiated rates 102 percent of total billed charges 102 340 TSH 84443 CPT 4004431 LOCAL 301 RC outpatient 340 289 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 208 percent of total billed charges 208 340 TSH 84443 CPT 4004431 LOCAL 301 RC outpatient 340 289 Multiplan PPO 80 80% of all negotiated rates 68 percent of total billed charges 68 340 TSH 84443 CPT 4004431 LOCAL 301 RC outpatient 340 289 One Health PPO 55 55% of all negotiated rates 153 percent of total billed charges 153 340 TSH 84443 CPT 4004431 LOCAL 301 RC outpatient 340 289 Optum Medicare HMO 39 39% of all negotiated rates 208 percent of total billed charges 208 340 TSH 84443 CPT 4004431 LOCAL 301 RC outpatient 340 289 P3 HMO 39 39% of all negotiated rates 208 percent of total billed charges 208 340 TSH 84443 CPT 4004431 LOCAL 301 RC outpatient 340 289 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 102 percent of total billed charges 102 340 TSH 84443 CPT 4004431 LOCAL 301 RC outpatient 340 289 Select Health HMO 41 41% of all negotiated rates 201 percent of total billed charges 201 340 TSH 84443 CPT 4004431 LOCAL 301 RC outpatient 340 289 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 226 percent of total billed charges 226 340 TSH 84443 CPT 4004431 LOCAL 301 RC outpatient 340 289 Sierra/HPN HMO 60 60% of all negotiated rates 136 percent of total billed charges 136 340 TSH 84443 CPT 4004431 LOCAL 301 RC outpatient 340 289 Silversummit Medicare HMO 39 39% of all negotiated rates 208 percent of total billed charges 208 340 TSH 84443 CPT 4004431 LOCAL 301 RC outpatient 340 289 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 221 percent of total billed charges 221 340 TSH 84443 CPT 4004431 LOCAL 301 RC outpatient 340 289 Teachers Trust PPO 65 65% of all negotiated rates 119 percent of total billed charges 119 340 TSH 84443 CPT 4004431 LOCAL 301 RC outpatient 340 289 TriWest PPO 30 30% of all negotiated rates 238 percent of total billed charges 238 340 TSH 84443 CPT 4004431 LOCAL 301 RC outpatient 340 289 UHN-Universal Health Network PPO 70 70% of all negotiated rates 102 percent of total billed charges 102 340 TSH 84443 CPT 4004431 LOCAL 301 RC outpatient 340 289 United Healthcare PPO 60 60% of all negotiated rates 136 percent of total billed charges 136 340 TSH 84443 CPT 4004431 LOCAL 301 RC outpatient 340 289 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 11 fee schedule 11 324 Coinsurance and deductible may apply TSH 84443 CPT 4004431 LOCAL 301 RC outpatient 340 289 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 11 fee schedule 11 324 Coinsurance and deductible may apply TSH 84443 CPT 4004431 LOCAL 301 RC outpatient 340 289 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 11 fee schedule 11 324 Coinsurance and deductible may apply UA Complete 81003 CPT 4000002 LOCAL 307 RC outpatient 46 39 Aetna PPO 38 38% of all negotiated rates 29 percent of total billed charges 29 46 UA Complete 81003 CPT 4000002 LOCAL 307 RC outpatient 46 39 Aetna Medicare HMO 26 26% of all negotiated rates 34 percent of total billed charges 34 46 UA Complete 81003 CPT 4000002 LOCAL 307 RC outpatient 46 39 Alignment Medicare HMO 39 39% of all negotiated rates 28 percent of total billed charges 28 46 UA Complete 81003 CPT 4000002 LOCAL 307 RC outpatient 46 39 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 18 percent of total billed charges 18 46 UA Complete 81003 CPT 4000002 LOCAL 307 RC outpatient 46 39 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 23 percent of total billed charges 23 46 UA Complete 81003 CPT 4000002 LOCAL 307 RC outpatient 46 39 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 28 percent of total billed charges 28 46 UA Complete 81003 CPT 4000002 LOCAL 307 RC outpatient 46 39 Cigna PPO 68 68% of all negotiated rates 15 percent of total billed charges 15 46 UA Complete 81003 CPT 4000002 LOCAL 307 RC outpatient 46 39 Coalition PPO 49 49% of all negotiated rates 24 percent of total billed charges 24 46 UA Complete 81003 CPT 4000002 LOCAL 307 RC outpatient 46 39 Coventry PPO 75 75% of all negotiated rates 12 percent of total billed charges 12 46 UA Complete 81003 CPT 4000002 LOCAL 307 RC outpatient 46 39 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 9 percent of total billed charges 9 46 UA Complete 81003 CPT 4000002 LOCAL 307 RC outpatient 46 39 Humana-Commerical PPO 70 70% of all negotiated rates 14 percent of total billed charges 14 46 UA Complete 81003 CPT 4000002 LOCAL 307 RC outpatient 46 39 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 28 percent of total billed charges 28 46 UA Complete 81003 CPT 4000002 LOCAL 307 RC outpatient 46 39 Multiplan PPO 80 80% of all negotiated rates 9 percent of total billed charges 9 46 UA Complete 81003 CPT 4000002 LOCAL 307 RC outpatient 46 39 One Health PPO 55 55% of all negotiated rates 21 percent of total billed charges 21 46 UA Complete 81003 CPT 4000002 LOCAL 307 RC outpatient 46 39 Optum Medicare HMO 39 39% of all negotiated rates 28 percent of total billed charges 28 46 UA Complete 81003 CPT 4000002 LOCAL 307 RC outpatient 46 39 P3 HMO 39 39% of all negotiated rates 28 percent of total billed charges 28 46 UA Complete 81003 CPT 4000002 LOCAL 307 RC outpatient 46 39 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 14 percent of total billed charges 14 46 UA Complete 81003 CPT 4000002 LOCAL 307 RC outpatient 46 39 Select Health HMO 41 41% of all negotiated rates 27 percent of total billed charges 27 46 UA Complete 81003 CPT 4000002 LOCAL 307 RC outpatient 46 39 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 31 percent of total billed charges 31 46 UA Complete 81003 CPT 4000002 LOCAL 307 RC outpatient 46 39 Sierra/HPN HMO 60 60% of all negotiated rates 18 percent of total billed charges 18 46 UA Complete 81003 CPT 4000002 LOCAL 307 RC outpatient 46 39 Silversummit Medicare HMO 39 39% of all negotiated rates 28 percent of total billed charges 28 46 UA Complete 81003 CPT 4000002 LOCAL 307 RC outpatient 46 39 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 30 percent of total billed charges 30 46 UA Complete 81003 CPT 4000002 LOCAL 307 RC outpatient 46 39 Teachers Trust PPO 65 65% of all negotiated rates 16 percent of total billed charges 16 46 UA Complete 81003 CPT 4000002 LOCAL 307 RC outpatient 46 39 TriWest PPO 30 30% of all negotiated rates 32 percent of total billed charges 32 46 UA Complete 81003 CPT 4000002 LOCAL 307 RC outpatient 46 39 UHN-Universal Health Network PPO 70 70% of all negotiated rates 14 percent of total billed charges 14 46 UA Complete 81003 CPT 4000002 LOCAL 307 RC outpatient 46 39 United Healthcare PPO 60 60% of all negotiated rates 18 percent of total billed charges 18 46 UA Complete 81003 CPT 4000002 LOCAL 307 RC outpatient 46 39 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 2 fee schedule 2 44 Coinsurance and deductible may apply UA Complete 81003 CPT 4000002 LOCAL 307 RC outpatient 46 39 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 2 fee schedule 2 44 Coinsurance and deductible may apply UA Complete 81003 CPT 4000002 LOCAL 307 RC outpatient 46 39 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 2 fee schedule 2 44 Coinsurance and deductible may apply ULTRASOUND BREAST LIMITED 76642 CPT 4097314 LOCAL 402 RC outpatient 377 320 Aetna Medicare HMO 26 26% of all negotiated rates 279 percent of total billed charges 279 377 ULTRASOUND BREAST LIMITED 76642 CPT 4097314 LOCAL 402 RC outpatient 377 320 Alignment Medicare HMO 39 39% of all negotiated rates 230 percent of total billed charges 230 377 ULTRASOUND BREAST LIMITED 76642 CPT 4097314 LOCAL 402 RC outpatient 377 320 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 151 percent of total billed charges 151 377 ULTRASOUND BREAST LIMITED 76642 CPT 4097314 LOCAL 402 RC outpatient 377 320 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 188 percent of total billed charges 188 377 ULTRASOUND BREAST LIMITED 76642 CPT 4097314 LOCAL 402 RC outpatient 377 320 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 230 percent of total billed charges 230 377 ULTRASOUND BREAST LIMITED 76642 CPT 4097314 LOCAL 402 RC outpatient 377 320 Cigna PPO 68 68% of all negotiated rates 121 percent of total billed charges 121 377 ULTRASOUND BREAST LIMITED 76642 CPT 4097314 LOCAL 402 RC outpatient 377 320 Coalition PPO 57 57% of all negotiated rates 162 percent of total billed charges 162 377 ULTRASOUND BREAST LIMITED 76642 CPT 4097314 LOCAL 402 RC outpatient 377 320 Coventry PPO 75 75% of all negotiated rates 94 percent of total billed charges 94 377 ULTRASOUND BREAST LIMITED 76642 CPT 4097314 LOCAL 402 RC outpatient 377 320 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 75 percent of total billed charges 75 377 ULTRASOUND BREAST LIMITED 76642 CPT 4097314 LOCAL 402 RC outpatient 377 320 Humana-Commerical PPO 70 70% of all negotiated rates 113 percent of total billed charges 113 377 ULTRASOUND BREAST LIMITED 76642 CPT 4097314 LOCAL 402 RC outpatient 377 320 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 230 percent of total billed charges 230 377 ULTRASOUND BREAST LIMITED 76642 CPT 4097314 LOCAL 402 RC outpatient 377 320 Multiplan PPO 80 80% of all negotiated rates 75 percent of total billed charges 75 377 ULTRASOUND BREAST LIMITED 76642 CPT 4097314 LOCAL 402 RC outpatient 377 320 One Health PPO 55 55% of all negotiated rates 170 percent of total billed charges 170 377 ULTRASOUND BREAST LIMITED 76642 CPT 4097314 LOCAL 402 RC outpatient 377 320 Optum Medicare HMO 39 39% of all negotiated rates 230 percent of total billed charges 230 377 ULTRASOUND BREAST LIMITED 76642 CPT 4097314 LOCAL 402 RC outpatient 377 320 P3 HMO 39 39% of all negotiated rates 230 percent of total billed charges 230 377 ULTRASOUND BREAST LIMITED 76642 CPT 4097314 LOCAL 402 RC outpatient 377 320 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 113 percent of total billed charges 113 377 ULTRASOUND BREAST LIMITED 76642 CPT 4097314 LOCAL 402 RC outpatient 377 320 Select Health HMO 41 41% of all negotiated rates 222 percent of total billed charges 222 377 ULTRASOUND BREAST LIMITED 76642 CPT 4097314 LOCAL 402 RC outpatient 377 320 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 251 percent of total billed charges 251 377 ULTRASOUND BREAST LIMITED 76642 CPT 4097314 LOCAL 402 RC outpatient 377 320 Sierra/HPN HMO 60 60% of all negotiated rates 151 percent of total billed charges 151 377 ULTRASOUND BREAST LIMITED 76642 CPT 4097314 LOCAL 402 RC outpatient 377 320 Silversummit Medicare HMO 39 39% of all negotiated rates 230 percent of total billed charges 230 377 ULTRASOUND BREAST LIMITED 76642 CPT 4097314 LOCAL 402 RC outpatient 377 320 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 245 percent of total billed charges 245 377 ULTRASOUND BREAST LIMITED 76642 CPT 4097314 LOCAL 402 RC outpatient 377 320 Teachers Trust PPO 65 65% of all negotiated rates 132 percent of total billed charges 132 377 ULTRASOUND BREAST LIMITED 76642 CPT 4097314 LOCAL 402 RC outpatient 377 320 TriWest PPO 30 30% of all negotiated rates 264 percent of total billed charges 264 377 ULTRASOUND BREAST LIMITED 76642 CPT 4097314 LOCAL 402 RC outpatient 377 320 UHN-Universal Health Network PPO 70 70% of all negotiated rates 113 percent of total billed charges 113 377 ULTRASOUND BREAST LIMITED 76642 CPT 4097314 LOCAL 402 RC outpatient 377 320 United Healthcare PPO 60 60% of all negotiated rates 151 percent of total billed charges 151 377 ULTRASOUND BREAST LIMITED 76642 CPT 4097314 LOCAL 402 RC outpatient 377 320 Aetna PPO 120 120% of Aetna market fee schedule 104 fee schedule 104 359 Coinsurance and deductible may apply ULTRASOUND BREAST LIMITED 76642 CPT 4097314 LOCAL 402 RC outpatient 377 320 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 92 fee schedule 92 359 Coinsurance and deductible may apply ULTRASOUND BREAST LIMITED 76642 CPT 4097314 LOCAL 402 RC outpatient 377 320 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 92 fee schedule 92 359 Coinsurance and deductible may apply ULTRASOUND BREAST LIMITED 76642 CPT 4097314 LOCAL 402 RC outpatient 377 320 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 92 fee schedule 92 359 Coinsurance and deductible may apply Uric Acid 84550 CPT 4005503 LOCAL 301 RC outpatient 96 81 Aetna PPO 38 38% of all negotiated rates 59 percent of total billed charges 59 96 Uric Acid 84550 CPT 4005503 LOCAL 301 RC outpatient 96 81 Aetna Medicare HMO 26 26% of all negotiated rates 71 percent of total billed charges 71 96 Uric Acid 84550 CPT 4005503 LOCAL 301 RC outpatient 96 81 Alignment Medicare HMO 39 39% of all negotiated rates 58 percent of total billed charges 58 96 Uric Acid 84550 CPT 4005503 LOCAL 301 RC outpatient 96 81 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 38 percent of total billed charges 38 96 Uric Acid 84550 CPT 4005503 LOCAL 301 RC outpatient 96 81 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 48 percent of total billed charges 48 96 Uric Acid 84550 CPT 4005503 LOCAL 301 RC outpatient 96 81 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 58 percent of total billed charges 58 96 Uric Acid 84550 CPT 4005503 LOCAL 301 RC outpatient 96 81 Cigna PPO 68 68% of all negotiated rates 31 percent of total billed charges 31 96 Uric Acid 84550 CPT 4005503 LOCAL 301 RC outpatient 96 81 Coalition PPO 49 49% of all negotiated rates 49 percent of total billed charges 49 96 Uric Acid 84550 CPT 4005503 LOCAL 301 RC outpatient 96 81 Coventry PPO 75 75% of all negotiated rates 24 percent of total billed charges 24 96 Uric Acid 84550 CPT 4005503 LOCAL 301 RC outpatient 96 81 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 19 percent of total billed charges 19 96 Uric Acid 84550 CPT 4005503 LOCAL 301 RC outpatient 96 81 Humana-Commerical PPO 70 70% of all negotiated rates 29 percent of total billed charges 29 96 Uric Acid 84550 CPT 4005503 LOCAL 301 RC outpatient 96 81 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 58 percent of total billed charges 58 96 Uric Acid 84550 CPT 4005503 LOCAL 301 RC outpatient 96 81 Multiplan PPO 80 80% of all negotiated rates 19 percent of total billed charges 19 96 Uric Acid 84550 CPT 4005503 LOCAL 301 RC outpatient 96 81 One Health PPO 55 55% of all negotiated rates 43 percent of total billed charges 43 96 Uric Acid 84550 CPT 4005503 LOCAL 301 RC outpatient 96 81 Optum Medicare HMO 39 39% of all negotiated rates 58 percent of total billed charges 58 96 Uric Acid 84550 CPT 4005503 LOCAL 301 RC outpatient 96 81 P3 HMO 39 39% of all negotiated rates 58 percent of total billed charges 58 96 Uric Acid 84550 CPT 4005503 LOCAL 301 RC outpatient 96 81 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 29 percent of total billed charges 29 96 Uric Acid 84550 CPT 4005503 LOCAL 301 RC outpatient 96 81 Select Health HMO 41 41% of all negotiated rates 56 percent of total billed charges 56 96 Uric Acid 84550 CPT 4005503 LOCAL 301 RC outpatient 96 81 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 64 percent of total billed charges 64 96 Uric Acid 84550 CPT 4005503 LOCAL 301 RC outpatient 96 81 Sierra/HPN HMO 60 60% of all negotiated rates 38 percent of total billed charges 38 96 Uric Acid 84550 CPT 4005503 LOCAL 301 RC outpatient 96 81 Silversummit Medicare HMO 39 39% of all negotiated rates 58 percent of total billed charges 58 96 Uric Acid 84550 CPT 4005503 LOCAL 301 RC outpatient 96 81 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 62 percent of total billed charges 62 96 Uric Acid 84550 CPT 4005503 LOCAL 301 RC outpatient 96 81 Teachers Trust PPO 65 65% of all negotiated rates 33 percent of total billed charges 33 96 Uric Acid 84550 CPT 4005503 LOCAL 301 RC outpatient 96 81 TriWest PPO 30 30% of all negotiated rates 67 percent of total billed charges 67 96 Uric Acid 84550 CPT 4005503 LOCAL 301 RC outpatient 96 81 UHN-Universal Health Network PPO 70 70% of all negotiated rates 29 percent of total billed charges 29 96 Uric Acid 84550 CPT 4005503 LOCAL 301 RC outpatient 96 81 United Healthcare PPO 60 60% of all negotiated rates 38 percent of total billed charges 38 96 Uric Acid 84550 CPT 4005503 LOCAL 301 RC outpatient 96 81 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 91 Coinsurance and deductible may apply Uric Acid 84550 CPT 4005503 LOCAL 301 RC outpatient 96 81 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 91 Coinsurance and deductible may apply Uric Acid 84550 CPT 4005503 LOCAL 301 RC outpatient 96 81 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 3 fee schedule 3 91 Coinsurance and deductible may apply US Abdomen Comp 76700 CPT 4087004 LOCAL 402 RC outpatient 1463 1243 Aetna Medicare HMO 26 26% of all negotiated rates 1082 percent of total billed charges 1082 1463 US Abdomen Comp 76700 CPT 4087004 LOCAL 402 RC outpatient 1463 1243 Alignment Medicare HMO 39 39% of all negotiated rates 892 percent of total billed charges 892 1463 US Abdomen Comp 76700 CPT 4087004 LOCAL 402 RC outpatient 1463 1243 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 585 percent of total billed charges 585 1463 US Abdomen Comp 76700 CPT 4087004 LOCAL 402 RC outpatient 1463 1243 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 731 percent of total billed charges 731 1463 US Abdomen Comp 76700 CPT 4087004 LOCAL 402 RC outpatient 1463 1243 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 892 percent of total billed charges 892 1463 US Abdomen Comp 76700 CPT 4087004 LOCAL 402 RC outpatient 1463 1243 Cigna PPO 68 68% of all negotiated rates 468 percent of total billed charges 468 1463 US Abdomen Comp 76700 CPT 4087004 LOCAL 402 RC outpatient 1463 1243 Coalition PPO 57 57% of all negotiated rates 629 percent of total billed charges 629 1463 US Abdomen Comp 76700 CPT 4087004 LOCAL 402 RC outpatient 1463 1243 Coventry PPO 75 75% of all negotiated rates 366 percent of total billed charges 366 1463 US Abdomen Comp 76700 CPT 4087004 LOCAL 402 RC outpatient 1463 1243 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 293 percent of total billed charges 293 1463 US Abdomen Comp 76700 CPT 4087004 LOCAL 402 RC outpatient 1463 1243 Humana-Commerical PPO 70 70% of all negotiated rates 439 percent of total billed charges 439 1463 US Abdomen Comp 76700 CPT 4087004 LOCAL 402 RC outpatient 1463 1243 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 892 percent of total billed charges 892 1463 US Abdomen Comp 76700 CPT 4087004 LOCAL 402 RC outpatient 1463 1243 Multiplan PPO 80 80% of all negotiated rates 293 percent of total billed charges 293 1463 US Abdomen Comp 76700 CPT 4087004 LOCAL 402 RC outpatient 1463 1243 One Health PPO 55 55% of all negotiated rates 658 percent of total billed charges 658 1463 US Abdomen Comp 76700 CPT 4087004 LOCAL 402 RC outpatient 1463 1243 Optum Medicare HMO 39 39% of all negotiated rates 892 percent of total billed charges 892 1463 US Abdomen Comp 76700 CPT 4087004 LOCAL 402 RC outpatient 1463 1243 P3 HMO 39 39% of all negotiated rates 892 percent of total billed charges 892 1463 US Abdomen Comp 76700 CPT 4087004 LOCAL 402 RC outpatient 1463 1243 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 439 percent of total billed charges 439 1463 US Abdomen Comp 76700 CPT 4087004 LOCAL 402 RC outpatient 1463 1243 Select Health HMO 41 41% of all negotiated rates 863 percent of total billed charges 863 1463 US Abdomen Comp 76700 CPT 4087004 LOCAL 402 RC outpatient 1463 1243 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 973 percent of total billed charges 973 1463 US Abdomen Comp 76700 CPT 4087004 LOCAL 402 RC outpatient 1463 1243 Sierra/HPN HMO 60 60% of all negotiated rates 585 percent of total billed charges 585 1463 US Abdomen Comp 76700 CPT 4087004 LOCAL 402 RC outpatient 1463 1243 Silversummit Medicare HMO 39 39% of all negotiated rates 892 percent of total billed charges 892 1463 US Abdomen Comp 76700 CPT 4087004 LOCAL 402 RC outpatient 1463 1243 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 951 percent of total billed charges 951 1463 US Abdomen Comp 76700 CPT 4087004 LOCAL 402 RC outpatient 1463 1243 Teachers Trust PPO 65 65% of all negotiated rates 512 percent of total billed charges 512 1463 US Abdomen Comp 76700 CPT 4087004 LOCAL 402 RC outpatient 1463 1243 TriWest PPO 30 30% of all negotiated rates 1024 percent of total billed charges 1024 1463 US Abdomen Comp 76700 CPT 4087004 LOCAL 402 RC outpatient 1463 1243 UHN-Universal Health Network PPO 70 70% of all negotiated rates 439 percent of total billed charges 439 1463 US Abdomen Comp 76700 CPT 4087004 LOCAL 402 RC outpatient 1463 1243 United Healthcare PPO 60 60% of all negotiated rates 585 percent of total billed charges 585 1463 US Abdomen Comp 76700 CPT 4087004 LOCAL 402 RC outpatient 1463 1243 Aetna PPO 120 120% of Aetna market fee schedule 162 fee schedule 162 1393 Coinsurance and deductible may apply US Abdomen Comp 76700 CPT 4087004 LOCAL 402 RC outpatient 1463 1243 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 149 fee schedule 149 1393 Coinsurance and deductible may apply US Abdomen Comp 76700 CPT 4087004 LOCAL 402 RC outpatient 1463 1243 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 149 fee schedule 149 1393 Coinsurance and deductible may apply US Abdomen Comp 76700 CPT 4087004 LOCAL 402 RC outpatient 1463 1243 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 149 fee schedule 149 1393 Coinsurance and deductible may apply US Breast Comp Bil. 76641 CPT 4097292 LOCAL 402 RC outpatient 477 405 Aetna Medicare HMO 26 26% of all negotiated rates 353 percent of total billed charges 353 477 US Breast Comp Bil. 76641 CPT 4097292 LOCAL 402 RC outpatient 477 405 Alignment Medicare HMO 39 39% of all negotiated rates 291 percent of total billed charges 291 477 US Breast Comp Bil. 76641 CPT 4097292 LOCAL 402 RC outpatient 477 405 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 191 percent of total billed charges 191 477 US Breast Comp Bil. 76641 CPT 4097292 LOCAL 402 RC outpatient 477 405 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 238 percent of total billed charges 238 477 US Breast Comp Bil. 76641 CPT 4097292 LOCAL 402 RC outpatient 477 405 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 291 percent of total billed charges 291 477 US Breast Comp Bil. 76641 CPT 4097292 LOCAL 402 RC outpatient 477 405 Cigna PPO 68 68% of all negotiated rates 153 percent of total billed charges 153 477 US Breast Comp Bil. 76641 CPT 4097292 LOCAL 402 RC outpatient 477 405 Coalition PPO 57 57% of all negotiated rates 205 percent of total billed charges 205 477 US Breast Comp Bil. 76641 CPT 4097292 LOCAL 402 RC outpatient 477 405 Coventry PPO 75 75% of all negotiated rates 119 percent of total billed charges 119 477 US Breast Comp Bil. 76641 CPT 4097292 LOCAL 402 RC outpatient 477 405 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 95 percent of total billed charges 95 477 US Breast Comp Bil. 76641 CPT 4097292 LOCAL 402 RC outpatient 477 405 Humana-Commerical PPO 70 70% of all negotiated rates 143 percent of total billed charges 143 477 US Breast Comp Bil. 76641 CPT 4097292 LOCAL 402 RC outpatient 477 405 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 291 percent of total billed charges 291 477 US Breast Comp Bil. 76641 CPT 4097292 LOCAL 402 RC outpatient 477 405 Multiplan PPO 80 80% of all negotiated rates 95 percent of total billed charges 95 477 US Breast Comp Bil. 76641 CPT 4097292 LOCAL 402 RC outpatient 477 405 One Health PPO 55 55% of all negotiated rates 215 percent of total billed charges 215 477 US Breast Comp Bil. 76641 CPT 4097292 LOCAL 402 RC outpatient 477 405 Optum Medicare HMO 39 39% of all negotiated rates 291 percent of total billed charges 291 477 US Breast Comp Bil. 76641 CPT 4097292 LOCAL 402 RC outpatient 477 405 P3 HMO 39 39% of all negotiated rates 291 percent of total billed charges 291 477 US Breast Comp Bil. 76641 CPT 4097292 LOCAL 402 RC outpatient 477 405 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 143 percent of total billed charges 143 477 US Breast Comp Bil. 76641 CPT 4097292 LOCAL 402 RC outpatient 477 405 Select Health HMO 41 41% of all negotiated rates 281 percent of total billed charges 281 477 US Breast Comp Bil. 76641 CPT 4097292 LOCAL 402 RC outpatient 477 405 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 317 percent of total billed charges 317 477 US Breast Comp Bil. 76641 CPT 4097292 LOCAL 402 RC outpatient 477 405 Sierra/HPN HMO 60 60% of all negotiated rates 191 percent of total billed charges 191 477 US Breast Comp Bil. 76641 CPT 4097292 LOCAL 402 RC outpatient 477 405 Silversummit Medicare HMO 39 39% of all negotiated rates 291 percent of total billed charges 291 477 US Breast Comp Bil. 76641 CPT 4097292 LOCAL 402 RC outpatient 477 405 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 310 percent of total billed charges 310 477 US Breast Comp Bil. 76641 CPT 4097292 LOCAL 402 RC outpatient 477 405 Teachers Trust PPO 65 65% of all negotiated rates 167 percent of total billed charges 167 477 US Breast Comp Bil. 76641 CPT 4097292 LOCAL 402 RC outpatient 477 405 TriWest PPO 30 30% of all negotiated rates 334 percent of total billed charges 334 477 US Breast Comp Bil. 76641 CPT 4097292 LOCAL 402 RC outpatient 477 405 UHN-Universal Health Network PPO 70 70% of all negotiated rates 143 percent of total billed charges 143 477 US Breast Comp Bil. 76641 CPT 4097292 LOCAL 402 RC outpatient 477 405 United Healthcare PPO 60 60% of all negotiated rates 191 percent of total billed charges 191 477 US Breast Comp Bil. 76641 CPT 4097292 LOCAL 402 RC outpatient 477 405 Aetna PPO 120 120% of Aetna market fee schedule 127 fee schedule 127 454 Coinsurance and deductible may apply US Breast Comp Bil. 76641 CPT 4097292 LOCAL 402 RC outpatient 477 405 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 112 fee schedule 112 454 Coinsurance and deductible may apply US Breast Comp Bil. 76641 CPT 4097292 LOCAL 402 RC outpatient 477 405 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 112 fee schedule 112 454 Coinsurance and deductible may apply US Breast Comp Bil. 76641 CPT 4097292 LOCAL 402 RC outpatient 477 405 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 112 fee schedule 112 454 Coinsurance and deductible may apply US Breast Comp Lt. 76641 CPT 4097294 LOCAL 402 RC outpatient 720 612 Aetna Medicare HMO 26 26% of all negotiated rates 533 percent of total billed charges 533 720 US Breast Comp Lt. 76641 CPT 4097294 LOCAL 402 RC outpatient 720 612 Alignment Medicare HMO 39 39% of all negotiated rates 439 percent of total billed charges 439 720 US Breast Comp Lt. 76641 CPT 4097294 LOCAL 402 RC outpatient 720 612 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 288 percent of total billed charges 288 720 US Breast Comp Lt. 76641 CPT 4097294 LOCAL 402 RC outpatient 720 612 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 360 percent of total billed charges 360 720 US Breast Comp Lt. 76641 CPT 4097294 LOCAL 402 RC outpatient 720 612 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 439 percent of total billed charges 439 720 US Breast Comp Lt. 76641 CPT 4097294 LOCAL 402 RC outpatient 720 612 Cigna PPO 68 68% of all negotiated rates 230 percent of total billed charges 230 720 US Breast Comp Lt. 76641 CPT 4097294 LOCAL 402 RC outpatient 720 612 Coalition PPO 57 57% of all negotiated rates 310 percent of total billed charges 310 720 US Breast Comp Lt. 76641 CPT 4097294 LOCAL 402 RC outpatient 720 612 Coventry PPO 75 75% of all negotiated rates 180 percent of total billed charges 180 720 US Breast Comp Lt. 76641 CPT 4097294 LOCAL 402 RC outpatient 720 612 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 144 percent of total billed charges 144 720 US Breast Comp Lt. 76641 CPT 4097294 LOCAL 402 RC outpatient 720 612 Humana-Commerical PPO 70 70% of all negotiated rates 216 percent of total billed charges 216 720 US Breast Comp Lt. 76641 CPT 4097294 LOCAL 402 RC outpatient 720 612 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 439 percent of total billed charges 439 720 US Breast Comp Lt. 76641 CPT 4097294 LOCAL 402 RC outpatient 720 612 Multiplan PPO 80 80% of all negotiated rates 144 percent of total billed charges 144 720 US Breast Comp Lt. 76641 CPT 4097294 LOCAL 402 RC outpatient 720 612 One Health PPO 55 55% of all negotiated rates 324 percent of total billed charges 324 720 US Breast Comp Lt. 76641 CPT 4097294 LOCAL 402 RC outpatient 720 612 Optum Medicare HMO 39 39% of all negotiated rates 439 percent of total billed charges 439 720 US Breast Comp Lt. 76641 CPT 4097294 LOCAL 402 RC outpatient 720 612 P3 HMO 39 39% of all negotiated rates 439 percent of total billed charges 439 720 US Breast Comp Lt. 76641 CPT 4097294 LOCAL 402 RC outpatient 720 612 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 216 percent of total billed charges 216 720 US Breast Comp Lt. 76641 CPT 4097294 LOCAL 402 RC outpatient 720 612 Select Health HMO 41 41% of all negotiated rates 425 percent of total billed charges 425 720 US Breast Comp Lt. 76641 CPT 4097294 LOCAL 402 RC outpatient 720 612 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 479 percent of total billed charges 479 720 US Breast Comp Lt. 76641 CPT 4097294 LOCAL 402 RC outpatient 720 612 Sierra/HPN HMO 60 60% of all negotiated rates 288 percent of total billed charges 288 720 US Breast Comp Lt. 76641 CPT 4097294 LOCAL 402 RC outpatient 720 612 Silversummit Medicare HMO 39 39% of all negotiated rates 439 percent of total billed charges 439 720 US Breast Comp Lt. 76641 CPT 4097294 LOCAL 402 RC outpatient 720 612 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 468 percent of total billed charges 468 720 US Breast Comp Lt. 76641 CPT 4097294 LOCAL 402 RC outpatient 720 612 Teachers Trust PPO 65 65% of all negotiated rates 252 percent of total billed charges 252 720 US Breast Comp Lt. 76641 CPT 4097294 LOCAL 402 RC outpatient 720 612 TriWest PPO 30 30% of all negotiated rates 504 percent of total billed charges 504 720 US Breast Comp Lt. 76641 CPT 4097294 LOCAL 402 RC outpatient 720 612 UHN-Universal Health Network PPO 70 70% of all negotiated rates 216 percent of total billed charges 216 720 US Breast Comp Lt. 76641 CPT 4097294 LOCAL 402 RC outpatient 720 612 United Healthcare PPO 60 60% of all negotiated rates 288 percent of total billed charges 288 720 US Breast Comp Lt. 76641 CPT 4097294 LOCAL 402 RC outpatient 720 612 Aetna PPO 120 120% of Aetna market fee schedule 127 fee schedule 127 686 Coinsurance and deductible may apply US Breast Comp Lt. 76641 CPT 4097294 LOCAL 402 RC outpatient 720 612 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 112 fee schedule 112 686 Coinsurance and deductible may apply US Breast Comp Lt. 76641 CPT 4097294 LOCAL 402 RC outpatient 720 612 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 112 fee schedule 112 686 Coinsurance and deductible may apply US Breast Comp Lt. 76641 CPT 4097294 LOCAL 402 RC outpatient 720 612 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 112 fee schedule 112 686 Coinsurance and deductible may apply US Breast Comp Rt. 76641 CPT 4097296 LOCAL 402 RC outpatient 720 612 Aetna Medicare HMO 26 26% of all negotiated rates 533 percent of total billed charges 533 720 US Breast Comp Rt. 76641 CPT 4097296 LOCAL 402 RC outpatient 720 612 Alignment Medicare HMO 39 39% of all negotiated rates 439 percent of total billed charges 439 720 US Breast Comp Rt. 76641 CPT 4097296 LOCAL 402 RC outpatient 720 612 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 288 percent of total billed charges 288 720 US Breast Comp Rt. 76641 CPT 4097296 LOCAL 402 RC outpatient 720 612 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 360 percent of total billed charges 360 720 US Breast Comp Rt. 76641 CPT 4097296 LOCAL 402 RC outpatient 720 612 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 439 percent of total billed charges 439 720 US Breast Comp Rt. 76641 CPT 4097296 LOCAL 402 RC outpatient 720 612 Cigna PPO 68 68% of all negotiated rates 230 percent of total billed charges 230 720 US Breast Comp Rt. 76641 CPT 4097296 LOCAL 402 RC outpatient 720 612 Coalition PPO 57 57% of all negotiated rates 310 percent of total billed charges 310 720 US Breast Comp Rt. 76641 CPT 4097296 LOCAL 402 RC outpatient 720 612 Coventry PPO 75 75% of all negotiated rates 180 percent of total billed charges 180 720 US Breast Comp Rt. 76641 CPT 4097296 LOCAL 402 RC outpatient 720 612 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 144 percent of total billed charges 144 720 US Breast Comp Rt. 76641 CPT 4097296 LOCAL 402 RC outpatient 720 612 Humana-Commerical PPO 70 70% of all negotiated rates 216 percent of total billed charges 216 720 US Breast Comp Rt. 76641 CPT 4097296 LOCAL 402 RC outpatient 720 612 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 439 percent of total billed charges 439 720 US Breast Comp Rt. 76641 CPT 4097296 LOCAL 402 RC outpatient 720 612 Multiplan PPO 80 80% of all negotiated rates 144 percent of total billed charges 144 720 US Breast Comp Rt. 76641 CPT 4097296 LOCAL 402 RC outpatient 720 612 One Health PPO 55 55% of all negotiated rates 324 percent of total billed charges 324 720 US Breast Comp Rt. 76641 CPT 4097296 LOCAL 402 RC outpatient 720 612 Optum Medicare HMO 39 39% of all negotiated rates 439 percent of total billed charges 439 720 US Breast Comp Rt. 76641 CPT 4097296 LOCAL 402 RC outpatient 720 612 P3 HMO 39 39% of all negotiated rates 439 percent of total billed charges 439 720 US Breast Comp Rt. 76641 CPT 4097296 LOCAL 402 RC outpatient 720 612 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 216 percent of total billed charges 216 720 US Breast Comp Rt. 76641 CPT 4097296 LOCAL 402 RC outpatient 720 612 Select Health HMO 41 41% of all negotiated rates 425 percent of total billed charges 425 720 US Breast Comp Rt. 76641 CPT 4097296 LOCAL 402 RC outpatient 720 612 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 479 percent of total billed charges 479 720 US Breast Comp Rt. 76641 CPT 4097296 LOCAL 402 RC outpatient 720 612 Sierra/HPN HMO 60 60% of all negotiated rates 288 percent of total billed charges 288 720 US Breast Comp Rt. 76641 CPT 4097296 LOCAL 402 RC outpatient 720 612 Silversummit Medicare HMO 39 39% of all negotiated rates 439 percent of total billed charges 439 720 US Breast Comp Rt. 76641 CPT 4097296 LOCAL 402 RC outpatient 720 612 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 468 percent of total billed charges 468 720 US Breast Comp Rt. 76641 CPT 4097296 LOCAL 402 RC outpatient 720 612 Teachers Trust PPO 65 65% of all negotiated rates 252 percent of total billed charges 252 720 US Breast Comp Rt. 76641 CPT 4097296 LOCAL 402 RC outpatient 720 612 TriWest PPO 30 30% of all negotiated rates 504 percent of total billed charges 504 720 US Breast Comp Rt. 76641 CPT 4097296 LOCAL 402 RC outpatient 720 612 UHN-Universal Health Network PPO 70 70% of all negotiated rates 216 percent of total billed charges 216 720 US Breast Comp Rt. 76641 CPT 4097296 LOCAL 402 RC outpatient 720 612 United Healthcare PPO 60 60% of all negotiated rates 288 percent of total billed charges 288 720 US Breast Comp Rt. 76641 CPT 4097296 LOCAL 402 RC outpatient 720 612 Aetna PPO 120 120% of Aetna market fee schedule 127 fee schedule 127 686 Coinsurance and deductible may apply US Breast Comp Rt. 76641 CPT 4097296 LOCAL 402 RC outpatient 720 612 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 112 fee schedule 112 686 Coinsurance and deductible may apply US Breast Comp Rt. 76641 CPT 4097296 LOCAL 402 RC outpatient 720 612 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 112 fee schedule 112 686 Coinsurance and deductible may apply US Breast Comp Rt. 76641 CPT 4097296 LOCAL 402 RC outpatient 720 612 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 112 fee schedule 112 686 Coinsurance and deductible may apply US Breast Ltd Lt. 76642 CPT 4097316 LOCAL 402 RC outpatient 544 462 Aetna Medicare HMO 26 26% of all negotiated rates 402 percent of total billed charges 402 544 US Breast Ltd Lt. 76642 CPT 4097316 LOCAL 402 RC outpatient 544 462 Alignment Medicare HMO 39 39% of all negotiated rates 332 percent of total billed charges 332 544 US Breast Ltd Lt. 76642 CPT 4097316 LOCAL 402 RC outpatient 544 462 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 218 percent of total billed charges 218 544 US Breast Ltd Lt. 76642 CPT 4097316 LOCAL 402 RC outpatient 544 462 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 272 percent of total billed charges 272 544 US Breast Ltd Lt. 76642 CPT 4097316 LOCAL 402 RC outpatient 544 462 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 332 percent of total billed charges 332 544 US Breast Ltd Lt. 76642 CPT 4097316 LOCAL 402 RC outpatient 544 462 Cigna PPO 68 68% of all negotiated rates 174 percent of total billed charges 174 544 US Breast Ltd Lt. 76642 CPT 4097316 LOCAL 402 RC outpatient 544 462 Coalition PPO 57 57% of all negotiated rates 234 percent of total billed charges 234 544 US Breast Ltd Lt. 76642 CPT 4097316 LOCAL 402 RC outpatient 544 462 Coventry PPO 75 75% of all negotiated rates 136 percent of total billed charges 136 544 US Breast Ltd Lt. 76642 CPT 4097316 LOCAL 402 RC outpatient 544 462 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 109 percent of total billed charges 109 544 US Breast Ltd Lt. 76642 CPT 4097316 LOCAL 402 RC outpatient 544 462 Humana-Commerical PPO 70 70% of all negotiated rates 163 percent of total billed charges 163 544 US Breast Ltd Lt. 76642 CPT 4097316 LOCAL 402 RC outpatient 544 462 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 332 percent of total billed charges 332 544 US Breast Ltd Lt. 76642 CPT 4097316 LOCAL 402 RC outpatient 544 462 Multiplan PPO 80 80% of all negotiated rates 109 percent of total billed charges 109 544 US Breast Ltd Lt. 76642 CPT 4097316 LOCAL 402 RC outpatient 544 462 One Health PPO 55 55% of all negotiated rates 245 percent of total billed charges 245 544 US Breast Ltd Lt. 76642 CPT 4097316 LOCAL 402 RC outpatient 544 462 Optum Medicare HMO 39 39% of all negotiated rates 332 percent of total billed charges 332 544 US Breast Ltd Lt. 76642 CPT 4097316 LOCAL 402 RC outpatient 544 462 P3 HMO 39 39% of all negotiated rates 332 percent of total billed charges 332 544 US Breast Ltd Lt. 76642 CPT 4097316 LOCAL 402 RC outpatient 544 462 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 163 percent of total billed charges 163 544 US Breast Ltd Lt. 76642 CPT 4097316 LOCAL 402 RC outpatient 544 462 Select Health HMO 41 41% of all negotiated rates 321 percent of total billed charges 321 544 US Breast Ltd Lt. 76642 CPT 4097316 LOCAL 402 RC outpatient 544 462 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 362 percent of total billed charges 362 544 US Breast Ltd Lt. 76642 CPT 4097316 LOCAL 402 RC outpatient 544 462 Sierra/HPN HMO 60 60% of all negotiated rates 218 percent of total billed charges 218 544 US Breast Ltd Lt. 76642 CPT 4097316 LOCAL 402 RC outpatient 544 462 Silversummit Medicare HMO 39 39% of all negotiated rates 332 percent of total billed charges 332 544 US Breast Ltd Lt. 76642 CPT 4097316 LOCAL 402 RC outpatient 544 462 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 354 percent of total billed charges 354 544 US Breast Ltd Lt. 76642 CPT 4097316 LOCAL 402 RC outpatient 544 462 Teachers Trust PPO 65 65% of all negotiated rates 190 percent of total billed charges 190 544 US Breast Ltd Lt. 76642 CPT 4097316 LOCAL 402 RC outpatient 544 462 TriWest PPO 30 30% of all negotiated rates 381 percent of total billed charges 381 544 US Breast Ltd Lt. 76642 CPT 4097316 LOCAL 402 RC outpatient 544 462 UHN-Universal Health Network PPO 70 70% of all negotiated rates 163 percent of total billed charges 163 544 US Breast Ltd Lt. 76642 CPT 4097316 LOCAL 402 RC outpatient 544 462 United Healthcare PPO 60 60% of all negotiated rates 218 percent of total billed charges 218 544 US Breast Ltd Lt. 76642 CPT 4097316 LOCAL 402 RC outpatient 544 462 Aetna PPO 120 120% of Aetna market fee schedule 104 fee schedule 104 518 Coinsurance and deductible may apply US Breast Ltd Lt. 76642 CPT 4097316 LOCAL 402 RC outpatient 544 462 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 92 fee schedule 92 518 Coinsurance and deductible may apply US Breast Ltd Lt. 76642 CPT 4097316 LOCAL 402 RC outpatient 544 462 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 92 fee schedule 92 518 Coinsurance and deductible may apply US Breast Ltd Lt. 76642 CPT 4097316 LOCAL 402 RC outpatient 544 462 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 92 fee schedule 92 518 Coinsurance and deductible may apply US Breast Ltd Rt. 76642 CPT 4097318 LOCAL 402 RC outpatient 544 462 Aetna Medicare HMO 26 26% of all negotiated rates 402 percent of total billed charges 402 544 US Breast Ltd Rt. 76642 CPT 4097318 LOCAL 402 RC outpatient 544 462 Alignment Medicare HMO 39 39% of all negotiated rates 332 percent of total billed charges 332 544 US Breast Ltd Rt. 76642 CPT 4097318 LOCAL 402 RC outpatient 544 462 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 218 percent of total billed charges 218 544 US Breast Ltd Rt. 76642 CPT 4097318 LOCAL 402 RC outpatient 544 462 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 272 percent of total billed charges 272 544 US Breast Ltd Rt. 76642 CPT 4097318 LOCAL 402 RC outpatient 544 462 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 332 percent of total billed charges 332 544 US Breast Ltd Rt. 76642 CPT 4097318 LOCAL 402 RC outpatient 544 462 Cigna PPO 68 68% of all negotiated rates 174 percent of total billed charges 174 544 US Breast Ltd Rt. 76642 CPT 4097318 LOCAL 402 RC outpatient 544 462 Coalition PPO 57 57% of all negotiated rates 234 percent of total billed charges 234 544 US Breast Ltd Rt. 76642 CPT 4097318 LOCAL 402 RC outpatient 544 462 Coventry PPO 75 75% of all negotiated rates 136 percent of total billed charges 136 544 US Breast Ltd Rt. 76642 CPT 4097318 LOCAL 402 RC outpatient 544 462 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 109 percent of total billed charges 109 544 US Breast Ltd Rt. 76642 CPT 4097318 LOCAL 402 RC outpatient 544 462 Humana-Commerical PPO 70 70% of all negotiated rates 163 percent of total billed charges 163 544 US Breast Ltd Rt. 76642 CPT 4097318 LOCAL 402 RC outpatient 544 462 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 332 percent of total billed charges 332 544 US Breast Ltd Rt. 76642 CPT 4097318 LOCAL 402 RC outpatient 544 462 Multiplan PPO 80 80% of all negotiated rates 109 percent of total billed charges 109 544 US Breast Ltd Rt. 76642 CPT 4097318 LOCAL 402 RC outpatient 544 462 One Health PPO 55 55% of all negotiated rates 245 percent of total billed charges 245 544 US Breast Ltd Rt. 76642 CPT 4097318 LOCAL 402 RC outpatient 544 462 Optum Medicare HMO 39 39% of all negotiated rates 332 percent of total billed charges 332 544 US Breast Ltd Rt. 76642 CPT 4097318 LOCAL 402 RC outpatient 544 462 P3 HMO 39 39% of all negotiated rates 332 percent of total billed charges 332 544 US Breast Ltd Rt. 76642 CPT 4097318 LOCAL 402 RC outpatient 544 462 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 163 percent of total billed charges 163 544 US Breast Ltd Rt. 76642 CPT 4097318 LOCAL 402 RC outpatient 544 462 Select Health HMO 41 41% of all negotiated rates 321 percent of total billed charges 321 544 US Breast Ltd Rt. 76642 CPT 4097318 LOCAL 402 RC outpatient 544 462 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 362 percent of total billed charges 362 544 US Breast Ltd Rt. 76642 CPT 4097318 LOCAL 402 RC outpatient 544 462 Sierra/HPN HMO 60 60% of all negotiated rates 218 percent of total billed charges 218 544 US Breast Ltd Rt. 76642 CPT 4097318 LOCAL 402 RC outpatient 544 462 Silversummit Medicare HMO 39 39% of all negotiated rates 332 percent of total billed charges 332 544 US Breast Ltd Rt. 76642 CPT 4097318 LOCAL 402 RC outpatient 544 462 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 354 percent of total billed charges 354 544 US Breast Ltd Rt. 76642 CPT 4097318 LOCAL 402 RC outpatient 544 462 Teachers Trust PPO 65 65% of all negotiated rates 190 percent of total billed charges 190 544 US Breast Ltd Rt. 76642 CPT 4097318 LOCAL 402 RC outpatient 544 462 TriWest PPO 30 30% of all negotiated rates 381 percent of total billed charges 381 544 US Breast Ltd Rt. 76642 CPT 4097318 LOCAL 402 RC outpatient 544 462 UHN-Universal Health Network PPO 70 70% of all negotiated rates 163 percent of total billed charges 163 544 US Breast Ltd Rt. 76642 CPT 4097318 LOCAL 402 RC outpatient 544 462 United Healthcare PPO 60 60% of all negotiated rates 218 percent of total billed charges 218 544 US Breast Ltd Rt. 76642 CPT 4097318 LOCAL 402 RC outpatient 544 462 Aetna PPO 120 120% of Aetna market fee schedule 104 fee schedule 104 518 Coinsurance and deductible may apply US Breast Ltd Rt. 76642 CPT 4097318 LOCAL 402 RC outpatient 544 462 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 92 fee schedule 92 518 Coinsurance and deductible may apply US Breast Ltd Rt. 76642 CPT 4097318 LOCAL 402 RC outpatient 544 462 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 92 fee schedule 92 518 Coinsurance and deductible may apply US Breast Ltd Rt. 76642 CPT 4097318 LOCAL 402 RC outpatient 544 462 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 92 fee schedule 92 518 Coinsurance and deductible may apply US Chest 76604 CPT 4086537 LOCAL 320 RC outpatient 878 746 Aetna Medicare HMO 26 26% of all negotiated rates 650 percent of total billed charges 650 878 US Chest 76604 CPT 4086537 LOCAL 320 RC outpatient 878 746 Alignment Medicare HMO 39 39% of all negotiated rates 535 percent of total billed charges 535 878 US Chest 76604 CPT 4086537 LOCAL 320 RC outpatient 878 746 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 351 percent of total billed charges 351 878 US Chest 76604 CPT 4086537 LOCAL 320 RC outpatient 878 746 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 439 percent of total billed charges 439 878 US Chest 76604 CPT 4086537 LOCAL 320 RC outpatient 878 746 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 535 percent of total billed charges 535 878 US Chest 76604 CPT 4086537 LOCAL 320 RC outpatient 878 746 Cigna PPO 68 68% of all negotiated rates 281 percent of total billed charges 281 878 US Chest 76604 CPT 4086537 LOCAL 320 RC outpatient 878 746 Coalition PPO 57 57% of all negotiated rates 377 percent of total billed charges 377 878 US Chest 76604 CPT 4086537 LOCAL 320 RC outpatient 878 746 Coventry PPO 75 75% of all negotiated rates 219 percent of total billed charges 219 878 US Chest 76604 CPT 4086537 LOCAL 320 RC outpatient 878 746 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 176 percent of total billed charges 176 878 US Chest 76604 CPT 4086537 LOCAL 320 RC outpatient 878 746 Humana-Commerical PPO 70 70% of all negotiated rates 263 percent of total billed charges 263 878 US Chest 76604 CPT 4086537 LOCAL 320 RC outpatient 878 746 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 535 percent of total billed charges 535 878 US Chest 76604 CPT 4086537 LOCAL 320 RC outpatient 878 746 Multiplan PPO 80 80% of all negotiated rates 176 percent of total billed charges 176 878 US Chest 76604 CPT 4086537 LOCAL 320 RC outpatient 878 746 One Health PPO 55 55% of all negotiated rates 395 percent of total billed charges 395 878 US Chest 76604 CPT 4086537 LOCAL 320 RC outpatient 878 746 Optum Medicare HMO 39 39% of all negotiated rates 535 percent of total billed charges 535 878 US Chest 76604 CPT 4086537 LOCAL 320 RC outpatient 878 746 P3 HMO 39 39% of all negotiated rates 535 percent of total billed charges 535 878 US Chest 76604 CPT 4086537 LOCAL 320 RC outpatient 878 746 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 263 percent of total billed charges 263 878 US Chest 76604 CPT 4086537 LOCAL 320 RC outpatient 878 746 Select Health HMO 41 41% of all negotiated rates 518 percent of total billed charges 518 878 US Chest 76604 CPT 4086537 LOCAL 320 RC outpatient 878 746 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 584 percent of total billed charges 584 878 US Chest 76604 CPT 4086537 LOCAL 320 RC outpatient 878 746 Sierra/HPN HMO 60 60% of all negotiated rates 351 percent of total billed charges 351 878 US Chest 76604 CPT 4086537 LOCAL 320 RC outpatient 878 746 Silversummit Medicare HMO 39 39% of all negotiated rates 535 percent of total billed charges 535 878 US Chest 76604 CPT 4086537 LOCAL 320 RC outpatient 878 746 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 571 percent of total billed charges 571 878 US Chest 76604 CPT 4086537 LOCAL 320 RC outpatient 878 746 Teachers Trust PPO 65 65% of all negotiated rates 307 percent of total billed charges 307 878 US Chest 76604 CPT 4086537 LOCAL 320 RC outpatient 878 746 TriWest PPO 30 30% of all negotiated rates 614 percent of total billed charges 614 878 US Chest 76604 CPT 4086537 LOCAL 320 RC outpatient 878 746 UHN-Universal Health Network PPO 70 70% of all negotiated rates 263 percent of total billed charges 263 878 US Chest 76604 CPT 4086537 LOCAL 320 RC outpatient 878 746 United Healthcare PPO 60 60% of all negotiated rates 351 percent of total billed charges 351 878 US Chest 76604 CPT 4086537 LOCAL 320 RC outpatient 878 746 Aetna PPO 120 120% of Aetna market fee schedule 105 fee schedule 105 836 Coinsurance and deductible may apply US Chest 76604 CPT 4086537 LOCAL 320 RC outpatient 878 746 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 93 fee schedule 93 836 Coinsurance and deductible may apply US Chest 76604 CPT 4086537 LOCAL 320 RC outpatient 878 746 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 93 fee schedule 93 836 Coinsurance and deductible may apply US Chest 76604 CPT 4086537 LOCAL 320 RC outpatient 878 746 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 93 fee schedule 93 836 Coinsurance and deductible may apply US Renal Comp 76775 CPT 4082833 LOCAL 402 RC outpatient 1234 1049 Aetna Medicare HMO 26 26% of all negotiated rates 913 percent of total billed charges 913 1234 US Renal Comp 76775 CPT 4082833 LOCAL 402 RC outpatient 1234 1049 Alignment Medicare HMO 39 39% of all negotiated rates 753 percent of total billed charges 753 1234 US Renal Comp 76775 CPT 4082833 LOCAL 402 RC outpatient 1234 1049 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 494 percent of total billed charges 494 1234 US Renal Comp 76775 CPT 4082833 LOCAL 402 RC outpatient 1234 1049 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 617 percent of total billed charges 617 1234 US Renal Comp 76775 CPT 4082833 LOCAL 402 RC outpatient 1234 1049 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 753 percent of total billed charges 753 1234 US Renal Comp 76775 CPT 4082833 LOCAL 402 RC outpatient 1234 1049 Cigna PPO 68 68% of all negotiated rates 395 percent of total billed charges 395 1234 US Renal Comp 76775 CPT 4082833 LOCAL 402 RC outpatient 1234 1049 Coalition PPO 57 57% of all negotiated rates 531 percent of total billed charges 531 1234 US Renal Comp 76775 CPT 4082833 LOCAL 402 RC outpatient 1234 1049 Coventry PPO 75 75% of all negotiated rates 308 percent of total billed charges 308 1234 US Renal Comp 76775 CPT 4082833 LOCAL 402 RC outpatient 1234 1049 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 247 percent of total billed charges 247 1234 US Renal Comp 76775 CPT 4082833 LOCAL 402 RC outpatient 1234 1049 Humana-Commerical PPO 70 70% of all negotiated rates 370 percent of total billed charges 370 1234 US Renal Comp 76775 CPT 4082833 LOCAL 402 RC outpatient 1234 1049 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 753 percent of total billed charges 753 1234 US Renal Comp 76775 CPT 4082833 LOCAL 402 RC outpatient 1234 1049 Multiplan PPO 80 80% of all negotiated rates 247 percent of total billed charges 247 1234 US Renal Comp 76775 CPT 4082833 LOCAL 402 RC outpatient 1234 1049 One Health PPO 55 55% of all negotiated rates 555 percent of total billed charges 555 1234 US Renal Comp 76775 CPT 4082833 LOCAL 402 RC outpatient 1234 1049 Optum Medicare HMO 39 39% of all negotiated rates 753 percent of total billed charges 753 1234 US Renal Comp 76775 CPT 4082833 LOCAL 402 RC outpatient 1234 1049 P3 HMO 39 39% of all negotiated rates 753 percent of total billed charges 753 1234 US Renal Comp 76775 CPT 4082833 LOCAL 402 RC outpatient 1234 1049 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 370 percent of total billed charges 370 1234 US Renal Comp 76775 CPT 4082833 LOCAL 402 RC outpatient 1234 1049 Select Health HMO 41 41% of all negotiated rates 728 percent of total billed charges 728 1234 US Renal Comp 76775 CPT 4082833 LOCAL 402 RC outpatient 1234 1049 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 820 percent of total billed charges 820 1234 US Renal Comp 76775 CPT 4082833 LOCAL 402 RC outpatient 1234 1049 Sierra/HPN HMO 60 60% of all negotiated rates 494 percent of total billed charges 494 1234 US Renal Comp 76775 CPT 4082833 LOCAL 402 RC outpatient 1234 1049 Silversummit Medicare HMO 39 39% of all negotiated rates 753 percent of total billed charges 753 1234 US Renal Comp 76775 CPT 4082833 LOCAL 402 RC outpatient 1234 1049 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 802 percent of total billed charges 802 1234 US Renal Comp 76775 CPT 4082833 LOCAL 402 RC outpatient 1234 1049 Teachers Trust PPO 65 65% of all negotiated rates 432 percent of total billed charges 432 1234 US Renal Comp 76775 CPT 4082833 LOCAL 402 RC outpatient 1234 1049 TriWest PPO 30 30% of all negotiated rates 864 percent of total billed charges 864 1234 US Renal Comp 76775 CPT 4082833 LOCAL 402 RC outpatient 1234 1049 UHN-Universal Health Network PPO 70 70% of all negotiated rates 370 percent of total billed charges 370 1234 US Renal Comp 76775 CPT 4082833 LOCAL 402 RC outpatient 1234 1049 United Healthcare PPO 60 60% of all negotiated rates 494 percent of total billed charges 494 1234 US Renal Comp 76775 CPT 4082833 LOCAL 402 RC outpatient 1234 1049 Aetna PPO 120 120% of Aetna market fee schedule 130 fee schedule 130 1175 Coinsurance and deductible may apply US Renal Comp 76775 CPT 4082833 LOCAL 402 RC outpatient 1234 1049 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 69 fee schedule 69 1175 Coinsurance and deductible may apply US Renal Comp 76775 CPT 4082833 LOCAL 402 RC outpatient 1234 1049 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 69 fee schedule 69 1175 Coinsurance and deductible may apply US Renal Comp 76775 CPT 4082833 LOCAL 402 RC outpatient 1234 1049 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 69 fee schedule 69 1175 Coinsurance and deductible may apply US Scrotum +Contents 76870 CPT 4088705 LOCAL 402 RC outpatient 1346 1144 Aetna Medicare HMO 26 26% of all negotiated rates 996 percent of total billed charges 996 1346 US Scrotum +Contents 76870 CPT 4088705 LOCAL 402 RC outpatient 1346 1144 Alignment Medicare HMO 39 39% of all negotiated rates 821 percent of total billed charges 821 1346 US Scrotum +Contents 76870 CPT 4088705 LOCAL 402 RC outpatient 1346 1144 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 538 percent of total billed charges 538 1346 US Scrotum +Contents 76870 CPT 4088705 LOCAL 402 RC outpatient 1346 1144 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 673 percent of total billed charges 673 1346 US Scrotum +Contents 76870 CPT 4088705 LOCAL 402 RC outpatient 1346 1144 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 821 percent of total billed charges 821 1346 US Scrotum +Contents 76870 CPT 4088705 LOCAL 402 RC outpatient 1346 1144 Cigna PPO 68 68% of all negotiated rates 431 percent of total billed charges 431 1346 US Scrotum +Contents 76870 CPT 4088705 LOCAL 402 RC outpatient 1346 1144 Coalition PPO 57 57% of all negotiated rates 579 percent of total billed charges 579 1346 US Scrotum +Contents 76870 CPT 4088705 LOCAL 402 RC outpatient 1346 1144 Coventry PPO 75 75% of all negotiated rates 337 percent of total billed charges 337 1346 US Scrotum +Contents 76870 CPT 4088705 LOCAL 402 RC outpatient 1346 1144 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 269 percent of total billed charges 269 1346 US Scrotum +Contents 76870 CPT 4088705 LOCAL 402 RC outpatient 1346 1144 Humana-Commerical PPO 70 70% of all negotiated rates 404 percent of total billed charges 404 1346 US Scrotum +Contents 76870 CPT 4088705 LOCAL 402 RC outpatient 1346 1144 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 821 percent of total billed charges 821 1346 US Scrotum +Contents 76870 CPT 4088705 LOCAL 402 RC outpatient 1346 1144 Multiplan PPO 80 80% of all negotiated rates 269 percent of total billed charges 269 1346 US Scrotum +Contents 76870 CPT 4088705 LOCAL 402 RC outpatient 1346 1144 One Health PPO 55 55% of all negotiated rates 606 percent of total billed charges 606 1346 US Scrotum +Contents 76870 CPT 4088705 LOCAL 402 RC outpatient 1346 1144 Optum Medicare HMO 39 39% of all negotiated rates 821 percent of total billed charges 821 1346 US Scrotum +Contents 76870 CPT 4088705 LOCAL 402 RC outpatient 1346 1144 P3 HMO 39 39% of all negotiated rates 821 percent of total billed charges 821 1346 US Scrotum +Contents 76870 CPT 4088705 LOCAL 402 RC outpatient 1346 1144 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 404 percent of total billed charges 404 1346 US Scrotum +Contents 76870 CPT 4088705 LOCAL 402 RC outpatient 1346 1144 Select Health HMO 41 41% of all negotiated rates 794 percent of total billed charges 794 1346 US Scrotum +Contents 76870 CPT 4088705 LOCAL 402 RC outpatient 1346 1144 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 895 percent of total billed charges 895 1346 US Scrotum +Contents 76870 CPT 4088705 LOCAL 402 RC outpatient 1346 1144 Sierra/HPN HMO 60 60% of all negotiated rates 538 percent of total billed charges 538 1346 US Scrotum +Contents 76870 CPT 4088705 LOCAL 402 RC outpatient 1346 1144 Silversummit Medicare HMO 39 39% of all negotiated rates 821 percent of total billed charges 821 1346 US Scrotum +Contents 76870 CPT 4088705 LOCAL 402 RC outpatient 1346 1144 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 875 percent of total billed charges 875 1346 US Scrotum +Contents 76870 CPT 4088705 LOCAL 402 RC outpatient 1346 1144 Teachers Trust PPO 65 65% of all negotiated rates 471 percent of total billed charges 471 1346 US Scrotum +Contents 76870 CPT 4088705 LOCAL 402 RC outpatient 1346 1144 TriWest PPO 30 30% of all negotiated rates 942 percent of total billed charges 942 1346 US Scrotum +Contents 76870 CPT 4088705 LOCAL 402 RC outpatient 1346 1144 UHN-Universal Health Network PPO 70 70% of all negotiated rates 404 percent of total billed charges 404 1346 US Scrotum +Contents 76870 CPT 4088705 LOCAL 402 RC outpatient 1346 1144 United Healthcare PPO 60 60% of all negotiated rates 538 percent of total billed charges 538 1346 US Scrotum +Contents 76870 CPT 4088705 LOCAL 402 RC outpatient 1346 1144 Aetna PPO 120 120% of Aetna market fee schedule 149 fee schedule 149 1282 Coinsurance and deductible may apply US Scrotum +Contents 76870 CPT 4088705 LOCAL 402 RC outpatient 1346 1144 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 78 fee schedule 78 1282 Coinsurance and deductible may apply US Scrotum +Contents 76870 CPT 4088705 LOCAL 402 RC outpatient 1346 1144 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 78 fee schedule 78 1282 Coinsurance and deductible may apply US Scrotum +Contents 76870 CPT 4088705 LOCAL 402 RC outpatient 1346 1144 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 78 fee schedule 78 1282 Coinsurance and deductible may apply US Soft Tissue Neck 76536 CPT 4087410 LOCAL 402 RC outpatient 1285 1092 Aetna Medicare HMO 26 26% of all negotiated rates 951 percent of total billed charges 951 1285 US Soft Tissue Neck 76536 CPT 4087410 LOCAL 402 RC outpatient 1285 1092 Alignment Medicare HMO 39 39% of all negotiated rates 784 percent of total billed charges 784 1285 US Soft Tissue Neck 76536 CPT 4087410 LOCAL 402 RC outpatient 1285 1092 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 514 percent of total billed charges 514 1285 US Soft Tissue Neck 76536 CPT 4087410 LOCAL 402 RC outpatient 1285 1092 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 643 percent of total billed charges 643 1285 US Soft Tissue Neck 76536 CPT 4087410 LOCAL 402 RC outpatient 1285 1092 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 784 percent of total billed charges 784 1285 US Soft Tissue Neck 76536 CPT 4087410 LOCAL 402 RC outpatient 1285 1092 Cigna PPO 68 68% of all negotiated rates 411 percent of total billed charges 411 1285 US Soft Tissue Neck 76536 CPT 4087410 LOCAL 402 RC outpatient 1285 1092 Coalition PPO 57 57% of all negotiated rates 553 percent of total billed charges 553 1285 US Soft Tissue Neck 76536 CPT 4087410 LOCAL 402 RC outpatient 1285 1092 Coventry PPO 75 75% of all negotiated rates 321 percent of total billed charges 321 1285 US Soft Tissue Neck 76536 CPT 4087410 LOCAL 402 RC outpatient 1285 1092 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 257 percent of total billed charges 257 1285 US Soft Tissue Neck 76536 CPT 4087410 LOCAL 402 RC outpatient 1285 1092 Humana-Commerical PPO 70 70% of all negotiated rates 386 percent of total billed charges 386 1285 US Soft Tissue Neck 76536 CPT 4087410 LOCAL 402 RC outpatient 1285 1092 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 784 percent of total billed charges 784 1285 US Soft Tissue Neck 76536 CPT 4087410 LOCAL 402 RC outpatient 1285 1092 Multiplan PPO 80 80% of all negotiated rates 257 percent of total billed charges 257 1285 US Soft Tissue Neck 76536 CPT 4087410 LOCAL 402 RC outpatient 1285 1092 One Health PPO 55 55% of all negotiated rates 578 percent of total billed charges 578 1285 US Soft Tissue Neck 76536 CPT 4087410 LOCAL 402 RC outpatient 1285 1092 Optum Medicare HMO 39 39% of all negotiated rates 784 percent of total billed charges 784 1285 US Soft Tissue Neck 76536 CPT 4087410 LOCAL 402 RC outpatient 1285 1092 P3 HMO 39 39% of all negotiated rates 784 percent of total billed charges 784 1285 US Soft Tissue Neck 76536 CPT 4087410 LOCAL 402 RC outpatient 1285 1092 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 386 percent of total billed charges 386 1285 US Soft Tissue Neck 76536 CPT 4087410 LOCAL 402 RC outpatient 1285 1092 Select Health HMO 41 41% of all negotiated rates 758 percent of total billed charges 758 1285 US Soft Tissue Neck 76536 CPT 4087410 LOCAL 402 RC outpatient 1285 1092 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 855 percent of total billed charges 855 1285 US Soft Tissue Neck 76536 CPT 4087410 LOCAL 402 RC outpatient 1285 1092 Sierra/HPN HMO 60 60% of all negotiated rates 514 percent of total billed charges 514 1285 US Soft Tissue Neck 76536 CPT 4087410 LOCAL 402 RC outpatient 1285 1092 Silversummit Medicare HMO 39 39% of all negotiated rates 784 percent of total billed charges 784 1285 US Soft Tissue Neck 76536 CPT 4087410 LOCAL 402 RC outpatient 1285 1092 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 835 percent of total billed charges 835 1285 US Soft Tissue Neck 76536 CPT 4087410 LOCAL 402 RC outpatient 1285 1092 Teachers Trust PPO 65 65% of all negotiated rates 450 percent of total billed charges 450 1285 US Soft Tissue Neck 76536 CPT 4087410 LOCAL 402 RC outpatient 1285 1092 TriWest PPO 30 30% of all negotiated rates 900 percent of total billed charges 900 1285 US Soft Tissue Neck 76536 CPT 4087410 LOCAL 402 RC outpatient 1285 1092 UHN-Universal Health Network PPO 70 70% of all negotiated rates 386 percent of total billed charges 386 1285 US Soft Tissue Neck 76536 CPT 4087410 LOCAL 402 RC outpatient 1285 1092 United Healthcare PPO 60 60% of all negotiated rates 514 percent of total billed charges 514 1285 US Soft Tissue Neck 76536 CPT 4087410 LOCAL 402 RC outpatient 1285 1092 Aetna PPO 120 120% of Aetna market fee schedule 146 fee schedule 146 1224 Coinsurance and deductible may apply US Soft Tissue Neck 76536 CPT 4087410 LOCAL 402 RC outpatient 1285 1092 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 129 fee schedule 129 1224 Coinsurance and deductible may apply US Soft Tissue Neck 76536 CPT 4087410 LOCAL 402 RC outpatient 1285 1092 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 129 fee schedule 129 1224 Coinsurance and deductible may apply US Soft Tissue Neck 76536 CPT 4087410 LOCAL 402 RC outpatient 1285 1092 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 129 fee schedule 129 1224 Coinsurance and deductible may apply US Thyroid 76536 CPT 4085354 LOCAL 402 RC outpatient 1285 1092 Aetna Medicare HMO 26 26% of all negotiated rates 951 percent of total billed charges 951 1285 US Thyroid 76536 CPT 4085354 LOCAL 402 RC outpatient 1285 1092 Alignment Medicare HMO 39 39% of all negotiated rates 784 percent of total billed charges 784 1285 US Thyroid 76536 CPT 4085354 LOCAL 402 RC outpatient 1285 1092 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 514 percent of total billed charges 514 1285 US Thyroid 76536 CPT 4085354 LOCAL 402 RC outpatient 1285 1092 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 643 percent of total billed charges 643 1285 US Thyroid 76536 CPT 4085354 LOCAL 402 RC outpatient 1285 1092 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 784 percent of total billed charges 784 1285 US Thyroid 76536 CPT 4085354 LOCAL 402 RC outpatient 1285 1092 Cigna PPO 68 68% of all negotiated rates 411 percent of total billed charges 411 1285 US Thyroid 76536 CPT 4085354 LOCAL 402 RC outpatient 1285 1092 Coalition PPO 57 57% of all negotiated rates 553 percent of total billed charges 553 1285 US Thyroid 76536 CPT 4085354 LOCAL 402 RC outpatient 1285 1092 Coventry PPO 75 75% of all negotiated rates 321 percent of total billed charges 321 1285 US Thyroid 76536 CPT 4085354 LOCAL 402 RC outpatient 1285 1092 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 257 percent of total billed charges 257 1285 US Thyroid 76536 CPT 4085354 LOCAL 402 RC outpatient 1285 1092 Humana-Commerical PPO 70 70% of all negotiated rates 386 percent of total billed charges 386 1285 US Thyroid 76536 CPT 4085354 LOCAL 402 RC outpatient 1285 1092 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 784 percent of total billed charges 784 1285 US Thyroid 76536 CPT 4085354 LOCAL 402 RC outpatient 1285 1092 Multiplan PPO 80 80% of all negotiated rates 257 percent of total billed charges 257 1285 US Thyroid 76536 CPT 4085354 LOCAL 402 RC outpatient 1285 1092 One Health PPO 55 55% of all negotiated rates 578 percent of total billed charges 578 1285 US Thyroid 76536 CPT 4085354 LOCAL 402 RC outpatient 1285 1092 Optum Medicare HMO 39 39% of all negotiated rates 784 percent of total billed charges 784 1285 US Thyroid 76536 CPT 4085354 LOCAL 402 RC outpatient 1285 1092 P3 HMO 39 39% of all negotiated rates 784 percent of total billed charges 784 1285 US Thyroid 76536 CPT 4085354 LOCAL 402 RC outpatient 1285 1092 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 386 percent of total billed charges 386 1285 US Thyroid 76536 CPT 4085354 LOCAL 402 RC outpatient 1285 1092 Select Health HMO 41 41% of all negotiated rates 758 percent of total billed charges 758 1285 US Thyroid 76536 CPT 4085354 LOCAL 402 RC outpatient 1285 1092 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 855 percent of total billed charges 855 1285 US Thyroid 76536 CPT 4085354 LOCAL 402 RC outpatient 1285 1092 Sierra/HPN HMO 60 60% of all negotiated rates 514 percent of total billed charges 514 1285 US Thyroid 76536 CPT 4085354 LOCAL 402 RC outpatient 1285 1092 Silversummit Medicare HMO 39 39% of all negotiated rates 784 percent of total billed charges 784 1285 US Thyroid 76536 CPT 4085354 LOCAL 402 RC outpatient 1285 1092 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 835 percent of total billed charges 835 1285 US Thyroid 76536 CPT 4085354 LOCAL 402 RC outpatient 1285 1092 Teachers Trust PPO 65 65% of all negotiated rates 450 percent of total billed charges 450 1285 US Thyroid 76536 CPT 4085354 LOCAL 402 RC outpatient 1285 1092 TriWest PPO 30 30% of all negotiated rates 900 percent of total billed charges 900 1285 US Thyroid 76536 CPT 4085354 LOCAL 402 RC outpatient 1285 1092 UHN-Universal Health Network PPO 70 70% of all negotiated rates 386 percent of total billed charges 386 1285 US Thyroid 76536 CPT 4085354 LOCAL 402 RC outpatient 1285 1092 United Healthcare PPO 60 60% of all negotiated rates 514 percent of total billed charges 514 1285 US Thyroid 76536 CPT 4085354 LOCAL 402 RC outpatient 1285 1092 Aetna PPO 120 120% of Aetna market fee schedule 146 fee schedule 146 1224 Coinsurance and deductible may apply US Thyroid 76536 CPT 4085354 LOCAL 402 RC outpatient 1285 1092 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 129 fee schedule 129 1224 Coinsurance and deductible may apply US Thyroid 76536 CPT 4085354 LOCAL 402 RC outpatient 1285 1092 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 129 fee schedule 129 1224 Coinsurance and deductible may apply US Thyroid 76536 CPT 4085354 LOCAL 402 RC outpatient 1285 1092 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 129 fee schedule 129 1224 Coinsurance and deductible may apply US UE Art Duplex Lt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 Aetna Medicare HMO 26 26% of all negotiated rates 1078 percent of total billed charges 1078 1457 US UE Art Duplex Lt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 Alignment Medicare HMO 39 39% of all negotiated rates 889 percent of total billed charges 889 1457 US UE Art Duplex Lt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 583 percent of total billed charges 583 1457 US UE Art Duplex Lt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 729 percent of total billed charges 729 1457 US UE Art Duplex Lt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 889 percent of total billed charges 889 1457 US UE Art Duplex Lt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 Cigna PPO 68 68% of all negotiated rates 466 percent of total billed charges 466 1457 US UE Art Duplex Lt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 Coalition PPO 57 57% of all negotiated rates 627 percent of total billed charges 627 1457 US UE Art Duplex Lt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 Coventry PPO 75 75% of all negotiated rates 364 percent of total billed charges 364 1457 US UE Art Duplex Lt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 291 percent of total billed charges 291 1457 US UE Art Duplex Lt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 Humana-Commerical PPO 70 70% of all negotiated rates 437 percent of total billed charges 437 1457 US UE Art Duplex Lt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 889 percent of total billed charges 889 1457 US UE Art Duplex Lt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 Multiplan PPO 80 80% of all negotiated rates 291 percent of total billed charges 291 1457 US UE Art Duplex Lt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 One Health PPO 55 55% of all negotiated rates 656 percent of total billed charges 656 1457 US UE Art Duplex Lt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 Optum Medicare HMO 39 39% of all negotiated rates 889 percent of total billed charges 889 1457 US UE Art Duplex Lt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 P3 HMO 39 39% of all negotiated rates 889 percent of total billed charges 889 1457 US UE Art Duplex Lt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 437 percent of total billed charges 437 1457 US UE Art Duplex Lt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 Select Health HMO 41 41% of all negotiated rates 860 percent of total billed charges 860 1457 US UE Art Duplex Lt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 969 percent of total billed charges 969 1457 US UE Art Duplex Lt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 Sierra/HPN HMO 60 60% of all negotiated rates 583 percent of total billed charges 583 1457 US UE Art Duplex Lt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 Silversummit Medicare HMO 39 39% of all negotiated rates 889 percent of total billed charges 889 1457 US UE Art Duplex Lt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 947 percent of total billed charges 947 1457 US UE Art Duplex Lt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 Teachers Trust PPO 65 65% of all negotiated rates 510 percent of total billed charges 510 1457 US UE Art Duplex Lt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 TriWest PPO 30 30% of all negotiated rates 1020 percent of total billed charges 1020 1457 US UE Art Duplex Lt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 UHN-Universal Health Network PPO 70 70% of all negotiated rates 437 percent of total billed charges 437 1457 US UE Art Duplex Lt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 United Healthcare PPO 60 60% of all negotiated rates 583 percent of total billed charges 583 1457 US UE Art Duplex Lt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 Aetna PPO 120 120% of Aetna market fee schedule 137 fee schedule 137 1388 Coinsurance and deductible may apply US UE Art Duplex Lt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 142 fee schedule 142 1388 Coinsurance and deductible may apply US UE Art Duplex Lt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 142 fee schedule 142 1388 Coinsurance and deductible may apply US UE Art Duplex Lt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 142 fee schedule 142 1388 Coinsurance and deductible may apply US UE Art Duplex Rt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 Aetna Medicare HMO 26 26% of all negotiated rates 1078 percent of total billed charges 1078 1457 US UE Art Duplex Rt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 Alignment Medicare HMO 39 39% of all negotiated rates 889 percent of total billed charges 889 1457 US UE Art Duplex Rt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 583 percent of total billed charges 583 1457 US UE Art Duplex Rt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 729 percent of total billed charges 729 1457 US UE Art Duplex Rt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 889 percent of total billed charges 889 1457 US UE Art Duplex Rt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 Cigna PPO 68 68% of all negotiated rates 466 percent of total billed charges 466 1457 US UE Art Duplex Rt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 Coalition PPO 57 57% of all negotiated rates 627 percent of total billed charges 627 1457 US UE Art Duplex Rt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 Coventry PPO 75 75% of all negotiated rates 364 percent of total billed charges 364 1457 US UE Art Duplex Rt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 291 percent of total billed charges 291 1457 US UE Art Duplex Rt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 Humana-Commerical PPO 70 70% of all negotiated rates 437 percent of total billed charges 437 1457 US UE Art Duplex Rt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 889 percent of total billed charges 889 1457 US UE Art Duplex Rt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 Multiplan PPO 80 80% of all negotiated rates 291 percent of total billed charges 291 1457 US UE Art Duplex Rt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 One Health PPO 55 55% of all negotiated rates 656 percent of total billed charges 656 1457 US UE Art Duplex Rt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 Optum Medicare HMO 39 39% of all negotiated rates 889 percent of total billed charges 889 1457 US UE Art Duplex Rt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 P3 HMO 39 39% of all negotiated rates 889 percent of total billed charges 889 1457 US UE Art Duplex Rt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 437 percent of total billed charges 437 1457 US UE Art Duplex Rt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 Select Health HMO 41 41% of all negotiated rates 860 percent of total billed charges 860 1457 US UE Art Duplex Rt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 969 percent of total billed charges 969 1457 US UE Art Duplex Rt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 Sierra/HPN HMO 60 60% of all negotiated rates 583 percent of total billed charges 583 1457 US UE Art Duplex Rt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 Silversummit Medicare HMO 39 39% of all negotiated rates 889 percent of total billed charges 889 1457 US UE Art Duplex Rt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 947 percent of total billed charges 947 1457 US UE Art Duplex Rt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 Teachers Trust PPO 65 65% of all negotiated rates 510 percent of total billed charges 510 1457 US UE Art Duplex Rt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 TriWest PPO 30 30% of all negotiated rates 1020 percent of total billed charges 1020 1457 US UE Art Duplex Rt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 UHN-Universal Health Network PPO 70 70% of all negotiated rates 437 percent of total billed charges 437 1457 US UE Art Duplex Rt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 United Healthcare PPO 60 60% of all negotiated rates 583 percent of total billed charges 583 1457 US UE Art Duplex Rt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 Aetna PPO 120 120% of Aetna market fee schedule 137 fee schedule 137 1388 Coinsurance and deductible may apply US UE Art Duplex Rt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 142 fee schedule 142 1388 Coinsurance and deductible may apply US UE Art Duplex Rt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 142 fee schedule 142 1388 Coinsurance and deductible may apply US UE Art Duplex Rt 93931 CPT 4089312 LOCAL 402 RC outpatient 1457 1239 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 142 fee schedule 142 1388 Coinsurance and deductible may apply Vitamin B12 Level 82607 CPT 4006065 LOCAL 301 RC outpatient 303 258 Aetna PPO 38 38% of all negotiated rates 188 percent of total billed charges 188 303 Vitamin B12 Level 82607 CPT 4006065 LOCAL 301 RC outpatient 303 258 Aetna Medicare HMO 26 26% of all negotiated rates 225 percent of total billed charges 225 303 Vitamin B12 Level 82607 CPT 4006065 LOCAL 301 RC outpatient 303 258 Alignment Medicare HMO 39 39% of all negotiated rates 185 percent of total billed charges 185 303 Vitamin B12 Level 82607 CPT 4006065 LOCAL 301 RC outpatient 303 258 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 121 percent of total billed charges 121 303 Vitamin B12 Level 82607 CPT 4006065 LOCAL 301 RC outpatient 303 258 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 152 percent of total billed charges 152 303 Vitamin B12 Level 82607 CPT 4006065 LOCAL 301 RC outpatient 303 258 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 185 percent of total billed charges 185 303 Vitamin B12 Level 82607 CPT 4006065 LOCAL 301 RC outpatient 303 258 Cigna PPO 68 68% of all negotiated rates 97 percent of total billed charges 97 303 Vitamin B12 Level 82607 CPT 4006065 LOCAL 301 RC outpatient 303 258 Coalition PPO 49 49% of all negotiated rates 155 percent of total billed charges 155 303 Vitamin B12 Level 82607 CPT 4006065 LOCAL 301 RC outpatient 303 258 Coventry PPO 75 75% of all negotiated rates 76 percent of total billed charges 76 303 Vitamin B12 Level 82607 CPT 4006065 LOCAL 301 RC outpatient 303 258 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 61 percent of total billed charges 61 303 Vitamin B12 Level 82607 CPT 4006065 LOCAL 301 RC outpatient 303 258 Humana-Commerical PPO 70 70% of all negotiated rates 91 percent of total billed charges 91 303 Vitamin B12 Level 82607 CPT 4006065 LOCAL 301 RC outpatient 303 258 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 185 percent of total billed charges 185 303 Vitamin B12 Level 82607 CPT 4006065 LOCAL 301 RC outpatient 303 258 Multiplan PPO 80 80% of all negotiated rates 61 percent of total billed charges 61 303 Vitamin B12 Level 82607 CPT 4006065 LOCAL 301 RC outpatient 303 258 One Health PPO 55 55% of all negotiated rates 137 percent of total billed charges 137 303 Vitamin B12 Level 82607 CPT 4006065 LOCAL 301 RC outpatient 303 258 Optum Medicare HMO 39 39% of all negotiated rates 185 percent of total billed charges 185 303 Vitamin B12 Level 82607 CPT 4006065 LOCAL 301 RC outpatient 303 258 P3 HMO 39 39% of all negotiated rates 185 percent of total billed charges 185 303 Vitamin B12 Level 82607 CPT 4006065 LOCAL 301 RC outpatient 303 258 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 91 percent of total billed charges 91 303 Vitamin B12 Level 82607 CPT 4006065 LOCAL 301 RC outpatient 303 258 Select Health HMO 41 41% of all negotiated rates 179 percent of total billed charges 179 303 Vitamin B12 Level 82607 CPT 4006065 LOCAL 301 RC outpatient 303 258 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 202 percent of total billed charges 202 303 Vitamin B12 Level 82607 CPT 4006065 LOCAL 301 RC outpatient 303 258 Sierra/HPN HMO 60 60% of all negotiated rates 121 percent of total billed charges 121 303 Vitamin B12 Level 82607 CPT 4006065 LOCAL 301 RC outpatient 303 258 Silversummit Medicare HMO 39 39% of all negotiated rates 185 percent of total billed charges 185 303 Vitamin B12 Level 82607 CPT 4006065 LOCAL 301 RC outpatient 303 258 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 197 percent of total billed charges 197 303 Vitamin B12 Level 82607 CPT 4006065 LOCAL 301 RC outpatient 303 258 Teachers Trust PPO 65 65% of all negotiated rates 106 percent of total billed charges 106 303 Vitamin B12 Level 82607 CPT 4006065 LOCAL 301 RC outpatient 303 258 TriWest PPO 30 30% of all negotiated rates 212 percent of total billed charges 212 303 Vitamin B12 Level 82607 CPT 4006065 LOCAL 301 RC outpatient 303 258 UHN-Universal Health Network PPO 70 70% of all negotiated rates 91 percent of total billed charges 91 303 Vitamin B12 Level 82607 CPT 4006065 LOCAL 301 RC outpatient 303 258 United Healthcare PPO 60 60% of all negotiated rates 121 percent of total billed charges 121 303 Vitamin B12 Level 82607 CPT 4006065 LOCAL 301 RC outpatient 303 258 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 10 fee schedule 10 289 Coinsurance and deductible may apply Vitamin B12 Level 82607 CPT 4006065 LOCAL 301 RC outpatient 303 258 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 10 fee schedule 10 289 Coinsurance and deductible may apply Vitamin B12 Level 82607 CPT 4006065 LOCAL 301 RC outpatient 303 258 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 10 fee schedule 10 289 Coinsurance and deductible may apply "Vitamin D 25(OH), Total" 82306 CPT 4003062 LOCAL 301 RC outpatient 690 586 Aetna PPO 38 38% of all negotiated rates 428 percent of total billed charges 428 690 "Vitamin D 25(OH), Total" 82306 CPT 4003062 LOCAL 301 RC outpatient 690 586 Aetna Medicare HMO 26 26% of all negotiated rates 510 percent of total billed charges 510 690 "Vitamin D 25(OH), Total" 82306 CPT 4003062 LOCAL 301 RC outpatient 690 586 Alignment Medicare HMO 39 39% of all negotiated rates 421 percent of total billed charges 421 690 "Vitamin D 25(OH), Total" 82306 CPT 4003062 LOCAL 301 RC outpatient 690 586 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 276 percent of total billed charges 276 690 "Vitamin D 25(OH), Total" 82306 CPT 4003062 LOCAL 301 RC outpatient 690 586 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 345 percent of total billed charges 345 690 "Vitamin D 25(OH), Total" 82306 CPT 4003062 LOCAL 301 RC outpatient 690 586 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 421 percent of total billed charges 421 690 "Vitamin D 25(OH), Total" 82306 CPT 4003062 LOCAL 301 RC outpatient 690 586 Cigna PPO 68 68% of all negotiated rates 221 percent of total billed charges 221 690 "Vitamin D 25(OH), Total" 82306 CPT 4003062 LOCAL 301 RC outpatient 690 586 Coalition PPO 49 49% of all negotiated rates 352 percent of total billed charges 352 690 "Vitamin D 25(OH), Total" 82306 CPT 4003062 LOCAL 301 RC outpatient 690 586 Coventry PPO 75 75% of all negotiated rates 172 percent of total billed charges 172 690 "Vitamin D 25(OH), Total" 82306 CPT 4003062 LOCAL 301 RC outpatient 690 586 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 138 percent of total billed charges 138 690 "Vitamin D 25(OH), Total" 82306 CPT 4003062 LOCAL 301 RC outpatient 690 586 Humana-Commerical PPO 70 70% of all negotiated rates 207 percent of total billed charges 207 690 "Vitamin D 25(OH), Total" 82306 CPT 4003062 LOCAL 301 RC outpatient 690 586 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 421 percent of total billed charges 421 690 "Vitamin D 25(OH), Total" 82306 CPT 4003062 LOCAL 301 RC outpatient 690 586 Multiplan PPO 80 80% of all negotiated rates 138 percent of total billed charges 138 690 "Vitamin D 25(OH), Total" 82306 CPT 4003062 LOCAL 301 RC outpatient 690 586 One Health PPO 55 55% of all negotiated rates 310 percent of total billed charges 310 690 "Vitamin D 25(OH), Total" 82306 CPT 4003062 LOCAL 301 RC outpatient 690 586 Optum Medicare HMO 39 39% of all negotiated rates 421 percent of total billed charges 421 690 "Vitamin D 25(OH), Total" 82306 CPT 4003062 LOCAL 301 RC outpatient 690 586 P3 HMO 39 39% of all negotiated rates 421 percent of total billed charges 421 690 "Vitamin D 25(OH), Total" 82306 CPT 4003062 LOCAL 301 RC outpatient 690 586 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 207 percent of total billed charges 207 690 "Vitamin D 25(OH), Total" 82306 CPT 4003062 LOCAL 301 RC outpatient 690 586 Select Health HMO 41 41% of all negotiated rates 407 percent of total billed charges 407 690 "Vitamin D 25(OH), Total" 82306 CPT 4003062 LOCAL 301 RC outpatient 690 586 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 459 percent of total billed charges 459 690 "Vitamin D 25(OH), Total" 82306 CPT 4003062 LOCAL 301 RC outpatient 690 586 Sierra/HPN HMO 60 60% of all negotiated rates 276 percent of total billed charges 276 690 "Vitamin D 25(OH), Total" 82306 CPT 4003062 LOCAL 301 RC outpatient 690 586 Silversummit Medicare HMO 39 39% of all negotiated rates 421 percent of total billed charges 421 690 "Vitamin D 25(OH), Total" 82306 CPT 4003062 LOCAL 301 RC outpatient 690 586 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 448 percent of total billed charges 448 690 "Vitamin D 25(OH), Total" 82306 CPT 4003062 LOCAL 301 RC outpatient 690 586 Teachers Trust PPO 65 65% of all negotiated rates 241 percent of total billed charges 241 690 "Vitamin D 25(OH), Total" 82306 CPT 4003062 LOCAL 301 RC outpatient 690 586 TriWest PPO 30 30% of all negotiated rates 483 percent of total billed charges 483 690 "Vitamin D 25(OH), Total" 82306 CPT 4003062 LOCAL 301 RC outpatient 690 586 UHN-Universal Health Network PPO 70 70% of all negotiated rates 207 percent of total billed charges 207 690 "Vitamin D 25(OH), Total" 82306 CPT 4003062 LOCAL 301 RC outpatient 690 586 United Healthcare PPO 60 60% of all negotiated rates 276 percent of total billed charges 276 690 "Vitamin D 25(OH), Total" 82306 CPT 4003062 LOCAL 301 RC outpatient 690 586 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 20 fee schedule 20 657 Coinsurance and deductible may apply "Vitamin D 25(OH), Total" 82306 CPT 4003062 LOCAL 301 RC outpatient 690 586 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 20 fee schedule 20 657 Coinsurance and deductible may apply "Vitamin D 25(OH), Total" 82306 CPT 4003062 LOCAL 301 RC outpatient 690 586 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 20 fee schedule 20 657 Coinsurance and deductible may apply Xpress MVP (GeneXpert) 0352U CPT 4010327 LOCAL 300 RC outpatient 471 401 Aetna PPO 38 38% of all negotiated rates 292 percent of total billed charges 292 471 Xpress MVP (GeneXpert) 0352U CPT 4010327 LOCAL 300 RC outpatient 471 401 Aetna Medicare HMO 26 26% of all negotiated rates 349 percent of total billed charges 349 471 Xpress MVP (GeneXpert) 0352U CPT 4010327 LOCAL 300 RC outpatient 471 401 Alignment Medicare HMO 39 39% of all negotiated rates 288 percent of total billed charges 288 471 Xpress MVP (GeneXpert) 0352U CPT 4010327 LOCAL 300 RC outpatient 471 401 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 189 percent of total billed charges 189 471 Xpress MVP (GeneXpert) 0352U CPT 4010327 LOCAL 300 RC outpatient 471 401 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 236 percent of total billed charges 236 471 Xpress MVP (GeneXpert) 0352U CPT 4010327 LOCAL 300 RC outpatient 471 401 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 288 percent of total billed charges 288 471 Xpress MVP (GeneXpert) 0352U CPT 4010327 LOCAL 300 RC outpatient 471 401 Cigna PPO 68 68% of all negotiated rates 151 percent of total billed charges 151 471 Xpress MVP (GeneXpert) 0352U CPT 4010327 LOCAL 300 RC outpatient 471 401 Coalition PPO 49 49% of all negotiated rates 240 percent of total billed charges 240 471 Xpress MVP (GeneXpert) 0352U CPT 4010327 LOCAL 300 RC outpatient 471 401 Coventry PPO 75 75% of all negotiated rates 118 percent of total billed charges 118 471 Xpress MVP (GeneXpert) 0352U CPT 4010327 LOCAL 300 RC outpatient 471 401 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 94 percent of total billed charges 94 471 Xpress MVP (GeneXpert) 0352U CPT 4010327 LOCAL 300 RC outpatient 471 401 Humana-Commerical PPO 70 70% of all negotiated rates 141 percent of total billed charges 141 471 Xpress MVP (GeneXpert) 0352U CPT 4010327 LOCAL 300 RC outpatient 471 401 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 288 percent of total billed charges 288 471 Xpress MVP (GeneXpert) 0352U CPT 4010327 LOCAL 300 RC outpatient 471 401 Multiplan PPO 80 80% of all negotiated rates 94 percent of total billed charges 94 471 Xpress MVP (GeneXpert) 0352U CPT 4010327 LOCAL 300 RC outpatient 471 401 One Health PPO 55 55% of all negotiated rates 212 percent of total billed charges 212 471 Xpress MVP (GeneXpert) 0352U CPT 4010327 LOCAL 300 RC outpatient 471 401 Optum Medicare HMO 39 39% of all negotiated rates 288 percent of total billed charges 288 471 Xpress MVP (GeneXpert) 0352U CPT 4010327 LOCAL 300 RC outpatient 471 401 P3 HMO 39 39% of all negotiated rates 288 percent of total billed charges 288 471 Xpress MVP (GeneXpert) 0352U CPT 4010327 LOCAL 300 RC outpatient 471 401 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 141 percent of total billed charges 141 471 Xpress MVP (GeneXpert) 0352U CPT 4010327 LOCAL 300 RC outpatient 471 401 Select Health HMO 41 41% of all negotiated rates 278 percent of total billed charges 278 471 Xpress MVP (GeneXpert) 0352U CPT 4010327 LOCAL 300 RC outpatient 471 401 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 314 percent of total billed charges 314 471 Xpress MVP (GeneXpert) 0352U CPT 4010327 LOCAL 300 RC outpatient 471 401 Sierra/HPN HMO 60 60% of all negotiated rates 189 percent of total billed charges 189 471 Xpress MVP (GeneXpert) 0352U CPT 4010327 LOCAL 300 RC outpatient 471 401 Silversummit Medicare HMO 39 39% of all negotiated rates 288 percent of total billed charges 288 471 Xpress MVP (GeneXpert) 0352U CPT 4010327 LOCAL 300 RC outpatient 471 401 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 306 percent of total billed charges 306 471 Xpress MVP (GeneXpert) 0352U CPT 4010327 LOCAL 300 RC outpatient 471 401 Teachers Trust PPO 65 65% of all negotiated rates 165 percent of total billed charges 165 471 Xpress MVP (GeneXpert) 0352U CPT 4010327 LOCAL 300 RC outpatient 471 401 TriWest PPO 30 30% of all negotiated rates 330 percent of total billed charges 330 471 Xpress MVP (GeneXpert) 0352U CPT 4010327 LOCAL 300 RC outpatient 471 401 UHN-Universal Health Network PPO 70 70% of all negotiated rates 141 percent of total billed charges 141 471 Xpress MVP (GeneXpert) 0352U CPT 4010327 LOCAL 300 RC outpatient 471 401 United Healthcare PPO 60 60% of all negotiated rates 189 percent of total billed charges 189 471 XR Abdomen 1 View 74018 CPT 4050001 LOCAL 320 RC outpatient 436 370 Aetna Medicare HMO 26 26% of all negotiated rates 322 percent of total billed charges 322 436 XR Abdomen 1 View 74018 CPT 4050001 LOCAL 320 RC outpatient 436 370 Alignment Medicare HMO 39 39% of all negotiated rates 266 percent of total billed charges 266 436 XR Abdomen 1 View 74018 CPT 4050001 LOCAL 320 RC outpatient 436 370 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 174 percent of total billed charges 174 436 XR Abdomen 1 View 74018 CPT 4050001 LOCAL 320 RC outpatient 436 370 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 218 percent of total billed charges 218 436 XR Abdomen 1 View 74018 CPT 4050001 LOCAL 320 RC outpatient 436 370 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 266 percent of total billed charges 266 436 XR Abdomen 1 View 74018 CPT 4050001 LOCAL 320 RC outpatient 436 370 Cigna PPO 68 68% of all negotiated rates 139 percent of total billed charges 139 436 XR Abdomen 1 View 74018 CPT 4050001 LOCAL 320 RC outpatient 436 370 Coalition PPO 57 57% of all negotiated rates 187 percent of total billed charges 187 436 XR Abdomen 1 View 74018 CPT 4050001 LOCAL 320 RC outpatient 436 370 Coventry PPO 75 75% of all negotiated rates 109 percent of total billed charges 109 436 XR Abdomen 1 View 74018 CPT 4050001 LOCAL 320 RC outpatient 436 370 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 87 percent of total billed charges 87 436 XR Abdomen 1 View 74018 CPT 4050001 LOCAL 320 RC outpatient 436 370 Humana-Commerical PPO 70 70% of all negotiated rates 131 percent of total billed charges 131 436 XR Abdomen 1 View 74018 CPT 4050001 LOCAL 320 RC outpatient 436 370 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 266 percent of total billed charges 266 436 XR Abdomen 1 View 74018 CPT 4050001 LOCAL 320 RC outpatient 436 370 Multiplan PPO 80 80% of all negotiated rates 87 percent of total billed charges 87 436 XR Abdomen 1 View 74018 CPT 4050001 LOCAL 320 RC outpatient 436 370 One Health PPO 55 55% of all negotiated rates 196 percent of total billed charges 196 436 XR Abdomen 1 View 74018 CPT 4050001 LOCAL 320 RC outpatient 436 370 Optum Medicare HMO 39 39% of all negotiated rates 266 percent of total billed charges 266 436 XR Abdomen 1 View 74018 CPT 4050001 LOCAL 320 RC outpatient 436 370 P3 HMO 39 39% of all negotiated rates 266 percent of total billed charges 266 436 XR Abdomen 1 View 74018 CPT 4050001 LOCAL 320 RC outpatient 436 370 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 131 percent of total billed charges 131 436 XR Abdomen 1 View 74018 CPT 4050001 LOCAL 320 RC outpatient 436 370 Select Health HMO 41 41% of all negotiated rates 257 percent of total billed charges 257 436 XR Abdomen 1 View 74018 CPT 4050001 LOCAL 320 RC outpatient 436 370 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 290 percent of total billed charges 290 436 XR Abdomen 1 View 74018 CPT 4050001 LOCAL 320 RC outpatient 436 370 Sierra/HPN HMO 60 60% of all negotiated rates 174 percent of total billed charges 174 436 XR Abdomen 1 View 74018 CPT 4050001 LOCAL 320 RC outpatient 436 370 Silversummit Medicare HMO 39 39% of all negotiated rates 266 percent of total billed charges 266 436 XR Abdomen 1 View 74018 CPT 4050001 LOCAL 320 RC outpatient 436 370 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 283 percent of total billed charges 283 436 XR Abdomen 1 View 74018 CPT 4050001 LOCAL 320 RC outpatient 436 370 Teachers Trust PPO 65 65% of all negotiated rates 153 percent of total billed charges 153 436 XR Abdomen 1 View 74018 CPT 4050001 LOCAL 320 RC outpatient 436 370 TriWest PPO 30 30% of all negotiated rates 305 percent of total billed charges 305 436 XR Abdomen 1 View 74018 CPT 4050001 LOCAL 320 RC outpatient 436 370 UHN-Universal Health Network PPO 70 70% of all negotiated rates 131 percent of total billed charges 131 436 XR Abdomen 1 View 74018 CPT 4050001 LOCAL 320 RC outpatient 436 370 United Healthcare PPO 60 60% of all negotiated rates 174 percent of total billed charges 174 436 XR Abdomen 1 View 74018 CPT 4050001 LOCAL 320 RC outpatient 436 370 Aetna PPO 120 120% of Aetna market fee schedule 31 fee schedule 31 415 Coinsurance and deductible may apply XR Abdomen 1 View 74018 CPT 4050001 LOCAL 320 RC outpatient 436 370 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 19 fee schedule 19 415 Coinsurance and deductible may apply XR Abdomen 1 View 74018 CPT 4050001 LOCAL 320 RC outpatient 436 370 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 19 fee schedule 19 415 Coinsurance and deductible may apply XR Abdomen 1 View 74018 CPT 4050001 LOCAL 320 RC outpatient 436 370 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 19 fee schedule 19 415 Coinsurance and deductible may apply XR Abdomen 2 Views 74019 CPT 4054020 LOCAL 320 RC outpatient 436 370 Aetna Medicare HMO 26 26% of all negotiated rates 322 percent of total billed charges 322 436 XR Abdomen 2 Views 74019 CPT 4054020 LOCAL 320 RC outpatient 436 370 Alignment Medicare HMO 39 39% of all negotiated rates 266 percent of total billed charges 266 436 XR Abdomen 2 Views 74019 CPT 4054020 LOCAL 320 RC outpatient 436 370 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 174 percent of total billed charges 174 436 XR Abdomen 2 Views 74019 CPT 4054020 LOCAL 320 RC outpatient 436 370 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 218 percent of total billed charges 218 436 XR Abdomen 2 Views 74019 CPT 4054020 LOCAL 320 RC outpatient 436 370 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 266 percent of total billed charges 266 436 XR Abdomen 2 Views 74019 CPT 4054020 LOCAL 320 RC outpatient 436 370 Cigna PPO 68 68% of all negotiated rates 139 percent of total billed charges 139 436 XR Abdomen 2 Views 74019 CPT 4054020 LOCAL 320 RC outpatient 436 370 Coalition PPO 57 57% of all negotiated rates 187 percent of total billed charges 187 436 XR Abdomen 2 Views 74019 CPT 4054020 LOCAL 320 RC outpatient 436 370 Coventry PPO 75 75% of all negotiated rates 109 percent of total billed charges 109 436 XR Abdomen 2 Views 74019 CPT 4054020 LOCAL 320 RC outpatient 436 370 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 87 percent of total billed charges 87 436 XR Abdomen 2 Views 74019 CPT 4054020 LOCAL 320 RC outpatient 436 370 Humana-Commerical PPO 70 70% of all negotiated rates 131 percent of total billed charges 131 436 XR Abdomen 2 Views 74019 CPT 4054020 LOCAL 320 RC outpatient 436 370 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 266 percent of total billed charges 266 436 XR Abdomen 2 Views 74019 CPT 4054020 LOCAL 320 RC outpatient 436 370 Multiplan PPO 80 80% of all negotiated rates 87 percent of total billed charges 87 436 XR Abdomen 2 Views 74019 CPT 4054020 LOCAL 320 RC outpatient 436 370 One Health PPO 55 55% of all negotiated rates 196 percent of total billed charges 196 436 XR Abdomen 2 Views 74019 CPT 4054020 LOCAL 320 RC outpatient 436 370 Optum Medicare HMO 39 39% of all negotiated rates 266 percent of total billed charges 266 436 XR Abdomen 2 Views 74019 CPT 4054020 LOCAL 320 RC outpatient 436 370 P3 HMO 39 39% of all negotiated rates 266 percent of total billed charges 266 436 XR Abdomen 2 Views 74019 CPT 4054020 LOCAL 320 RC outpatient 436 370 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 131 percent of total billed charges 131 436 XR Abdomen 2 Views 74019 CPT 4054020 LOCAL 320 RC outpatient 436 370 Select Health HMO 41 41% of all negotiated rates 257 percent of total billed charges 257 436 XR Abdomen 2 Views 74019 CPT 4054020 LOCAL 320 RC outpatient 436 370 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 290 percent of total billed charges 290 436 XR Abdomen 2 Views 74019 CPT 4054020 LOCAL 320 RC outpatient 436 370 Sierra/HPN HMO 60 60% of all negotiated rates 174 percent of total billed charges 174 436 XR Abdomen 2 Views 74019 CPT 4054020 LOCAL 320 RC outpatient 436 370 Silversummit Medicare HMO 39 39% of all negotiated rates 266 percent of total billed charges 266 436 XR Abdomen 2 Views 74019 CPT 4054020 LOCAL 320 RC outpatient 436 370 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 283 percent of total billed charges 283 436 XR Abdomen 2 Views 74019 CPT 4054020 LOCAL 320 RC outpatient 436 370 Teachers Trust PPO 65 65% of all negotiated rates 153 percent of total billed charges 153 436 XR Abdomen 2 Views 74019 CPT 4054020 LOCAL 320 RC outpatient 436 370 TriWest PPO 30 30% of all negotiated rates 305 percent of total billed charges 305 436 XR Abdomen 2 Views 74019 CPT 4054020 LOCAL 320 RC outpatient 436 370 UHN-Universal Health Network PPO 70 70% of all negotiated rates 131 percent of total billed charges 131 436 XR Abdomen 2 Views 74019 CPT 4054020 LOCAL 320 RC outpatient 436 370 United Healthcare PPO 60 60% of all negotiated rates 174 percent of total billed charges 174 436 XR Abdomen 2 Views 74019 CPT 4054020 LOCAL 320 RC outpatient 436 370 Aetna PPO 120 120% of Aetna market fee schedule 38 fee schedule 38 415 Coinsurance and deductible may apply XR Abdomen 2 Views 74019 CPT 4054020 LOCAL 320 RC outpatient 436 370 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 22 fee schedule 22 415 Coinsurance and deductible may apply XR Abdomen 2 Views 74019 CPT 4054020 LOCAL 320 RC outpatient 436 370 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 22 fee schedule 22 415 Coinsurance and deductible may apply XR Abdomen 2 Views 74019 CPT 4054020 LOCAL 320 RC outpatient 436 370 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 22 fee schedule 22 415 Coinsurance and deductible may apply XR Abdomen Comp +Chest 1 View 74022 CPT 4050225 LOCAL 320 RC outpatient 1046 889 Aetna Medicare HMO 26 26% of all negotiated rates 774 percent of total billed charges 774 1046 XR Abdomen Comp +Chest 1 View 74022 CPT 4050225 LOCAL 320 RC outpatient 1046 889 Alignment Medicare HMO 39 39% of all negotiated rates 638 percent of total billed charges 638 1046 XR Abdomen Comp +Chest 1 View 74022 CPT 4050225 LOCAL 320 RC outpatient 1046 889 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 418 percent of total billed charges 418 1046 XR Abdomen Comp +Chest 1 View 74022 CPT 4050225 LOCAL 320 RC outpatient 1046 889 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 523 percent of total billed charges 523 1046 XR Abdomen Comp +Chest 1 View 74022 CPT 4050225 LOCAL 320 RC outpatient 1046 889 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 638 percent of total billed charges 638 1046 XR Abdomen Comp +Chest 1 View 74022 CPT 4050225 LOCAL 320 RC outpatient 1046 889 Cigna PPO 68 68% of all negotiated rates 335 percent of total billed charges 335 1046 XR Abdomen Comp +Chest 1 View 74022 CPT 4050225 LOCAL 320 RC outpatient 1046 889 Coalition PPO 57 57% of all negotiated rates 450 percent of total billed charges 450 1046 XR Abdomen Comp +Chest 1 View 74022 CPT 4050225 LOCAL 320 RC outpatient 1046 889 Coventry PPO 75 75% of all negotiated rates 261 percent of total billed charges 261 1046 XR Abdomen Comp +Chest 1 View 74022 CPT 4050225 LOCAL 320 RC outpatient 1046 889 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 209 percent of total billed charges 209 1046 XR Abdomen Comp +Chest 1 View 74022 CPT 4050225 LOCAL 320 RC outpatient 1046 889 Humana-Commerical PPO 70 70% of all negotiated rates 314 percent of total billed charges 314 1046 XR Abdomen Comp +Chest 1 View 74022 CPT 4050225 LOCAL 320 RC outpatient 1046 889 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 638 percent of total billed charges 638 1046 XR Abdomen Comp +Chest 1 View 74022 CPT 4050225 LOCAL 320 RC outpatient 1046 889 Multiplan PPO 80 80% of all negotiated rates 209 percent of total billed charges 209 1046 XR Abdomen Comp +Chest 1 View 74022 CPT 4050225 LOCAL 320 RC outpatient 1046 889 One Health PPO 55 55% of all negotiated rates 471 percent of total billed charges 471 1046 XR Abdomen Comp +Chest 1 View 74022 CPT 4050225 LOCAL 320 RC outpatient 1046 889 Optum Medicare HMO 39 39% of all negotiated rates 638 percent of total billed charges 638 1046 XR Abdomen Comp +Chest 1 View 74022 CPT 4050225 LOCAL 320 RC outpatient 1046 889 P3 HMO 39 39% of all negotiated rates 638 percent of total billed charges 638 1046 XR Abdomen Comp +Chest 1 View 74022 CPT 4050225 LOCAL 320 RC outpatient 1046 889 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 314 percent of total billed charges 314 1046 XR Abdomen Comp +Chest 1 View 74022 CPT 4050225 LOCAL 320 RC outpatient 1046 889 Select Health HMO 41 41% of all negotiated rates 617 percent of total billed charges 617 1046 XR Abdomen Comp +Chest 1 View 74022 CPT 4050225 LOCAL 320 RC outpatient 1046 889 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 695 percent of total billed charges 695 1046 XR Abdomen Comp +Chest 1 View 74022 CPT 4050225 LOCAL 320 RC outpatient 1046 889 Sierra/HPN HMO 60 60% of all negotiated rates 418 percent of total billed charges 418 1046 XR Abdomen Comp +Chest 1 View 74022 CPT 4050225 LOCAL 320 RC outpatient 1046 889 Silversummit Medicare HMO 39 39% of all negotiated rates 638 percent of total billed charges 638 1046 XR Abdomen Comp +Chest 1 View 74022 CPT 4050225 LOCAL 320 RC outpatient 1046 889 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 680 percent of total billed charges 680 1046 XR Abdomen Comp +Chest 1 View 74022 CPT 4050225 LOCAL 320 RC outpatient 1046 889 Teachers Trust PPO 65 65% of all negotiated rates 366 percent of total billed charges 366 1046 XR Abdomen Comp +Chest 1 View 74022 CPT 4050225 LOCAL 320 RC outpatient 1046 889 TriWest PPO 30 30% of all negotiated rates 732 percent of total billed charges 732 1046 XR Abdomen Comp +Chest 1 View 74022 CPT 4050225 LOCAL 320 RC outpatient 1046 889 UHN-Universal Health Network PPO 70 70% of all negotiated rates 314 percent of total billed charges 314 1046 XR Abdomen Comp +Chest 1 View 74022 CPT 4050225 LOCAL 320 RC outpatient 1046 889 United Healthcare PPO 60 60% of all negotiated rates 418 percent of total billed charges 418 1046 XR Abdomen Comp +Chest 1 View 74022 CPT 4050225 LOCAL 320 RC outpatient 1046 889 Aetna PPO 120 120% of Aetna market fee schedule 58 fee schedule 58 996 Coinsurance and deductible may apply XR Abdomen Comp +Chest 1 View 74022 CPT 4050225 LOCAL 320 RC outpatient 1046 889 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 36 fee schedule 36 996 Coinsurance and deductible may apply XR Abdomen Comp +Chest 1 View 74022 CPT 4050225 LOCAL 320 RC outpatient 1046 889 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 36 fee schedule 36 996 Coinsurance and deductible may apply XR Abdomen Comp +Chest 1 View 74022 CPT 4050225 LOCAL 320 RC outpatient 1046 889 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 36 fee schedule 36 996 Coinsurance and deductible may apply XR Ankle 2 Views Bil 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Aetna Medicare HMO 26 26% of all negotiated rates 416 percent of total billed charges 416 563 XR Ankle 2 Views Bil 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Alignment Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Ankle 2 Views Bil 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 225 percent of total billed charges 225 563 XR Ankle 2 Views Bil 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 281 percent of total billed charges 281 563 XR Ankle 2 Views Bil 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Ankle 2 Views Bil 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Cigna PPO 68 68% of all negotiated rates 180 percent of total billed charges 180 563 XR Ankle 2 Views Bil 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Coalition PPO 57 57% of all negotiated rates 242 percent of total billed charges 242 563 XR Ankle 2 Views Bil 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Coventry PPO 75 75% of all negotiated rates 141 percent of total billed charges 141 563 XR Ankle 2 Views Bil 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 113 percent of total billed charges 113 563 XR Ankle 2 Views Bil 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Humana-Commerical PPO 70 70% of all negotiated rates 169 percent of total billed charges 169 563 XR Ankle 2 Views Bil 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Ankle 2 Views Bil 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Multiplan PPO 80 80% of all negotiated rates 113 percent of total billed charges 113 563 XR Ankle 2 Views Bil 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 One Health PPO 55 55% of all negotiated rates 253 percent of total billed charges 253 563 XR Ankle 2 Views Bil 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Optum Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Ankle 2 Views Bil 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 P3 HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Ankle 2 Views Bil 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 169 percent of total billed charges 169 563 XR Ankle 2 Views Bil 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Select Health HMO 41 41% of all negotiated rates 332 percent of total billed charges 332 563 XR Ankle 2 Views Bil 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 374 percent of total billed charges 374 563 XR Ankle 2 Views Bil 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Sierra/HPN HMO 60 60% of all negotiated rates 225 percent of total billed charges 225 563 XR Ankle 2 Views Bil 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Silversummit Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Ankle 2 Views Bil 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 366 percent of total billed charges 366 563 XR Ankle 2 Views Bil 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Teachers Trust PPO 65 65% of all negotiated rates 197 percent of total billed charges 197 563 XR Ankle 2 Views Bil 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 TriWest PPO 30 30% of all negotiated rates 394 percent of total billed charges 394 563 XR Ankle 2 Views Bil 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 UHN-Universal Health Network PPO 70 70% of all negotiated rates 169 percent of total billed charges 169 563 XR Ankle 2 Views Bil 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 United Healthcare PPO 60 60% of all negotiated rates 225 percent of total billed charges 225 563 XR Ankle 2 Views Bil 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Aetna PPO 120 120% of Aetna market fee schedule 35 fee schedule 35 536 Coinsurance and deductible may apply XR Ankle 2 Views Bil 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 22 fee schedule 22 536 Coinsurance and deductible may apply XR Ankle 2 Views Bil 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 22 fee schedule 22 536 Coinsurance and deductible may apply XR Ankle 2 Views Bil 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 22 fee schedule 22 536 Coinsurance and deductible may apply XR Ankle 2 Views Lt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Aetna Medicare HMO 26 26% of all negotiated rates 416 percent of total billed charges 416 563 XR Ankle 2 Views Lt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Alignment Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Ankle 2 Views Lt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 225 percent of total billed charges 225 563 XR Ankle 2 Views Lt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 281 percent of total billed charges 281 563 XR Ankle 2 Views Lt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Ankle 2 Views Lt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Cigna PPO 68 68% of all negotiated rates 180 percent of total billed charges 180 563 XR Ankle 2 Views Lt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Coalition PPO 57 57% of all negotiated rates 242 percent of total billed charges 242 563 XR Ankle 2 Views Lt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Coventry PPO 75 75% of all negotiated rates 141 percent of total billed charges 141 563 XR Ankle 2 Views Lt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 113 percent of total billed charges 113 563 XR Ankle 2 Views Lt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Humana-Commerical PPO 70 70% of all negotiated rates 169 percent of total billed charges 169 563 XR Ankle 2 Views Lt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Ankle 2 Views Lt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Multiplan PPO 80 80% of all negotiated rates 113 percent of total billed charges 113 563 XR Ankle 2 Views Lt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 One Health PPO 55 55% of all negotiated rates 253 percent of total billed charges 253 563 XR Ankle 2 Views Lt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Optum Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Ankle 2 Views Lt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 P3 HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Ankle 2 Views Lt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 169 percent of total billed charges 169 563 XR Ankle 2 Views Lt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Select Health HMO 41 41% of all negotiated rates 332 percent of total billed charges 332 563 XR Ankle 2 Views Lt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 374 percent of total billed charges 374 563 XR Ankle 2 Views Lt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Sierra/HPN HMO 60 60% of all negotiated rates 225 percent of total billed charges 225 563 XR Ankle 2 Views Lt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Silversummit Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Ankle 2 Views Lt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 366 percent of total billed charges 366 563 XR Ankle 2 Views Lt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Teachers Trust PPO 65 65% of all negotiated rates 197 percent of total billed charges 197 563 XR Ankle 2 Views Lt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 TriWest PPO 30 30% of all negotiated rates 394 percent of total billed charges 394 563 XR Ankle 2 Views Lt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 UHN-Universal Health Network PPO 70 70% of all negotiated rates 169 percent of total billed charges 169 563 XR Ankle 2 Views Lt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 United Healthcare PPO 60 60% of all negotiated rates 225 percent of total billed charges 225 563 XR Ankle 2 Views Lt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Aetna PPO 120 120% of Aetna market fee schedule 35 fee schedule 35 536 Coinsurance and deductible may apply XR Ankle 2 Views Lt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 22 fee schedule 22 536 Coinsurance and deductible may apply XR Ankle 2 Views Lt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 22 fee schedule 22 536 Coinsurance and deductible may apply XR Ankle 2 Views Lt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 22 fee schedule 22 536 Coinsurance and deductible may apply XR Ankle 2 Views Rt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Aetna Medicare HMO 26 26% of all negotiated rates 416 percent of total billed charges 416 563 XR Ankle 2 Views Rt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Alignment Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Ankle 2 Views Rt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 225 percent of total billed charges 225 563 XR Ankle 2 Views Rt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 281 percent of total billed charges 281 563 XR Ankle 2 Views Rt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Ankle 2 Views Rt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Cigna PPO 68 68% of all negotiated rates 180 percent of total billed charges 180 563 XR Ankle 2 Views Rt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Coalition PPO 57 57% of all negotiated rates 242 percent of total billed charges 242 563 XR Ankle 2 Views Rt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Coventry PPO 75 75% of all negotiated rates 141 percent of total billed charges 141 563 XR Ankle 2 Views Rt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 113 percent of total billed charges 113 563 XR Ankle 2 Views Rt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Humana-Commerical PPO 70 70% of all negotiated rates 169 percent of total billed charges 169 563 XR Ankle 2 Views Rt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Ankle 2 Views Rt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Multiplan PPO 80 80% of all negotiated rates 113 percent of total billed charges 113 563 XR Ankle 2 Views Rt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 One Health PPO 55 55% of all negotiated rates 253 percent of total billed charges 253 563 XR Ankle 2 Views Rt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Optum Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Ankle 2 Views Rt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 P3 HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Ankle 2 Views Rt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 169 percent of total billed charges 169 563 XR Ankle 2 Views Rt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Select Health HMO 41 41% of all negotiated rates 332 percent of total billed charges 332 563 XR Ankle 2 Views Rt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 374 percent of total billed charges 374 563 XR Ankle 2 Views Rt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Sierra/HPN HMO 60 60% of all negotiated rates 225 percent of total billed charges 225 563 XR Ankle 2 Views Rt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Silversummit Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Ankle 2 Views Rt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 366 percent of total billed charges 366 563 XR Ankle 2 Views Rt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Teachers Trust PPO 65 65% of all negotiated rates 197 percent of total billed charges 197 563 XR Ankle 2 Views Rt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 TriWest PPO 30 30% of all negotiated rates 394 percent of total billed charges 394 563 XR Ankle 2 Views Rt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 UHN-Universal Health Network PPO 70 70% of all negotiated rates 169 percent of total billed charges 169 563 XR Ankle 2 Views Rt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 United Healthcare PPO 60 60% of all negotiated rates 225 percent of total billed charges 225 563 XR Ankle 2 Views Rt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Aetna PPO 120 120% of Aetna market fee schedule 35 fee schedule 35 536 Coinsurance and deductible may apply XR Ankle 2 Views Rt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 22 fee schedule 22 536 Coinsurance and deductible may apply XR Ankle 2 Views Rt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 22 fee schedule 22 536 Coinsurance and deductible may apply XR Ankle 2 Views Rt 73600 CPT 4056009 LOCAL 320 RC outpatient 563 478 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 22 fee schedule 22 536 Coinsurance and deductible may apply XR Chest 1 View 71045 CPT 4050103 LOCAL 320 RC outpatient 563 478 Aetna Medicare HMO 26 26% of all negotiated rates 416 percent of total billed charges 416 563 XR Chest 1 View 71045 CPT 4050103 LOCAL 320 RC outpatient 563 478 Alignment Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Chest 1 View 71045 CPT 4050103 LOCAL 320 RC outpatient 563 478 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 225 percent of total billed charges 225 563 XR Chest 1 View 71045 CPT 4050103 LOCAL 320 RC outpatient 563 478 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 281 percent of total billed charges 281 563 XR Chest 1 View 71045 CPT 4050103 LOCAL 320 RC outpatient 563 478 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Chest 1 View 71045 CPT 4050103 LOCAL 320 RC outpatient 563 478 Cigna PPO 68 68% of all negotiated rates 180 percent of total billed charges 180 563 XR Chest 1 View 71045 CPT 4050103 LOCAL 320 RC outpatient 563 478 Coalition PPO 57 57% of all negotiated rates 242 percent of total billed charges 242 563 XR Chest 1 View 71045 CPT 4050103 LOCAL 320 RC outpatient 563 478 Coventry PPO 75 75% of all negotiated rates 141 percent of total billed charges 141 563 XR Chest 1 View 71045 CPT 4050103 LOCAL 320 RC outpatient 563 478 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 113 percent of total billed charges 113 563 XR Chest 1 View 71045 CPT 4050103 LOCAL 320 RC outpatient 563 478 Humana-Commerical PPO 70 70% of all negotiated rates 169 percent of total billed charges 169 563 XR Chest 1 View 71045 CPT 4050103 LOCAL 320 RC outpatient 563 478 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Chest 1 View 71045 CPT 4050103 LOCAL 320 RC outpatient 563 478 Multiplan PPO 80 80% of all negotiated rates 113 percent of total billed charges 113 563 XR Chest 1 View 71045 CPT 4050103 LOCAL 320 RC outpatient 563 478 One Health PPO 55 55% of all negotiated rates 253 percent of total billed charges 253 563 XR Chest 1 View 71045 CPT 4050103 LOCAL 320 RC outpatient 563 478 Optum Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Chest 1 View 71045 CPT 4050103 LOCAL 320 RC outpatient 563 478 P3 HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Chest 1 View 71045 CPT 4050103 LOCAL 320 RC outpatient 563 478 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 169 percent of total billed charges 169 563 XR Chest 1 View 71045 CPT 4050103 LOCAL 320 RC outpatient 563 478 Select Health HMO 41 41% of all negotiated rates 332 percent of total billed charges 332 563 XR Chest 1 View 71045 CPT 4050103 LOCAL 320 RC outpatient 563 478 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 374 percent of total billed charges 374 563 XR Chest 1 View 71045 CPT 4050103 LOCAL 320 RC outpatient 563 478 Sierra/HPN HMO 60 60% of all negotiated rates 225 percent of total billed charges 225 563 XR Chest 1 View 71045 CPT 4050103 LOCAL 320 RC outpatient 563 478 Silversummit Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Chest 1 View 71045 CPT 4050103 LOCAL 320 RC outpatient 563 478 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 366 percent of total billed charges 366 563 XR Chest 1 View 71045 CPT 4050103 LOCAL 320 RC outpatient 563 478 Teachers Trust PPO 65 65% of all negotiated rates 197 percent of total billed charges 197 563 XR Chest 1 View 71045 CPT 4050103 LOCAL 320 RC outpatient 563 478 TriWest PPO 30 30% of all negotiated rates 394 percent of total billed charges 394 563 XR Chest 1 View 71045 CPT 4050103 LOCAL 320 RC outpatient 563 478 UHN-Universal Health Network PPO 70 70% of all negotiated rates 169 percent of total billed charges 169 563 XR Chest 1 View 71045 CPT 4050103 LOCAL 320 RC outpatient 563 478 United Healthcare PPO 60 60% of all negotiated rates 225 percent of total billed charges 225 563 XR Chest 1 View 71045 CPT 4050103 LOCAL 320 RC outpatient 563 478 Aetna PPO 120 120% of Aetna market fee schedule 23 fee schedule 23 536 Coinsurance and deductible may apply XR Chest 1 View 71045 CPT 4050103 LOCAL 320 RC outpatient 563 478 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 11 fee schedule 11 536 Coinsurance and deductible may apply XR Chest 1 View 71045 CPT 4050103 LOCAL 320 RC outpatient 563 478 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 11 fee schedule 11 536 Coinsurance and deductible may apply XR Chest 1 View 71045 CPT 4050103 LOCAL 320 RC outpatient 563 478 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 11 fee schedule 11 536 Coinsurance and deductible may apply XR Chest 2 Views 71046 CPT 4050202 LOCAL 320 RC outpatient 680 578 Aetna Medicare HMO 26 26% of all negotiated rates 503 percent of total billed charges 503 680 XR Chest 2 Views 71046 CPT 4050202 LOCAL 320 RC outpatient 680 578 Alignment Medicare HMO 39 39% of all negotiated rates 415 percent of total billed charges 415 680 XR Chest 2 Views 71046 CPT 4050202 LOCAL 320 RC outpatient 680 578 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 272 percent of total billed charges 272 680 XR Chest 2 Views 71046 CPT 4050202 LOCAL 320 RC outpatient 680 578 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 340 percent of total billed charges 340 680 XR Chest 2 Views 71046 CPT 4050202 LOCAL 320 RC outpatient 680 578 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 415 percent of total billed charges 415 680 XR Chest 2 Views 71046 CPT 4050202 LOCAL 320 RC outpatient 680 578 Cigna PPO 68 68% of all negotiated rates 218 percent of total billed charges 218 680 XR Chest 2 Views 71046 CPT 4050202 LOCAL 320 RC outpatient 680 578 Coalition PPO 57 57% of all negotiated rates 293 percent of total billed charges 293 680 XR Chest 2 Views 71046 CPT 4050202 LOCAL 320 RC outpatient 680 578 Coventry PPO 75 75% of all negotiated rates 170 percent of total billed charges 170 680 XR Chest 2 Views 71046 CPT 4050202 LOCAL 320 RC outpatient 680 578 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 136 percent of total billed charges 136 680 XR Chest 2 Views 71046 CPT 4050202 LOCAL 320 RC outpatient 680 578 Humana-Commerical PPO 70 70% of all negotiated rates 204 percent of total billed charges 204 680 XR Chest 2 Views 71046 CPT 4050202 LOCAL 320 RC outpatient 680 578 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 415 percent of total billed charges 415 680 XR Chest 2 Views 71046 CPT 4050202 LOCAL 320 RC outpatient 680 578 Multiplan PPO 80 80% of all negotiated rates 136 percent of total billed charges 136 680 XR Chest 2 Views 71046 CPT 4050202 LOCAL 320 RC outpatient 680 578 One Health PPO 55 55% of all negotiated rates 306 percent of total billed charges 306 680 XR Chest 2 Views 71046 CPT 4050202 LOCAL 320 RC outpatient 680 578 Optum Medicare HMO 39 39% of all negotiated rates 415 percent of total billed charges 415 680 XR Chest 2 Views 71046 CPT 4050202 LOCAL 320 RC outpatient 680 578 P3 HMO 39 39% of all negotiated rates 415 percent of total billed charges 415 680 XR Chest 2 Views 71046 CPT 4050202 LOCAL 320 RC outpatient 680 578 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 204 percent of total billed charges 204 680 XR Chest 2 Views 71046 CPT 4050202 LOCAL 320 RC outpatient 680 578 Select Health HMO 41 41% of all negotiated rates 401 percent of total billed charges 401 680 XR Chest 2 Views 71046 CPT 4050202 LOCAL 320 RC outpatient 680 578 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 452 percent of total billed charges 452 680 XR Chest 2 Views 71046 CPT 4050202 LOCAL 320 RC outpatient 680 578 Sierra/HPN HMO 60 60% of all negotiated rates 272 percent of total billed charges 272 680 XR Chest 2 Views 71046 CPT 4050202 LOCAL 320 RC outpatient 680 578 Silversummit Medicare HMO 39 39% of all negotiated rates 415 percent of total billed charges 415 680 XR Chest 2 Views 71046 CPT 4050202 LOCAL 320 RC outpatient 680 578 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 442 percent of total billed charges 442 680 XR Chest 2 Views 71046 CPT 4050202 LOCAL 320 RC outpatient 680 578 Teachers Trust PPO 65 65% of all negotiated rates 238 percent of total billed charges 238 680 XR Chest 2 Views 71046 CPT 4050202 LOCAL 320 RC outpatient 680 578 TriWest PPO 30 30% of all negotiated rates 476 percent of total billed charges 476 680 XR Chest 2 Views 71046 CPT 4050202 LOCAL 320 RC outpatient 680 578 UHN-Universal Health Network PPO 70 70% of all negotiated rates 204 percent of total billed charges 204 680 XR Chest 2 Views 71046 CPT 4050202 LOCAL 320 RC outpatient 680 578 United Healthcare PPO 60 60% of all negotiated rates 272 percent of total billed charges 272 680 XR Chest 2 Views 71046 CPT 4050202 LOCAL 320 RC outpatient 680 578 Aetna PPO 120 120% of Aetna market fee schedule 35 fee schedule 35 648 Coinsurance and deductible may apply XR Chest 2 Views 71046 CPT 4050202 LOCAL 320 RC outpatient 680 578 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 20 fee schedule 20 648 Coinsurance and deductible may apply XR Chest 2 Views 71046 CPT 4050202 LOCAL 320 RC outpatient 680 578 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 20 fee schedule 20 648 Coinsurance and deductible may apply XR Chest 2 Views 71046 CPT 4050202 LOCAL 320 RC outpatient 680 578 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 20 fee schedule 20 648 Coinsurance and deductible may apply XR Clavicle Comp Bil 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Aetna Medicare HMO 26 26% of all negotiated rates 416 percent of total billed charges 416 563 XR Clavicle Comp Bil 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Alignment Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Clavicle Comp Bil 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 225 percent of total billed charges 225 563 XR Clavicle Comp Bil 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 281 percent of total billed charges 281 563 XR Clavicle Comp Bil 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Clavicle Comp Bil 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Cigna PPO 68 68% of all negotiated rates 180 percent of total billed charges 180 563 XR Clavicle Comp Bil 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Coalition PPO 57 57% of all negotiated rates 242 percent of total billed charges 242 563 XR Clavicle Comp Bil 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Coventry PPO 75 75% of all negotiated rates 141 percent of total billed charges 141 563 XR Clavicle Comp Bil 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 113 percent of total billed charges 113 563 XR Clavicle Comp Bil 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Humana-Commerical PPO 70 70% of all negotiated rates 169 percent of total billed charges 169 563 XR Clavicle Comp Bil 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Clavicle Comp Bil 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Multiplan PPO 80 80% of all negotiated rates 113 percent of total billed charges 113 563 XR Clavicle Comp Bil 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 One Health PPO 55 55% of all negotiated rates 253 percent of total billed charges 253 563 XR Clavicle Comp Bil 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Optum Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Clavicle Comp Bil 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 P3 HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Clavicle Comp Bil 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 169 percent of total billed charges 169 563 XR Clavicle Comp Bil 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Select Health HMO 41 41% of all negotiated rates 332 percent of total billed charges 332 563 XR Clavicle Comp Bil 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 374 percent of total billed charges 374 563 XR Clavicle Comp Bil 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Sierra/HPN HMO 60 60% of all negotiated rates 225 percent of total billed charges 225 563 XR Clavicle Comp Bil 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Silversummit Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Clavicle Comp Bil 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 366 percent of total billed charges 366 563 XR Clavicle Comp Bil 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Teachers Trust PPO 65 65% of all negotiated rates 197 percent of total billed charges 197 563 XR Clavicle Comp Bil 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 TriWest PPO 30 30% of all negotiated rates 394 percent of total billed charges 394 563 XR Clavicle Comp Bil 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 UHN-Universal Health Network PPO 70 70% of all negotiated rates 169 percent of total billed charges 169 563 XR Clavicle Comp Bil 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 United Healthcare PPO 60 60% of all negotiated rates 225 percent of total billed charges 225 563 XR Clavicle Comp Bil 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Aetna PPO 120 120% of Aetna market fee schedule 35 fee schedule 35 536 Coinsurance and deductible may apply XR Clavicle Comp Bil 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 22 fee schedule 22 536 Coinsurance and deductible may apply XR Clavicle Comp Bil 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 22 fee schedule 22 536 Coinsurance and deductible may apply XR Clavicle Comp Bil 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 22 fee schedule 22 536 Coinsurance and deductible may apply XR Clavicle Comp Lt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Aetna Medicare HMO 26 26% of all negotiated rates 416 percent of total billed charges 416 563 XR Clavicle Comp Lt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Alignment Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Clavicle Comp Lt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 225 percent of total billed charges 225 563 XR Clavicle Comp Lt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 281 percent of total billed charges 281 563 XR Clavicle Comp Lt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Clavicle Comp Lt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Cigna PPO 68 68% of all negotiated rates 180 percent of total billed charges 180 563 XR Clavicle Comp Lt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Coalition PPO 57 57% of all negotiated rates 242 percent of total billed charges 242 563 XR Clavicle Comp Lt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Coventry PPO 75 75% of all negotiated rates 141 percent of total billed charges 141 563 XR Clavicle Comp Lt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 113 percent of total billed charges 113 563 XR Clavicle Comp Lt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Humana-Commerical PPO 70 70% of all negotiated rates 169 percent of total billed charges 169 563 XR Clavicle Comp Lt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Clavicle Comp Lt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Multiplan PPO 80 80% of all negotiated rates 113 percent of total billed charges 113 563 XR Clavicle Comp Lt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 One Health PPO 55 55% of all negotiated rates 253 percent of total billed charges 253 563 XR Clavicle Comp Lt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Optum Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Clavicle Comp Lt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 P3 HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Clavicle Comp Lt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 169 percent of total billed charges 169 563 XR Clavicle Comp Lt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Select Health HMO 41 41% of all negotiated rates 332 percent of total billed charges 332 563 XR Clavicle Comp Lt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 374 percent of total billed charges 374 563 XR Clavicle Comp Lt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Sierra/HPN HMO 60 60% of all negotiated rates 225 percent of total billed charges 225 563 XR Clavicle Comp Lt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Silversummit Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Clavicle Comp Lt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 366 percent of total billed charges 366 563 XR Clavicle Comp Lt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Teachers Trust PPO 65 65% of all negotiated rates 197 percent of total billed charges 197 563 XR Clavicle Comp Lt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 TriWest PPO 30 30% of all negotiated rates 394 percent of total billed charges 394 563 XR Clavicle Comp Lt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 UHN-Universal Health Network PPO 70 70% of all negotiated rates 169 percent of total billed charges 169 563 XR Clavicle Comp Lt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 United Healthcare PPO 60 60% of all negotiated rates 225 percent of total billed charges 225 563 XR Clavicle Comp Lt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Aetna PPO 120 120% of Aetna market fee schedule 35 fee schedule 35 536 Coinsurance and deductible may apply XR Clavicle Comp Lt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 22 fee schedule 22 536 Coinsurance and deductible may apply XR Clavicle Comp Lt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 22 fee schedule 22 536 Coinsurance and deductible may apply XR Clavicle Comp Lt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 22 fee schedule 22 536 Coinsurance and deductible may apply XR Clavicle Comp Rt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Aetna Medicare HMO 26 26% of all negotiated rates 416 percent of total billed charges 416 563 XR Clavicle Comp Rt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Alignment Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Clavicle Comp Rt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 225 percent of total billed charges 225 563 XR Clavicle Comp Rt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 281 percent of total billed charges 281 563 XR Clavicle Comp Rt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Clavicle Comp Rt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Cigna PPO 68 68% of all negotiated rates 180 percent of total billed charges 180 563 XR Clavicle Comp Rt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Coalition PPO 57 57% of all negotiated rates 242 percent of total billed charges 242 563 XR Clavicle Comp Rt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Coventry PPO 75 75% of all negotiated rates 141 percent of total billed charges 141 563 XR Clavicle Comp Rt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 113 percent of total billed charges 113 563 XR Clavicle Comp Rt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Humana-Commerical PPO 70 70% of all negotiated rates 169 percent of total billed charges 169 563 XR Clavicle Comp Rt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Clavicle Comp Rt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Multiplan PPO 80 80% of all negotiated rates 113 percent of total billed charges 113 563 XR Clavicle Comp Rt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 One Health PPO 55 55% of all negotiated rates 253 percent of total billed charges 253 563 XR Clavicle Comp Rt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Optum Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Clavicle Comp Rt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 P3 HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Clavicle Comp Rt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 169 percent of total billed charges 169 563 XR Clavicle Comp Rt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Select Health HMO 41 41% of all negotiated rates 332 percent of total billed charges 332 563 XR Clavicle Comp Rt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 374 percent of total billed charges 374 563 XR Clavicle Comp Rt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Sierra/HPN HMO 60 60% of all negotiated rates 225 percent of total billed charges 225 563 XR Clavicle Comp Rt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Silversummit Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Clavicle Comp Rt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 366 percent of total billed charges 366 563 XR Clavicle Comp Rt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Teachers Trust PPO 65 65% of all negotiated rates 197 percent of total billed charges 197 563 XR Clavicle Comp Rt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 TriWest PPO 30 30% of all negotiated rates 394 percent of total billed charges 394 563 XR Clavicle Comp Rt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 UHN-Universal Health Network PPO 70 70% of all negotiated rates 169 percent of total billed charges 169 563 XR Clavicle Comp Rt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 United Healthcare PPO 60 60% of all negotiated rates 225 percent of total billed charges 225 563 XR Clavicle Comp Rt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Aetna PPO 120 120% of Aetna market fee schedule 35 fee schedule 35 536 Coinsurance and deductible may apply XR Clavicle Comp Rt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 22 fee schedule 22 536 Coinsurance and deductible may apply XR Clavicle Comp Rt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 22 fee schedule 22 536 Coinsurance and deductible may apply XR Clavicle Comp Rt 73000 CPT 4050002 LOCAL 320 RC outpatient 563 478 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 22 fee schedule 22 536 Coinsurance and deductible may apply XR Elbow 2 Views Lt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 Aetna Medicare HMO 26 26% of all negotiated rates 214 percent of total billed charges 214 289 XR Elbow 2 Views Lt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 Alignment Medicare HMO 39 39% of all negotiated rates 176 percent of total billed charges 176 289 XR Elbow 2 Views Lt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 116 percent of total billed charges 116 289 XR Elbow 2 Views Lt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 144 percent of total billed charges 144 289 XR Elbow 2 Views Lt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 176 percent of total billed charges 176 289 XR Elbow 2 Views Lt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 Cigna PPO 68 68% of all negotiated rates 92 percent of total billed charges 92 289 XR Elbow 2 Views Lt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 Coalition PPO 57 57% of all negotiated rates 124 percent of total billed charges 124 289 XR Elbow 2 Views Lt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 Coventry PPO 75 75% of all negotiated rates 72 percent of total billed charges 72 289 XR Elbow 2 Views Lt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 58 percent of total billed charges 58 289 XR Elbow 2 Views Lt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 Humana-Commerical PPO 70 70% of all negotiated rates 87 percent of total billed charges 87 289 XR Elbow 2 Views Lt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 176 percent of total billed charges 176 289 XR Elbow 2 Views Lt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 Multiplan PPO 80 80% of all negotiated rates 58 percent of total billed charges 58 289 XR Elbow 2 Views Lt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 One Health PPO 55 55% of all negotiated rates 130 percent of total billed charges 130 289 XR Elbow 2 Views Lt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 Optum Medicare HMO 39 39% of all negotiated rates 176 percent of total billed charges 176 289 XR Elbow 2 Views Lt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 P3 HMO 39 39% of all negotiated rates 176 percent of total billed charges 176 289 XR Elbow 2 Views Lt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 87 percent of total billed charges 87 289 XR Elbow 2 Views Lt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 Select Health HMO 41 41% of all negotiated rates 170 percent of total billed charges 170 289 XR Elbow 2 Views Lt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 192 percent of total billed charges 192 289 XR Elbow 2 Views Lt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 Sierra/HPN HMO 60 60% of all negotiated rates 116 percent of total billed charges 116 289 XR Elbow 2 Views Lt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 Silversummit Medicare HMO 39 39% of all negotiated rates 176 percent of total billed charges 176 289 XR Elbow 2 Views Lt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 188 percent of total billed charges 188 289 XR Elbow 2 Views Lt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 Teachers Trust PPO 65 65% of all negotiated rates 101 percent of total billed charges 101 289 XR Elbow 2 Views Lt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 TriWest PPO 30 30% of all negotiated rates 202 percent of total billed charges 202 289 XR Elbow 2 Views Lt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 UHN-Universal Health Network PPO 70 70% of all negotiated rates 87 percent of total billed charges 87 289 XR Elbow 2 Views Lt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 United Healthcare PPO 60 60% of all negotiated rates 116 percent of total billed charges 116 289 XR Elbow 2 Views Lt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 Aetna PPO 120 120% of Aetna market fee schedule 35 fee schedule 35 275 Coinsurance and deductible may apply XR Elbow 2 Views Lt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 22 fee schedule 22 275 Coinsurance and deductible may apply XR Elbow 2 Views Lt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 22 fee schedule 22 275 Coinsurance and deductible may apply XR Elbow 2 Views Lt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 22 fee schedule 22 275 Coinsurance and deductible may apply XR Elbow 2 Views Rt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 Aetna Medicare HMO 26 26% of all negotiated rates 214 percent of total billed charges 214 289 XR Elbow 2 Views Rt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 Alignment Medicare HMO 39 39% of all negotiated rates 176 percent of total billed charges 176 289 XR Elbow 2 Views Rt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 116 percent of total billed charges 116 289 XR Elbow 2 Views Rt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 144 percent of total billed charges 144 289 XR Elbow 2 Views Rt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 176 percent of total billed charges 176 289 XR Elbow 2 Views Rt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 Cigna PPO 68 68% of all negotiated rates 92 percent of total billed charges 92 289 XR Elbow 2 Views Rt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 Coalition PPO 57 57% of all negotiated rates 124 percent of total billed charges 124 289 XR Elbow 2 Views Rt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 Coventry PPO 75 75% of all negotiated rates 72 percent of total billed charges 72 289 XR Elbow 2 Views Rt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 58 percent of total billed charges 58 289 XR Elbow 2 Views Rt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 Humana-Commerical PPO 70 70% of all negotiated rates 87 percent of total billed charges 87 289 XR Elbow 2 Views Rt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 176 percent of total billed charges 176 289 XR Elbow 2 Views Rt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 Multiplan PPO 80 80% of all negotiated rates 58 percent of total billed charges 58 289 XR Elbow 2 Views Rt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 One Health PPO 55 55% of all negotiated rates 130 percent of total billed charges 130 289 XR Elbow 2 Views Rt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 Optum Medicare HMO 39 39% of all negotiated rates 176 percent of total billed charges 176 289 XR Elbow 2 Views Rt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 P3 HMO 39 39% of all negotiated rates 176 percent of total billed charges 176 289 XR Elbow 2 Views Rt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 87 percent of total billed charges 87 289 XR Elbow 2 Views Rt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 Select Health HMO 41 41% of all negotiated rates 170 percent of total billed charges 170 289 XR Elbow 2 Views Rt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 192 percent of total billed charges 192 289 XR Elbow 2 Views Rt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 Sierra/HPN HMO 60 60% of all negotiated rates 116 percent of total billed charges 116 289 XR Elbow 2 Views Rt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 Silversummit Medicare HMO 39 39% of all negotiated rates 176 percent of total billed charges 176 289 XR Elbow 2 Views Rt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 188 percent of total billed charges 188 289 XR Elbow 2 Views Rt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 Teachers Trust PPO 65 65% of all negotiated rates 101 percent of total billed charges 101 289 XR Elbow 2 Views Rt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 TriWest PPO 30 30% of all negotiated rates 202 percent of total billed charges 202 289 XR Elbow 2 Views Rt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 UHN-Universal Health Network PPO 70 70% of all negotiated rates 87 percent of total billed charges 87 289 XR Elbow 2 Views Rt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 United Healthcare PPO 60 60% of all negotiated rates 116 percent of total billed charges 116 289 XR Elbow 2 Views Rt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 Aetna PPO 120 120% of Aetna market fee schedule 35 fee schedule 35 275 Coinsurance and deductible may apply XR Elbow 2 Views Rt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 22 fee schedule 22 275 Coinsurance and deductible may apply XR Elbow 2 Views Rt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 22 fee schedule 22 275 Coinsurance and deductible may apply XR Elbow 2 Views Rt 73070 CPT 4050705 LOCAL 320 RC outpatient 289 245 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 22 fee schedule 22 275 Coinsurance and deductible may apply XR Facial Bones Comp Min 3 Views 70150 CPT 4051508 LOCAL 320 RC outpatient 897 762 Aetna Medicare HMO 26 26% of all negotiated rates 664 percent of total billed charges 664 897 XR Facial Bones Comp Min 3 Views 70150 CPT 4051508 LOCAL 320 RC outpatient 897 762 Alignment Medicare HMO 39 39% of all negotiated rates 547 percent of total billed charges 547 897 XR Facial Bones Comp Min 3 Views 70150 CPT 4051508 LOCAL 320 RC outpatient 897 762 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 359 percent of total billed charges 359 897 XR Facial Bones Comp Min 3 Views 70150 CPT 4051508 LOCAL 320 RC outpatient 897 762 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 448 percent of total billed charges 448 897 XR Facial Bones Comp Min 3 Views 70150 CPT 4051508 LOCAL 320 RC outpatient 897 762 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 547 percent of total billed charges 547 897 XR Facial Bones Comp Min 3 Views 70150 CPT 4051508 LOCAL 320 RC outpatient 897 762 Cigna PPO 68 68% of all negotiated rates 287 percent of total billed charges 287 897 XR Facial Bones Comp Min 3 Views 70150 CPT 4051508 LOCAL 320 RC outpatient 897 762 Coalition PPO 57 57% of all negotiated rates 386 percent of total billed charges 386 897 XR Facial Bones Comp Min 3 Views 70150 CPT 4051508 LOCAL 320 RC outpatient 897 762 Coventry PPO 75 75% of all negotiated rates 224 percent of total billed charges 224 897 XR Facial Bones Comp Min 3 Views 70150 CPT 4051508 LOCAL 320 RC outpatient 897 762 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 179 percent of total billed charges 179 897 XR Facial Bones Comp Min 3 Views 70150 CPT 4051508 LOCAL 320 RC outpatient 897 762 Humana-Commerical PPO 70 70% of all negotiated rates 269 percent of total billed charges 269 897 XR Facial Bones Comp Min 3 Views 70150 CPT 4051508 LOCAL 320 RC outpatient 897 762 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 547 percent of total billed charges 547 897 XR Facial Bones Comp Min 3 Views 70150 CPT 4051508 LOCAL 320 RC outpatient 897 762 Multiplan PPO 80 80% of all negotiated rates 179 percent of total billed charges 179 897 XR Facial Bones Comp Min 3 Views 70150 CPT 4051508 LOCAL 320 RC outpatient 897 762 One Health PPO 55 55% of all negotiated rates 404 percent of total billed charges 404 897 XR Facial Bones Comp Min 3 Views 70150 CPT 4051508 LOCAL 320 RC outpatient 897 762 Optum Medicare HMO 39 39% of all negotiated rates 547 percent of total billed charges 547 897 XR Facial Bones Comp Min 3 Views 70150 CPT 4051508 LOCAL 320 RC outpatient 897 762 P3 HMO 39 39% of all negotiated rates 547 percent of total billed charges 547 897 XR Facial Bones Comp Min 3 Views 70150 CPT 4051508 LOCAL 320 RC outpatient 897 762 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 269 percent of total billed charges 269 897 XR Facial Bones Comp Min 3 Views 70150 CPT 4051508 LOCAL 320 RC outpatient 897 762 Select Health HMO 41 41% of all negotiated rates 529 percent of total billed charges 529 897 XR Facial Bones Comp Min 3 Views 70150 CPT 4051508 LOCAL 320 RC outpatient 897 762 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 596 percent of total billed charges 596 897 XR Facial Bones Comp Min 3 Views 70150 CPT 4051508 LOCAL 320 RC outpatient 897 762 Sierra/HPN HMO 60 60% of all negotiated rates 359 percent of total billed charges 359 897 XR Facial Bones Comp Min 3 Views 70150 CPT 4051508 LOCAL 320 RC outpatient 897 762 Silversummit Medicare HMO 39 39% of all negotiated rates 547 percent of total billed charges 547 897 XR Facial Bones Comp Min 3 Views 70150 CPT 4051508 LOCAL 320 RC outpatient 897 762 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 583 percent of total billed charges 583 897 XR Facial Bones Comp Min 3 Views 70150 CPT 4051508 LOCAL 320 RC outpatient 897 762 Teachers Trust PPO 65 65% of all negotiated rates 314 percent of total billed charges 314 897 XR Facial Bones Comp Min 3 Views 70150 CPT 4051508 LOCAL 320 RC outpatient 897 762 TriWest PPO 30 30% of all negotiated rates 628 percent of total billed charges 628 897 XR Facial Bones Comp Min 3 Views 70150 CPT 4051508 LOCAL 320 RC outpatient 897 762 UHN-Universal Health Network PPO 70 70% of all negotiated rates 269 percent of total billed charges 269 897 XR Facial Bones Comp Min 3 Views 70150 CPT 4051508 LOCAL 320 RC outpatient 897 762 United Healthcare PPO 60 60% of all negotiated rates 359 percent of total billed charges 359 897 XR Facial Bones Comp Min 3 Views 70150 CPT 4051508 LOCAL 320 RC outpatient 897 762 Aetna PPO 120 120% of Aetna market fee schedule 51 fee schedule 51 854 Coinsurance and deductible may apply XR Facial Bones Comp Min 3 Views 70150 CPT 4051508 LOCAL 320 RC outpatient 897 762 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 32 fee schedule 32 854 Coinsurance and deductible may apply XR Facial Bones Comp Min 3 Views 70150 CPT 4051508 LOCAL 320 RC outpatient 897 762 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 32 fee schedule 32 854 Coinsurance and deductible may apply XR Facial Bones Comp Min 3 Views 70150 CPT 4051508 LOCAL 320 RC outpatient 897 762 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 32 fee schedule 32 854 Coinsurance and deductible may apply XR Femur 1 View Bil 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Aetna Medicare HMO 26 26% of all negotiated rates 629 percent of total billed charges 629 851 XR Femur 1 View Bil 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Alignment Medicare HMO 39 39% of all negotiated rates 519 percent of total billed charges 519 851 XR Femur 1 View Bil 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 340 percent of total billed charges 340 851 XR Femur 1 View Bil 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 425 percent of total billed charges 425 851 XR Femur 1 View Bil 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 519 percent of total billed charges 519 851 XR Femur 1 View Bil 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Cigna PPO 68 68% of all negotiated rates 272 percent of total billed charges 272 851 XR Femur 1 View Bil 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Coalition PPO 57 57% of all negotiated rates 366 percent of total billed charges 366 851 XR Femur 1 View Bil 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Coventry PPO 75 75% of all negotiated rates 213 percent of total billed charges 213 851 XR Femur 1 View Bil 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 170 percent of total billed charges 170 851 XR Femur 1 View Bil 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Humana-Commerical PPO 70 70% of all negotiated rates 255 percent of total billed charges 255 851 XR Femur 1 View Bil 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 519 percent of total billed charges 519 851 XR Femur 1 View Bil 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Multiplan PPO 80 80% of all negotiated rates 170 percent of total billed charges 170 851 XR Femur 1 View Bil 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 One Health PPO 55 55% of all negotiated rates 383 percent of total billed charges 383 851 XR Femur 1 View Bil 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Optum Medicare HMO 39 39% of all negotiated rates 519 percent of total billed charges 519 851 XR Femur 1 View Bil 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 P3 HMO 39 39% of all negotiated rates 519 percent of total billed charges 519 851 XR Femur 1 View Bil 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 255 percent of total billed charges 255 851 XR Femur 1 View Bil 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Select Health HMO 41 41% of all negotiated rates 502 percent of total billed charges 502 851 XR Femur 1 View Bil 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 566 percent of total billed charges 566 851 XR Femur 1 View Bil 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Sierra/HPN HMO 60 60% of all negotiated rates 340 percent of total billed charges 340 851 XR Femur 1 View Bil 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Silversummit Medicare HMO 39 39% of all negotiated rates 519 percent of total billed charges 519 851 XR Femur 1 View Bil 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 553 percent of total billed charges 553 851 XR Femur 1 View Bil 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Teachers Trust PPO 65 65% of all negotiated rates 298 percent of total billed charges 298 851 XR Femur 1 View Bil 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 TriWest PPO 30 30% of all negotiated rates 595 percent of total billed charges 595 851 XR Femur 1 View Bil 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 UHN-Universal Health Network PPO 70 70% of all negotiated rates 255 percent of total billed charges 255 851 XR Femur 1 View Bil 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 United Healthcare PPO 60 60% of all negotiated rates 340 percent of total billed charges 340 851 XR Femur 1 View Bil 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Aetna PPO 120 120% of Aetna market fee schedule 32 fee schedule 32 810 Coinsurance and deductible may apply XR Femur 1 View Bil 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 20 fee schedule 20 810 Coinsurance and deductible may apply XR Femur 1 View Bil 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 20 fee schedule 20 810 Coinsurance and deductible may apply XR Femur 1 View Bil 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 20 fee schedule 20 810 Coinsurance and deductible may apply XR Femur 1 View Lt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Aetna Medicare HMO 26 26% of all negotiated rates 629 percent of total billed charges 629 851 XR Femur 1 View Lt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Alignment Medicare HMO 39 39% of all negotiated rates 519 percent of total billed charges 519 851 XR Femur 1 View Lt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 340 percent of total billed charges 340 851 XR Femur 1 View Lt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 425 percent of total billed charges 425 851 XR Femur 1 View Lt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 519 percent of total billed charges 519 851 XR Femur 1 View Lt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Cigna PPO 68 68% of all negotiated rates 272 percent of total billed charges 272 851 XR Femur 1 View Lt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Coalition PPO 57 57% of all negotiated rates 366 percent of total billed charges 366 851 XR Femur 1 View Lt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Coventry PPO 75 75% of all negotiated rates 213 percent of total billed charges 213 851 XR Femur 1 View Lt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 170 percent of total billed charges 170 851 XR Femur 1 View Lt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Humana-Commerical PPO 70 70% of all negotiated rates 255 percent of total billed charges 255 851 XR Femur 1 View Lt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 519 percent of total billed charges 519 851 XR Femur 1 View Lt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Multiplan PPO 80 80% of all negotiated rates 170 percent of total billed charges 170 851 XR Femur 1 View Lt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 One Health PPO 55 55% of all negotiated rates 383 percent of total billed charges 383 851 XR Femur 1 View Lt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Optum Medicare HMO 39 39% of all negotiated rates 519 percent of total billed charges 519 851 XR Femur 1 View Lt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 P3 HMO 39 39% of all negotiated rates 519 percent of total billed charges 519 851 XR Femur 1 View Lt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 255 percent of total billed charges 255 851 XR Femur 1 View Lt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Select Health HMO 41 41% of all negotiated rates 502 percent of total billed charges 502 851 XR Femur 1 View Lt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 566 percent of total billed charges 566 851 XR Femur 1 View Lt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Sierra/HPN HMO 60 60% of all negotiated rates 340 percent of total billed charges 340 851 XR Femur 1 View Lt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Silversummit Medicare HMO 39 39% of all negotiated rates 519 percent of total billed charges 519 851 XR Femur 1 View Lt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 553 percent of total billed charges 553 851 XR Femur 1 View Lt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Teachers Trust PPO 65 65% of all negotiated rates 298 percent of total billed charges 298 851 XR Femur 1 View Lt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 TriWest PPO 30 30% of all negotiated rates 595 percent of total billed charges 595 851 XR Femur 1 View Lt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 UHN-Universal Health Network PPO 70 70% of all negotiated rates 255 percent of total billed charges 255 851 XR Femur 1 View Lt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 United Healthcare PPO 60 60% of all negotiated rates 340 percent of total billed charges 340 851 XR Femur 1 View Lt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Aetna PPO 120 120% of Aetna market fee schedule 32 fee schedule 32 810 Coinsurance and deductible may apply XR Femur 1 View Lt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 20 fee schedule 20 810 Coinsurance and deductible may apply XR Femur 1 View Lt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 20 fee schedule 20 810 Coinsurance and deductible may apply XR Femur 1 View Lt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 20 fee schedule 20 810 Coinsurance and deductible may apply XR Femur 1 View Rt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Aetna Medicare HMO 26 26% of all negotiated rates 629 percent of total billed charges 629 851 XR Femur 1 View Rt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Alignment Medicare HMO 39 39% of all negotiated rates 519 percent of total billed charges 519 851 XR Femur 1 View Rt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 340 percent of total billed charges 340 851 XR Femur 1 View Rt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 425 percent of total billed charges 425 851 XR Femur 1 View Rt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 519 percent of total billed charges 519 851 XR Femur 1 View Rt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Cigna PPO 68 68% of all negotiated rates 272 percent of total billed charges 272 851 XR Femur 1 View Rt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Coalition PPO 57 57% of all negotiated rates 366 percent of total billed charges 366 851 XR Femur 1 View Rt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Coventry PPO 75 75% of all negotiated rates 213 percent of total billed charges 213 851 XR Femur 1 View Rt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 170 percent of total billed charges 170 851 XR Femur 1 View Rt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Humana-Commerical PPO 70 70% of all negotiated rates 255 percent of total billed charges 255 851 XR Femur 1 View Rt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 519 percent of total billed charges 519 851 XR Femur 1 View Rt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Multiplan PPO 80 80% of all negotiated rates 170 percent of total billed charges 170 851 XR Femur 1 View Rt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 One Health PPO 55 55% of all negotiated rates 383 percent of total billed charges 383 851 XR Femur 1 View Rt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Optum Medicare HMO 39 39% of all negotiated rates 519 percent of total billed charges 519 851 XR Femur 1 View Rt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 P3 HMO 39 39% of all negotiated rates 519 percent of total billed charges 519 851 XR Femur 1 View Rt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 255 percent of total billed charges 255 851 XR Femur 1 View Rt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Select Health HMO 41 41% of all negotiated rates 502 percent of total billed charges 502 851 XR Femur 1 View Rt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 566 percent of total billed charges 566 851 XR Femur 1 View Rt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Sierra/HPN HMO 60 60% of all negotiated rates 340 percent of total billed charges 340 851 XR Femur 1 View Rt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Silversummit Medicare HMO 39 39% of all negotiated rates 519 percent of total billed charges 519 851 XR Femur 1 View Rt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 553 percent of total billed charges 553 851 XR Femur 1 View Rt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Teachers Trust PPO 65 65% of all negotiated rates 298 percent of total billed charges 298 851 XR Femur 1 View Rt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 TriWest PPO 30 30% of all negotiated rates 595 percent of total billed charges 595 851 XR Femur 1 View Rt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 UHN-Universal Health Network PPO 70 70% of all negotiated rates 255 percent of total billed charges 255 851 XR Femur 1 View Rt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 United Healthcare PPO 60 60% of all negotiated rates 340 percent of total billed charges 340 851 XR Femur 1 View Rt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Aetna PPO 120 120% of Aetna market fee schedule 32 fee schedule 32 810 Coinsurance and deductible may apply XR Femur 1 View Rt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 20 fee schedule 20 810 Coinsurance and deductible may apply XR Femur 1 View Rt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 20 fee schedule 20 810 Coinsurance and deductible may apply XR Femur 1 View Rt 73551 CPT 4053551 LOCAL 320 RC outpatient 851 723 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 20 fee schedule 20 810 Coinsurance and deductible may apply XR Femur 2 Views Lt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 Aetna Medicare HMO 26 26% of all negotiated rates 629 percent of total billed charges 629 851 XR Femur 2 Views Lt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 Alignment Medicare HMO 39 39% of all negotiated rates 519 percent of total billed charges 519 851 XR Femur 2 Views Lt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 340 percent of total billed charges 340 851 XR Femur 2 Views Lt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 425 percent of total billed charges 425 851 XR Femur 2 Views Lt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 519 percent of total billed charges 519 851 XR Femur 2 Views Lt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 Cigna PPO 68 68% of all negotiated rates 272 percent of total billed charges 272 851 XR Femur 2 Views Lt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 Coalition PPO 57 57% of all negotiated rates 366 percent of total billed charges 366 851 XR Femur 2 Views Lt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 Coventry PPO 75 75% of all negotiated rates 213 percent of total billed charges 213 851 XR Femur 2 Views Lt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 170 percent of total billed charges 170 851 XR Femur 2 Views Lt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 Humana-Commerical PPO 70 70% of all negotiated rates 255 percent of total billed charges 255 851 XR Femur 2 Views Lt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 519 percent of total billed charges 519 851 XR Femur 2 Views Lt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 Multiplan PPO 80 80% of all negotiated rates 170 percent of total billed charges 170 851 XR Femur 2 Views Lt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 One Health PPO 55 55% of all negotiated rates 383 percent of total billed charges 383 851 XR Femur 2 Views Lt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 Optum Medicare HMO 39 39% of all negotiated rates 519 percent of total billed charges 519 851 XR Femur 2 Views Lt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 P3 HMO 39 39% of all negotiated rates 519 percent of total billed charges 519 851 XR Femur 2 Views Lt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 255 percent of total billed charges 255 851 XR Femur 2 Views Lt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 Select Health HMO 41 41% of all negotiated rates 502 percent of total billed charges 502 851 XR Femur 2 Views Lt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 566 percent of total billed charges 566 851 XR Femur 2 Views Lt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 Sierra/HPN HMO 60 60% of all negotiated rates 340 percent of total billed charges 340 851 XR Femur 2 Views Lt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 Silversummit Medicare HMO 39 39% of all negotiated rates 519 percent of total billed charges 519 851 XR Femur 2 Views Lt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 553 percent of total billed charges 553 851 XR Femur 2 Views Lt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 Teachers Trust PPO 65 65% of all negotiated rates 298 percent of total billed charges 298 851 XR Femur 2 Views Lt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 TriWest PPO 30 30% of all negotiated rates 595 percent of total billed charges 595 851 XR Femur 2 Views Lt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 UHN-Universal Health Network PPO 70 70% of all negotiated rates 255 percent of total billed charges 255 851 XR Femur 2 Views Lt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 United Healthcare PPO 60 60% of all negotiated rates 340 percent of total billed charges 340 851 XR Femur 2 Views Lt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 Aetna PPO 120 120% of Aetna market fee schedule 38 fee schedule 38 810 Coinsurance and deductible may apply XR Femur 2 Views Lt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 24 fee schedule 24 810 Coinsurance and deductible may apply XR Femur 2 Views Lt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 24 fee schedule 24 810 Coinsurance and deductible may apply XR Femur 2 Views Lt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 24 fee schedule 24 810 Coinsurance and deductible may apply XR Femur 2 Views Rt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 Aetna Medicare HMO 26 26% of all negotiated rates 629 percent of total billed charges 629 851 XR Femur 2 Views Rt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 Alignment Medicare HMO 39 39% of all negotiated rates 519 percent of total billed charges 519 851 XR Femur 2 Views Rt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 340 percent of total billed charges 340 851 XR Femur 2 Views Rt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 425 percent of total billed charges 425 851 XR Femur 2 Views Rt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 519 percent of total billed charges 519 851 XR Femur 2 Views Rt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 Cigna PPO 68 68% of all negotiated rates 272 percent of total billed charges 272 851 XR Femur 2 Views Rt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 Coalition PPO 57 57% of all negotiated rates 366 percent of total billed charges 366 851 XR Femur 2 Views Rt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 Coventry PPO 75 75% of all negotiated rates 213 percent of total billed charges 213 851 XR Femur 2 Views Rt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 170 percent of total billed charges 170 851 XR Femur 2 Views Rt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 Humana-Commerical PPO 70 70% of all negotiated rates 255 percent of total billed charges 255 851 XR Femur 2 Views Rt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 519 percent of total billed charges 519 851 XR Femur 2 Views Rt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 Multiplan PPO 80 80% of all negotiated rates 170 percent of total billed charges 170 851 XR Femur 2 Views Rt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 One Health PPO 55 55% of all negotiated rates 383 percent of total billed charges 383 851 XR Femur 2 Views Rt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 Optum Medicare HMO 39 39% of all negotiated rates 519 percent of total billed charges 519 851 XR Femur 2 Views Rt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 P3 HMO 39 39% of all negotiated rates 519 percent of total billed charges 519 851 XR Femur 2 Views Rt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 255 percent of total billed charges 255 851 XR Femur 2 Views Rt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 Select Health HMO 41 41% of all negotiated rates 502 percent of total billed charges 502 851 XR Femur 2 Views Rt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 566 percent of total billed charges 566 851 XR Femur 2 Views Rt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 Sierra/HPN HMO 60 60% of all negotiated rates 340 percent of total billed charges 340 851 XR Femur 2 Views Rt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 Silversummit Medicare HMO 39 39% of all negotiated rates 519 percent of total billed charges 519 851 XR Femur 2 Views Rt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 553 percent of total billed charges 553 851 XR Femur 2 Views Rt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 Teachers Trust PPO 65 65% of all negotiated rates 298 percent of total billed charges 298 851 XR Femur 2 Views Rt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 TriWest PPO 30 30% of all negotiated rates 595 percent of total billed charges 595 851 XR Femur 2 Views Rt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 UHN-Universal Health Network PPO 70 70% of all negotiated rates 255 percent of total billed charges 255 851 XR Femur 2 Views Rt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 United Healthcare PPO 60 60% of all negotiated rates 340 percent of total billed charges 340 851 XR Femur 2 Views Rt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 Aetna PPO 120 120% of Aetna market fee schedule 38 fee schedule 38 810 Coinsurance and deductible may apply XR Femur 2 Views Rt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 24 fee schedule 24 810 Coinsurance and deductible may apply XR Femur 2 Views Rt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 24 fee schedule 24 810 Coinsurance and deductible may apply XR Femur 2 Views Rt 73552 CPT 4055506 LOCAL 320 RC outpatient 851 723 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 24 fee schedule 24 810 Coinsurance and deductible may apply XR Fingers Min 2 Views Bil 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Aetna Medicare HMO 26 26% of all negotiated rates 373 percent of total billed charges 373 504 XR Fingers Min 2 Views Bil 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Alignment Medicare HMO 39 39% of all negotiated rates 307 percent of total billed charges 307 504 XR Fingers Min 2 Views Bil 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 202 percent of total billed charges 202 504 XR Fingers Min 2 Views Bil 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 252 percent of total billed charges 252 504 XR Fingers Min 2 Views Bil 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 307 percent of total billed charges 307 504 XR Fingers Min 2 Views Bil 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Cigna PPO 68 68% of all negotiated rates 161 percent of total billed charges 161 504 XR Fingers Min 2 Views Bil 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Coalition PPO 57 57% of all negotiated rates 217 percent of total billed charges 217 504 XR Fingers Min 2 Views Bil 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Coventry PPO 75 75% of all negotiated rates 126 percent of total billed charges 126 504 XR Fingers Min 2 Views Bil 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 101 percent of total billed charges 101 504 XR Fingers Min 2 Views Bil 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Humana-Commerical PPO 70 70% of all negotiated rates 151 percent of total billed charges 151 504 XR Fingers Min 2 Views Bil 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 307 percent of total billed charges 307 504 XR Fingers Min 2 Views Bil 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Multiplan PPO 80 80% of all negotiated rates 101 percent of total billed charges 101 504 XR Fingers Min 2 Views Bil 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 One Health PPO 55 55% of all negotiated rates 227 percent of total billed charges 227 504 XR Fingers Min 2 Views Bil 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Optum Medicare HMO 39 39% of all negotiated rates 307 percent of total billed charges 307 504 XR Fingers Min 2 Views Bil 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 P3 HMO 39 39% of all negotiated rates 307 percent of total billed charges 307 504 XR Fingers Min 2 Views Bil 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 151 percent of total billed charges 151 504 XR Fingers Min 2 Views Bil 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Select Health HMO 41 41% of all negotiated rates 297 percent of total billed charges 297 504 XR Fingers Min 2 Views Bil 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 335 percent of total billed charges 335 504 XR Fingers Min 2 Views Bil 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Sierra/HPN HMO 60 60% of all negotiated rates 202 percent of total billed charges 202 504 XR Fingers Min 2 Views Bil 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Silversummit Medicare HMO 39 39% of all negotiated rates 307 percent of total billed charges 307 504 XR Fingers Min 2 Views Bil 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 328 percent of total billed charges 328 504 XR Fingers Min 2 Views Bil 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Teachers Trust PPO 65 65% of all negotiated rates 176 percent of total billed charges 176 504 XR Fingers Min 2 Views Bil 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 TriWest PPO 30 30% of all negotiated rates 353 percent of total billed charges 353 504 XR Fingers Min 2 Views Bil 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 UHN-Universal Health Network PPO 70 70% of all negotiated rates 151 percent of total billed charges 151 504 XR Fingers Min 2 Views Bil 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 United Healthcare PPO 60 60% of all negotiated rates 202 percent of total billed charges 202 504 XR Fingers Min 2 Views Bil 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Aetna PPO 120 120% of Aetna market fee schedule 41 fee schedule 41 480 Coinsurance and deductible may apply XR Fingers Min 2 Views Bil 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 28 fee schedule 28 480 Coinsurance and deductible may apply XR Fingers Min 2 Views Bil 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 28 fee schedule 28 480 Coinsurance and deductible may apply XR Fingers Min 2 Views Bil 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 28 fee schedule 28 480 Coinsurance and deductible may apply XR Fingers Min 2 Views Lt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Aetna Medicare HMO 26 26% of all negotiated rates 373 percent of total billed charges 373 504 XR Fingers Min 2 Views Lt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Alignment Medicare HMO 39 39% of all negotiated rates 307 percent of total billed charges 307 504 XR Fingers Min 2 Views Lt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 202 percent of total billed charges 202 504 XR Fingers Min 2 Views Lt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 252 percent of total billed charges 252 504 XR Fingers Min 2 Views Lt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 307 percent of total billed charges 307 504 XR Fingers Min 2 Views Lt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Cigna PPO 68 68% of all negotiated rates 161 percent of total billed charges 161 504 XR Fingers Min 2 Views Lt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Coalition PPO 57 57% of all negotiated rates 217 percent of total billed charges 217 504 XR Fingers Min 2 Views Lt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Coventry PPO 75 75% of all negotiated rates 126 percent of total billed charges 126 504 XR Fingers Min 2 Views Lt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 101 percent of total billed charges 101 504 XR Fingers Min 2 Views Lt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Humana-Commerical PPO 70 70% of all negotiated rates 151 percent of total billed charges 151 504 XR Fingers Min 2 Views Lt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 307 percent of total billed charges 307 504 XR Fingers Min 2 Views Lt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Multiplan PPO 80 80% of all negotiated rates 101 percent of total billed charges 101 504 XR Fingers Min 2 Views Lt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 One Health PPO 55 55% of all negotiated rates 227 percent of total billed charges 227 504 XR Fingers Min 2 Views Lt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Optum Medicare HMO 39 39% of all negotiated rates 307 percent of total billed charges 307 504 XR Fingers Min 2 Views Lt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 P3 HMO 39 39% of all negotiated rates 307 percent of total billed charges 307 504 XR Fingers Min 2 Views Lt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 151 percent of total billed charges 151 504 XR Fingers Min 2 Views Lt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Select Health HMO 41 41% of all negotiated rates 297 percent of total billed charges 297 504 XR Fingers Min 2 Views Lt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 335 percent of total billed charges 335 504 XR Fingers Min 2 Views Lt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Sierra/HPN HMO 60 60% of all negotiated rates 202 percent of total billed charges 202 504 XR Fingers Min 2 Views Lt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Silversummit Medicare HMO 39 39% of all negotiated rates 307 percent of total billed charges 307 504 XR Fingers Min 2 Views Lt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 328 percent of total billed charges 328 504 XR Fingers Min 2 Views Lt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Teachers Trust PPO 65 65% of all negotiated rates 176 percent of total billed charges 176 504 XR Fingers Min 2 Views Lt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 TriWest PPO 30 30% of all negotiated rates 353 percent of total billed charges 353 504 XR Fingers Min 2 Views Lt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 UHN-Universal Health Network PPO 70 70% of all negotiated rates 151 percent of total billed charges 151 504 XR Fingers Min 2 Views Lt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 United Healthcare PPO 60 60% of all negotiated rates 202 percent of total billed charges 202 504 XR Fingers Min 2 Views Lt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Aetna PPO 120 120% of Aetna market fee schedule 41 fee schedule 41 480 Coinsurance and deductible may apply XR Fingers Min 2 Views Lt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 28 fee schedule 28 480 Coinsurance and deductible may apply XR Fingers Min 2 Views Lt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 28 fee schedule 28 480 Coinsurance and deductible may apply XR Fingers Min 2 Views Lt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 28 fee schedule 28 480 Coinsurance and deductible may apply XR Fingers Min 2 Views Rt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Aetna Medicare HMO 26 26% of all negotiated rates 373 percent of total billed charges 373 504 XR Fingers Min 2 Views Rt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Alignment Medicare HMO 39 39% of all negotiated rates 307 percent of total billed charges 307 504 XR Fingers Min 2 Views Rt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 202 percent of total billed charges 202 504 XR Fingers Min 2 Views Rt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 252 percent of total billed charges 252 504 XR Fingers Min 2 Views Rt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 307 percent of total billed charges 307 504 XR Fingers Min 2 Views Rt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Cigna PPO 68 68% of all negotiated rates 161 percent of total billed charges 161 504 XR Fingers Min 2 Views Rt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Coalition PPO 57 57% of all negotiated rates 217 percent of total billed charges 217 504 XR Fingers Min 2 Views Rt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Coventry PPO 75 75% of all negotiated rates 126 percent of total billed charges 126 504 XR Fingers Min 2 Views Rt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 101 percent of total billed charges 101 504 XR Fingers Min 2 Views Rt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Humana-Commerical PPO 70 70% of all negotiated rates 151 percent of total billed charges 151 504 XR Fingers Min 2 Views Rt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 307 percent of total billed charges 307 504 XR Fingers Min 2 Views Rt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Multiplan PPO 80 80% of all negotiated rates 101 percent of total billed charges 101 504 XR Fingers Min 2 Views Rt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 One Health PPO 55 55% of all negotiated rates 227 percent of total billed charges 227 504 XR Fingers Min 2 Views Rt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Optum Medicare HMO 39 39% of all negotiated rates 307 percent of total billed charges 307 504 XR Fingers Min 2 Views Rt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 P3 HMO 39 39% of all negotiated rates 307 percent of total billed charges 307 504 XR Fingers Min 2 Views Rt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 151 percent of total billed charges 151 504 XR Fingers Min 2 Views Rt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Select Health HMO 41 41% of all negotiated rates 297 percent of total billed charges 297 504 XR Fingers Min 2 Views Rt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 335 percent of total billed charges 335 504 XR Fingers Min 2 Views Rt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Sierra/HPN HMO 60 60% of all negotiated rates 202 percent of total billed charges 202 504 XR Fingers Min 2 Views Rt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Silversummit Medicare HMO 39 39% of all negotiated rates 307 percent of total billed charges 307 504 XR Fingers Min 2 Views Rt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 328 percent of total billed charges 328 504 XR Fingers Min 2 Views Rt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Teachers Trust PPO 65 65% of all negotiated rates 176 percent of total billed charges 176 504 XR Fingers Min 2 Views Rt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 TriWest PPO 30 30% of all negotiated rates 353 percent of total billed charges 353 504 XR Fingers Min 2 Views Rt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 UHN-Universal Health Network PPO 70 70% of all negotiated rates 151 percent of total billed charges 151 504 XR Fingers Min 2 Views Rt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 United Healthcare PPO 60 60% of all negotiated rates 202 percent of total billed charges 202 504 XR Fingers Min 2 Views Rt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Aetna PPO 120 120% of Aetna market fee schedule 41 fee schedule 41 480 Coinsurance and deductible may apply XR Fingers Min 2 Views Rt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 28 fee schedule 28 480 Coinsurance and deductible may apply XR Fingers Min 2 Views Rt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 28 fee schedule 28 480 Coinsurance and deductible may apply XR Fingers Min 2 Views Rt 73140 CPT 4051406 LOCAL 320 RC outpatient 504 428 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 28 fee schedule 28 480 Coinsurance and deductible may apply XR Foot 2 Views Bil 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Aetna Medicare HMO 26 26% of all negotiated rates 416 percent of total billed charges 416 563 XR Foot 2 Views Bil 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Alignment Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Foot 2 Views Bil 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 225 percent of total billed charges 225 563 XR Foot 2 Views Bil 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 281 percent of total billed charges 281 563 XR Foot 2 Views Bil 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Foot 2 Views Bil 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Cigna PPO 68 68% of all negotiated rates 180 percent of total billed charges 180 563 XR Foot 2 Views Bil 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Coalition PPO 57 57% of all negotiated rates 242 percent of total billed charges 242 563 XR Foot 2 Views Bil 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Coventry PPO 75 75% of all negotiated rates 141 percent of total billed charges 141 563 XR Foot 2 Views Bil 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 113 percent of total billed charges 113 563 XR Foot 2 Views Bil 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Humana-Commerical PPO 70 70% of all negotiated rates 169 percent of total billed charges 169 563 XR Foot 2 Views Bil 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Foot 2 Views Bil 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Multiplan PPO 80 80% of all negotiated rates 113 percent of total billed charges 113 563 XR Foot 2 Views Bil 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 One Health PPO 55 55% of all negotiated rates 253 percent of total billed charges 253 563 XR Foot 2 Views Bil 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Optum Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Foot 2 Views Bil 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 P3 HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Foot 2 Views Bil 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 169 percent of total billed charges 169 563 XR Foot 2 Views Bil 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Select Health HMO 41 41% of all negotiated rates 332 percent of total billed charges 332 563 XR Foot 2 Views Bil 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 374 percent of total billed charges 374 563 XR Foot 2 Views Bil 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Sierra/HPN HMO 60 60% of all negotiated rates 225 percent of total billed charges 225 563 XR Foot 2 Views Bil 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Silversummit Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Foot 2 Views Bil 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 366 percent of total billed charges 366 563 XR Foot 2 Views Bil 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Teachers Trust PPO 65 65% of all negotiated rates 197 percent of total billed charges 197 563 XR Foot 2 Views Bil 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 TriWest PPO 30 30% of all negotiated rates 394 percent of total billed charges 394 563 XR Foot 2 Views Bil 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 UHN-Universal Health Network PPO 70 70% of all negotiated rates 169 percent of total billed charges 169 563 XR Foot 2 Views Bil 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 United Healthcare PPO 60 60% of all negotiated rates 225 percent of total billed charges 225 563 XR Foot 2 Views Bil 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Aetna PPO 120 120% of Aetna market fee schedule 34 fee schedule 34 536 Coinsurance and deductible may apply XR Foot 2 Views Bil 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 21 fee schedule 21 536 Coinsurance and deductible may apply XR Foot 2 Views Bil 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 21 fee schedule 21 536 Coinsurance and deductible may apply XR Foot 2 Views Bil 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 21 fee schedule 21 536 Coinsurance and deductible may apply XR Foot 2 Views Lt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Aetna Medicare HMO 26 26% of all negotiated rates 416 percent of total billed charges 416 563 XR Foot 2 Views Lt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Alignment Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Foot 2 Views Lt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 225 percent of total billed charges 225 563 XR Foot 2 Views Lt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 281 percent of total billed charges 281 563 XR Foot 2 Views Lt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Foot 2 Views Lt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Cigna PPO 68 68% of all negotiated rates 180 percent of total billed charges 180 563 XR Foot 2 Views Lt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Coalition PPO 57 57% of all negotiated rates 242 percent of total billed charges 242 563 XR Foot 2 Views Lt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Coventry PPO 75 75% of all negotiated rates 141 percent of total billed charges 141 563 XR Foot 2 Views Lt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 113 percent of total billed charges 113 563 XR Foot 2 Views Lt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Humana-Commerical PPO 70 70% of all negotiated rates 169 percent of total billed charges 169 563 XR Foot 2 Views Lt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Foot 2 Views Lt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Multiplan PPO 80 80% of all negotiated rates 113 percent of total billed charges 113 563 XR Foot 2 Views Lt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 One Health PPO 55 55% of all negotiated rates 253 percent of total billed charges 253 563 XR Foot 2 Views Lt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Optum Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Foot 2 Views Lt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 P3 HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Foot 2 Views Lt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 169 percent of total billed charges 169 563 XR Foot 2 Views Lt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Select Health HMO 41 41% of all negotiated rates 332 percent of total billed charges 332 563 XR Foot 2 Views Lt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 374 percent of total billed charges 374 563 XR Foot 2 Views Lt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Sierra/HPN HMO 60 60% of all negotiated rates 225 percent of total billed charges 225 563 XR Foot 2 Views Lt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Silversummit Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Foot 2 Views Lt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 366 percent of total billed charges 366 563 XR Foot 2 Views Lt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Teachers Trust PPO 65 65% of all negotiated rates 197 percent of total billed charges 197 563 XR Foot 2 Views Lt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 TriWest PPO 30 30% of all negotiated rates 394 percent of total billed charges 394 563 XR Foot 2 Views Lt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 UHN-Universal Health Network PPO 70 70% of all negotiated rates 169 percent of total billed charges 169 563 XR Foot 2 Views Lt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 United Healthcare PPO 60 60% of all negotiated rates 225 percent of total billed charges 225 563 XR Foot 2 Views Lt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Aetna PPO 120 120% of Aetna market fee schedule 34 fee schedule 34 536 Coinsurance and deductible may apply XR Foot 2 Views Lt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 21 fee schedule 21 536 Coinsurance and deductible may apply XR Foot 2 Views Lt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 21 fee schedule 21 536 Coinsurance and deductible may apply XR Foot 2 Views Lt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 21 fee schedule 21 536 Coinsurance and deductible may apply XR Foot 2 Views Rt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Aetna Medicare HMO 26 26% of all negotiated rates 416 percent of total billed charges 416 563 XR Foot 2 Views Rt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Alignment Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Foot 2 Views Rt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 225 percent of total billed charges 225 563 XR Foot 2 Views Rt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 281 percent of total billed charges 281 563 XR Foot 2 Views Rt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Foot 2 Views Rt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Cigna PPO 68 68% of all negotiated rates 180 percent of total billed charges 180 563 XR Foot 2 Views Rt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Coalition PPO 57 57% of all negotiated rates 242 percent of total billed charges 242 563 XR Foot 2 Views Rt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Coventry PPO 75 75% of all negotiated rates 141 percent of total billed charges 141 563 XR Foot 2 Views Rt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 113 percent of total billed charges 113 563 XR Foot 2 Views Rt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Humana-Commerical PPO 70 70% of all negotiated rates 169 percent of total billed charges 169 563 XR Foot 2 Views Rt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Foot 2 Views Rt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Multiplan PPO 80 80% of all negotiated rates 113 percent of total billed charges 113 563 XR Foot 2 Views Rt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 One Health PPO 55 55% of all negotiated rates 253 percent of total billed charges 253 563 XR Foot 2 Views Rt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Optum Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Foot 2 Views Rt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 P3 HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Foot 2 Views Rt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 169 percent of total billed charges 169 563 XR Foot 2 Views Rt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Select Health HMO 41 41% of all negotiated rates 332 percent of total billed charges 332 563 XR Foot 2 Views Rt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 374 percent of total billed charges 374 563 XR Foot 2 Views Rt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Sierra/HPN HMO 60 60% of all negotiated rates 225 percent of total billed charges 225 563 XR Foot 2 Views Rt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Silversummit Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Foot 2 Views Rt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 366 percent of total billed charges 366 563 XR Foot 2 Views Rt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Teachers Trust PPO 65 65% of all negotiated rates 197 percent of total billed charges 197 563 XR Foot 2 Views Rt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 TriWest PPO 30 30% of all negotiated rates 394 percent of total billed charges 394 563 XR Foot 2 Views Rt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 UHN-Universal Health Network PPO 70 70% of all negotiated rates 169 percent of total billed charges 169 563 XR Foot 2 Views Rt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 United Healthcare PPO 60 60% of all negotiated rates 225 percent of total billed charges 225 563 XR Foot 2 Views Rt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Aetna PPO 120 120% of Aetna market fee schedule 34 fee schedule 34 536 Coinsurance and deductible may apply XR Foot 2 Views Rt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 21 fee schedule 21 536 Coinsurance and deductible may apply XR Foot 2 Views Rt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 21 fee schedule 21 536 Coinsurance and deductible may apply XR Foot 2 Views Rt 73620 CPT 4056207 LOCAL 320 RC outpatient 563 478 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 21 fee schedule 21 536 Coinsurance and deductible may apply XR Foot Comp Min 3 Views Bil 73630 CPT 4053630 LOCAL 320 RC outpatient 680 578 Aetna Medicare HMO 26 26% of all negotiated rates 503 percent of total billed charges 503 680 XR Foot Comp Min 3 Views Bil 73630 CPT 4053630 LOCAL 320 RC outpatient 680 578 Alignment Medicare HMO 39 39% of all negotiated rates 415 percent of total billed charges 415 680 XR Foot Comp Min 3 Views Bil 73630 CPT 4053630 LOCAL 320 RC outpatient 680 578 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 272 percent of total billed charges 272 680 XR Foot Comp Min 3 Views Bil 73630 CPT 4053630 LOCAL 320 RC outpatient 680 578 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 340 percent of total billed charges 340 680 XR Foot Comp Min 3 Views Bil 73630 CPT 4053630 LOCAL 320 RC outpatient 680 578 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 415 percent of total billed charges 415 680 XR Foot Comp Min 3 Views Bil 73630 CPT 4053630 LOCAL 320 RC outpatient 680 578 Cigna PPO 68 68% of all negotiated rates 218 percent of total billed charges 218 680 XR Foot Comp Min 3 Views Bil 73630 CPT 4053630 LOCAL 320 RC outpatient 680 578 Coalition PPO 57 57% of all negotiated rates 293 percent of total billed charges 293 680 XR Foot Comp Min 3 Views Bil 73630 CPT 4053630 LOCAL 320 RC outpatient 680 578 Coventry PPO 75 75% of all negotiated rates 170 percent of total billed charges 170 680 XR Foot Comp Min 3 Views Bil 73630 CPT 4053630 LOCAL 320 RC outpatient 680 578 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 136 percent of total billed charges 136 680 XR Foot Comp Min 3 Views Bil 73630 CPT 4053630 LOCAL 320 RC outpatient 680 578 Humana-Commerical PPO 70 70% of all negotiated rates 204 percent of total billed charges 204 680 XR Foot Comp Min 3 Views Bil 73630 CPT 4053630 LOCAL 320 RC outpatient 680 578 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 415 percent of total billed charges 415 680 XR Foot Comp Min 3 Views Bil 73630 CPT 4053630 LOCAL 320 RC outpatient 680 578 Multiplan PPO 80 80% of all negotiated rates 136 percent of total billed charges 136 680 XR Foot Comp Min 3 Views Bil 73630 CPT 4053630 LOCAL 320 RC outpatient 680 578 One Health PPO 55 55% of all negotiated rates 306 percent of total billed charges 306 680 XR Foot Comp Min 3 Views Bil 73630 CPT 4053630 LOCAL 320 RC outpatient 680 578 Optum Medicare HMO 39 39% of all negotiated rates 415 percent of total billed charges 415 680 XR Foot Comp Min 3 Views Bil 73630 CPT 4053630 LOCAL 320 RC outpatient 680 578 P3 HMO 39 39% of all negotiated rates 415 percent of total billed charges 415 680 XR Foot Comp Min 3 Views Bil 73630 CPT 4053630 LOCAL 320 RC outpatient 680 578 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 204 percent of total billed charges 204 680 XR Foot Comp Min 3 Views Bil 73630 CPT 4053630 LOCAL 320 RC outpatient 680 578 Select Health HMO 41 41% of all negotiated rates 401 percent of total billed charges 401 680 XR Foot Comp Min 3 Views Bil 73630 CPT 4053630 LOCAL 320 RC outpatient 680 578 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 452 percent of total billed charges 452 680 XR Foot Comp Min 3 Views Bil 73630 CPT 4053630 LOCAL 320 RC outpatient 680 578 Sierra/HPN HMO 60 60% of all negotiated rates 272 percent of total billed charges 272 680 XR Foot Comp Min 3 Views Bil 73630 CPT 4053630 LOCAL 320 RC outpatient 680 578 Silversummit Medicare HMO 39 39% of all negotiated rates 415 percent of total billed charges 415 680 XR Foot Comp Min 3 Views Bil 73630 CPT 4053630 LOCAL 320 RC outpatient 680 578 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 442 percent of total billed charges 442 680 XR Foot Comp Min 3 Views Bil 73630 CPT 4053630 LOCAL 320 RC outpatient 680 578 Teachers Trust PPO 65 65% of all negotiated rates 238 percent of total billed charges 238 680 XR Foot Comp Min 3 Views Bil 73630 CPT 4053630 LOCAL 320 RC outpatient 680 578 TriWest PPO 30 30% of all negotiated rates 476 percent of total billed charges 476 680 XR Foot Comp Min 3 Views Bil 73630 CPT 4053630 LOCAL 320 RC outpatient 680 578 UHN-Universal Health Network PPO 70 70% of all negotiated rates 204 percent of total billed charges 204 680 XR Foot Comp Min 3 Views Bil 73630 CPT 4053630 LOCAL 320 RC outpatient 680 578 United Healthcare PPO 60 60% of all negotiated rates 272 percent of total billed charges 272 680 XR Foot Comp Min 3 Views Bil 73630 CPT 4053630 LOCAL 320 RC outpatient 680 578 Aetna PPO 120 120% of Aetna market fee schedule 38 fee schedule 38 648 Coinsurance and deductible may apply XR Foot Comp Min 3 Views Bil 73630 CPT 4053630 LOCAL 320 RC outpatient 680 578 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 25 fee schedule 25 648 Coinsurance and deductible may apply XR Foot Comp Min 3 Views Bil 73630 CPT 4053630 LOCAL 320 RC outpatient 680 578 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 25 fee schedule 25 648 Coinsurance and deductible may apply XR Foot Comp Min 3 Views Bil 73630 CPT 4053630 LOCAL 320 RC outpatient 680 578 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 25 fee schedule 25 648 Coinsurance and deductible may apply XR Foot Comp Min 3 Views Lt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 Aetna Medicare HMO 26 26% of all negotiated rates 413 percent of total billed charges 413 559 XR Foot Comp Min 3 Views Lt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 Alignment Medicare HMO 39 39% of all negotiated rates 341 percent of total billed charges 341 559 XR Foot Comp Min 3 Views Lt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 223 percent of total billed charges 223 559 XR Foot Comp Min 3 Views Lt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 279 percent of total billed charges 279 559 XR Foot Comp Min 3 Views Lt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 341 percent of total billed charges 341 559 XR Foot Comp Min 3 Views Lt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 Cigna PPO 68 68% of all negotiated rates 179 percent of total billed charges 179 559 XR Foot Comp Min 3 Views Lt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 Coalition PPO 57 57% of all negotiated rates 240 percent of total billed charges 240 559 XR Foot Comp Min 3 Views Lt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 Coventry PPO 75 75% of all negotiated rates 140 percent of total billed charges 140 559 XR Foot Comp Min 3 Views Lt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 112 percent of total billed charges 112 559 XR Foot Comp Min 3 Views Lt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 Humana-Commerical PPO 70 70% of all negotiated rates 168 percent of total billed charges 168 559 XR Foot Comp Min 3 Views Lt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 341 percent of total billed charges 341 559 XR Foot Comp Min 3 Views Lt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 Multiplan PPO 80 80% of all negotiated rates 112 percent of total billed charges 112 559 XR Foot Comp Min 3 Views Lt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 One Health PPO 55 55% of all negotiated rates 251 percent of total billed charges 251 559 XR Foot Comp Min 3 Views Lt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 Optum Medicare HMO 39 39% of all negotiated rates 341 percent of total billed charges 341 559 XR Foot Comp Min 3 Views Lt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 P3 HMO 39 39% of all negotiated rates 341 percent of total billed charges 341 559 XR Foot Comp Min 3 Views Lt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 168 percent of total billed charges 168 559 XR Foot Comp Min 3 Views Lt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 Select Health HMO 41 41% of all negotiated rates 330 percent of total billed charges 330 559 XR Foot Comp Min 3 Views Lt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 371 percent of total billed charges 371 559 XR Foot Comp Min 3 Views Lt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 Sierra/HPN HMO 60 60% of all negotiated rates 223 percent of total billed charges 223 559 XR Foot Comp Min 3 Views Lt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 Silversummit Medicare HMO 39 39% of all negotiated rates 341 percent of total billed charges 341 559 XR Foot Comp Min 3 Views Lt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 363 percent of total billed charges 363 559 XR Foot Comp Min 3 Views Lt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 Teachers Trust PPO 65 65% of all negotiated rates 196 percent of total billed charges 196 559 XR Foot Comp Min 3 Views Lt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 TriWest PPO 30 30% of all negotiated rates 391 percent of total billed charges 391 559 XR Foot Comp Min 3 Views Lt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 UHN-Universal Health Network PPO 70 70% of all negotiated rates 168 percent of total billed charges 168 559 XR Foot Comp Min 3 Views Lt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 United Healthcare PPO 60 60% of all negotiated rates 223 percent of total billed charges 223 559 XR Foot Comp Min 3 Views Lt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 Aetna PPO 120 120% of Aetna market fee schedule 38 fee schedule 38 532 Coinsurance and deductible may apply XR Foot Comp Min 3 Views Lt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 25 fee schedule 25 532 Coinsurance and deductible may apply XR Foot Comp Min 3 Views Lt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 25 fee schedule 25 532 Coinsurance and deductible may apply XR Foot Comp Min 3 Views Lt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 25 fee schedule 25 532 Coinsurance and deductible may apply XR Foot Comp Min 3 Views Rt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 Aetna Medicare HMO 26 26% of all negotiated rates 413 percent of total billed charges 413 559 XR Foot Comp Min 3 Views Rt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 Alignment Medicare HMO 39 39% of all negotiated rates 341 percent of total billed charges 341 559 XR Foot Comp Min 3 Views Rt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 223 percent of total billed charges 223 559 XR Foot Comp Min 3 Views Rt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 279 percent of total billed charges 279 559 XR Foot Comp Min 3 Views Rt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 341 percent of total billed charges 341 559 XR Foot Comp Min 3 Views Rt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 Cigna PPO 68 68% of all negotiated rates 179 percent of total billed charges 179 559 XR Foot Comp Min 3 Views Rt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 Coalition PPO 57 57% of all negotiated rates 240 percent of total billed charges 240 559 XR Foot Comp Min 3 Views Rt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 Coventry PPO 75 75% of all negotiated rates 140 percent of total billed charges 140 559 XR Foot Comp Min 3 Views Rt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 112 percent of total billed charges 112 559 XR Foot Comp Min 3 Views Rt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 Humana-Commerical PPO 70 70% of all negotiated rates 168 percent of total billed charges 168 559 XR Foot Comp Min 3 Views Rt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 341 percent of total billed charges 341 559 XR Foot Comp Min 3 Views Rt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 Multiplan PPO 80 80% of all negotiated rates 112 percent of total billed charges 112 559 XR Foot Comp Min 3 Views Rt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 One Health PPO 55 55% of all negotiated rates 251 percent of total billed charges 251 559 XR Foot Comp Min 3 Views Rt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 Optum Medicare HMO 39 39% of all negotiated rates 341 percent of total billed charges 341 559 XR Foot Comp Min 3 Views Rt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 P3 HMO 39 39% of all negotiated rates 341 percent of total billed charges 341 559 XR Foot Comp Min 3 Views Rt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 168 percent of total billed charges 168 559 XR Foot Comp Min 3 Views Rt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 Select Health HMO 41 41% of all negotiated rates 330 percent of total billed charges 330 559 XR Foot Comp Min 3 Views Rt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 371 percent of total billed charges 371 559 XR Foot Comp Min 3 Views Rt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 Sierra/HPN HMO 60 60% of all negotiated rates 223 percent of total billed charges 223 559 XR Foot Comp Min 3 Views Rt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 Silversummit Medicare HMO 39 39% of all negotiated rates 341 percent of total billed charges 341 559 XR Foot Comp Min 3 Views Rt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 363 percent of total billed charges 363 559 XR Foot Comp Min 3 Views Rt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 Teachers Trust PPO 65 65% of all negotiated rates 196 percent of total billed charges 196 559 XR Foot Comp Min 3 Views Rt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 TriWest PPO 30 30% of all negotiated rates 391 percent of total billed charges 391 559 XR Foot Comp Min 3 Views Rt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 UHN-Universal Health Network PPO 70 70% of all negotiated rates 168 percent of total billed charges 168 559 XR Foot Comp Min 3 Views Rt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 United Healthcare PPO 60 60% of all negotiated rates 223 percent of total billed charges 223 559 XR Foot Comp Min 3 Views Rt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 Aetna PPO 120 120% of Aetna market fee schedule 38 fee schedule 38 532 Coinsurance and deductible may apply XR Foot Comp Min 3 Views Rt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 25 fee schedule 25 532 Coinsurance and deductible may apply XR Foot Comp Min 3 Views Rt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 25 fee schedule 25 532 Coinsurance and deductible may apply XR Foot Comp Min 3 Views Rt 73630 CPT 4056306 LOCAL 320 RC outpatient 559 475 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 25 fee schedule 25 532 Coinsurance and deductible may apply XR Forearm 2 Views Bil 73090 CPT 4053090 LOCAL 320 RC outpatient 460 391 Aetna Medicare HMO 26 26% of all negotiated rates 340 percent of total billed charges 340 460 XR Forearm 2 Views Bil 73090 CPT 4053090 LOCAL 320 RC outpatient 460 391 Alignment Medicare HMO 39 39% of all negotiated rates 281 percent of total billed charges 281 460 XR Forearm 2 Views Bil 73090 CPT 4053090 LOCAL 320 RC outpatient 460 391 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 184 percent of total billed charges 184 460 XR Forearm 2 Views Bil 73090 CPT 4053090 LOCAL 320 RC outpatient 460 391 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 230 percent of total billed charges 230 460 XR Forearm 2 Views Bil 73090 CPT 4053090 LOCAL 320 RC outpatient 460 391 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 281 percent of total billed charges 281 460 XR Forearm 2 Views Bil 73090 CPT 4053090 LOCAL 320 RC outpatient 460 391 Cigna PPO 68 68% of all negotiated rates 147 percent of total billed charges 147 460 XR Forearm 2 Views Bil 73090 CPT 4053090 LOCAL 320 RC outpatient 460 391 Coalition PPO 57 57% of all negotiated rates 198 percent of total billed charges 198 460 XR Forearm 2 Views Bil 73090 CPT 4053090 LOCAL 320 RC outpatient 460 391 Coventry PPO 75 75% of all negotiated rates 115 percent of total billed charges 115 460 XR Forearm 2 Views Bil 73090 CPT 4053090 LOCAL 320 RC outpatient 460 391 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 92 percent of total billed charges 92 460 XR Forearm 2 Views Bil 73090 CPT 4053090 LOCAL 320 RC outpatient 460 391 Humana-Commerical PPO 70 70% of all negotiated rates 138 percent of total billed charges 138 460 XR Forearm 2 Views Bil 73090 CPT 4053090 LOCAL 320 RC outpatient 460 391 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 281 percent of total billed charges 281 460 XR Forearm 2 Views Bil 73090 CPT 4053090 LOCAL 320 RC outpatient 460 391 Multiplan PPO 80 80% of all negotiated rates 92 percent of total billed charges 92 460 XR Forearm 2 Views Bil 73090 CPT 4053090 LOCAL 320 RC outpatient 460 391 One Health PPO 55 55% of all negotiated rates 207 percent of total billed charges 207 460 XR Forearm 2 Views Bil 73090 CPT 4053090 LOCAL 320 RC outpatient 460 391 Optum Medicare HMO 39 39% of all negotiated rates 281 percent of total billed charges 281 460 XR Forearm 2 Views Bil 73090 CPT 4053090 LOCAL 320 RC outpatient 460 391 P3 HMO 39 39% of all negotiated rates 281 percent of total billed charges 281 460 XR Forearm 2 Views Bil 73090 CPT 4053090 LOCAL 320 RC outpatient 460 391 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 138 percent of total billed charges 138 460 XR Forearm 2 Views Bil 73090 CPT 4053090 LOCAL 320 RC outpatient 460 391 Select Health HMO 41 41% of all negotiated rates 271 percent of total billed charges 271 460 XR Forearm 2 Views Bil 73090 CPT 4053090 LOCAL 320 RC outpatient 460 391 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 306 percent of total billed charges 306 460 XR Forearm 2 Views Bil 73090 CPT 4053090 LOCAL 320 RC outpatient 460 391 Sierra/HPN HMO 60 60% of all negotiated rates 184 percent of total billed charges 184 460 XR Forearm 2 Views Bil 73090 CPT 4053090 LOCAL 320 RC outpatient 460 391 Silversummit Medicare HMO 39 39% of all negotiated rates 281 percent of total billed charges 281 460 XR Forearm 2 Views Bil 73090 CPT 4053090 LOCAL 320 RC outpatient 460 391 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 299 percent of total billed charges 299 460 XR Forearm 2 Views Bil 73090 CPT 4053090 LOCAL 320 RC outpatient 460 391 Teachers Trust PPO 65 65% of all negotiated rates 161 percent of total billed charges 161 460 XR Forearm 2 Views Bil 73090 CPT 4053090 LOCAL 320 RC outpatient 460 391 TriWest PPO 30 30% of all negotiated rates 322 percent of total billed charges 322 460 XR Forearm 2 Views Bil 73090 CPT 4053090 LOCAL 320 RC outpatient 460 391 UHN-Universal Health Network PPO 70 70% of all negotiated rates 138 percent of total billed charges 138 460 XR Forearm 2 Views Bil 73090 CPT 4053090 LOCAL 320 RC outpatient 460 391 United Healthcare PPO 60 60% of all negotiated rates 184 percent of total billed charges 184 460 XR Forearm 2 Views Bil 73090 CPT 4053090 LOCAL 320 RC outpatient 460 391 Aetna PPO 120 120% of Aetna market fee schedule 34 fee schedule 34 438 Coinsurance and deductible may apply XR Forearm 2 Views Bil 73090 CPT 4053090 LOCAL 320 RC outpatient 460 391 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 21 fee schedule 21 438 Coinsurance and deductible may apply XR Forearm 2 Views Bil 73090 CPT 4053090 LOCAL 320 RC outpatient 460 391 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 21 fee schedule 21 438 Coinsurance and deductible may apply XR Forearm 2 Views Bil 73090 CPT 4053090 LOCAL 320 RC outpatient 460 391 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 21 fee schedule 21 438 Coinsurance and deductible may apply XR Forearm 2 Views Lt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 Aetna Medicare HMO 26 26% of all negotiated rates 451 percent of total billed charges 451 609 XR Forearm 2 Views Lt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 Alignment Medicare HMO 39 39% of all negotiated rates 371 percent of total billed charges 371 609 XR Forearm 2 Views Lt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 244 percent of total billed charges 244 609 XR Forearm 2 Views Lt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 305 percent of total billed charges 305 609 XR Forearm 2 Views Lt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 371 percent of total billed charges 371 609 XR Forearm 2 Views Lt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 Cigna PPO 68 68% of all negotiated rates 195 percent of total billed charges 195 609 XR Forearm 2 Views Lt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 Coalition PPO 57 57% of all negotiated rates 262 percent of total billed charges 262 609 XR Forearm 2 Views Lt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 Coventry PPO 75 75% of all negotiated rates 152 percent of total billed charges 152 609 XR Forearm 2 Views Lt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 122 percent of total billed charges 122 609 XR Forearm 2 Views Lt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 Humana-Commerical PPO 70 70% of all negotiated rates 183 percent of total billed charges 183 609 XR Forearm 2 Views Lt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 371 percent of total billed charges 371 609 XR Forearm 2 Views Lt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 Multiplan PPO 80 80% of all negotiated rates 122 percent of total billed charges 122 609 XR Forearm 2 Views Lt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 One Health PPO 55 55% of all negotiated rates 274 percent of total billed charges 274 609 XR Forearm 2 Views Lt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 Optum Medicare HMO 39 39% of all negotiated rates 371 percent of total billed charges 371 609 XR Forearm 2 Views Lt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 P3 HMO 39 39% of all negotiated rates 371 percent of total billed charges 371 609 XR Forearm 2 Views Lt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 183 percent of total billed charges 183 609 XR Forearm 2 Views Lt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 Select Health HMO 41 41% of all negotiated rates 359 percent of total billed charges 359 609 XR Forearm 2 Views Lt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 405 percent of total billed charges 405 609 XR Forearm 2 Views Lt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 Sierra/HPN HMO 60 60% of all negotiated rates 244 percent of total billed charges 244 609 XR Forearm 2 Views Lt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 Silversummit Medicare HMO 39 39% of all negotiated rates 371 percent of total billed charges 371 609 XR Forearm 2 Views Lt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 396 percent of total billed charges 396 609 XR Forearm 2 Views Lt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 Teachers Trust PPO 65 65% of all negotiated rates 213 percent of total billed charges 213 609 XR Forearm 2 Views Lt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 TriWest PPO 30 30% of all negotiated rates 426 percent of total billed charges 426 609 XR Forearm 2 Views Lt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 UHN-Universal Health Network PPO 70 70% of all negotiated rates 183 percent of total billed charges 183 609 XR Forearm 2 Views Lt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 United Healthcare PPO 60 60% of all negotiated rates 244 percent of total billed charges 244 609 XR Forearm 2 Views Lt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 Aetna PPO 120 120% of Aetna market fee schedule 34 fee schedule 34 580 Coinsurance and deductible may apply XR Forearm 2 Views Lt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 21 fee schedule 21 580 Coinsurance and deductible may apply XR Forearm 2 Views Lt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 21 fee schedule 21 580 Coinsurance and deductible may apply XR Forearm 2 Views Lt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 21 fee schedule 21 580 Coinsurance and deductible may apply XR Forearm 2 Views Rt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 Aetna Medicare HMO 26 26% of all negotiated rates 451 percent of total billed charges 451 609 XR Forearm 2 Views Rt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 Alignment Medicare HMO 39 39% of all negotiated rates 371 percent of total billed charges 371 609 XR Forearm 2 Views Rt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 244 percent of total billed charges 244 609 XR Forearm 2 Views Rt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 305 percent of total billed charges 305 609 XR Forearm 2 Views Rt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 371 percent of total billed charges 371 609 XR Forearm 2 Views Rt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 Cigna PPO 68 68% of all negotiated rates 195 percent of total billed charges 195 609 XR Forearm 2 Views Rt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 Coalition PPO 57 57% of all negotiated rates 262 percent of total billed charges 262 609 XR Forearm 2 Views Rt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 Coventry PPO 75 75% of all negotiated rates 152 percent of total billed charges 152 609 XR Forearm 2 Views Rt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 122 percent of total billed charges 122 609 XR Forearm 2 Views Rt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 Humana-Commerical PPO 70 70% of all negotiated rates 183 percent of total billed charges 183 609 XR Forearm 2 Views Rt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 371 percent of total billed charges 371 609 XR Forearm 2 Views Rt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 Multiplan PPO 80 80% of all negotiated rates 122 percent of total billed charges 122 609 XR Forearm 2 Views Rt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 One Health PPO 55 55% of all negotiated rates 274 percent of total billed charges 274 609 XR Forearm 2 Views Rt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 Optum Medicare HMO 39 39% of all negotiated rates 371 percent of total billed charges 371 609 XR Forearm 2 Views Rt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 P3 HMO 39 39% of all negotiated rates 371 percent of total billed charges 371 609 XR Forearm 2 Views Rt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 183 percent of total billed charges 183 609 XR Forearm 2 Views Rt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 Select Health HMO 41 41% of all negotiated rates 359 percent of total billed charges 359 609 XR Forearm 2 Views Rt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 405 percent of total billed charges 405 609 XR Forearm 2 Views Rt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 Sierra/HPN HMO 60 60% of all negotiated rates 244 percent of total billed charges 244 609 XR Forearm 2 Views Rt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 Silversummit Medicare HMO 39 39% of all negotiated rates 371 percent of total billed charges 371 609 XR Forearm 2 Views Rt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 396 percent of total billed charges 396 609 XR Forearm 2 Views Rt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 Teachers Trust PPO 65 65% of all negotiated rates 213 percent of total billed charges 213 609 XR Forearm 2 Views Rt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 TriWest PPO 30 30% of all negotiated rates 426 percent of total billed charges 426 609 XR Forearm 2 Views Rt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 UHN-Universal Health Network PPO 70 70% of all negotiated rates 183 percent of total billed charges 183 609 XR Forearm 2 Views Rt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 United Healthcare PPO 60 60% of all negotiated rates 244 percent of total billed charges 244 609 XR Forearm 2 Views Rt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 Aetna PPO 120 120% of Aetna market fee schedule 34 fee schedule 34 580 Coinsurance and deductible may apply XR Forearm 2 Views Rt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 21 fee schedule 21 580 Coinsurance and deductible may apply XR Forearm 2 Views Rt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 21 fee schedule 21 580 Coinsurance and deductible may apply XR Forearm 2 Views Rt 73090 CPT 4050903 LOCAL 320 RC outpatient 609 518 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 21 fee schedule 21 580 Coinsurance and deductible may apply XR Hand 2 Views Bil 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Aetna Medicare HMO 26 26% of all negotiated rates 416 percent of total billed charges 416 563 XR Hand 2 Views Bil 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Alignment Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Hand 2 Views Bil 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 225 percent of total billed charges 225 563 XR Hand 2 Views Bil 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 281 percent of total billed charges 281 563 XR Hand 2 Views Bil 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Hand 2 Views Bil 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Cigna PPO 68 68% of all negotiated rates 180 percent of total billed charges 180 563 XR Hand 2 Views Bil 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Coalition PPO 57 57% of all negotiated rates 242 percent of total billed charges 242 563 XR Hand 2 Views Bil 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Coventry PPO 75 75% of all negotiated rates 141 percent of total billed charges 141 563 XR Hand 2 Views Bil 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 113 percent of total billed charges 113 563 XR Hand 2 Views Bil 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Humana-Commerical PPO 70 70% of all negotiated rates 169 percent of total billed charges 169 563 XR Hand 2 Views Bil 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Hand 2 Views Bil 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Multiplan PPO 80 80% of all negotiated rates 113 percent of total billed charges 113 563 XR Hand 2 Views Bil 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 One Health PPO 55 55% of all negotiated rates 253 percent of total billed charges 253 563 XR Hand 2 Views Bil 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Optum Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Hand 2 Views Bil 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 P3 HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Hand 2 Views Bil 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 169 percent of total billed charges 169 563 XR Hand 2 Views Bil 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Select Health HMO 41 41% of all negotiated rates 332 percent of total billed charges 332 563 XR Hand 2 Views Bil 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 374 percent of total billed charges 374 563 XR Hand 2 Views Bil 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Sierra/HPN HMO 60 60% of all negotiated rates 225 percent of total billed charges 225 563 XR Hand 2 Views Bil 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Silversummit Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Hand 2 Views Bil 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 366 percent of total billed charges 366 563 XR Hand 2 Views Bil 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Teachers Trust PPO 65 65% of all negotiated rates 197 percent of total billed charges 197 563 XR Hand 2 Views Bil 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 TriWest PPO 30 30% of all negotiated rates 394 percent of total billed charges 394 563 XR Hand 2 Views Bil 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 UHN-Universal Health Network PPO 70 70% of all negotiated rates 169 percent of total billed charges 169 563 XR Hand 2 Views Bil 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 United Healthcare PPO 60 60% of all negotiated rates 225 percent of total billed charges 225 563 XR Hand 2 Views Bil 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Aetna PPO 120 120% of Aetna market fee schedule 34 fee schedule 34 536 Coinsurance and deductible may apply XR Hand 2 Views Bil 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 21 fee schedule 21 536 Coinsurance and deductible may apply XR Hand 2 Views Bil 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 21 fee schedule 21 536 Coinsurance and deductible may apply XR Hand 2 Views Bil 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 21 fee schedule 21 536 Coinsurance and deductible may apply XR Hand 2 Views Lt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Aetna Medicare HMO 26 26% of all negotiated rates 416 percent of total billed charges 416 563 XR Hand 2 Views Lt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Alignment Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Hand 2 Views Lt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 225 percent of total billed charges 225 563 XR Hand 2 Views Lt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 281 percent of total billed charges 281 563 XR Hand 2 Views Lt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Hand 2 Views Lt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Cigna PPO 68 68% of all negotiated rates 180 percent of total billed charges 180 563 XR Hand 2 Views Lt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Coalition PPO 57 57% of all negotiated rates 242 percent of total billed charges 242 563 XR Hand 2 Views Lt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Coventry PPO 75 75% of all negotiated rates 141 percent of total billed charges 141 563 XR Hand 2 Views Lt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 113 percent of total billed charges 113 563 XR Hand 2 Views Lt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Humana-Commerical PPO 70 70% of all negotiated rates 169 percent of total billed charges 169 563 XR Hand 2 Views Lt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Hand 2 Views Lt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Multiplan PPO 80 80% of all negotiated rates 113 percent of total billed charges 113 563 XR Hand 2 Views Lt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 One Health PPO 55 55% of all negotiated rates 253 percent of total billed charges 253 563 XR Hand 2 Views Lt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Optum Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Hand 2 Views Lt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 P3 HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Hand 2 Views Lt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 169 percent of total billed charges 169 563 XR Hand 2 Views Lt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Select Health HMO 41 41% of all negotiated rates 332 percent of total billed charges 332 563 XR Hand 2 Views Lt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 374 percent of total billed charges 374 563 XR Hand 2 Views Lt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Sierra/HPN HMO 60 60% of all negotiated rates 225 percent of total billed charges 225 563 XR Hand 2 Views Lt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Silversummit Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Hand 2 Views Lt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 366 percent of total billed charges 366 563 XR Hand 2 Views Lt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Teachers Trust PPO 65 65% of all negotiated rates 197 percent of total billed charges 197 563 XR Hand 2 Views Lt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 TriWest PPO 30 30% of all negotiated rates 394 percent of total billed charges 394 563 XR Hand 2 Views Lt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 UHN-Universal Health Network PPO 70 70% of all negotiated rates 169 percent of total billed charges 169 563 XR Hand 2 Views Lt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 United Healthcare PPO 60 60% of all negotiated rates 225 percent of total billed charges 225 563 XR Hand 2 Views Lt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Aetna PPO 120 120% of Aetna market fee schedule 34 fee schedule 34 536 Coinsurance and deductible may apply XR Hand 2 Views Lt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 21 fee schedule 21 536 Coinsurance and deductible may apply XR Hand 2 Views Lt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 21 fee schedule 21 536 Coinsurance and deductible may apply XR Hand 2 Views Lt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 21 fee schedule 21 536 Coinsurance and deductible may apply XR Hand 2 Views Rt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Aetna Medicare HMO 26 26% of all negotiated rates 416 percent of total billed charges 416 563 XR Hand 2 Views Rt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Alignment Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Hand 2 Views Rt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 225 percent of total billed charges 225 563 XR Hand 2 Views Rt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 281 percent of total billed charges 281 563 XR Hand 2 Views Rt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Hand 2 Views Rt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Cigna PPO 68 68% of all negotiated rates 180 percent of total billed charges 180 563 XR Hand 2 Views Rt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Coalition PPO 57 57% of all negotiated rates 242 percent of total billed charges 242 563 XR Hand 2 Views Rt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Coventry PPO 75 75% of all negotiated rates 141 percent of total billed charges 141 563 XR Hand 2 Views Rt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 113 percent of total billed charges 113 563 XR Hand 2 Views Rt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Humana-Commerical PPO 70 70% of all negotiated rates 169 percent of total billed charges 169 563 XR Hand 2 Views Rt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Hand 2 Views Rt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Multiplan PPO 80 80% of all negotiated rates 113 percent of total billed charges 113 563 XR Hand 2 Views Rt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 One Health PPO 55 55% of all negotiated rates 253 percent of total billed charges 253 563 XR Hand 2 Views Rt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Optum Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Hand 2 Views Rt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 P3 HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Hand 2 Views Rt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 169 percent of total billed charges 169 563 XR Hand 2 Views Rt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Select Health HMO 41 41% of all negotiated rates 332 percent of total billed charges 332 563 XR Hand 2 Views Rt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 374 percent of total billed charges 374 563 XR Hand 2 Views Rt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Sierra/HPN HMO 60 60% of all negotiated rates 225 percent of total billed charges 225 563 XR Hand 2 Views Rt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Silversummit Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Hand 2 Views Rt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 366 percent of total billed charges 366 563 XR Hand 2 Views Rt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Teachers Trust PPO 65 65% of all negotiated rates 197 percent of total billed charges 197 563 XR Hand 2 Views Rt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 TriWest PPO 30 30% of all negotiated rates 394 percent of total billed charges 394 563 XR Hand 2 Views Rt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 UHN-Universal Health Network PPO 70 70% of all negotiated rates 169 percent of total billed charges 169 563 XR Hand 2 Views Rt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 United Healthcare PPO 60 60% of all negotiated rates 225 percent of total billed charges 225 563 XR Hand 2 Views Rt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Aetna PPO 120 120% of Aetna market fee schedule 34 fee schedule 34 536 Coinsurance and deductible may apply XR Hand 2 Views Rt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 21 fee schedule 21 536 Coinsurance and deductible may apply XR Hand 2 Views Rt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 21 fee schedule 21 536 Coinsurance and deductible may apply XR Hand 2 Views Rt 73120 CPT 4051208 LOCAL 320 RC outpatient 563 478 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 21 fee schedule 21 536 Coinsurance and deductible may apply XR Hip 1 View Lt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 Aetna Medicare HMO 26 26% of all negotiated rates 616 percent of total billed charges 616 833 XR Hip 1 View Lt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 Alignment Medicare HMO 39 39% of all negotiated rates 508 percent of total billed charges 508 833 XR Hip 1 View Lt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 333 percent of total billed charges 333 833 XR Hip 1 View Lt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 416 percent of total billed charges 416 833 XR Hip 1 View Lt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 508 percent of total billed charges 508 833 XR Hip 1 View Lt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 Cigna PPO 68 68% of all negotiated rates 266 percent of total billed charges 266 833 XR Hip 1 View Lt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 Coalition PPO 57 57% of all negotiated rates 358 percent of total billed charges 358 833 XR Hip 1 View Lt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 Coventry PPO 75 75% of all negotiated rates 208 percent of total billed charges 208 833 XR Hip 1 View Lt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 167 percent of total billed charges 167 833 XR Hip 1 View Lt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 Humana-Commerical PPO 70 70% of all negotiated rates 250 percent of total billed charges 250 833 XR Hip 1 View Lt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 508 percent of total billed charges 508 833 XR Hip 1 View Lt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 Multiplan PPO 80 80% of all negotiated rates 167 percent of total billed charges 167 833 XR Hip 1 View Lt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 One Health PPO 55 55% of all negotiated rates 375 percent of total billed charges 375 833 XR Hip 1 View Lt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 Optum Medicare HMO 39 39% of all negotiated rates 508 percent of total billed charges 508 833 XR Hip 1 View Lt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 P3 HMO 39 39% of all negotiated rates 508 percent of total billed charges 508 833 XR Hip 1 View Lt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 250 percent of total billed charges 250 833 XR Hip 1 View Lt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 Select Health HMO 41 41% of all negotiated rates 491 percent of total billed charges 491 833 XR Hip 1 View Lt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 554 percent of total billed charges 554 833 XR Hip 1 View Lt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 Sierra/HPN HMO 60 60% of all negotiated rates 333 percent of total billed charges 333 833 XR Hip 1 View Lt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 Silversummit Medicare HMO 39 39% of all negotiated rates 508 percent of total billed charges 508 833 XR Hip 1 View Lt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 541 percent of total billed charges 541 833 XR Hip 1 View Lt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 Teachers Trust PPO 65 65% of all negotiated rates 291 percent of total billed charges 291 833 XR Hip 1 View Lt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 TriWest PPO 30 30% of all negotiated rates 583 percent of total billed charges 583 833 XR Hip 1 View Lt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 UHN-Universal Health Network PPO 70 70% of all negotiated rates 250 percent of total billed charges 250 833 XR Hip 1 View Lt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 United Healthcare PPO 60 60% of all negotiated rates 333 percent of total billed charges 333 833 XR Hip 1 View Lt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 Aetna PPO 120 120% of Aetna market fee schedule 34 fee schedule 34 793 Coinsurance and deductible may apply XR Hip 1 View Lt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 21 fee schedule 21 793 Coinsurance and deductible may apply XR Hip 1 View Lt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 21 fee schedule 21 793 Coinsurance and deductible may apply XR Hip 1 View Lt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 21 fee schedule 21 793 Coinsurance and deductible may apply XR Hip 1 View Rt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 Aetna Medicare HMO 26 26% of all negotiated rates 616 percent of total billed charges 616 833 XR Hip 1 View Rt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 Alignment Medicare HMO 39 39% of all negotiated rates 508 percent of total billed charges 508 833 XR Hip 1 View Rt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 333 percent of total billed charges 333 833 XR Hip 1 View Rt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 416 percent of total billed charges 416 833 XR Hip 1 View Rt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 508 percent of total billed charges 508 833 XR Hip 1 View Rt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 Cigna PPO 68 68% of all negotiated rates 266 percent of total billed charges 266 833 XR Hip 1 View Rt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 Coalition PPO 57 57% of all negotiated rates 358 percent of total billed charges 358 833 XR Hip 1 View Rt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 Coventry PPO 75 75% of all negotiated rates 208 percent of total billed charges 208 833 XR Hip 1 View Rt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 167 percent of total billed charges 167 833 XR Hip 1 View Rt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 Humana-Commerical PPO 70 70% of all negotiated rates 250 percent of total billed charges 250 833 XR Hip 1 View Rt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 508 percent of total billed charges 508 833 XR Hip 1 View Rt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 Multiplan PPO 80 80% of all negotiated rates 167 percent of total billed charges 167 833 XR Hip 1 View Rt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 One Health PPO 55 55% of all negotiated rates 375 percent of total billed charges 375 833 XR Hip 1 View Rt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 Optum Medicare HMO 39 39% of all negotiated rates 508 percent of total billed charges 508 833 XR Hip 1 View Rt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 P3 HMO 39 39% of all negotiated rates 508 percent of total billed charges 508 833 XR Hip 1 View Rt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 250 percent of total billed charges 250 833 XR Hip 1 View Rt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 Select Health HMO 41 41% of all negotiated rates 491 percent of total billed charges 491 833 XR Hip 1 View Rt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 554 percent of total billed charges 554 833 XR Hip 1 View Rt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 Sierra/HPN HMO 60 60% of all negotiated rates 333 percent of total billed charges 333 833 XR Hip 1 View Rt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 Silversummit Medicare HMO 39 39% of all negotiated rates 508 percent of total billed charges 508 833 XR Hip 1 View Rt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 541 percent of total billed charges 541 833 XR Hip 1 View Rt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 Teachers Trust PPO 65 65% of all negotiated rates 291 percent of total billed charges 291 833 XR Hip 1 View Rt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 TriWest PPO 30 30% of all negotiated rates 583 percent of total billed charges 583 833 XR Hip 1 View Rt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 UHN-Universal Health Network PPO 70 70% of all negotiated rates 250 percent of total billed charges 250 833 XR Hip 1 View Rt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 United Healthcare PPO 60 60% of all negotiated rates 333 percent of total billed charges 333 833 XR Hip 1 View Rt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 Aetna PPO 120 120% of Aetna market fee schedule 34 fee schedule 34 793 Coinsurance and deductible may apply XR Hip 1 View Rt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 21 fee schedule 21 793 Coinsurance and deductible may apply XR Hip 1 View Rt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 21 fee schedule 21 793 Coinsurance and deductible may apply XR Hip 1 View Rt 73501 CPT 4053501 LOCAL 320 RC outpatient 833 708 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 21 fee schedule 21 793 Coinsurance and deductible may apply XR Hip 2-3 Views Lt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 Aetna Medicare HMO 26 26% of all negotiated rates 629 percent of total billed charges 629 851 XR Hip 2-3 Views Lt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 Alignment Medicare HMO 39 39% of all negotiated rates 519 percent of total billed charges 519 851 XR Hip 2-3 Views Lt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 340 percent of total billed charges 340 851 XR Hip 2-3 Views Lt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 425 percent of total billed charges 425 851 XR Hip 2-3 Views Lt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 519 percent of total billed charges 519 851 XR Hip 2-3 Views Lt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 Cigna PPO 68 68% of all negotiated rates 272 percent of total billed charges 272 851 XR Hip 2-3 Views Lt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 Coalition PPO 57 57% of all negotiated rates 366 percent of total billed charges 366 851 XR Hip 2-3 Views Lt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 Coventry PPO 75 75% of all negotiated rates 213 percent of total billed charges 213 851 XR Hip 2-3 Views Lt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 170 percent of total billed charges 170 851 XR Hip 2-3 Views Lt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 Humana-Commerical PPO 70 70% of all negotiated rates 255 percent of total billed charges 255 851 XR Hip 2-3 Views Lt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 519 percent of total billed charges 519 851 XR Hip 2-3 Views Lt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 Multiplan PPO 80 80% of all negotiated rates 170 percent of total billed charges 170 851 XR Hip 2-3 Views Lt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 One Health PPO 55 55% of all negotiated rates 383 percent of total billed charges 383 851 XR Hip 2-3 Views Lt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 Optum Medicare HMO 39 39% of all negotiated rates 519 percent of total billed charges 519 851 XR Hip 2-3 Views Lt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 P3 HMO 39 39% of all negotiated rates 519 percent of total billed charges 519 851 XR Hip 2-3 Views Lt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 255 percent of total billed charges 255 851 XR Hip 2-3 Views Lt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 Select Health HMO 41 41% of all negotiated rates 502 percent of total billed charges 502 851 XR Hip 2-3 Views Lt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 566 percent of total billed charges 566 851 XR Hip 2-3 Views Lt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 Sierra/HPN HMO 60 60% of all negotiated rates 340 percent of total billed charges 340 851 XR Hip 2-3 Views Lt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 Silversummit Medicare HMO 39 39% of all negotiated rates 519 percent of total billed charges 519 851 XR Hip 2-3 Views Lt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 553 percent of total billed charges 553 851 XR Hip 2-3 Views Lt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 Teachers Trust PPO 65 65% of all negotiated rates 298 percent of total billed charges 298 851 XR Hip 2-3 Views Lt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 TriWest PPO 30 30% of all negotiated rates 595 percent of total billed charges 595 851 XR Hip 2-3 Views Lt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 UHN-Universal Health Network PPO 70 70% of all negotiated rates 255 percent of total billed charges 255 851 XR Hip 2-3 Views Lt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 United Healthcare PPO 60 60% of all negotiated rates 340 percent of total billed charges 340 851 XR Hip 2-3 Views Lt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 Aetna PPO 120 120% of Aetna market fee schedule 48 fee schedule 48 810 Coinsurance and deductible may apply XR Hip 2-3 Views Lt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 32 fee schedule 32 810 Coinsurance and deductible may apply XR Hip 2-3 Views Lt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 32 fee schedule 32 810 Coinsurance and deductible may apply XR Hip 2-3 Views Lt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 32 fee schedule 32 810 Coinsurance and deductible may apply XR Hip 2-3 Views Rt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 Aetna Medicare HMO 26 26% of all negotiated rates 629 percent of total billed charges 629 851 XR Hip 2-3 Views Rt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 Alignment Medicare HMO 39 39% of all negotiated rates 519 percent of total billed charges 519 851 XR Hip 2-3 Views Rt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 340 percent of total billed charges 340 851 XR Hip 2-3 Views Rt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 425 percent of total billed charges 425 851 XR Hip 2-3 Views Rt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 519 percent of total billed charges 519 851 XR Hip 2-3 Views Rt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 Cigna PPO 68 68% of all negotiated rates 272 percent of total billed charges 272 851 XR Hip 2-3 Views Rt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 Coalition PPO 57 57% of all negotiated rates 366 percent of total billed charges 366 851 XR Hip 2-3 Views Rt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 Coventry PPO 75 75% of all negotiated rates 213 percent of total billed charges 213 851 XR Hip 2-3 Views Rt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 170 percent of total billed charges 170 851 XR Hip 2-3 Views Rt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 Humana-Commerical PPO 70 70% of all negotiated rates 255 percent of total billed charges 255 851 XR Hip 2-3 Views Rt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 519 percent of total billed charges 519 851 XR Hip 2-3 Views Rt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 Multiplan PPO 80 80% of all negotiated rates 170 percent of total billed charges 170 851 XR Hip 2-3 Views Rt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 One Health PPO 55 55% of all negotiated rates 383 percent of total billed charges 383 851 XR Hip 2-3 Views Rt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 Optum Medicare HMO 39 39% of all negotiated rates 519 percent of total billed charges 519 851 XR Hip 2-3 Views Rt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 P3 HMO 39 39% of all negotiated rates 519 percent of total billed charges 519 851 XR Hip 2-3 Views Rt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 255 percent of total billed charges 255 851 XR Hip 2-3 Views Rt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 Select Health HMO 41 41% of all negotiated rates 502 percent of total billed charges 502 851 XR Hip 2-3 Views Rt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 566 percent of total billed charges 566 851 XR Hip 2-3 Views Rt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 Sierra/HPN HMO 60 60% of all negotiated rates 340 percent of total billed charges 340 851 XR Hip 2-3 Views Rt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 Silversummit Medicare HMO 39 39% of all negotiated rates 519 percent of total billed charges 519 851 XR Hip 2-3 Views Rt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 553 percent of total billed charges 553 851 XR Hip 2-3 Views Rt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 Teachers Trust PPO 65 65% of all negotiated rates 298 percent of total billed charges 298 851 XR Hip 2-3 Views Rt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 TriWest PPO 30 30% of all negotiated rates 595 percent of total billed charges 595 851 XR Hip 2-3 Views Rt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 UHN-Universal Health Network PPO 70 70% of all negotiated rates 255 percent of total billed charges 255 851 XR Hip 2-3 Views Rt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 United Healthcare PPO 60 60% of all negotiated rates 340 percent of total billed charges 340 851 XR Hip 2-3 Views Rt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 Aetna PPO 120 120% of Aetna market fee schedule 48 fee schedule 48 810 Coinsurance and deductible may apply XR Hip 2-3 Views Rt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 32 fee schedule 32 810 Coinsurance and deductible may apply XR Hip 2-3 Views Rt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 32 fee schedule 32 810 Coinsurance and deductible may apply XR Hip 2-3 Views Rt w/ Pelvis 73502 CPT 4053502 LOCAL 320 RC outpatient 851 723 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 32 fee schedule 32 810 Coinsurance and deductible may apply XR Hip Comp Min 2 Views Lt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 Aetna Medicare HMO 26 26% of all negotiated rates 503 percent of total billed charges 503 680 XR Hip Comp Min 2 Views Lt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 Alignment Medicare HMO 39 39% of all negotiated rates 415 percent of total billed charges 415 680 XR Hip Comp Min 2 Views Lt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 272 percent of total billed charges 272 680 XR Hip Comp Min 2 Views Lt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 340 percent of total billed charges 340 680 XR Hip Comp Min 2 Views Lt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 415 percent of total billed charges 415 680 XR Hip Comp Min 2 Views Lt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 Cigna PPO 68 68% of all negotiated rates 218 percent of total billed charges 218 680 XR Hip Comp Min 2 Views Lt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 Coalition PPO 57 57% of all negotiated rates 293 percent of total billed charges 293 680 XR Hip Comp Min 2 Views Lt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 Coventry PPO 75 75% of all negotiated rates 170 percent of total billed charges 170 680 XR Hip Comp Min 2 Views Lt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 136 percent of total billed charges 136 680 XR Hip Comp Min 2 Views Lt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 Humana-Commerical PPO 70 70% of all negotiated rates 204 percent of total billed charges 204 680 XR Hip Comp Min 2 Views Lt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 415 percent of total billed charges 415 680 XR Hip Comp Min 2 Views Lt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 Multiplan PPO 80 80% of all negotiated rates 136 percent of total billed charges 136 680 XR Hip Comp Min 2 Views Lt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 One Health PPO 55 55% of all negotiated rates 306 percent of total billed charges 306 680 XR Hip Comp Min 2 Views Lt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 Optum Medicare HMO 39 39% of all negotiated rates 415 percent of total billed charges 415 680 XR Hip Comp Min 2 Views Lt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 P3 HMO 39 39% of all negotiated rates 415 percent of total billed charges 415 680 XR Hip Comp Min 2 Views Lt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 204 percent of total billed charges 204 680 XR Hip Comp Min 2 Views Lt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 Select Health HMO 41 41% of all negotiated rates 401 percent of total billed charges 401 680 XR Hip Comp Min 2 Views Lt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 452 percent of total billed charges 452 680 XR Hip Comp Min 2 Views Lt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 Sierra/HPN HMO 60 60% of all negotiated rates 272 percent of total billed charges 272 680 XR Hip Comp Min 2 Views Lt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 Silversummit Medicare HMO 39 39% of all negotiated rates 415 percent of total billed charges 415 680 XR Hip Comp Min 2 Views Lt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 442 percent of total billed charges 442 680 XR Hip Comp Min 2 Views Lt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 Teachers Trust PPO 65 65% of all negotiated rates 238 percent of total billed charges 238 680 XR Hip Comp Min 2 Views Lt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 TriWest PPO 30 30% of all negotiated rates 476 percent of total billed charges 476 680 XR Hip Comp Min 2 Views Lt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 UHN-Universal Health Network PPO 70 70% of all negotiated rates 204 percent of total billed charges 204 680 XR Hip Comp Min 2 Views Lt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 United Healthcare PPO 60 60% of all negotiated rates 272 percent of total billed charges 272 680 XR Hip Comp Min 2 Views Lt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 Aetna PPO 120 120% of Aetna market fee schedule 48 fee schedule 48 648 Coinsurance and deductible may apply XR Hip Comp Min 2 Views Lt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 32 fee schedule 32 648 Coinsurance and deductible may apply XR Hip Comp Min 2 Views Lt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 32 fee schedule 32 648 Coinsurance and deductible may apply XR Hip Comp Min 2 Views Lt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 32 fee schedule 32 648 Coinsurance and deductible may apply XR Hip Comp Min 2 Views Rt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 Aetna Medicare HMO 26 26% of all negotiated rates 503 percent of total billed charges 503 680 XR Hip Comp Min 2 Views Rt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 Alignment Medicare HMO 39 39% of all negotiated rates 415 percent of total billed charges 415 680 XR Hip Comp Min 2 Views Rt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 272 percent of total billed charges 272 680 XR Hip Comp Min 2 Views Rt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 340 percent of total billed charges 340 680 XR Hip Comp Min 2 Views Rt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 415 percent of total billed charges 415 680 XR Hip Comp Min 2 Views Rt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 Cigna PPO 68 68% of all negotiated rates 218 percent of total billed charges 218 680 XR Hip Comp Min 2 Views Rt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 Coalition PPO 57 57% of all negotiated rates 293 percent of total billed charges 293 680 XR Hip Comp Min 2 Views Rt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 Coventry PPO 75 75% of all negotiated rates 170 percent of total billed charges 170 680 XR Hip Comp Min 2 Views Rt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 136 percent of total billed charges 136 680 XR Hip Comp Min 2 Views Rt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 Humana-Commerical PPO 70 70% of all negotiated rates 204 percent of total billed charges 204 680 XR Hip Comp Min 2 Views Rt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 415 percent of total billed charges 415 680 XR Hip Comp Min 2 Views Rt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 Multiplan PPO 80 80% of all negotiated rates 136 percent of total billed charges 136 680 XR Hip Comp Min 2 Views Rt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 One Health PPO 55 55% of all negotiated rates 306 percent of total billed charges 306 680 XR Hip Comp Min 2 Views Rt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 Optum Medicare HMO 39 39% of all negotiated rates 415 percent of total billed charges 415 680 XR Hip Comp Min 2 Views Rt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 P3 HMO 39 39% of all negotiated rates 415 percent of total billed charges 415 680 XR Hip Comp Min 2 Views Rt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 204 percent of total billed charges 204 680 XR Hip Comp Min 2 Views Rt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 Select Health HMO 41 41% of all negotiated rates 401 percent of total billed charges 401 680 XR Hip Comp Min 2 Views Rt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 452 percent of total billed charges 452 680 XR Hip Comp Min 2 Views Rt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 Sierra/HPN HMO 60 60% of all negotiated rates 272 percent of total billed charges 272 680 XR Hip Comp Min 2 Views Rt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 Silversummit Medicare HMO 39 39% of all negotiated rates 415 percent of total billed charges 415 680 XR Hip Comp Min 2 Views Rt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 442 percent of total billed charges 442 680 XR Hip Comp Min 2 Views Rt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 Teachers Trust PPO 65 65% of all negotiated rates 238 percent of total billed charges 238 680 XR Hip Comp Min 2 Views Rt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 TriWest PPO 30 30% of all negotiated rates 476 percent of total billed charges 476 680 XR Hip Comp Min 2 Views Rt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 UHN-Universal Health Network PPO 70 70% of all negotiated rates 204 percent of total billed charges 204 680 XR Hip Comp Min 2 Views Rt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 United Healthcare PPO 60 60% of all negotiated rates 272 percent of total billed charges 272 680 XR Hip Comp Min 2 Views Rt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 Aetna PPO 120 120% of Aetna market fee schedule 48 fee schedule 48 648 Coinsurance and deductible may apply XR Hip Comp Min 2 Views Rt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 32 fee schedule 32 648 Coinsurance and deductible may apply XR Hip Comp Min 2 Views Rt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 32 fee schedule 32 648 Coinsurance and deductible may apply XR Hip Comp Min 2 Views Rt 73502 CPT 4055100 LOCAL 320 RC outpatient 680 578 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 32 fee schedule 32 648 Coinsurance and deductible may apply XR Hip Min 2 Views Bil w/ Pelvis 73521 CPT 4055100 LOCAL 320 RC outpatient 680 578 Aetna Medicare HMO 26 26% of all negotiated rates 503 percent of total billed charges 503 680 XR Hip Min 2 Views Bil w/ Pelvis 73521 CPT 4055100 LOCAL 320 RC outpatient 680 578 Alignment Medicare HMO 39 39% of all negotiated rates 415 percent of total billed charges 415 680 XR Hip Min 2 Views Bil w/ Pelvis 73521 CPT 4055100 LOCAL 320 RC outpatient 680 578 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 272 percent of total billed charges 272 680 XR Hip Min 2 Views Bil w/ Pelvis 73521 CPT 4055100 LOCAL 320 RC outpatient 680 578 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 340 percent of total billed charges 340 680 XR Hip Min 2 Views Bil w/ Pelvis 73521 CPT 4055100 LOCAL 320 RC outpatient 680 578 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 415 percent of total billed charges 415 680 XR Hip Min 2 Views Bil w/ Pelvis 73521 CPT 4055100 LOCAL 320 RC outpatient 680 578 Cigna PPO 68 68% of all negotiated rates 218 percent of total billed charges 218 680 XR Hip Min 2 Views Bil w/ Pelvis 73521 CPT 4055100 LOCAL 320 RC outpatient 680 578 Coalition PPO 57 57% of all negotiated rates 293 percent of total billed charges 293 680 XR Hip Min 2 Views Bil w/ Pelvis 73521 CPT 4055100 LOCAL 320 RC outpatient 680 578 Coventry PPO 75 75% of all negotiated rates 170 percent of total billed charges 170 680 XR Hip Min 2 Views Bil w/ Pelvis 73521 CPT 4055100 LOCAL 320 RC outpatient 680 578 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 136 percent of total billed charges 136 680 XR Hip Min 2 Views Bil w/ Pelvis 73521 CPT 4055100 LOCAL 320 RC outpatient 680 578 Humana-Commerical PPO 70 70% of all negotiated rates 204 percent of total billed charges 204 680 XR Hip Min 2 Views Bil w/ Pelvis 73521 CPT 4055100 LOCAL 320 RC outpatient 680 578 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 415 percent of total billed charges 415 680 XR Hip Min 2 Views Bil w/ Pelvis 73521 CPT 4055100 LOCAL 320 RC outpatient 680 578 Multiplan PPO 80 80% of all negotiated rates 136 percent of total billed charges 136 680 XR Hip Min 2 Views Bil w/ Pelvis 73521 CPT 4055100 LOCAL 320 RC outpatient 680 578 One Health PPO 55 55% of all negotiated rates 306 percent of total billed charges 306 680 XR Hip Min 2 Views Bil w/ Pelvis 73521 CPT 4055100 LOCAL 320 RC outpatient 680 578 Optum Medicare HMO 39 39% of all negotiated rates 415 percent of total billed charges 415 680 XR Hip Min 2 Views Bil w/ Pelvis 73521 CPT 4055100 LOCAL 320 RC outpatient 680 578 P3 HMO 39 39% of all negotiated rates 415 percent of total billed charges 415 680 XR Hip Min 2 Views Bil w/ Pelvis 73521 CPT 4055100 LOCAL 320 RC outpatient 680 578 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 204 percent of total billed charges 204 680 XR Hip Min 2 Views Bil w/ Pelvis 73521 CPT 4055100 LOCAL 320 RC outpatient 680 578 Select Health HMO 41 41% of all negotiated rates 401 percent of total billed charges 401 680 XR Hip Min 2 Views Bil w/ Pelvis 73521 CPT 4055100 LOCAL 320 RC outpatient 680 578 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 452 percent of total billed charges 452 680 XR Hip Min 2 Views Bil w/ Pelvis 73521 CPT 4055100 LOCAL 320 RC outpatient 680 578 Sierra/HPN HMO 60 60% of all negotiated rates 272 percent of total billed charges 272 680 XR Hip Min 2 Views Bil w/ Pelvis 73521 CPT 4055100 LOCAL 320 RC outpatient 680 578 Silversummit Medicare HMO 39 39% of all negotiated rates 415 percent of total billed charges 415 680 XR Hip Min 2 Views Bil w/ Pelvis 73521 CPT 4055100 LOCAL 320 RC outpatient 680 578 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 442 percent of total billed charges 442 680 XR Hip Min 2 Views Bil w/ Pelvis 73521 CPT 4055100 LOCAL 320 RC outpatient 680 578 Teachers Trust PPO 65 65% of all negotiated rates 238 percent of total billed charges 238 680 XR Hip Min 2 Views Bil w/ Pelvis 73521 CPT 4055100 LOCAL 320 RC outpatient 680 578 TriWest PPO 30 30% of all negotiated rates 476 percent of total billed charges 476 680 XR Hip Min 2 Views Bil w/ Pelvis 73521 CPT 4055100 LOCAL 320 RC outpatient 680 578 UHN-Universal Health Network PPO 70 70% of all negotiated rates 204 percent of total billed charges 204 680 XR Hip Min 2 Views Bil w/ Pelvis 73521 CPT 4055100 LOCAL 320 RC outpatient 680 578 United Healthcare PPO 60 60% of all negotiated rates 272 percent of total billed charges 272 680 XR Hip Min 2 Views Bil w/ Pelvis 73521 CPT 4055100 LOCAL 320 RC outpatient 680 578 Aetna PPO 120 120% of Aetna market fee schedule 46 fee schedule 46 648 Coinsurance and deductible may apply XR Hip Min 2 Views Bil w/ Pelvis 73521 CPT 4055100 LOCAL 320 RC outpatient 680 578 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 29 fee schedule 29 648 Coinsurance and deductible may apply XR Hip Min 2 Views Bil w/ Pelvis 73521 CPT 4055100 LOCAL 320 RC outpatient 680 578 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 29 fee schedule 29 648 Coinsurance and deductible may apply XR Hip Min 2 Views Bil w/ Pelvis 73521 CPT 4055100 LOCAL 320 RC outpatient 680 578 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 29 fee schedule 29 648 Coinsurance and deductible may apply XR Humerus Min 2 Views Bil 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Aetna Medicare HMO 26 26% of all negotiated rates 466 percent of total billed charges 466 630 XR Humerus Min 2 Views Bil 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Alignment Medicare HMO 39 39% of all negotiated rates 384 percent of total billed charges 384 630 XR Humerus Min 2 Views Bil 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 252 percent of total billed charges 252 630 XR Humerus Min 2 Views Bil 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 315 percent of total billed charges 315 630 XR Humerus Min 2 Views Bil 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 384 percent of total billed charges 384 630 XR Humerus Min 2 Views Bil 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Cigna PPO 68 68% of all negotiated rates 202 percent of total billed charges 202 630 XR Humerus Min 2 Views Bil 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Coalition PPO 57 57% of all negotiated rates 271 percent of total billed charges 271 630 XR Humerus Min 2 Views Bil 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Coventry PPO 75 75% of all negotiated rates 158 percent of total billed charges 158 630 XR Humerus Min 2 Views Bil 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 126 percent of total billed charges 126 630 XR Humerus Min 2 Views Bil 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Humana-Commerical PPO 70 70% of all negotiated rates 189 percent of total billed charges 189 630 XR Humerus Min 2 Views Bil 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 384 percent of total billed charges 384 630 XR Humerus Min 2 Views Bil 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Multiplan PPO 80 80% of all negotiated rates 126 percent of total billed charges 126 630 XR Humerus Min 2 Views Bil 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 One Health PPO 55 55% of all negotiated rates 284 percent of total billed charges 284 630 XR Humerus Min 2 Views Bil 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Optum Medicare HMO 39 39% of all negotiated rates 384 percent of total billed charges 384 630 XR Humerus Min 2 Views Bil 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 P3 HMO 39 39% of all negotiated rates 384 percent of total billed charges 384 630 XR Humerus Min 2 Views Bil 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 189 percent of total billed charges 189 630 XR Humerus Min 2 Views Bil 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Select Health HMO 41 41% of all negotiated rates 372 percent of total billed charges 372 630 XR Humerus Min 2 Views Bil 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 419 percent of total billed charges 419 630 XR Humerus Min 2 Views Bil 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Sierra/HPN HMO 60 60% of all negotiated rates 252 percent of total billed charges 252 630 XR Humerus Min 2 Views Bil 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Silversummit Medicare HMO 39 39% of all negotiated rates 384 percent of total billed charges 384 630 XR Humerus Min 2 Views Bil 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 410 percent of total billed charges 410 630 XR Humerus Min 2 Views Bil 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Teachers Trust PPO 65 65% of all negotiated rates 221 percent of total billed charges 221 630 XR Humerus Min 2 Views Bil 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 TriWest PPO 30 30% of all negotiated rates 441 percent of total billed charges 441 630 XR Humerus Min 2 Views Bil 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 UHN-Universal Health Network PPO 70 70% of all negotiated rates 189 percent of total billed charges 189 630 XR Humerus Min 2 Views Bil 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 United Healthcare PPO 60 60% of all negotiated rates 252 percent of total billed charges 252 630 XR Humerus Min 2 Views Bil 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Aetna PPO 120 120% of Aetna market fee schedule 35 fee schedule 35 600 Coinsurance and deductible may apply XR Humerus Min 2 Views Bil 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 22 fee schedule 22 600 Coinsurance and deductible may apply XR Humerus Min 2 Views Bil 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 22 fee schedule 22 600 Coinsurance and deductible may apply XR Humerus Min 2 Views Bil 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 22 fee schedule 22 600 Coinsurance and deductible may apply XR Humerus Min 2 Views Lt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Aetna Medicare HMO 26 26% of all negotiated rates 466 percent of total billed charges 466 630 XR Humerus Min 2 Views Lt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Alignment Medicare HMO 39 39% of all negotiated rates 384 percent of total billed charges 384 630 XR Humerus Min 2 Views Lt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 252 percent of total billed charges 252 630 XR Humerus Min 2 Views Lt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 315 percent of total billed charges 315 630 XR Humerus Min 2 Views Lt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 384 percent of total billed charges 384 630 XR Humerus Min 2 Views Lt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Cigna PPO 68 68% of all negotiated rates 202 percent of total billed charges 202 630 XR Humerus Min 2 Views Lt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Coalition PPO 57 57% of all negotiated rates 271 percent of total billed charges 271 630 XR Humerus Min 2 Views Lt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Coventry PPO 75 75% of all negotiated rates 158 percent of total billed charges 158 630 XR Humerus Min 2 Views Lt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 126 percent of total billed charges 126 630 XR Humerus Min 2 Views Lt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Humana-Commerical PPO 70 70% of all negotiated rates 189 percent of total billed charges 189 630 XR Humerus Min 2 Views Lt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 384 percent of total billed charges 384 630 XR Humerus Min 2 Views Lt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Multiplan PPO 80 80% of all negotiated rates 126 percent of total billed charges 126 630 XR Humerus Min 2 Views Lt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 One Health PPO 55 55% of all negotiated rates 284 percent of total billed charges 284 630 XR Humerus Min 2 Views Lt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Optum Medicare HMO 39 39% of all negotiated rates 384 percent of total billed charges 384 630 XR Humerus Min 2 Views Lt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 P3 HMO 39 39% of all negotiated rates 384 percent of total billed charges 384 630 XR Humerus Min 2 Views Lt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 189 percent of total billed charges 189 630 XR Humerus Min 2 Views Lt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Select Health HMO 41 41% of all negotiated rates 372 percent of total billed charges 372 630 XR Humerus Min 2 Views Lt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 419 percent of total billed charges 419 630 XR Humerus Min 2 Views Lt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Sierra/HPN HMO 60 60% of all negotiated rates 252 percent of total billed charges 252 630 XR Humerus Min 2 Views Lt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Silversummit Medicare HMO 39 39% of all negotiated rates 384 percent of total billed charges 384 630 XR Humerus Min 2 Views Lt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 410 percent of total billed charges 410 630 XR Humerus Min 2 Views Lt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Teachers Trust PPO 65 65% of all negotiated rates 221 percent of total billed charges 221 630 XR Humerus Min 2 Views Lt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 TriWest PPO 30 30% of all negotiated rates 441 percent of total billed charges 441 630 XR Humerus Min 2 Views Lt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 UHN-Universal Health Network PPO 70 70% of all negotiated rates 189 percent of total billed charges 189 630 XR Humerus Min 2 Views Lt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 United Healthcare PPO 60 60% of all negotiated rates 252 percent of total billed charges 252 630 XR Humerus Min 2 Views Lt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Aetna PPO 120 120% of Aetna market fee schedule 35 fee schedule 35 600 Coinsurance and deductible may apply XR Humerus Min 2 Views Lt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 22 fee schedule 22 600 Coinsurance and deductible may apply XR Humerus Min 2 Views Lt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 22 fee schedule 22 600 Coinsurance and deductible may apply XR Humerus Min 2 Views Lt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 22 fee schedule 22 600 Coinsurance and deductible may apply XR Humerus Min 2 Views Rt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Aetna Medicare HMO 26 26% of all negotiated rates 466 percent of total billed charges 466 630 XR Humerus Min 2 Views Rt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Alignment Medicare HMO 39 39% of all negotiated rates 384 percent of total billed charges 384 630 XR Humerus Min 2 Views Rt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 252 percent of total billed charges 252 630 XR Humerus Min 2 Views Rt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 315 percent of total billed charges 315 630 XR Humerus Min 2 Views Rt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 384 percent of total billed charges 384 630 XR Humerus Min 2 Views Rt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Cigna PPO 68 68% of all negotiated rates 202 percent of total billed charges 202 630 XR Humerus Min 2 Views Rt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Coalition PPO 57 57% of all negotiated rates 271 percent of total billed charges 271 630 XR Humerus Min 2 Views Rt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Coventry PPO 75 75% of all negotiated rates 158 percent of total billed charges 158 630 XR Humerus Min 2 Views Rt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 126 percent of total billed charges 126 630 XR Humerus Min 2 Views Rt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Humana-Commerical PPO 70 70% of all negotiated rates 189 percent of total billed charges 189 630 XR Humerus Min 2 Views Rt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 384 percent of total billed charges 384 630 XR Humerus Min 2 Views Rt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Multiplan PPO 80 80% of all negotiated rates 126 percent of total billed charges 126 630 XR Humerus Min 2 Views Rt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 One Health PPO 55 55% of all negotiated rates 284 percent of total billed charges 284 630 XR Humerus Min 2 Views Rt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Optum Medicare HMO 39 39% of all negotiated rates 384 percent of total billed charges 384 630 XR Humerus Min 2 Views Rt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 P3 HMO 39 39% of all negotiated rates 384 percent of total billed charges 384 630 XR Humerus Min 2 Views Rt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 189 percent of total billed charges 189 630 XR Humerus Min 2 Views Rt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Select Health HMO 41 41% of all negotiated rates 372 percent of total billed charges 372 630 XR Humerus Min 2 Views Rt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 419 percent of total billed charges 419 630 XR Humerus Min 2 Views Rt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Sierra/HPN HMO 60 60% of all negotiated rates 252 percent of total billed charges 252 630 XR Humerus Min 2 Views Rt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Silversummit Medicare HMO 39 39% of all negotiated rates 384 percent of total billed charges 384 630 XR Humerus Min 2 Views Rt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 410 percent of total billed charges 410 630 XR Humerus Min 2 Views Rt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Teachers Trust PPO 65 65% of all negotiated rates 221 percent of total billed charges 221 630 XR Humerus Min 2 Views Rt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 TriWest PPO 30 30% of all negotiated rates 441 percent of total billed charges 441 630 XR Humerus Min 2 Views Rt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 UHN-Universal Health Network PPO 70 70% of all negotiated rates 189 percent of total billed charges 189 630 XR Humerus Min 2 Views Rt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 United Healthcare PPO 60 60% of all negotiated rates 252 percent of total billed charges 252 630 XR Humerus Min 2 Views Rt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Aetna PPO 120 120% of Aetna market fee schedule 35 fee schedule 35 600 Coinsurance and deductible may apply XR Humerus Min 2 Views Rt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 22 fee schedule 22 600 Coinsurance and deductible may apply XR Humerus Min 2 Views Rt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 22 fee schedule 22 600 Coinsurance and deductible may apply XR Humerus Min 2 Views Rt 73060 CPT 4050606 LOCAL 320 RC outpatient 630 536 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 22 fee schedule 22 600 Coinsurance and deductible may apply XR Knee 1 or 2 Views Bil 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Aetna Medicare HMO 26 26% of all negotiated rates 346 percent of total billed charges 346 467 XR Knee 1 or 2 Views Bil 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Alignment Medicare HMO 39 39% of all negotiated rates 285 percent of total billed charges 285 467 XR Knee 1 or 2 Views Bil 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 187 percent of total billed charges 187 467 XR Knee 1 or 2 Views Bil 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 234 percent of total billed charges 234 467 XR Knee 1 or 2 Views Bil 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 285 percent of total billed charges 285 467 XR Knee 1 or 2 Views Bil 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Cigna PPO 68 68% of all negotiated rates 150 percent of total billed charges 150 467 XR Knee 1 or 2 Views Bil 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Coalition PPO 57 57% of all negotiated rates 201 percent of total billed charges 201 467 XR Knee 1 or 2 Views Bil 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Coventry PPO 75 75% of all negotiated rates 117 percent of total billed charges 117 467 XR Knee 1 or 2 Views Bil 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 93 percent of total billed charges 93 467 XR Knee 1 or 2 Views Bil 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Humana-Commerical PPO 70 70% of all negotiated rates 140 percent of total billed charges 140 467 XR Knee 1 or 2 Views Bil 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 285 percent of total billed charges 285 467 XR Knee 1 or 2 Views Bil 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Multiplan PPO 80 80% of all negotiated rates 93 percent of total billed charges 93 467 XR Knee 1 or 2 Views Bil 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 One Health PPO 55 55% of all negotiated rates 210 percent of total billed charges 210 467 XR Knee 1 or 2 Views Bil 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Optum Medicare HMO 39 39% of all negotiated rates 285 percent of total billed charges 285 467 XR Knee 1 or 2 Views Bil 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 P3 HMO 39 39% of all negotiated rates 285 percent of total billed charges 285 467 XR Knee 1 or 2 Views Bil 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 140 percent of total billed charges 140 467 XR Knee 1 or 2 Views Bil 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Select Health HMO 41 41% of all negotiated rates 276 percent of total billed charges 276 467 XR Knee 1 or 2 Views Bil 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 311 percent of total billed charges 311 467 XR Knee 1 or 2 Views Bil 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Sierra/HPN HMO 60 60% of all negotiated rates 187 percent of total billed charges 187 467 XR Knee 1 or 2 Views Bil 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Silversummit Medicare HMO 39 39% of all negotiated rates 285 percent of total billed charges 285 467 XR Knee 1 or 2 Views Bil 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 304 percent of total billed charges 304 467 XR Knee 1 or 2 Views Bil 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Teachers Trust PPO 65 65% of all negotiated rates 164 percent of total billed charges 164 467 XR Knee 1 or 2 Views Bil 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 TriWest PPO 30 30% of all negotiated rates 327 percent of total billed charges 327 467 XR Knee 1 or 2 Views Bil 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 UHN-Universal Health Network PPO 70 70% of all negotiated rates 140 percent of total billed charges 140 467 XR Knee 1 or 2 Views Bil 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 United Healthcare PPO 60 60% of all negotiated rates 187 percent of total billed charges 187 467 XR Knee 1 or 2 Views Bil 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Aetna PPO 120 120% of Aetna market fee schedule 38 fee schedule 38 445 Coinsurance and deductible may apply XR Knee 1 or 2 Views Bil 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 23 fee schedule 23 445 Coinsurance and deductible may apply XR Knee 1 or 2 Views Bil 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 23 fee schedule 23 445 Coinsurance and deductible may apply XR Knee 1 or 2 Views Bil 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 23 fee schedule 23 445 Coinsurance and deductible may apply XR Knee 1 or 2 Views Lt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Aetna Medicare HMO 26 26% of all negotiated rates 346 percent of total billed charges 346 467 XR Knee 1 or 2 Views Lt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Alignment Medicare HMO 39 39% of all negotiated rates 285 percent of total billed charges 285 467 XR Knee 1 or 2 Views Lt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 187 percent of total billed charges 187 467 XR Knee 1 or 2 Views Lt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 234 percent of total billed charges 234 467 XR Knee 1 or 2 Views Lt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 285 percent of total billed charges 285 467 XR Knee 1 or 2 Views Lt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Cigna PPO 68 68% of all negotiated rates 150 percent of total billed charges 150 467 XR Knee 1 or 2 Views Lt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Coalition PPO 57 57% of all negotiated rates 201 percent of total billed charges 201 467 XR Knee 1 or 2 Views Lt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Coventry PPO 75 75% of all negotiated rates 117 percent of total billed charges 117 467 XR Knee 1 or 2 Views Lt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 93 percent of total billed charges 93 467 XR Knee 1 or 2 Views Lt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Humana-Commerical PPO 70 70% of all negotiated rates 140 percent of total billed charges 140 467 XR Knee 1 or 2 Views Lt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 285 percent of total billed charges 285 467 XR Knee 1 or 2 Views Lt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Multiplan PPO 80 80% of all negotiated rates 93 percent of total billed charges 93 467 XR Knee 1 or 2 Views Lt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 One Health PPO 55 55% of all negotiated rates 210 percent of total billed charges 210 467 XR Knee 1 or 2 Views Lt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Optum Medicare HMO 39 39% of all negotiated rates 285 percent of total billed charges 285 467 XR Knee 1 or 2 Views Lt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 P3 HMO 39 39% of all negotiated rates 285 percent of total billed charges 285 467 XR Knee 1 or 2 Views Lt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 140 percent of total billed charges 140 467 XR Knee 1 or 2 Views Lt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Select Health HMO 41 41% of all negotiated rates 276 percent of total billed charges 276 467 XR Knee 1 or 2 Views Lt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 311 percent of total billed charges 311 467 XR Knee 1 or 2 Views Lt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Sierra/HPN HMO 60 60% of all negotiated rates 187 percent of total billed charges 187 467 XR Knee 1 or 2 Views Lt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Silversummit Medicare HMO 39 39% of all negotiated rates 285 percent of total billed charges 285 467 XR Knee 1 or 2 Views Lt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 304 percent of total billed charges 304 467 XR Knee 1 or 2 Views Lt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Teachers Trust PPO 65 65% of all negotiated rates 164 percent of total billed charges 164 467 XR Knee 1 or 2 Views Lt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 TriWest PPO 30 30% of all negotiated rates 327 percent of total billed charges 327 467 XR Knee 1 or 2 Views Lt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 UHN-Universal Health Network PPO 70 70% of all negotiated rates 140 percent of total billed charges 140 467 XR Knee 1 or 2 Views Lt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 United Healthcare PPO 60 60% of all negotiated rates 187 percent of total billed charges 187 467 XR Knee 1 or 2 Views Lt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Aetna PPO 120 120% of Aetna market fee schedule 38 fee schedule 38 445 Coinsurance and deductible may apply XR Knee 1 or 2 Views Lt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 23 fee schedule 23 445 Coinsurance and deductible may apply XR Knee 1 or 2 Views Lt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 23 fee schedule 23 445 Coinsurance and deductible may apply XR Knee 1 or 2 Views Lt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 23 fee schedule 23 445 Coinsurance and deductible may apply XR Knee 1 or 2 Views Rt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Aetna Medicare HMO 26 26% of all negotiated rates 346 percent of total billed charges 346 467 XR Knee 1 or 2 Views Rt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Alignment Medicare HMO 39 39% of all negotiated rates 285 percent of total billed charges 285 467 XR Knee 1 or 2 Views Rt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 187 percent of total billed charges 187 467 XR Knee 1 or 2 Views Rt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 234 percent of total billed charges 234 467 XR Knee 1 or 2 Views Rt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 285 percent of total billed charges 285 467 XR Knee 1 or 2 Views Rt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Cigna PPO 68 68% of all negotiated rates 150 percent of total billed charges 150 467 XR Knee 1 or 2 Views Rt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Coalition PPO 57 57% of all negotiated rates 201 percent of total billed charges 201 467 XR Knee 1 or 2 Views Rt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Coventry PPO 75 75% of all negotiated rates 117 percent of total billed charges 117 467 XR Knee 1 or 2 Views Rt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 93 percent of total billed charges 93 467 XR Knee 1 or 2 Views Rt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Humana-Commerical PPO 70 70% of all negotiated rates 140 percent of total billed charges 140 467 XR Knee 1 or 2 Views Rt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 285 percent of total billed charges 285 467 XR Knee 1 or 2 Views Rt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Multiplan PPO 80 80% of all negotiated rates 93 percent of total billed charges 93 467 XR Knee 1 or 2 Views Rt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 One Health PPO 55 55% of all negotiated rates 210 percent of total billed charges 210 467 XR Knee 1 or 2 Views Rt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Optum Medicare HMO 39 39% of all negotiated rates 285 percent of total billed charges 285 467 XR Knee 1 or 2 Views Rt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 P3 HMO 39 39% of all negotiated rates 285 percent of total billed charges 285 467 XR Knee 1 or 2 Views Rt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 140 percent of total billed charges 140 467 XR Knee 1 or 2 Views Rt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Select Health HMO 41 41% of all negotiated rates 276 percent of total billed charges 276 467 XR Knee 1 or 2 Views Rt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 311 percent of total billed charges 311 467 XR Knee 1 or 2 Views Rt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Sierra/HPN HMO 60 60% of all negotiated rates 187 percent of total billed charges 187 467 XR Knee 1 or 2 Views Rt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Silversummit Medicare HMO 39 39% of all negotiated rates 285 percent of total billed charges 285 467 XR Knee 1 or 2 Views Rt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 304 percent of total billed charges 304 467 XR Knee 1 or 2 Views Rt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Teachers Trust PPO 65 65% of all negotiated rates 164 percent of total billed charges 164 467 XR Knee 1 or 2 Views Rt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 TriWest PPO 30 30% of all negotiated rates 327 percent of total billed charges 327 467 XR Knee 1 or 2 Views Rt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 UHN-Universal Health Network PPO 70 70% of all negotiated rates 140 percent of total billed charges 140 467 XR Knee 1 or 2 Views Rt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 United Healthcare PPO 60 60% of all negotiated rates 187 percent of total billed charges 187 467 XR Knee 1 or 2 Views Rt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Aetna PPO 120 120% of Aetna market fee schedule 38 fee schedule 38 445 Coinsurance and deductible may apply XR Knee 1 or 2 Views Rt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 23 fee schedule 23 445 Coinsurance and deductible may apply XR Knee 1 or 2 Views Rt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 23 fee schedule 23 445 Coinsurance and deductible may apply XR Knee 1 or 2 Views Rt 73560 CPT 4055605 LOCAL 320 RC outpatient 467 397 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 23 fee schedule 23 445 Coinsurance and deductible may apply XR Mandible Comp Min 4 Views 70110 CPT 4051102 LOCAL 320 RC outpatient 897 762 Aetna Medicare HMO 26 26% of all negotiated rates 664 percent of total billed charges 664 897 XR Mandible Comp Min 4 Views 70110 CPT 4051102 LOCAL 320 RC outpatient 897 762 Alignment Medicare HMO 39 39% of all negotiated rates 547 percent of total billed charges 547 897 XR Mandible Comp Min 4 Views 70110 CPT 4051102 LOCAL 320 RC outpatient 897 762 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 359 percent of total billed charges 359 897 XR Mandible Comp Min 4 Views 70110 CPT 4051102 LOCAL 320 RC outpatient 897 762 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 448 percent of total billed charges 448 897 XR Mandible Comp Min 4 Views 70110 CPT 4051102 LOCAL 320 RC outpatient 897 762 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 547 percent of total billed charges 547 897 XR Mandible Comp Min 4 Views 70110 CPT 4051102 LOCAL 320 RC outpatient 897 762 Cigna PPO 68 68% of all negotiated rates 287 percent of total billed charges 287 897 XR Mandible Comp Min 4 Views 70110 CPT 4051102 LOCAL 320 RC outpatient 897 762 Coalition PPO 57 57% of all negotiated rates 386 percent of total billed charges 386 897 XR Mandible Comp Min 4 Views 70110 CPT 4051102 LOCAL 320 RC outpatient 897 762 Coventry PPO 75 75% of all negotiated rates 224 percent of total billed charges 224 897 XR Mandible Comp Min 4 Views 70110 CPT 4051102 LOCAL 320 RC outpatient 897 762 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 179 percent of total billed charges 179 897 XR Mandible Comp Min 4 Views 70110 CPT 4051102 LOCAL 320 RC outpatient 897 762 Humana-Commerical PPO 70 70% of all negotiated rates 269 percent of total billed charges 269 897 XR Mandible Comp Min 4 Views 70110 CPT 4051102 LOCAL 320 RC outpatient 897 762 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 547 percent of total billed charges 547 897 XR Mandible Comp Min 4 Views 70110 CPT 4051102 LOCAL 320 RC outpatient 897 762 Multiplan PPO 80 80% of all negotiated rates 179 percent of total billed charges 179 897 XR Mandible Comp Min 4 Views 70110 CPT 4051102 LOCAL 320 RC outpatient 897 762 One Health PPO 55 55% of all negotiated rates 404 percent of total billed charges 404 897 XR Mandible Comp Min 4 Views 70110 CPT 4051102 LOCAL 320 RC outpatient 897 762 Optum Medicare HMO 39 39% of all negotiated rates 547 percent of total billed charges 547 897 XR Mandible Comp Min 4 Views 70110 CPT 4051102 LOCAL 320 RC outpatient 897 762 P3 HMO 39 39% of all negotiated rates 547 percent of total billed charges 547 897 XR Mandible Comp Min 4 Views 70110 CPT 4051102 LOCAL 320 RC outpatient 897 762 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 269 percent of total billed charges 269 897 XR Mandible Comp Min 4 Views 70110 CPT 4051102 LOCAL 320 RC outpatient 897 762 Select Health HMO 41 41% of all negotiated rates 529 percent of total billed charges 529 897 XR Mandible Comp Min 4 Views 70110 CPT 4051102 LOCAL 320 RC outpatient 897 762 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 596 percent of total billed charges 596 897 XR Mandible Comp Min 4 Views 70110 CPT 4051102 LOCAL 320 RC outpatient 897 762 Sierra/HPN HMO 60 60% of all negotiated rates 359 percent of total billed charges 359 897 XR Mandible Comp Min 4 Views 70110 CPT 4051102 LOCAL 320 RC outpatient 897 762 Silversummit Medicare HMO 39 39% of all negotiated rates 547 percent of total billed charges 547 897 XR Mandible Comp Min 4 Views 70110 CPT 4051102 LOCAL 320 RC outpatient 897 762 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 583 percent of total billed charges 583 897 XR Mandible Comp Min 4 Views 70110 CPT 4051102 LOCAL 320 RC outpatient 897 762 Teachers Trust PPO 65 65% of all negotiated rates 314 percent of total billed charges 314 897 XR Mandible Comp Min 4 Views 70110 CPT 4051102 LOCAL 320 RC outpatient 897 762 TriWest PPO 30 30% of all negotiated rates 628 percent of total billed charges 628 897 XR Mandible Comp Min 4 Views 70110 CPT 4051102 LOCAL 320 RC outpatient 897 762 UHN-Universal Health Network PPO 70 70% of all negotiated rates 269 percent of total billed charges 269 897 XR Mandible Comp Min 4 Views 70110 CPT 4051102 LOCAL 320 RC outpatient 897 762 United Healthcare PPO 60 60% of all negotiated rates 359 percent of total billed charges 359 897 XR Mandible Comp Min 4 Views 70110 CPT 4051102 LOCAL 320 RC outpatient 897 762 Aetna PPO 120 120% of Aetna market fee schedule 48 fee schedule 48 854 Coinsurance and deductible may apply XR Mandible Comp Min 4 Views 70110 CPT 4051102 LOCAL 320 RC outpatient 897 762 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 30 fee schedule 30 854 Coinsurance and deductible may apply XR Mandible Comp Min 4 Views 70110 CPT 4051102 LOCAL 320 RC outpatient 897 762 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 30 fee schedule 30 854 Coinsurance and deductible may apply XR Mandible Comp Min 4 Views 70110 CPT 4051102 LOCAL 320 RC outpatient 897 762 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 30 fee schedule 30 854 Coinsurance and deductible may apply XR Pelvis 1 View 72170 CPT 4051704 LOCAL 320 RC outpatient 563 478 Aetna Medicare HMO 26 26% of all negotiated rates 416 percent of total billed charges 416 563 XR Pelvis 1 View 72170 CPT 4051704 LOCAL 320 RC outpatient 563 478 Alignment Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Pelvis 1 View 72170 CPT 4051704 LOCAL 320 RC outpatient 563 478 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 225 percent of total billed charges 225 563 XR Pelvis 1 View 72170 CPT 4051704 LOCAL 320 RC outpatient 563 478 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 281 percent of total billed charges 281 563 XR Pelvis 1 View 72170 CPT 4051704 LOCAL 320 RC outpatient 563 478 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Pelvis 1 View 72170 CPT 4051704 LOCAL 320 RC outpatient 563 478 Cigna PPO 68 68% of all negotiated rates 180 percent of total billed charges 180 563 XR Pelvis 1 View 72170 CPT 4051704 LOCAL 320 RC outpatient 563 478 Coalition PPO 57 57% of all negotiated rates 242 percent of total billed charges 242 563 XR Pelvis 1 View 72170 CPT 4051704 LOCAL 320 RC outpatient 563 478 Coventry PPO 75 75% of all negotiated rates 141 percent of total billed charges 141 563 XR Pelvis 1 View 72170 CPT 4051704 LOCAL 320 RC outpatient 563 478 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 113 percent of total billed charges 113 563 XR Pelvis 1 View 72170 CPT 4051704 LOCAL 320 RC outpatient 563 478 Humana-Commerical PPO 70 70% of all negotiated rates 169 percent of total billed charges 169 563 XR Pelvis 1 View 72170 CPT 4051704 LOCAL 320 RC outpatient 563 478 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Pelvis 1 View 72170 CPT 4051704 LOCAL 320 RC outpatient 563 478 Multiplan PPO 80 80% of all negotiated rates 113 percent of total billed charges 113 563 XR Pelvis 1 View 72170 CPT 4051704 LOCAL 320 RC outpatient 563 478 One Health PPO 55 55% of all negotiated rates 253 percent of total billed charges 253 563 XR Pelvis 1 View 72170 CPT 4051704 LOCAL 320 RC outpatient 563 478 Optum Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Pelvis 1 View 72170 CPT 4051704 LOCAL 320 RC outpatient 563 478 P3 HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Pelvis 1 View 72170 CPT 4051704 LOCAL 320 RC outpatient 563 478 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 169 percent of total billed charges 169 563 XR Pelvis 1 View 72170 CPT 4051704 LOCAL 320 RC outpatient 563 478 Select Health HMO 41 41% of all negotiated rates 332 percent of total billed charges 332 563 XR Pelvis 1 View 72170 CPT 4051704 LOCAL 320 RC outpatient 563 478 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 374 percent of total billed charges 374 563 XR Pelvis 1 View 72170 CPT 4051704 LOCAL 320 RC outpatient 563 478 Sierra/HPN HMO 60 60% of all negotiated rates 225 percent of total billed charges 225 563 XR Pelvis 1 View 72170 CPT 4051704 LOCAL 320 RC outpatient 563 478 Silversummit Medicare HMO 39 39% of all negotiated rates 343 percent of total billed charges 343 563 XR Pelvis 1 View 72170 CPT 4051704 LOCAL 320 RC outpatient 563 478 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 366 percent of total billed charges 366 563 XR Pelvis 1 View 72170 CPT 4051704 LOCAL 320 RC outpatient 563 478 Teachers Trust PPO 65 65% of all negotiated rates 197 percent of total billed charges 197 563 XR Pelvis 1 View 72170 CPT 4051704 LOCAL 320 RC outpatient 563 478 TriWest PPO 30 30% of all negotiated rates 394 percent of total billed charges 394 563 XR Pelvis 1 View 72170 CPT 4051704 LOCAL 320 RC outpatient 563 478 UHN-Universal Health Network PPO 70 70% of all negotiated rates 169 percent of total billed charges 169 563 XR Pelvis 1 View 72170 CPT 4051704 LOCAL 320 RC outpatient 563 478 United Healthcare PPO 60 60% of all negotiated rates 225 percent of total billed charges 225 563 XR Pelvis 1 View 72170 CPT 4051704 LOCAL 320 RC outpatient 563 478 Aetna PPO 120 120% of Aetna market fee schedule 35 fee schedule 35 536 Coinsurance and deductible may apply XR Pelvis 1 View 72170 CPT 4051704 LOCAL 320 RC outpatient 563 478 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 21 fee schedule 21 536 Coinsurance and deductible may apply XR Pelvis 1 View 72170 CPT 4051704 LOCAL 320 RC outpatient 563 478 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 21 fee schedule 21 536 Coinsurance and deductible may apply XR Pelvis 1 View 72170 CPT 4051704 LOCAL 320 RC outpatient 563 478 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 21 fee schedule 21 536 Coinsurance and deductible may apply XR Shoulder 1 View Bil 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Aetna Medicare HMO 26 26% of all negotiated rates 391 percent of total billed charges 391 528 XR Shoulder 1 View Bil 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Alignment Medicare HMO 39 39% of all negotiated rates 322 percent of total billed charges 322 528 XR Shoulder 1 View Bil 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 211 percent of total billed charges 211 528 XR Shoulder 1 View Bil 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 264 percent of total billed charges 264 528 XR Shoulder 1 View Bil 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 322 percent of total billed charges 322 528 XR Shoulder 1 View Bil 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Cigna PPO 68 68% of all negotiated rates 169 percent of total billed charges 169 528 XR Shoulder 1 View Bil 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Coalition PPO 57 57% of all negotiated rates 227 percent of total billed charges 227 528 XR Shoulder 1 View Bil 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Coventry PPO 75 75% of all negotiated rates 132 percent of total billed charges 132 528 XR Shoulder 1 View Bil 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 106 percent of total billed charges 106 528 XR Shoulder 1 View Bil 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Humana-Commerical PPO 70 70% of all negotiated rates 158 percent of total billed charges 158 528 XR Shoulder 1 View Bil 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 322 percent of total billed charges 322 528 XR Shoulder 1 View Bil 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Multiplan PPO 80 80% of all negotiated rates 106 percent of total billed charges 106 528 XR Shoulder 1 View Bil 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 One Health PPO 55 55% of all negotiated rates 238 percent of total billed charges 238 528 XR Shoulder 1 View Bil 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Optum Medicare HMO 39 39% of all negotiated rates 322 percent of total billed charges 322 528 XR Shoulder 1 View Bil 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 P3 HMO 39 39% of all negotiated rates 322 percent of total billed charges 322 528 XR Shoulder 1 View Bil 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 158 percent of total billed charges 158 528 XR Shoulder 1 View Bil 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Select Health HMO 41 41% of all negotiated rates 312 percent of total billed charges 312 528 XR Shoulder 1 View Bil 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 351 percent of total billed charges 351 528 XR Shoulder 1 View Bil 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Sierra/HPN HMO 60 60% of all negotiated rates 211 percent of total billed charges 211 528 XR Shoulder 1 View Bil 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Silversummit Medicare HMO 39 39% of all negotiated rates 322 percent of total billed charges 322 528 XR Shoulder 1 View Bil 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 343 percent of total billed charges 343 528 XR Shoulder 1 View Bil 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Teachers Trust PPO 65 65% of all negotiated rates 185 percent of total billed charges 185 528 XR Shoulder 1 View Bil 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 TriWest PPO 30 30% of all negotiated rates 370 percent of total billed charges 370 528 XR Shoulder 1 View Bil 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 UHN-Universal Health Network PPO 70 70% of all negotiated rates 158 percent of total billed charges 158 528 XR Shoulder 1 View Bil 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 United Healthcare PPO 60 60% of all negotiated rates 211 percent of total billed charges 211 528 XR Shoulder 1 View Bil 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Aetna PPO 120 120% of Aetna market fee schedule 29 fee schedule 29 503 Coinsurance and deductible may apply XR Shoulder 1 View Bil 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 17 fee schedule 17 503 Coinsurance and deductible may apply XR Shoulder 1 View Bil 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 17 fee schedule 17 503 Coinsurance and deductible may apply XR Shoulder 1 View Bil 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 17 fee schedule 17 503 Coinsurance and deductible may apply XR Shoulder 1 View Lt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Aetna Medicare HMO 26 26% of all negotiated rates 391 percent of total billed charges 391 528 XR Shoulder 1 View Lt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Alignment Medicare HMO 39 39% of all negotiated rates 322 percent of total billed charges 322 528 XR Shoulder 1 View Lt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 211 percent of total billed charges 211 528 XR Shoulder 1 View Lt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 264 percent of total billed charges 264 528 XR Shoulder 1 View Lt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 322 percent of total billed charges 322 528 XR Shoulder 1 View Lt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Cigna PPO 68 68% of all negotiated rates 169 percent of total billed charges 169 528 XR Shoulder 1 View Lt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Coalition PPO 57 57% of all negotiated rates 227 percent of total billed charges 227 528 XR Shoulder 1 View Lt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Coventry PPO 75 75% of all negotiated rates 132 percent of total billed charges 132 528 XR Shoulder 1 View Lt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 106 percent of total billed charges 106 528 XR Shoulder 1 View Lt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Humana-Commerical PPO 70 70% of all negotiated rates 158 percent of total billed charges 158 528 XR Shoulder 1 View Lt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 322 percent of total billed charges 322 528 XR Shoulder 1 View Lt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Multiplan PPO 80 80% of all negotiated rates 106 percent of total billed charges 106 528 XR Shoulder 1 View Lt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 One Health PPO 55 55% of all negotiated rates 238 percent of total billed charges 238 528 XR Shoulder 1 View Lt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Optum Medicare HMO 39 39% of all negotiated rates 322 percent of total billed charges 322 528 XR Shoulder 1 View Lt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 P3 HMO 39 39% of all negotiated rates 322 percent of total billed charges 322 528 XR Shoulder 1 View Lt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 158 percent of total billed charges 158 528 XR Shoulder 1 View Lt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Select Health HMO 41 41% of all negotiated rates 312 percent of total billed charges 312 528 XR Shoulder 1 View Lt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 351 percent of total billed charges 351 528 XR Shoulder 1 View Lt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Sierra/HPN HMO 60 60% of all negotiated rates 211 percent of total billed charges 211 528 XR Shoulder 1 View Lt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Silversummit Medicare HMO 39 39% of all negotiated rates 322 percent of total billed charges 322 528 XR Shoulder 1 View Lt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 343 percent of total billed charges 343 528 XR Shoulder 1 View Lt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Teachers Trust PPO 65 65% of all negotiated rates 185 percent of total billed charges 185 528 XR Shoulder 1 View Lt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 TriWest PPO 30 30% of all negotiated rates 370 percent of total billed charges 370 528 XR Shoulder 1 View Lt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 UHN-Universal Health Network PPO 70 70% of all negotiated rates 158 percent of total billed charges 158 528 XR Shoulder 1 View Lt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 United Healthcare PPO 60 60% of all negotiated rates 211 percent of total billed charges 211 528 XR Shoulder 1 View Lt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Aetna PPO 120 120% of Aetna market fee schedule 29 fee schedule 29 503 Coinsurance and deductible may apply XR Shoulder 1 View Lt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 17 fee schedule 17 503 Coinsurance and deductible may apply XR Shoulder 1 View Lt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 17 fee schedule 17 503 Coinsurance and deductible may apply XR Shoulder 1 View Lt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 17 fee schedule 17 503 Coinsurance and deductible may apply XR Shoulder 1 View Rt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Aetna Medicare HMO 26 26% of all negotiated rates 391 percent of total billed charges 391 528 XR Shoulder 1 View Rt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Alignment Medicare HMO 39 39% of all negotiated rates 322 percent of total billed charges 322 528 XR Shoulder 1 View Rt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 211 percent of total billed charges 211 528 XR Shoulder 1 View Rt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 264 percent of total billed charges 264 528 XR Shoulder 1 View Rt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 322 percent of total billed charges 322 528 XR Shoulder 1 View Rt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Cigna PPO 68 68% of all negotiated rates 169 percent of total billed charges 169 528 XR Shoulder 1 View Rt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Coalition PPO 57 57% of all negotiated rates 227 percent of total billed charges 227 528 XR Shoulder 1 View Rt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Coventry PPO 75 75% of all negotiated rates 132 percent of total billed charges 132 528 XR Shoulder 1 View Rt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 106 percent of total billed charges 106 528 XR Shoulder 1 View Rt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Humana-Commerical PPO 70 70% of all negotiated rates 158 percent of total billed charges 158 528 XR Shoulder 1 View Rt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 322 percent of total billed charges 322 528 XR Shoulder 1 View Rt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Multiplan PPO 80 80% of all negotiated rates 106 percent of total billed charges 106 528 XR Shoulder 1 View Rt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 One Health PPO 55 55% of all negotiated rates 238 percent of total billed charges 238 528 XR Shoulder 1 View Rt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Optum Medicare HMO 39 39% of all negotiated rates 322 percent of total billed charges 322 528 XR Shoulder 1 View Rt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 P3 HMO 39 39% of all negotiated rates 322 percent of total billed charges 322 528 XR Shoulder 1 View Rt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 158 percent of total billed charges 158 528 XR Shoulder 1 View Rt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Select Health HMO 41 41% of all negotiated rates 312 percent of total billed charges 312 528 XR Shoulder 1 View Rt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 351 percent of total billed charges 351 528 XR Shoulder 1 View Rt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Sierra/HPN HMO 60 60% of all negotiated rates 211 percent of total billed charges 211 528 XR Shoulder 1 View Rt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Silversummit Medicare HMO 39 39% of all negotiated rates 322 percent of total billed charges 322 528 XR Shoulder 1 View Rt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 343 percent of total billed charges 343 528 XR Shoulder 1 View Rt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Teachers Trust PPO 65 65% of all negotiated rates 185 percent of total billed charges 185 528 XR Shoulder 1 View Rt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 TriWest PPO 30 30% of all negotiated rates 370 percent of total billed charges 370 528 XR Shoulder 1 View Rt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 UHN-Universal Health Network PPO 70 70% of all negotiated rates 158 percent of total billed charges 158 528 XR Shoulder 1 View Rt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 United Healthcare PPO 60 60% of all negotiated rates 211 percent of total billed charges 211 528 XR Shoulder 1 View Rt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Aetna PPO 120 120% of Aetna market fee schedule 29 fee schedule 29 503 Coinsurance and deductible may apply XR Shoulder 1 View Rt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 17 fee schedule 17 503 Coinsurance and deductible may apply XR Shoulder 1 View Rt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 17 fee schedule 17 503 Coinsurance and deductible may apply XR Shoulder 1 View Rt 73020 CPT 4050200 LOCAL 320 RC outpatient 528 449 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 17 fee schedule 17 503 Coinsurance and deductible may apply XR Skull < 4 Views 70250 CPT 4052610 LOCAL 320 RC outpatient 680 578 Aetna Medicare HMO 26 26% of all negotiated rates 503 percent of total billed charges 503 680 XR Skull < 4 Views 70250 CPT 4052610 LOCAL 320 RC outpatient 680 578 Alignment Medicare HMO 39 39% of all negotiated rates 415 percent of total billed charges 415 680 XR Skull < 4 Views 70250 CPT 4052610 LOCAL 320 RC outpatient 680 578 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 272 percent of total billed charges 272 680 XR Skull < 4 Views 70250 CPT 4052610 LOCAL 320 RC outpatient 680 578 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 340 percent of total billed charges 340 680 XR Skull < 4 Views 70250 CPT 4052610 LOCAL 320 RC outpatient 680 578 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 415 percent of total billed charges 415 680 XR Skull < 4 Views 70250 CPT 4052610 LOCAL 320 RC outpatient 680 578 Cigna PPO 68 68% of all negotiated rates 218 percent of total billed charges 218 680 XR Skull < 4 Views 70250 CPT 4052610 LOCAL 320 RC outpatient 680 578 Coalition PPO 57 57% of all negotiated rates 293 percent of total billed charges 293 680 XR Skull < 4 Views 70250 CPT 4052610 LOCAL 320 RC outpatient 680 578 Coventry PPO 75 75% of all negotiated rates 170 percent of total billed charges 170 680 XR Skull < 4 Views 70250 CPT 4052610 LOCAL 320 RC outpatient 680 578 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 136 percent of total billed charges 136 680 XR Skull < 4 Views 70250 CPT 4052610 LOCAL 320 RC outpatient 680 578 Humana-Commerical PPO 70 70% of all negotiated rates 204 percent of total billed charges 204 680 XR Skull < 4 Views 70250 CPT 4052610 LOCAL 320 RC outpatient 680 578 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 415 percent of total billed charges 415 680 XR Skull < 4 Views 70250 CPT 4052610 LOCAL 320 RC outpatient 680 578 Multiplan PPO 80 80% of all negotiated rates 136 percent of total billed charges 136 680 XR Skull < 4 Views 70250 CPT 4052610 LOCAL 320 RC outpatient 680 578 One Health PPO 55 55% of all negotiated rates 306 percent of total billed charges 306 680 XR Skull < 4 Views 70250 CPT 4052610 LOCAL 320 RC outpatient 680 578 Optum Medicare HMO 39 39% of all negotiated rates 415 percent of total billed charges 415 680 XR Skull < 4 Views 70250 CPT 4052610 LOCAL 320 RC outpatient 680 578 P3 HMO 39 39% of all negotiated rates 415 percent of total billed charges 415 680 XR Skull < 4 Views 70250 CPT 4052610 LOCAL 320 RC outpatient 680 578 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 204 percent of total billed charges 204 680 XR Skull < 4 Views 70250 CPT 4052610 LOCAL 320 RC outpatient 680 578 Select Health HMO 41 41% of all negotiated rates 401 percent of total billed charges 401 680 XR Skull < 4 Views 70250 CPT 4052610 LOCAL 320 RC outpatient 680 578 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 452 percent of total billed charges 452 680 XR Skull < 4 Views 70250 CPT 4052610 LOCAL 320 RC outpatient 680 578 Sierra/HPN HMO 60 60% of all negotiated rates 272 percent of total billed charges 272 680 XR Skull < 4 Views 70250 CPT 4052610 LOCAL 320 RC outpatient 680 578 Silversummit Medicare HMO 39 39% of all negotiated rates 415 percent of total billed charges 415 680 XR Skull < 4 Views 70250 CPT 4052610 LOCAL 320 RC outpatient 680 578 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 442 percent of total billed charges 442 680 XR Skull < 4 Views 70250 CPT 4052610 LOCAL 320 RC outpatient 680 578 Teachers Trust PPO 65 65% of all negotiated rates 238 percent of total billed charges 238 680 XR Skull < 4 Views 70250 CPT 4052610 LOCAL 320 RC outpatient 680 578 TriWest PPO 30 30% of all negotiated rates 476 percent of total billed charges 476 680 XR Skull < 4 Views 70250 CPT 4052610 LOCAL 320 RC outpatient 680 578 UHN-Universal Health Network PPO 70 70% of all negotiated rates 204 percent of total billed charges 204 680 XR Skull < 4 Views 70250 CPT 4052610 LOCAL 320 RC outpatient 680 578 United Healthcare PPO 60 60% of all negotiated rates 272 percent of total billed charges 272 680 XR Skull < 4 Views 70250 CPT 4052610 LOCAL 320 RC outpatient 680 578 Aetna PPO 120 120% of Aetna market fee schedule 45 fee schedule 45 648 Coinsurance and deductible may apply XR Skull < 4 Views 70250 CPT 4052610 LOCAL 320 RC outpatient 680 578 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 27 fee schedule 27 648 Coinsurance and deductible may apply XR Skull < 4 Views 70250 CPT 4052610 LOCAL 320 RC outpatient 680 578 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 27 fee schedule 27 648 Coinsurance and deductible may apply XR Skull < 4 Views 70250 CPT 4052610 LOCAL 320 RC outpatient 680 578 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 27 fee schedule 27 648 Coinsurance and deductible may apply XR Skull Comp Min 4 Views 70260 CPT 4052605 LOCAL 320 RC outpatient 525 446 Aetna Medicare HMO 26 26% of all negotiated rates 389 percent of total billed charges 389 525 XR Skull Comp Min 4 Views 70260 CPT 4052605 LOCAL 320 RC outpatient 525 446 Alignment Medicare HMO 39 39% of all negotiated rates 320 percent of total billed charges 320 525 XR Skull Comp Min 4 Views 70260 CPT 4052605 LOCAL 320 RC outpatient 525 446 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 210 percent of total billed charges 210 525 XR Skull Comp Min 4 Views 70260 CPT 4052605 LOCAL 320 RC outpatient 525 446 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 263 percent of total billed charges 263 525 XR Skull Comp Min 4 Views 70260 CPT 4052605 LOCAL 320 RC outpatient 525 446 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 320 percent of total billed charges 320 525 XR Skull Comp Min 4 Views 70260 CPT 4052605 LOCAL 320 RC outpatient 525 446 Cigna PPO 68 68% of all negotiated rates 168 percent of total billed charges 168 525 XR Skull Comp Min 4 Views 70260 CPT 4052605 LOCAL 320 RC outpatient 525 446 Coalition PPO 57 57% of all negotiated rates 226 percent of total billed charges 226 525 XR Skull Comp Min 4 Views 70260 CPT 4052605 LOCAL 320 RC outpatient 525 446 Coventry PPO 75 75% of all negotiated rates 131 percent of total billed charges 131 525 XR Skull Comp Min 4 Views 70260 CPT 4052605 LOCAL 320 RC outpatient 525 446 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 105 percent of total billed charges 105 525 XR Skull Comp Min 4 Views 70260 CPT 4052605 LOCAL 320 RC outpatient 525 446 Humana-Commerical PPO 70 70% of all negotiated rates 158 percent of total billed charges 158 525 XR Skull Comp Min 4 Views 70260 CPT 4052605 LOCAL 320 RC outpatient 525 446 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 320 percent of total billed charges 320 525 XR Skull Comp Min 4 Views 70260 CPT 4052605 LOCAL 320 RC outpatient 525 446 Multiplan PPO 80 80% of all negotiated rates 105 percent of total billed charges 105 525 XR Skull Comp Min 4 Views 70260 CPT 4052605 LOCAL 320 RC outpatient 525 446 One Health PPO 55 55% of all negotiated rates 236 percent of total billed charges 236 525 XR Skull Comp Min 4 Views 70260 CPT 4052605 LOCAL 320 RC outpatient 525 446 Optum Medicare HMO 39 39% of all negotiated rates 320 percent of total billed charges 320 525 XR Skull Comp Min 4 Views 70260 CPT 4052605 LOCAL 320 RC outpatient 525 446 P3 HMO 39 39% of all negotiated rates 320 percent of total billed charges 320 525 XR Skull Comp Min 4 Views 70260 CPT 4052605 LOCAL 320 RC outpatient 525 446 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 158 percent of total billed charges 158 525 XR Skull Comp Min 4 Views 70260 CPT 4052605 LOCAL 320 RC outpatient 525 446 Select Health HMO 41 41% of all negotiated rates 310 percent of total billed charges 310 525 XR Skull Comp Min 4 Views 70260 CPT 4052605 LOCAL 320 RC outpatient 525 446 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 349 percent of total billed charges 349 525 XR Skull Comp Min 4 Views 70260 CPT 4052605 LOCAL 320 RC outpatient 525 446 Sierra/HPN HMO 60 60% of all negotiated rates 210 percent of total billed charges 210 525 XR Skull Comp Min 4 Views 70260 CPT 4052605 LOCAL 320 RC outpatient 525 446 Silversummit Medicare HMO 39 39% of all negotiated rates 320 percent of total billed charges 320 525 XR Skull Comp Min 4 Views 70260 CPT 4052605 LOCAL 320 RC outpatient 525 446 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 341 percent of total billed charges 341 525 XR Skull Comp Min 4 Views 70260 CPT 4052605 LOCAL 320 RC outpatient 525 446 Teachers Trust PPO 65 65% of all negotiated rates 184 percent of total billed charges 184 525 XR Skull Comp Min 4 Views 70260 CPT 4052605 LOCAL 320 RC outpatient 525 446 TriWest PPO 30 30% of all negotiated rates 368 percent of total billed charges 368 525 XR Skull Comp Min 4 Views 70260 CPT 4052605 LOCAL 320 RC outpatient 525 446 UHN-Universal Health Network PPO 70 70% of all negotiated rates 158 percent of total billed charges 158 525 XR Skull Comp Min 4 Views 70260 CPT 4052605 LOCAL 320 RC outpatient 525 446 United Healthcare PPO 60 60% of all negotiated rates 210 percent of total billed charges 210 525 XR Skull Comp Min 4 Views 70260 CPT 4052605 LOCAL 320 RC outpatient 525 446 Aetna PPO 120 120% of Aetna market fee schedule 56 fee schedule 56 500 Coinsurance and deductible may apply XR Skull Comp Min 4 Views 70260 CPT 4052605 LOCAL 320 RC outpatient 525 446 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 33 fee schedule 33 500 Coinsurance and deductible may apply XR Skull Comp Min 4 Views 70260 CPT 4052605 LOCAL 320 RC outpatient 525 446 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 33 fee schedule 33 500 Coinsurance and deductible may apply XR Skull Comp Min 4 Views 70260 CPT 4052605 LOCAL 320 RC outpatient 525 446 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 33 fee schedule 33 500 Coinsurance and deductible may apply XR Spine Cerv 2 or 3 Views 72040 CPT 4050409 LOCAL 320 RC outpatient 314 267 Aetna Medicare HMO 26 26% of all negotiated rates 232 percent of total billed charges 232 314 XR Spine Cerv 2 or 3 Views 72040 CPT 4050409 LOCAL 320 RC outpatient 314 267 Alignment Medicare HMO 39 39% of all negotiated rates 192 percent of total billed charges 192 314 XR Spine Cerv 2 or 3 Views 72040 CPT 4050409 LOCAL 320 RC outpatient 314 267 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 126 percent of total billed charges 126 314 XR Spine Cerv 2 or 3 Views 72040 CPT 4050409 LOCAL 320 RC outpatient 314 267 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 157 percent of total billed charges 157 314 XR Spine Cerv 2 or 3 Views 72040 CPT 4050409 LOCAL 320 RC outpatient 314 267 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 192 percent of total billed charges 192 314 XR Spine Cerv 2 or 3 Views 72040 CPT 4050409 LOCAL 320 RC outpatient 314 267 Cigna PPO 68 68% of all negotiated rates 100 percent of total billed charges 100 314 XR Spine Cerv 2 or 3 Views 72040 CPT 4050409 LOCAL 320 RC outpatient 314 267 Coalition PPO 57 57% of all negotiated rates 135 percent of total billed charges 135 314 XR Spine Cerv 2 or 3 Views 72040 CPT 4050409 LOCAL 320 RC outpatient 314 267 Coventry PPO 75 75% of all negotiated rates 78 percent of total billed charges 78 314 XR Spine Cerv 2 or 3 Views 72040 CPT 4050409 LOCAL 320 RC outpatient 314 267 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 63 percent of total billed charges 63 314 XR Spine Cerv 2 or 3 Views 72040 CPT 4050409 LOCAL 320 RC outpatient 314 267 Humana-Commerical PPO 70 70% of all negotiated rates 94 percent of total billed charges 94 314 XR Spine Cerv 2 or 3 Views 72040 CPT 4050409 LOCAL 320 RC outpatient 314 267 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 192 percent of total billed charges 192 314 XR Spine Cerv 2 or 3 Views 72040 CPT 4050409 LOCAL 320 RC outpatient 314 267 Multiplan PPO 80 80% of all negotiated rates 63 percent of total billed charges 63 314 XR Spine Cerv 2 or 3 Views 72040 CPT 4050409 LOCAL 320 RC outpatient 314 267 One Health PPO 55 55% of all negotiated rates 141 percent of total billed charges 141 314 XR Spine Cerv 2 or 3 Views 72040 CPT 4050409 LOCAL 320 RC outpatient 314 267 Optum Medicare HMO 39 39% of all negotiated rates 192 percent of total billed charges 192 314 XR Spine Cerv 2 or 3 Views 72040 CPT 4050409 LOCAL 320 RC outpatient 314 267 P3 HMO 39 39% of all negotiated rates 192 percent of total billed charges 192 314 XR Spine Cerv 2 or 3 Views 72040 CPT 4050409 LOCAL 320 RC outpatient 314 267 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 94 percent of total billed charges 94 314 XR Spine Cerv 2 or 3 Views 72040 CPT 4050409 LOCAL 320 RC outpatient 314 267 Select Health HMO 41 41% of all negotiated rates 185 percent of total billed charges 185 314 XR Spine Cerv 2 or 3 Views 72040 CPT 4050409 LOCAL 320 RC outpatient 314 267 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 209 percent of total billed charges 209 314 XR Spine Cerv 2 or 3 Views 72040 CPT 4050409 LOCAL 320 RC outpatient 314 267 Sierra/HPN HMO 60 60% of all negotiated rates 126 percent of total billed charges 126 314 XR Spine Cerv 2 or 3 Views 72040 CPT 4050409 LOCAL 320 RC outpatient 314 267 Silversummit Medicare HMO 39 39% of all negotiated rates 192 percent of total billed charges 192 314 XR Spine Cerv 2 or 3 Views 72040 CPT 4050409 LOCAL 320 RC outpatient 314 267 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 204 percent of total billed charges 204 314 XR Spine Cerv 2 or 3 Views 72040 CPT 4050409 LOCAL 320 RC outpatient 314 267 Teachers Trust PPO 65 65% of all negotiated rates 110 percent of total billed charges 110 314 XR Spine Cerv 2 or 3 Views 72040 CPT 4050409 LOCAL 320 RC outpatient 314 267 TriWest PPO 30 30% of all negotiated rates 220 percent of total billed charges 220 314 XR Spine Cerv 2 or 3 Views 72040 CPT 4050409 LOCAL 320 RC outpatient 314 267 UHN-Universal Health Network PPO 70 70% of all negotiated rates 94 percent of total billed charges 94 314 XR Spine Cerv 2 or 3 Views 72040 CPT 4050409 LOCAL 320 RC outpatient 314 267 United Healthcare PPO 60 60% of all negotiated rates 126 percent of total billed charges 126 314 XR Spine Cerv 2 or 3 Views 72040 CPT 4050409 LOCAL 320 RC outpatient 314 267 Aetna PPO 120 120% of Aetna market fee schedule 43 fee schedule 43 299 Coinsurance and deductible may apply XR Spine Cerv 2 or 3 Views 72040 CPT 4050409 LOCAL 320 RC outpatient 314 267 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 26 fee schedule 26 299 Coinsurance and deductible may apply XR Spine Cerv 2 or 3 Views 72040 CPT 4050409 LOCAL 320 RC outpatient 314 267 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 26 fee schedule 26 299 Coinsurance and deductible may apply XR Spine Cerv 2 or 3 Views 72040 CPT 4050409 LOCAL 320 RC outpatient 314 267 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 26 fee schedule 26 299 Coinsurance and deductible may apply XR Spine Cerv Comp w/ Flex +Ext 72050 CPT 4050508 LOCAL 320 RC outpatient 1046 889 Aetna Medicare HMO 26 26% of all negotiated rates 774 percent of total billed charges 774 1046 XR Spine Cerv Comp w/ Flex +Ext 72050 CPT 4050508 LOCAL 320 RC outpatient 1046 889 Alignment Medicare HMO 39 39% of all negotiated rates 638 percent of total billed charges 638 1046 XR Spine Cerv Comp w/ Flex +Ext 72050 CPT 4050508 LOCAL 320 RC outpatient 1046 889 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 418 percent of total billed charges 418 1046 XR Spine Cerv Comp w/ Flex +Ext 72050 CPT 4050508 LOCAL 320 RC outpatient 1046 889 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 523 percent of total billed charges 523 1046 XR Spine Cerv Comp w/ Flex +Ext 72050 CPT 4050508 LOCAL 320 RC outpatient 1046 889 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 638 percent of total billed charges 638 1046 XR Spine Cerv Comp w/ Flex +Ext 72050 CPT 4050508 LOCAL 320 RC outpatient 1046 889 Cigna PPO 68 68% of all negotiated rates 335 percent of total billed charges 335 1046 XR Spine Cerv Comp w/ Flex +Ext 72050 CPT 4050508 LOCAL 320 RC outpatient 1046 889 Coalition PPO 57 57% of all negotiated rates 450 percent of total billed charges 450 1046 XR Spine Cerv Comp w/ Flex +Ext 72050 CPT 4050508 LOCAL 320 RC outpatient 1046 889 Coventry PPO 75 75% of all negotiated rates 261 percent of total billed charges 261 1046 XR Spine Cerv Comp w/ Flex +Ext 72050 CPT 4050508 LOCAL 320 RC outpatient 1046 889 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 209 percent of total billed charges 209 1046 XR Spine Cerv Comp w/ Flex +Ext 72050 CPT 4050508 LOCAL 320 RC outpatient 1046 889 Humana-Commerical PPO 70 70% of all negotiated rates 314 percent of total billed charges 314 1046 XR Spine Cerv Comp w/ Flex +Ext 72050 CPT 4050508 LOCAL 320 RC outpatient 1046 889 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 638 percent of total billed charges 638 1046 XR Spine Cerv Comp w/ Flex +Ext 72050 CPT 4050508 LOCAL 320 RC outpatient 1046 889 Multiplan PPO 80 80% of all negotiated rates 209 percent of total billed charges 209 1046 XR Spine Cerv Comp w/ Flex +Ext 72050 CPT 4050508 LOCAL 320 RC outpatient 1046 889 One Health PPO 55 55% of all negotiated rates 471 percent of total billed charges 471 1046 XR Spine Cerv Comp w/ Flex +Ext 72050 CPT 4050508 LOCAL 320 RC outpatient 1046 889 Optum Medicare HMO 39 39% of all negotiated rates 638 percent of total billed charges 638 1046 XR Spine Cerv Comp w/ Flex +Ext 72050 CPT 4050508 LOCAL 320 RC outpatient 1046 889 P3 HMO 39 39% of all negotiated rates 638 percent of total billed charges 638 1046 XR Spine Cerv Comp w/ Flex +Ext 72050 CPT 4050508 LOCAL 320 RC outpatient 1046 889 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 314 percent of total billed charges 314 1046 XR Spine Cerv Comp w/ Flex +Ext 72050 CPT 4050508 LOCAL 320 RC outpatient 1046 889 Select Health HMO 41 41% of all negotiated rates 617 percent of total billed charges 617 1046 XR Spine Cerv Comp w/ Flex +Ext 72050 CPT 4050508 LOCAL 320 RC outpatient 1046 889 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 695 percent of total billed charges 695 1046 XR Spine Cerv Comp w/ Flex +Ext 72050 CPT 4050508 LOCAL 320 RC outpatient 1046 889 Sierra/HPN HMO 60 60% of all negotiated rates 418 percent of total billed charges 418 1046 XR Spine Cerv Comp w/ Flex +Ext 72050 CPT 4050508 LOCAL 320 RC outpatient 1046 889 Silversummit Medicare HMO 39 39% of all negotiated rates 638 percent of total billed charges 638 1046 XR Spine Cerv Comp w/ Flex +Ext 72050 CPT 4050508 LOCAL 320 RC outpatient 1046 889 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 680 percent of total billed charges 680 1046 XR Spine Cerv Comp w/ Flex +Ext 72050 CPT 4050508 LOCAL 320 RC outpatient 1046 889 Teachers Trust PPO 65 65% of all negotiated rates 366 percent of total billed charges 366 1046 XR Spine Cerv Comp w/ Flex +Ext 72050 CPT 4050508 LOCAL 320 RC outpatient 1046 889 TriWest PPO 30 30% of all negotiated rates 732 percent of total billed charges 732 1046 XR Spine Cerv Comp w/ Flex +Ext 72050 CPT 4050508 LOCAL 320 RC outpatient 1046 889 UHN-Universal Health Network PPO 70 70% of all negotiated rates 314 percent of total billed charges 314 1046 XR Spine Cerv Comp w/ Flex +Ext 72050 CPT 4050508 LOCAL 320 RC outpatient 1046 889 United Healthcare PPO 60 60% of all negotiated rates 418 percent of total billed charges 418 1046 XR Spine Cerv Comp w/ Flex +Ext 72050 CPT 4050508 LOCAL 320 RC outpatient 1046 889 Aetna PPO 120 120% of Aetna market fee schedule 58 fee schedule 58 996 Coinsurance and deductible may apply XR Spine Cerv Comp w/ Flex +Ext 72050 CPT 4050508 LOCAL 320 RC outpatient 1046 889 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 35 fee schedule 35 996 Coinsurance and deductible may apply XR Spine Cerv Comp w/ Flex +Ext 72050 CPT 4050508 LOCAL 320 RC outpatient 1046 889 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 35 fee schedule 35 996 Coinsurance and deductible may apply XR Spine Cerv Comp w/ Flex +Ext 72050 CPT 4050508 LOCAL 320 RC outpatient 1046 889 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 35 fee schedule 35 996 Coinsurance and deductible may apply XR Spine Cerv Min 4 Views 72050 CPT 4050508 LOCAL 320 RC outpatient 1046 889 Aetna Medicare HMO 26 26% of all negotiated rates 774 percent of total billed charges 774 1046 XR Spine Thoracic 3 Views 72072 CPT 4050722 LOCAL 320 RC outpatient 842 716 Aetna Medicare HMO 26 26% of all negotiated rates 623 percent of total billed charges 623 842 XR Spine Thoracic 3 Views 72072 CPT 4050722 LOCAL 320 RC outpatient 842 716 Alignment Medicare HMO 39 39% of all negotiated rates 514 percent of total billed charges 514 842 XR Spine Thoracic 3 Views 72072 CPT 4050722 LOCAL 320 RC outpatient 842 716 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 337 percent of total billed charges 337 842 XR Spine Thoracic 3 Views 72072 CPT 4050722 LOCAL 320 RC outpatient 842 716 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 421 percent of total billed charges 421 842 XR Spine Thoracic 3 Views 72072 CPT 4050722 LOCAL 320 RC outpatient 842 716 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 514 percent of total billed charges 514 842 XR Spine Thoracic 3 Views 72072 CPT 4050722 LOCAL 320 RC outpatient 842 716 Cigna PPO 68 68% of all negotiated rates 269 percent of total billed charges 269 842 XR Spine Thoracic 3 Views 72072 CPT 4050722 LOCAL 320 RC outpatient 842 716 Coalition PPO 57 57% of all negotiated rates 362 percent of total billed charges 362 842 XR Spine Thoracic 3 Views 72072 CPT 4050722 LOCAL 320 RC outpatient 842 716 Coventry PPO 75 75% of all negotiated rates 211 percent of total billed charges 211 842 XR Spine Thoracic 3 Views 72072 CPT 4050722 LOCAL 320 RC outpatient 842 716 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 168 percent of total billed charges 168 842 XR Spine Thoracic 3 Views 72072 CPT 4050722 LOCAL 320 RC outpatient 842 716 Humana-Commerical PPO 70 70% of all negotiated rates 253 percent of total billed charges 253 842 XR Spine Thoracic 3 Views 72072 CPT 4050722 LOCAL 320 RC outpatient 842 716 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 514 percent of total billed charges 514 842 XR Spine Thoracic 3 Views 72072 CPT 4050722 LOCAL 320 RC outpatient 842 716 Multiplan PPO 80 80% of all negotiated rates 168 percent of total billed charges 168 842 XR Spine Thoracic 3 Views 72072 CPT 4050722 LOCAL 320 RC outpatient 842 716 One Health PPO 55 55% of all negotiated rates 379 percent of total billed charges 379 842 XR Spine Thoracic 3 Views 72072 CPT 4050722 LOCAL 320 RC outpatient 842 716 Optum Medicare HMO 39 39% of all negotiated rates 514 percent of total billed charges 514 842 XR Spine Thoracic 3 Views 72072 CPT 4050722 LOCAL 320 RC outpatient 842 716 P3 HMO 39 39% of all negotiated rates 514 percent of total billed charges 514 842 XR Spine Thoracic 3 Views 72072 CPT 4050722 LOCAL 320 RC outpatient 842 716 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 253 percent of total billed charges 253 842 XR Spine Thoracic 3 Views 72072 CPT 4050722 LOCAL 320 RC outpatient 842 716 Select Health HMO 41 41% of all negotiated rates 497 percent of total billed charges 497 842 XR Spine Thoracic 3 Views 72072 CPT 4050722 LOCAL 320 RC outpatient 842 716 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 560 percent of total billed charges 560 842 XR Spine Thoracic 3 Views 72072 CPT 4050722 LOCAL 320 RC outpatient 842 716 Sierra/HPN HMO 60 60% of all negotiated rates 337 percent of total billed charges 337 842 XR Spine Thoracic 3 Views 72072 CPT 4050722 LOCAL 320 RC outpatient 842 716 Silversummit Medicare HMO 39 39% of all negotiated rates 514 percent of total billed charges 514 842 XR Spine Thoracic 3 Views 72072 CPT 4050722 LOCAL 320 RC outpatient 842 716 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 547 percent of total billed charges 547 842 XR Spine Thoracic 3 Views 72072 CPT 4050722 LOCAL 320 RC outpatient 842 716 Teachers Trust PPO 65 65% of all negotiated rates 295 percent of total billed charges 295 842 XR Spine Thoracic 3 Views 72072 CPT 4050722 LOCAL 320 RC outpatient 842 716 TriWest PPO 30 30% of all negotiated rates 589 percent of total billed charges 589 842 XR Spine Thoracic 3 Views 72072 CPT 4050722 LOCAL 320 RC outpatient 842 716 UHN-Universal Health Network PPO 70 70% of all negotiated rates 253 percent of total billed charges 253 842 XR Spine Thoracic 3 Views 72072 CPT 4050722 LOCAL 320 RC outpatient 842 716 United Healthcare PPO 60 60% of all negotiated rates 337 percent of total billed charges 337 842 XR Spine Thoracic 3 Views 72072 CPT 4050722 LOCAL 320 RC outpatient 842 716 Aetna PPO 120 120% of Aetna market fee schedule 45 fee schedule 45 802 Coinsurance and deductible may apply XR Spine Thoracic 3 Views 72072 CPT 4050722 LOCAL 320 RC outpatient 842 716 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 29 fee schedule 29 802 Coinsurance and deductible may apply XR Spine Thoracic 3 Views 72072 CPT 4050722 LOCAL 320 RC outpatient 842 716 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 29 fee schedule 29 802 Coinsurance and deductible may apply XR Spine Thoracic 3 Views 72072 CPT 4050722 LOCAL 320 RC outpatient 842 716 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 29 fee schedule 29 802 Coinsurance and deductible may apply XR Sternum Min 2 Views 71120 CPT 4051200 LOCAL 320 RC outpatient 680 578 Aetna Medicare HMO 26 26% of all negotiated rates 503 percent of total billed charges 503 680 XR Sternum Min 2 Views 71120 CPT 4051200 LOCAL 320 RC outpatient 680 578 Alignment Medicare HMO 39 39% of all negotiated rates 415 percent of total billed charges 415 680 XR Sternum Min 2 Views 71120 CPT 4051200 LOCAL 320 RC outpatient 680 578 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 272 percent of total billed charges 272 680 XR Sternum Min 2 Views 71120 CPT 4051200 LOCAL 320 RC outpatient 680 578 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 340 percent of total billed charges 340 680 XR Sternum Min 2 Views 71120 CPT 4051200 LOCAL 320 RC outpatient 680 578 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 415 percent of total billed charges 415 680 XR Sternum Min 2 Views 71120 CPT 4051200 LOCAL 320 RC outpatient 680 578 Cigna PPO 68 68% of all negotiated rates 218 percent of total billed charges 218 680 XR Sternum Min 2 Views 71120 CPT 4051200 LOCAL 320 RC outpatient 680 578 Coalition PPO 57 57% of all negotiated rates 293 percent of total billed charges 293 680 XR Sternum Min 2 Views 71120 CPT 4051200 LOCAL 320 RC outpatient 680 578 Coventry PPO 75 75% of all negotiated rates 170 percent of total billed charges 170 680 XR Sternum Min 2 Views 71120 CPT 4051200 LOCAL 320 RC outpatient 680 578 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 136 percent of total billed charges 136 680 XR Sternum Min 2 Views 71120 CPT 4051200 LOCAL 320 RC outpatient 680 578 Humana-Commerical PPO 70 70% of all negotiated rates 204 percent of total billed charges 204 680 XR Sternum Min 2 Views 71120 CPT 4051200 LOCAL 320 RC outpatient 680 578 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 415 percent of total billed charges 415 680 XR Sternum Min 2 Views 71120 CPT 4051200 LOCAL 320 RC outpatient 680 578 Multiplan PPO 80 80% of all negotiated rates 136 percent of total billed charges 136 680 XR Sternum Min 2 Views 71120 CPT 4051200 LOCAL 320 RC outpatient 680 578 One Health PPO 55 55% of all negotiated rates 306 percent of total billed charges 306 680 XR Sternum Min 2 Views 71120 CPT 4051200 LOCAL 320 RC outpatient 680 578 Optum Medicare HMO 39 39% of all negotiated rates 415 percent of total billed charges 415 680 XR Sternum Min 2 Views 71120 CPT 4051200 LOCAL 320 RC outpatient 680 578 P3 HMO 39 39% of all negotiated rates 415 percent of total billed charges 415 680 XR Sternum Min 2 Views 71120 CPT 4051200 LOCAL 320 RC outpatient 680 578 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 204 percent of total billed charges 204 680 XR Sternum Min 2 Views 71120 CPT 4051200 LOCAL 320 RC outpatient 680 578 Select Health HMO 41 41% of all negotiated rates 401 percent of total billed charges 401 680 XR Sternum Min 2 Views 71120 CPT 4051200 LOCAL 320 RC outpatient 680 578 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 452 percent of total billed charges 452 680 XR Sternum Min 2 Views 71120 CPT 4051200 LOCAL 320 RC outpatient 680 578 Sierra/HPN HMO 60 60% of all negotiated rates 272 percent of total billed charges 272 680 XR Sternum Min 2 Views 71120 CPT 4051200 LOCAL 320 RC outpatient 680 578 Silversummit Medicare HMO 39 39% of all negotiated rates 415 percent of total billed charges 415 680 XR Sternum Min 2 Views 71120 CPT 4051200 LOCAL 320 RC outpatient 680 578 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 442 percent of total billed charges 442 680 XR Sternum Min 2 Views 71120 CPT 4051200 LOCAL 320 RC outpatient 680 578 Teachers Trust PPO 65 65% of all negotiated rates 238 percent of total billed charges 238 680 XR Sternum Min 2 Views 71120 CPT 4051200 LOCAL 320 RC outpatient 680 578 TriWest PPO 30 30% of all negotiated rates 476 percent of total billed charges 476 680 XR Sternum Min 2 Views 71120 CPT 4051200 LOCAL 320 RC outpatient 680 578 UHN-Universal Health Network PPO 70 70% of all negotiated rates 204 percent of total billed charges 204 680 XR Sternum Min 2 Views 71120 CPT 4051200 LOCAL 320 RC outpatient 680 578 United Healthcare PPO 60 60% of all negotiated rates 272 percent of total billed charges 272 680 XR Sternum Min 2 Views 71120 CPT 4051200 LOCAL 320 RC outpatient 680 578 Aetna PPO 120 120% of Aetna market fee schedule 38 fee schedule 38 648 Coinsurance and deductible may apply XR Sternum Min 2 Views 71120 CPT 4051200 LOCAL 320 RC outpatient 680 578 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 23 fee schedule 23 648 Coinsurance and deductible may apply XR Sternum Min 2 Views 71120 CPT 4051200 LOCAL 320 RC outpatient 680 578 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 23 fee schedule 23 648 Coinsurance and deductible may apply XR Sternum Min 2 Views 71120 CPT 4051200 LOCAL 320 RC outpatient 680 578 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 23 fee schedule 23 648 Coinsurance and deductible may apply XR Tibia +Fibula 2 Views Bil 73590 CPT 4053590 LOCAL 320 RC outpatient 642 545 Aetna Medicare HMO 26 26% of all negotiated rates 475 percent of total billed charges 475 642 XR Tibia +Fibula 2 Views Bil 73590 CPT 4053590 LOCAL 320 RC outpatient 642 545 Alignment Medicare HMO 39 39% of all negotiated rates 391 percent of total billed charges 391 642 XR Tibia +Fibula 2 Views Bil 73590 CPT 4053590 LOCAL 320 RC outpatient 642 545 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 257 percent of total billed charges 257 642 XR Tibia +Fibula 2 Views Bil 73590 CPT 4053590 LOCAL 320 RC outpatient 642 545 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 321 percent of total billed charges 321 642 XR Tibia +Fibula 2 Views Bil 73590 CPT 4053590 LOCAL 320 RC outpatient 642 545 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 391 percent of total billed charges 391 642 XR Tibia +Fibula 2 Views Bil 73590 CPT 4053590 LOCAL 320 RC outpatient 642 545 Cigna PPO 68 68% of all negotiated rates 205 percent of total billed charges 205 642 XR Tibia +Fibula 2 Views Bil 73590 CPT 4053590 LOCAL 320 RC outpatient 642 545 Coalition PPO 57 57% of all negotiated rates 276 percent of total billed charges 276 642 XR Tibia +Fibula 2 Views Bil 73590 CPT 4053590 LOCAL 320 RC outpatient 642 545 Coventry PPO 75 75% of all negotiated rates 160 percent of total billed charges 160 642 XR Tibia +Fibula 2 Views Bil 73590 CPT 4053590 LOCAL 320 RC outpatient 642 545 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 128 percent of total billed charges 128 642 XR Tibia +Fibula 2 Views Bil 73590 CPT 4053590 LOCAL 320 RC outpatient 642 545 Humana-Commerical PPO 70 70% of all negotiated rates 192 percent of total billed charges 192 642 XR Tibia +Fibula 2 Views Bil 73590 CPT 4053590 LOCAL 320 RC outpatient 642 545 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 391 percent of total billed charges 391 642 XR Tibia +Fibula 2 Views Bil 73590 CPT 4053590 LOCAL 320 RC outpatient 642 545 Multiplan PPO 80 80% of all negotiated rates 128 percent of total billed charges 128 642 XR Tibia +Fibula 2 Views Bil 73590 CPT 4053590 LOCAL 320 RC outpatient 642 545 One Health PPO 55 55% of all negotiated rates 289 percent of total billed charges 289 642 XR Tibia +Fibula 2 Views Bil 73590 CPT 4053590 LOCAL 320 RC outpatient 642 545 Optum Medicare HMO 39 39% of all negotiated rates 391 percent of total billed charges 391 642 XR Tibia +Fibula 2 Views Bil 73590 CPT 4053590 LOCAL 320 RC outpatient 642 545 P3 HMO 39 39% of all negotiated rates 391 percent of total billed charges 391 642 XR Tibia +Fibula 2 Views Bil 73590 CPT 4053590 LOCAL 320 RC outpatient 642 545 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 192 percent of total billed charges 192 642 XR Tibia +Fibula 2 Views Bil 73590 CPT 4053590 LOCAL 320 RC outpatient 642 545 Select Health HMO 41 41% of all negotiated rates 379 percent of total billed charges 379 642 XR Tibia +Fibula 2 Views Bil 73590 CPT 4053590 LOCAL 320 RC outpatient 642 545 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 427 percent of total billed charges 427 642 XR Tibia +Fibula 2 Views Bil 73590 CPT 4053590 LOCAL 320 RC outpatient 642 545 Sierra/HPN HMO 60 60% of all negotiated rates 257 percent of total billed charges 257 642 XR Tibia +Fibula 2 Views Bil 73590 CPT 4053590 LOCAL 320 RC outpatient 642 545 Silversummit Medicare HMO 39 39% of all negotiated rates 391 percent of total billed charges 391 642 XR Tibia +Fibula 2 Views Bil 73590 CPT 4053590 LOCAL 320 RC outpatient 642 545 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 417 percent of total billed charges 417 642 XR Tibia +Fibula 2 Views Bil 73590 CPT 4053590 LOCAL 320 RC outpatient 642 545 Teachers Trust PPO 65 65% of all negotiated rates 225 percent of total billed charges 225 642 XR Tibia +Fibula 2 Views Bil 73590 CPT 4053590 LOCAL 320 RC outpatient 642 545 TriWest PPO 30 30% of all negotiated rates 449 percent of total billed charges 449 642 XR Tibia +Fibula 2 Views Bil 73590 CPT 4053590 LOCAL 320 RC outpatient 642 545 UHN-Universal Health Network PPO 70 70% of all negotiated rates 192 percent of total billed charges 192 642 XR Tibia +Fibula 2 Views Bil 73590 CPT 4053590 LOCAL 320 RC outpatient 642 545 United Healthcare PPO 60 60% of all negotiated rates 257 percent of total billed charges 257 642 XR Tibia +Fibula 2 Views Bil 73590 CPT 4053590 LOCAL 320 RC outpatient 642 545 Aetna PPO 120 120% of Aetna market fee schedule 34 fee schedule 34 611 Coinsurance and deductible may apply XR Tibia +Fibula 2 Views Bil 73590 CPT 4053590 LOCAL 320 RC outpatient 642 545 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 20 fee schedule 20 611 Coinsurance and deductible may apply XR Tibia +Fibula 2 Views Bil 73590 CPT 4053590 LOCAL 320 RC outpatient 642 545 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 20 fee schedule 20 611 Coinsurance and deductible may apply XR Tibia +Fibula 2 Views Bil 73590 CPT 4053590 LOCAL 320 RC outpatient 642 545 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 20 fee schedule 20 611 Coinsurance and deductible may apply XR Tibia +Fibula 2 Views Lt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 Aetna Medicare HMO 26 26% of all negotiated rates 475 percent of total billed charges 475 642 XR Tibia +Fibula 2 Views Lt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 Alignment Medicare HMO 39 39% of all negotiated rates 391 percent of total billed charges 391 642 XR Tibia +Fibula 2 Views Lt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 257 percent of total billed charges 257 642 XR Tibia +Fibula 2 Views Lt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 321 percent of total billed charges 321 642 XR Tibia +Fibula 2 Views Lt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 391 percent of total billed charges 391 642 XR Tibia +Fibula 2 Views Lt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 Cigna PPO 68 68% of all negotiated rates 205 percent of total billed charges 205 642 XR Tibia +Fibula 2 Views Lt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 Coalition PPO 57 57% of all negotiated rates 276 percent of total billed charges 276 642 XR Tibia +Fibula 2 Views Lt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 Coventry PPO 75 75% of all negotiated rates 160 percent of total billed charges 160 642 XR Tibia +Fibula 2 Views Lt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 128 percent of total billed charges 128 642 XR Tibia +Fibula 2 Views Lt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 Humana-Commerical PPO 70 70% of all negotiated rates 192 percent of total billed charges 192 642 XR Tibia +Fibula 2 Views Lt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 391 percent of total billed charges 391 642 XR Tibia +Fibula 2 Views Lt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 Multiplan PPO 80 80% of all negotiated rates 128 percent of total billed charges 128 642 XR Tibia +Fibula 2 Views Lt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 One Health PPO 55 55% of all negotiated rates 289 percent of total billed charges 289 642 XR Tibia +Fibula 2 Views Lt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 Optum Medicare HMO 39 39% of all negotiated rates 391 percent of total billed charges 391 642 XR Tibia +Fibula 2 Views Lt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 P3 HMO 39 39% of all negotiated rates 391 percent of total billed charges 391 642 XR Tibia +Fibula 2 Views Lt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 192 percent of total billed charges 192 642 XR Tibia +Fibula 2 Views Lt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 Select Health HMO 41 41% of all negotiated rates 379 percent of total billed charges 379 642 XR Tibia +Fibula 2 Views Lt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 427 percent of total billed charges 427 642 XR Tibia +Fibula 2 Views Lt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 Sierra/HPN HMO 60 60% of all negotiated rates 257 percent of total billed charges 257 642 XR Tibia +Fibula 2 Views Lt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 Silversummit Medicare HMO 39 39% of all negotiated rates 391 percent of total billed charges 391 642 XR Tibia +Fibula 2 Views Lt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 417 percent of total billed charges 417 642 XR Tibia +Fibula 2 Views Lt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 Teachers Trust PPO 65 65% of all negotiated rates 225 percent of total billed charges 225 642 XR Tibia +Fibula 2 Views Lt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 TriWest PPO 30 30% of all negotiated rates 449 percent of total billed charges 449 642 XR Tibia +Fibula 2 Views Lt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 UHN-Universal Health Network PPO 70 70% of all negotiated rates 192 percent of total billed charges 192 642 XR Tibia +Fibula 2 Views Lt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 United Healthcare PPO 60 60% of all negotiated rates 257 percent of total billed charges 257 642 XR Tibia +Fibula 2 Views Lt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 Aetna PPO 120 120% of Aetna market fee schedule 34 fee schedule 34 611 Coinsurance and deductible may apply XR Tibia +Fibula 2 Views Lt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 20 fee schedule 20 611 Coinsurance and deductible may apply XR Tibia +Fibula 2 Views Lt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 20 fee schedule 20 611 Coinsurance and deductible may apply XR Tibia +Fibula 2 Views Lt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 20 fee schedule 20 611 Coinsurance and deductible may apply XR Tibia +Fibula 2 Views Rt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 Aetna Medicare HMO 26 26% of all negotiated rates 475 percent of total billed charges 475 642 XR Tibia +Fibula 2 Views Rt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 Alignment Medicare HMO 39 39% of all negotiated rates 391 percent of total billed charges 391 642 XR Tibia +Fibula 2 Views Rt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 Anthem Blue Cross Blue Shield Indeminity PPO 60 60% of all negotiated rates 257 percent of total billed charges 257 642 XR Tibia +Fibula 2 Views Rt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 Anthem Blue Cross Blue Shield Pathway X HMO 50 50% of all negotiated rates 321 percent of total billed charges 321 642 XR Tibia +Fibula 2 Views Rt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 Blue Cross Blue Shield Medicare HMO 39 39% of all negotiated rates 391 percent of total billed charges 391 642 XR Tibia +Fibula 2 Views Rt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 Cigna PPO 68 68% of all negotiated rates 205 percent of total billed charges 205 642 XR Tibia +Fibula 2 Views Rt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 Coalition PPO 57 57% of all negotiated rates 276 percent of total billed charges 276 642 XR Tibia +Fibula 2 Views Rt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 Coventry PPO 75 75% of all negotiated rates 160 percent of total billed charges 160 642 XR Tibia +Fibula 2 Views Rt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 Great West Healthcare (Mediversal) PPO 80 80% of all negotiated rates 128 percent of total billed charges 128 642 XR Tibia +Fibula 2 Views Rt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 Humana-Commerical PPO 70 70% of all negotiated rates 192 percent of total billed charges 192 642 XR Tibia +Fibula 2 Views Rt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 Humana-Medicare Advantage HMO 39 39% of all negotiated rates 391 percent of total billed charges 391 642 XR Tibia +Fibula 2 Views Rt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 Multiplan PPO 80 80% of all negotiated rates 128 percent of total billed charges 128 642 XR Tibia +Fibula 2 Views Rt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 One Health PPO 55 55% of all negotiated rates 289 percent of total billed charges 289 642 XR Tibia +Fibula 2 Views Rt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 Optum Medicare HMO 39 39% of all negotiated rates 391 percent of total billed charges 391 642 XR Tibia +Fibula 2 Views Rt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 P3 HMO 39 39% of all negotiated rates 391 percent of total billed charges 391 642 XR Tibia +Fibula 2 Views Rt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 Saint Mary's Health Plan PPO 70 70% of all negotiated rates 192 percent of total billed charges 192 642 XR Tibia +Fibula 2 Views Rt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 Select Health HMO 41 41% of all negotiated rates 379 percent of total billed charges 379 642 XR Tibia +Fibula 2 Views Rt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 Sierra Healthcare Options PPO 33.5 33.5% of all negotiated rates 427 percent of total billed charges 427 642 XR Tibia +Fibula 2 Views Rt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 Sierra/HPN HMO 60 60% of all negotiated rates 257 percent of total billed charges 257 642 XR Tibia +Fibula 2 Views Rt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 Silversummit Medicare HMO 39 39% of all negotiated rates 391 percent of total billed charges 391 642 XR Tibia +Fibula 2 Views Rt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 Southpoint (Gaghan South) PPO 35 35% of all negotiated rates 417 percent of total billed charges 417 642 XR Tibia +Fibula 2 Views Rt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 Teachers Trust PPO 65 65% of all negotiated rates 225 percent of total billed charges 225 642 XR Tibia +Fibula 2 Views Rt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 TriWest PPO 30 30% of all negotiated rates 449 percent of total billed charges 449 642 XR Tibia +Fibula 2 Views Rt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 UHN-Universal Health Network PPO 70 70% of all negotiated rates 192 percent of total billed charges 192 642 XR Tibia +Fibula 2 Views Rt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 United Healthcare PPO 60 60% of all negotiated rates 257 percent of total billed charges 257 642 XR Tibia +Fibula 2 Views Rt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 Aetna PPO 120 120% of Aetna market fee schedule 34 fee schedule 34 611 Coinsurance and deductible may apply XR Tibia +Fibula 2 Views Rt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 Anthem Medicaid HMO 100 100% of NV Medicaid Fee Schedule 20 fee schedule 20 611 Coinsurance and deductible may apply XR Tibia +Fibula 2 Views Rt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 HPN Medicaid HMO 100 100% of NV Medicaid Fee Schedule 20 fee schedule 20 611 Coinsurance and deductible may apply XR Tibia +Fibula 2 Views Rt 73590 CPT 4055902 LOCAL 320 RC outpatient 642 545 Molina Medicaid HMO 100 100% of NV Medicaid Fee Schedule 20 fee schedule 20 611 Coinsurance and deductible may apply